I also have fibrosis affecting my carotid arteries and swallowing. I have regular NIVA ultrasound studies. My vascular surgeon said surgery for carotid occlusion is most likely going to be needed in the next few years.swallowing has become increasingly difficult. I am 7 years post chemo radiation using proton radiation for stage IV SCC base of tongue primary and mets to two lymph nodes. My fibrosis is worsening and my oncologist isn’t offering any relief other than PT, OT, Speech and swallowing Therapy. As the fibrosis worsens, this week he recommended palliative care to see if they had suggestions to improve quality of life. Has anyone else been offered this and if so, was it helpful? Also wondering if anyone has had carotid surgery post treatment. Thanks!