@scottmcf1431, you are correct, the new normal is tough to live with. But the ability to live and grow older is a blessing despite the changes. I also have metastatic SCC, in my 15th year now since original surgery. Libtayo, which works via the same pathway as Keytruda has squelched my last metastasis which was to kidney and lymph nodes in 2020. Now 3 years off the immunotherapy and still no recurrence (knocking on wood). Keep your positive attitude and enjoy life each day. Wishing you wellness.