Hi @dalejohnson, welcome to Mayo Clinic Connect. I've added your question to the Head & Neck Cancer support group here: https://connect.mayoclinic.org/group/head-neck-cancer/

I'm tagging @alpaca @ezg @desouzaj1 @gdawg @sepdvm to join this discussion too.

Dale, treatment de-escalation to my understanding is a way to improve physical quality of life for patients, maximize effectiveness of treatment while monitoring closely to reduce treatment doses if side effects become too much or irreversible. Is this your understanding too? What type of chemo will you be getting?