Doctor on the same director of political radiation at Roswell Park Cancer Institute as helping us understand Jim Kelly's cancer recurrence. Not just saying you mentioned when we began. That you have an assessment meaning coming up this week to talk about treatment options for various cancer patients. Russell right now you mentioned that as a radiologist. Others you'll wanna know why you as a radiologist my favor radiation as a treatment others will state their case for chemo or surgery. Is that are. An impartial moderator. Who might guide used to make a decision. Well we don't really have impartial moderator -- say we do discuss the literature around these tumors. So. I might make the argument that based on such and such clinical trial or the results. A given clinical trial of that. The voice box should be treated in this way and that the outcomes. Would -- would be as -- clinical trial so. A a surgeon might argue. Based. Based on the fact that the patient is having difficulty swallowing right now. No matter what we did. The swallowing function is unlikely to return and there are for the safest course of action might -- to do surgery first. And not to. One what is stated in the clinical trial. Because this that this is a different patient and that's sort of where the art of medicine content. Is you have to have an idea. What's what the patient's life there's going to be like if you're treatment is successful. So. And our group actually the number of plastic and reconstructive surgeons that we have is equal to the number. Surgeons who cut out in curing the cancer. So. Do reason that it's important to have such a large group that is as I said. One of the main functions of the faces that make you recognizable to other people. And so much of one's self worth is. Tied into that appearance. So if you're if you can cure the patient but you live you leave them so disfigured. And it's difficult for them to go about their lives and that their quality of life really suffers. I'm not sure that you really down the patient service now obviously curing the cancer is always first and foremost. By. Our plastic and reconstructive surgical colleagues what it. There are skill is is in being able to put the patient back together. In no way that is acceptable to the patient and allows them to maintain their functions throughout their life. So our meeting is actually once a week and we've discussed -- new patient. Patients. Will also get discussed by the individual doctors seen them. Separately. Each time that they are seen by one of us. But this is an opportunity for all of us as a collective group to get together and review every element of the case so. It's not just that you happen to see one surge and he has a special team in this now if if we have another searchers cold colleague who has. The experience or ability. Those two surgeons will get together and do via operation. A lot of people wondering how treatable. Curable is this week talk in terms absolutely so. Again Allen stressed then that argument any individual case document and neck cancer in general. And what they'll tally news. We've made tremendous advances. Over the last twenty years. And those -- advances have even accelerated further over the last five that -- An example you view is for any cancer. At the back if someone's on. And win Iowa news a younger man in in training in the year 2000. We would routinely saves these people who had tumor at the back of their time one week of the base of tong. Had a vary ports survival. We would actually quote them 5%. At five years. Today. That number in non smoking patients who -- both chemotherapy and radiation. Is approaching 80%. Five years -- So it gives you some idea. The amount of advance that we've made in just the last fifteen years. -- and treatments like chemotherapy memories and the advances in surgery. And variety of other things that have combined to make the outcomes for head and neck cancer in general. Improve over time. Now the difficulty is that it's not a fairy tale. Everyone does not do well. And so. It makes. It makes it even more important. To have it and have your treatment done correctly. The first time. And to have it done early and so I would like to let everyone knows April. Is head and neck cancer screening awareness month. And if that listeners code to. Debbie Debbie -- -- Roswell park that Horry. They'll be able to again a lot of information about and neck cancer screening. What are the risk factors what -- ways to have yourself -- screen. What are signs and symptoms so were looking April as the months to really brings awareness. To the community.