This is gut-wrenching to read and my heart truly goes out to Jake and his family. My mother-in-law had this diagnosis and same course of treatments although she was able to keep half her tongue before the cancer eventually returned with a vengeance. Only now reading these visceral, gripping diaries do I realize how poorly I understood her physical and emotional experience. I am very, very hopeful that the coming generations of AI enhanced research will accelerate us quickly out of these almost unbelievably brutal treatments and into therapies that work non-destructively.