Case Presentation: 79-year-old man presented with recurrent syncope. He had a history of tonsillar squamous cell carcinoma (SCC) in 2005 s/p resection, pyriform sinus SCC in 2019 s/p total laryngopharyngectomy with tracheostomy and PEG placement. He had multiple prior admissions for the same presentation, which had been attributed to vasovagal syncope and dehydration from intermittent [...]