Tammy, I have felt the indescribable terror you are feeling...I'm so sorry. The most useful tool to have on hand directly following the surgery is a board that will allow him to write on using just his finger. We used the Boogie Board sold by Brookstone. We also used a squeak toy in the hospital so he could get my attention....that is what finally allowed me to rest. Once healed Jim was able to use an electro larynx although he preferred the Boogie Board and iPad-we used the Speak-It app. I would be happy to answer questions you have - I know had a ton of them myself!