Thanks so much for all of your replies. They did a p16 stain and it was negative. I wrote down all the things to ask, really nervous about having a Trach. . The ulcer is towards the front right side of my tongue, so I was hoping that would help me not have one. I will update all of you after my appointment Friday afternoon. Glad to know I have the support of this forum, I am sure I will need it in the coming weeks.