Kate - I understand why you are frustrated and scared. I know you'd like to be the person you were before all of this happened, and have the abilty to speak freely and distinctly. We can all tell you that it doesn't really matter, you're a wonderful person, etc - which is all true! But, it doesn't change your struggles with this. I think the advice that Eric gave was good - be upfront with people, let them know that you are still the same person as before your surgery but have a more difficult time with speech because of it. I did this the first time I had to give a public presentation, and was very upfront and open, and I think it made a big difference. I realize my issues are no where near yours... but you are such a strong young woman, with so much to give - I think most people will see that light shining through....