Thank you all! Such a support and really helpful information. Grateful to you all! My ENT whom I love and did the first surgery 8 years ago plans to do surgery. Hoping for clear margins. PET and CT scans will happen this week and then hopefully surgery, but of course you know the results of the scans may change the course. My oncologist I had previously I know is a great doctor but she really lacks "bedside manner" and did not always listen to my family who was advocating for me and that lead to some real issues. I think based on all I have been reading on this forum, I am going to get a second opinion ASAP. I really would like to go to a Cancer Center. I have Mayo Clinic and MD Anderson, and Cancer Treatment Center in my area. However, not sure if they will accept my medical plan - Humana PPO which is a medicare advantage plan. So will be researching this week. So that's where I am at. Thank you so much. Any and all advice or comments are so helpful to me.