Christine,

Here are details from third CCC center in PA.

Saw an ENT/Rario Oncologist. (One doctor with both skills set). Here what she said.

Stage: T2N1 (III)
Options: Surgery + Combination of ChemoRadiation (Depends on second pathology results).
First time I encountered Ultra Scan. She confirmed a node involved on the same side (right side). She offered removing tumor with 1 CM clear margin (on top of the tumor part) with clear intention of leaving no traces behind. Doctor in Chicago offered me 0.5 CM of margin. (I truly enjoyed different voices and different flavor of treatment for the same decease with little variations). This doctor today looked conservative to me. Team in Chicago was impressed with the way I saved my time and did my homework for multiple opinions. Here today, a doctor's nurse was disappointed and told me on my face, "we don't compare results with other CCCs" We perform our own analysis without comparing other's opinion. I went with the flow and accepted whatever she sad with full respect. Here comes doctor, I made her to listen 6 minutes of core conclusion from Team in Chicago and she agreed on it.
Today first time I came across (and was offered) new flavor on my treatment options, that was reconstructions. I asked doctor a question, natural is natural. You can not challenge design god has created. I asked her, "What are consequences of foreign tissues over a period of time. Meaning what if tongue tissues start rejecting / breaking up relationship with newly implanted tissues due to aging? Are there any reversal back up options? Are there any significant speech and swallowing functions? Are there any immune system challenging issues with such reconstruction (plastic surgery)?"
She smartly denied all answers without confidence and told me to go for treatment soon. She hardly answered any of my question precisely I asked.

Thanks for now.

Ankur