Hi, Patty, on good days I`m only slightly confused, bad ones I bounce off the walls, so I don`t mind being called confused. I`m going to stick with what I said and also agree with Mark. Sometimes, no treatment is worse than what can be done. When Frank had his first surgery our doc told us even if they didn`t get all the cancer and he ended up with a permanent trach and feeding tube, his quality of life would be better, and it has been, he can`t speak anymore or eat, but he is much more comfortable, and we have both adapted to the changes. One last note, I have address, liking a doc does not make them a good doc, Frank nearly died because he trusted a doc. I know it`s all your decision, but believe me, disfigurment is really a small price to pay in the scheme of things........Prayers, Dee