Hi All,
First, let me say that I really appreciate the responses. It's very helpful to hear multiple viewpoints.
I need to get my CT Scans re-done (later today) so that the docs can better see whether the carotid is enrobed. So I actually have some time to do this kind of "what if" thinking.
It is correct that the loss of speech and eating that might result from a surgery is the issue. Honestly, I'm not sure that a long life without those abilities would be as rewarding as a shorter life with them.
I'm also surprised at how resistant my docs were to even discussing non-surgical options. In my case, I'd probably trade a few percentage points of survival probability for the ability to speak clearly (because of my profession and silly little psychological issues).
I guess I'm intrigued by the notion of trials because they have the chance of combining traditional radiotherapy with potentially useful meds. I guess I don't see the downside.
Anyway, all input VERY MUCH appreciated.
Clint