Dear Peace, you have been dealing with this [at leat on OCF] since January. And you have been through alot so far- it's no wonder you are very tired, sad and frustrated. It sounds to me like your Onc and ENT should have a talk with each other, as well as you. If the trach is preposed as a tempoarary thing- ie: to get you through radiation- it is not an insurmountable obstacle. Granted it is not pleasant to deal with, but it is manageable. Bottom line is, I guess, how hard do you want to fight? Thinking about you and wishing you strenght. Amy in the Ozarks