Thanks everyone. I wanted to add to my earlier post.My electro laryngx is working unbelievabley well. I am no longer needing the tube that comes with it. When your throat is swollen you can't stand to push it against your throat to talk. Well today I tried it and it worked great. Every one can understand me! I talked on the phone for an hour! So I'm going to pospone the surgery to get the implant (provost II) put in. I don't like the idea of getting surgery then being dependent on the doctor to change it every 3-6 months if you're lucky. Several hundred dollars each time.