Hi John, I am a speech therapist in Israel. Just wanted to suggest that, if you haven't already done so, you search for speech therapists in your area who have experience in head and neck cancer. I have some experience, and have done home visits with people in your situation. Haven't always been able to help too much, but the clients seem to appreciate a good listening ear. Maybe a support group for sufferers of chronic illness, in general, would be of help? Wishing you only well.