Thank you for everyone for your lovely comments. I write this blog to keep me sane but to also to be open as the Admin of the Forum. It is your Forum, I'm just the Admin and I hope you have faith in me and my incredible staff.
My original PET scans came out with a reading of close to 12 SUV, the scale for PET scan is hard to follow and if anyone can explain them please do so. My post therapy scan was 4, my 6 month was 8. I see the problem

After a meeting on Monday with my principle medic, a lovely man, he suggested there where 3 outcomes. The QC on the machine was out, and after going into such things it is possible. Or I have severe inflammation from carry over, this may not be as dumb as first thought. My Ferritin level is 390pm/l which is high and my CRP is 64 which is high so I do have an inflammatory process going on. Or the cancer is back.
I have to weigh my options and I wish to do this with clarity and not with fear. Thinking about the options becomes interesting. As I insisted on radiochemotherapy initially that is no longer an option, I am too damaged from it and it is doubtful that it would accomplish anything.
So it is surgery (IF) that would be a total laryngectomy. My voice box is removed as that is where the cancer is, so I cannot breathe or swallow. So my lungs are connected to a 'stoma' a hole in my throat that I would breathe through.
My mouth is connected to my stomach by another tube and I would have to learn to eat and drink again.
I would have no vocal cords so speech would not be the same. I would need to learn to talk again.
All of this is overwhelming and against my desire to live as I would wish.....But.....
The equation is more complicated or is it solved?
My wife Rebecca has lived in high dependency care since 2008, paralysed, except for her right hand, and she maintains her love of life and support me as much as she can.
We are in love.
This year is our 35th wedding anniversary.
I made Vows. She made Vows.
I was laying on my bed worrying about Rebecca and I was visited by my last conversation to my Dad. We had not spoken for some years and he was dying from bowel cancer. He was a lovely man who had principles, morals and compassion. I learnt the principles of Charity from him when he came home one night and telling us that he had remortgaged the family home because 'Mrs ***' husband had died and she could not keep her kids, school and home together and we would pay her way so she could keep her family together. I understood my pocket money was gone. I understood that
what he was doing was right. I accepted the right way to do things -at least for me.
Oh waffle!
How do we reconcile the unreconcilable ?
How can I give up my throat?
How can I give up speech, swallowing?
How can I deal with being in such a difficult situation of being a TG woman in major surgery?
The only answer I have is that I made a Vow 35 years ago. My Dad's final conversation came to me "The only regret Son is that I'll die before your Mum, she is dependent upon me'
Dad, your daughter refuses to die before her wife.
I shall, if need be, have a laryngectomy and deal with it.
I'm Cindy and I do not give up.
This blog episode has been a very personal reflection.