Hi Elaine!! I am happy to see you here!! We had talked Briana's surgery, but I must have missed the part about Alex. You are going to have your hands full. As far as Briana's surgery goes - I would be interested in hearing more about the actual surgery. I know this is not a decision you have made lightly. Briana's really not old enough to understand all the implications. Is there another child who has had this operation - she can talk, too? What are her major concerns - is it something Amber can help with? We are only a phone call away! Brightest Blessings and Hugs!! Trisha