I actually asked the DR what chance he thought i would have with the trach removal. He told me he could make that decision after the first procedure is completed and he had could actually visualize in the OR.
The hospital does offer an opportunity for my wife to stay in the hospital the fee is an additional $250 per night but it includes free parking so the rate is not bad for Manhattan in the city.
I will be making a decision soon currently I am dealing with my mom in last stages of Alzheimers so I probably won't do anything until I am able to get a caregiver for her Thanks you all