 Even at this stage, however, Frederick, in a private discussion with his wife, decided against the laryngectomy as it was itself highly risky.He sent his doctors a written statement that he would remain in Italy and would only submit to a tracheotomy if he was at risk of suffocating due to his condition.The news was greeted with shock in Berlin and generated further hatred against Victoria, now seen as a domineering "foreigner" who was manipulating her husband.