The locale is the US.
>Dear Pxxxxx,
>This is my Final Opinion
>Data Base :
>Review of All Medical Records ;Pertinent Points are the Dates; CT Scan dated
>9/223/2011 and 10/28/2011
>Review of CT and PET Scans themselves not just the reports with
>a) 2 Board Certified Thoracic Surgeons and discussion by one of them with your
>surgeon whom he knows personally
>b) 2 Board Certified Radiologists
> Results of review : Localised disease very amenable to wedge resection by
>Minimally Invasive ie. Video Assisted Thoracoscopic Surgery which would do
>both i.e.Give a diagnosis AND most l;ikely be Curative.
>However remember my first edict CANCER IS NEVER A X RAY DIAGNOSIS.IT HAS TO BE
>CONFIRMED BY PATHOLOGY . ALL CLINICIANS THINK IT IS MOST LIKELY TO BE A STAGE
>I LOW GRADE CANCER AT THE WORST or a benign tumor at the best BUT LET US HOLD
>ON THE CHAMPAGNE TILL WE GET THE"PATH"AND THE STAGE
>Timing
>Since first detection was on Sept 23, I think that we should get it out as
>soon as possible within Real World Insurance Constraints.
>Comparing PET with CT about 1 month interval between the two ( not dissimilar
>to comparing one type of apple to another type of apple rather than an orange
>) there is no significant change and that is VERY GOOD but we should not tempt
>Fate or Nature too much.
>Finally all of us have experienced infections and sickness in our Mother India
>trips and we should not leave your fate to the mercies of nature.
>I did not speak to Dr Mil-- because Dr. Vijay Nu-- did at great length and I
>did not want to press the issue.
>Vijay however told me that Dr Mil-- said he would do whatever you wanted.
>I have tried to balance everything and have given you a very honest opinion,
>hard as it maybe because I am advising you not to come to the reunion and take
>care of yourself
>I AM SURE THE ENTIRE CLASS WILL SUPPORT YOU IN WHATEVER DECISION YOU MAKE,
>GIVEN THE ABOVE FACTS .THERE WILL BE PLENTY OF OPPURTUNITIES TO MEET WHEN YOU
>ARE WELL.
>Sincerely,
>A
>
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