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 Steve,
 IMHO, I would do what Dr. B suggests.  It is good that you raised concerns because it looks like now they are justified.
 Sorry, he has to go in again.  I think what he is saying about the wait and see approach, is to do something now before things get worse.
 Subsistence is a potential complication of ADR surgery and I am sorry it happened to you.
 i know you've gone through a long haul, with insurance issues and then going to Germany for surgery.
 Good luck with your decision.  I wish you the best.
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