Thanks for the update. Your description of your consultation with Dr. Golden gives the impression that, as you noted, she is affable, knowledgeable and gave you good medical advice, based on facts. This is, in essence, exactly what you want from a doctor consult, even if it isn't always good news. It appears that surgery may be your best choice but that, of course, will be your decision. I would be encouraged to receive a definite, professional opinion like this (from Dr. Golden) and I trust you'll put the information to good use as you pursue your attempt to find out your viable options. As always, we stand ready to help, as needed. Good luck as your 'quest' continues.