PN - it's very good of you to help your friend like this. I have a lot of experience with Frist Nations people and they are a very proud and stoic lot. In the past I have had to discuss many uncomfortable issues with my First Nations patients and I have found that they often respond well to you laying out the facts and letting them think about their options over a night or two.

Usually, I'm discussing problems related to substance abuse with them and ways to deal with it. This is a very different situation, but one of the things I have done inthe past is contact people from the tribe to help. They can often help make suggestions on how to manage these issues in a way that is sensitive to their culture.

Thank you for helping Ed and take care.