Mr. Silver, I would like nothing more then to have my dad transfered to Vandy or even to a hospital in Louisville. Both my parents are quite stubborn and convincing them to move outside their comfort zone is nearly if not impossible. All my brothers and sisters can do is support them and privately hope and pray they have made a wise decision. Truth be told I've not been impressed with the doctors my dad has been seen by in the past. All I can do now is hope this new surgeon is knowledgeable and capable of the task at hand. Dealing with elderly parents is, as you know, quite challenging. We are walking a fine line between respecting their wishes and doing what we (my brothers, sisters and myself) feel needs to be done. Where is that "parent manual" when you need it?