Thanks for all of your suggestions and experience on this subject. I think the daughter has decided that she needs the local ENT right now, even though it is obvious he is not a Weg expert. She has said she will tell him she respects his experience and opinion, and she does not mean to be non-compliant regarding his recommendation to correct the deviation in the septum (his opinion is that the deviation is creating an architectural host for pathogens, which is likely true...our concern is that with active Weg, her septum may not survive the surgery).
Her short term, immediate need is for conservative efforts to rid her of current infection so she can get her Rituxan infusion. Once she achieves a medically induced remission, she can re-visit his and expert suggestions to do surgery on the septum.
She and I both agree that he would not be the one to do the surgery, and she would either go to Mayo or consult with Lebovic, but that might allow her to mend her current acute problem in state, in a timely manner, rule out fungal sinusitis and get the Rituxan infusion to avoid further head ache and complications. Man, the machinations one must go through, when you feel you know more about your condition than one of your docs!!!
Does this sound reasonable?
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