Thank you for your warm welcome and for your comments. We are charting new frightening medical territory here and so it is a real comfort to have access to a community of people with some experience with what we are going through. We live on a relatively small island so our pool of doctors and facilities although apparently competent are small. So you are right @predictable we are basically trying to build more confidence for what's ahead. Through family contacts yesterday we got an independent review of the MRI images by a radiologist in New Jersey who confirms that the infraction in the right occipital lobe is in fact a small stroke and noted that his the left nasal area is inflamed. We would like to get a second opinion from another physician but plan to wait until our appointment on Monday (Yes soooo far away @colleenyoung). On Monday we are planning to ask about the new results we should receive then, the conditions they have tested for so far and if still unresolved what they intend to test for next - basically about their exploration and treatment plan. Thank you @soitis4590 for sharing your experience. I have been keeping all reports we were given in a folder but have also digitized them to facilitate sending. We would like a second opinion but want to get a BETTER second opinion so as not to court a misdiagnosis. So we are trying to assess the standard of his current care team and their plan to be able to rate what more can be done by whom. This task is a little daunting as neither of us have any medical experience.