Been thinking about this since I posted.

I would push hard for consult at Mayo with the multiple tests they will want - figure three days of tests with the consult - WHILE being scheduled at MSK.

If Mayo agrees with MSK, but can't schedule for a couple of months, I would consider continuing with MSK. This is the TIME is critical path.

If Mayo disagrees with MSK, and is insisting on neoadjuvant, then more consideration to this approach.

You need to know which mutations - this should been checked, already.

If you consider the teams at Mayo and MSK to be comparable, it makes sense to consider logistics, airline routings, facilities for living full-time at one or the other. Please do not think that a local team for surgery, oncology, tests, analysis, etc is as competent as a COE. Please move to whichever COE as you start working through this - you will need everything you can.