Duke University Hospital has an excellent history of Cardiothoracic surgeons. I am currently being monitored there by the "Guru of Aortic Diseases". I pretty much spend the day there starting with the review of my medications, taking my vitals and checking my serum creatinine level. Next, I have an cardiac ultraound, followed by a CT with contrast and then I see the Cardiothoracic Specialist. He sits down with me, reviews all the testing that I just had performed including the 3 D printout showing the Aneurysm and shows me how he and the radiologist are measuring it. We discuss the findings in detail and what he recommends. He offers me time to discuss any questions that I might have. The Cardiothoracic Specialist provides with a full print out including 3 D photos for my personal records at home. He provides this same information to my Cardioloigst and my PCP at home electronically. At the time of my office check out, we set up the next annual visit with testing scheduleand Specialist visit. This works for me as I go to Durham, the evening before and have time to eat breakfast before arriving at the hospital. I am able to get all my testing and see the Specialist and drive back home approximately 200 miles away.