I have been having hand cramping for some time now. My hand surgeon took one look at my x-rays and said he had to do nerve releases on each arm under general anesthesia. I used to trust him.
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I do trust my neurologist. He looked at the nerve conduction test my hand surgeon had ordered and noted that (a) it was done by a physician who had retired from the Mayo Clinic where he had led the practice and was terrific and (b) he didn't think the ulnar part looked that bad.

My neurologist completely trusts a surgeon at the Mayo Clinic. I have an appointment with her in a little over a month.