Thank you for the advice, Lisa. The Stanford doctor who suggested a second opinion at Mayo Clinic was herself a department head for around 20 years at Mayo in MN. The neurosurgeon I saw here just did not inspire confidence. He could not answer the primary question about safety of anticoagulation for menigioma patients and I am not sure how much experience he has with the procedure that I might need. Stanford has another neurosurgeon with extensive skull base surgery experience whom they very recently recruited from Pittsburgh. I'm not sure if the politics of the department would let me switch. The cardioversion was a couple days ago, but I suspect that I am back in Afib based on symptoms yesterday. However I am protected by the anticoagulant Eliquis. My cardiologist felt that it is safe to anticoagulate meningioma patients after he had discussions with neurologists and neurosurgeons. I have opted for wait six months to twelve months and repeat the MRI. I might do it at Mayo or with the other Neurosurgeon at Stanford. Really, the watch and wait is nerve wracking. However, I want to get my heart into as good shape as possible prior any possible surgery. I most appreciate your suggestion and your taking the time to advise me.
Alex