@wkindel, I wish I had seen this message sooner. I can imagine that you're frightened and were unable to sleep.
The good news is that Mayo Clinic offers appointments within 48 hours through the the Brain Tumor 48-access program. Experts at the Mayo Clinic can help you navigate your treatment options and answer your questions. Be sure to mention the Brain Tumor 48-access program. To contact Mayo Clinic, here is the online form and contact numbers for our 3 campuses http://mayocl.in/1mtmR63

At Mayo Clinic, experts work together as a team. Whether you choose to go to Mayo Clinic in AZ, FL or MN, you will benefit from the expertise of the entire team. Get to know some of the Mayo brain surgeons in these videos:
- #MayoClinicNeuroChat about Brain Tumors https://connect.mayoclinic.org/webinar/mayoclinicneurochat-about-brain-tumors-2/
- #MayoClinicNeuroChat on Brain Tumors https://connect.mayoclinic.org/webinar/mayoclinicneurochat-on-brain-tumors/

I'm also going to bring a few other members into this conversation. You may wish to connect with @tammywyatt who is investigating endonasal endoscopic surgery. I'm not sure if that's an option for you to consider.

Also @IndianaScott @nancye3 @lisakuehl and @jkenser all have experience with brain tumor care at Mayo Clinic. Feel free to read their posts and ask them questions. I know they'll be happy to share.

Here are a few discussions you may be interested in reading:
- Meningiomas. Gamma knife or Cyber Knife. Which is more effective? https://connect.mayoclinic.org/discussion/meningeomas-gamma-knife-or-cyber-knife-which-is-more-effective/
Gamma knife for meningiomas https://connect.mayoclinic.org/discussion/gamma-knife-for-meningiomas/

wkindel, is proton beam an option for you? Keep asking questions.