We visited a specialist in San Antonio, Tx, and he raised her risk from low to moderate. Said it was based on a new formula. That set her back emotionally. We changed Onc's again because that one didn't seem to listen very well. He's a researcher and we were afraid that he was more interested in data than patients. That may have been unfair after just two visits but we now have one that's in the same city as where we live (short drive) and seems to listen and have compassion. Mind if I ask where your "mds expert at a center of excellence" was located?