That's no fun at all, is it. I'm guessing that Bismarck may not offer many choices, but the only advice that I can recommend is that, if for any reason you are not feeling good about any or all of your doctors, do not hesitate to get a second opinion. If need be, you might want to get your second opinion from the Mayo Clinic in Rochester, MN. You will want to feel confident about both your diagnosis and treatment plan. Best of luck to you on this new journey.