June16.

We have had our bags overnight at last! 

We have a new saturate day. In the beginning of the morning we observed for Dr. Sturgeon work in outpatient clinic, and we were witnesses of conversation with young female 16 years old, singer, who has hyper-function nodule sized nearby 40 mm. The choice between surgery and radio iodine  is also very actually question in the our country. I have impression, that Cord lead patient's decision to surgery, cos the application of radio iodine for teenagers is limited in USA, and the increasing risk of follow malignancy was shown in few papers.  There were many interesting cases else, but we interrupted to case presentation meeting.

 It was made by Daria, it carried out by supervision Dr. Koop for residents and doctors. Daria created excellent presentation about 3 cases. The comments of Dr. Koop were unbelievable, and I was delighted his explanation of pathogenesis of McCune-Olbrite  syndrome and his great skills to state scientific questions which issued from clinic position.  

Other cases were dedicated adrenal insufficiency and congenital adrenal hyperplasia, and comments were excellent again. 

Then, we met with chairman of radiology department, and discussed a lot of hot diagnostic and treatment problems. I had impression, that Dr. Spies has less watchfulness to concern radio iodine, then Dr. Sturgeon. It was very informative and useful talk, especially regard low dose ablation validity, indication and calculation iodine's dose for treatment Graves's disease. 

Next step of our rich for events day was Tumor Board. It look likes our consilium, which takes place monthly. Only most of challenged patients are considered, the list of cases  is given to every member of the Board, all of person souls be adeptness his opinion. It was really interesting, and I had big honor told my opinion about one of the discussing question. 

The ending of our day was really amazing, becose we visited delight performance : rock-style singer Melissa  Ethridge accompanied Chicago Symphonic  Orchestra  was excellent! 

I have know enough English words in order to express my impression about this concert, thanks for Cord and Max!