Tom .....
As I know you know, we cannot turn back the clock and redo things. That being said, we have said many times here on the Forum that because of the rarity of ANs, it is so important to seek out treating doctors with vast experience in dealing with ANs. You followed the advice given to you, I am sure. At the point of diagnosis, we are so overcome with the emotional trauma of it all, most of us blindly follow the advice of a doctor we trust. Please do not blame yourself for the decisions you made!
Hindsight is often revealing to future decision-making, but, alas, we cannot undo our history.
I was in a state of shock upon hearing my original diagnosis so I numbly followed by ENTs advice. He told me right up front that no one in our city (55,000+ people) would touch it. He gave me several places to consult. He mentioned House as the best place in the country for surgical treatment (in his opinion), but in the same breath said "That is awfully far away and expensive to get to." End of my first story is that I went to Duke University for my first surgery, which is a highly respected medical center. Following surgery, it was described to me as having been removed in toto. However, three years later it had regrown to nearly it's original size. By this time I had ample time to do my homework, so the tumor was removed a second time at House.
As for what I would do differently, that is a tough call because I am the sort of person who says "OK, now what can I do?" When I let myself, I do wonder what would have happened had I gone to House the first time .....
I am sending you a PM about a Sioux Falls connection.
Clarice