In short, the quality of my life stunk and hadn't improved in many months. Don't need to go into the details, but my doctor asked me to rate the quality of my life on a scale of 0-10, with zero being the level I was at when first hospitalized and 10 being how I was before being diagnosed. I rated myself about a 3.5. My doctor then asked me at what level I would need to be happy, and I said at 7 minimum. That'a a bid difference and it started the conversation to have surgery. But, shortly after my fever returned and I was hospitalized so the decision kind of made itself. Although my history is a little different, the process we used to move forward was pretty good.