He sent the patient to a University Med. Center to have the defect repaired. They sent him a Dire Straits Rock band 44 Years 1977-2021 thank you for the memories signature shirt thanking him for his excellent job in dissecting away the Spinous Processes, the Lamina, and the surrounding tissue. They said this made their surgery so much easier and because of his excellent dissection the AVF walls had not been disturbed which they also felt would have caused her death from hemorrhage. He had done the hardest part of the surg. He also was on the Neurosurg teaching staff at the U.