Memo from Duke Bone Marrow Transplant physician

The good doctor at Duke has written a clinical note. Oddly, it went first to the insurance people and not to Asheville or Wake Forest. However, after about twenty phone calls, I believe I've routed the note to the people at Wake for their looksee. From my incomplete knowledge of this most important memo, it seems that the doctor at Duke is agreeing with the team at Wake Forest: Jane needs a transplant (no argument there) and she needs it now (timing being the uppermost question). Will this be enough to punch through the brick wall of the insurance reviewers? Only time will tell. Yet there is finally some connection and agreement between Wake Forest and Duke, both transplant centers. Only time will tell. There is one appeal left in this round with the insurance company. Only time will tell.