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Hi,  I'm new at all of this.  I am pre-surgery.  Through my insurance I must lose five percent of my body weight, have three types of consultations and only if I pass all of them will I be ok'd for the surgery.  I have not made up my mind yet where to go for the surgery.  I have decided on either Dr. Spitz in Spokane or Dr. Neal in Olympia.  I am six hours from Olympia and three and a half from Spokane.  I have been reading opinions on Dr. Spitz and they sound very good.  I really don't want to drive over the pass this winter for follow ups, so have been finding out about Dr. Spitz in Spokane.  If anyone has any advice on this, I would love to hear from you.  I only have four more pounds to go to reach the five percent and I HAVE to make my decision.   S