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[pnwmom]

308. If it was Wilms, they wouldn't have needed to open her up, because the aim then would have been

to retain both kidneys. So a laparoscopic surgery to do the biopsy might have made sense. At least a doctor should have explained to them why it wouldn't.

Nevada is a small, rural state. With hospitals in the bottom of the US rankings, and a small patient base, it doesn't attract the best doctors. And it has special trouble attracting specialists -- the kind of doctor you'd need for a tricky surgery for a life threatening and rare disease.

When you have surgery, you're better off with a doctor who performs that kind of surgery frequently -- not once in a long while, which would be the case in a hospital servicing a state the size of Nevada.

https://lasvegassun.com/news/2015/jul/20/nevadas-doctor-shortage-affects-clark-county/

In fact, new data reveal just how short we are on general practitioners and specialists, including emergency room physicians, pediatricians and OB-GYNs.

Nevada politicians, educators and health care workers point to Nevada’s doctor shortage as one of the state’s most pressing concerns. It creates long waitlists for patients, overwhelms emergency rooms and hurts the economy as people seek care elsewhere.