Do not be dismayed by the disclaimer. It is simply that I am obliged to remind you that although I tell you what I think you have the final responsibility for acting on it. I am an evaluator of and advisor on personal situations but, because of the inevitable distance between you and me much of what I accept from you has to be taken on trust. I do the best I can with what you tell me but only you know the true state of your situation and only you can decide what to do about it. I do not give medical opinions and my advice is not a substitute for proper medical care.