Dr. Gianoli is a surgeon and that is the only method he uses to resolve health problems – no other alternative. I did not accept this, even though I was almost convinced to have my middle ear explored and filled with grafting he wanted to harvest from my head to supposedly fill a hole that he could even not see in the CT. I’m glad I did not listen to him. I have since found ENT’s who manage my care, 4 months later I was healthy- and kept my ear untouched by his knife. I would recommend to explore all options.