Dr. B told us that he didn't want to put Randy to sleep to relocate the shunt because of the risk to his heart. He said their were two options: 1) us a local anesthetic and route the shunt to a bag outside his body until after his bypass surgery or 2) refer him to a neurosurgeon in Johnson City and have the shunt relocated after he's put to sleep just before his bypass surgery. We agreed that the second option was preferable. Dr. B said he would call Johnson City the next day (Wed. Oct. 29) to talk to a neurosurgeon there and tell them what needs to be done. He also scheduled a CAT scan and abdominal x-ray at BRMC.