Well to me part of a teaching hospital is teaching empathy and sympathy and all those others kinds of pathys. You handled yourself very well with insisting that the actual experienced person do the procedure. If they have a spinal tap team why don't they go the extra step and use flouroscopy to assist them n placing the needle. I have always felt it simplifies the procedure so much more and really cuts down on the chance of error. Yes, you write a letter and add all of our names to it. If a person walked into a hospital before open heart Surgery are they supposed to walk out also or are they offered a wheel chair.