I talk with Dr Jose Perea Garcia, Digestive Surgeon as well as cancer researcher in Madrid.  We talk about how surgery has evolved and management of the Lynch Syndrome patient compared to sporadic cases.  We compare some protocols and coverage in the US vs elsewhere such as Spain where there is government run.  Urban vs rural is an issue everywhere.  I convince Dr Garcia to offer me a ticket to an Atletico Madrid game if I get there, including if they play Real Madrid.