Review your abdominal images with a urologist. Ask questions. Schedule surgery if necessary. A partial nephrectomy is a harder recovery, but better in the long run than cryoablation. Review your FULL brain and spine MRI with a neurosurgeon. Ask questions. Make sure it is ordered as a FULL brain and spine, or some facilities won't image the sacrum. Schedule surgery if necessary. The longer you wait, the more nerve involvement occurs - and the less chance you will recover 100% of your nerve function. See a retinal oncologist, or a retinal specialist, at the be very least. We get just one set of peepers. Protect the heck out of them. Ask questions. See an ENT. Review your head CT images with them. Ask for a hearing test at least annually. If you are not comfortable at ANY time, GET A SECOND OPINION. You are your own best advocate. You know how you feel, how severe your symptoms are. Consider the advice of the experts, but in the end, the decision for treatment is yours. FIND GREAT doctors. Ask within the VHL community. You may have to drive some distance to get to the best docs, but the best is what you must demand!