I have read about this disease being progressive and kept on reading. I know this as do most others here. I am feeling shocked and ignorant because I did not really comprehend what that little word means. I heard progressive and thought that is why we have the surgery done for our loved ones.I thought the surgery stopped the progression unless it was unilateral disease. So you can imagine how I felt when I was told my daughter has another occluded artery and that the disease was going to progress in spite of the surgery and that the surgery would help keep her from having strokes. I just want to make sure everyone is aware of this. I was not, and I feel pretty dumb but I will post it anyway to be sure everyone has this knowledge. Molly had bilateral pial synangiosis in may of 2006 with dr. scott. I am embarrased to say I just did not get the implication of the word progressive. Just wanted to share and hear any feed back, I hope you all already know about this.
thanks for listening, Amiee molly's mom

Kim makes a valid and important point that should be kept in mind.