<table><tr><th>From:</th><th>MARK TRAMO . . </th></tr><tr><td>Sent:</td><td>Tuesday, February 20, 2018 6:36 PM</td></tr><tr><td>To:</td><td>Jeffrey Epstein</td></tr><tr><td>Subject:</td><td>Superion Minimally Invasive Surgery</td></tr></table>

Just saw a 77yF who is having the minimally-invasive proce=ure next week - she brought a pamphlet with her. It looks like that proced=re is easy-peasy, hardly "surgery" FYI - they put a spacer betwe=n the posterior spinous processes of your two vertebra that are compressin= your nerves and causing neurogenic claudication when you hit the red mark=on 67th Stxxx

## Mark Jude Tramo, MD PhD

Dept of Neurology, David Geffen School of Med=cine at UCLA Dept of Musicology, UCLA Herb Alpert School of Musi= Director, The Institute for Music & Brain Science

<mailto

## http://www.BrainMusic.org

http://merci.uc=d.edu <http://merci.ucsd.edu>