Reveal income to doctor?

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As for money, it's not an issue but of course I want to save as much as possible.

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In that case, I'm not really sure what you're asking. You said the operation is "significantly lower than you expected", and now you say money is not an issue. So what's the dilemma?

If you want to get a better break, just grind him harder. I don't see why you would want to discuss your poker winnings with anyone.