Working on a 3rd patch

My wife went in for surgery on her back. Long story short, she is on her 3 CFS leak. The last was only a week ago and she woke up the next morning after her 2nd patch with another leak. Her nourosurgeon has never even tried a blood patch. Is it something I should bring up to her doctor or is his feeble attempts to derm patch fixes the only option? Pls respond soon. TY and best reguards to all of you suffering from this and similar situations. God bless you all and thanks once again.

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