Dr. Karen Gersch on Limbaugh, "Stage four is terrible ... options are very limited." Gersch, is a cardiothoracic surgeon with Palmetto Cardiovascular and Thoracic Associates who operates only at Trident Medical Center, here in the lowcountry. Dr. Gersch offered up some seriously sobering statistics regarding Rush Limbaugh's recent Stage Four lung cancer diagnosis with host Kelly Golden on a 'What's Up Wednesday' powered by Matt O'Neill real estate on 94.3 WSC