Time Advance and Probability Conservation in $PT$-Symmetric Quantum Mechanics

When excited states decay the time evolution operator $U(t)=e^{-iHt}$ does not obey $U^{\dagger}(t)U(t)=I$. Nonetheless, probability conservation is not lost if one includes both excitation and decay, though it takes a different form. Specifically, if the eigenspectrum of a Hamiltonian is complete, then due to $CPT$ symmetry, a symmetry that holds for all physical systems, there must exist an operator $V$ that effects $VHV^{-1}=H^{\dagger}$, so that $V^{-1}U^{\dagger}(t)VU(t)=I$. In consequence, the time delay associated with decay must be accompanied by an equal and opposite time advance for excitation. Thus when a photon excites an atom the spontaneous emission of a photon from the excited state must occur without any decay time delay at all.