A big thank you

First, I want to thank everyone on this forum especially Isaiah and Jules who answered every single post. This forum gave me the strength to finally advocate for myself after years of doctors telling me I was “crazy.” Truly, I don’t know where I would be without this community.

For those who haven’t read my earlier posts, I suffer from a 3.8 cm styloid on the right and a 3.6 cm on the left. I experience many of the classic Eagle symptoms, but the worst for me have been the headaches and the nonstop feeling that something is stuck in my throat/choking.

In addition to that, I also suffer from hemifacial spasms, facial pain, pressure behind my ears, jaw pain, ear fullness, and numbness in my hand. The typical “lighting strike” when I turn my head. After trying many different medications and therapies, nothing truly helped. The only partial relief I ever got was from Botox and muscle relaxers, but once they wore off, everything came right back. None of which ever helped the choking though.

Over the course of a year, I lost over 50 pounds simply because I couldn’t eat. My diet was basically protein shakes, eggs, and oatmeal. I saw countless doctors who kept telling me nothing was wrong, that this was multifactorial and psychological. Most of them had never even heard of Eagle syndrome. Shockingly, not even the hospitalist in the emergency room hadn’t heard or it. Despite it being clearly visible on the CT scan and explicitly documented in the radiology report.

This forum became my lifeline and my resource for finding knowledgeable doctors. Living in New Jersey with BCBS, my options were very limited. I did see Dr. Osborne, but unfortunately with my insurance I would have owed a significant amount out of pocket, which wasn’t feasible. I also saw Dr. Shohet in NYC, who while kind, didn’t seem fully knowledgeable about what was actually happening to me although he did refer me to a throat specialist, which I appreciated. The barium swallow ordered determined that when I said I was choking, the food was not even in my throat yet just on the very back of my tounge

Through this group, I found Dr. Paskhover—not initially for surgery, but because he actually knew what Eagle syndrome was. Because he was very apprehensive about surgery, he referred me to Dr. Agrawalla, who did agree surgery was an option. However, his hesitation and recommendation to try Botox one more time, which would have set me back another 4–5 months didn’t sit right with me.

Through this group, I also learned about Dr. Liu (whose actual main focus in aneurysms but fell into this by accident becuase head and neck surgeons would call him in to be the secondary Dr) whose office is right next to Dr. Paskhover’s. He took me seriously and immediately and connected me with Dr. Mir( head and neck surgeon who is a oncologists and vascular specialist. He mainly removes tumors from the skull base ) who is actually in Dr. Paskhover’s office. From the very beginning, they were honest: this surgery may or may not resolve everything but they were willing to try. (They have reported that they are doing 3 per month and nerve monitor) That alone meant everything to me and why Im perusing them.

Dr. Liu and Dr. Mir are the only doctors who truly listened and took me seriously. Dr. Liu, being a neurosurgeon, also believes he can explain the facial spasms and hand numbness and plans to confirm his findings during surgery, which is scheduled for January 30.

Finally, after 7 months of an official diagnosis, 5 years of unexplained symptoms, endless medical bills, missed work, sleepless nights, and overwhelming stress I feel like I can finally see the end of this road.

To anyone still searching for answers: don’t give up. Advocate for yourself. Use this forum. You are not alone and you are not crazy!!

IM very nervous for surgery but will update after its done. Thank you again everyone. .

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@Gaby - Thank you for your passionate post & sincere encouragement to never give up until a plausible answer/diagnosis are received. I’m beyond excited that you FINALLY have a path forward with two doctors who sound like a fantastic team. I will add Dr. Mir’s name to our Doctors List in tandem w/ Dr. Liu since they operate together.

I’ve put your surgery date on my calendar so I can pray for you then especially. I truly look forward to hearing what Dr. Liu says about your facial spasms & hand numbness once he gets an “inside look” at things.

:hugs:

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Well done you for not giving up, for advocating for yourself and for pushing to get treatment! And I’m glad that you’ve found the site helpful :smiley:
I’ll pray for a successful surgery for you, and that this turns your life around! :hugs: :folded_hands:

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Thank you for posting this! I’m in the diagnostic process now; it’s been about a year since symptom onset, 10 months since it’s been moderate/severe. I too, have been shoved in the “it’s just anxiety” box. I know so many of us have similar stories but it’s so validating to hear while I’m still trying to get proper diagnosis and treatment. I’m so glad you found some doctors who listened and I hope you get significant symptom relief from your surgery!

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Hope your surgery goes super smooth and that you find relief from your symptoms quickly!

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can i ask which dr. liu youre seeing specifically?

Here are the doctors who did @Gaby’s surgery yesterday:

•Dr. James K. Liu, 200 S. Orange Ave, Ste. 265, Livingston NJ, https://www.neurosurgeonsofnewjersey.com/james-k-liu/ - Dr. Liu reportedly does styloidectomies w/ IJV decompression/C1 shaving if necessary. He’s done 11 of these procedures. None of our members have seen him yet (as of 10/20/25) so we don’t know how the outcomes have been.
•Dr. Raema Mir - operated together w/ Dr. Liu - https://doctors.virtua.org/provider/raema-mir/2136751

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How are you doing Gaby, let us know how you are when you’re up to it, thinking of you :hugs: :folded_hands:

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Hello Everyone.

so sorry in the delays in response. I’m moving at half speed.

to clarify my surgery was preformed by Dr James Liu of neurosurgeons of NJ. (Livingston office) alongside Dr. Ghayoour Mir Ghayoour Sattar Mir DO | Otolaryngology/Ear-Nose-Throat | Newark NJ (Rutgers school of Otolaryngology) office Livingston or Newark at University Hospital.

Aside from the 2 surgeons there was a vascular neurologists monitoring me the whole time and a specific vascular anesthesiologist. They handled me very carefully as I explained laying in certain positioned will make me feel choked and they weren’t sure if it was a sensation or if I truly couldn’t breathe they also expressed since I’m so petite they have to be very careful with the medicine they give me for reference I’m 5’1 118lbs
I had 5 IVs during the whole surgery 1 in each elbow crevice, 1 in each forearm and one in my SHIN! Apparently my feet swelled so bad they couldn’t put it there as planned

Some background- after seeing many ENT and Dr Pashkover who is even in the same office as Dr Mir. No Dr was really interested in picking up my case until I spoke with Dr Liu. He was the only neurosurgeon that made the connection of what was happening with my eye ticks and spasms. I’m glad I went with his route, instead of going with the ENT as a primary in my case specifically. Dr Liu used to work in conjunction with the public practice of Rutgers who Dr Mir is affiliated with, but switched to private practice yet still works with Dr Mir

Instantly upon waking up my eye felt “free” and there was nothing in my throat. Day 3 I can swallow again much easier but in swell hell and lots of pain. Clearly the surgery was a major success.

I will update on a major post within the next few days when I’m feeling up to it. Thank you again everyone. This group has been my rock- and without you and the admins I’d still be suffering and depressed. I’ve documented my whole journey via Instagram. Not sure if it’s allowed but if anyone’s interested let me know.

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Thank you for this post op update, @Gaby. It’s great news that you’re already feeling some better (in spite of the swelling at the moment). By week 2 the swelling will start subsiding though it can take a month or more for it to go completely away. Healing occurs by baby steps but those add up to leaps & bounds eventually!

I look forward to reading future updates. I’m so glad you found this amazing team to do your surgery. They are now on our Doctors List.

:hugs:

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Good that they took good care of you, that you’ve seen some improvements already! I hope you have more symptoms resolve soon, take care & best wishes :hugs: :folded_hands: