# About TOS and medical articles **URL:** \ **Category:** General\ **Created:** [August 15, 2026, 10:12am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987 "2026-08-15T10:12:18Z")\ **Posts on this page:** 18\ **Page:** 1
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 15, 2026, 10:12am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/1 "2026-08-15T10:12:18Z")
I’ll clarify a bit about TOS. This is a very common syndrome, especially in baseball players. It rarely occurs due to anomaly of an additional rib or moderate(inborn) small thoracic outlet. TOS often occurs due to physical exertion and occupational diseases, like a violinist, baseball player, etc. who often raise their hands and are tense. Improper posture can also cause and lead to TOS disease. Many surgeons operate on TOS, but they have a different approach and method. There are 4 surgical approaches in total (above and below the collarbone incision, armpit, and posterior access.) We have about 10 surgeons in Russia who are engaged in TOS. Surgery is performed in different ways. Someone cuts off only the anterior scalene muscle, others cut it off and partially resect it, as there have been cases of its regrowth.Other surgeons remove part of the first rib or an additional cervical rib (rib removal has a greater effect, but it is more difficult). There were also cases of the 1st rib growing back, relapses ( and also the front part of the first rib remains (where the shoulder blade of the sternum is). Which can cause compression of the veins.). Therefore, Dr. Agaev removes the first rib completely, and cuts off 3 scalenus muscles. Some patients benefit from special physical exercises. And never rush into a surgical operation (don’t rush, think it over, get examined — diagnose in more detail). There’s a saying: measure seven times, cut once. The main one is **neurogenic TOS** , which is compression of the brachial plexus of nerves. **In 90% of TOS cases,** it is a neurogenic type. Symptoms of the neurogenic type are numbness of the fingers / tingling, weakness in the arm, pain in the shoulder and neck (tension of the neck and shoulder muscles / pain in the arm and neck).There is a particular tingling sensation in the fingers during certain hand movements and physical exertion. So we know that 90% of TOS is of the neurogenic type (it’s just arm numbness). The remaining 10% of cases are divided into venous type, arterial type and mixed type. There is also a **vascular type of TOS** (there is also a **mixed type** ). The venous type is when the subclavian vein or, rarely, the mouth, the source(beginning) of the IJV and VV on subclavian vein are clamped/compressed (But this is not a common phenomenon, though it does occur. They may not be compressed on a permanent basis, but periodically, or partially compressed.). There is also subclavian vein thrombosis and its further spread and complete blockage of the vein (this is due to mechanical damage). The venous type of TOS is about 6% out of 10%. Symptoms : cyanosis of the arm, swollen arm, weakness in the arm. (this does not apply to the mouths/sources of the IJV). There are collateral veins in your arm, workarounds, you may have a subclavian vein compressed, but there will be no significant blueness in your arm (or partial compression). The IJVs also maybe compressed between the anterior scalene muscle and the SCM. Arterial type of TOS is 1-2% . In this case, the subclavian artery is compressed between the middle and anterior scalenus muscles, and there may also be an aneurysm. It is extremely rare for TOS to affect the vertebral artery (these are some isolated cases). The remaining 2-3% is a mixed type. Some surgeons also claim that the scalene muscles can compress the stellate nerve or the vagus nerve (but this is an extremely controversial statement. In fact, it is highly questionable. Perhaps such cases do exist, but only in isolated instances). The articles may contain errors, and you may have missed something; you shouldn’t take medical articles as 100 % reliable. I can’t post links, so I asked another user to post links to my TOS articles. There are a lot of them about 100 ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 15, 2026, 11:00am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/2 "2026-08-15T11:00:08Z")
Add dots. in PDF file links ,many links and physical exercise drivegooglecom/file/d/1D1XfhOHiGH84l83jjJyP8DFabe-oXHMr/view?usp=sharing drivegooglecom/file/d/1J9HO86bGpjp8hnG4bJlph-FBH86Zbw7p/view?usp=sharing ---
**Author:** ![Jules](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/jules/32/404_2.png) [@Jules](https://forum.livingwitheagle.org/u/Jules)\ **Post date:** [August 15, 2026, 5:38pm UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/4 "2026-08-15T17:38:54Z")
Thanks for the info… Kjetil Larsen at MSK Neurology has diagnosed several members , and has written quite a few research papers, here’s a link to one that @Bowser posted before: [View of Does thoracic outlet syndrome cause cerebrovascular hyperperfusion? Diagnostic markers for occult craniovascular congestion | Anaesthesia, Pain & Intensive Care](https://www.apicareonline.com/index.php/APIC/article/view/1230/2037) ---
**Author:** ![Isaiah\_40\_31](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/isaiah_40_31/32/3054_2.png) [@Isaiah\_40\_31](https://forum.livingwitheagle.org/u/Isaiah_40_31)\ **Post date:** [August 23, 2026, 9:07pm UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/6 "2026-08-23T21:07:23Z")
@anon30378544, do you mean pdf files that have been posted in discussions? If so the answer is yes, usually pdf files that have been posted on the forum can be opened. ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 26, 2026, 1:56pm UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/7 "2026-08-26T13:56:15Z")
We have three surgeons in Russia who deal with TOS, which I have heard about. Sergey Anatolyevich Grachev is a student of the Lithuanian vascular surgeon, Povilas Pauliukas (150062, Yaroslavl, Yakovlevskaya str., 7). It is he who claims compression of the vertebral artery at the entrance to the transverse process C5 between the anterior scalenus muscle and the long neck muscle/_Musculus longus colli_ (dynamic or partial permanently) Shchipakin Vladimir Lvovich is a cardiovascular surgeon. Shchipakin also focuses on the vertebral artery, which surgery technique I do not know, and neither do the patients (I think they do not touch the long neck muscle). (RCNN; Russian Ctr Neurol and Neurosci, Moscow.) Irakli Ilyich Tsuladze is a neurosurgeon. He partially speaks about the vertebral artery, but more points to nerves (the stellate nerve , the parasympathetic nervous system) (125284, Moscow, 2nd Botkinsky ave., 5 (S.P. Botkin State Hospital), building 22, floor 5, sector A, office 5021.). None of the above surgeons believe in veins at all. Although Tsuladze wrote an article about venous drainage in 2012, now he does not believe in veins at all. Let me remind you that Dr. Lukyanchikov also does not believe in veins. I was initially\earlier very skeptical about this dble surgery, but now I’m thinking about it (it’s quite real). As a result, I know several patients who have been helped by this operation (Dr. Grachev removes the anterior scalene muscle and part of the long neck muscle, Dr. Tsuladze and Shchipakin remove the scalene muscle and the first rib, but they do not touch the long neck muscle). So, most of the reviews and patients who received a positive effect from Dr. Grachev.Of course, it can be assumed that free space is being released for the vertebral veins, and the vertebral veins have been compressed, but… Of course, there are patients who have worsened their symptoms or have not had an effect (now Dr. Grachev performs surgery on both sides). Those who got worse after surgery, most likely just got compression of the vertebral veins with fibrosis.scarring or an unsuccessful operation. But only some of the symptoms are mild from the veins (fog in the head, and intracranial pressure, although it may also be vertebasilar insufficiency from the vertebral arteries). Symptoms such as dizziness, ringing in the ears (not all, but most of them), photopsias and spots in the eyes ((not all, but most of them), transient ischemic attack - these are all more likely from the vertebral arteries . I also don’t really believe in veins anymore, if there are any symptoms from veins, then it is very limited and not all the symptoms that are written about in articles about veins are related to them.Of course, I agree that a chronic and prolonged violation of venous outflow can lead to Alzheimer’s disease and dementia. But I already attribute most of my symptoms to the vertebral arteries or nerves in the aperture. Here is an article by Dr. Pauliukos, there are CT scans and angiograms, evidence\_: drive(dot)google(dot)com/file/d/1-DCd8BgOjfot47LyrgiC8vw\_IvqwYtlf/view?usp=sharing ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 27, 2026, 7:04am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/8 "2026-08-27T07:04:34Z")
This is an old article, back in 2003, and it’s partial and also in Russian.Use your translator.The main symptom of problems with the vertebral artery is severe dizziness, constant ringing in the ears (there may also be headaches, migraines, spots in the eyes). Moreover, there is an inaccuracy in the article above, I would argue with the statement “about compression of one vertebral artery and tinnitus on the same side.” Lithuanian surgeon Pavlikus Pauliukas may have come to Russia to train other surgeons in this operation before, but he visited Dr. Grachev in Yaroslavl sometime in 2016 (vesti-yaroslavl(dot)ru/novosti/item/13409-yaroslavskie-khirurgi-nachali-provodit-operatsii-na-pozvonochnykh-arteriyakh). Dr. Grachev and his team and Dr. Tsuladze operated on at least 150-300 people each. Dr. Grachev and his team are probably even more than 300 people. And I’ll tell you honestly, too, that not all patients received a positive effect, many patients did not receive an effect, and some of them got worse, I assume 30-50% did not receive a positive effect (which is probably most likely due to compression of the vertebral veins and the mouth of the internal jugular vein with fibrosis) Everything is individual, this does not mean that the vertebral artery is the solution to all health problems, since Eagle syndrome is not a panacea for all health problems. There may be two health problems. For example, numbness of the fingers, especially after physical exertion, cannot be attributed to Eagle syndrome - this is TOS. etc… We need to look more broadly and understand the problems, and not attribute all health problems only to Eagle syndrome, or to TOS and etc/…;.. Dr. Agaev and the other colleagues mentioned do not believe in the curvature of the vertebral artery and stenosis at the mouth of the vertebral artery (he also does not know about the tendon longus muscle of the neck ). Every surgeon has his own opinion, and everyone is right about something. But the full picture of the problem is rarely obtained))) At the same time, neurosurgeons focus more on nerves, and vascular surgeons believe more in arteries)))). There are also diagnostic problems in all countries (MRI, CT, angiography, and tests). Radiologists do not want to overwork themselves and deal with an unusual problem, they do a scan using a standard protocol. Time goes by, but the money is dripping)). Why waste your energy if you can only do standard procedures))) hypoplasia of the vertebral artery is often due to inflection of the mouth of the vertebral artery (due to the curve of the vertebral artery or compression due to compression of the sympathetic nerve). But still, there are patients with severe hypoplasia of one vertebral artery(with or without **circle** of Willis)and they do not have any symptoms (asymptomatic). As all surgeons say (including Dr. Agaev), everything is complicated (difficult to understand) and there is a problem with diagnosis. And everything is simple here on the forum- the Eagle syndrome is to blame for everything problems health ))))😀 ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 27, 2026, 7:50am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/9 "2026-08-27T07:50:13Z")
The laws of hydrodynamics are complex (hard to understand). The ways of the Lord are inscrutable. )))) .But the engineer has an understanding. However, there are also problems with diagnostics, poor quality, and dynamic compression. Not everything is visible on CT scans, and a trial in motion is always needed. ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 27, 2026, 9:44am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/10 "2026-08-27T09:44:20Z")
So. Problems with veins carry certain symptoms, I would like to separate the symptoms from the veins, the symptoms from the arteries and nerves. Otherwise, everyone here on the forum likes to get smart and put everything in one pile, Eagle syndrome with compression of the veins or nerves or arteries is to blame for everything. I will not mention facial pain or problems with swallowing (dysphagia). And let’s start with the fact that numbness, tingling of the little finger and ring finger (especially when raising your hand, or after physical exertion) is more of a TOS. And the tension of the neck and shoulder muscles is also more related to TOS, and possibly to Eagle syndrome. 1. Stenosis (compression)In hydrodynamics, this is a local resistance that affects blood flow (fluid flow, volume velocity of blood flow). The entire artery and vein chain is one pipeline with its own linear and local resistances that affect blood circulation in the brain. The arteries cause a local critical shortage of blood, and the veins only reduce the volume of blood, since there are many veins, many collateral venous and vertebral veins. There are also anamostoses (bypass) in the arteries 2. Having developed venous collaterals, the vertebral veins are on both sides and are passable throughout the neck, right up to the heart. There is a high probability that you will not have symptoms related to the veins. But there are people who do not have developed collateral veins, vertebral veins (compression of neck muscles, genetics) 3. If there is an insignificant stenosis on both IJVs, then you may not have any symptoms related to the veins. Approximately: insignificant stenosis of about 60-70% is a decrease in the cross-section of the vessel (tube), does not significantly or critically affect blood flow.For hydrodynamics, this is an insignificant stenosis and has little effect on blood flow. And if you have compression of about 60% of the two IJVs in the C1 area, and there is no compression elsewhere, and the transverse venous sinuses are normal, you may not have symptoms related to the veins. Especially if there are additional developed venous collaterals. Look for the problem of symptoms elsewhere. 4. So, venous symptoms will definitely be 100% with compression of two IJVs, significantly about 80-90% or higher, and undeveloped venous collaterals. 5. Now about the difficult part : a) Dynamic compression of IJV, during sleep, and symptoms during or after sleep. This can also happen, and therefore a person after sleep can be angry, tired and with a fog in his head. But there should be relief during the day. b)With one IJV open, the pressure measurement will not show a high pressure gradient (these are the laws of hydrodynamics). The pressure sensor is inserted into the transverse venous sinus, and the left and right transverse venous sinuses are often connected (it rarely happens when they are not connected)- this is one vessel/volume. Therefore, the pressure sensor will not show a high pressure gradient when one IJV. there will be a slight difference in the measurement values. Example: I roughly calculated the pressure difference before (right atrial) and after C1 (torcular pressure) , without compression. And I will say this, that pressure losses (difference ) equal to 2 mmHg or less are very minimal values and very good, i.e. very ideal. In reality, this value is higher (even the calculated value). The calculated value without IJV compression is approximately 2-5 mmHg, and articles indicate 4-6 mmHg. Therefore , 2 mm . The mercury column is a very ideally low pressure loss. Theoretically, the gradient (pressure difference ) is 2 mm. a mercury column is possible, but these are very low pressure losses, ideal. I suspect that they did not take into account all the nuances during the measurements. Do you have developed facial veins, they were measured just after the facial veins and before C1. In fact, you need to take a lot into account when making measurements, but doctors are not engineers and they cannot understand all the subtleties of hydrodynamics. So I don’t think there are doctors who can take all the details into account. 1. с) This question is of interest to me. Also, according to the laws of hydrodynamics, when there is strong compression on one side and there are no developed venous collaterals / vertebral veins on the same side (despite the absence of pressure), in the area of the brain (cerebellum) locally next to the transverse venous sinus, there is a decrease in blood flow velocity, stagnation of blood , due to high vascular resistance on the on this site.This is clearly visible on the MRI venography, and hypoplasia of the transverse extra-venous sinus is mistakenly diagnosed. In fact, this is false hypoplasia, and it appears due to compression of the IJV.I have hypoplasia on the left, and I had a terrible headache for two months on the left at the age of 14.I also wonder if symptoms such as vertigo and photopsia, as well as transient ischemic attack due to veins, especially when the IJV is compressed on one side, apply. I think these symptoms relate more to the vertebral artery (to the arteries) than to the veins. It is possible that on the same side where the IJV is compressed, there is also hypoplasia of the vertebral artery or other problems, and problems with venous outflow cause only partial deterioration. And dizziness or fainting is caused by problems with the vertebral artery. Therefore, many patients receive only partial relief. 2. The laws of hydrodynamics are complex (hard to understand). The ways of the Lord are inscrutable. )))) .But the engineer has an understanding. 😀 ---
**Author:** ![Jules](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/jules/32/404_2.png) [@Jules](https://forum.livingwitheagle.org/u/Jules)\ **Post date:** [August 27, 2026, 10:31am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/11 "2026-08-27T10:31:29Z")
> [@anon30378544](#): > > And everything is simple here on the forum- the Eagle syndrome is to blame for everything problems health ))))😀 I don’t disagree with some of your points, but do disagree (from personal experience of IJV compression and successful surgeries) that veins aren’t important… Certainly many doctors only look at their own speciality & disregard anything else going on, which makes treatment hard, and radiologists often don’t bother looking for any complicated issues , we often mention this on the forum. But I do disagree that we believe ES is to blame for everything- we are an ES peer to peer support group, so obviously this is what we focus on, but we’re seeing more and more members with many complicated medical conditions, and are very up front about the fact that ES is only one part of their problems, and that often it’s like an onion, ES is just one layer and that often other things need to be explored too. We are honest that sometimes ES surgery doesn’t help everyone and can have complications, and very much encourage members to get more than one medical opinion. We re also honest that we’re not doctors, it’s not what the site is about, we can spot things sometimes that doctors & radiologists miss, and point members in certain directions for that, but we don’t know everything & don’t profess to. As medicene is advancing & with it easier to find out things online, doctors themselves are learning more, and so are members, and we aim to all learn together. ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 27, 2026, 10:37am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/12 "2026-08-27T10:37:40Z")
That’s why I wrote you an explanation regarding hydrodynamics, because I’m an engineer. And I’m not saying that veins don’t cause symptoms. You’re just attributing all the symptoms in a row to venous compression and Eagle syndrome. Some of the symptoms don’t relate to Eagle syndrome at all, and some of the symptomatology is debatable (dizziness). It’s good that you took my arguments into account and approached them with a reasoning‑based mindset. ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 27, 2026, 10:40am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/13 "2026-08-27T10:40:37Z")
I know, doctors are people too, and they make mistakes. You also do a lot for this forum. Thank you. But you need to be more careful when making diagnoses.👍 ---
**Author:** ![Jules](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/jules/32/404_2.png) [@Jules](https://forum.livingwitheagle.org/u/Jules)\ **Post date:** [August 27, 2026, 10:42am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/14 "2026-08-27T10:42:24Z")
Yes, dizziness is a tricky one, it did resolve for me, but in the research paper @Isaiah_40_31 posted recently they found it didn’t improve for quite a few patients, so obviously there are other causes there… [ABEYSINGHE MBBS, Navin, et al. (2025) Surgical outcomes of styloidectomy, internal jugular vein fasciotomy, and C1 transverse process resection for venopathic intracranial hypertension - General / Research Papers - Living with Eagle](https://forum.livingwitheagle.org/t/abeysinghe-mbbs-navin-et-al-2025-surgical-outcomes-of-styloidectomy-internal-jugular-vein-fasciotomy-and-c1-transverse-process-resection-for-venopathic-intracranial-hypertension/24100) ---
**Author:** ![Isaiah\_40\_31](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/isaiah_40_31/32/3054_2.png) [@Isaiah\_40\_31](https://forum.livingwitheagle.org/u/Isaiah_40_31)\ **Post date:** [August 28, 2026, 3:30am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/15 "2026-08-28T03:30:32Z")
> [@anon30378544](#): > > But you need to be more careful when making diagnoses. @anon30378544 - I need to make a correction to your comment. We DO NOT EVER make diagnoses on this forum. We point out to our members things we see in their imaging that radiologists/doctors haven’t commented on and that don’t look right to us. @Jules & I, along with our members, respond to questions using the knowledge we have gained about ES from both personal experience, from information provided by member of this forum over the years, & from medical research, but we ALWAYS remind members we aren’t doctors & that things we point out or suggest need to be discussed with a doctor. Though you didn’t comment on this, I need to say to all our members we NEVER recommend a specific doctor to a member. We provide the names of doctors who may be most accessible for a given member or who are proficient in a more specialized form of surgery or diagnostic imaging that a member may need. We encourage our members to consult with more than one surgeon to learn the specific way each surgeon views ES/vES & the surgeries necessary for the hope of recovery from or at least reduction of symptoms so our members can choose the doctor that seems the best fit for his/her situation. > [@anon30378544](#): > > The ways of the Lord are inscrutable. )))) You have put this phrase in a number of your recent posts, but I have to ask, is that statement something you believe? ---
**Author:** ![Chrickychricky](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/chrickychricky/32/15581_2.png) [@Chrickychricky](https://forum.livingwitheagle.org/u/Chrickychricky)\ **Post date:** [August 28, 2026, 11:24am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/16 "2026-08-28T11:24:37Z")
Thank you @Isaiah_40_31 and @Jules It seems like many of these posts of late are so strident for a supportive community. This is not a scientific forum where we are meant to be arguing ideas. Of course we don’t all have to agree, of course there are different causes for symptoms, certainly neither @Isaiah_40_31 or @Jules are claiming to be doctors or making diagnoses. We are all here to support one another using our personal experience with a similar set of issues. Words carry tone. We have all gone through or are going through so much and the emotional load can be a lot to bear. Let’s keep this forum a place that doesn’t add to that burden. ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 28, 2026, 11:45am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/17 "2026-08-28T11:45:38Z")
In general, such measurements are very difficult. Pressure gradient measurement (pressure difference) . I do not know if two sensors are used to measure pressure at the same time or not (at the same time). Since the pressure in the veins can change rapidly over time (especially by a small amount of 5 mmHg), it also depends on breathing and heartbeat . It is a little easier to measure blood pressure in the transverse venous sinus and compare them with the data from examinations on healthy people. But here, too , you need to take into account your heartbeat and blood pressure , i.e. these are all input data (parameters must be monitored). It’s all very complicated. So such measurements are wrong in conception . Moreover, doctors are technically not very literate, they have other knowledge. In our country, all doctors of ultrasound diagnostics (Doppler scan) made mistakes when measuring blood flow rates in the arteries. They measured the speed of blood flow at corners, turns, and at the point of curvature of the artery vessel, and did not adjust the angle in the program to correctly display the speed value. And they had greatly overestimated blood flow rates, which they mistakenly interpreted as stenosis, i.e. they falsely concluded arterial stenosis when it was not in this place. I pointed out this error to them, and some ultrasound doctors are now correcting the angle in the program. I saw CT scans of a person with a head turn. In the C1 area, there was decompression of the IJV on one side, but not on the other. There was also compression of the IJV between the anterior scalene muscle and the SCM. Dynamic compression. And the pressure will also change. ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 28, 2026, 11:49am UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/18 "2026-08-28T11:49:45Z")
A normal discussion. Everyone expresses their opinion and sometimes provides arguments. This is a normal discussion when people listen to each other. An abnormal discussion is when one opponent always claims that only he is right. ---
**Author:** ![Chrickychricky](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/chrickychricky/32/15581_2.png) [@Chrickychricky](https://forum.livingwitheagle.org/u/Chrickychricky)\ **Post date:** [August 28, 2026, 4:16pm UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/19 "2026-08-28T16:16:29Z")
@anon30378544, @Isaiah_40_31 @Jules Yes, you have just described yourself perfectly. I couldn’t have said it any better. Thank you ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [August 28, 2026, 5:10pm UTC](https://forum.livingwitheagle.org/t/about-tos-and-medical-articles/23987/20 "2026-08-28T17:10:20Z")
We’re having a discussion here, that’s all. But insults (personal insults) are not welcome on the forum. Isn’t that right? Or is it okay to insult someone? Note that I’m not the one who starts lashing out at people for no reason. What’s your motive for insulting me and making me look foolish on the forum? Is this manipulation?