# Dr. Hepworth and Vascular ES **URL:** \ **Category:** New User Help\ **Created:** [June 15, 2021, 7:31pm UTC](https://forum.livingwitheagle.org/t/dr-hepworth-and-vascular-es/9457 "2021-06-15T19:31:04Z")\ **Posts on this page:** 1\ **Showing post:** 18
**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:** [July 15, 2021, 7:28pm UTC](https://forum.livingwitheagle.org/t/dr-hepworth-and-vascular-es/9457/18 "2021-07-15T19:28:04Z")
From what I’ve read on here, Dr Hepworth is just very thorough, & wants to rule out any other possibilities before he goes ahead with surgery for ES, so just because he’s doing this testing it doesn’t mean that he won’t offer you a styloidectomy if it’s the right thing to do. Other members have been through this like you. THere’s a couple of discussions with people’s experiences & a link to a research paper JustBreathe posted before which you might find interesting… > [@Jugular Compression Symptoms?](https://forum.livingwitheagle.org/t/jugular-compression-symptoms/8655/18): > > I’m sorry you are struggling. I can relate to some extent to your head sensations, especially the pulling down. My eyes and head feel like they are being sucked in and down and I am always physically and visually spacey. Like I’m in a floaty dream! Just awful. I would recommend Addenbrookes in Cambridge if you suspect eagles/ijv compression. Good luck two_hearts > [@A long overdue update about venous compression and Dr. Hepworth, plus a question about tinnitus](https://forum.livingwitheagle.org/t/a-long-overdue-update-about-venous-compression-and-dr-hepworth-plus-a-question-about-tinnitus/8051): > > Hi all, sorry the update has taken so long. I had the cranial angiography back in early August, and Dr. Kaminsky said my jugular was NOT compressed. Initially, Dr. Hepworth said that the Plavix removed whatever was blocking my jugular. Or at least that was what I understood. So at that point, no surgery. But then I saw him yesterday, because my ear pain returned after rinsing my sinuses. Then he told me that I have a “dynamic compression”, which means it’s only there when I move my head a certai… There is a mention in the second one about not being checked with head in certain positions, so if you get to see one of these doctors as we’ve said something to ask about. From what I’ve heard on here recently, Mr Axon who did my surgery in the UK (& is the most experienced ES surgeon that we know of here) now seem to be following a similar protocol of extra vascular testing before recommending a styloidectomy. --- _[View the full topic](https://forum.livingwitheagle.org/t/dr-hepworth-and-vascular-es/9457)._