# Dr Nakaji venogram- very nervous

**URL:** <https://forum.livingwitheagle.org/t/dr-nakaji-venogram-very-nervous/22111>\
**Category:** General\
**Created:** [February 7, 2026, 5:19pm UTC](https://forum.livingwitheagle.org/t/dr-nakaji-venogram-very-nervous/22111 "2026-02-07T17:19:22Z")\
**Posts on this page:** 1\
**Showing post:** 5

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**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:** [February 8, 2026, 8:55pm UTC](https://forum.livingwitheagle.org/t/dr-nakaji-venogram-very-nervous/22111/5 "2026-02-08T20:55:15Z")

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> [@Cindyd](#):
>
> if he doesn’t feel the pressure gradients are high enough, he doesn’t feel the c1 is involved?

Pressure gradients don’t necessarily mean C1 is or is not involved. Compression can be caused by styloids alone, C1 alone, styloid + C1, &/or by soft tissues such as another blood vessel, a nerve, muscle (usually posterior digastric or SCM), lymph node(s), connective or scar tissue.

> [@Cindyd](#):
>
> When I spoke with Dr Coughlin office, they told me he does not treat Eagles syndrome??

Unless he’s stopped doing them, Dr. Coughlin at least used to do ES surgeries:

> [@Consult with Dr. Coughlin, Omaha Neb](https://forum.livingwitheagle.org/t/consult-with-dr-coughlin-omaha-neb/13222):
>
> Hello all, sharing in case others are out there looking for a surgeon in my area. Dr. Andrew Coughlin at Methodist and his team were very cordial and knowledgeable about Eagles. After reviewing my scans, discussing my symptoms and length of time they have been happening coupled with all the other things I have done to try to figure this out he has confidence that taking out my left styloid is going to work for me. He says the number of styloidectomies he does each year varies, at most he does…

I updated the note by Dr. Osbun’s name to reflect your experience with him. For the time being I need to leave him on the Doctors List as we have members who can’t travel out of state for surgery so he could be someone’s only resource there.

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