Hi all,
So I’ve just had my initial consultation with Dr Hughes…
I met him at Spire Bushey hospital. He was very professional, kind and attentive, and most importantly a good listener.
I explained my symptoms of head pressure, pulsatile tinnitus, headaches and dizziness, and most importantly, I had my scans ready to show him on my laptop. He viewed them with interest and said they were quite convincing.
He essentially said he would suggest removing the right Styloid, and seeing how things improved. I was quite shocked at how easily he came to this conclusion, as I was expecting to have to fight for him to agree to it! But no, he said my scans were quite convincing enough, and he didn’t feel a lumbar puncture, or angiography / pressure gradients etc were required. The CTV was all it took. For him to agree to operate and remove the Styloid.
I was glad he suggested the right side first, because this was my preference. Only because my tinnitus seems to be worse on the right really. That and the scans seem to show the right is longer, and potentially angled closer to the IJV and I think squashes the IJV more than the left one, although there isn’t much in it. I also intend to do some measurements of the veins diameters to see which looks to be the largest before and after the compression, to try to determine which is likely the most dominant. I guess this would be how to determine a dominant side?
I’m not really sure how to feel after that! It’s been 6 months of dead ends and not knowing what to do, and suddenly after a 20 minutes appointment with a new Dr, I have the option of surgery lined up! It almost felt too easy! And then I over think it and question whether he should have looked into it more deeply before agreeing to operate?!
Anyways, some good advice for anyone wanting to see Dr Hughes, Spire seems to be the cheapest place to see him, and offers a slightly longer appointment time.
Definitely bring a laptop with your scans loaded and ready to show, as, despite my CTV being done at abother Spire hospital, he did not have them available to view.
He has told me he only does surgery at Cleveland clinic in London, as he said, it’s a slightly more complicated surgery so he will only do it there.
He seemed fairly laid back I suppose about surgery, seeing it as an experimental option to see how my symptoms improved. Clearly I knew he would not be able to give any guarantee of improvement, but I’m taking hope from how easily the scans convinced him.
He said the biggest risks were no symptom improvement, or facial nerve damage which he said was extremely rare.
I would appreciate any advice from anyone who has had surgery at Cleveland clinic, I’m thinking logistics, as it’s bang in the middle of London, so no idea how that all works with travel in and out again, hotels, bnbs, family etc! So any advice would really be appreciated!
Thanks all.