@IJVHelp - I have a Mac, & when I can, I download the images onto my computer. When I open them in the Downloads folder, they open in Preview. The menu at the top of my screen looks like this:
When I click on Tools, I get a drop down menu, & Annotate is one of the options. When I click on Annotate, I get a side menu with annotation options. The ones I normally use are in the following screenshot:
I hope this helps.
I do not have a Mac, so I will use MS word to try to edit my photos or use an app I have on my phone. It wonât look like yours, but I can make it work. Thanks for letting me know!
Iâm sorry I couldnât be more helpful. Iâm sure there are many ways to annotate images. Iâm not very techy & my son showed me how to do it on my computer otherwise I wouldnât be able to do it all. 
Hi @vap thatâs so sweet your kids were able to take care of you! Iâm glad they did a great job. My daughter is only 2 (about to be 3!), so Iâll definitely have to rely on others to help take care of her for a little while if I get surgery and during the recovery period. I have been looking into second opinions and Dr. Osborne seems like he might be a good person to reach out to. Thank you!
@Kit_Cat - We have a newly added doctor on our list for your state. If youâre interested in checking out someone closer, as well, hereâs his contact information:
â˘Dr. Cameron Todd - Pikes Peak ENT, Colorado Springs, (719) 301-3800, Dr. Todd - ENT - Pikes Peak ENT, Allergy and Asthma
Make sure to take our list of what to ask when interviewing a doctor that is in the later part of this post:
Thanks so much @Isaiah_40_31! I think Iâll definitely reach out to see about a possible second opinion. Thank you for the resources - it can get overwhelming trying to navigate all of this, so I appreciate it!
Also @Isaiah_40_31 , I guess I will just ask you if you donât mind because you seem so informed - I have recently been experiencing some new significant facial numbness. I have felt the âpins and needlesâ sensation in my fingers, toes, and lips at times, but recently it was almost as if the whole left side of my face felt numb. Fortunately it decreased, but since then it has been intermittent and varies around areas of my face. Mainly around my mouth/jaw and sometimes creeping up towards my eyes. Iâm wondering if this is a common symptom of vascular ES or internal jugular compression? When it got at its worst, I was driving and I honestly got kind of scared. It seems fairly âharmlessâ just uncomfortable.
@Kit_Cat - Numbness like youâre describing (which Iâm sure was quite scary!) most often is seen w/ internal carotid artery compression, especially when itâs only on one half of the face/body i.e. left or right. Pins & needles are more likely a nerve symptom. Have you noticed what position your head is in when you get the numbness or is it pretty random?
Weâve had members whoâve had some limb pain &/or numbness/tingling that did go away after their styloid(s) was/were shortened but that is a less common symptom & ES isnât always the cause.
Okay, I will keep that in mind! It could be random, but possibly when I am leaning forward slightly or neck is slightly bent I notice it more? I will keep an eye on it. It did scare me but it seems like it is hopefully not dangerous, but just something to mention next time I see a doctor!
If it does become more of a problem, wearing a soft neck collar (Amazon has quite a selection) to support your neck during the day, may be helpful in keeping your neck in a more neutral position & to help keep you from looking down randomly. Most other members whoâve tried them said theyâve been helpful.
I had facial numbness, tingling & crawling sensations across my face, worsening before I had surgery, but it was the nerves I think (the Trigeminal nerve I presumed, or maybe the Facial nerve), after surgery it went, but I donât believe it was a vascular symptomâŚfinding it worsens with certain head positions could be explained by a nerve being more compressed alsoâŚ
