@JugularEagle - I remember you have a seriously tortuous ICA so you’re right. Your situation could be more challenging for a surgeon who didn’t know what (s)he was doing.
Hope it doesn’t take too long for you to get some answers, but good that you have ES confirmed by Dr Old!
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I need someone to make sense of this comment to me. Office of neurovascular surgeon is justifying doing NOTHING by saying neuroradiologist said there was severe narrowing which means the word stenosis but she didn’t use it but there is no occlusion in the neutral position . How can that CTA photo not have some occlusion . If you can see a severely trapped IJV it seems to me it warrants further testing in someone having strokes and brain bleeds.
Someone make sense of this because I can’t comprehend it
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This is clearly a case of ignorance on the doctor’s part or whoever it was in that office who decided doing nothing was the best step forward. I would say that once you get properly diagnosed & have surgery, that doctor/office needs an follow-up, informative letter from you, at the very least.
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I have asked for a second opinion. I am getting them to put on the record that they are doing nothing to help a person with a smashed IJV in the neutral position . I want their actions to be crystal clear and that I gave them MULTIPLE chances to help me through ENT and neurovascular departments
No person should ever face the nightmare that we go through. I am so disgusted
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Beyond frustrating how they think nothing needs to be done 
Sending you a hug 
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