Thank you for your input Jules and Isaiah, I really appreciate it. Fortunately, I do not really have the vascular issue but I do have vertigo, ear fullness, jaw pain, pulsating tinnitus, fatigue, facial tingling, vision issues, migraines and all Of my symptoms are on the right side where the elongation is. Left side is normal length. Dr Manthei does still do the diagnosing for patients but no surgery and very helpful and friendly. I am going to try for Dr Samji because he takes Tricare insurance, as I am active duty military. I was hoping for Dr Osborne but unfortunately he does not take my insurance. Fingers crossed.