I’ve been off work since October when things went drastically down hill for my health so I’m on a state care plan, so I can’t change it, Dr Karam offered to do surgery for me but I feel most of my symptoms are related to the eagles so I want to see how I’m doing after that surgery before I decide to have tos surgery, eagles is a little less invasive, I also heard that veins can reroute which may be why I’m feeling 70% better than I was last October it’s been slow progress but the headaches are constant and sleeping is terrible, good luck with your journey also I will let you know my results and what he says is next .