Botox helped but it wore off. An appointment would be ideal but I'm from out of state- he said he would call for a follow up but never did although I spoke with his nurse-I talked to her about scheduling a surgery for late August before he left in July but can't book without talking to him--now they tell me the earliest date is November. I had heard how responsive he is-- but I've been calling since April. Meanwhile TOS is making trying to do anything in life total hell and I really don't know how I'm going to make it much further.