I dont think you are ranting at all, but being extremely brave coping with such a hard situation. I am sure some members here might have useful suggestions for your condition. Its really bad that you are in such pain and having to deal with it. Have you had a chance to see Dr Donahue, Julie Frieschlag, Dr Annests or Sanders - they are all TOS experts in the US, and perhaps there are some muscle blocks or the like which can reduce the pressure on your system? Perhaps some sort of custom ortho device can be made to "hold" your shoulder back? Worth a try