Saw the surgeon today to prepare for surgery next week. He said all my test and exam point to all three types of TOS which is very rare. He also says the venous and arterial syptoms should have immediate results but everyone is different. I also have been fortunate to get help pretty quickly and get surgery before any major damage is done. He said he will do rib removal, both scalene muscles and neorolysis as well as repair artery if any damage is there. He prepared me for the chest tube and what to expect pain wise in the beginning. I have faith in God that I am doing the right thing and he will see me through. Thanks for all your encouragement and kind words.