I'm assuming that you live here on the East coast or close to it. I don't think you need to resort to flying across the country for treatment at all. My doctor here in Washington, DC is excellent (I can e-mail you his info. if you want) and Johns Hopkins University has a well-known TOS center in Baltimore. I would think there are others up north (maybe Boston or NYC). But if you do want to check out other excellent TOS centers, Baylor University in Dallas and Washington University in St. Louis are two I know of. I don't think you should panic--just take things step by step. Keep in mind--there are people who have TOS for YEARS before they get any treatment or surgery.