I like the gal who mentioned going to Dr. Donahue. This may be an option. Please don't give up. Go out of state if you have to. I know from others the pain of TOS. I also know there is help for it, with the right kind of help in your life. If you could get a referral also as Jo* Mar recommended, that would get you to another physician. Also Mayo clinic, both in MN and in Fl, may be able to send you to the right folks. They are known for dianosis. Call the AMA and ask where to go also. Neuro Talk will be here for you in any way we can. I am just another little voice, to encourage you to keep going toward the day you can get real relief. I will keep you and other TOS patients in my thoughts and prayers. Nobody should have to be in pain all the time like that. ginnie