The sevral PM drs I saw were like that aswell. Because im also a post op TOS paitent that is all they look at! It drives me crazy! And so then its eather well we can do scalene botox injections or put in a SCS and when I said no to both and why, then its like there done with me and they handed my scripts and out the door they went. and so after that I was done with PM drs. I do NOT agree with botox being injected into however many scalenes i have left, and a SCS will not work as it doesnt work in most TOS paitent because the leads cant go high enough and they cant go into the area thats affected. But its eather there way or no way and that just wasnt going to work. Oh and the one PM dr because I refused those 2 things he said i needed to go see a spcych dr. I was very angry at that paticular dr because he hands all the junkies there meds they need, but wouldnt actually help me when I needed it.