She had her assistant look at my fingers and then she asked me if I had any color change or swelling. I said not when my arms are by my side. She then explained the symptoms of ATOS and VTOS. She performed no tests with my arm in any position (my left arm hurts like hell if I raise it above my head for more than a few seconds!). That's why I feel since my arm apeared healthy she assumed it is healthy and therefore I don't have ATOS. My neurologist performed Adson's test and referred me to vascular surgery because my radial pulse was reduced.