Hi,

Does this happen all the times or at times? I will suggest that you provide more details on the exact nature of this problem so that we can be of help to you.

Thanks!

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Brief Answer:
What is your heart rate and blood pressure?

Detailed Answer:
Hi and thanks for following up with me.

I have reviewed your symptoms and information fully. I think I now have a better understanding on what the problem here is.

It is true that thoracic outlet syndrome doesn't cause dizziness. It causes symptoms mostly in the upper arm and hands. Your doctor might be right on the fact that this isn't a symptom of this disease condition.

What remains to be done is to figure out the cause of this dizziness and address it to help you regain normal functioning. Dizziness is often times caused by decreased blood supply to the brain. This could be related to insufficient supply(compression of the vessel) or a low blood pressure. Metoprolol can cause reduced heart rate and low pressure that might explain this. Also, if you are having these symptoms more when you standup, then my suspicion is most likely.

For now, I will suggest you report your blood pressure and heart rate to me. if these do not explain why, I will follow up with a mapping of the vessels that supply blood to the brain. The same causes of the outlet syndrome might also cause reduced blood supply to the brain.

I hope this helps. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications. Thanks for trussing us with your health questions today, too.

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Brief Answer:
Your values are normal!

Detailed Answer:
Hi and thanks for this follow up.

These blood pressure numbers and the heart rate are all normal. It would be unlikely that this is the cause of your symptoms. With what you have mentioned about your neck, I will suggest that we get imaging studies to map the blood circulation and the surrounding structures to see if there are any bony outgrowths that may be compromising enough blood flow to the brain.

I will like to hear from you and know if this is something that you would be following up with. Should you choose to, then a neurologist would be the best placed person to coordinate and investigate about this.

I wish you well and hope to hear from you!.

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Brief Answer:
Nice way to go an deep me updated!

Detailed Answer:
Hi,

It would be a great way to go. I will also like to hear about the ongoing progress. Do not hesitate to discuss my thoughts with him. It may just be as helpful in getting the right diagnosis out there.

Keep me posted. I wish you well.

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Brief Answer:
Whenever that gets sorted, keep me posted!

Detailed Answer:
Hi,

I wish you well in the upcoming appointment. Whenever need be, please am hear to chip in my professional support.

Until then, I wish you well.

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Brief Answer:
Please, do not attempt to get off oxygen unless the doctors say so!

Detailed Answer:
Hi.

Phrenic nerve injury is not the reason for longterm oxygen administration. Probably, oxygen administration was not solely dependent of this problem but rather related to some other condition you may not have been well informed about. I will suggest that you talk to your doctor about this before attempting to get off oxygen on your own and at home.

I hope this helps.

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Brief Answer:
I believe physical therapy would be of help in the healing process!

Detailed Answer:
Hi,

I would encourage you to follow up and go with physical therapy. This would help you learn how to get off oxygen under close supervision as opposed to you trying it all by yourself at home.

Keep me update with your progress. I wish you well.

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