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My MS Facebook friend, Jan,is physically worse than me and ran out of options. So she researched and travelled from Canada to Excel hosp. in Mexico and had vein by-pass surgery. She is So Brave & had a wonderful team of doctors/surgeons. One of the Surgeons, Dr. Jose Hernandez, has many years experience in the US and Mexico. He is Board Certified in the US and Mexico. He said it was easy to by-pass because he could connect above and below the blockage. I was told my whole Internal Jugular Vein is Occluded, so I would need a Neuro-surgeon to be involved. More news to come, as I Keep Searching...