i am cautiosly optimistic. i am worried that opportunists will take advantage of patients by doing non helpful procedures for financial gain. however patient reports of good outcomes are here for all to see.therefore i am pressing on despite strong opposition from some. our study is not ready but i am willing to consult with any who would like to consider ccsvi. i am working with a vascular neurologist who is enthusiastic about interventional treatment. sincerely, cautiously optimistic ed underwood UAB SCHOOL OF MEDICINE VASCULAR AND INTERVENTIONAL RADIOLOGY.