Hi Kevin, It's amazing all you've learned in a short time. I hope you're not suffering from information overload and will take some time to process it all. It is overwhelming when something major goes wrong with our bodies. I had 3 surgeries for unrelated abnormal growths and tumors 3 years in a row when I was in my early 30s and wondered what the heck was going on. Fortunately none of them was cancerous. I'd never heard about TGA but read an article about it by the Mayo Clinic. That must really be frightening and challenging to deal with day to day. I've been spending a lot of time reading about functional medicine and food/nutrition as medicine, which I totally believe in, for the main reason of trying to prevent getting dementia and Alzheimer's. I think most people my age really worry about having these brain disorders and memory problems, which you've already had to deal with. At least most cases of dementia and Alzheimer's are preventable, whereas you had no control over getting TGA It doesn't seem very fair. I wonder if TCM or supplements would help with that condition. I'm glad you joined the facebook paralyzed diaphragm group. I'm learning a lot of valuable information from the 757 people in the group who have paralyzed diaphragms and have pursued all of the available treatment options and hope you will too. They have been really gracious about answering questions I've asked and generous in sharing their knowledge, as are people on Mayo Connect. I'd still recommend getting the EMS test to see if your phrenic nerve is viable, because that will be really important in figuring out the next steps, including waiting a couple of years to see if the nerve heals itself. I personally like your go slowly approach instead of jumping into surgery...which is what I decided for myself. A couple of people in the facebook group have just had their phrenic nerves start working again, which is truly amazing. I grow more and more amazed at how our bodies can heal themselves if we identify and remove the toxins causing inflammation and diseases and provide the missing nutrients they need, which is what functional medicine is all about. Thanks for keeping us posted on how you're doing. Take care! Nancy