I don't know what the toynbee is, I have to look it up. I'm only talking to him on the phone (I hope), they don't do telehealth visits in ENT Dept. he may not be able to do it. No one has called me back so far to tell me if he will do it. If not, then I have to make an in person appt. for a few weeks away, probably the first available. No one has looked at my eustachian tubes either so far as I know, I don't think he has. But I'm guessing they're involved because of the symptoms. I read the balloon dilation needs anesthesia, that will be difficult, it has to be general anesthesia, this place is an hour in each direction from me and a cab is $340 round trip. I'll definitely post anything he says about MRI and if I have any treatment.