Hi all, I am wondering if anyone knows who (pseudonym) Meghan Maguire is in Chapter 2 (A Patient’s Perspective) of the “Psychophysiologic Disorders: Trauma-Informed, Interprofessional Diagnosis and Treatment” textbook by Dr. Clarke, Dr. Schubiner, Dr. Clark-Smith & Dr. Abass. In this Chapter, the author is basically describing my life story (tons of TMS ailments, herniated discs, etc) and I am seeking confirmation around her story. I have healed almost all of my TMS ailments but I was recently told that I do have a structural abnormality – venous insufficiency. In the Chapter, Meghan discusses how she knows she has her TMS, but she also has venous insufficiency which she treats as a normal issues, as well as endometriosis (something I have also been told I had, but I don’t have the normal/painful symptoms often associated with it and have not pursued treating it). However, what I have always thought was TMS induced pelvic pain, I am now (two years later) being told I actually do have venous failure/reflux and varicose veins occurring in my pelvis which leads to blood pooling and swelling in my lower extremities (along with some IBS, low back aches if I rest too long, unexplained bloating, and can usually be solved by laying down or putting my legs above my head for a while). For the last six months I have been treating all of this as simple TMS manifestations, and while I no longer have PAIN (or burning, stinging, itchiness and other TMS ailments I used to have), I still have this nagging heaviness and some random discomfort in my pelvis. It does not scare or limit me the way it used to, but it is still there. It does act up on occasion (usually during extensive exercise, sex, or prolonged sitting) which I always thought was a conditioned TMS response as it was never during anything stressful, but the symptoms are truly in line with the physical manifestation of venous reflux… I think I am just very confused!!! I am wondering if venous insufficiency (where the veins are shown to be very dilated and be refluxing on an MRI/CT) is not just another TMS manifestation? I know many other venous things (like POTS) are considered TMS, so I am struggling here to rectify the conflict my brain is having re: can I have TMS AND a structural concern that should be addressed? And where does one end and the other begin? I guess this is why I wanted to see if I could connect with Meghan - to see if she did something about the venous issues she mentioned in the PPD text. I am being told that leaving varicose veins can cause issues the longer they are left and will not heal on their own, may cause pregnancy complications, and my parents both suffered from them (not with much issue, but they were also advised to have them removed). Thank you, all.