- don't know Madrid very well
- don't speak Spanish
- are not an aggressive driver
NEVER rent a car in Madrid.
This is my advice after some bad experience with driving in that city but I don't want to go to details.
I'll only describe the visit in dr. Castillo y Recarte's office.
The office itself is situated in a 3-bedroom flat at Churruca 5 street. My wife and I waited 5 minutes before the doctor showed up.
Dr. Castillo is a smiling warm person in his 50s. After introductions he conducted a very thorough interview with me. Not only did he ask about my MS but also about any other aspect of my health life. Accidents, fractures, vision, hearing, scars... Everything! This was anew for me as in Poland the doctors ask only about the mainstream disease.
Later we all went to the examination room. There the doctor examined me:
Then the main dish was to be served - checking if I have the CTOS syndrome. First, while seated, I lifted one of my arms and Dr. Castillo was checking if the other changes its colour. It didn't. The doctor had said that this could indicate no CTOS, but the Doppler examination was to be most reliable.
So then, supine, I was Dopplered, first with my arms lying along my body and then put behind my head. The doctor was checking the blood flow velocity in the arteries. It should be equal (or at least almost) in both positions of the arm. Difference greater than 20% indicates CTOS for surgical repair, 5%-20% for physiotherapy repair. Less than 5% is acceptable.
I had ~30% on both sides. CTOS confirmed. I was pre-qualified for the surgery. Now I'm waiting for a more detailed description of my case from Dr. C-R and starting collecting money
(later, Dr. Castillo checked also all of my internal organs with the scanner - they all were ok)
That was practically the end, I got dressed, paid 380 euro and left.
I hope the report is detailed enough, please ask questions if you have them.