Thanks Dr. Diana, too many years now I’ve been dealing with this!!!!!!! I do have(what my doc thinks) is neurocardiogenic)** origin of autonomic dysfunction/ It just started 3 years ago…I just had 2 weeks ago,after years of complaining i might add, a heart monitor for 24 hrs. within minutes of being upright..my heart jumps to 120-140,& my local doc scheduled me for an appt. with Dr Eliot Wallack(philadelphia) 9 whole weeks after this was discovered NOT to be (figuratively) in my head. BUT I also have “acquired Chiari” & small brain stem srynx**I truly believe i have multiple spinal fluid leaks..outrageous pressure builds in my head,swollen optic discs & a funny thing happens, either i feel a sudden burning pain in the middle of my back(breaking through) OR weird sensation almost like it’s behind top part of my throat…then my left nostril starts leaking clear fluid & within minutes the “pressure feeling” is no where like it was minutes before….I’ve told this to 3 different local docs & they look at me like i’m nuts!!! Then the REAL fun begins….for days/sometimes weeks i can’t stand up for longer than a few mins. without the autonomic stuff… My question to you….How do we get these doctors to HEAR us??? & get them to believe that not EVERY patient that walks through their door is looking for attention,pain meds or needs anti-depressions drugs. I just can’t take it anymore …any advice would be appreciated! Dawn