Hi Susan, Although I don’t have Lupus, I know many of us do. In fact, we can often exhibit numerous other autoimmune disorders — M.S., psoriasis, RA, etc. Even more of us are sort of “borderline” or we go back and forth in presentation, frustrating our doctors so much! It IS possible to have both dysautonomia and lupus. And the diagnosis for lupus is a bit wishy-washy. If you have any doubts about dysautonomia while you wait for Vanderbilt (or SOMEONE to help you, you can try a “poor man’s tilt table test” at home. Have you tried that? Thanks, Susan!