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Moe Zafarani
Moe Zafarani,
Category: Neurology
Satisfied Customers: 82
Experience:  Cardiology at Department of Veteran's Affairs
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I am 59 year old patient who had to abandon a professional

Customer Question

I am 59 year old patient who had to abandon a professional career at age 52 due to balance issues, fatigue, bradycardia (pacemaker implant in o8: Neurogenic bladder dx at UVA in 09). The most specific dx I can get is dysfunction/failure of autonomic system. vision blurry, fatigue immense, chest pain answer sOB worsening. Frequent visits to the ER.
Sleep disruption, swallowing and chewing problems also worsening.
Your thoughts/recs most welcome.
Submitted: 3 days ago.
Category: Neurology
Expert:  Moe Zafarani replied 3 days ago.

I'll be glad to help.

I understand your frustrations, sometimes medicine doesn't have all the answers. If I had a penny for every single time a doctor would refer to something being probably stress induced, I'd be rich ;)

On a more serious note, a lot of your symptoms correspond to multiple sclerosis - the statistics of which are on the rise in females in your age group.

As you have indicated - autonomic dysfunction is rather a very generalized term, in its most severe form can be seen after viral infections, and in its chronic form is typically a manifestation of a systemic disease such as insulin resistance / diabetes.

Have you ever been tested for MS?

Warm regards,

Expert:  Moe Zafarani replied 3 days ago.

Please don't forget to leave a positive rating if your question has been answered to your satisfaction.

Thank you.

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