How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Moe Zafarani Your Own Question
Moe Zafarani
Moe Zafarani, Doctor
Category: Neurology
Satisfied Customers: 102
Experience:  Cardiology
Type Your Neurology Question Here...
Moe Zafarani is online now
A new question is answered every 9 seconds

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: 9 months ago.
Category: Neurology
Expert:  Moe Zafarani replied 9 months 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 9 months ago.

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

Thank you.