redoctober Posted June 1, 2011 Report Share Posted June 1, 2011 So, I had an appointment with Dr. Phillip Watkins of the MVP & Autonomic Center in Birmingham, AL last week. For starters, it was an absolute RELIEF to speak with a physician who didn't look at me funny and understood exactly how all of my symptoms were related. I was very impressed with Dr. Watkins and the time that he spent with me.They started me off with an Echo-cardiogram...pretty standard, except they also like to perform some imaging in the sitting position, presumably to capture things when the HR is really going. Next was the tilt-table...I was pretty surprised with this test, as I wasn't all that uncomfortable in the upright position, and my HR didn't really spike too much. Perhaps the Florinef was skewing the results, in addition to the fluids that I drank earlier in the morning. So, the tilt-table was unremarkable. Finally, the stress-test...I made it 14 minutes before quitting...and my HR was up around 170 BPM or so. After those tests...I finally met with Dr. Watkins to discuss the results. Notably, he had a framed letter from Dr. Grubb on one of his side tables. We talked quite a bit about family history, historical symptoms (like IBS), etc. He eventually asked me if anyone had ever mentioned "dyautonomia" to me...to which I replied "that's why I'm here to see you.". After some more back and forth...and a physical exam...he prescribed the following:* 150min aerobic exercise/week* Lot's of fluids* No caffeine* Beta blocker (Atenolol for me)* Clonazepam* LexaproI started everything last week...and the beta-blocker has really dropped my HR (resting around 55bpm...as low as 44bpm at night in bed). I was a little worried about my BP dropping off the table, but it seems to be doing okay (110-120/65-80). I still have a bunch of troublesome symptoms (fatigue, GI stuff, hot flashes, lightheaded), but I'm hoping things will improve over the next week or so. Dr. Watkins sounded pretty confident that this protocol would "fix me up", so only time will tell. He did mention that I might experience an exacerbation of existing symptoms or some new symptoms as things start to work.To be honest, I'm a little confused how the prescribed protocol all works...but I'm still new to all of this stuff, so I'm going to follow it to a T. He sounded very confident in his diagnosis and protocol, but I really wish I understood the science behind it all. Regardless, I was very impressed with Dr. Watkins and would highly recommend him to anyone else. Quote Link to comment Share on other sites More sharing options...
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