Sorry for the long post. I've read quite a bit on this forum already and it's really helped me to begin to get my head around this thing. It all began on 12/4/08. Around lunch time I began to feel a pulsating minor pain in my head... very specific location. I didn't think much of it though and walked out of my office to my car. I began to drive home (still feeling the annoying head pain) when about half way home I suddenly began to feel woozy... precursor symptoms to passing out. I quickly pulled over and put the car in park at which time I blacked out. I'd estimate that I was out for 5 minutes or so but I was alone so no way to know for sure. When I came to I was clamy and my heart was racing. I didn't feel good at all. When I got home my wife said I looked very pale. Off to the ER I went. They did an MRI/MRA, blood work, EKG. All came back normal. They handed me a piece of paper discussing "Tension Headaches", referred me to a Neurologist and sent me on my way. Over the next month I pretty much stayed at home on the couch or in my bed. I'd get what I'd call dizzy spells at least once a day. I had tingling/numbness sensations on the top of my head and warming sensations on both my arms. It was a rough time. I went to a Neurologist who did a physical examination and had an EEG done. Everything came back normal and she diagnosed me with Migraine headaches. She said she couldn't do anything else for me and pretty much said that the underlying cause was anxiety (isn't that familiar). I am by no means an anxious person by nature. I went to see another Neurologist because the first one was clearly not very good. He said that maybe this was Orthostatic Hypotension. He referred me to a Cardiologist to get a tilt table test done. The Cardiologist pretty much immediately suspected Neurocardiogenic Syncope and ordered an echo, halter monitor and a TTT. By now the tingling/numbness and warming sensations have stopped. Now I just feel a touch of nausea, lack of appetite, brain fog and just not feeling all there. Echo and Halter were supposedly clean although I'm sure when I look at the detailed report that will change (I'm sure there were tachy moments in there that were glossed over) I took the TTT and failed in a spectacular fashion. My heart rate while laying down was around 85. When they put me upright my hear rate jumped to around 125-130 and stayed pretty consist for the 4 minutes that I was conscious. Yep, I blacked out and no they never had to give me any drugs. When I came too the doctor that was monitoring me said that NS was basically confirmed and let me know that my heart had actually stopped beating for 9 seconds. Yep, I was dead for 9 seconds. So yes I'm quite scared at the moment and am not sure where this will all take me. Based on the information on this site though it sure seems like I've got NS/POTS at a minimum. I'm going to meet my Cardiologist tomorrow to discuss the results and I'm interested to hear what he has to say about what my heart rate was doing. I've also finally found a good Internist that seems to take a genuine interest in my case. She's already thinking about hormonal causes and is referring me to a good Endo in addition to doing some blood tests of her own and a 24 hr urine catch. So that is me. I'm in my mid thirties with a wife and 4 year old at home worried to death. We know our lives are going to change but we don't know how bad it's going to get. I've recently gone back to work. I do this by having my wife drive me, drinking plenty of water with salt in it and taking it very slow. Thank you for letting me tell my story. If anyone has any advice I'd appreciate it. God bless Tony