Hi, All I am a Newby I have not been medical diagnosed with Dysautonomia, actually I never heard of POTS until someone posted this site in another group. I was not looking for this at all. I need answers for some of my medical problems. I know some of them like heart disease, Fatigue, interstitial lung disease (with no known cause yet besides that I have alveolitis and need to use oxygen)and Peripheral neuropathy and they found my that diaphragm during a sniff test is functioning appropriately on inspiration, expiration. But the diaphragm function is extremely limited. All of these symptoms with no diagnoses it almost makes me feel like I am some kind freak. I know my blood pressure and heart rate are very low at times and sometimes very high. I have Tachycardia and bradycardia , My former cardiologist says I am one of those heart patients that need more salt in their diet, and drink water as much as I can which I do. Before I got a heart cath or do any other procedure he wants me in the hospital the day before to get hydrated. So my blood pressure does not dump. But on the moment I have an appointment with another Physician who does not know I end up in some terrible situations because of the anesthesia which drops my blood pressure to low. And my former cardiologist does not work anymore. I used to be dizzy a lot but for a halve a year I have been having syncope?s which horrible chest pain after wards. No one can find a real diagnosis for me. Finally I got my PHP to make an appointment with another cardiologist when I asked for a tilt table study test. She showed me that a tilt test study would not make sense since it would cause false and positives and false negatives. Or How do I convince a the cardiologist I am referred to do the tilt table test since it describes it here as working well , thanks to Nina http://www.dinet.org/how_is_pots_detected.htm Even though she sent me to the cardiologist she does not believe he will do anything. From your website I found no one in my state is specialized in Dysautonomia in my State. So how does one get a diagnosis or even a test to help me? The PHP says I just have to live with it, but when I have a syncope in public or a medical center I end up in an emergency room and stay overnight with nothing done besides that they tell me I have an anxiety disorder. But I never have anxiety at home except after these syncope?s. The last time they put me in a bed and never let me out for over 24 hrs until they rolled me in a wheel chair to the car. And there are no doctors who know about Dysautonomia in Washington State. I do not know where to ask for help anymore and I am very tired of being send of into the hospitals after a syncope. I need answers and I am at once hopeful I can get them through your site. Thank you, hyracinth.