HI Dustin, I have lyme too...neurological lyme and bartonella..which is the underlying cause of my autonomic nervous system dysfunction as well. Throwing babesia and bartonella into the mix---man, you must really be suffering. I am waiting to see a lyme-literate neuro but don't know how well-versed this doctor is with dx'g and tx'g dysautonomias. Since this Md sees alot of neuro lyme (advanced) patients, I'm sure a lot of dysautonomia is seen as well. but that doesn't guarantee that the Md will know what to do or how to look at the test results. I don't know that insurance will cover visits to 2 separate neurologists (HMOs!), so we'll see.... Unfortunately folks, the sensitivity of lyme tests runs about 46-56%. to give you an idea, HIV tests are 99.5% sensitive. For a test to be used as a diagnostic tool (does s/he have it or doesn't s/he?), the sensitivity must run 95% or better. So the lyme tests are like flipping a coin. Actually worse than flipping a coin with your health because they are Antibody tests for,at best, 2 strains of the disease, not tests for 100-odd strains of the actual Bacterium itself. Those tests are not in existence. not yet. So: a negative test does not mean that you don't have LD. Anyway, I need to start tracking my blood pressure and heart rate at home and will create a separate post requesting suggestions. The dysautonomia has really stepped up in the last month or so, esp in the last couple weeks. I wish I could see your doctor---s/he sounds too good to be true!