Hello and thank you for your reply "Endure". I do not live in Melbourne, I live in Northern NSW in the Byron Bay Hinterland. I am coming to Melbourne to see Dr O'Callaghan when I can get an appointment. He and Prof Esler are the only two doctors in Australia who specialise in dysautonomia's and Prof Esler is not taking new patients at the moment. Dr O'Callaghan works with Austin Health who are associated with the University of Melbourne. I have been taking Coralan (Ivabradine is the drug) which was prescribed by my Cardiologist who I was put under after I ended up in hospital last year in March last year. It helped for a few months and then stopped working altogether and when I went back to see my Cardiologist he increased the dose. I have been on the increased dose for 3 months and all of my symptoms have gotten much worse. I have recently stopped taking it 2 weeks ago and I still have the orthostatic issues of course; yet I feel my body is coping better with out it. I felt that by slowing down my heart it was making it much harder for my body to cope, as of course I realise now that my heart is compensating for what happens when I stand up!! I have done a lot of research and as fascinating as it is to the medical profession and to those of us who like to understand and learn for ourselves it certainly isn't easy to live with!!! I hope that Prof Esler has been able to give you some relief from your symptoms, though it sounds that your case is indeed rare and very reactive. I hope that you have good support from your parents, as it is hard if you don't. I am lucky to have support from family both extended and immediate. I have had problems on and off all my life since I was a teenager so, my family have always known there was something wrong, and weren't terribly surprised after the birth of my third daughter when things went particularly hay wire and haven't settled down fully since. That was 8 years ago. Even though people are supportive, they also get frustrated by the huge impact this disorder has on our lives and subsequently theirs as well. I at least know that someone else who has the same condition even though we all vary in symptoms and causes etc understands what it is like to live day to day with this. You would also understand how frustrating it is to not know day to day or even hour to hour how you will be feeling and need to just accept whatever comes and know that you have no real control over it. I thought I was a patient person before, I had no idea what real endurance and strength of character meant until living with this condition. It has made me appreciate the small things we all take for granted and to be accepting of the things we cannot change. Any how sorry for rambling on, I guess it is good to talk to someone who knows what you are talking about as I said before. Jodie