Mary- I did have some set backs getting my long term started... Because I didn't have it long enough- they were looking for a pre-existing condition, which required them to retrieve my medical records from every doctor and pharmacy visit since 2005... I still fight with long term from time to time... I am trying to get released to at least attempt to go back to work... I wont ever know if I can do it if I dont try... I didn't get a referral to see my *new* POTS specialists- I just made an appointment and went... When they asked me who referred me I said I found them on the potsplace website... I have gone through 4 cardiologists, just met my new one last Wednesday... They are testing me for stuff that no one has... I am glad I found them... Good luck! Tisha