Just wanted to say, Hi to everyone! I am one of the rare males on this forum. I have learned so much over the past several months I have been reading posts. Thanks for all your input! I too, have been on a "journey" since Nov. 2005. Long story short, I was diagnosed with "sick sinus syndrome" (I had a resting heart rate in the 40's and at the time I was 300 lbs.)and they popped in a pacemaker in Sept. '07. I was also diagnosed with orthostatic intolerance after over a year having pre-syncopal spells upon standing from a seated postion only and walking a few steps across the room, and being confirmed by two failed TTT. My EP doc basically told me that I would never drive again and would probably not be able to work, to put on support hose, and stand up "slowly" when getting up. What a deal!! Thanks to DINET, I found a doctor in Dallas, Dr. Amer Suleman, and have been under his care since Nov. After a battery of different tests, he determined that my problem was being caused by low blood volume. He has been able to use my pacemaker (I'm beating at 85 bpm) along with trying different meds to try to get my condition "more liveable." We're not there yet... but I think we are making progress. I just started florinef last night and hopefully that will help. I am still off work and the State of Texas frowns on people with pre-syncopy or syncopy driving. I am supposed to have 6 months episode free before I can legally drive. Well, that starts over every day, sometimes several times a day. I do get out every so often.. it is awfully boring just sitting around the house. Question: does anyone else have mass confusion at times? I can be walking through a grocery store and its like I'm a wind-up doll winding down. I start walking like an old man, I get "lost" if I'm by myself, and I can't make a complete sentence without mangling words or making words up or adding letters to words and just sounding completley drugged or drunk. (another reason why I don't drive much). I even laugh at myself because I can hear how stupid I sound. That is followed by severe fatigue and I end up sleeping for 2 - 3 hours just about every afternoon. (My mornings are generally good till about 11 or so, after I have been up for a while.) Thanks, and I look forward to meeting many of you! Joe