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Author Re: tilt table test - some tips
BONEDFISH@aol.com

2004-10-07, 7:07 pm

Marjorie noted on 9/29 :


<< 2. DO NOT talk during the test. That also can prevent
a drop in BP. >>

Had my tilt table test today. Did not eat per instructions, nor drink salt
water or take sudaphed, as usual. They didn't use the protocol outlined in
the Columbia Hospitals fact sheet that was posted here recently. They put me
directly into an upright position, where I remained. I felt woozy and sweaty
right away, but that passed quickly. After 18 minutes, my BP was still normal,
however I was feeling tired and a bit strange.

I was careful to be quite still, and not talk. The doctor started asking me
questions about how long it normally takes for symptoms to occur and how much
sudaphed I take. I was trying to explain and remember how many milligrams
over the counter sudaphed is, and I crashed. My BP dropped to 70/38 and I became
bradycardic as well, although I forgot to ask them how low my heart rate
dropped.

Don't know if I was just very nervous about the test and talking got my mind
off the test and I relaxed or what, but I have noticed before that talking or
having conversations in which I have to "think" about something or remember
something will bring on a crash, especially if I'm standing.

Go figure. Perhaps it is part of some stress response as well - that is, I'm
trying to think or explain or remember a detail....I did have a doc at the
Cleveland Clinic tell me that CFS is a "maladative stress response that may be
congenital in nature"

Anyone else experience this?

Laura
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