Well, I'm not done with Mayo yet, but wanted to post an update. I've got to go back for a two day test series that deal with some GI things. My EMG/NCV is over (thank God!), and was clean. Dang, the needles in the hand and one in a deep calf muscle that hit the mother lode of pain were the worst. The shocks weren't so bad (I'm an electrical engineer who's gotten quite a few zaps anyway). Then, I got an endoscopy that they gave me extra sedative for that left me really nauseous and wretching for a day or so, and with really low BP. The endo doc thought I was nervous as I talked a bit too much, thus the extra sedative. Next time I'll keep my mouth shut...I know that as far as tests indicate, I'm autoimmune and paraneoplastic-negative. My brain blood vessels (via MRA) looked fine, with one side slightly larger than the other, which I'm told is normal and fine. No stenosis. The Neuro, Dr. Kumar, was courteous, and thinks that I've got complicated BFS, idiopathic tinnitus, IBS, and migraines. The endo doc also added that my bowel stuff is likely from an overresponse from my sympathetic nervous system, which I tend to agree with as I've felt other evidence of this since my Lexapro debacle in 2004.What a machine that Mayo place is. Scheduling is excellent and tight--I felt like I was making flight connections at O'Hare. But the doctors are human. I didn't run into a Dr. House anywhere, nor were the physicians I talked to any more inspired than the ones I have locally. The empathy was not any different either. What was different were the large assortment of really difficult cases that were there around me--folks for whom this was a stop of last resort. I felt almost foolish with my condition, which is more of a nuisance compared to the 20 year-old who suddenly had his left side go dead, or the woman my age with headaches corresponding to bouts of clinical weakness. This puts things in perspective even with the severe psychological impacts of BFS.-Dave