So I got paperwork in the mail today from my last visit with the doctor. And under the heading "diagnoses" listed: TIA involving carotid artery, Antiphospholipid Syndrome, Migraine with Aura, Demyelinating Disease, Paresthesia, and Sensory Disorder. That's a lot of stuff considering my Cardiogram was normal, my bloodwork was normal (this time) and the carotid artery ultrasound was normal. And my insurance denied the second MRI of my head and neck... so how can the doctor be diagnosing me with all of these things? Is it just based on symptoms? Are these just things he put on the chart in order to get insurance to pay? If that's the case these diagnoses need to be removed from my chart as to not cause issues with other doctors or cause confusion. I sent an email to my doctor for clarification. I don't really think I have all of those things. In fact, maybe I don't even have APS as I once thought. My tests years ago say I do but now my tests are fine. I sent a picture of my tests from before to Dr Hughes himself and he actually emailed me back! I couldn't believe it. He told me my test showed a very strongly positive anti beta 1 antibody and supports the APS diagnosis so at least I know I am not crazy but I don't know what to make of a doctor putting all of those things under my diagnoses portion of my chart and never talking to me about it or having any positive testing to support it. I'm so confused. It really doesn't matter anymore. I'm still basically being treated for migraines and that's probably as far as I will ever get. The Hematologist visit isn't going to happen now because of insurance. My next and only option is I am now seeing a counselor for depression. Why is it so much easier for me to talk to you whom I have never met than any doctor or therapist or person in my life. I cry all the time now. I just want to feel happy and have energy again. Sorry for the pity party but I am tired of not having answers.