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I find Autonomic Dysfunction may well be brought on by some of the medical procedures of various kinds. It would take some intensive investigation to understant completely the effects of medically induced vagal nerve problems. But I do think this is the cause of my wife's recurring syncope, and now constant huge fatigue syndrome that is proving very detrimental to her health. The term for medicine that does harm to patients is iatrogenic medicine. It is real, and one should be well informed before accepting medical procedures where physicians do NOT properly inform you of RISKS involved in performing their procedures. Beware of doctors who don't even know a cure for your disease. They surely often do harm to you making matters even worse. As far as the hundreds of Vasovagal descriptions in this forum, it is obvious to me that medical doctors are lost in this area to a large extent. The tilt table test may be questionable, especially using IV toxic meds to induce syncope. I have several questions about the advisability of using certain test procedures that are potentially harmful. This is why they all require you to sign a release of liability form so you cannot sue them if they cause further damage to you. Medicine is not entirely trustworthy, and naieve physicians DO exist who harm patients.