Same thing happened on a recent ED visit. Doctor didn't check vitals, just blood/urine/EKG goodbye.
I apparently had crashed into another car. I have no recollection of this happening. I was on my way to work, doing the same routine that I do every weekend. I have my medication, adderall xr, coffee (a substantial amount) and shower and head on my way. I do not eat breakfast. As I was driving to work, when I was getting a little bit closer and off the highway, I started to feel a little lightheaded, dizzy and got tunnel vision. I tried drinking some more water, but in retrospect I should have just pulled the car over. I woke up in an ambulance, not remembering anything that happened. The police officer was assured that I had taken some sort of illicit substance, and told me that I had been in a car accident. I hadn't taken anything different, I don't drink or do recreational drugs.
I was very out of it, feeling like my brain was running slowly and my mind foggy, and I remember the paramedic reporting I was A&O x 3, which was probably true.
I eventually took myself to the emergency room again (after the initial one d/c'd me, only giving me an EKG, and a blood test to give the police officer, and sending me on my way stating I was fine) because I couldn't handle the pain and I was feeling the same initial sx that I had right before the car accident that morning.
After 3 days I was discharged. They found that one of my valves in my heart was slightly enlarged, but did not seem to be problematic. The neurological exam EEG came back negative, as well as the stress test. My systolic blood pressure was always high (it normally isn't), while my diastolic was in adequate ranges. They believe I have POTS syndrome, as the changes in my bp were of note, but not entirely diagnostically 100% casual of my symptoms.
current medications: Paroxetine 40 mg QD, venlafaxine er 150 QD, adderall xr 30 mg BID, and temazepam 30 mg QHS.