I'll try to be concise.
Patient has episodes of drowsiness, fatigue, disorientation, stumbling, vision changes, and slurred speech. Mood changes, ie. Fits of anger. Memory loss. Falls asleep a lot at unusual times. Difficulty swallowing. Swollen thyroid. Loss of muscle function in face, noticeable graying of the face. Eyelid lag. Sixty-four pound weight loss. Patient does not remember episodes.

Mri, blood testing, and ‘overnight’ urine test gave no results. Normal blood sugar.
Low sodium was found. Thyroid sonogram normal. Head ct normal. Pituitary problem diagnosed initially at time of episode. Initial testing during an episode pointed to thyroid disorder, but follow-up visit was not during an episode and did not show the same results. Thyroid history on father's side.

Other details:
patient is 34 yrs old. 6’8, 255.
Patient has history of substance abuse, alcoholism. Current cigarette smoker, 15 a day.
Patient is currently taking prescriptions of effexor xr 75mg 3x, xanex 1mg 6 x a day, lisinopril 10mg 1 x day, and lunestra 1 x 3mg.

Does this sound familiar to anyone? Doctors are throwing their hands up. There must be somebody out there who....