I'm slow to reply to your email about your panic attack, but was sorry to hear that your life keeps getting more complicated!  Enough already, huh!
 
People with Mitral Valve Prolapse (MVP) often get panic attacks, so I've read a bit about them, though fortunately, I've never had to deal with that symptom of MVP.  But one thing I do know, is that they are a physical thing, even though they feel like an emotional thing, and consequently can be triggered by physical factors such as the fatigue following a long illness, or certain drugs.  Even caffeine and sodium lactate can trigger them in some people.  I hope your doctors can help you figure out what triggered your attack so you won't have more!  It would be nice if it were as simple as giving up coffee, so your wouldn't have to take MORE meds!
 
My prayers are with you,
Sally 

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