What tests should I ask to get from first endo Dr visit

I have an appt to see an endocrinologist for the first time in Feb because I have been experiencing a lot of possible adreneal/hormonal/thyroid symptoms.  A couple weeks ago i had a near fainting spell and my reg doc called for some heart tests, stress test, EKG, and Echo, but upon taking the stress test the cardiologist reading it said my resting heart rate was very fast (126) before even getting on the treadmill.  He told me ot get a full thyroid panel done.  I had just gone to the ER for severe heart palpatations , anxiety, chest pain, cold extremities etc a few days prior and the ER doc ran a thyroid test.  My TSH was 2.9 and my T4 was .89, and he said everything was fine.  Upon coming home, i decided to check my past thyroid tests since 2005.  My TSH in 2005 was .75, in 2006 it was .99 in 2008 it was 1.01 with a T4 of 1.11 and that was just in August, and now in Jan of 2009 it was 2.9.  with the T4 down to .89 . Then upon doing research about it, i found different reference ranges.  I am confused.  The echo did show a borderline mitral valve prolapse with a mild tricuspid regurgitation, but I have so much anxiety and am always cold, my hands and feet especially.  My skin gets dry very easily.  I have a family history of thyroid issues and demanded my reg doc pass the torch to an endocrinologist to get some answers.  As far as other issues is a possible PCOS, according to my gyno.  I don't fit all the criteria for PCOS, but I do have cysts on my ovaries and have noticed a huge increase in facial hair, moodiness, PMS, my blood glucose while fast the last couple of tests has been mildly elevated, 2008 it was 104 and 2 weeks ago it was 117.  I have heard alot about adreneal fatigue going hand in hand with perimenopause and thyroid issues, can some one help me ask for the right thyroid, pituitary, adrenal, hormonal tests from my endocrinologist?  

[binder58]

Am new to this forum, but my husband just went to his first endo visit.  He has the same things, cold extremities, has passed out on number of occasssions, and felt like he was going to many times that did not, and the irritability can all come from adrenal insuffiency.  Do you crave salty things> my husband does not, but that is also a sympthom.  There is a host of sites you can google or put in your browser that has alot of info  this is one --MedlinePlus Medical Encyclopedia: Acute adrenal crisis see if you can copy and paste this in your browser line.  Very informative!  The endo will know what test to do, and i believe that article describes what they do and for what.  My husband was checked out by cardiologist, and they did a tilt table test, did they do that with you. to see if you would pass out or BO changed?  My husband was cleared by cardiologist, he was fine, and that was over a year ago, and we are still dealing with WHY he is passing out along with the severe fatigue and the other issues i spoke about above.  I would take along the  thyroid results you have to the endo, might be helpful! Good luck
binder58

[kbennj]

thanks, no I have not seen my cardiologist yet, but will Feb 11th.  I have heard many discuss the possibility of the tilt table test, I may need it.  I am just so sicke and scared of feelinglike this, waking up at night ready to pass out, heart jumping, shaking uncontrollably and being soooo cold, even in bed under all the covers.  Somehting is clearly wrong with me.  I am sick of docs labeling me having panic attacks.  Of course I am having them because NO ONE IS GIVING ME ANY ANSWERS!  Thanks for the site. I don't know very much about adrenals, I will look it up.  Thanks for the reply.  Good luck to you  too.  

[enzymelover]

  Boy, it sure sounds like you have adrenal insufficiency. If you can,  keep a record of your symptoms, in detail, time of day or night you have them, and anything you do that helps lessen them. This helped my son's endo with his diagnosis. I think they're better at reading, than listening!  My son had the dry skin, heart palpatations, and hypothermia, as well as nausea, low blood pressure and abdominal pain, no appetite.

I hope your endo gets you some answers quickly.

Enzy