In the ER again. I’m going to have to educate them about anaphylaxis. They thought three doses of epinephrine 20 minutes apart would give me a heart attack. It takes that many to break the cycle (and epi is out of your system in about 15 minutes). Mast cell activation syndrome can give you weird allergy symptoms (especially with dysautonomia) that don’t respond normally. Many doctors don’t know about it because it’s a relatively new diagnosis. It didn’t even exist when I was in med school a decade ago.