It nevers rains but it pours. In August I registered with a cardiologist here in Dallas for ongoing care of the atrial fibrillation that was diagnosed five years ago in the UK. He followed the diagnostic chain of evidence and quickly diagnosed what the medical profession in the UK had missed all this time, namely a thyrotrophic pituitary adenoma. The MRI shows that it is a little over one cubic inch in size but is not yet pressing on anything important yet, like my brain (if any). Of course, having not yet secured a permanent job here I have no health insurance so we are currenty weighing up the options, including the possibility of returning to the UK to have the surgery to remove it.