I graduated as a medical doctor in 1979 and finished my specialist training in 1990. I have published more than 140 scientific papers in peer reviewed journals mainly on the autonomic nervous system and more recently on complex diseases possibly resulting form HPV-vaccination. For more than 35 years, I have worked clinically and in research with dysfunction of the autonomic nervous system. Such dysfunction may lead to symptoms from a number of different organs often dominated by diminished control of blood pressure and heart rate. Defects in those control systems may lead to orthostatic intolerance in the upright position resulting in dizziness, palpitations, blurred vision, cognitive dysfunction and self limited fainting (syncope). Over the past 5 years, I have worked clinically and in research with patients who suspect side effects due to HPV vaccintion to be the cause of a number of symptoms, common to those seen in chronic fatigue syndrome / ME. Due to the complex nature of these conditions, it is important me that there is sufficient time to listen, examine, explain and find treatment options based on an overall assessment and in close collaboration with the patient.