@jair19, Hopefully the PA will pass on all the information to the specialist. I've had that happen also when referred to a specialist. I've had good look following up on the patient portal that Mayo uses to check up on any questions I still had after meeting with the PA. Since you mentioned the PA wrote down all of your questions and symptoms and was going to pass it on to the specialist, are you able to call or send them a message on a patient portal to see if they had additional thoughts or tests they can run to determine a cause?