<s>[INST] Hello doctor I had short of breath and my left arm was uncomfortable and I couldn t speak and I was having hot and cold flashes and shaking and white spots in vision I called emergency they came checked me and told me nothing was wrong and I told them to take me to the hospital they did blood work everything was ok and went 3 more times to the emergency and done more blood work and everything was ok I went to my family doctor and told me its anxiety and depression [/INST] Hello and welcome to Chat Doctor. Thanks for your query. I understand that you must be going through a difficult time with your undiagnosed symptoms. Now, you have mentioned clearly that all medical examinations and tests have turned out negative. In such cases, one of the most likely possibilities to be considered is an anxiety-related disorder.  It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Shakiness, shortness of breath, and other vague bodily sensations like tingling, hot or cold flashes, etc. are symptoms which are commonly seen in anxiety disorders.  I would surest that it would be worthwhile to consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best.  </s>