Annie59, Has a doctor fully evaluated your Sjogren's? Sjogren's, as I'm sure you know, can cause brain fog, breathing problems and many other symptoms, as well as the eye dryness. Have you been tested for lupus?
You have significant breathing issues but you don't seem to be able to tolerate more than a little Mestinon at a time. Is that correct or am I missing something?
http://www.sjogrensworld.org/brain_fog.htm
http://brain.oxfordjournals.org/cont...8/11/2518.full
I just hope your doctors are not missing something.
They can now do sleep apnea tests at home too, as well as an overnight oximetery which I had mentioned in one of your other many posts.
Your doctors should also, if they haven't already, be checking for other things like vitamin B12, thyroid, liver and kidney functions, etc.
I hope you can not only get answers but some much needed help.
Annie