Thanks @bpcyclist for the kind answer. I may have to call to get a Pdoc consult sooner than my next appointment. It can't hurt to do a med check and see if I'm covering everything properly.

I will try to use box-breathing as soon as I can get out of the situation. That's been my jam of late because its so easy to remember.

Do you have any recommendations for how to pick up a meditation practice if you aren't terribly fond of guided meditation?

Also I wanted to send you comforts in addition to the thanks, because I know that at least for me, this feeling is very powerful and hard to brace for, and if you went through it this afternoon I know it must have been a challenge. Many your way, friend.