Because of my strong family history and current clinical picture, she ran me thru all the diagnostic testing for mito dz ($$$) and started me on a mito cocktail ($$) which did nothing. She was familiar with dysautonomia, which she said is now being recognized as the cause of most symptoms in mito dz.
Unfortunately, that's where things went poorly. Despite many abnormal test findings, she was unable to put together a diagnosis, which is not uncommon for a doctor unfamiliar with ME/CFS. But she did rule out many systemic diseases that other doctors overlook.
She was unable to then support my disability claim because there was no clear diagnosis. Overall, I wasted almost a year believing she could and would do so.
In retrospect, she didn't do anything that an open-minded GP couldn't do. I still had to be my own "physician", interpreting and directing testing and care.
I found communication with her office to be patronizing and rude.
Like you, my Skype visit became not only a late phone call, but she was totally unprepared.
I find it ludicrous that a doctor, who advertises and charges as she does, can remain clueless about ME/CFS. I have to wonder how many of us she has seen, charged, and dismissed.
In summary, I would have been much better off spending that money to travel to a bonafide ME/CFS specialist.