Brief Answer:
You should call 911 at this point and go in an ambulance to ER

Detailed Answer:
Dearest young lady in XXXXXXX on the opposite side of the country from me. I wish you could be be about 2500 miles closer as it would so much easier to counsel you with perhaps even a personal NEUROLOGICAL EXAMINATION, however, even if you were smack dab living on the other side of where my office is located in Parma, OH....I would likely still tell you that with the symptoms you are describing that it is CLEARLY IN YOUR BEST INTEREST to stop reading this note and PICK UP THE PHONE to call 911. Not your family, not your doctor, not your neighbor....911.

This is because the symptoms you are relating are quite possibly emanating from either a brain bleed or embolic disease in the back part of your brain which is why your balance may be off with sudden nausea.....these are very concerning symptoms if they only suddenly came on....or even if they came on this morning earlier (it's now only 6:30am over there). Of course, you could also have other things causing these same symptoms such as a BAD EAR INFECTION, however, I bet you would've told me about a bad earache, terrible sore throat, fever, etc. And you didn't....just "need to vomit and bad balance with shaking."

As a neurologist I must raise the HIGH ALERT STATUS and convince you that AN AMBULANCE ride is your very best bet to get immeidiately into a hospital setting equipped to handle such emergencies and either care for you or if they are not staffed or equipped for this type of problem to send you by LifeFlight if necessary to somewhere in the area. XXXXXXX is replete with excellent teaching and academic institutions.

And so, though I'd love to sit and chat with you a bit more I really want you to stop reading this 3 paragraphs ago and pick your phone immediately and call 911 for an ambulance.

I will sign off at this point and hope very much that this will not turn out to be anything major but I want you to sense urgency with these symptoms as you described them to me because you do not respect them urgently now or in the future serious and possible irreparable damage and complications can occur that nobody will be able to much help get you out of if time is of the essence.

If I've provided useful or helpful information to your question could you do me the utmost of favors by CLOSING THE QUERY along with a few positive words of feedback and maybe even a 5-star rating if you feel it is deserving when you have a moment? Right now, GET ON THE PHONE young lady...get on now...you can read the rest later. ;)

I am definitely interested in getting updated information on your condition if you'd care to drop me a line at www.bit.ly/drdariushsaghafi and let me know how things turned out.

You can always reach me at the above address for this and other questions. I wish you the best with everything and hope our discussion has aided in your understanding of a few concepts related to your concerns.

CHEERS!

This query required 15 minutes of professional time to research, assimilate, and file a response.

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