I have had the onset of swallowing & speech difficulty with no sudden stroke-like incident. I thought it was the result of being on Cymbalta for joint pain. I have had numerous tests in the hospital which all come up negative. As of late I am becoming tired & short of breath. I plan to see my cardiologist & a follow up with my neurologist after the results of several more blood work-ups. The carotid Doppler was 50%, the MRI's were neg. the swallowing videos were ok, orig CT showed an area that possibly had no blood flow. Patricia