Very Concerned, Need To Know If It Constitutes A Emergency/Doctor visit

My Name is Jacob

male aged 20

6'1 in height

currently weigh 150

white with no Latino or Spanish origin

live in the United States Of America

i have Narcolepsy and recently had a heart attack (was told it was a mix of stress and physical strain) waiting on a specialist for a test for a heart condition due to family history of heart issues

on no medication

don't do any drugs including weed

i vape but very little maybe like 10 puffs a day

this has been hapening for almost 5 months now with it slowly getting worse all started with the weight and muscle loss followed my the fall

is it good that i dropped from 295 to 150 and lost 25 percent of my muscle mass in a little less than a month with only a slight diet change to include more red meat i haven't changed what i drink or eat the only thing different is i eat more steak. google didnt really help it just kept saying that weight loss was good i had my buddy who measures muscle mass for his clients measure my muscle mass again and he had my previous results and said that it was about 25 on the muscle mass loss but iam concerned because i have now been having issues eating anything as i dont feel hungry, aswell as extreme memory issues paired with issues talking like it hurts to talk even hum i feels like im getting stabbed in the neck, that and i can no longer seem to keep myself balanced i have to grip the walls to prevent me from falling and i now have nightly nosebleeds when im asleep i wake up chocking on my own blood because i sleep on my back this is unfortunately not a joke im am both confused and scared but the nearest hospital is almost 2 hours from were i live and is too expensive to go to last time i went for a bad fall off a ladder on my property and was unconscious and was billed almost 70k for a MRI of my head and told to fuck off and was never told if i had a concussion or TBI or not im mainly looking for answers that could basically justify that long drive and high cost im concerned and not gonna lie a little scared