Rhythms and Routines – Susan Payrovi

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Susan Payrovi, MD, is a triple board-certified physician in anesthesiology, hospice and palliative medicine, and integrative medicine. Payrovi is also certified in functional medicine and medical acupuncture. She is a clinical assistant professor at Stanford University, where her clinical practice focuses on non-pharmaceutical lifestyle treatments of chronic disease. As part of her commitment to support the MS community, she has created an online wellness program called “TRUE Medicine” to ensure everyone has access to the lifestyle treatments that reliably improve immune health from the root cause.

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How hand weakness led me to a meaningful career in medicine

To call my medical career a series of random pivots is an understatement. I have multiple sclerosis (MS) to thank for this wandering journey, one with an uncertain destination, but a surprisingly meaningful landing place. Anesthesiology was my first love. I adored tinkering with the anesthesia machine, working with…

Susan Payrovi

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How dry eyes helped me embrace MS uncertainty

As a physician, I hang my hat on certainty, where a certain medical issue can be solved with a certain medication. But when it comes to real life, especially as a parent and a person living with multiple sclerosis (MS), I know there’s little certainty in everyday living. My…

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Turning 50 with MS feels like a new beginning

I celebrated my mid-century birthday two weeks ago with an online dance party with friends, family, and patients in “The Myelin Room” — a monthly Zoom event. At 50, I’ve officially grown up. I no longer think of myself as a “girl.” The more dignified “woman” feels more appropriate.

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The importance of play in both parenting and living with MS

“The Longest Shortest Time.” The title of this parenting podcast says it all. How can it feel like your kids will never outgrow a stage, while simultaneously being way bigger than you remember them being just yesterday? Living with a chronic disease like multiple sclerosis (MS) reminds me…

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I thought it was just stress — until I learned about trauma

Trauma is not stress, and you can’t meditate your way out of it. I’d never considered this before. Of all the talks I attended last month at the Institute for Functional Medicine’s annual conference in San Diego, the one that has stayed with me most as someone living…

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Estrogen, aging, and MS: Notes from the front lines of midlife

It’s official: This is the year I aged — physically, emotionally, visibly. With menopause on the horizon and multiple sclerosis (MS) quietly lurking in the background, I’ve been thinking a lot about how best to care for my brain, body, and beyond. Aside from the 3 a.m. hot flash…


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