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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Is time in nature an overlooked therapy for MS symptoms?

As all good things must come to an end, so did our epic overseas adventure in a recreational vehicle that was too tiny to live in and too big to drive into any European village. We devoted those five weeks to quality time with family, unplugging from devices, and…

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Managing my MS symptoms by spending time outdoors

With just four more summers with all my kids still living at home, I’ve been making the most of our time together by throwing everyone in our trailer to visit state and national parks in the U.S. This summer we’re overseas in Europe, experiencing the lesser-known sights only accessible by…

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My routine for dealing with MS and heat sensitivity while traveling

A trip to Taiwan this summer has been years in the making for our family. Our kids have been in Mandarin immersion since preschool, so when their school offered a three-week program for true immersion in Taipei, we jumped at this once-in-a-lifetime opportunity. But dang it is hot and humid…

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A recovering night owl embraces the benefits of natural light

I’d tricked myself into thinking I was a night owl for decades. Studying came more easily during those dark, quiet, and still hours. So did going out to nightclubs to dance, meet strangers, and feel a little more anonymous and a lot less self-conscious. When that phase of around-the-clock studying…

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Why we should go with the flow of our biological clocks

What’s a reliable way to wreck your mood? Fighting your circadian rhythms. I’m a recovering night owl. I used to get more done between 10 p.m. and 2 a.m. than I did in the other 20 hours of the day. I routinely studied past 2 a.m. during college and…

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Rhythms and routines to complete your MS care

I used to think I was immune to illness. Getting sick was what my patients did. My multiple sclerosis (MS) diagnosis turned this belief, and many others, upside down. When the chaos of the diagnosis settled, I realized that becoming a patient was the most profound lesson I could…


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