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12.12.2024

How EDS Affects the Ears, Nose, and Throat with Dr. Das

In this enlightening episode of the Bendy Bodies podcast, Dr. Linda Bluestein speaks with otolaryngologist Dr. Shu Das about the unique ENT challenges faced by people with Ehlers-Danlos Syndrome (EDS). Dr. Das shares his expertise on common issues like tonsil stones, chronic sore throats, and sinus infections, while diving deep into how EDS impacts vocal cords, nasal health, and even hearing. He offers practical tips for managing symptoms, from antibiotic courses to alternative surgical approaches. Packed with advice on avoiding unnecessary surgeries and improving overall quality of life, this episode is a must-listen for anyone navigating EDS and ENT-related issues. Takeaways: EDS Increases ENT Vulnerability: People with EDS are prone to ENT issues like tonsil stones, chronic sore throats, sinus infections, and vocal cord dysfunction due to their connective tissue laxity. Avoid Unnecessary ENT Surgeries: Surgery should be a last resort for EDS patients due to poor healing and higher complication risks. Alternatives like intracapsular tonsillectomy can minimize trauma when surgery is necessary. Antibiotic Treatment Requires Adjustment: EDS patients often need longer and earlier courses of antibiotics for sinus infections and other ENT issues to ensure full recovery. Hot Showers Are Healing: Heat and steam are beneficial for managing sinus issues, ear pain, and overall EDS symptoms, making hot showers a simple yet effective tool. Hot showers can be challenging for those with POTS and or MCAS, but for those who can tolerate them, they can be very helpful. Steroids Can Do More Harm Than Good: Intranasal steroids like Flonase should be avoided in EDS patients, as they weaken already fragile connective tissues, potentially exacerbating problems. Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com YOUR bendy body is our highest priority! Learn about Dr. Das Website: https://www.usasinus.org/meet-dr-das Keep up to date with the HypermobilityMD: YouTube: youtube.com/@bendybodiespodcast Twitter: twitter.com/BluesteinLinda LinkedIn: linkedin.com/in/hypermobilitymd Facebook: facebook.com/BendyBodiesPodcast Blog: hypermobilitymd.com/blog Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

12.12.2024

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1 Std. 17 Min.
25. SEPT.

Hidden Causes of Abdominal Pain in EDS with Dr. Pradeep Chopra (Ep 163)

Abdominal pain in EDS can be a puzzle with countless hidden pieces. In this episode, Dr. Linda Bluestein welcomes back Dr. Pradeep Chopra for part two of their exploration into gastrointestinal problems. Together, they uncover overlooked causes of abdominal pain, from drooping intestines and tethered spinal cords to mast cell activation and nerve entrapment. Listeners will hear surprising connections between the spine, bladder, ribs, and gut, with insights that could explain symptoms often dismissed or misunderstood. Takeaways: How intestines “dropping” into the pelvis complicate digestion and bladder function. Why tethered cord surgery may relieve unexpected symptoms, including GI issues. The overlooked role of mast cell activation in abdominal pain and food intolerances. How abdominal pain can actually begin in the ribs, nerves, or pelvic floor. Why abdominal migraines and CRPS challenge traditional medical thinking. Find the episode transcript here. Want more Dr. Pradeep Chopra? Website: ⁠⁠https://www.painri.com/⁠⁠Contact Dr. Chopra’s Office: ⁠⁠⁠snapa102@gmail.com Want more Dr. Linda Bluestein, MD? Website: ⁠⁠⁠https://www.hypermobilitymd.com/⁠⁠⁠. YouTube: ⁠⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠⁠ Shop my Amazon store ⁠⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠⁠ To check out all of my favorite products, please click on this link: ⁠⁠https://www.hypermobilitymd.com/productswelove⁠ Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Check out the following episodes to learn more: Find previous Bendy Bodies episodes featuring Dr. Pradeep Chopra here:https://www.bendybodiespodcast.com/guests/dr-pradeep-chopra/Find previous Bendy Bodies episodes featuring Dr. Theoharis Theoharides here:https://www.bendybodiespodcast.com/guests/theoharis-theoharide/Hidden Causes of Pain ‘Down There’ with Dr. Andrew Goldstein (Ep 148):https://www.bendybodiespodcast.com/hidden-causes-of-pain-down-there-with-dr-andrew-goldstein-ep-148/Hidden Causes of Painful Sex with Dr. Irwin Goldstein & Sue Goldstein (Ep 130): https://www.bendybodiespodcast.com/hidden-causes-of-painful-sex-ep-130/Slipping Rib Surgery in EDS with Adam Hansen, MD: https://www.bendybodiespodcast.com/videos/84-slipping-rib-surgery-in-eds-with-adam-hansen-md/Testosterone is Essential for Women with Dr. Kelly Casperson (Ep 131) https://www.bendybodiespodcast.com/testosterone-is-essential-for-women/Signs of Tethered Cord You Shouldn’t Ignore with Dr. Petra Klinge (Ep 137): https://www.bendybodiespodcast.com/signs-of-tethered-cord-you-shouldnt-ignore-with-dr-petra-klinge-ep-137/Why Do Some GI Problems Hide from Every Test? with Dr. Zachary Spiritos (Ep 153): https://www.bendybodiespodcast.com/why-do-some-gi-problems-hide-from-every-test-ep-153/ Join YOUR Bendy Bodies community at ⁠⁠⁠https://www.bendybodiespodcast.com/⁠⁠⁠. YOUR bendy body is our highest priority!⁠⁠⁠⁠ Learn more about Human Content at ⁠⁠⁠⁠http://www.human-content.com⁠⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠⁠sales@human-content.com⁠⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

25. Sept.

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1 Std. 11 Min.
7. AUG.

Could Your Gut Pain Be EDS-Related? with Dr. Pradeep Chopra (Ep 157)

In this episode of the Bendy Bodies Podcast, Dr. Linda Bluestein sits down once again with fellow pain specialist Dr. Pradeep Chopra to take listeners on a guided “walk” through the GI tract. From teeth to the stomach and beyond, they uncover how connective tissue disorders like EDS (Ehlers-Danlos Syndromes) and HSD (Hypermobility Spectrum Disorders) along with POTS (Postural orthostatic tachycardia syndrome) and MCAS (Mast cell activation syndrome), can trigger unexpected abdominal pain and digestive challenges. Along the way, they explore overlooked diagnoses like Eagle Syndrome, SIBO (Small Intestinal Bacterial Overgrowth), and MALS (Median Arcuate Ligament Syndrome), while also revealing hacks and strategies that empower patients to better understand and manage their symptoms. This is part one of a two-part deep dive into GI issues you won’t want to miss. Takeaways Why EDS patients often have “dancing teeth” and unique dental vulnerabilities How Eagle Syndrome can masquerade as severe TMJ pain or headaches The hidden role of MCAS in driving throat and GI inflammation Why overlooked compression syndromes like MALS and SMA cause devastating abdominal pain A surprising at-home hack with beets that can reveal slowed gut motility Note: If you found Dr. Chopra's comments about teeth intriguing, we will address listener feedback in Episode 159, coming soon. Find the episode transcript here. References: AGA Clinical Practice Update on GI Manifestations and Autonomic or Immune Dysfunction in Hypermobile Ehlers-Danlos Syndrome: Expert Review: https://pubmed.ncbi.nlm.nih.gov/40387691/ Want more Dr. Pradeep Chopra? Find previous Bendy Bodies episodes with Dr. Chopra here: ⁠https://www.bendybodiespodcast.com/guests/dr-pradeep-chopra/⁠ Website: ⁠https://www.painri.com/⁠ Contact Dr. Chopra’s Office: ⁠⁠snapa102@gmail.com Want more Dr. Linda Bluestein, MD? Website: ⁠⁠https://www.hypermobilitymd.com/⁠⁠. YouTube: ⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠ Instagram: ⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠ Facebook: ⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠ X: ⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠ LinkedIn: ⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠ Newsletter: ⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠ Shop my Amazon store ⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠⁠ Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority! Use this affiliate link for Algonot to get an extra 5% off your entire order: ⁠⁠https://algonot.com/coupon/bendbod/⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links ⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

7. Aug.

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1 Std. 26 Min.
4. AUG.

3.14 Malingering and Factitious Disorder: An Approach to Clinical Deception

Dr. Nicholas Kontos, Director of the Consultation-Liaison Psychiatry Fellowship at Massachusetts General Hospital and assistant professor of psychiatry at Harvard Medical School, joins us for a reflective conversation on factitious disorder, malingering, and clinical deception. We begin by unpacking the concept of “thinking dirty”—a term used in consultation-liaison psychiatry to describe the delicate and often uncomfortable task of considering deception in clinical care. Dr. Kontos walks us through why patients may deceive providers, including both conscious and unconscious motivations, and shares strategies for approaching these situations with clinical humility, curiosity, and compassion. We explore practical interviewing techniques to elicit more accurate histories and review key distinctions between factitious disorder and malingering, including diagnostic criteria, prevalence, and typical management strategies. Dr. Kontos discusses the concept of the “therapeutic discharge,” a framework for ending unproductive hospitalizations while still maintaining a therapeutic posture. Throughout the episode, we emphasize the central role of dignity and professionalism in managing deceptive behavior in medical settings, highlighting a model of psychiatry that avoids antagonism and centers patient care, even in the most complex situations. Teaching Psychiatric Trainees to “Think Dirty”: Addressing Hidden Motivations in the Consultation Setting (Beach, 2017) The Therapeutic Discharge I: An Approach to the Management of Deceptive Suicidality (Kontos, 2017) The Therapeutic Discharge II: An Approach to Documentation in the Setting of Feigned Suicidal Ideation (Kontos, 2018) Learn more about your ad choices. Visit megaphone.fm/adchoices

4. Aug.

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1 Std. 13 Min.
29. MAI

Dr. Jane Goodall

Legendary primatologist and planet-saving superhero Dr. Jane Goodall sits with Moby, Lindsay, and Bagel to talk about her profound curiosity growing up, what gives her hope in chaotic times, and how we can all make a difference. Expect stories from the jungle, unexpected laughs, and surprisingly practical wisdom from one of the most iconic environmentalists in history. Get involved with Roots and Shoots! Adopt Jane (the wildlife detection rat) The Jane Goodall Institute — We want to hear from you! Shoot over an email and say hi: mobypod@moby.com Follow @moby @linzhicks @candicebergenbagelPart of the Human Content Podcast NetworkA Little Walnut Production

29. Mai

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1 Std. 24 Min.
19. MAI

What Does Catatonia Really Look Like in Practice?

When a patient stops moving, stops speaking, or stares through you like you’re not there, it’s easy to miss what’s really happening. In this episode, I’m joined again by Dr. Mark Oldham, one of the leading voices on catatonia, to break down what this strange, often misunderstood syndrome actually looks like in the real world. We walk through the diagnostic features step-by-step, how to assess, what to ask, and what’s too often overlooked. From the history of the disorder to modern DSM confusion, from the meaning of “waxy flexibility” to the haunting truth about patients who are fully aware but trapped inside their bodies, this conversation will completely change the way you think about motor symptoms and psychiatric emergencies. Takeaways: Catatonia is common, but underrecognized. It’s not just “psychiatric immobility.” It spans a spectrum from stupor to hyperactivity. Diagnosis starts with curiosity. Learn to test for features like mutism, posturing, and negativism systematically. Many patients are aware. Always treat them with dignity and assume comprehension, even when they can’t respond. It’s treatable and rapidly reversible. A single dose of lorazepam can sometimes unlock a frozen mind and body. Malignant catatonia kills. When autonomic instability appears, it’s a medical emergency that demands immediate escalation and often ECT. Selected references: British Association for Psychopharmacology Guidelines ⁠Rochester Catatonia Assessment Resources⁠ NEJM Review on Catatonia Nature Review on Catatonia Schizophrenia Research Volume on Catatonia Describing the Features of Catatonia (Oldham) SUPPORT OUR PARTNERS: ⁠⁠SimplePractice.com/bootcamp⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) ⁠⁠Beat the Boards⁠⁠ Boot camp listeners now get FREE access to over 4400 exam-style questions) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠Sales@Human-Content.Com⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

19. Mai

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1 Std. 2 Min.
14. JULI

3.11 Eating Disorders

Today we have TWO world renowned experts to teach us about eating disorders! Dr. Anne O'Melia is the Chief Clinical and Quality Officer at ERC Pathlight, where she leads a multidisciplinary team of over 1,000 therapists, dietitians, and nurses caring for patients across the country. She is board certified in pediatrics, general psychiatry, child and adolescent psychiatry, and consultation-liaison psychiatry. She has co-authored numerous articles and book chapters on eating disorders. Dr. Patricia Westmoreland has spent decades traveling the globe speaking and publishing about eating disorders, and is currently working in private practice. Dr. Westmoreland has particular expertise in the forensic aspects of eating disorders, and in managing the medical complications of eating disorders. Dr. Westmoreland is board certified in internal medicine, general psychiatry, forensic psychiatry, and consultation-liaison psychiatry. We review how to identify when disordered eating patterns require clinical attention and outline the most common eating disorders encountered in the general medical hospital, including anorexia nervosa, bulimia nervosa, and avoidant/restrictive food intake disorder (ARFID). The episode covers prevalence rates, high-risk populations, and the significant morbidity and mortality associated with eating disorders. Our guests discuss key clinical information needed for diagnosis, criteria for medical hospitalization, and the spectrum of available levels of care. We take a deep dive into anorexia nervosa, reviewing its clinical trajectory, diagnostic criteria, subtypes, and complications. Finally, we examine evidence-based approaches to medical stabilization, psychotherapy, and pharmacotherapy in the treatment of eating disorders. Key References: 1. The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders (Crone 2023) 2. Ethical Challenges in the Treatment of Patients With Severe Anorexia Nervosa (Westmoreland 2024) SUPPORT OUR PARTNERS: ⁠⁠SimplePractice.com/bootcamp⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠⁠Oasis Psychiatry Conferences ⁠⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠⁠Beat the Boards⁠⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠⁠CME to Go⁠⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices

14. Juli

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1 Std. 7 Min.
10. FEB.

Exercise, Nutrition and Mental Health

In this episode Preston and Margaret take a deep dive into the complex relationship between exercise and mental health. They discuss the science behind how movement impacts the brain, debunk common myths about fitness, and explore the psychological barriers that prevent people from incorporating exercise into their lives. Takeaways: Exercise Impacts Mental Health Bi-Directionally: Movement not only improves mental health, but mental health conditions can also act as barriers to engaging in exercise. Fitness Advice Often Lacks Specificity: Many healthcare providers acknowledge the benefits of exercise but rarely provide concrete strategies to help patients incorporate it into their lives. Movement Should Be Enjoyable: Finding a form of exercise that brings joy—whether it's dancing, hiking, or lifting—makes it easier to sustain and integrate into daily life. Setting Small, Achievable Goals is Key: Utilizing SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) can help create consistency without overwhelming pressure. Exercise Isn't Just About Weight: Shifting the focus from aesthetics to function, strength, and mental well-being can create a healthier and more sustainable relationship with movement. — Watch on YouTube: @itspresro Listen Anywhere You Podcast: Apple, Spotify, PodChaser, etc. — Produced by Dr Glaucomflecken & Human Content Get in Touch: howtobepatientpod.com Learn more about your ad choices. Visit megaphone.fm/adchoices

10. Feb.

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1 Std. 18 Min.
18.01.2024

2.6 Borderline Personality Disorder (Good Psychiatric Management)

Dr. Lois Choi-Kain, Director of the Gunderson Personality Disorders Institute at McLean Hospital and Associate Professor of Psychiatry at Harvard Medical School, introduces us to borderline personality disorder (BPD). We discuss the prevalence, naturalistic course, and treatments for BPD. We explore BPD using the “Good Psychiatric Management” (GPM) model, which is intended to empower clinicians of all disciplines to manage patients with BPD effectively. We discuss the principles of GPM and walk through some examples of how it might be used in the clinical setting. Book: Applications of Good Psychiatric Management for Borderline Personality Disorder: A Practical Guide (Check your academic library!) References: (11:30) Grant BF, Chou SP, Goldstein RB, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2008;69(4):533-545. (12:30) Trull TJ, Jahng S, Tomko RL, Wood PK, Sher KJ. Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. J Pers Disord. 2010;24(4):412-426. (15:00) Gregory R, Sperry SD, Williamson D, Kuch-Cecconi R, Spink GL Jr. High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality. J Pers Disord. 2021;35(5):776-787. (20:45) Kernberg O. Borderline personality organization. J Am Psychoanal Assoc. 1967;15(3):641-685. (29:30) Choi-Kain LW, Finch EF, Masland SR, Jenkins JA, Unruh BT. What Works in the Treatment of Borderline Personality Disorder. Curr Behav Neurosci Rep. 2017;4(1):21-30. (33:00) Skodol AE, Gunderson JG, Shea MT, et al. The Collaborative Longitudinal Personality Disorders Study (CLPS): overview and implications. J Pers Disord. 2005;19(5):487-504. (33:00) Temes CM, Zanarini MC. The Longitudinal Course of Borderline Personality Disorder. Psychiatr Clin North Am. 2018;41(4):685-694. SUPPORT OUR PARTNERS: ⁠SimplePractice.com/bootcamp⁠ (Now with AI documentation! Exclusive 7 day free trial and 70% off four months) ⁠Oasis Psychiatry Conferences ⁠(enter code BOOTCAMP at checkout for additional 10% savings) ⁠Beat the Boards⁠ (enter code BOOTCAMP at checkout for addition 10% savings) ⁠CME to Go⁠ (enter code BOOTCAMP at checkout for addition 10% savings) Learn more about your ad choices. Visit megaphone.fm/adchoices

18.01.2024

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1 Std. 10 Min.
28. JULI

3.13 Functional Neurological Disorders

Dr. Caitlin Adams, psychiatrist at Massachusetts General Hospital, provides an overview of functional neurological disorder (FND). This episode covers how to recognize, explain, and treat FND using a modern, evidence-based, and patient-centered approach. We begin by defining FND and discussing nomenclature from hysteria through conversion disorder and into our current construct of FND. Dr. Adams directly addresses one of the most critical misconceptions in clinical practice: whether symptoms like functional weakness or psychogenic non-epileptic seizures (PNES) are under voluntary control. We explore what current neuroscience tells us about the pathophysiology of FND and how this can support compassionate and effective care. The episode outlines how to positively diagnose FND—including key physical exam findings such as Hoover’s sign, tremor variability, and features that distinguish PNES from epileptic seizures. We also review how to communicate the diagnosis to patients, reduce stigma, and improve treatment engagement. Dr. Adams describes the biopsychosocial model of FND, including common predisposing, precipitating, and perpetuating factors. We discuss the central role of cognitive behavioral therapy (CBT), the benefits of specialized physical therapy for functional movement symptoms, and additional psychotherapeutic approaches such as mindfulness and psychodynamic therapy. Finally, we address how to manage chronic or treatment-resistant FND, and when to re-evaluate the diagnosis. Key References: Incidence and prevalence of functional neurological disorder: a systematic review (Finkelstein 2025) Neurosymptoms.org Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial- (Goldstein 2020) FND Hope Overcoming Functional Neurological Symptoms Workbook (Williams) Learn more about your ad choices. Visit megaphone.fm/adchoices

28. Juli

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49 Min.

For Humans, By Humans