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Ask The Patient Advocate
Patient Advocacy and POTS with Dr. Kelsey Botti
𩺠Have you or a loved one been diagnosed with Postural Orthostatic Tachycardia Syndrome (POTS)?
š” Are you experiencing dizziness, fatigue, rapid heart rate, or brain fogābut struggling to find the right treatment plan?
š² How can technology, like The POTS Life app, help you manage your symptoms and improve your quality of life?
Managing POTS can feel overwhelming, especially when diagnosis is delayed, symptoms vary, and effective treatment plans seem hard to find. But you donāt have to go through it alone!
In this episode, Dr. Elena Borrelli welcomes back Dr. Kelsey Botti, a physical therapist, POTS patient, and founder of The POTS Life app. Together, they dive into:
ā Why POTS is so commonly misdiagnosed
ā The biggest challenges people face when managing POTS
ā How structured exercise and nutrition play a key role in symptom management
ā What makes The POTS Life app differentāand how itās changing lives nationwide
ā Why community and support are critical for living well with POTS
If you or someone you love is navigating POTS, this is an episode you wonāt want to miss. š§ Tune in now for expert insights, practical strategies, and hope for a better quality of life!
Join us as we explore the challenges of living with POTS, the importance of advocacy in healthcare, and the transformative power of the right support.
Tune in to the next episode of "Ask the Patient Advocate" as we continue to empower you with insights and strategies for navigating your healthcare journey with confidence.
If you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.
For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395
Connect with Dr. Kelsey Botti:
https://www.instagram.com/the_potslife/
The Pots Life Program https://thepotslife.com/pots-treatment-program/
Connect with Dr. Elena Borrelli:
Instagram: @pathwaypadvocates
Facebook: Pathway Patient Advocates
Youtube: Pathway Patient Advocates
Tiktok: Pathway Patient Advocates
LinkedIn: Pathway Patient Advocates
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89. What's New with Private Patient Advocacy
10:16||Season 1, Ep. 89Have you ever felt overwhelmed trying to coordinate appointments with multiple specialists?Have you ever left a medical visit with more questions than answers?Or wondered who can help you navigate the increasingly complex world of healthcare?In todayās healthcare landscape, patients are facing more information, more specialists, and more complicated treatment decisions than ever before. While medical advancements have improved care in many ways, theyāve also made the system harder to navigate ā leaving many patients and families feeling confused, stressed, and unsupported.In this episode of Ask the Patient Advocate Podcast, Dr. Elena Borrelli and Christine explore the evolving role of private patient advocacy and why itās becoming an essential part of modern healthcare.In this conversation, youāll learn:⢠The key difference between general patient advocates and private patient advocates⢠Why healthcare complexity is increasing ā and what that means for patients⢠How private advocates provide personalized, one-on-one support throughout the healthcare journey⢠The many ways advocates help coordinate care, prepare for appointments, and organize medical records⢠How advocacy has evolved beyond hospital stays to include proactive, ongoing support⢠Why experience and insight are critical when navigating complex diagnoses, treatments, and second opinionsIf you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Take control of your healthcare journey with confidence.⨠Enroll today in our Patient Advocacy Course and learn how to speak up, stay organized, and make informed decisions about your care or your loved oneās.š Visit https://pathwaypa.com/pathwaycourses/ to get started.Connect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
88. Akathisia, Trauma, and the Nervous System: Chris Paige Story
23:47||Season 1, Ep. 88Have you ever taken a medication that made you feel worse instead of better?Have you been told your symptoms were anxiety⦠when your body was clearly in crisis?Have you felt changed ā even traumatized ā by the very system meant to help you heal?In this episode of Ask the Patient Advocate Podcast, Dr. Elena Borrelli sits down with licensed therapist and coach Chris Page, LCSW, to unpack a topic that is rarely discussed openly: medical and iatrogenic trauma.With over 35 years of experience ā and powerful lived experience as a survivor of pharmaceutical injury ā Chris speaks not just as a clinician, but as what he calls a āwounded healer.āTogether, they explore what happens when treatment causes harm⦠and why so many patients are misdiagnosed, dismissed, or caught in a dangerous cycle of worsening symptoms.In this episode, youāll learn:⢠What iatrogenic injury really means ā and why itās often overlooked⢠How medication side effects can mimic psychiatric illness and lead to misdiagnosis⢠What akathisia is ā and why it can be life-threatening yet misunderstood⢠Why medical trauma can erode trust and social support⢠How early life trauma and nervous system dysregulation show up as chronic physical illness⢠The difference between ātop-downā talk therapy and ābottom-upā somatic healing⢠Why hope and neuroplasticity are central to recoveryChris shares his harrowing experience of surviving chronic akathisia for over three years ā pacing 12ā14 hours a day, battling intense suicidal ideation, and navigating a medical system that didnāt recognize his crisis.But this episode is not just about suffering.Itās about survival.Itās about nervous system healing.Itās about understanding that symptoms often make sense ā even when theyāre misunderstood.And most importantly, itās about hope.If you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395.Connect with Chris Paige:https://www.chrispaigelcsw.com/https://www.facebook.com/profile.php?id=100063867851444#https://www.instagram.com/frehley13Connect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
87. Self Advocacy: What I Need to Know
07:20||Season 1, Ep. 87Have you ever left a doctorās appointment thinking of the questions you wish you had asked?Have you ever felt unsure about speaking up in a medical setting?Or wondered how much your voice actually matters in your own healthcare decisions?In this episode of Ask the Patient Advocate Podcast, Dr. Elena Borrelli and Christine dive into one of the most powerful yet often overlooked tools in healthcare: self-advocacy.For many patients, navigating the healthcare system can feel overwhelming. Appointments are short. Medical language can be confusing. And when youāre already dealing with illness, stress, or uncertainty, finding the confidence to ask questions or challenge unclear information can feel incredibly difficult.But self-advocacy isnāt about being confrontational or questioning every medical decision. Itās about partnership.Together, they explore:⢠What self-advocacy really means in a healthcare setting⢠Why does it play such a critical role in patient outcomes⢠The common barriers that prevent patients from speaking up⢠How asking the right questions can prevent misunderstandings and medical errors⢠Why feeling intimidated or overwhelmed in appointments is completely normal⢠Practical ways to prepare for appointments and communicate more confidentlyIf you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Take control of your healthcare journey with confidence.⨠Enroll today in our Patient Advocacy Course and learn how to speak up, stay organized, and make informed decisions about your care or your loved oneās.š Visit https://pathwaypa.com/pathwaycourses/ to get started.Connect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
86. Navigating EDS, Endometriosis, and Self-Advocacy with Gigi Robinson
21:41||Season 1, Ep. 86Have you ever been told your symptoms were ānormalā⦠when they didnāt feel normal at all?Have you ever left a doctorās appointment feeling dismissed, unheard, or defeated?What if your pain wasnāt in your head ā but simply misunderstood?March is Endometriosis Awareness Month. This episode is dedicated to all women battling endometriosis. In this powerful episode of Ask the Patient Advocate Podcast, Dr. Elena Borrelli sits down with Gigi Robinson ā endometriosis warrior, Ehlers-Danlos syndrome (EDS) advocate, author, speaker, and digital creator ā to talk about chronic illness, self-advocacy, and turning lived experience into impact.Gigiās journey began in adolescence after repeated injuries led to a diagnosis of hypermobile EDS. But that was only the beginning. After more than a decade of searching for answers, countless tests, and years of debilitating symptoms, she was finally diagnosed with endometriosis in 2022 ā a diagnosis that changed her life.In this conversation, Gigi shares:⢠What itās like to grow up with an invisible illness⢠The frustration of normal test results when you know something is wrong⢠How a simple blood test revealed a missed diagnosis that years of procedures did not⢠Why symptom tracking and specificity are critical in the diagnostic process⢠The mindset shift that helped her move from surviving to advocating⢠The challenges of navigating chronic illness in the workplace ā and how to request meaningful accommodations⢠Why she wrote A Kids Book About Chronic Illness and why resilience starts earlyIf you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Connect with Gigi Robinson:https://www.gigirobinson.com/https://www.facebook.com/itsgigirobinsonhttps://www.instagram.com/itsgigirobinson/https://www.tiktok.com/@itsgigirobinsonhttps://www.linkedin.com/in/gigirobinsonhttps://www.threads.com/@itsgigirobinsonhttps://www.youtube.com/c/GigiRobinson/featuredConnect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
85. Updates in Cholangiocarcinoma
10:18||Season 1, Ep. 85What if the answers you need arenāt available locally?What if genetic testing could open doors to treatments you didnāt know existed?What if one second opinion could change everything?In this episode of Ask the Patient Advocate, Dr. Elena Borrelli shares the story that forever changed her life ā walking beside her brother during his seven-year journey with cholangiocarcinoma (bile duct cancer).In honor of Cholangiocarcinoma Awareness Month, Dr. Borrelli and Christine discuss what patients and families need to know about this rare and often overwhelming diagnosis. From the challenges of late detection to the powerful advancements in precision medicine, this conversation brings clarity to a complex disease.Youāll learn:What cholangiocarcinoma is and why itās often diagnosed lateHow molecular and genetic testing (FGFR2, IDH1, BRAF, HER2 and more) are transforming treatment optionsWhy early testing can dramatically expand access to targeted therapies and immunotherapyThe critical role of second opinions and specialty centersHow clinical trials may provide access to cutting-edge treatmentsWhy private patient advocacy can be life-changing in rare cancer careIf you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Take control of your healthcare journey with confidence.⨠Enroll today in our Patient Advocacy Course and learn how to speak up, stay organized, and make informed decisions about your care or your loved oneās.š Visit https://pathwaypa.com/pathwaycourses/ to get started.Connect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
84. Invisible No More: Women, Pain, and the Fight to Be Believed with Laurie Edwards
21:46||Season 1, Ep. 84Have you ever felt invisible in your illness?Ever been told your symptoms were anxiety⦠exaggeration⦠or ājust stressā?Have you wondered why some stories of illness are believed, while others are dismissed?In this powerful episode of Ask the Patient Advocate Podcast, Dr. Elena Borrelli sits down with award-winning author, professor, and patient advocate Laurie Edwards ā a leading voice in chronic illness storytelling and public health.Long before chronic illness was widely discussed on social media, Laurie was writing about it. Through her groundbreaking books Life Disrupted and In the Kingdom of the Sick, and her essays in outlets like The New York Times, NPR, and The Boston Globe, she has helped shape the national conversation around what it really means to live with chronic disease.But Laurie doesnāt just write about chronic illness. She lives it.In this conversation, we explore:Why storytelling is one of the most powerful tools in patient advocacyHow chronic illness activism has shaped medical breakthroughs and civil rightsThe impact of Long COVID on public awareness of chronic conditionsWhy womenās pain is still more likely to be dismissed ā and the dangerous consequences of that biasThe unique challenges young adults with chronic illness face in education, relationships, and careersHow āwriting to healā can help patients process trauma, reclaim their narrative, and advocate more effectivelyIf you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Connect with Laure Edwards:https://www.laurieedwardswriter.com/https://www.facebook.com/laurieedwardswriterwww.linkedin.com/pub/laurie-edwards/1/9a5/849Connect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
83. Why Are We Always Waiting in Medicine?
07:59||Season 1, Ep. 83How many times have you found yourself waiting in healthcare?Waiting weeks for an appointmentā¦Waiting hours in an exam roomā¦Waiting days for results that could change your life?And have you ever wondered ā why has this become so normal?In this thought-provoking episode of the Ask the Patient Advocate Podcast, Dr. Elena Borrelli and Christine unpack one of the most universal and emotionally charged experiences in healthcare: waiting.But this conversation goes deeper than scheduling delays.Because in healthcare, weāre not just waiting on time.Weāre waiting on answers.On reassurance.On relief.On news that could reshape our future.Dr. Borrelli explores why waiting feels so different in medical settings, especially for patients navigating anxiety, trauma histories, chronic illness, or urgent symptoms. While system strain, staffing shortages, administrative burdens, and emergencies explain many delays, they donāt erase the emotional impact of silence and uncertainty.In this episode, youāll discover:⢠Why waiting without communication can feel dismissive ā even unsafe⢠The hidden system pressures contributing to delays⢠When waiting becomes more than frustration and turns into a patient safety issue⢠How silence erodes trust in the patient-provider relationship⢠What patients are really asking for (hint: itās not perfection)⢠Small but meaningful changes that can restore dignity and transparency⢠How private patient advocacy transforms passive waiting into informed, supported careBecause most patients donāt expect healthcare to be perfect.They want transparency.Respect.Communication.And acknowledgment that their time and symptoms matter.If youāve ever sat alone in an exam room wondering whether you were forgotten⦠this episode is for you.And if navigating delays feels overwhelming, Pathway Patient Advocates is here to bridge the gaps, ensure your concerns are clearly communicated, and help keep your care moving forward.You donāt have to wait in silence.You donāt have to navigate it alone.Listen to the next episode of "Ask the Patient Advocate" as we continue to empower you with insights and strategies for navigating your healthcare journey with confidence.If you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Take control of your healthcare journey with confidence.⨠Enroll today in our Patient Advocacy Course and learn how to speak up, stay organized, and make informed decisions about your care or your loved oneās.š Visit https://pathwaypa.com/pathwaycourses/ to get started.Connect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
82. āItās Not āAll in Your Headā: Chronic Illness, Medical Trauma & the Mind-Body Connection with Destiny Davis
19:18||Season 1, Ep. 82Have you ever been told your symptoms are ājust stressā or āall in your headā?Do you feel exhausted, dismissed, or emotionally worn down from navigating chronic illness?What if your mind and body werenāt working against you ā but trying to protect you?In this episode of the Ask the Patient Advocate Podcast, Dr. Elena Borrelli is joined by Destiny Davis, Licensed Professional Counselor, Clinical Rehabilitation Counselor, and host of the Chronic Illness Therapist Podcast, for a powerful conversation about chronic illness, medical trauma, and the mind-body connection.Destiny specializes in supporting people living with chronic illness, chronic pain, medical trauma, and conditions that are often misunderstood or dismissed. Together, they explore why so many patients feel unheard in the healthcare system ā and how trauma-informed, compassionate care can help patients feel grounded, validated, and empowered again.In this episode, youāll learn:Why the mind-body connection is often misunderstood ā and why itās not about blaming patientsWhat medical trauma really looks like (including what didnāt happen, but should have)How chronic illness uncertainty impacts mental and emotional well-beingWhat Acceptance and Commitment Therapy (ACT) truly means ā and why acceptance is not giving upHow somatic experiencing helps people reconnect with their bodies safelyA practical tool (the A.C.E. method) for navigating hopelessness, dismissal, and emotional overwhelmWhy validation, values, and support are essential parts of healing ā even without clear answersThis conversation is for anyone living with chronic illness, waiting for a diagnosis, recovering from medical gaslighting, or supporting someone on a long and exhausting health journey.š You are not broken.š Your symptoms are real.š And you donāt have to navigate this alone.Join Destinyās conference on March 6-7 in Atlanta, GA. More details here https://www.chronicillnesstherapists.com/If you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Connect with Destiny Davis:The Chronic Illness Therapistshttps://www.thechronicillnesstherapist.com/https://changingtides.sessionshealth.com/https://www.instagram.com/the.chronicillnesstherapistsConnect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com
81. Cholangiocarcinoma: Your Rare Cancer Isn't So Rare To Us
17:11||Season 1, Ep. 81What happens when a rare cancer goes undiagnosed for too long? How can a patient advocate make a difference in the fight for proper care?In this deeply personal and eye-opening episode of Ask the Patient Advocate, Dr. Elena Borrelli shares her firsthand experience navigating the complexities of the healthcare system after her brotherās battle with cholangiocarcinoma (bile duct cancer). From delayed diagnoses and medical errors to miscommunication between specialists, she exposes the challenges that so many patients faceāespecially with rare diseases.Joined by Christine from the Pathway Patient Advocates team, they break down:ā Why rare cancers like cholangiocarcinoma are often misdiagnosedā How medical miscommunication can delay treatmentā The critical role of private patient advocates in ensuring proper careā Practical advice for families navigating complex diagnosesIf you or a loved one is facing a rare or serious illness, you donāt have to do it alone. This episode is packed with insights, strategies, and resources to empower you on your healthcare journey.Tune in to the next episode of "Ask the Patient Advocate" as we continue to empower you with insights and strategies for navigating your healthcare journey with confidence.If you have questions or topics you'd like us to explore, don't hesitate to reach out to us at advocate@pathwaypa.com. Remember, with the right advocate by your side, managing your health becomes a journey of empowerment and clarity.For personalized assistance and support, reach out to us and discover how we can help you navigate your path to better health. Call us at (947) 517-8395Connect with Dr. Elena Borrelli:Instagram: @pathwaypadvocatesFacebook: Pathway Patient AdvocatesYoutube: Pathway Patient AdvocatesTiktok: Pathway Patient AdvocatesLinkedIn: Pathway Patient Advocatespathwaypa.com