EDS, MCAS, & POTS
We’re zebra hunters
In medical training, clinicians are taught: “When you hear hoofbeats, think horses, not zebras.” The idea is to look for common diagnoses first. But some patients are zebras, and they spend years being told their symptoms don’t fit, their labs are normal, and they should try therapy or stress management. If that sounds familiar, you’re in the right place.
At Season Health, our APRNs are experienced in evaluating and managing Ehlers-Danlos Syndrome, Mast Cell Activation Syndrome, and Postural Orthostatic Tachycardia Syndrome – conditions that frequently overlap, are chronically underdiagnosed, and require a provider who knows what they’re looking for.
What We Address
We see patients with presentations including:
- Joint hypermobility, instability, and chronic pain
- Fatigue that doesn’t improve with rest
- Mast cell-driven reactions: flushing, hives, GI symptoms, food and chemical sensitivities
- Dysautonomia symptoms affecting heart rate, blood pressure, temperature regulation, and digestion
- Brain fog and cognitive symptoms
- Heavy, painful, or otherwise difficult periods
- Symptom flares tied to hormonal cycles
You don’t need a prior diagnosis to be seen. If you’ve been accumulating symptoms that no one has connected, we’re glad to take a thorough look.
Reproductive & Hormonal Health
Connective tissue disorders don’t stop at the joints. Hormonal fluctuations — across the menstrual cycle, in perimenopause, and during pregnancy — are well-documented triggers for both MCAS and POTS flares. Estrogen directly influences mast cell activity; many patients find their worst symptom days track closely with their cycle without ever having made that connection.
EDS also affects uterine tissue. Heavy menstrual bleeding is significantly more common in patients with connective tissue disorders, and it’s often dismissed or attributed to other causes. Our CNMs, Amanda and Stacey, are experienced in managing both the gynecologic and connective tissue dimensions of this overlap — so you don’t have to make two separate appointments at two separate practices to address it.
Gastrointestinal Health
GI symptoms are among the most disruptive and least-acknowledged aspects of these conditions. Nausea, early satiety, bloating, motility dysfunction, and food reactivity are common in both MCAS and dysautonomia — and are frequently attributed to anxiety or functional causes before the underlying connection is made. We evaluate GI symptoms in the context of your full presentation rather than in isolation.
Pain
Chronic pain in EDS is structural, not incidental. Joint instability, soft tissue injury, nerve compression, and central sensitization can all contribute — often simultaneously — and the pattern tends to shift over time as the body compensates. We take a thorough history of your pain rather than defaulting to the assumption that it’s already been adequately addressed, because for most of our patients, it hasn’t been.
Meet Our APRNs
We all coordinate within the practice, so your care remains cohesive regardless of who you see.
Stacey & Amanda
Your first appointment includes evaluation for both EDS and MCAS. A second appointment is then scheduled specifically for dysautonomia testing. This approach allows for thorough assessment without compressing everything into a single visit.
Macy
Macy begins with a new patient appointment to establish your history and current presentation. From there, two follow-up appointments are scheduled — one for EDS/MCAS evaluation and one for dysautonomia testing. This structure gives the process the time it deserves.
Ready to be seen?
If you’ve been dismissed, misdiagnosed, or told your symptoms are anxiety, we understand — and we’re not starting from that assumption. Schedule a new patient appointment and we’ll start there.
