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Dental Issues Prevalent in EDS and HSD

We all want to have a smile as dazzling as our diagnoses (bah-duh-dum), but there are a number of dental issues that are common to people with Hypermobility Spectrum Disorders (HSD) and the Ehlers-Danlos Syndromes (EDS) that could make a great smile a short-lived treasure. Problems with collagen spell trouble for our teeth and their home, the jaw. Today we’ll cover the most common problems.

Periodontal Disease (gum disease, gingivitis and periodontitis) is an early onset condition for people with Ehlers-Danlos Syndome and Hypermobility Spectrum Disorders. Learn what you can do to prevent and manage gum disease, along with information on other common dental problems in this series on EDS and Dental Care.

Future posts will cover going beyond the basic dental care guidelines for bendy zebras and some recommendations for improving gum health from massage to specialized toothpastes and rarely known dental tools so you can keep your teeth looking a little better than Gladys’:

“Oh, Gladys. Just look at this mouth!”

Don’t have EDS or HSD? Take a look at our post Dental Care and Chronic Illness for a wide range of tips for other conditions.

Oral and mandibular issues are commonly reported by EDS patients of all types. Collagen defects can compromise oral health including, bone, teeth, gum tissue, nerve tissue, tendons and ligaments that help to hold our teeth in place, as well as our jaw. Poor dental outcomes can affect pain levels, functionality, nutrition and over all quality of life.

Bone Structure and Dentition

Tooth mobility is a common issue for many people with EDS and HSD and is thought to be related to the periodontal ligament, which has the sole job of holding each tooth in place. Several tooth abnormalities have been noted among EDS zebras. Posterior teeth are reported to have high cusps and deep fissures, making them difficult to clean and care for. The roots may also be shaped abnormally, elongated or fused. Pulp stones ( discrete calcifications that form within the pulp chamber) are seen in some. Congenital absence of teeth and microdontia (in which one or more teeth appear smaller than normal) have also been described in people with EDS.

Soft Tissue Abnormalities

The soft tissues of the mouth are particularly delicate and the oral mucosa can be particularly fragile. Mouth sores may be frequent for some with hypermobility. It is common for these tissues to be damaged with dental tools. We are also prone to early onset gum disease, which affects both soft tissues and eventually bone.

Early Onset Gum Disease

Since collagen is a component of teeth and gums, they can show the same weaknesses as any other collagen containing substance in our bodies. This is further complicated by the ligaments that hold our teeth in place, known as the periodontal ligament. Because of our collagen deficiency, ligaments can begin to stretch and fail over time, causing our teeth to become hypermobile, trapping more food in the gum line, creating the bacteria that leads to inflammation, gum loss and tooth decay.

If these issues aren’t enough to cause the beginnings of gum disease, it is believed that the structural defects in collagen or collagen-related proteins which are part of the immune system can increase susceptibility to degradation by bacterial pathogens. Given that the mouth is the perfect environment for bacteria, we’re often fighting a losing battle from the start.

People with hypermobility also tend to have poor blood flow and gums can easily become oxygen and nutrient deprived, adding to issues with the health of these tissues. I believe this also plays a role in numbing issues found in EDS, so I’ll discuss it in more detail when I talk more about gum massage and other therapies I’ve had success with, but it’s important to note that it can contribute to poor gum health.

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Gum disease develops slowly over time and it’s common for EDSers to get early onset periodontal disease, which usually begins with gingivitis. Gingivitis is inflammation of the gums (gingiva) signaling early gum disease and is caused by a build up of plaque along the gum line, trapping bacteria and creating the perfect breeding grounds for infection.

Gingivitis is often a precursor for periodontal disease. In periodontitis, infection advances in the gums and spreads through the periodontal ligament and alveolar bone (the bony ridge containing tooth sockets), eating away at these structures and causing receding gums, bone loss, and even greater hypermobility of the teeth.

Temporomandibular Joint Dysfunction

Credit: Wikipedia Commons

The temporomandibular joint is very complex. It is best described as a sliding ball and socket joint worked by a series of muscles for chewing and talking. Because this complex network can affect the surrounding tissues, it’s important that the whole head and neck be examined and treated for TMD. In several studies, TMJ hypermobility and TMD have been linked to systemic joint hypermobility.

TMJ dislocation is noted to occur more often in women in the general population which mirrors that of EDS. The TMJ can relocate once hyperextended but cause the cartilaginous disc to stay dislocated resulting in pain, bony destruction, and limited mobility. The muscles of mastication can be overused, spasm, and cause referred face, head, and neck pain thus resulting in decrease functionality and quality of life.

In a recent study of 114 EDS patients comprising several types with an equal number of controls, a higher proportion of the EDS patients experi-enced hypermobile joints during extreme mouth opening, poor mouth opening ability when biting into thick food, clicking, crepitation, and permanent locking of the jaw open and closed. Many of the EDS patents reported decreased hypermobility of the joint with age.

Mitakides and Tinkle

Though these problems sometimes feel as insurmountable as Mt. Everest, there are things we can do to improve and even prevent these problems before they get started. In our next post, we’ll talk about several tactics that may help with these issues, including products I’ve found to help me keep my wins bigger than my losses in the fight against gum disease and TMD.

All joking aside, periodontal disease (gum disease, gingivitis and periodontitis) is an early onset condition for people with Ehlers-Danlos Syndome and Hypermobility Spectrum Disorders. Learn what you can do to prevent and manage gum disease, along with information on other common dental problems in this series on EDS and Dental Care.

There’s still a lot to cover regarding proper dental care and the prevention of common problems for people with hypermobility. My next post on oral care will cover what our basic dental care should cover and some great tools, special toothpastes and rinses. Then we’ll move onto issues of numbness and of course, TMD. I hope you join us!

In the meantime, what kind of dental problems are you experiencing? What are some of the best tools you’ve found that help? Let us know in the comments and I might include it in one of our future posts!

Resources and Further Reading

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Guest Post: ME/CFS, POTS, Fibromyalgia, Hypermobility, CCI. What’s the connection and is science missing it?

Please help me offer Tracy Hagler a warm and friendly dazzle welcome! Tracy is the author of today’s guest post. A nurse with many of the same conditions as myself, Tracy and I were admiring each other’s work and decided we had to do a blog swap. In this piece, she writes about the onset of her conditions and the interconnected nature of conditions like ME/CFS, Fibromyalgia, HSD/EDS, CCI, along with some studies delving into these connections. I think you’ll enjoy it and find some similarities in our theories! After you read her post, be sure to go and give her blog a like so you can keep reading her posts! There’s a link available below, in her bio.

Without further ado, here is Tracy’s post, originally run on Unspoken Words of the Heart on 7/2/19.

ME/CFS, POTS, Fibromyalgia, Hypermobility, CCI. What’s the connection and is science missing it?

I know I have quite a few readers who battle with me/cfs, pots syndrome, fibromyalgia or Hypermobility Syndrome/EDS. Although, this is a blog to share my faith, I also want to share health updates and things that I’m learning so that we can educate one another.

The one thing I can look back for sure and see is that I’ve always had a very sensitive nervous system, I just didn’t realize it at the time. I was overly sensitive to medications and caffeine. Other people could drink several cups of coffee per day and do fine but a few sips, for me, would make me crazy. From twenty years old and on I had GERD and always reacted to gluten and sugars. I just felt bad after eating them. I just thought all of this was “normal”, at the time. I was always a type A personality. I was a nurse and I worked abnormal crazy hours (16 hour shifts, swing shifts, etc.) When I had time to sit down, well I never would. I always felt tired but wired up, if that makes any sense. I had been working as a nurse for about eight years before I became sick. The year I got sick (2017) was a busy, exhausting year for us (mentally & physically). My fiancé’s Dad passed away In February. We got married in July and my younger brother passed away in a car accident in August. In July I started having a severe pain that wrapped around my hip and into my inner thigh. I couldn’t stand, sit or walk without being in severe pain. It was actually a deep hidden inguinal hernia, with my small bowel protruding through. The hernia was pinching my inguinal and obturator nerves. (We have all heard of sciatica nerve pain, well this is the same excruciating pain only it involves different nerves.) They didn’t find out that it was a hernia until almost a year later. I was out of work and could barely do much due to the pain. (Please keep reading, I promise I am going somewhere with this story.) I had no clue what was wrong.

I went to a chiropractor for a spine adjustment because at the time no one could figure out that I had a hernia. Everyone presumed that the pain was from, possibly, a pinched nerve in my back. I go to get the adjustment and he uses an adjustment gun on my back and neck and does some deep tissue massage. He worked on me for thirty minutes. I was desperate to get back to work and wanted this severe pain to go away. What I didn’t realize is that my life was going to take a drastic change that night. I wish I could go back and change that day but I can’t. That night I awoke with my spine and neck burning hot and they felt inflamed. I was vomiting, my whole body felt feverish and I was chilling. The next day, I awoke unable to stand up. When I would stand my heart rate would shoot up. I had massive headaches in the back of my head every time I would stand for long periods of time. I couldn’t eat anything and had extreme nausea. I would lose 10 lbs over the next couple of weeks. I called the chiropractor and told him the extreme symptoms and he said I had anxiety and to come in for my second adjustment. That made me mad because it was obvious that something was severely and physically wrong with me and I only wished it was anxiety. But crazy me went back thinking he could fix what had happened. This second adjustment only worsened my condition and I ended up at my moms for a week unable to get up or eat. I thought I might die that week and no one would ever know why it happened. I truly didn’t think I would make it. By this time people probably didn’t know what to think of me. I couldn’t go back to work. I could barely make it to the bathroom. No one had ever heard of an adjustment doing this to someone. But what I have found is that it’s actually happened to a lot of people. They call it “toxic reaction”. But I never got over it.

I developed pots syndrome and months later would come to find out I had me/cfs. Over the next few months, I found that exertion would send me into severe crashes with severe symptoms. Everything was post, several days after an activity. I could see a pattern. I would wake up gasping for air at night, I had air hunger, my nail beds were cyanotic. I had severe orthostatic intolerance (pots), severe heat intolerance, blurred vision, it felt like I had the flu times ten. My spine was sore to touch. The skin on my back felt sunburned and I couldn’t stand the slightest touch. I couldn’t look at lights or phones or tv. I just laid there in complete darkness and felt close to death. I was then diagnosed with me/cfs, fibromyalgia and hypermobility (People with Hypermobility Syndrome or EDS have thinner tissues and often times have hernias at a younger age, which also helps to explain my hernia issues).

I tell this long story because it all makes sense looking back. It seemed like a perfect storm. I do feel like my body had a strong reaction to the adjustment and inflammation set up in my spine that night. It was like my body overreacted and attacked me in order to protect itself (kind of like an autoimmune response). During my sickest times, I had chronic UTI infections that antibiotics did nothing for (8 to be exact). Later they said I had Interstitial Cystitis which can be set off by mast cell activation. I started taking Benadryl nightly and it helped decrease the pain of the Interstitial Cystitis. They checked me for mast cell activation and it was negative but at the time I was taking a daily antihistamine. So I’m thinking that might be why it was negative.

This illness definitely originates, in my opinion, in the spine, brain stem and at the base of the skull. I always feel so much pressure and swelling there especially during a crash. I love to write and sometimes just the effort required for that will cause a crash. This really is a cruel disease with severe suffering (which I am happy to say, has only made me a stronger person). I keep putting my story out there because I’m a minority where my me/cfs was caused by something other than a virus. Although, I have heard of spine adjustments triggering or reactivating viruses in the body. I was checked for EBV and they just said it wasn’t currently active but I had been exposed to it in the past. I also have heard of people getting sick from deep tissue massages because it releases toxins from the tissues into the body. Studies are also finding dorsal root ganglionitis in the brains and spines of those suffering with severe me/cfs, postmortem.

I’m not exactly sure what happened to me that day. I’ve got a few theories. However, the one thing I do know is we all have the same illness. Where science has gotten it wrong for so long, they seem to be on the right track, for the moment at least. The recent stories of people recovering from Me/cfs and Pots after having craniocervical instability surgery (a surgery of the neck) has left me with a lot of questions. Especially, since my me/cfs was triggered by a neck adjustment. It has been found that people with hypermobility or EDS can have laxity in the ligaments that hold the skull up causing instability and pressure on the brain stem therefore causing POTS, ME/CFS and Fibromyalgia. There have been several people that have had CCI surgery done and all their pots and me/cfs symptoms have disappeared. Jennifer Brea, the producer of the Netflix documentary film “Unrest”, also had severe Pots and Me/cfs and is now in a complete remission after CCI surgery. Her Me/cfs was triggered by a virus/infection.

In my case, was I a ticking time bomb? Did it just take one or two more millimeters of instability at the base of my skull to cause me to develop Me/cfs, Pots and fibromyalgia? Or, did my spine set up inflammation that led to dorsal root ganglionitis? I may never know but I will never give up hope that I WILL someday get better. My trigger was a chiropractic adjustment. Your trigger may have been a virus, a concussion or head trauma. All the science behind this is kind of intriguing and it starts to come together after studying on it for a while. It’s like five separate illnesses operating under one specific cause. If we keep telling our stories, hopefully it will help science fit the pieces of the puzzle together and they can find out the cause and develop a cure. Most importantly if you have this illness, don’t give up, there’s still hope. We have a God who is greater than science. Let’s continue to support and lift one another up in prayer!

(This is in no way medical advice and should only be taken as part of my story and personal opinions.)

Resources


Tracy Hagler is a nurse who was diagnosed with ME/CFS, POTS, Fibromyalgia and Hypermobility Syndrome within the past two years.  She started writing a  blog where women can share faith, hope and encouragement. She has become an advocate for theses conditions and shares information and education about them. She also writes on mental health and her Christian Faith. You can check out her blog at Unspoken Words of the Heart.


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In this guest post, Tracey Hagler explores the connections between ME/CFS, POTS, Fibromyalgia, CCI, and Hypermobillity Spectrum Disorders. She talks about the progression and diagnoses of her own conditions, some compelling research and more to put together this thought-provoking post about the interrelated nature of these illnesses.
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Book Review: ‘Hypermobility Without Tears’ by Jeannie Di Bon.

When Jeannie Di Bon posted about her new book in the Zebra Pit Facebook group, I jumped on it immediately and begged for a comp copy to review. Not surprisingly, she went above and beyond, sending me two copies so we can do another giveaway and I have one to keep! In this sponsored post, everyone benefits, most especially our lucky winner. Will it be you? Maybe so. Keep reading to find out how to enter.

Jeannie Di Bon, Hypermobility without Tears

Di Bon’s new book, Hypermobility Without Tears: Moving Pain-Free with Hypermobility and EDS is an essential book for anyone with Ehlers-Danlos Syndrome or a Hypermobility spectrum disorder (HSD). At 144 pages, it is a small book, but it’s packed with massive power, the kind that can get you out of a deconditioned state and ready to love your body again, despite hypermobility. If you’re struggling with getting in movement because of symptoms, looking to decrease symptoms and increase your overall health with a collagen disorder, this book is definitely for you. Even if you’re a seasoned workout warrior with EDS, my bet is you’re still going to learn a great deal from this book. I’ve been watching Jeannie’s presentations for years along with other fitness experts in EDS and I STILL learned quite a lot from Hypermobility Without Tears.

Jeannie Di Bon, who has Ehlers-Danlos Syndrome herself, is a well known and respected member of our EDS dazzle. As a Movement Therapist who has worked many years to develop her own exercise program for zebras, Jeannie coined the Integral Movement Method (IMM). In Hypermobility Without Tears, Jeannie takes you through IMM in this book step-by-step, first educating you on the reasons for these movements before walking you through each execise. Di Bon has helped countless zebras, both in person and through her writing and presentations, to gain control over many of their symptoms of hypermobility through movement. Hypermobility Without Tears is the culmination of these experiences, in a handy format just about anyone can follow along with.

EDS and Exercise

It’s no secret why I exercise. I’m no gym rat and I never was, in fact I am bored to tears by treadmills and a lot of what gyms have to offer, not to mention I look nothing like the rest of the clientele, which can make gyms feel pretty unfriendly. My old ideas of exercise were to hike, swim and dance, though I eventually found my way onto workout equipment in my early thirties until I had too many injuries and too much fatigue to keep going. Little did I know, I was wrecking my own body trying to keep up with healthy people and the traditional ideas of what exercise is in our culture.

I moved toward the opposite extreme; believing people who told me exercise was dangerous with my ME/CFS diagnosis. I now understand that accepting that advice and allowing my fatigue and pain to defeat me was about the worse thing I could have done in response to my symptoms. I deteriorated rapidly, became completely consumed by my symptoms and by the time I was fed up with living in a darkened room in my bed all day, I had become completely unconditioned.

Fitness was an integral part of my recovery and it remains integral to maintaining a good baseline in my health journey.

What motivates me is simple; a reduction in pain, dislocations, fatigue and other symptoms common to Ehlers-Danlos Syndrome. I know it works because my symptoms come back to aggravate me every time I slack off. My right shoulder falls apart, my back starts to hurt, my ribs dislocate, my body begins to feel heavy and exhausted by movement. It’s really a no brainer to keep getting that exercise in once you get started and feel the powerful changes it can affect.

Learn how to move pain-free with EDS and Hypermobility with this short, easy to follow book with step-by-step instructions by Movement Therapist and EDSer Jeannie Di Bon. Read our review now to find out more and get your copy today!

But it’s not always easy to get yourself to exercise. Pain makes it difficult to get started. We often overdo it and end up fatigued. For many, it’s difficult to let go of the fitness ideals promoted in our society of which we can be no part. For people with collagen disorders, we must practice alternative forms of movement which simultaneously protect our joints and create strong muscle to support them. We must avoid creating fatigue. We must do less than our healthy counterparts, ramp up our repetitions and duration more slowly and use different strategies for success. It can seem like a minefield of missteps and backward moves if you don’t know what you’re doing.

Hypermobility Without Tears lays this all out for you in step-by-step, easy to understand instructions. In essence, it teaches nearly everything you need to know about EDS and fitness. Practice the exercises recommended as you read through the book, and you will already be on your way to improving your health. Maintain those practices on a regular basis, and you are on your way to developing a life of less pain, easier movement and greater stability throughout the body, designed to protect your joints.

Fitness Doesn’t Have to Cause Stress and Strain on Our Bodies

A hypermobile body requires slow, gentle movement; movement that avoids injury to our delicate soft tissues. For many of us, it’s equally important that we learn how to relax our muscles; as the mechanical and chemical deficiencies found in an Ehlers-Danlos body can create a great deal of strain without adding harsh exercise routines. Many of us also no longer breathe naturally or fully for the same reasons; we’re so used to guarding our bodies from injury, that the way we carry ourselves is full of tension and anxiety. Di Bon knows all this, designing IMM to be a full body workout that doesn’t simply just aim to build muscle.

One of the first things Jeannie teaches you how to do in her book is to unlock those muscles holding too much tension and learn how to breathe fully again. Learning to breathe properly and letting go of those guarding habits can supply a great deal of relief from tension and stress and allow our bodies to begin moving more naturally again, making the first two chapters alone invaluable to anyone attempting to improve their symptoms, by helping to prepare your body for movement.

Di Bon walks you through breathing exercises and mindfulness meditation in these chapters and does so with a tone and cadence that is quite soothing and calming, taking the anxiety out of these new experiences and allowing you to move at your own pace as you learn these techniques.

Each chapter is arranged so that you first learn why what she’s teaching you is important. In chapter three, she moves on to an introduction on proprioception and provides several very simple exercises we can all do to improve it.  So it goes from chapter to chapter, covering topics like balance, posture, and stability until she’s unpacked her entire Integral Movement Method for you.

This book isn’t just for laypeople, either. If you’re a physical therapist, exercise coach or movement professional working with people with hypermobility, Jeannie’s methods will definitely enhance your ability to help these clients. If you’re a hypermobile person seeking improving, whether you’re working with a professional to meet those goals or not, your current methods can only be improved and enhanced with the added knowledge Hypermobility Without Tears brings to your workouts.

To purchase the book on Amazon and see what people are saying about it, here is a link: Hypermobility without Tears by Jeannie Di Bon.


Don’t Forget Our Giveaway!

We gave away a great mat with the book, but unfortunately, the contest has already run and the winner has been announced:

You may not be a winner this time, but do keep an eye out for future contests. We love to do contests with our partners and affiliates, so another is bound to come along soon.

Won’t you help us get the word out? Be sure to share this post with all your hypermobile friends who could also benefit from this incredible instructional book. Have a story to tell about your wellness journey with hypermobility? Share it with us in the comments!


Finally, if you want to learn more about Jeannie, follow her blog and check out her website. You can join her Zebra Club for fitness tips or join her in person at her studio in London for some one on one training, you can find her website, here: https://jeanniedibon.com/

A Zebra Pit Book Review: Hypermobility without Tears by Movement Therapist Jeannie Di Bon. Learn everything you need to know about "Moving Pain-Free with Hypermobility and EDS" in this pinnacle work. Great for people with any type of collagen disorder from EDS, marfans, loey-deitz to HSD.
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Simple Leg Mop Exercise

It’s been a while since I’ve released an exercise video. I’m still going through everything I shot last year and wanted to get up on the site. Sometimes I spread myself a little too thin with all I want to present, but I eventually come back around to each subject.

This very simple exercise is called the “leg mop” and it very much looks like you’re using your foot to mop up a spill. If you’re a spoonie and/or have degenerative disc disease, it’s probably a movement you’ve made a few times trying to avoid bending because of pain, dizziness or any other number of symptoms that get angry. You probably didn’t know you were exercising, but it’s pretty much the same motion, actually.

Of course the motion is sustained until your standing leg gets tired and there are no spills required. For this exercise, it’s not the leg that’s moving that gets the benefit of this exercise so much as the one standing still. The circular motion you perform is mostly to keep yourself balanced; the leg you’re balancing on is the one that benefits the most. Since this exercise requires you to work at maintaining that balance, it also helps to work the core and improves balance and proprioception; big bonuses for us bendy types.

This is a great exercise for people with connective tissue disorders such as Ehlers-Danlos Syndrome, Hypermobility Spectrum Disorders, Lupus, Rheumatoid Arthritis, Fibromyalgia, ME/CFS, and Psoriatic Arthritis.

If you’re afraid this move might be a bit advanced for you, check out these beginning leg exercises you can do laying in bed, on a mat, or a table.

This exercise is a great way to work your way up to these ankle exercises, which help build up weak ankles to prevent collapses, sprains and other ankle issues:

Thanks so much for taking a look. I’d love to hear feedback from anyone trying these. I’d also love to hear about other physio and exercise moves you’re doing that help with spoonie problems! Just drop it in the comments! While you’re here, sign up for our newsletter so you don’t miss our next great post!

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Pinterest image shows a snippet ofa leg in jeans and athletic shoes. The overlay text says "Leg Mop Exercises: Simple Eeercises you can perform almost anywhere to strengthen the legs and core. The Zebra Pit" Physio, Fitness, Physical Therapy, movement to keep you healthy as a spoonie

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Mandy Harvey, Raising Awareness and Spirits

Please note this post contains affiliate links. Thank you.

It’s not everyday I get to go to a conference, let alone one that features a guest performer like Mandy Harvey. For free, nonetheless. It still seems unbelievable to me that I sat in a room with so few people and got the pleasure and honor of getting to see Mandy Harvey speak and perform in person.

If you aren’t familiar with Mandy Harvey’s name, you might remember her better as the beautiful, young, profoundly deaf woman with Ehlers-Danlos Syndrome who performed on America’s Got Talent last year. If you saw her performance, you know Mandy is a very gifted and spirited woman with a passion for spreading awareness of EDS.

I have to admit I didn’t recognize her when I saw her name on the line-up, but when one of the other attendees mentioned her performance on AGT, I know who she was right away. I had no idea how much I would enjoy listening to her story and her music.

At the conference, Mandy was interviewed by John Ferman. During her interview, she talks about her AGT experience, her hearing loss in college that forced her to end her music education abruptly and a little about balancing the hectic life of travel with having a collagen disorder:

Of course the real treat was hearing Mandy perform in person. I was so grateful that I had the spoons that day and that the conference was only an hour from my home. It feels like dumb luck that I got to see her, but it was anticipating her performance that got me through the day and helped me to meet so many other people with Ehlers-Danlos Syndrome doing the invaluable work of raising awareness, providing patient education, supporting other patients and increasing knowledge of our conditions with medical professionals.

Mandy’s performance was well worth the wait. The only thing that gives away Mandy’s hearing loss when she plays and sings is how you “clap” for her, for her voice is as pure and perfect as anyone I have ever heard. She is a true testament to perseverance. I thought about this as I heard her pure angelic tones and how tragic it would have been if she had given up in college when they told her she could no longer study music.

We should all be like Mandy Harvey; never allowing anyone to determine what we can do but ourselves. Just listen to the results:

Of course, I’d be remiss if I didn’t mention all of the great things I learned at the Lead EDS conference to enable me to be a better community member, ready to serve and assist other zebras while protecting myself and the Zebra Pit. I learned a great deal and got to meet some people I’ve admired a long time, most of whom were presenters. To view these presentations, visit the Lead EDS Site.

Love Mandy’s music and mission as much as I do? The best way to support a performer is to buy their music. She also has a book! One that I’d love to check out and review. You’ll find everything you’re looking for here: https://amzn.to/2YrCSRZ

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