Emily Rowe, MD, AP, IFMCP

Emily Rowe, MD, AP, goes beyond the world of conventional medicine by combining intellect with intuition, holding multiple paradigms in her mind simultaneously.  Utilizing an individualized approach, she digs deeply into the root causes of diseases, using cutting-edge laboratories and awareness of how ecological toxins can affect health.  As she has personal experience with medical issues related to environmentally acquired illnesses, she embodies empathy for her clients.  Treatment plans for her clients are individually customized, combining a variety of methods including physiological detoxification strategies, eradication of stealth infections, vibrational resonance healings, meditation, hypnotherapy, medical astrological analysis, and ancient wisdom practices, such as Shamanism, acupuncture, and herbal medicines.  As a result of her work, clients gain a higher level of conscious awareness of the environmental ramifications of toxins on chronic inflammatory illnesses.  In her relationship with clients, she helps to ignite insights about macrocosmic-microcosmic relationships, catalyzing profound healing with true etiological resolution.

Emily T. Rowe graduated from the University of Miami Miller School of Medicine in 2004 with a doctorate degree in medicine. After a brief time in the field of Internal Medicine, she became frustrated with the Western approach to illness. She realized that she was being trained to treat the symptoms of disease and its end-stage complications, while failing to address its root cause. Inspired to find a comprehensive and definitive way to heal her patients, she went back to school and completed her Master’s Degree in Chinese Herbal Medicine and Acupuncture (Master of Oriental Medicine) in 2009.   She and her husband, Christopher M. Estes MD, opened the Miami Beach Comprehensive Wellness Center in 2017.

00:00 – Introduction

Dr. Stephen Barrett introduces guest Dr. Emily Rowe for a discussion about POTS (Postural Orthostatic Tachycardia Syndrome), noting it’s an underdiagnosed syndrome with low awareness levels.

01:13 – POTS Definition and Background

• Dr. Barrett explains his recent learning about POTS and its neuropathic component
• Dr. Rowe shares her experience with POTS, primarily from treating chronic infections like long COVID
• First official POTS diagnosis in their clinic around 2017-2018

02:05 – What is POTS?

Key Definition: Postural Orthostatic Tachycardia Syndrome

• Previously called neurocardiogenic syndrome
• Clinical criteria: 6+ months of 30+ bpm heart rate increase within 5-10 minutes of standing
• Must occur without orthostatic hypotension (blood pressure doesn’t drop)
• Heart rate increases to maintain blood pressure

02:59 – POTS Symptoms

Primary symptoms include:

• Lightheadedness and palpitations
• Shakiness and “weak knees”
• Visual disturbances
• Chronic fatigue
• Exercise intolerance

05:00 – Active Stand Test

Diagnostic procedure explained:

• Patient lies flat for 10 minutes
• Check blood pressure and pulse at 1, 3, 5, and 10 minutes after standing
• Look for 30-point heart rate increase without blood pressure drop
• Can be performed by any healthcare provider

06:34 – Tilt Table Test

Gold standard diagnostic test performed by cardiologists in hospital settings using specialized equipment.

07:40 – POTS as Dysautonomia

• POTS is a manifestation of dysautonomia (autonomic nervous system dysfunction)
• Primarily involves Vagus nerve dysfunction
• Connection to Dr. Kevin Tracy’s work on vagal nerve stimulation for rheumatoid arthritis

09:01 – Autonomic Nervous System Explanation

Dr. Rowe explains autonomic functions:

• Automatic body processes (digestion, heart rate, blood pressure, temperature regulation)
• No conscious control required
• Constant physiological management

10:39 – Demographics and Prevalence

• Estimated 1% of general population affected
• 80% female predominance
• Likely much higher actual incidence due to under diagnosis
• Connection to hormonal and neurological system integration

12:38 – Diagnostic Challenges

• Difficult for patients to articulate symptoms
• Case example: Patient described symptoms as “leaving my body”
• Initially misdiagnosed as psychiatric condition
• Revealed underlying mold toxicity, chronic infections, and mast cell activation

15:00 – Neurological Manifestations

• Poor oxygenation affects cognitive function
• Can present as brain fog, staring episodes, or petit mal-like seizures
• Body’s protective mechanism causes fainting to restore blood flow to brain

19:49 – Genetic Predispositions

• Suspected genetic components requiring more research
• Connection to Ehlers-Danlos syndrome and hypermobility
• Multifactorial: genetic predisposition + environmental triggers
• COVID and COVID vaccines identified as triggers
• Endothelial dysfunction and collagen involvement

21:57 – Environmental Triggers

Triggers can include:

• Toxins and infections
• Life-threatening situations (trauma, severe illness)
• Case example: Patient developed dysautonomia after septic pneumonia

23:49 – Cranial Nerve Connection

Discussion of Stanley Rosenberg’s work on cranial nerves:

• All cranial nerves involved in survival and social interaction
• Vagus nerve is cranial nerve 10
• Social safety and community important for vagal nerve reset
• Cranial nerve palsies may indicate dysautonomia

26:56 – Nervous System Networks

• Extensive crossover between cranial nerves
• Bidirectional signaling
• 80% of Vagus nerve fibers are afferent (sensory to brain)
• Only 20% are efferent (brain to body)

30:17 – Vagal Nerve Stimulation Treatment

Dr. Rowe’s experience with Gamma Core device:

• FDA approved for migraines and cluster headaches
• External stimulator applied to neck
• Can help reset Vagus nerve, improve digestion, reduce stress
• Warning: Can trigger negative responses if patient is in fight-or-flight state

35:46 – Commercial Break

Nature’s Marvels bioregulatory peptides advertisement.

37:29 – Pharmacological Management

Standard treatments:

• Midodrine (vasoconstrictor): Start at 2.5mg 3x daily, titrate up
• Monitor for hypertension
• May worsen migraines
• Beta blockers sometimes used

Non-pharmacological approaches:

• Salt supplementation
• Adequate hydration
• Sufficient sleep (sleep deprivation triggers dysautonomia)
• Regular, small frequent meals (avoid blood sugar drops)

40:00 – Root Cause Approach

Dr. Rowe’s comprehensive assessment includes:

• Suspected autoimmune neurological component
• Heavy metals and mold toxicity testing
• Chronic infections (CMV, long COVID, Epstein-Barr, Coxsackie virus)
• Genetic detoxification pathway analysis
• Individual metabolic differences

43:41 – Infectious Triggers

Common viral triggers:

• Cytomegalovirus
• Long COVID
• Epstein-Barr virus
• Coxsackie virus (associated with subclinical pericarditis)
• Testing challenges with current lab systems

45:23 – Gut Microbiome and Toxins

• Parasites, candida, and other gut infections
• Glyphosate effects on intestinal permeability
• Structural similarity between glyphosate and glycine
• Impact on collagen and fascia
• Factory farming concerns and antibiotic residues

50:53 – Healthcare System Challenges

• Study showing primary care doctors need 25.8 hours per day to follow guidelines
• Dr. Rowe left conventional medicine in 2005
• Hospital nutrition inadequacy example

52:30 – Contact Information

Miami Beach Comprehensive Wellness Center

• Florida-licensed practice requiring in-person visits
• Website: MiamiBeachCWC.com
• Real person answers phone
• HIPAA compliant texting available

Special Offer: Save 15% Using Code “SBPOD” At Checkout

Special Offer: Save 15% Using Code “SBPOD” At Checkout