Applied Clinical Discussion – Improving POTS and other MECFS issues by Treating Pelvic Venous Congestion.Steven J. Smith, MD, is joined by guest panelist and co-author Peter Rowe, MD for a presentation and Q&A. Dr. Smith discusses hypotheses about how venous disorders may underlie some cases of POTS, fibromyalgia, ME/CFS, migraine, brain fog, IBS, vulvodynia, ADHD, & more. Dr Smith is an expert in Pelvic Congestion Syndromes and intervention with Ablation and Stenting. Dr. Smith, a retired interventional radiologist now focuses on research. He makes the case for poor blood flow being a core clinical issue. His studies show patient improvement across 5 centers, at 3-, 6-, and 12-month follow-ups, and across numerous symptoms.