Boro Medical & Lifestyle Clinics
Established 2019
Office: 615-785-8288
Fax: 615-468-8849
Boro Medical & Lifestyle Clinics
Established 2019
Office: 615-785-8288
Fax: 615-468-8849
we're so glad you're back
ANNOUNCEMENTS:
- We will remain open until at least November 2nd, 2025.
- Until November, there will be minimal administrative staff and select services available.
- Medical records and other requests are still being completed as quickly as possible.
- If you have requested medical records by mail, they will be going out next week.
- Mass communication will be sent out soon.
- Patient statement invoices will be emailed shortly; we have over $130,000 in patient bills Lydia refused to send to collections. (We have charitable write-offs and/or patient assistance programs set up).
- A survey regarding future services is available here- https://form.jotform.com/252106300384142
This is a phrase commonly used in medical education to remind practitioners to consider the most likely diagnosis first, rather than jumping to rare possibilities. BUT sometimes it is a zebra.
LETTER FROM LYDIA
Dear Zebras and Horses,
I’m writing to share something personal and difficult. After deep reflection, I feel like my patients deserve a proper explanation.
I know the way I had to step back may have felt abrupt—maybe even like I disappeared. That wasn’t my intention. The truth is, I was in survival mode.
The short version is: my own health, business operations/logistics complications, professional sustainability, and family circumstances led me to that point.
Essentially, my body decided to "choose violence". I gave as much as I could for as long as I could, and then a little longer. I had to take time to care for myself with the same integrity and compassion I always tried to offer to you. My health declined over a short amount of time, and then we got hit with unbelievably impossible situations all at once.
The nail in the coffin that led to this decision was a sudden need to vacate our clinic building. After reviewing the financial and operational impact, rebuilding our infrastructure and continuing care in a new location simply wasn’t feasible for a small, independent practice like ours.
Like many small practices, we were deeply impacted by rising costs. I had to employ more staff than most to accommodate my disabilities. These challenges were also compounded by my strong beliefs and stubbornness. For example, I refused to raise our self-pay rate above the initial $90 that we started with over six years ago. I also continued accepting Groupons for microneedling treatments to keep aesthetics affordable and attainable to more people. Similarly, I charged only $20 for paper medical records—well below the standard fee permitted by law—to help ensure fairness and accessibility.
When my health declined and we faced moving, I was in an unsustainable situation. I explored every option under the sun. Each with pros and cons. I could list what was considered ad infinitum. I had offers to buy the practice but would not be allowed to train the staff - that was never an option I was willing to consider.
I took great pride in my work, consistently providing my patients with beyond the standard level of care. I mean, everyone had my cellphone available for appropriate situations. I answered it day, night, holidays, and on vacations.
Many of you have let me into your lives in vulnerable moments, trusted me with your stories, your victories, and your care. That’s an honor I’ve never taken for granted.
I knew your children, your dogs, moms, and spouses. I knew your mother-in-law drama and that corn additives in medication flare your MCAS. But most importantly, I knew you were vulnerable in trusting me with your pain. I can imagine how confusing it must have been when we suddenly stopped seeing patients.
If this has all stirred up emotions, I get it. If you were (or still are) grieving, confused, frustrated, or scared—those are valid responses. Many of you have been through provider turnover, misdiagnoses, and felt unseen for far too long.
That being said, I also want to gently remind you: I was never your savior. The validation and support we built in our visits didn’t come from me personally—it came from you answering questions and telling the truth about your body, even when the world told you not to. You don’t lose that just because I stepped away from clinical practice. Most of you got a diagnosis, and that was an important step. If you did not, please utilize the case review process to have me review your case.
You’ve probably heard me say this before: the way we practiced medicine together was not the norm—it was the exception. Most people with complex conditions like hEDS, POTS, MCAS, and chronic illness are cared for by a team—sometimes three, five, even ten providers. One does the autonomic workup. One helps with mast cells. One manages pain. One fights the insurance. It can be exhausting. So, we tried to do things differently at the Boro Clinic: by being a home base and a one stop shop. I hope you felt that.
If you feel like you’re “too much” for other clinics, remember this: you’re not the problem—you might just need a bigger care team to support you. I am also demanding that you do not neglect your health moving forward because you're worried you won't find the right provider. If anything, let this experience be encouragement to do for yourself what I had to do for me: honor what your body is telling you. Choose rest. Choose care. Choose boundaries.
One of the most powerful lessons I’ve learned is this: a business built entirely around one person is just unsustainable… it's fragile. The whole structure risks collapse the moment that person becomes unwell or overwhelmed.
Luckily, Glynis, Heather, and Macy made the best team of employees that Boro Clinic had to date. They created better systems than what we initially had and created a workflow that not only made sense, but accommodated every aspect of all my disabilities. Ultimately, it was their teamwork and love for our patients that kept them working at Boro Clinic, even when they could have left, and helped keep things running even on days I was literally bedridden.
I understand some requests are still pending. We will remain open with minimal administrative staff and offer select services until November 2, 2025. There will also be mass communication when the future is more clear. Medical records and other requests are still being completed as quickly as possible. If you have requested medical records by mail, they will be going out next week. Case reviews will happen after these requests are finished.
I want to sincerely apologize for the delays. This was due to an overwhelming increase in volume and other circumstances. I know this was likely an inconvenience, and I deeply regret that.
As you move forward, here are a few reminders I want you to hold onto:
You are not imagining it.
Your symptoms are real.
You are not difficult. The system is.
You deserve care that adapts to your body, not the other way around.
You were never meant to carry all this alone—and neither was I.
It’s been a privilege to be part of your care, and I hope your next steps bring more support, more relief, and more people who truly see you. Thank you for trusting me throughout these meaningful six years.
Best,
Lydia Seibert, MSPAS, PA-C, CCMA, CMAA
"WHAT'S NEXT? IDK- YOU TELL ME"
- One of the most powerful lessons learned is this: a business built entirely around one person is just unsustainable… it’s fragile. The whole structure risks collapse the moment that person becomes unwell or overwhelmed.
- Unfortunately, there is not a scenario where Lydia will be doing direct clinical patient care moving forward. That is as heartbreaking to say, as I'm sure it is to hear. There are options to build a program where a team can help EDS patients with equal distribution of tasks and fail-safes. You can decide what that might look like here https://form.jotform.com/252106300384142
Requests/Self-Serve Options
Contact Us
Boro Medical & Lifestyle Clinics
517 Cason Lane Ste C Murfreesboro TN 37128