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Orthostatic Intolerance Specialist in Washington

In-Person Appointments in Bellingham, WA + Telehealth Across Washington State

Orthostatic Intolerance (OI) is one of the most misunderstood autonomic disorders. Many people with dizziness, rapid heart rate, lightheadedness, fatigue, or fainting are told their symptoms are “just anxiety” or “normal”—even when they impact daily life.

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At Galene Health, Orthostatic Intolerance is taken seriously.
You receive thoughtful, evidence-based evaluation and a personalized stabilization plan from a provider who understands autonomic disorders.

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I’m Katherine Bachenberg, DNP, and I provide specialized Orthostatic Intolerance care to patients throughout Washington State — either in person at my Bellingham clinic or via secure telehealth statewide.

🌿 What Is Orthostatic Intolerance?

 

Orthostatic Intolerance occurs when your body struggles to regulate heart rate, blood pressure, and blood flow when changing positions — especially from lying or sitting to standing.

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This can create sudden symptoms such as:

  • dizziness

  • feeling faint

  • rapid heart rate

  • weakness

  • nausea

  • brain fog

  • chest pressure

  • inability to tolerate standing

  • fatigue or “crashes”

 

These symptoms are physiological and real — not psychological.

 

Orthostatic Intolerance commonly overlaps with:

  • POTS

  • Dysautonomia

  • Neurocardiogenic syncope

  • Long COVID autonomic changes

  • Hypermobility / Ehlers-Danlos Syndrome

 

🌿 Common Signs of Orthostatic Intolerance

 

You may be experiencing OI if you notice:

  • Lightheadedness when standing

  • Heart racing after position changes

  • Difficulty standing in lines or hot showers

  • Feeling drained or shaky after minimal activity

  • Sudden “head rushes”

  • Blurry vision or tunnel vision

  • Nausea on standing

  • Unexplained fatigue

  • Cold or discolored hands/feet

 

If these symptoms improve when you lie down, Orthostatic Intolerance is likely involved.

 

🌿 In-Person Visits in Bellingham, WA

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f you’re in Whatcom County or nearby areas, you can be seen in person for:​

  • orthostatic vital evaluation

  • hands-on education

  • personalized treatment planning

  • guidance on compression, hydration, and stabilization techniques

 

In-person visits take place in a calm, private clinical environment focused on clear communication and supportive care.

 

🌿 Telehealth Orthostatic Intolerance Care Across Washington State

 

If you live anywhere else in Washington — Seattle, Tacoma, Spokane, Vancouver, Yakima, the Tri-Cities, Olympia, Everett, or rural communities — you can receive the same level of specialty care through secure telemedicine.

 

Telehealth visits are ideal for patients whose symptoms make travel difficult.

 

🌿 What Your OI Evaluation Includes

 

Your Orthostatic Intolerance visit (in-person or telehealth) includes:

✔️ Comprehensive autonomic history

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A deep review of symptoms, patterns, triggers, and daily challenges.

✔️ Orthostatic vital signs interpretation

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Understanding your HR/BP changes and how they contribute to symptoms.

✔️ Blood volume strategies

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Personalized hydration, electrolyte, and salt protocols.

✔️ Medication evaluation

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Discussion of options of medications when appropriate

✔️ Circulation & compression strategies

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Tools to reduce blood pooling and support upright tolerance.

✔️ Nutrition guidance

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Practical recommendations to reduce symptom spikes.

✔️ Stabilization & activity plan

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A gentle, safe, structured approach to movement based on validated OI/POTS protocols.

✔️ Written care plan

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After every visit, you receive a clear, personalized summary.

 

🌿 Who We See

 

We care for Washington adults and older teens experiencing:

  • Orthostatic Intolerance

  • POTS symptoms

  • Chronic fatigue with autonomic features

  • Long COVID dysautonomia

  • Ehlers-Danlos/hypermobility-related OI

  • Dizzy spells with standing

  • Heart racing after position changes

  • Fainting or near-fainting episodes

 

🌿 Locations Served

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In Person & Telehealth Across WA state

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🌿 Pricing

 

Transparent, simple pricing:

  • Initial Visit: $250

  • Follow-Up Visits: $100

 

Superbills available for potential out-of-network reimbursement.

 

🌿 You Don’t Have to Navigate These Symptoms Alone

 

Orthostatic Intolerance is real, treatable, and manageable with the right plan.
Whether you live near Bellingham or anywhere in Washington State, help is available.

👉 Book Your Orthostatic Intolerance Appointment

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