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🌿 Long COVID POTS Specialist in Washington

In-Person Appointments in Bellingham + Telehealth Care Across Washington State

 

Many people recovering from COVID-19 develop new symptoms such as dizziness, rapid heart rate, breathlessness, fatigue, and brain fog. For many, these symptoms are signs of POTS (Postural Orthostatic Tachycardia Syndrome) or autonomic dysfunction, triggered by viral illness.

 

At Galene Health, you receive thoughtful, evidence-based care for Long COVID–related POTS from a provider who understands the complexity of post-viral autonomic issues.

 

I’m Katherine Bachenberg, DNP, AG-ACNP, and I provide specialty Long COVID POTS care in person in Bellingham, Washington, and via telehealth for patients statewide.
My approach blends autonomic assessment with practical, gentle stabilization strategies to help you regain function and confidence.

Image by Harli Marten

🌿 What Is Long COVID POTS?

 

After COVID-19, the autonomic nervous system can become dysregulated. This affects heart rate, blood pressure, circulation, digestion, temperature regulation, and energy production.

 

This often leads to symptoms such as:

  • rapid heart rate after standing

  • dizziness or lightheadedness

  • intense fatigue or “crash days”

  • shortness of breath

  • chest pressure

  • brain fog

  • shaky, wired feelings

  • difficulty exercising

  • nausea or GI changes

 

Long COVID POTS may appear weeks or months after the initial infection — even after a mild case.

 

🌿 Common Signs of Long COVID Autonomic Dysfunction

 

You may be experiencing post-viral POTS if you notice:

 

Cardiovascular

  • Heart rate jumps 30–60 bpm when standing

  • Palpitations

  • Chest tightness

  • Blood pressure swings

Neurological

  • Brain fog

  • Head pressure

  • Difficulty concentrating

  • Weakness or trembling

Energy + Fatigue

  • Post-exertional malaise

  • Severe “crashes” after minimal activity

  • Morning exhaustion

Respiratory

  • Breathlessness without lung disease

  • Air hunger

  • Tight chest feeling with normal oxygen levels

Digestive

  • Nausea

  • Bloating

  • Early fullness

  • Food intolerances

 

These symptoms are real, physiologic, and treatable.

 

🌿 In-Person Long COVID POTS Visits in Bellingham, WA

 

If you're local, you can be seen in person for:

  • hands-on orthostatic vitals

  • autonomic-focused evaluation

  • tailored stabilization guidance

  • support with pacing + post-exertional recovery

  • personalized hydration + salt protocols

 

Appointments are calm, unhurried, and designed to help you understand what’s happening in your body.

 

🌿 Telehealth for Long COVID POTS Across Washington

 

If symptoms make travel difficult, or if you live elsewhere in the state, you can receive the same level of specialty care through secure telemedicine.

Serving patients in:

  • Seattle

  • Tacoma

  • Spokane

  • Vancouver

  • Everett

  • Yakima

  • Olympia

  • Redmond

  • Tri-Cities

  • Rural Washington communities

 

Telehealth ensures that specialty autonomic care is accessible from anywhere.

 

🌿 What Your Long COVID POTS Evaluation Includes

 

Your visit blends clinical assessment with gentle, attainable steps.

 

✔️ Comprehensive autonomic history

Understanding symptom patterns, triggers, and flare cycles.

 

✔️ Orthostatic vitals interpretation

Identifying whether your HR/BP changes meet criteria for POTS or OI.

 

✔️ Blood volume optimization

Hydration, salt, electrolyte strategies tailored to your body.

 

✔️ Breathing techniques

Many Long COVID patients develop dysfunctional breathing patterns that worsen symptoms.

 

✔️ Medication evaluation

If appropriate, discussion may include:

  • beta blockers

  • ivabradine

  • fludrocortisone

  • midodrine

  • pyridostigmine

  • low-dose naltrexone (LDN)

 

✔️ Gentle, paced activity plan

Structured progression that avoids post-exertional crashes.

 

✔️ Stabilization tools

Temperature management, compression strategies, positional adjustments.

 

✔️ Clear written treatment plan

Provided after every appointment.

 

🌿 Who This Service Is For

 

Washington residents with:

  • Long COVID symptoms consistent with POTS

  • New-onset tachycardia or dizziness after COVID

  • Exercise intolerance

  • Post-exertional malaise

  • Breathlessness with normal labs

  • Fatigue + autonomic instability

  • Long COVID–related GI symptoms

 

🌿 Pricing

 

Transparent, specialty-level care:

  • Initial Visit: $250

  • Follow-Up Visits: $100

 

Superbills provided for potential out-of-network reimbursement.

 

🌿 You Can Recover Stability — One Step at a Time

 

Long COVID POTS can feel unpredictable and overwhelming, but you don’t have to navigate it alone.
With the right autonomic support, many patients see meaningful improvements.

Whether you prefer in-person care in Bellingham or telehealth from anywhere in Washington, compassionate, evidence-based help is available.

👉 Book Your Long COVID POTS Appointment
 

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