Complex Chronic Illness

Care for patients navigating persistent, multisystem symptoms and unexplained illness.

What I commonly see

Complex illness rarely stays in one system. It shows up as fatigue, pain, brain fog, and a dozen other symptoms that don't seem related until you look at them together. Many of the people I see have been told their labs are normal, or that this is stress, or that there's nothing more to do. My work starts from the assumption that there's a reason, even if it hasn't been found yet.

- ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome)
- Long COVID & post-viral illness
- Persistent multisystem symptoms without a clear diagnosis
- Lyme disease & tick-borne co-infections (babesia, bartonella)
- Epstein-Barr virus (EBV) & chronic viral reactivation
- Mast cell activation syndrome (MCAS) & histamine intolerance
- Severe allergies & food intolerances
- Autoimmune disease & immune dysregulation
- Recurrent or lingering infections

- Dysautonomia & POTS (postural orthostatic tachycardia syndrome)
- Orthostatic intolerance & blood pressure instability
- Exercise intolerance & post-exertional crashes
- Fibromyalgia
- CRPS / RSD
- Migraines & chronic headaches
- Concussions & post-concussive symptoms
- Neuropathy
- Arthritis
- Alzheimer's disease & cognitive decline
- Parkinson's disease
- Mold & mycotoxin illness
- Water-damaged building exposure
- Heavy metal & chemical exposure
- Environmental sensitivities & chemical intolerance

Let's look deeper

My Approach

Complex illness doesn't come apart neatly, and it usually can't be solved by looking at one system at a time.

I start with the full timeline. When did things change, what happened around that time, what came first and what followed. Then I look at the whole picture your history, symptoms, prior labs and imaging, exposures, and the patterns connecting them. Often the clues are already there, waiting to be seen together.

From there we work in a deliberate order. In complex illness, sequence matters addressing things in the wrong order can make people worse. So we go carefully, we start where your body can tolerate it, and we adjust as we learn what's working.

What to know

01

This work takes time.
Complex illness develops over years, and it doesn't unwind in weeks. I'd rather be honest about that upfront than promise you a quick answer. We measure progress in months, and we reassess as we go.
02

I go slowly on purpose.
Sensitive patients often react to too much, too fast. Starting low and building gradually isn't caution for its own sake, it's how we avoid setbacks.
03

The best healthcare is collaborative.
My goal is never to replace the care you receive from your primary care physician or specialists, but to complement it. For neurodegenerative conditions especially, your neurologist leads and my role is supportive. When specialty care is needed, I'll refer you to trusted providers and remain involved to help ensure your care is coordinated, thoughtful, and centered around you.
04

Honest conversations matter.
Medicine doesn't always have clear answers, especially in emerging areas like long COVID, ME/CFS, MCAS, and environmentally acquired illness. I'll tell you what's well established, what's reasonable but unproven, and what I don't know so we can make thoughtful decisions together.