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SCOPE OF PRACTICE

At ECS, we specialize in immune-mediated conditions, focusing on the interconnected symptoms and complaints that drive complex, multisystemic syndromes. Unlike many clinics that concentrate on specific organ systems and defined conditions, we take a comprehensive approach that targets disease mechanisms and recognizes the immune system’s foundational role in various complex conditions.

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The immune system is an extensive network of cells, tissues, and organs that work together to protect the body and sustain health. It detects and neutralizes external threats, such as bacteria, viruses, fungi, and toxins, as well as internal dangers like damaged or malignant cells. Immune cells and proteins are distributed throughout the body, forming an interconnected system that influences all organs.

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Beyond defense, the immune system maintains a delicate balance with the trillions of microorganisms that make up our natural microbiome. At its core, it must constantly evaluate and distinguish 'friends' from 'foes,' a complex task that involves assessing billions of structures—from healthy cells and benign microbiota to potentially malignant cells and invasive pathogens.

Given this complexity, the immune system is susceptible to errors. Intense immune responses, such as those triggered by infections, can sometimes disrupt normal processes, leading to immune dysregulation. This dysregulation can produce widespread symptoms that affect multiple systems throughout the body.

Conditions like ME/CFS (myalgic encephalomyelitis/chronic fatigue syndrome), POTS (Postural Orthostatic Tachycardia Syndrome), PANS (Pediatric Acute-onset Neuropsychiatric Syndrome), and Long COVID are examples of immune-mediated syndromes that often arise following infections. Driven by persistent immune dysregulation and neuroinflammation, these conditions affect various organ systems and lead to prolonged, debilitating symptoms, such as severe fatigue, cognitive impairment, pain, dysautonomia, and psychiatric disturbances. They profoundly impact patients’ daily lives, limiting their ability to work, attend school, and engage in social activities.

By recognizing the immune system as a central factor in health and disease, ECS adopts a broad perspective that allows us to address a wide range of symptoms, conditions, and syndromes effectively.

Symptoms we evaluate

  • ​Fatigue

  • Post-Exercise Malaise (PEM)

  • Cognitive impairment (Brain Fog)

  • General pain / joint pain

  • ​Headache

  • Palpitation (feeling of irregular heart rate)

  • Dizziness and/or syncope (fainting)

  • ​Anxiety / Depression

  • Behavioral changes

  • Obsessive-compulsive

  • Abdominal pain

  • Nausea and vomiting

  • Sleep disturbance

  • Recurrent or persistent fever

  • Swollen lymph nodes and sore throat

  • Recurrent unexplained colds and other illnesses

Conditions we manage

  • Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

  • Postural Orthostatic Tachycardia Syndrome (POTS)

  • Pediatric Acute-onset Neuropsychiatric Syndrome (PANS)*

  • Long Covid

  • Fibromyalgia

  • Dysautonomia

  • Mast Cell Activation Syndrome (MCAS)

  • Complex Regional Pain Syndrome (CRPS)

  • Post Treatment Lyme-Disease Syndrome (PTLDS)

  • Irritable Bowel Syndrome (IBS)

  • Functional Neurological Disorders (FND)

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