interventions, but there is one incredibly important caveat: they don’t just have POTS, they have POTS + PEM as a result of their IACC. This complicates things. Post-exertional malaise (PEM) is crushing, dangerous and can be worsened by anything that makes the body produce 15/

provider, getting angry at the patient, ignoring the patient, etc. Or you could choose to do the work: partnering with the person in your care, reading more, listening and actively problem solving, referring to a clinician who is more experienced. All of the former are easy, 9/

clinician or scientist that gets (ego-)punched in the face (has a patient that isn’t responding to their usual tricks) can tell you a lot about that person. There are a lot of maladaptive responses: gaslighting, hiding behind credentials, creating hierarchy between patient and 8/

My suggestion if we really want safe Indoor Air:

Supplement ASHRAE 241 or 6 ACH with the following:

30 eACH from any combination of:

Upper Air UV

FarUV

Displacement Ventilation

Overhead extraction

Overhead Air Purifiers

Hello! 🙏