We are a premier long COVID and long covid vaccine injury treatment clinic in Plano Texas. Stellate ganglion block (SGB). EAT Procedure. Robert Groysman, MD
Apr 14 • 6 tweets • 1 min read
Your doctor calls it "fatigue." But there are two completely different mechanisms producing that word, and the treatment for each one is different.
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2/6 Autonomic fatigue worsens upright. Improves lying flat. Can strike minutes after standing. Hydration and position change speed recovery. The nervous system cannot regulate blood flow when vertical.
Apr 13 • 7 tweets • 1 min read
The small blood vessels, not the large ones your cardiologist monitors, are the problem in Long COVID vascular disease. And every standard cardiac test is designed to miss them.
2/7 Standard cardiac evaluation focuses on coronary arteries, ejection fraction, valve function, rhythm. Echocardiogram, stress test, coronary calcium score.
These tools are built for macrovascular disease. In most Long COVID patients, they return normal results.
Apr 11 • 7 tweets • 1 min read
MCAS is not one condition. It is a spectrum with four distinct activation patterns, each triggered differently, each requiring a different management approach.
Most patients are told "take antihistamines." That manages output. It does not address the pattern.
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2/7 Pattern 1: Environmental activation.
Mold, chemical fragrances, cleaning products, temperature shifts. Your mast cells react to stimuli most people tolerate without noticing. Systematic elimination identifies the triggers. Guessing does not.
Apr 8 • 7 tweets • 1 min read
Gabapentin quiets nerve signal transmission. Long COVID neuropathic pain is not a signal transmission problem.
It is a nerve damage problem, and the distinction changes the entire diagnosis.
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2/7 Gabapentin reduces calcium channel activity in nerve cells, dampening the signals that carry pain.
For conditions where nerves are overactive but structurally intact, this makes sense.
