Across decades of nursing and nurse practitioner practice, Julie has consistently cared for people whose symptoms were real, disruptive, and persistent—yet often minimised or fragmented by the healthcare system. She has seen how patients with complex illness can move between specialties without anyone holding the whole picture, and how easily symptoms are dismissed when they span multiple systems.
What draws Julie to this work is the challenge of making sense of complexity. She is deeply curious about how cardiovascular, immune, endocrine, and gastrointestinal systems interact, and she is motivated by the relief patients experience when their story finally feels understood. Her practice is grounded in careful listening, thoughtful investigation, and collaborative care that respects both physiology and lived experience.
Julie has a strong clinical focus on dysautonomia and POTS, including both paediatric and adult presentations. She understands that these conditions are not simply about heart rate or blood pressure, but reflect broader autonomic dysregulation affecting circulation, digestion, temperature control, cognition, and energy. Her assessments consider how symptoms show up across the day—standing tolerance, post-exertional crashes, palpitations, dizziness—and she develops management plans that combine medical treatment with practical, sustainable strategies to support daily function.
Julie recognises how frequently mast cell activation and immune dysregulation coexist with autonomic conditions, amplifying symptom burden and complicating treatment tolerance. She takes a cautious, pattern-based approach—looking at triggers, flares, and systemic responses—rather than assuming symptoms are isolated or anxiety-driven. Working closely with Biio’s medical and dietetic teams, she helps patients navigate medication options, reduce inflammatory load, and stabilise symptoms in a way that respects individual sensitivity and capacity.
Julie’s integrative experience has shown her how central gut function is to overall health. She understands that IBS, dysmotility, and malabsorption can drive fatigue, nutrient deficiencies, medication intolerance, and immune activation. Her assessments explore how gastrointestinal symptoms interact with autonomic function and energy levels, and she collaborates with dietitians and other clinicians to address gut health as a foundational part of complex care rather than an afterthought.
With experience managing autoimmune thyroid conditions such as Graves’ disease and Hashimoto’s thyroiditis, Julie understands how hormonal dysregulation can overlap with autonomic symptoms—palpitations, temperature intolerance, fatigue, weight changes, and cognitive fog. She carefully reviews pathology in context, recognising that “normal ranges” don’t always reflect optimal function in complex illness. Her approach aims to stabilise endocrine contributors while considering how immune, cardiovascular, and nervous systems are responding together.
Julie works across the lifespan and has specific training in paediatric cardiology and critical care. She is attentive to how complex conditions present differently in children and adolescents, and how family systems are often deeply affected. Whether working with a child, teenager, or adult, her care is collaborative and paced—supporting patients and families to understand what’s happening and why, without overwhelm.spoPOTP