Washington Sjögren's Syndrome Care From Boulder, Without the Travel
Telehealth Service Area
Video visits from Boulder, Colorado for Sjögren's syndrome, with lab coordination near Seattle and the rest of Washington.
Patients in Washington who are working through Sjögren's syndrome often tell us the same thing: they want someone to look at the whole picture, not only the last lab result. That is the goal of a functional medicine visit with Dr. Autoimmune, a telehealth practice headquartered in Boulder, Colorado.
Sjögren's syndrome goes well beyond dry eyes and dry mouth, and fatigue can be its most limiting feature. Washington is divided by the Cascade Range into a wet, forested west around Puget Sound and a much drier east. Seattle and Tacoma sit on the Sound, Olympia is at the southern tip, and Spokane is in the east.
Dr. Ian Hollaman, DC, MSc, FMCP, leads the practice. Care here complements your existing doctors and does not replace them, and it is not a promise of any particular result. Because telehealth rules and scheduling can change, please call (303) 882-8447 or book a discovery call to confirm the practice can see patients in Washington.
Understanding Sjögren's Syndrome
Sjögren's is not only about dryness. Inflammation can reach joints, nerves, lungs, kidneys, and blood vessels in some people, and fatigue is a major feature. Because it is systemic, the care team may include an eye specialist, a dentist, and a rheumatologist, each watching a different piece.
Reading the Symptom Picture
Fatigue is often the least visible and most limiting symptom. It can feel like exhaustion that does not match the day's activity, paired with aching muscles and joints. People frequently describe doing less simply to avoid crashing, which can quietly shrink their world.
Details worth writing down between visits:
Which Tests and Labs Come Up
Monitoring over time matters. Sjögren's is a long-term condition, and specialists track organ involvement and blood findings at intervals. Keeping your lab history and eye and dental reports in one place helps different clinicians see the same story and avoids repeating tests unnecessarily.
Markers and tests clinicians commonly discuss for this condition:
Getting Care at a Distance in Washington
For Washington patients, everything happens at a distance. You meet with the team on a secure video call from your own home, car, or office, review your history, go through labs together, and agree on next steps for Sjögren's syndrome. The office is in Boulder, but you never need to be.
Washington is on Pacific Time for the whole state. Washington is on Pacific Time, one hour behind Boulder. Seattle commuters may find a Mountain Time midday slot easier than a late one.
Results are not simply emailed and left unexplained. After a draw through a commercial lab, a follow-up video visit goes through what each marker may suggest for Sjögren's syndrome, what remains uncertain, and what should be handed back to your own physicians. Seattle, Spokane, and Tacoma have commercial draw sites in and around them, while patients on the peninsula, islands, or in eastern Washington may travel farther. The office confirms a site that fits, including ferry or pass considerations.
Regional Considerations in Washington
Evergreen forests, rain on the coast, and mist in the valleys go together with long, soft-lit winters in the Pacific Northwest. Many residents become attentive to daylight, mood, and indoor routines, which gives autoimmune care a natural set of seasonal questions.
Dark winters tend to keep people indoors with heated, dry air, which can worsen dryness. Humidifiers, regular dental visits, and a plan for eye comfort help. Because limited sunlight can affect vitamin D, some clinicians review levels, and any supplement plan is best made with your care team. Humid air can feel easier on dry eyes and skin, but it does not remove the need for oral care and hydration. Air conditioning dries indoor air, so many people find that their symptoms follow them indoors in summer. Keep eye drops and water with you in cooled spaces.
These are broad, qualitative observations about life in Washington, not statements about how often any condition occurs there. Your own symptoms, history, and labs are what guide care.
Eating and Living Well Around Sjögren's Syndrome
Hydration habits are the foundation. Frequent sips of water through the day, sugar-free lozenges or gum to encourage saliva, and a bedside water glass help many people with dry mouth. Avoiding frequent sugary drinks and snacks matters a great deal, because sugar and dry mouth together raise cavity risk.
Everyday habits people commonly ask about:
A Functional Medicine Lens on Sjögren's Syndrome
Dr. Ian Hollaman, DC, MSc, FMCP, leads the practice from Boulder, Colorado, providing care by video. Visits focus on translating lab results and symptom logs into a short list of actions and a clear list of questions for your specialists.
From Discovery Call to Follow-Up
If further labs are recommended, they are coordinated at a commercial draw site near you, and results are reviewed together at a follow-up video visit. You can expect explanations of what each value suggests, what remains uncertain, and which findings belong with a specialist.
Questions worth bringing to your visits:
Where to Go Next
Autoimmune conditions often travel together, so it is common to look at neighboring topics. Below are links to the main Sjögren's syndrome guide, the 7 other condition pages for Washington, the nationwide hub, and the page where you can book a discovery call.
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A rheumatologist typically leads diagnosis and medical management, an eye doctor monitors the surface of the eye, and a dentist watches for decay and oral infection. This practice complements them but does not replace them.
This page is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk with your own physician or qualified healthcare provider about your specific symptoms and health history.