KETAMINE COMES TO THE CENTRAL VALLEY
Dr. Deroee Helps Patients Leave Pain Behind
blūvera Clinic is a specialty ketamine infusion center where ketamine therapy is the primary medical focus. As a triple board certified physician in anesthesiology, pain medicine, and addiction medicine, Dr. Deroee performs advanced interventional procedures and understands the strengths and limitations of traditional pain treatments. “That perspective allows me to recognize when ketamine infusion therapy is appropriate,” Dr. Deroee explains. “Over the past decade, I have witnessed firsthand its powerful impact in complex pain management and followed the growing evidence supporting its role in treating mental health conditions.” Despite this progress, few dedicated, physician-led ketamine centers serve Fresno and the broader Central California region. “With rising mental health and chronic pain needs in our community, the time was right to bring a specialized center like blūvera here.” Ketamine can get better results than traditional medications because it works differently. Rather than simply adjusting neurotransmitter levels, it targets glutamate pathways in the brain, helping to restore neural connections that may have been weakened by chronic stress, trauma, or long-standing pain.
An Answer to Treatment-Resistant Conditions
For individuals who have not responded to conventional treatments for depression, anxiety, PTSD, or chronic pain, ketamine can provide rapid and meaningful relief—sometimes within hours to days. In chronic pain, it helps “reset” pain signaling pathways. When administered in a carefully monitored medical setting, ketamine can offer renewed hope and improved quality of life for patients who previously felt stuck.
New Clinic, New Approach, New Specialty
blūvera Clinic specializes exclusively in intravenous (IV) ketamine infusion therapy for both chronic pain and mental health conditions. IV ketamine infusion differs from the nasal spray formulations commonly offered in psychiatric practices. It delivers the medication directly into the bloodstream, allowing precise, consistent dosing with real-time adjustments and more predictable clinical effects.
A Personalized, Physician-Led Touch
Every infusion is personally supervised and done by Dr. Deroee, ensuring hospital-level monitoring and personalized protocols. Combined with a calm, private healing environment, this physician-led approach emphasizes safety, precision, and patient comfort—something that truly distinguishes blūvera Clinic.
From Consultation to Treatment
The process begins with a comprehensive medical and psychological evaluation conducted directly by Dr. Deroee. He reviews prior treatments, medical history, current medications, and clarify treatment goals to determine whether ketamine infusion therapy is appropriate. “If a patient qualifies, we design a personalized protocol tailored to their condition. During each infusion session, patients are continuously monitored in a calm, private setting. We prioritize safety, comfort, and clear communication—ensuring that every step of the experience feels supportive, structured, and medically precise.”
Evaluating Patient Benefit Potential
At blūvera Clinic, careful patient selection is essential. Not every patient qualifies for ketamine infusion therapy, and part of Dr. Deroee’s responsibility is determining when it is and is not appropriate. “I perform a comprehensive evaluation, reviewing prior treatments, medications, and safety factors. Ketamine is typically considered for treatment-resistant mental health conditions, chronic pain or in selected cases related to addiction. I collaborate closely with physicians, mental health providers, and addiction specialists in our community and strongly encourage patients to remain under their care, as ketamine is most effective within a coordinated, multidisciplinary treatment plan.”
Safety & Innovation Working Together
Ketamine has been safely used in anesthesia and emergency medicine for decades, and its psychiatric applications are supported by a rapidly expanding body of research. “At blūvera, safety is never secondary to innovation. Every patient undergoes a thorough medical screening, and each intravenous infusion is directly supervised by me as a board-certified anesthesiologist. We use continuous monitoring, individualized dosing, and strict clinical protocols. Combined with a calm, private healing environment, this approach allows us to deliver advanced treatment while maintaining the highest standards of medical safety and patient comfort.”
The Ketamine Journey
Several patients with profound mental health conditions described feeling like a “new person” after treatment and have been able to reengage with life. While responses differ in degree, these experiences are common and have been deeply transformative and healing. Dr. Deroee also encourages readers to review their Google feedback, where several patients have shared detailed accounts of their journeys. “At blūvera Clinic, our vision extends beyond simply providing infusions. We aim to become a trusted regional center for advanced, physician-led therapies for complex mental health and chronic pain conditions.”
Stories of Success
Many patients arrive at blūvera after exhausting traditional options. “One patient developed Complex Regional Pain Syndrome (CRPS) after lumbar spine surgery and endured 18 months of severe pain despite multiple medications, advanced procedures, and a spinal cord stimulator trial. Before treatment, he could not sleep, walk independently, or participate in physical therapy. After ketamine infusion therapy, his pain significantly decreased, enabling him to walk unassisted, resume rehabilitation, and sleep through the night.”
Community Healing & Support
As awareness grows, Dr. Deroee sees blūvera playing an important role in educating the community and collaborating with local physicians and mental health providers. “We are also committed to supporting veterans in our region who struggle with PTSD, depression, and chronic pain, while welcoming coordination with VA and community providers. Our goal is to redefine what is possible for patients who feel they have run out of options—offering structured, evidence-based care with compassion, precision, and long-term support.”
A Time & Place to Heal
Ketamine infusion therapy is typically administered as a carefully structured series rather than a single treatment, as its benefits develop progressively. The duration of response varies. Some patients experience lasting improvement after the initial series, while others may benefit from periodic maintenance infusions to sustain results. “Our approach is highly personalized. We monitor each patient’s progress thoughtfully and recommend follow-up care based on clinical response and functional improvement, ensuring that treatment remains measured, evidence-based, and tailored rather than predetermined.”
Health insurance does not currently cover ketamine infusion therapy for mental health or chronic pain treatment. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can often be used, allowing payment with pre-tax funds.
5084 North Fruit Avenue, Unit 103, Fresno, CA 93711
(559) 283-2583
www.bluveraketamineclinic.com
