August 14, 2017

Chemical Allergies Were Proven to Exist Long Ago

Stephen Barrett "MD" is an outspoken individual who retired from
psychiatry in 1993 and then proclaimed himself  "the media" in 2001.
He was never board-certified in psychiatry, and he was never board
certified in any other discipline.   He has zero experience as a practit-
ioner in every form of internal, dermatological, and dental medicine.
He was not a researcher in any capacity, either.   Neither was he a
biochemist nor a vaccinologist nor a pharmacologist nor a medical
technologist nor anything similar.  He spent inordinate amounts of
time suing people, including a disabled woman to whom he lost.

In the late 1980s he wrote an article titled, "Unproven Allergies."  Big
problem with that title, though.  Those allergies were proven to exist,
in the world of Occupational & Environmental Medicine, even during
the writing of the deceptive text.  Take note of the following:

       * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
       The testing for IgE-mediated chemical allergies has been con-
       ducted via mainstream medical RAST testing.   The specific
       chemicals tested are found in the OCCUPATIONAL PANEL
       of a  RAST TEST order form.   This means that mainstream
       medical science recognizes the existence of chemical allergies.
       Case closed.  
        * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

An Allegation of  Stephen Barrett that Calls for a Response:

Stephen Barrett alleged, throughout his anti-MCS literature, that
a primary test for chemical sensitivities consists in ...

(I)   ... a very subjective and non-quantitative form of testing ...

(II)  ... by which a diluted chemical solution is placed under ...
           the tongue of a patient (or injected through his skin), ...

(III) followed by nothing more than the patient reporting if whether or
       not he experiences any symptom from the administered chemical
       solution.

       This allegation, in combination with numerous omissions of  fact,
       can easily deceive a beginner into assuming that there has never
       been a test to prove the existence of chemical sensitivities.  This
       allegation, therefore, calls for a response.

The Response:


(1)  The testing for chemical sensitivities has included, but has not been
       limited to, ...

(I) ... the traditional skin prick test, otherwise known as the SPT.

(II)  In skin prick testing, a test-subject is regarded as having  tested
       positive when a visible and measurable wheal, equal to or larger
       than a designated size, appears as a result of the skin test.

(III) The size of  the wheal is then recorded in numerical form, and
        numerical measurement constitutes objectivity.       

IgE-mediated Chemicals, via the Process of Haptenation

(2)  The purpose for the SPT is to test for immediate onset hyperreac-
       tivity.  This is a Type I reaction, and such a reaction occurs within
       one hour of  exposure.

(I)   IgE stands for Immunoglobulin E, and an immunoglobulin is a pro-
       tein produced by plasma cells & lymphocytes, serving the function
       of  an antibody.

(II)  A number of chemicals have been found to trigger immediate on-
       set reactions, and a subset of  those have been discovered to be
       IgE-mediated, via a process known as "haptenation."

(III) Haptein is a greek word which means "to fasten," and a hapten is
        a low weighted molecular agent that reacts with an antibody, but
        cannot induce the formation of an antibody until it is fastened to
        either a carrier protein or to a large antigenic molecule.  Chemi-
        cals happen to be agents of  low molecular weight.     

Type IV Hypersensitivity Reactions


(3)  In addition, there are a significant number of chemicals that have
       been found to induce the Type IV, cell-mediated hyperreactivity.
       This is known as "delayed allergic reactivity," and this type hyper-
       sensitivity results in dermatitis or anaphylaxis.

(I)  Concerning the Type I and Type IV hyper-reactivity, the Practice
      Parameter for Allergy Diagnostic Testing, as is issued by the Joint
      Council of Allergy Asthma and Immunology, states:          

       "Many chemicals (e.g., sulfonechloramides, azo dyes, par-
        abens, fragrances) used as additives in foods, drugs, and
        cosmetics may induce either IgE-mediated reactions or
        contact dermatitis, or both." Ann Allergy 1995; 75:543-625      

Non-immunological Chemical Sensitivity Reactions,      
Including Anaphylaxis


(4)   In addition, a number of chemicals have been identified as irritants,
        being that they trigger "nonimmunological" responses.  There is ev-
        en a nonimmunolgical form of  anaphylaxis, known as the "anaphy-
        lactoid reaction."   Such a reaction produces the same final result
        as doe an immunologic anaphylactic reaction.  The only difference
        between the two types of  reactions is in the triggering mechanism
        of them.  That is to say:             

      "An anaphylactoid reaction is another type of immediate 
       reaction that mimics anaphylaxis.  While symptoms and 
       treatments are the same the reason for the reaction is not.  
       An anaphylactoid reaction doesn't involve IgE antibodies' 
       immune system and is not considered a true allergic reac-
       tion.  Even so, the reaction can be just as serious."  [Amer-
       ican College of Allergy, Asthma & Immunology]  See:

       http://www.acaai.org/public/advice/anaph.htm

(I)    Thus, there is Allergic Asthma, and then there is Irritant-induced
        Asthma. One type of asthma is immunologic, while the other type
        is not. You are not inclined to run a 26 mile marathon whenever
        you are exposed to your asthma triggers.      

Allergic Sensitization, Direct Irritation, 

and Pharmacological Reactions

(5)  Hypersensitivity reactions can be triggered via:

(a)  Allergic Sensitization.   This is induced by repeated exposure to
       a sensitizing agent such as formaldehyde, glutaraldehyde, or phenyl
       isocyanate.  Then, upon becoming sensitized, further exposure to
       the same agent results in an antibody release or an inflammatory
       chemical release.

(b)   Direct Irritation.   This is induced in those who are "atopic," in
        person who possess chronic vulnerabilities aand/or pre-existent
        conditions.   Such persons develop "symptoms immediately af-
        ter exposure to substances such as chlorine, ammonia, sul-
        fur dioxide, and environmental smoke."

(c)   Pharmacological Reaction.   This comes as a result of the fact
        that some chemicals and nonchemical agents elevate the produc-
        tion of chemicals that naturally exist in the body.  An example of
        a naturally existent chemical in the body, able to have its level ele-
        vated by nontoxic chemical exposure, is acetylcholine.   A case
        in point is the organophosphate/carbamate class of pesticide.  At
        nontoxic levels, it can elevate the level of acetylcholine in the lungs,
        because that class of  pesticide inhibits acetylcholinesterase, the
        enzyme which displaces/dissolves acetylcholine.

        For further understanding on this, see the Mayo Clinic's teaching
        on Occupational Asthma.   It is found at:

http://www.mayoclinic.com/health/occupational-asthma /DS00591/DSECTION=3&

A Sample of IgE-mediated Chemicals


(6)   For confirmation purposes, examples of IgE-mediated chemicals
        which can be involved in skin testing, include the following:

(a)   The disinfectant Ortho-phthalaldehyde.        

        It has even resulted in anaphylaxis, via "Cidex OPA." See:

<>  Nine episodes of anaphylaxis following cystoscopy caused by 
       Cidex OPA (ortho-phthalaldehyde) high-level disinfectant in 
       4 patients after cystoscopy.  {J Allergy Clin Immunol. 2004 Aug;
       114(2): 392-7}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd= Retrieve&db=PubMed&list_uids=15316522&dopt=Citation

(b)  Formaldehyde.

        It is masked behind a number of aliases, and it outgases from the
        shampoo and liquid soap ingredients, imidazolidinyl urea, DMDM
        hydantoin, diazolidinyl urea, and quaternium-15.   See:

<>   IgE-mediated urticaria from formaldehyde in a dental root 
        canal compound.  (The full text describes 28 cases of Formalde-
        hyde Sensitivity.  {J Investig Allergol Clin Immunol., 2002;12(2):
        130-3}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=PubMed&list_uids=12371530&dopt=Abstract

<>   Exposure to gaseous formaldehyde induces IgE-mediated 
        sensitization to formaldehyde in school children. {Clin Exp
        Allergy, 1996 Mar;26(3): 276-80}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=PubMed&list_uids=8729664&dopt=Abstract

<>   IgE allergy due to formaldehyde paste during endodontic
        treatment.  Apropos of 4 cases:  2 with anaphylactic shock 
        and 2 with generalized urticaria. {Rev Stomatol Chir Maxillofac.
        2000 Oct;101(4):169-74}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=PubMed&list_uids=11103423&dopt=Abstract

(c) Vinyl Sulphone Reactive Dyes.

       They are also known as fiber-reactive dyes, as well as azo dyes.
       They include Remazol Black B.   See:

<>   Roll of skin prick test and serological measurement of  
        specific IgE diagnosis of  occupational asthma resulting 
        from exposure to vinyl sulphone reactive dyes.  {Occup
        Environ Med. 2001 Jun;58 (6):411-6}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=PubMed&list_uids=11351058&dopt=Citation

<>   Asthma, rhinitis, and dermatitis in workers exposed to re-
        active dyes.
{Br J Ind Med. 1993 Jan;50(1):65-70}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=PubMed&list_uids=8431393&dopt=Abstract

(d)  Cyanuric Chloride.

     It is used in the production of  plastics, herbicides, pharmaceuticals,
     and fiber-reactive dyes.  It is also a structural component of mono-
     chlorotriazine and dichlorotriazine dyes. See:<>   Immunologic cross-reactivity between respiratory chemical
       sensitizers: reactive dyes and cyanuric chloride
.    {J Allergy
       Clin Immunol. 1998 Nov;102(5): 835-40}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=pubmed&dopt=Abstract&list_uids=9819302&query_hl=9

(e)  The disinfectant Chlorhexidine.  It even triggered anaphylaxis:<>   
       FDA Public Health Notice:  Potential Hypersensitivity Re-
        actions to Chlorhexidine-Impregnated Medical Devices

         http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/PublicHealthNotifications/ucm062306.htm

<>   Immediate hypersensitivity to chlorhexidine: literaure re-
        view. {Allerg Immunol (Paris) 2004.  Apr;36(4):123-6}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=pubmed&dopt=Abstract&list_uids=15180352&query_hl=16

(f)   Phthalic Anhydride.

       Nail polish ingredient, ingredient in specific spray paints, and
       an agent used in the making of  unsaturated polyester resins,
       alkyd resins, polyester polyols, and insect repellents.     

<>   Detection of specific IgE in isocyanate and phthalic anhy-
        dride exposed workers:  comparison of RAST RIA, Im-
        muno CAP System FEIA, Magic Lite SQ.  {Allergy. 1993
        Nov;48(8);627-30}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=PubMed&list_uids=8116862&dopt=Abstract

<>   In vitro demonstration of  specific IgE in phthalic anhydride 
        hypersensitivity.  Am Rev Respir Dis, 1976 May;113(5):701-4

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=PubMed&list_uids=1267268&dopt=Abstract

(7)  The test which Barrett condemns in his anti-MCS literature is the
       provocation-neutralization test.  In fact, the only type of medical
       practitioner that he mentions in the same literature is the so-called
       clinical ecologist.  Barrett inaccurately explained the provocation-
       neutralization test, in his omitting of pivotal fact, and he additional-
       ly gave the illusion that the only people on earth who test for chem-
       ical sensitivity are the so-called clinical ecologists.

(I)   Firstly, the diagnosing of  the various forms of chemical sensitivity
       has been occurring in the worlds of the Nose, Throat, & Allergy
       Specialist, the Occupational and Environmental Health Specialist,
       the Dermatologist, and even the Chest Physician.   In fact, from
       the world of  the chest physician came the golden rule for diag-
       nosing Irritant-associated Vocal Cord Dysfunction.  In addition,
       two pivotal papers on chemical sensitivity were produced by the
       head of  the department of  emergency medicine of an American
       university.  Yes, Emergency Medicine.      

(II)  Secondly, Stephen Barrett failed to mention that the provocation-
       neutralization test has included the measuring of objective skin
       wheals, and it was also used to detect allergies to insect stings.

Barrett Failed to Mention that it is an Offshoot
of  the Serial Endpoint Titration Skin Testing
Procedure, Covered by Aetna Insurance


(8)   The provocation-neutralization test is actually an offshoot of the
        serial endpoint titration skin testing procedure, covered by Aetna
        Insurance.  This is pertinent to note in light of the observation that
        Stephen Barrett has repeatedly stated what Aetna covers, as if
        Aetna alone is the ultimate benchmark in diagnostic testing.

(I)    Now, the Skin Endpoint Titration seeks to first identify a patient's
        allergens or hymenoptera venom hypersensitivities (such as to that
        of hornets, bees, wasps, fire ants, and/or yellow jackets.)   That is
        to say, the Skin Endpoint Titration first seeks to find the triggering
        dose of  a hypersensitivity reaction.

(II)   The same testing then seeks to find the neutralizing dose of the
         same allergen or venom.  Now, this is done for immunotherapy
         purposes and the neutralizing dose is found in a series of skin
         prick tests.  The dose at which a patient no longer experiences
         a hypersensitivity reaction is the "endpoint."   It constitutes the
         neutralizing dose.    It then becomes the "safe starting dose" for
         immunotherapy.   Thus originates the name "neutralization" in the
         provocation-neutralization test.  The set goal of a provocation-
         neutralization test is to identify the "neutral dose."

(III)   In summary, the provocation-neutralization test looks for 
         objective skin wheals, while simultaneously asking the pa-
         tient how he/she feels when, of  course, such testing involves
         skin prick testing.  The appearance of wheals have been docu-
         mented in such testing.

(IV)  The diagnostic parameters become exceeded when the testing is
         considered positive on an either/or basis; on the basis of either
         the appearance of an objective skin wheal or the subjective re-
         porting of a symptom.  However, this is test concerns itself with
         prognostic parameters, also.

(V)   Nonetheless, to consider a test positive exclusively on the merits
         of an objective skin wheal is to keep the diagnostic part of skin
         prick testing within acceptable parameters.  It's the sublingual
         drops version of such testing which raises eyebrows.

Wheal Reactions Showed a Distinct Pattern


(9)   Objective skin whealing was consistently documented
        during a research undertaking that tested the reliability
        of the provocation-neutralization test.   The result of
         the research goes as follows:            

       "Reaction by symptoms to foods, chemicals, and normal sa-
        line solution showed a random pattern, although wheal
        reactions showed a distinct pattern."

(I)   Thus, in the skin test version of the provocation-neutralization
       test, "wheal reactions showed a distinct pattern."

(II)   The conclusion of that research undertaking goes as follows         

         "Skin response alone may be a more reliable indicator
          and require cross-validation with other tests, such as
          oral and inhalation challenges and comparison with 
          a control population." See:

<>    Intradermal skin testing for food and chemical sensitivities:  
         a double-blind controlled study.  J Allergy Clin Immunol. 1999
         May;103(5 Pt 1): 907-11}

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd= Retrieve&db=PubMed&list_uids=10329827&dopt=Abstract

(III)  Concerning the prognostic aspect of the provocation-
         neutralization test, the Aetna Insurance Company states:

        "Since provocation-neutralization requires the provoking 
         and neutralizing of symptoms to a single item at a time, 
         a patient could be required to undergo hundreds of indi-
        idual tests requiring weeks or months of full-day testing."
         (Well, this is what Aetna states and its bottom line is money.)

(IV)   The bottom line is that skin testing has been used to identify indi-
          vidual chemical sensitivities to chemicals such as formaldehyde
          and phenyl isocyanate, and phthalic anhydride.  Tested patients
          produced the objective medical finding of visible and measurable
          wheals.  This has included forms of testing other than that of the
          neutralization-provocation test.  In fact, this has included RAST
          Testing.

(V)   Chemically sensitive patients have tested positive in inhalation
         challenge testing, as well as in patch testing (the testing which
         seeks to detect delayed hypersensitivity responses.)  Chemical-
         ly sensitive patients were also documented as having objective
         medical findings via the fiberoptic rhinolaryngoscopy and even
         the fine needle biopsy.  Some chemically sensitive patients were
         found to have inflamed air sacs of the lungs, while other patients
         were found to have hepatic injury in the absence of viral infection.
         Other ones were found to have upper-respiratory erythema and
         swelling.

         Chemical Sensitivity exists in a number of forms.   It's very real,
         and it can be quite brutal.   It has been repeatedly documented
         that chemicals, at ambient (nontoxic) levels, are not universally
         harmless.
        ________________________________________________

August 12, 2017

Avoidance, aka Environmental Control:
Board-certified doctors' orders.

The AMA, the American Academy of Allergy Asthma and Immunology
(the AAAAI), and the American Lung Association (the ALA) have all
acknowledged the following:

They acknowledged the existence of Chemical Sensitivity as it applies
to Asthma and Asthma-like conditions, as well as sinusitis and adverse
skin conditions such as dermatitis and urticaria (rashes.)  This includes

1}  Occupational Asthma due to Low Weight Molecular Agents,
2}  Irritant-associated Vocal Cord Dysfunction.
3} Reactive Airways Dysfunction Syndrome,
4)  Irritant-induced Asthma, .
5} Small Airways Disease.

All three associations have acknowledged that chemical-bearing agents can
trigger asthma attacks in susceptible persons. This includes chemically laden
fragrance products.  In as much everyone on earth needs air to breath.  No one
needs vain and gluttonous amounts of artificial fragrances products.

Each organization advocates the practice of Environmental Control; 
of avoiding airborne agents which trigger one's asthma.   In fact, the
AMA has formally referred to Avoidance as "Control of Factors Con-
tributing to Asthma Severity."   In French medical Literature, avoid-
ance is known as "Strict Eviction."  

Examples of recognized asthma triggers in the chemical category
include:

[A] "NO2" from gas stoves and fireplaces,  fumes from
        kerosene heaters, and volatile organic compounds
        from carpeting, cabinetry, plywood, particle board,
         and fumes from household cleaning products."

[B] "Air pollutants such as tobacco smoke, wood smoke,
        chemicals in the air and ozone"

      "Occupational exposure to vapors, dusts, gases or fumes"

      "Strong Odors or sprays such as perfumes, household clean-
        sers, cooking fumes (especially from frying), paints, or var-
        nishes"

[C] "Perfume, paint, hair spray, or any strong odors or fumes."

http://www.epa.gov/asthma/chemical_irritants.html

http://asthma.about.com/od/asthmatriggers/qt/chemictriggers.htm

http://www.aaaai.org/patients/publicedmat/tips/occupationalasthma.stm

http://www.lungusa.org/healthy-air/home/resources/cleaning-supplies.html

http://www.lungusa.org/lung-disease/asthma/about-asthma/understanding-asthma.html

http://www.lungusa.org/lung-disease/asthma/living-with-asthma/take-control-of-your-asthma/asthma-triggers.html

An American Lung Association already stated:

"Perfume, room deodorizers, cleaning chemicals, paints, and
  talcum powder are examples of triggers that must be avoided
  or kept at very low levels."

The same American Lung Association furthermore states:

"These 'triggers' can set off a reaction in your lungs and   other 
  parts of your body." Now, place an emphasis on "other parts
  of your body," and keep in mind that:

Avoidance also applies to Anaphylaxis, Chemically-induced Hepatitis,
Irritant Rhinitis, Dermatitis, Urticaria (rashes), Irritant-associated Vo-
cal Cord Dysfunction, Reactive Airways Dysfunction Syndrome, etc.

The AMA's Admitting to the Converse Relationship Between 
Pollution Levels and Hospital Admissions Due to Asthma

Five to six thousand people die each year from asthma, in the United
States alone, and one of the highest asthma-related death rates has
been in Harlem, NY, as well as Detroit.   Ever so coincidentally, the
environs of Harlem are venues for NYC waste sites. Concerning this,
the AMA has expressly stated that:

"fluctuations in the levels of air pollution correlate with asth-
 ma symptoms and hospital admissions."   [Report 4 of the AMA's
 Council on Scientific Affairs (A-98)]
===============================================

The segment posted below appears in another Atlantic America article.
This means that it might look familiar to you.  In fact, the information in
quotations, as well as the asthma chart, was provided by the American
Academy of Allergy Asthma and Immunology, in its publican information
literature.  Needless to say, charts can be invaluable for individuals seek-
ing to learn fact. 

The AAAAI's public education material 
on the subject of Occupational Asthma

Concerning the AAAAI that Barrett cited in his campaign to convince
mankind that Environmental Illness is merely a matter of mental illness,
it published an instructional website about Occupational Asthma.  The
AAAAI has already acknowledged that Occupational Asthma can be
caused by a number of chemicals at nontoxic/ambient levels, afflicting
a number of  workers employed in a number of  industries.

     Acrylates  . . . . . . . . . . . . . . . . . . . Adhesive handlers
     Amines  . . . . . . . . . . . . . . . . . . . .  Shellac & lacquar handlers
     Anhydrides . . . . . . . . . . . . . . . . . . Plastic, epoxy resin users
     Chloramine-T . . . . . . . . . . . . . . . . Janitors, cleaning staff
     Dyes . . . . . . . . . . . . . . . . . . .  . . . . Textile workers
     Fluxes   . . . . . . . . . . . . . . . . . . . . . Electronic workers
     Formaldehyde/glutaraldehyde . . .  Hospital staff
     Persulfate  . . . . . . . . . . . . . . . . . . . Hairdressers
     Isocyanates . . . . . . . . . . . . . . . . . . Spray painters, Insulation
                                                               installers; plastic, rubber,
                                                               foam manufactory workers.

         The same public education material of  the AAAAI states:

          "The cause may be allergic or nonallergic in nature,
            and the disease may last for a lengthy period in some  
            workers, even if they are no longer exposed to the
            agents that caused their symptoms
."

           "Inhalation of  some substances in aerosol form can
            directly lead to the accumulation of  naturally oc-
            curring chemicals in the body, such as histamine or 
            acetylcholine within the lung, which in turn lead to 
            asthma."

            "For example, insecticides, used in agricultural work,
            can cause a buildup of  acetylcholine, which causes
            airway muscles to contract, thereby constricting air-
            ways."

           "Allergic occupational asthma can occur in workers
            in the plastic, rubber or resin industries following
            repeated exposure to small chemical molecules in 
            the air."

          "If occupational asthma is not correctly diagnosed
           early, and the worker protected or removed from the
          exposure, permanent lung changes may occur and 
          asthma symptoms may persist even without exposure."

          "Up to 15% of  asthma cases in the United States may
           have job-related factors."

          "Isocyanates are chemicals that are widely used in many 
           industries, including spray painting, insulation installa-
           tion, and in manufacturing plastics, rubber and foam.
           These chemicals can cause asthma in up to 10% of ex-
           posed workers."

The aforementioned illustrates that Chemical Sensitivity, as it applies to
asthma and rhinitis, is acknowledged as valid and authentic by the same
AAAAI that Barrett elected to use, in order to support his assertion that
chemical sensitivity is merely a psychological illness.

Conclusion

Stephen Barrett can mock the diagnostic title, Multiple Chemical Sensi-
tivity, all that he wants to.  It will not take away the fact is that chemical
sensitivity has already been recognized in case specific form.  Nor will
it take away the fact that the sufferers of those case-specific forms of
chemical sensitivity need to avoid the chemicals which exacerbate their
medical conditions.
_________________
The following quote is
directly from the AMA 

Avoidance and AMA (CSA) Report 4 (A-98)

Avoidance is not 'detrimental.'  Nor is it nonsense.  Avoidance is a
medical necessity.  And as it applies to asthma, the AMA has stated:

   Regardless of the efficiency of clinician assessment and pa-
   tient self-monitoring, if the patient's exposure to irritants
   or allergens to which he or she is sensitive is not reduced 
   or eliminated, symptom control and exacerbation rate may
   not improve.  Formerly titled 'Environmental Control,' the
   key points in this area logically include efforts by clinicians
   to pinpoint causative agents and to provide specific advice 
   on how to avoid or reduce exposures to environmental or
   dietary triggers and drugs that may provoke or exacerbate 
   symptoms." AMA Report 4, Council on Scientific Affairs (A-98)
   ============================================

August 10, 2017

It's Sulfur Dioxide, Nitrogen Oxide, Black Carbon, Dioxins & Endocrine Disruptors which matter ... Not Carbon Dioxide.

Quit falling for politicians' con artistry.  How imperiled does this ocean appear?
Yet, air fresheners such as Febreze trigger asthma attacks repeatedly, and
no politician is doing anything about that medical reality.
      Again, Carbon Dioxide is NOT the main environmental concern . . . . . . . . .

...  except in the long term concern of gradual acidification of exceptionally large
     and deep oceans that won't acidify overnight.  Furthermore, the remedy to any
      excess carbon dioxide problem is that of planting more vegetation which will
      absorb the CO2.  There are 7 billion humans on Planet Earth.  There are more
      than enough people to do the planting.

      At this point, keep in mind that Wikileaks uncovered a couple scientists delib-
      erately falsifying the stats, to make it look as if we are headed for a carbon di-
      oxide based global catastrophe.  And and and, according to the Paris Agree-
      ment, China is not required to reduce greenhouse emissions until 2030.  So
      too is this the case with India.  The Paris Agreement was designed to make
      the United States the fool ... the sucker ... the loser.  This is one of the many
      reasons why the working man voted against the dumpy hag, Hillary Clinton.

      Plus, you exhale carbon dioxide hundreds of times a day.  If you are really a
      fanatical believer in the CO2 assertion, then you must kill yourself.  In light
      of that logical observation, would you like to look at the situation with a more
      open and less fanatical mind?

Scientists detected 86 chemical ingredients in Febreze.  There are eight known
endocrine disruptors in the American water supply that American technology
cannot filtrate (filter-out).  There are thousands of chemicals in civilization that
have never been tested for safety, and the chemically induced medical conditions
of asthma, cancer, obesity, occupational diseases, etc. remain prevalent.

And yes, there are chemicals known as obesogens, said to cause obesity.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279464/

https://www.niehs.nih.gov/health/materials/endocrine_disruptors_508.pdf

http://www.ncbi.nlm.nih.gov/pubmed/20689419

http://www.ncbi.nlm.nih.gov/pubmed/18315718

In addition, there are chemically triggered asthmatic conditions such as Irritant-induced
Asthma, Occupational Asthma due to low weight molecular agents, and Reactive Air-
ways Dysfunction Syndrome.

http://www.worldallergy.org/UserFiles/file/WAWKeyMessage_FINAL.pdf

Furthermore, there actually are hermaphrodite amphibious life in our modern bodies
of water, due to the industry's Chemical Anarchy, compliments of the "no regulation"
congress member of the American Congress.  These are the Lawless Law Makers.

http://www.scientificamerican.com/article/common-herbicide-turns-male-frogs-into-females/

http://www.nytimes.com/2008/04/08/science/08frog.html?_r=0

http://inhabitat.com/16-cities-sue-atrazine-maker-for-contaminating-their-water/16-cities-sue-syngenta/

Something as common ... though as vain ... as going to the hair salon has an added price
to it, especially to those in the industry, being exposed to the prevalent chemicals in the
hair salon product line:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4260452/

The list of the Chemical Sabotage being committed upon modernist societies
goes on and on and on.  With all of the sabotage caused to humanity by the
synthetic chemical industry, why do certain people obsess themselves with
a substance that every living mammal on earth exhales multiple times every
hour until death?  It's asinine to let harmful chemicals reign freely, while at-
atacking the #1 product of a mammal's body which is very healthy to plant
life and trees.   Worry about Sulfur Dioxide and let the trees take care of the
Carbon Dioxide levels.

The Nitrogen Oxides

This tale is told by NASA Goddard on Youtube in a clear fashion.  It can be found at:

https://www.youtube.com/watch?v=1QRGk8Rj8vU&index=1&list=PLH8YDbh9qmDGwYauz5d9blDYEHLSSGF2V


Carbon Dioxide doesn't come close to the potential for harm that exists in the
numerous  chemicals sprayed throughout civilization, placed in civilization's
food supplies, injected into humanity's water supplies, and which reeks from
modern society's erroneously named "air fresheners."

The Carbon Blueprint Obsession is a diversionary tactic which hides from hu-
manity the real molecular evils that imperil the health and lives of the multitudes.
The air-headed masses of humanity who limit their attention to sound bytes and
absolutely worthless vanities such as tattoos need to quit being so gullible.  Get
the chemicals found in Febreze and products similar out of humanity's airspace.
Get the endocrine disruptors out of the water supplies.  Cease the chemical an-
archy which is merely the result of deadly greed.

If you let of all the harmful chemicals reign supreme in your airspace, water
supply and elsewhere, then all of the Carbon Blueprint activism will be for
nothing.

Now, since the start of the start of the Industrial Revolution, the Earth's atmos-
pheric level of carbon dioxide increased approximately 40%.  And there is the
phenomenon of temperature elevation ... comparatively speaking.  In as much,
think:

          The world was in a mini Ice Age from circa 1400 to 1850.  Before the
          start of the Little / Mini Ice Age, grape vineyard did well in Denmark.
          Then, for consecutive centuries, grapes were not a crop of Denmark.
          Grapes can now be grown in Denmark again, just like in centuries
          prior.  So, we have a post-ice-age climate.

Now, as far as concerns the level of carbon dioxide, think twice as much:

         There are approximately twice as many humans on Earth exhaling car-
         bon dioxide every minute of every day.  This alone can explain for the
         rise in the level of carbon monoxide on Earth.  If you go fanatical about
         the CO2 level of the Earth's atmosphere, you will create Hitler-like Frank-
         ensteins obsessed with cutting humanity's population in half.  Let people
         live.  The Earth is adaptable, but our frail, chemically laden bodies aren't
         as adaptable.  Man is mortal.  Quit killing him in a slow, execution style
         assassination.  The Earth is here for man ... not man for the Earth.

        If you want to counter today's carbon dioxide level, plant more vegetation.
        then go plant trees, herbs, perennials, ivy, etc.  None the less, it doesn't com-
        pare to the hazard of sulfur dioxide.

         End the proliferation of chemicals in your home, office, garage, automobile,
         store, warehouse, gym, school, etc.  That's the needed target ... the chemicals
         in your airspace and respiratory system.  Think.  Quit being fooled.

carbon dioxide variations
Source:
http://www.skepticalscience.com/empirical-evidence-for-co2-enhanced-greenhouse-effect-advanced.htm

August 8, 2017

The Monsanto Scorecard

These are vineyard posts.  Below is the Monsanto Reference Post.
Being that the month of March archive is about war, a Monsanto post is
fitting, being that Monsanto declared war on human civility and the en-
vironment, especially when Round-up reaches water supplies.  So, let's
proceed:

This is a bibliography page of Monsanto-related articles.  Actually, it's a link
page, to YouTube transmissions and writings on the subject of Monsanto, Inc.
You're welcome to make benefit of this one-stop linking.

The probationary period is over, concerning the need to first employ prudence
before presenting Monsanto was the most evil business enterprise ever known
to modern man.  In fact, the more Monsanto gets researched, the more unjust,
poisonous, and predatory that corporation turns out to be.  Monsanto basically
declared war on life-on-earth.

Monsanto gave humanity 1} Saccharin, 2} PBC's (polychlrinated biphenyls)
3} Polystyrene, 4} the Vietnam-related nightmare known as Agent Orange,
and 5} the banned pesticide DDT.  (Monsanto's evil contributions to society
include the dioxin-bearing chemical 2,4,5-T, an ingredient in Agent Orange,)

Monsanto Inc also gave humanity 6} recombinant Bovine Growth Hormone 
(rBGH).  It was additionally the corporation  which marketed 7} G.D. Searle's
methanol-bearing Aspartame in such a way that we don't know who is correct
in the pro vs con health debate on the subject, because the objective clinic find-
ings are not presented in a capsulized outline.

How Evil Thou Art ... Monsanto turned out to be really really evil, after all.

Monsanto also sued farmers, on account of the fact that the farmers cannot con-
trol the wind and therefore cannot prevent Monsanto seeds from blowing onto
their crop fields. All in all, Monsanto is a corporate predator, negatively affect-
ing humanity and the ecology of the Earth.  None the less, accusations against
Monsanto must be presented maturely and clearly without theatrics and any
degree of emotional accentuation.

The evils of any predatory corporation must be presented to-the-point, for the
sake of prompting action that will undo the evil of the unconscionable corpor-
ation.  If society remains indifferent and inactive, then the poisoning of life on
Earth will continue its course.

       You might perhaps want to start here, with a Monsanto documentary
        presented by Abby Martin of the Empire Files.

                    https://www.youtube.com/watch?v=PTi0_ZQtPTY

         If you desire, you can even start here, with the World According
           to Monsanto.  It's a documentary includes covers Monsanto's
          administrative practices, advertising practices, advocations, as
           well as business practices.  It includes one Stalinesque tactic.

                    https://www.youtube.com/watch?v=zfOSFaaLx_o

Next would be a video that gives an outline that explains the GMO
food creation process actually is.

                    https://www.youtube.com/watch?v=FZ5OxdIq5DY
                                                               __________

2016 News:  St. Louis Jury order Monsanto to pay $46.5 million in latest PCB
                      PCB lawsuit

http://www.stltoday.com/news/local/metro/st-louis-jury-orders-monsanto-to-pay-million-in-latest/article_08e25795-0d36-5155-999c-c6bd954a6c2e.html
                                                            ______________

                         The March 29, 2016 Corporate Rap Sheet on Monsanto,
                                             from the Corporate Research Project

                                          http://www.corp-research.org/monsanto
                                                      ____________________

                        Let's continue with Jeffrey Smith, executive director of
                                the Institute for Responsible Technology

      *****      https://www.youtube.com/watch?v=U4JfFDTGXKQ   *****
                     ______________________________________________

Next is the Canadian case of Monsanto seeds inadvertently blowing into many hec-
tares of an independent farmer.  The court judgment and opinion can easily be re-
ferred to as a blatant miscarriage of justice.  Part of a Monsanto contact is read in
the film.  This is the Percy Schmeiser Case.

https://www.youtube.com/watch?v=su0om5L4Bhg
_________________________________________
Adam Sich of Truthloader competently takes us through a history of Monsanto
and shows the pattern of that corporation.

https://www.youtube.com/watch?v=2G5dlNzPnzU
___________________________________________

Concerning the existence of terminator seed technology, Monsanto claims that it
doesn't market such a thing.  Yet, it admits that such technology is a present-tense
possibility.  In fact, in 2007, it was involved in gene-stacking technology & research
with Chromatin, Inc.

http://news.monsanto.com/press-release/chromatin-and-monsanto-announce-agreement-advance-gene-stacking-technology

Of course, Monsanto's herbicide, Roundup, has been getting the attention, even in
the research laboratory.  More specifically, it has been the Roundup ingredients,
glyphosate and polyethoxylated tallowamine, which has been attracting the atten-
tion.  As an example, glyphosate was found to be a clastogen.  This means that it
breaks chromosome chains even in human beings.

http://www.hindawi.com/journals/jt/2009/308985/

In addition, the Northwest Parkinson's Foundation reported on a connection between
the ingestion/inhalation of Roundup and the development of Parkinson's-related brain
damage.  This makes the issue very serious.

https://nwpf.org/stay-informed/news/2012/04/roundup-herbicide-linked-to-parkinson%E2%80%99s-related-brain-damage/

A number of nearly criminal allegations have been leveled against Monsanto.  How-
ever, needed was to first investigate the records, being that a lot of worthless gossip
transpires on the internet and radio talk shows, such as is the case with the all-night
coast-to-coast tin foil hat show which claims that the sky is always falling, some-
times with UFOs, Grays, and an occasional Moth Man, in the spirit of campfire
stories.

No kangaroo courting is permitted here.  So, a bit of research on Monsanto was
first needed.  From the records, archives, and articles, Monsanto does get into a
lot of environmental trouble, in the form of lawsuits.  So, that part is confirmed.
In fact, it appears that Monsanto is a corporation run by individuals who keep
trying to place a square peg in a round hole, for the sake of profit, only to get
served with lawsuits and then earn the distrust of humanity.

Monsanto does appear to be a corporation without a conscience.  But, one has to
be detailed in presenting the evidence, when it comes to the scathing accusations
against Monsanto.  There is cause for the scathing, however.

The corporation has admitted to have committed wrongdoing in Indonesia, between
1997 and 2002.  It was found liable in France, for weedkiller poisoning.  It was even
found liable in an Alabama PCB poisoning case.  None the less, the Alex Joneses of
America and the UFO talk show hosts can't go piling on without evidentiary support.

Here are a list of articles on Monsanto which certainly don't make that corporation
look like a branch of Mother Theresa's Sisters of Charity ... to say the least.

Let's start with articles on Roundup, the Monsanto herbicide and the controversy
of a two-year study on Roundup:

http://anh-europe.org/news/anh-feature-french-study-indicates-monsanto-maize-and-roundup-cause-cancern

The  adjuvant effect of chemical toxicity when studying them in combination,
as opposed to individually:

http://www.rodalenews.com/roundup-weed-killer-more-toxic-originally-believed

A Year 2011 article on weeds developing a resistance to herbicides:

http://www.motherjones.com/tom-philpott/2011/07/monsanto-superweeds-roundup

As of late June 2013, another wheat-related civil action filed against Monsanto

http://www.kansascity.com/2013/07/08/4334882/another-wheat-lawsuit-filed-against.html 

http://hdnews.net/news/wheatharvest062713-side1 

This articles addresses Roundup being found in US water supplies:

http://www.reuters.com/article/2011/08/31/us-glyphosate-pollution-idUSTRE77U61720110831 

This is a general outline of the corporation:

http://www.dailyfinance.com/2010/02/04/monsanto-the-evil-corporation-in-your-refrigerator/ 

Monsanto's GMO corn allegedly linked To organ failure, study reveals:

http://www.huffingtonpost.com/2010/01/12/monsantos-gmo-corn-linked_n_420365.html 

Farmers actually sued Monsanto this year, instead of visa-versa 
Organic Seed Growers & Trade Association, et al. v. Monsanto

http://www.grist.org/sustainable-food/2011-03-31-reversing-roles-organic-farmers-sue-monsanto-over-gmo-seeds 

The epidemic of suicide amongst Indian farmers who ever so 
coincidentally happen to have been Monsanto customers.

http://www.dailymail.co.uk/news/article-1082559/The-GM-genocide-Thousands-Indian-farmers-committing-suicide-using-genetically-modified-crops.html 

Also about the epidemic of suicides among India's farmers.

http://www.pbs.org/newshour/bb/asia/jan-june07/farmers_06-26.html 

Monsanto admits to Wrongdoing in Indonesia between 1997 and 2002:

http://www.monsanto.com/newsviews/Pages/business-practices-in-indonesia.aspx

Monsanto denies marketing terminator seeds (GURT seeds):

http://www.monsanto.com/newsviews/Pages/terminator-seeds.aspx 

50 civil society organizations (CSO's) asked the United Nations to ban GMO's:

http://www.huffingtonpost.com/organic-authoritycom/are-monsantos-days-number_b_988104.html

http://www.foeeurope.org/world-leaders-fail-Rio-220612 

Monsanto found liable for weedkiller poisoning in France

http://www.washingtonpost.com/blogs/blogpost/post/monsanto-found-liable-for-weedkiller-poisoning-in-france/2012/02/13/gIQAp2WcBR_blog.html 

Monsanto being sued in Oregon for illegal strain of GMO wheat
that blew onto an Oregon farm

http://thinkprogress.org/health/2013/05/30/2079071/illegal-monsanto-wheat-contamination/?mobile=nc

http://rt.com/usa/monsanto-lawsuits-gmo-wheat-603/ 

Monsanto found liable for PCB pollution in 2002

http://usatoday30.usatoday.com/news/nation/2002/02/22/monsanto.htm

http://www.globalethics.org/newsline/2002/03/04/monsanto-found-liable-in-pollution-case/

The 2013 global march against Monsanto which transpired in 52 nations

http://www.washingtonsblog.com/2013/05/2-million-march-in-50-countries-against-monsanto.html

83 plaintiffs against Monsanto, in a lawsuit which addresses Monsanto's
practice of suing farmers who unintentionally have Monsanto seeds blow
onto their farms

http://www.centerforfoodsafety.org/press-releases/763/home

Scientists dismiss Monsanto's explanation for 
the gene-altered wheat supply that emerged

http://www.bloomberg.com/news/2013-06-06/scientists-unswayed-by-monsanto-findings-on-rogue-wheat.html?cmpid=msnmoney&industry=IND_CHEMICALS&isub=

http://www.scmp.com/lifestyle/technology/article/1256543/plant-scientists-question-monsantos-findings-about-escaped

In re: Monsanto's use of Glyphosate

http://www.prweb.com/releases/2013/6/prweb10878512.htm

Connecticut State Assembly recently passed a law requiring GMO labeling

http://www.thewestonforum.com/11414/connecticut-is-first-state-to-pass-gmo-labeling-law/
________________________________________________________________

August 6, 2017

Corporate Welfare: Government Paying
for Illnesses Caused by Corporations

Concerning the woman whose medical records contain the following
findings, would the reasonably minded person conclude that she has
a psychosomatic illness or a physical one?

  1 - Wheezing.
  2 - Tachycardia.
  3 - Hypopotassemia.
  4 -
Rales and crackles.
  5 -
Gruntled breathing.
  6 - Erythematous uvula.
  7 - Grossly enlarged turbinates.
  8 - Erythema of the oropharynx.
  9 - Edema of the true vocal cords.
10 - Adenopathy in the left postauricular region.
11 - Productive response in Spiriva challenge testing.
12 - A circumscribed nodule in the left occipital region.
13 - Thickened coating over the dorsum of the tongue.
14 - A firm 1x1 cm nodule in the right postauricular region.
15+ A couple additional findings consistent with Rhinitis.


Unless you are an avowed liar, the answer to that question is beyond
obvious.  Therefore, what right do corporate-funded attorneys and an
independent medical examiner have in asserting that the woman found
to have these objectively observed ills is mentally ill?  What gives them
the right to claim that she has no objective medical findings that would
validate her symptoms?  Her symptoms have included:

[1]  a stinging tongue.
[2]  shortness of breath.
[3]  burning nasal passages.
[4]  a metallic taste in the mouth.
[5]  an adrenal-like stream throughout her solar plexus.
[6]  headaches accompanied by the bruised feeling at the
      cheekbones and temples.
[7]  ice-like numbness pervading her upper-respiratory
      tract (on specific occasion.)


Moreover, diagnoses given to her have included:

(1)  Allergic and Irritant Asthma (Reactive Airways).
(2)  Glossitis (inflammation of the tongue).
(3)  Rhinitis and Turbinate Hypertrophy.
(4)  Chemical and Irritant Sensitivities.
(5)  Reactive Hyperplasia.

____________________
____________________________
_____________________________________

Introduction

The corporation involved in the following account is one whose 2005
financial report marked its stockholder equity value at $11.2 billion.
Net tangible assets were marked at $4.2 billion.

December 2006 one-line addition/update:

Until mid-2006, the corporation involved was legally known as the
Cendant Corporation, of  Parsippany-Troy Hills, NJ.  In addition,
the geographic region involved in the following account is Elizabeth-
ton, Tennessee.  Cendant Corporation once operated business there.

The apex of  the following account concerns a year when the corpora-
tion's CEO received $17 million in salary and bonus income.   During
that same year, $1.02 million was placed into the CEO's pension fund.
An additional $4.54 million of  stockholder  money was used to pay
the premiums on his $100 million life insurance policy.

The place of work involved in the following account is a former coal tar
pitch research center.  The corporation no longer uses it.  It was found
to have minute sized monfilament fibers pervading the employees' work
areas.  And needless to say, the smaller the molecular agent, the greater
is its potential to infiltrate and afflict the complex human anatomy.  After
all, this was the case with a number of  WTC cleanup crew members
exposed to the Manhattan site's pulverized concrete dust. It resulted in
Small Airways Disease.

This account highlights a former employee of that corporation.  She
was in the process of  loosing the sum total of  everything during the
same year when the corporation's CEO was amassing a multimillion
dollar income. Throughout the account, she is simply referred to as
"the woman."  That is to say, her name will not be used.  In addition,
other persons who worked in the former research center reported
symptoms similar to hers.

The corporation was advertised as the world's largest real estate brok-
erage franchiser, the world's largest vacation ownership organization,
and the world's largest "provider of outsourced corporate employee
relocation services," as well as one of  the largest hotel franchisers in
the world and one of  the world's largest car rental operators.  Opera-
tions included the telemarketing of its services.

                      Not Even a Get Well Card


During her six months with the corporation, the woman highlighted in
this account generated approximately $500,000 in sales revenue.   In
fact, her sales of hotel room reservations averaged $2,777 per four
hour shift.  In return for her services, she was rewarded with a chron-
ic disability.  To this day, the corporation has offered her no apology,
while thecorporation's insurer has offered her no compensation.  She
was not even sent a Get Well card.  Instead, the defense attorneys and
independent medical examiner involved in her workman's comp case
sought to have her tagged with a psychiatric label which can conveni-
ently serve as an excuse for the severe illness which developed during
her time of work at the former coal tar pitch research center.

She Had to Fire Her Attorneys, in their Gross Negligence
       That is to say, she had to file a voluntary dismissal


The woman won her Social Security disability case a year ago. But, in
December 2005, she had to fire the legal counsel involved in her work-
man's comp case.  Technically speaking, she filed a voluntary dismissal.
Her attorneys refused to enter into evidence recent medical findings that
resulted from an October rhinolaryngoscopy.  And in the refusing there-
of was mention of  the cost of entering the new evidence.

The attorneys furthermore refrained from emphasizing the woman's pri-
or medical findings.  In fact, they accepted as uncontroverted truth the
averments (assertions/allegations) of  the defense counsel.  Such aver-
ments would have resulted in the woman loosing her case, and those
averments contradict her medical records.  Therefore, the woman had
to dismiss her attorneys and start anew.

HER OBJECTIVE MEDICAL FINDINGS

The defense counsel in her workman's compensation case asserted that
she had no objective medical findings to support her symptoms.  In fact,
a mental health person diagnosed her as having agoraphobia, along with
panic anxiety.  Yet, she has over a dozen objective medical  findings at-
tached to her medical records.  Such findings indicate the presence of a
physical illness, and not a psychiatric one.

Furthermore, three board certified physicians diagnosed her outside of
emergency room settings.  And those diagnoses are much different than
the one given by the "mental health person."

One of the diagnosing physicians is an allergist & immunologist, while
another one is a cytopathologist (a cytopathologist diagnoses illness at
the cellular level.) And the third diagnosing physician is an Ear, Nose,
& Throat specialist who is also a fellow of  the American College of
Surgeons.  The diagnoses given to the woman came predominately
from the fine-needle biopsy, the fiberoptic rhinolaryngoscopy, and
ER room records.  In examinations and testing performed outside of
emergency room settings, the woman was found to have:

(1)  Grossly enlarged turbinates
(2)  Erythematous uvula.
(3)  Edema of the true vocal cords.
(4)  Adenopathy in the left postauricular region.
(5)  Thickened coating over the dorsum of the tongue.
(6)  A firm 1x1 cm nodule in the right postauricular region.
(7)  A circumscribed nodule in the left occipital region.

Plus, attending ER physicians recorded the following findings:

(1)  Wheezing.
(2)  Tachycardia.
(3)  Hypopotassemia.
(4)  Gruntled breathing.
(5)  Rales and crackles.
(6)  Erythema of the oropharynx.
(7+) A couple additional findings consistent with Rhinitis.

Her diagnoses were:

(1)  Allergic and Irritant Asthma (Reactive Airways).
(2)  Glossitis (inflammation of the tongue).
(3)  Rhinitis and Turbinate Hypertrophy.
(4)  Chemical and Irritant Sensitivities.
(5)  Reactive Hyperplasia.

Upon certain environmental exposures, her symptoms reproduce them-
selves in a predictably reoccurring pattern.  Nothing about her symp-
toms is random.  In fact, due to the predictability of  her condition, she
quit keeping a diary of  her ills as far back as June 2003.  Furthermore,
she has been in need of filtered masks and air cleaners, as well as ready
access to oxygen.  In addition, prescription medications posted in her
medical records are consistent with one who has severe asthma.  Her
medications have included Albuterol,  Ipratropium Bromide, Xopenex,
Levalbuterol Hydrochloride, and Salmeterol, as well as intravenous
steroids.

Keep in mind that she was exposed to obscenely inordinate amounts
of dust at her place of work (as is described in her exposure history
account.)  Well, she tested severely positive for dust mites (in RAST
testing, I believe), while having tested negative for every other type of
high weight molecular agent (such as ragweed.)  In as much, a person
can become sensitized to dust mite proteins as much as he/she can be-
come sensitized to formaldehyde, glutaraldehyde, phthalic anhydride,
etc.  In fact, barn workers have been documented as having become
sensitized to storage mites.

HER EXPOSURE HISTORY
(transposed from her diary)

THE FIRST 3 MONTHS

April 10th 2002 Health:  Perfect
Mental Health:  "Optimistic, inspired, forward looking".


She moved from Tuscaloosa, AL to Johnson City, TN.  Jogged and
walked everyday. Could go up and down the entire complex; a span
of about four miles.  Went to the library, to Bristol Stores and malls.
Explored the local university and the book stores.  She generally did
what one does when one moves to a new city.

May 2002 Health:  Perfect


She was hired by the previously mentioned corporation, and put into
a two week training program.  Near the end of the two weeks, she de-
veloped what appeared to be the flu.  This included a sore throat and
fever, along with body aches and headaches.  She did not complete
the training at that time.

After her health improved, her training restarted.  Shortly afterward,
she was hired as a temporary and part time employee.  During the
last few days of training, one of her fellow trainees had an asthma
attack.  She noticed some stuffiness in the corridors, along with a
strange chemical odor.  But, she did not pay attention to this at the
time.

Late June/July 2002 Health:  Perfect (for the final time)


Her group was assigned to work downstairs, at the main call center.
During her first day there, she noticed a stuffy stale smell.  The chemi-
cal odor downstairs was more far intense than the smell on the floor
where she was trained.  She also noticed an inordinate amount of dust
everywhere.  Plus, on the cubicle walls were tiny and transparent fibers
the width of a human hair.  They were embedded into the cubicle walls'
fabric.  In fact, the cubicle partitions had a visible layer of brown dust
on them.  Upon a slight tap,  a cubicle wall would spew out dust.

The agent resource books were laden with dust, also.  Picking one of
them up would result in dust spewing out from the pages.  The carpet-
ing was dirty, also.  Pesticides were sprayed indoors, even with call
center employees on duty.  Some of the ceiling titles had the marks of
water damage attached to them, and within time, her fellow employees
would point out blackened mold to the woman.

THE NEXT 11 MONTHS

July/August 2002
Health:  Alternating between well and ill


She began to get a dry cough.  Things then worsened, and it became
very difficult for her to talk on the phone.  Yet, she was expected to
take a new phone call every three minutes.  She soon felt a degree of
tension in her lungs and bronchi, due to the dust and the continual talk-
ing.  She resorted to throat lozenges, Tylenol, and Robutussin.

While the HVAC system was being fixed, her crew was often told to
sit upstairs.  The chemical odor was still present upstairs, and in addi-
tion to that, free-standing fans were run at the far end of the call cen-
ter.  She preferred to sit at that end, being that the other end was an
entranceway crowded with smokers and cigarette butts.  Every time
the door opened, smoke would waft into the room.

During the hot summer months, whenever the air conditioning was not
functional, this same door would be left open.  Because of the obvious
air quality issues there, she requested to sit upstairs.  Her supervisor
agreed.  However, another supervisor spoke of having almost passed
out when training new employees upstairs.

While working downstairs, the former employee had trouble breath-
ing.  It initially started off as a “choking” episode each time the free
standing fans were turned on.  The fans were laden with dust, and
they were turned on frequently.  The blowing air would agitate the
dust in the room and propel it directly into the employees' breathing
space.  Many fellow employees began to complain about choking.

August 2002 Health:  Quite Ill

When upstairs, the sensation of burning eyes was very much prevalent,
as was the dry cough and the choking.  Dust was on the cubicle walls
upstairs, also.  The woman developed sinus congestion, a runny nose,
headaches, and a continual low grade fever.  She would arrive home
from work exceptionally fatigued.  Many of her fellow employees who
were stationed upstairs had the same symptoms.

On one occasion, as she was going upstairs to clock in, her heart be-
gan to palpitate furiously.  The staircase had not been cleaned, or if it
had been, the cleanliness had not lasted long.  Furthermore, the heavy
chemical odor was present.  In addition, there was a strong musty and
greasy smell.

Her hands began to sweat, her knees started to shake, and a tightness
in her chest was making it hard for her to take in a breath.  She was al-
so dizzy.  She went to her work area and clocked in.  She then realized
that if  she didn't get fresh air soon, she would pass out.  She went out-
side and then walked to a nearby gas station, getting a package of Ben-
adryl and something to drink.

September 4th, 2002.  First ER Visit.
Health:  Declining


She was now starting to feel fairly bad on an everyday basis.  She no-
ticed that she felt better at home.  It was only when she was at work
when her symptoms were induced.  This included the dry cough, the
burning eyes, the choking, and the palpitations that would begin soon
into the shift.  In addition, her nasal passages, throat, and lungs felt as
if they were filled with grittiness.

This was the time when she first went to an ER.  She was prescribed
Claritin and Biaxin, having been diagnosed as having Allergic Rhinitis.
The doctor noted on her records that she had a fever, rhinorrehea, and
erythema of the oropharynx, along with post nasal drip.  He also noted
abnormal constitutional signs.

She continued to treat herself with Benadryl, as it was getting progress-
ively difficult for her to work.  After twenty minutes into a work shift,
she would start coughing.  She could now hardly speak on the phone
and the Benadryl made her sleepy.  Her throat hurt and her voice now
squeaked, breaking-up frequently.  The heart palpitations continued.

A co-worker told her that he had begun to have these same types of
symptoms soon after he had started working there.  He also said that
it seemed to be getting worse for him in 2002.  Another employee told
her that he had frequent heart palpitations when at work, in addition to
the dry cough.

September 8th 2002 Second ER Visit

She began work at 8 p.m and worked until 2 am. Throughout this time
she felt a tightness forming in her chest area.  She was taking Children's
Benadryl and thought that this anti-histamine would be sufficient.  Due
to these exposures, she had a lot of congestion, along with dry cough-
ing.  She completed the shift with much difficulty.

After work, as she was driving out of the parking lot when she began to
choke.  She tried to cough but no phlegm emerged.  She pulled over at
a gas station and called Emergency Medical Services.  The EMS crew
gave her an albuterol breathing treatment in the vehicle.  She was then
taken to a hospital.  The treating physician prescribed Volmax and an
inhaler.  In fact, he stated in her medical records that she was allergic to
the work environment.  He noted the following: "Constitutional signs:  
abnormal; Tachycardia."
=================================================

August 5, 2017

The Icy Numbing

                            "Imagine a strange metallic taste and magnify it at at least 
                             50 times.  Then imagine it pervading your nose, throat,
                             larynx, tongue, bronchi, and brain  . . .  smashing you 
                             completely." 

                          "A very weird state.  Hard to explain.  Almost the feeling 
                            one gets when exposed to subzero temperatures.  Your 
                           membranes seem to get anesthetized.    Yet, they make 
                           their presences known, despite the absence of sensation."

March 2003 Health:  fair/fatigued
Emotional Outlook:  well/optimistic


She was now practicing Avoidance.  This is the practice of avoiding
the airborne agents that trigger one's asthma.  It's a practice advocat-
ed in Report 4 (A-98) of   the AMA's Counsel on Scientific Affairs.

On the woman's mind at this point in time was her plan to go to Hunts-
ville, Alabama and search for an apartment there.  This created hope-
ful optimism in her.  Job opportunities were opening in Alabama, and
a physician told her that moving away from Johnson City could reduce
her frequency of asthma.  This optimism negates any suspicion that her
ills were triggered by anxiety or depression during this time span.

March 16, 2003


She went to a grocery store, in order to buy some last minute items for
her trip.  She had been in the store for only a minute, when an asthma
attack was triggered.  After all, the store was laden with strong odors,
and the AMA has already defined strong odors as asthma triggers.  On
this occasion, her inhaler took much longer than usual to work.  On this
occasion, she became disoriented for the first time.  On this occasion,
she had entirely lost her sense of direction.  An EMS crew had to drive
her home.

March 18, 2003  EMS call - hospitalized.
Health: severe illness
Mental outlook:  scared after the attack


Being that her trip had been arranged, she convinced herself that she
could travel.  So, she and her son left for Alabama.  En route to her
destination, she suddenly became sensitive to vehicle exhaust fumes.
Her face seemed to get hot and swollen, while a gland near her ton-
sils seemed to enlarge.  Chest tightness & asthma then set in.  It felt
as if a 10 inch ball of burning fire (exhaust fumes) hit her in the chest,
spreading throughout her entire body.  She could taste the petroleum
odors.

In having become too weak to continue the trip, she searched for an en-
vironmentally friendly hotel.  Her son finally located a room that seemed
suitable for her.  Yhe result was that the irritants triggered another asth-
ma attack.  She was placed on oxygen for six hours, and given breath-
ing treatments via Xopenex, Atrovent, and Salmeterol.  She was given
the intravenous form of steroids every four hours.  That night, while in
the hospital, her blood pressure dropped drastically.

She had been diagnosed with: (a) Acute and severe asthma attack, and
(b) Hypopotassemia.  Objective medical findings already noted on re-
cord, were:   (a) labored breathing, (b) wheezing, (c) rales, (d) rapid
heart beat, (e) gruntled sounds.  This negates the defense attorneys' al-
legation of mental illness.  Then came the October 2005 rhinolaryngo-
scopy whichindicated the presence of  a physical illness much more in
depth.

March 20, 2003  Health:  debilitated.


She recalled being barely able to function in Huntsville.  Yet, she and
her son attempted to explore the city.  When waiting for a traffic light
to change, she started to become hypersensitive to exhaust fumes once
again.  She had another asthma attack.  This time, her inhaler did not
seem to help.

Wwhen driving back toward the hotel, she completely lost her sense of
direction once again. This is the second time that this happened.  EMS
personnel escorted her back to the hotel.

March 21, 2003  E.M.S call/Huntsville hospital


She went to a health food store.  Her son went inside, while she waited
outside.  He bought rosemary juice and suggested that she put some in
her bath water, thinking that a warm bath would help her.  Being that
she had always enjoyed the odor of Rosemary, she put a small capful
into the bath.  It was a mistake to have done that.  The bath was relax-
ing, but upon coming out of the tub, she starting to feel warm, and then
faint, being unable to take in a full breath.  For the third time on this trip,
she became totally confused, while feeling very lightheaded.   Her son
called EMS, and en route to the hospital, she was administered oxygen
and an IV.  At the hospital, she was given saline.

March 22, 2003  Health:  very bad; EMS call


She realized that it was not possible for her to live in Huntsville, being
that it seemed to have a lot more vehicular exhaust than did Johnson
City.  Yet, she felt that she had to complete the trip to Tuscaloosa as
planned.  She did. 

March 23, 24, 25, 2002


She spent 3 days in Tuscaloosa with friends and  had trouble breathing
outside their house as much as inside of  it.  Her friend smoked indoors,
so she stayed with her friend's sister.  She went to a Chinese restaurant
with friends, but had to leave, because of  its indoor air quality.  It was
the familiar type of irritant airspace.

She and her friends went to Books-a-Million.  She would spend many
hours there when she lived in Tuscaloosa, with no problem being there.
This time, however, she had been seated for no more than five minutes,
when the aroma of coffee became too noxious to her.  Another asthma
attack was  triggered.  So, she went outside and resorted to her inhaler.

Late that night, her friend's sister turned on a gas heater.  An ensuing
odor made the woman sick, bringing her close to having another asth-
ma attack.  She had to sleep next to a window, while wearing a filter
mask throughout the entire night.  Her friends then took her to church
the next day, and she sat next to the open back door, wearing two fil-
ter masks.

She went back to Johnson City that week.  On the way back, she got
stuck in traffic.  She became ill once again.  When she finally reached
home, she collapsed out of weakness.   She also had a headache, a
sore throat, and chest inflammation.  This collapse mode lasted for the
next few years.

Since April, 2003, she had varying degrees of tightness in the chest,
along with asthma, nasal pain, burning, and congestion.  She took all
of her prescribed medications, and resorted to wearing activated car-
bon masks much of  the time.  In addition, she has a car interior air
cleaner, as well as dust screens for the car.  This helps, but she is
still able to smell odors, even through the carbon masks.

There were two doctor's appointments that she was unable to keep.
One was missed because she couldn’t find the doctor’s office in the
midst of another irritant response to exhaust fumes.  The other physi-
cian had his office in a commercial building downtown.  As she was
approaching the entrance, she caught sight of nurses smoking.  She
knew that she would not be able to make it down the smokey, fra-
grance laden, and cleaning agent laden corridor.  Her need to find a
primary care physician was pressing.

May 31st, 2003  Health:  Depends on exposures.
Mental:  Good/Fair


She found two doctors at a nearby university who understand her type
of medical condition.  They did all they could to help her.  She was ap-
prehensive on her first visit to one of the newly located physicians, and
it was with the utmost self-control that she waited in the waiting room.
This was due to her extreme sensitivity to fragrances and various clean-
ing agents.  Blood tests were ordered after a lengthy consultation.  Yet,
en route to the testing  area, she started to feel ill again, more so than
previously.

She was once scheduled to take a CT scan.  The building where the
scan was to be taken was a bit worse than the building where she had
previously been.  The technician had the woman go into the machine
promptly and performed the scan.  Meanwhile, she began to feel light
headed.  It seemed as if a metallic smell were causing it.  In fact, she
had to be helped out of  the room, after the scan.  She felt dizzy, even
to the point where she felt that she was about to pass out.

She remained ill up to 48 hours after the CT scan.  After the scan, she
was short of  breath.  But, this form of  shortness of breath was much
different than the previous bouts.  It appeared to be a tissue reaction,
she said; one accompanied by a hollow lack of sensation and even a
numbness.  This absence of sensation extended to her  nose, bronchi,
esophagus, trachea, and lungs.  She said that her lungs hurt.  But, it was
a dull chronic inflammation that she felt.  She described it in the follow-
ing manner:

      "A very weird state.  Hard to explain.  Almost the feeling
      feeling one gets when exposed to subzero temperatures.
      Your membranes seem to get anesthesized.  Yet, they
      make their existences known, despite the absence of
      sensation."

   "All this is very strange.  It's anxiety-causing, because if it's

     not ameliorated, it leads to a strange sort of  “inability" to 
     breath.  It's not like congestion, in the usual sense.  It leads 
     to the desire to cough, but the cough does not lead to any
     cessation of  symptoms.  I also feel as if I'm in the process 
     of fainting at times.  I feel shakey."

June 05, 2003

She began to feel better, two days after the CT scan.  The “hollow” 
and metallic” syndrome finally resolved itself.  About this she wrote:
"Just that little exposure to the CT Scan environment made me 
ill for two days!"

She had to go to the bank one day, and it was a hot and/or humid 84
degrees outside.  She started to feel ill in the heat, with the activated
carbon mask on.  The mask itself was starting to emit traces of ex-
haust odor.  She never made it to the bank that day.
==============================================