Re: Good Medical Practice document--Seeking Comments

[Guest guest]

I think they should make all Dr's read this and than they have to take a test

so we know what they read and until they pass it they DON " T get to practice

Medicine.

That we be nice to bring a little integrity back into Medicine

K

<brianc8452@...> wrote: You have an opportunity to give your

feedback on this document. It would be great if all doctors would conduct

themselves according to the criteria listed in this document, but all of us on

Sickbuldings have met many doctors who don't. If you go this website, it has a

link to the actual document if you want to read it and make comments.

https://gmpusa.org/

Good Medical Practice – USA is a tool that has been developed to set out the

principles and values that describe a good doctor practicing medicine under

normal circumstances. It has been developed to provide guidance for doctors and

those who educate and regulate them. Individuals from approximately 60

organizations have contributed to writing, reviewing, and editing its content.

It is a living document, meaning that it will evolve and change as input and

feedback is received and as medical practice changes. It is written for

physicians, but will also assist members of the public in understanding what

they may expect of physicians.

Comments and feedback from diverse perspectives will be critical to the

document’s continued development and utility to those with a vested interest in

assuring physicians are competent. Anyone may review and provide feedback on

Good Medical Practice – USA after registering to enter the gmpusa.org website.

________________________________________________________________________________\

____

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[Guest guest]

Please see the U-Conn Document from 2004,

University of Connecticut Health Center

Office of Communications

News Release

For Immediate Release

Distributed November 3, 2004

Contact:

a Goodnough

860-679-3700

_goodnough@..._ (mailto:goodnough@...)

Guidance for Clinicians on the Recognition and Management of Health Effects

Related to Mold Exposure and Moisture Indoors

Published by UConn Health Center

FARMINGTON, CONN. – From sinusitis to asthma and pneumonitis, serious

illness as a result of poor indoor air quality has been well documented in

recent

years. Less clearly established are the specific causes of building related

illness and the measures required to prevent or ameliorate them.

For physicians and other health care providers faced with a rapidly growing

number of patients troubled by indoor contaminants, there is a new primer to

guide them, entitled Guidance for Clinicians on the Recognition and

Management of Health Effects Related to Mold Exposure and Moisture Indoors,

published

by the Center for Indoor Environments and Health at UConn Health Center with

a grant from the Environmental Protection Agency.

“It’s a manual for primary care physicians,†says Eileen Storey, MD, MPH,

chief of the Division of Occupational and Environmental Medicine and one of

the authors of the book. “We give them an approach to use with their

patients.

We help them identify patients and the illnesses or complaints that may be

related to mold or other indoor contaminants. We give them assessment tools

for those patients. We tell them how to counsel their worried well patients

and guide them to resources their patients can use to reduce moisture and mold

in their homes,†says Storey.

For example, the book contains a questionnaire physicians can use to

evaluate a patient when an environmental problem is suspected. It can be

filled

out by a patient in a few minutes and contains questions that help explore

moisture and mold in the patient’s home, school, or work environment. Any

positive response may indicate uncontrolled moisture with a potential for

biological growth and begins a helpful dialog between patient and health care

provider. The book provides a list of references to specific books or

pamphlets that

patients can use to eliminate problem moisture.

“We know that exposure to mold and other contaminants in indoor environments

may adversely affect a person’s health,†says a Schenck, MPH, another

author of the book. “We spend nearly 90 percent of our time indoors. Asthma

has increased substantially in recent years, so we suspect the indoor

environment plays a role. But not everyone is sensitized to indoor

contaminants, and

different people become sensitized in different ways.†The book provides

approaches to use for assessing indoor environments and gives physicians

strategies to recognize environmentally related clinical problems, says

Schenck.

“Something is going on in our indoor environment that is making us sick,â€

says Storey. “We see it in office workers. We see it in school teachers.

Their illnesses range from chronic runny nose to sinusitis or more serious

conditions like asthma and hypersensitivity pneumonitis. Their symptoms often

diminish when they leave the workplace for the weekend or the summer, but we

don’

t know what is actually causing their illness,†says Storey. In recent years,

a tremendous amount of attention has focused on architecture, construction

materials, and ventilation systems trying to figure this out, according to

Storey. “We use wallboard instead of plaster. We don’t build with wood

and

bricks as much; instead we use steel and concrete. Modern materials don’t

shed

water as well. When water comes into contact with wallboard and

wall-to-wall carpeting, it can create a beautiful environment for growing

mold,†she

says.

“The book is designed to provide primary care physicians with the tools they

need to address environmental illnesses, because primary care physicians are

the point of contact. If a patient presents with persistent respiratory

symptoms, physicians should inquire about the presence of chronic moisture in

the home, workplace, or school,†says Storey. “It’s like tobacco.

Thirty

years ago, doctors did not think of tobacco as an issue for them in their

practice. Now it’s standard health care practice for physicians to ask their

patients about tobacco use and provide counseling for it. We hope this book

will

do the same thing for indoor air quality. We want them to ask their patients

about environmental issues that might be related to their illnesses and be

able to provide counseling about them.â€

Besides Storey and Schenck, authors are H. Dangman, MD, PhD, MPH;

L. De Bernardo, MD, MPH; Chin S. Yang, PhD., Anne Bracker, CIH, MPH, and

J. Hodgson, MD, MPH.

The book presents illustrative case reports, briefly discusses fungal

ecology, reviews current literature on health effects from mold and moisture

and

outlines principles that underlie a professional environmental assessment. It

is available at the UConn Health Center Division of Occupational and

Environmental Medicine’s Center for Indoor Environments and Health website

http://www.oehc.uchc.edu/clinser/indoor.htm

The University of Connecticut Health Center includes the schools of medicine

and dental medicine, Dempsey Hospital, the UConn Medical Group and

University Dentists. Founded in 1961, the Health Center pursues a mission of

providing outstanding health care education in an environment of exemplary

patient

care, research and public service. To learn more about the UConn Health

Center, visit our website at _http://www.uchc.edu_ (http://www.uchc.edu/) .

Note: News professionals are invited to visit the Office of Communications

homepage at _http://www.uchc.edu/ocomm/_ (http://www.uchc.edu/ocomm/) for

archived news releases and other information.

In a message dated 1/6/2008 1:16:54 P.M. Eastern Standard Time,

brianc8452@... writes:

You have an opportunity to give your feedback on this document. It would be

great if all doctors would conduct themselves according to the criteria

listed in this document, but all of us on Sickbuldings have met many doctors

who

don't. If you go this website, it has a link to the actual document if you

want to read it and make comments.

https://gmpusa.org/

Good Medical Practice – USA is a tool that has been developed to set out the

principles and values that describe a good doctor practicing medicine under

normal circumstances. It has been developed to provide guidance for doctors

and those who educate and regulate them. Individuals from approximately 60

organizations have contributed to writing, reviewing, and editing its content.

It is a living document, meaning that it will evolve and change as input and

feedback is received and as medical practice changes. It is written for

physicians, but will also assist members of the public in understanding what

they

may expect of physicians.

Comments and feedback from diverse perspectives will be critical to the

document’s continued development and utility to those with a vested interest

in

assuring physicians are competent. Anyone may review and provide feedback on

Good Medical Practice – USA after registering to enter the gmpusa.org

website.

______________________________________________________________________________

______

Looking for last minute shopping deals?

Find them fast with Search.

http://tools.search./newsearch/category.php?category=shopping

[Non-text portions of this message have been removed]

FAIR USE NOTICE:

[Guest guest]

This is the document itself: http://www.oehc.uchc.edu/clinser/MOLD%20GUIDE.pdf

In my case, we actually had some dealings with one of the authors when we

bumped into medical professionals who disbelieved what had happened to my

neighbor. We actually sent this document to an official making a determination

about our situation in our attempt to explain what they had missed. In

particulat, they disputed fungal infection, we said we weren't arguing fungal

infection we were talking about poisoning from mycotoxins - we sent this

document along to show that these problems are distinct. (Ironically, a

thorough pathology exam later DID show fungal infection, it wasn't as

devastating as mycotoxicosis, but it WAS present.)

The party to whom we sent the document then actually contracted with one of

the authors for an opinion. Unfortunately, we felt rather betrayed, as it were.

Here were these people who'd written a guide about how mold/mycotoxins can

devastate a body, and the author who received material didn't get the tissues in

question and I'm not sure he has the pathology background to examine the

pathology in question. AND YET, he concurred with the absurdity of a medical

opinion that originally denied any evidence of mold exposure without

looking/testing for it. it was quite a profound letdown.

If people want/need more info on this, I'd consider providing it off-list.

It's a great document, but, um, I'm not sure the authors believe what they

wrote - very discouraging.

~Haley

davisnewstart@... wrote:

Please see the U-Conn Document from 2004,

University of Connecticut Health Center

Office of Communications

News Release

For Immediate Release

Distributed November 3, 2004

Contact:

a Goodnough

860-679-3700

_goodnough@..._ (mailto:goodnough@...)

Guidance for Clinicians on the Recognition and Management of Health Effects

Related to Mold Exposure and Moisture Indoors

Published by UConn Health Center

FARMINGTON, CONN. – From sinusitis to asthma and pneumonitis, serious

illness as a result of poor indoor air quality has been well documented in

recent

years. Less clearly established are the specific causes of building related

illness and the measures required to prevent or ameliorate them.

For physicians and other health care providers faced with a rapidly growing

number of patients troubled by indoor contaminants, there is a new primer to

guide them, entitled Guidance for Clinicians on the Recognition and

Management of Health Effects Related to Mold Exposure and Moisture Indoors,

published

by the Center for Indoor Environments and Health at UConn Health Center with

a grant from the Environmental Protection Agency.

“It’s a manual for primary care physicians,†says Eileen Storey, MD, MPH,

chief of the Division of Occupational and Environmental Medicine and one of

the authors of the book. “We give them an approach to use with their patients.

We help them identify patients and the illnesses or complaints that may be

related to mold or other indoor contaminants. We give them assessment tools

for those patients. We tell them how to counsel their worried well patients

and guide them to resources their patients can use to reduce moisture and mold

in their homes,†says Storey.

For example, the book contains a questionnaire physicians can use to

evaluate a patient when an environmental problem is suspected. It can be filled

out by a patient in a few minutes and contains questions that help explore

moisture and mold in the patient’s home, school, or work environment. Any

positive response may indicate uncontrolled moisture with a potential for

biological growth and begins a helpful dialog between patient and health care

provider. The book provides a list of references to specific books or pamphlets

that

patients can use to eliminate problem moisture.

“We know that exposure to mold and other contaminants in indoor environments

may adversely affect a person’s health,†says a Schenck, MPH, another

author of the book. “We spend nearly 90 percent of our time indoors. Asthma

has increased substantially in recent years, so we suspect the indoor

environment plays a role. But not everyone is sensitized to indoor contaminants,

and

different people become sensitized in different ways.†The book provides

approaches to use for assessing indoor environments and gives physicians

strategies to recognize environmentally related clinical problems, says Schenck.

“Something is going on in our indoor environment that is making us sick,â€

says Storey. “We see it in office workers. We see it in school teachers.

Their illnesses range from chronic runny nose to sinusitis or more serious

conditions like asthma and hypersensitivity pneumonitis. Their symptoms often

diminish when they leave the workplace for the weekend or the summer, but we

don’

t know what is actually causing their illness,†says Storey. In recent years,

a tremendous amount of attention has focused on architecture, construction

materials, and ventilation systems trying to figure this out, according to

Storey. “We use wallboard instead of plaster. We don’t build with wood and

bricks as much; instead we use steel and concrete. Modern materials don’t shed

water as well. When water comes into contact with wallboard and

wall-to-wall carpeting, it can create a beautiful environment for growing

mold,†she

says.

“The book is designed to provide primary care physicians with the tools they

need to address environmental illnesses, because primary care physicians are

the point of contact. If a patient presents with persistent respiratory

symptoms, physicians should inquire about the presence of chronic moisture in

the home, workplace, or school,†says Storey. “It’s like tobacco. Thirty

years ago, doctors did not think of tobacco as an issue for them in their

practice. Now it’s standard health care practice for physicians to ask their

patients about tobacco use and provide counseling for it. We hope this book will

do the same thing for indoor air quality. We want them to ask their patients

about environmental issues that might be related to their illnesses and be

able to provide counseling about them.â€

Besides Storey and Schenck, authors are H. Dangman, MD, PhD, MPH;

L. De Bernardo, MD, MPH; Chin S. Yang, PhD., Anne Bracker, CIH, MPH, and

J. Hodgson, MD, MPH.

The book presents illustrative case reports, briefly discusses fungal

ecology, reviews current literature on health effects from mold and moisture and

outlines principles that underlie a professional environmental assessment. It

is available at the UConn Health Center Division of Occupational and

Environmental Medicine’s Center for Indoor Environments and Health website

http://www.oehc.uchc.edu/clinser/indoor.htm

The University of Connecticut Health Center includes the schools of medicine

and dental medicine, Dempsey Hospital, the UConn Medical Group and

University Dentists. Founded in 1961, the Health Center pursues a mission of

providing outstanding health care education in an environment of exemplary

patient

care, research and public service. To learn more about the UConn Health

Center, visit our website at _http://www.uchc.edu_ (http://www.uchc.edu/) .

Note: News professionals are invited to visit the Office of Communications

homepage at _http://www.uchc.edu/ocomm/_ (http://www.uchc.edu/ocomm/) for

archived news releases and other information.

In a message dated 1/6/2008 1:16:54 P.M. Eastern Standard Time,

brianc8452@... writes:

You have an opportunity to give your feedback on this document. It would be

great if all doctors would conduct themselves according to the criteria

listed in this document, but all of us on Sickbuldings have met many doctors who

don't. If you go this website, it has a link to the actual document if you

want to read it and make comments.

https://gmpusa.org/

Good Medical Practice – USA is a tool that has been developed to set out the

principles and values that describe a good doctor practicing medicine under

normal circumstances. It has been developed to provide guidance for doctors

and those who educate and regulate them. Individuals from approximately 60

organizations have contributed to writing, reviewing, and editing its content.

It is a living document, meaning that it will evolve and change as input and

feedback is received and as medical practice changes. It is written for

physicians, but will also assist members of the public in understanding what

they

may expect of physicians.

Comments and feedback from diverse perspectives will be critical to the

document’s continued development and utility to those with a vested interest

in

assuring physicians are competent. Anyone may review and provide feedback on

Good Medical Practice – USA after registering to enter the gmpusa.org website.

__________________________________________________________

______

Looking for last minute shopping deals?

Find them fast with Search.

http://tools.search./newsearch/category.php?category=shopping

[Guest guest]

Does the " MOLD_GUIDE " file mention cholestyramine therapy or that

steroids ofthen make mold-driven MCS worse?

I think that we need education of doctors so that they don't just lead

people around in circles, while taking their money and then calling

them liars.

[Guest guest]

OK...so i knew my gut feeling was true.(excuse the pun for those of us

with IBS)When I went to the HMO Dr a few months ago with L Kidney pain,

she decided it was a muscle spasm and prescribed Steroids. My inner

self told me NOT to take them. I still have the Kidney pain and I hope

that will be addressed soon.

--- In , LiveSimply <quackadillian@...>

wrote:

>

> Does the " MOLD_GUIDE " file mention cholestyramine therapy or that

> steroids ofthen make mold-driven MCS worse?

>

> I think that we need education of doctors so that they don't just lead

> people around in circles, while taking their money and then calling

> them liars.

>

[Guest guest]

Mine sent me to a gastrologist that filled me up with beryllium or barium or

whatever that stuff is that makes your organs glow and took some ex rays.

What a waste of time, money, not to mention the effect that stuf might or

might not have had on my health.

On Jan 8, 2008 10:57 PM, happyruiam <happyru@...> wrote:

> OK...so i knew my gut feeling was true.(excuse the pun for those of us

> with IBS)When I went to the HMO Dr a few months ago with L Kidney pain,

> she decided it was a muscle spasm and prescribed Steroids. My inner

> self told me NOT to take them. I still have the Kidney pain and I hope

> that will be addressed soon.

>

>

> >

> > Does the " MOLD_GUIDE " file mention cholestyramine therapy or that

> > steroids ofthen make mold-driven MCS worse?

> >

> > I think that we need education of doctors so that they don't just lead

> > people around in circles, while taking their money and then calling

> > them liars.

> >

>

>

>