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It is not the spore count that is so important. It is the fine particulate load

from both bacteria and fungi.

[] Re: Mold Testing for Safety [was: Re: air purifier

and cleaning house]

Carl,

I understand what you are saying about air sampling and now I wish I hadn't

mentioned it. But here is why I had it done in the home I was in and what I

found out for myself personally.

I moved

snip.

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You practice avoidance....... and a few other things.  Only way to go.  sorry

 

  

God Bless !!

dragonflymcs

Mayleen

________________________________

From: Jodie <dheelite@...>

Sent: Wed, January 5, 2011 5:18:18 PM

Subject: Re: [] Mold Testing for Safety [was: Re: air purifier and

cleaning house]

 

.. Until you

> are extremely sensitive and perhaps disabled those ambient

> spores won't be a problem. And you can't get rid of them anyway.

>

> Mold *growth* is the problem, not just the ambient spores always

> present in the air. Mold growth occurs only at the location of

> dampness.

Carl, What can you do when you get extremely sensitive and disabled?

Jodie

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Anita,

Wow! And thank you for the details. You are a case study

demonstrating an appropriate use for sampling. It was done by

plan, with a specific objective, illustrating several important

points.

1. You used a professional with knowledge beyond just how to

collect mold samples and get paid. He also took time to closely

question you to get specific information to guide his investigation

of the house and how to respond to you with clarifying questions.

But most importantly he listened to what you said.

2. The levels of detected Stachybotrys correlated with where you

did and did not react.

3. When moisture increased your reactions increased, even in

places previously non-reactive. If a dehumidifier had been able to

keep the humidity lower then perhaps that would have prevented

the additional areas of reaction. If it didn't then I would suspect

either prior water damage or condensation inside walls and other

structures.

4. Cross-contamination discussion. Many on this group have

been be-deviled by cross-contamination. Legitimately so. But

cross-contamination does not always cause a problem. In fact,

detectable levels of airborne Stachybotrys, whether from a growth

area or from cross-contamination, did not always cause you to

react. You reacted in the bedroom but not in the living room.

If the bedroom was the source and there wasn't another source in

the living room, then the Stachy in the living room was cross-

contamination from the bedroom. And you didn't react.

Moral 1 to this story: Presence of detectable mold does not

automatically mean someone will get sick. Yes, some do but not

everybody all the time.

Moral 2: Cross-contamination does not automatically mean

someone will get sick. Yes, some do and some need extra-

ordinary measures. But not everybody.

Moral 3: Sampling can be helpful, sometimes invaluable. But not

by itself without the context of the history and the details you

provided.

Moral 4: Now that you have information you can understand and

trust about mold, its affects on you, and mold testing you

probably won't need to test again for mold. You will know by your

experience. And you continue until your knowledge and

experience fails to solve your situation. At which time you need to

try something different to find a different cause.

Moral 5: Moderate cleaning of contents should be sufficient,

which means you don't have to necessarily abandon the house

and leave all your posessions behind. Again, some of us do. But

it is not automatic. You didn't and you even noticed that you

recovered after about 36 hours. You are one of the lucky majority.

More importantly, the reasons you gave at the end to support

your conclusions and decisions are valid.

Good job, Anita! Your story has almost all the elements needed

for a successful detective story. And your taking the risk to

" mention " your testing experience here was invaluable.

Carl Grimes

Healthy Habitats LLC

-----

Carl,

I understand what you are saying about air sampling and now I wish I

hadn't mentioned it. But here is why I had it done in the home I was in

and what I found out for myself personally.

I moved in with a roommate who lives in an old mobile home. This is a

rural area and very few have built their own homes. I've come to learn

just how problematic mobiles are when it comes to mold. There was no

visible mold growing anywhere in her mobile but I could smell it in one

of the bathrooms. I really didn't think there was an issue in any of the

other rooms but after being there a while I stopped being able to take my

protocols which up until now has always meant mold exposure. (I found

out later the problem with that wasn't mold related. I hadn't changed to

a different antifungal and learned I have to rotate them frequently)

Because I was worried about mold I had a mold inspector come and he

was surprised when he looked around because there was no visible mold

anywhere. He thought I might be quite off in my beliefs about mold and

grilled me thoroughly to find out why I was concerned for my health,

what my beliefs were about mold, etc. It was very loving of him to take

that kind of time out of his day, but as he was not a stranger to me and

he took the time. We finally decided to take air samples to see if there

was indeed a problem somewhere that couldn't be seen. Maybe at least I

could know what areas to avoid. I don't have to smell mold to be affected

by it, which is why I unknowingly was exposed to it for so long.

The results showed a level of stachybotrys in the room I had been

sleeping in of 120/m3. He told me not to go in that room, but the other

two rooms were fine. For a week I had been very heavy and weak, had

very increased neurological symptoms, anxiety, and could barely get my

food prepared. 36 hours after leaving that room my strength returned

and I felt much better.

I had not smelled mold in that room, only in the adjoining bathroom,

and thought maybe the source of the mold was from there every time the

door was opened. The mold inspector told us to run the exhaust fan in

the bathroom, which we did for hours (mold smell disappeared), and

then we did it again later with the door open to draw out the air from the

bedroom. He also told us to wipe the walls in the room with water and

hepa vacuum. I thought maybe I'd be able to be in there after that but

stayed out just the same.

In the living room where I was staying the stachybotrys level was 27/m3

and didn't seem to bother me or cause any problems. Then heavy rains

came and the house became humid and I could smell mold in the other

room I'd been avoiding just on walking in. I eventually had to leave the

house altogether because the mold levels rose in the other rooms as well

and I reacted too hard to stay. I have since learned that a dehumidifier

would have done the trick and brought the mold count back down again.

I realize I am reactive to amounts of mold that are too low to bother

other people or for them to smell. I don't know if the problem with mold

is the mold itself or the VOC's from them. Possibly I am also reacting to

bacteria and other toxins from WDB when I am reacting to mold. I know

there are tens of thousands of kinds of molds and I seem to have a

problem with any kind. I can't eat foods that contain molds like blue

cheese, peanuts, or even bread (yeast). So I have quite a way to go to

recover and get healthy again.

I don't know whether I will have air sampling done again in future. It is

very expensive and it may just be better to go by how I feel physically

when there is no signs or smell of mold. After all, just because it is good

or bad the day of the test doesn't mean it will stay that way.

anita

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Carl,

Wow, you really made my day! That was so good to hear, thanks! I was also

stoked (ha, now you know how old I am) to find out I'd given accurate info to

when she had the mold inspection done with the dog. I wasn't 100% sure.

What you mentioned about cross-contamination was interesting. And I never

thought of the stachybotrys in the living room as coming from the bedroom. But

it would make sense. Also because when I started smelling mold in the living

room it smelled different from the stachy in the bedroom. The stachy " smelled

black " but the mold in the living room " smelled blue/green/brown. "

I once had a problem in my parents house from an antimicrobial that had been

applied to a small amount of black mold that couldn't be removed when a

windowsill was being replaced. Even though the area was covered with thick

plastic so it wouldn't fume out into the room until I could tolerate the new

windowsill that was going to be put in, the antimicrobial must have vented out

to the outside (there was a small opening to the outside) and come back in

through the open window. I couldn't be in that room for over a month afterward.

The fumes went up into the duct work in the ceiling and started coming down into

the living room where I was sleeping. I started reacting during the night and

had to go into the bedroom and seal up the vent and then open all the doors and

windows in the living room. Thankfully that worked. So sometimes even though I

can't tolerate lots of things, if the concentration is low enough I don't notice

it.

I also appreciated what you said about using knowledge and experience to solve a

situation. I think all of us do that over and over again and we learn more each

time. Interesting about the process of elimination. Many times I've thought a

reaction was due to a certain thing only to find out it wasn't that, and then

guess another thing until finally it gets figured out. It's good when I can

keep that process to myself because if I vocalize it I am viewed as an absolute

fruit cake!

To be part of a lucky majority (that doesn't have to abandon everything due to

cross-contamination) is something I would have never thought I was. I have been

very disabled and isolated for years and for all that time I thought I was the

only one like me, that there weren't other people that were so hypersensitive,

so intolerant, so reactive. So when I read of others that are even more

sensitive than I am it is very humbling and moving.

It is good that we can all continue to help one other with the knowledge and

experience we have gained. Thanks again.

anita

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Glad to help a. There are several " categories " of individuals who are on

mold support groups. Most are not affected at all unless in large amounts for a

long time. Some of those can eventually become suddenly very ill but recover

when the exposure stops. But some don't. Those are the ones who are most active

on groups like this one because they aren't getting well. Those who get well

usually leave.

So the group, over time, develops a particular culture of shared experience. If

a newcomer joins the perception is that this culture is true - unless they don't

get better. Then they either leave quietly or accuse us of something and then

leave.

One former member who if I mentioned their name would be recognized opened my

eyes to this off-group. She had been participating in about 5 other groups and

told me each had strong beliefs that only they had the truth. Most, but not all,

had something of value but in their case none really fit.

If the group culture fits their experience they feel at home so the various

groups are all important but each to different people.

Carl Grimes

Healthy Habitats LLC

(fm my Blackberry)

[] Mold Testing for Safety [was: Re: air purifier and

cleaning house]

Carl,

thank you so much for taking time to answer in such detail. I work with " molds "

a lot in my kitchen (soaking grains, kefiring raw milk etc.), fermenting

veggies, drinks, etc. so what you are describing makes a lot of sense in many

ways.

I am aware that molds are anywhere - it's about the balance. This is a rental

home we live in and will be for another year or two. So I guess what I have been

doing is probably the correct approach in the current situation. Removed the

little mold off of surfaces in the specific corner of the house during

winter/rain time and kept those areas very dry ever since (even if it means that

our utility bill goes ballistic during this season).

We are healthy as far as I can tell. I do make sure that we eat lots of healthy

unheated fats (raw butter, coconut oil, olive oil, avocado, eggs) though to

neutralize any possible toxicity in the body caused by our surrounding and other

factors you simply can't escape today anyway.

Some of the posts I read scared me and I started wondering if I could be a bit

too naive...

All the best,

a

>

> a,

>

> Good question and I hope my answer doesn't overwhelm or

> discourage you. There is a simpler and more accurate method

> than sampling which I offer at the end. But first it will help to

> understand why sampling won't answer your question about

> safety.

>

> There is no air sampling - do-it-yourself or professional - which by

> itself is reliable for much of anything beyond determining that

> Yes, this is mold or No, this is not mold. Plus what kind of mold

> was collected and identified in the sample with a semi-

> quantitative measure of amount (meaning there are numbers but

> they are usually not accurate). It will not tell you what mold is

> present but which wasn't collected and identified. Which is often

> much of the mold.

>

> ..snip

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martina,

sounds like the NT or weston a price diet, that is basically how we eat

for the most part, although i know a lot of people on this list can't

tolerate fermented foods...

sue v

>Carl,

>

>thank you so much for taking time to answer in such detail. I work with

> " molds " a lot in my kitchen (soaking grains, kefiring raw milk etc.),

>fermenting veggies, drinks, etc. so what you are describing makes a lot

>of sense in many ways.

>

>I am aware that molds are anywhere - it's about the balance. This is a

>rental home we live in and will be for another year or two. So I guess

>what I have been doing is probably the correct approach in the current

>situation. Removed the little mold off of surfaces in the specific

>corner of the house during winter/rain time and kept those areas very

>dry ever since (even if it means that our utility bill goes ballistic

>during this season).

>

>We are healthy as far as I can tell. I do make sure that we eat lots of

>healthy unheated fats (raw butter, coconut oil, olive oil, avocado,

>eggs) though to neutralize any possible toxicity in the body caused by

>our surrounding and other factors you simply can't escape today anyway.

>

>Some of the posts I read scared me and I started wondering if I could be

>a bit too naive...

>

>All the best,

>a

>

>

>

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i'm curious Carl ( or anyone) as to what other groups are out there. I've

searched and this is the only one I could find.

thank you,

jodie

________________________

On 2011-01-08 19:29:57 +1100 Carl Grimes <grimes@...> wrote:

>

> Glad to help a. There are several " categories " of individuals who are

> on mold support groups. Most are not affected at all unless in large amounts

> for a long time. Some of those can eventually become suddenly very ill but

> recover when the exposure stops. But some don't. Those are the ones who are

> most active on groups like this one because they aren't getting well. Those

> who get well usually leave.

>

> So the group, over time, develops a particular culture of shared experience.

> If a newcomer joins the perception is that this culture is true - unless they

> don't get better. Then they either leave quietly or accuse us of something

> and then leave.

>

> One former member who if I mentioned their name would be recognized opened my

> eyes to this off-group. She had been participating in about 5 other groups

> and told me each had strong beliefs that only they had the truth. Most, but

> not all, had something of value but in their case none really fit.

>

> If the group culture fits their experience they feel at home so the various

> groups are all important but each to different people.

>

> Carl Grimes

> Healthy Habitats LLC

> (fm my Blackberry)

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Dr Thrasher

I am so new to learning about bacteria and other toxins associated with mold. I

never knew about all of that before joining these groups. But I wonder, does it

really matter as far as treatment goes? Aren't the things that treat the mold

also going to treat the rest?

anita

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The answer to your question is no. Bacterial infections require a different

diagnosis and treatment than do fungal infections. Antibiotics do not kill

fungi, only bacteria. Antifungals do not kill bacteria, only fungi. You can

have a dual infection from exposure to both fungi and bacteria. You can go to

my web site and find much information on both fungi and bacteria. If you have

any questions either email me directly or post your questions on this forum.

Re: [] Re: Mold Testing for Safety [was: Re: air

purifier and cleaning house]

Dr Thrasher

I am so new to learning about bacteria and other toxins associated with mold.

I never knew about all of that before joining these groups. But I wonder, does

it really matter as far as treatment goes? Aren't the things that treat the mold

also going to treat the rest?

anita

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To expand slightly on Dr Thrashers comments about antifungal and antibacterial

as his distinctions are absolutely critical to understand in several other

contexts.

The limitations of each and confusion of the two is similar to the common belief

that mold exposure causes all (or most) WDB illnesses and reactions so therefore

mold is all we need to talk about and to address.

Following on the confusion of the two: Because it is important to kill bacteria

shouldn't we need to kill mold also?

The key here is " infectious. " We only need to kill bacteria that is infectious.

Most of the billion species and varieties are not infectious and many are

beneficial. Think " probiotic " and food processing.

Likewise, not all molds are infectious and many are beneficial (food processing

and composting come to mind).

One key difference between bacteria and mold however is the predominant health

effect from mold is not infection. Yes, fungal infections are horrible,

gruesome, and often fatal. But they are rare and that should not determine our

response to all mold anymore than the deadly anthrax bacterium should determine

our response to all bacteria.

The predominant non-infectious health effects from fungi (mold and yeast) are

not stopped by killing. But by removing and keeping dry.

Finally, there is a critical difference between the external environment outside

our body and the internal environment inside our body. The behavior, effects and

treatment of mold in one is not necessarily the same as for the other.

Carl Grimes

Healthy Habitats LLC

(fm my Blackberry)

Re: [] Re: Mold Testing for Safety [was: Re: air purifier

and cleaning house]

The answer to your question is no. Bacterial infections require a different

diagnosis and treatment than do fungal infections. Antibiotics do not kill

fungi, only bacteria. Antifungals do not kill bacteria, only fungi. You can

have a dual infection from exposure to both fungi and bacteria. You can go to

my web site and find much information on both fungi and bacteria. If you have

any questions either email me directly or post your questions on this forum.

Re: [] Re: Mold Testing for Safety [was: Re: air

purifier and cleaning house]

Dr Thrasher

I am so new to learning about bacteria and other toxins associated with mold.

I never knew about all of that before joining these groups. But I wonder, does

it really matter as far as treatment goes? Aren't the things that treat the mold

also going to treat the rest?

anita

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Carl: I disagree to some extent with you. We have isolated and identified

Aspergillus species in individuals with sinusitis. Therefore, Aspergillus

species can set up an infectious condition. If an individual has sinusitis

and/or positive chest x-rays then one must also consider and possibly treat for

Aspergillus.

Re: [] Re: Mold Testing for Safety [was: Re: air

purifier and cleaning house]

To expand slightly on Dr Thrashers comments about antifungal and antibacterial

as his distinctions are absolutely critical to understand in several other

contexts.

The limitations of each and confusion of the two is similar to the common

belief that mold exposure causes all (or most) WDB illnesses and reactions so

therefore mold is all we need to talk about and to address.

Following on the confusion of the two: Because it is important to kill

bacteria shouldn't we need to kill mold also?

The key here is " infectious. " We only need to kill bacteria that is

infectious. Most of the billion species and varieties are not infectious and

many are beneficial. Think " probiotic " and food processing.

Likewise, not all molds are infectious and many are beneficial (food

processing and composting come to mind).

One key difference between bacteria and mold however is the predominant health

effect from mold is not infection. Yes, fungal infections are horrible,

gruesome, and often fatal. But they are rare and that should not determine our

response to all mold anymore than the deadly anthrax bacterium should determine

our response to all bacteria.

The predominant non-infectious health effects from fungi (mold and yeast) are

not stopped by killing. But by removing and keeping dry.

Finally, there is a critical difference between the external environment

outside our body and the internal environment inside our body. The behavior,

effects and treatment of mold in one is not necessarily the same as for the

other.

Carl Grimes

Healthy Habitats LLC

(fm my Blackberry)

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Jack,

What you say is true but my point is " can " infect and " will " infect do not have

the same prevalence. The number of non-infectious events is still huge compared

to infectious ones.

Infectious illnesses require the mold to be alive. Non-infectious ones can be

caused by dead ones. That distinction is why killing mold only stops the much

less common infectious disease and not the frequent allergic, irritation,

inflammatory in our paper on CIRS-WDB.

Also, I should have been more technical despite that being one of the common

complaints about my posts. There are three bodily reference points instead of

just the two of inside and outside.

The human body is like a donut. Big outside with a hole through the middle. But

the human donut hole is the convoluted digestive tract beginning at the mouth

and ending at the anus.

The donut hole is separated from the donut by the mucous membrane.

So is an infection by Candida albicans in the gut inside or outside? And is that

infection caused by external exposure sources like from WDB (no) or by inside

conditions (antibiotics, etc) which allow the yeast to overgrow?

Carl Grimes

Healthy Habitats LLC

(fm my Blackberry)

Re: [] Re: Mold Testing for Safety [was: Re: air purifier

and cleaning house]

Carl: I disagree to some extent with you. We have isolated and identified

Aspergillus species in individuals with sinusitis. Therefore, Aspergillus

species can set up an infectious condition. If an individual has sinusitis

and/or positive chest x-rays then one must also consider and possibly treat for

Aspergillus.

Re: [] Re: Mold Testing for Safety [was: Re: air

purifier and cleaning house]

To expand slightly on Dr Thrashers comments about antifungal and antibacterial

as his distinctions are absolutely critical to understand in several other

contexts.

The limitations of each and confusion of the two is similar to the common

belief that mold exposure causes all (or most) WDB illnesses and reactions so

therefore mold is all we need to talk about and to address.

Following on the confusion of the two: Because it is important to kill

bacteria shouldn't we need to kill mold also?

The key here is " infectious. " We only need to kill bacteria that is

infectious. Most of the billion species and varieties are not infectious and

many are beneficial. Think " probiotic " and food processing.

Likewise, not all molds are infectious and many are beneficial (food

processing and composting come to mind).

One key difference between bacteria and mold however is the predominant health

effect from mold is not infection. Yes, fungal infections are horrible,

gruesome, and often fatal. But they are rare and that should not determine our

response to all mold anymore than the deadly anthrax bacterium should determine

our response to all bacteria.

The predominant non-infectious health effects from fungi (mold and yeast) are

not stopped by killing. But by removing and keeping dry.

Finally, there is a critical difference between the external environment

outside our body and the internal environment inside our body. The behavior,

effects and treatment of mold in one is not necessarily the same as for the

other.

Carl Grimes

Healthy Habitats LLC

(fm my Blackberry)

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Candia infections are usually consider to arise from being in the digestive

tract, however they can become systemic, e.g. infection of intravenous

catheters. Usually, the over use of antibiotics allows the Candida to

proliferate. However, immune suppression by chemicals can also allow this to

occur.

Yes, dead spores do not infect. However, live spores do two things: colonize

(which may be considered and infection) and actually cause an infection. e.g.

aspergillomas of the lungs, brain and other tissues. I have worked with Drs.

Gray and Hooper for a number of years. We have actually identified Aspergillus

in biopsy and autopsy materials as well as detecting mycotoxins. In the worse

case scenario systemic infection with Aspergillus can and does occur. The

subjects have been neonates, young adults, adults and the elderly.

Aspergillomas of the sinuses can be said to either be a colonization or an

infection. The Aspergillus can and does in immune compromised and non

compromised individuals enter the brain via the olfactory tract. If the mold

invades the tissues of the body, by definition, it is an infection.

Re: [] Re: Mold Testing for Safety [was: Re: air

purifier and cleaning house]

Jack,

What you say is true but my point is " can " infect and " will " infect do not

have the same prevalence. The number of non-infectious events is still huge

compared to infectious ones.

....snip

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If the spores are still viable, yes. If not viable, no. Same with bacterial

spores.

[] Mold Testing for Safety [was: Re: air purifier and

cleaning house]

Carl, can dried mold fragments sometimes become " alive " once inside you?

moisture and warmth?

>

> Jack,

>

> What you say is true but my point is " can " infect and " will " infect do not

have the same prevalence. The number of non-infectious events is still huge

compared to infectious ones.

>

> ...snip

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I'm talking about bacterial vaginosis--it's not a fungal yeast infection, it's a

bacterial infection. But yes, I get the fungal yeast infections, too; actually,

I often have the rare treat of getting both at once. Sometimes the fungal is

from antibiotics but not always. My doctor finally referred me to a specialist

because of this--but I did notice that these increased by at least 50% since I

moved into my WDB.

You said trichathecenes were found on your ovarian tissues? How did that

happen--did your doctor remove tissue and test it? My doctor is more than

willing to push CSM on me, but that's been the limit so far of her assistance.

I'm trying to figure out what I can get her to do.

From: osisposis <jeaninem660@...>

Subject: [] Mold Testing for Safety [was: Re: air purifier and

cleaning house]

Date: Sunday, January 9, 2011, 4:32 PM

I costantly fought with viginal yeast infection during both of my WDB exposures,

but they were a little different than a yeast infection that a woman might get

while takeing antibiotics,

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Not to my knowledge. I doubt that any physician would make a connection. They

only think in terms of intercourse as the causation.

Re: [] Re: Mold Testing for Safety [was: Re: air

purifier and cleaning house]

Has bacterial vaginosis ever been correlated with WDB exposure?

On Jan 8, 2011, at 10:41 PM, " Jack Thrasher, Ph.D. " <toxicologist1@...>

wrote:

Candia infections are usually consider to arise from being in the digestive

tract, however they can become systemic, e.g. infection of intravenous

catheters. Usually, the over use of antibiotics allows the Candida to

proliferate. However, immune suppression by chemicals can also allow this to

occur.

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I think I see a more enlightened doctor than most. She sees it as an imbalance

of bacteria with the ultimate causation being rather complex--antibiotic use is

one factor, plus hormonal changes. But looking at the list of bacteria that can

cause it, I thought, hmm, some of these could be in WDBs--like Streptococcus

pyogenes. I don't think the fluids are normally cultured for specific types of

bacteria, since there are only two treatments. But gee--I mean, this seems like

as good a route as nose, eyes, and ears, no?

From: Jack Thrasher, Ph.D. <toxicologist1@...>

Subject: Re: [] Re: Mold Testing for Safety [was: Re: air purifier

and cleaning house]

Date: Monday, January 10, 2011, 3:32 AM

Not to my knowledge. I doubt that any physician would make a connection.

They only think in terms of intercourse as the causation.

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Good point. It must be the imbalances from all the antibiotics, then--I've been

told it can take a long time to recover that balance--since these continued

issues have led me to be about as sterile as a human can be (I'll spare everyone

the details). I do not wash with bleach, though. Perhaps that is what is finally

needed. 

From: barb b w <barb1283@...>

Subject: [] Mold Testing for Safety [was: Re: air purifier and

cleaning house]

Date: Monday, January 10, 2011, 4:15 AM

I think clothing would protect you there.

> I think I see a more enlightened doctor than most. She sees it as an imbalance

of bacteria with the ultimate causation being rather complex--antibiotic use is

one factor, plus hormonal changes.

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Dr. Rea told me that your vaginal membranes can become inflammed from toxins and

allergins, just like the membranes in your eyes and nose. It does not

necessarily have to be from yeast or mold, just another location of

inflammation.

>

> From: Jack Thrasher, Ph.D. <toxicologist1@...>

> Subject: Re: [] Re: Mold Testing for Safety [was: Re: air

purifier and cleaning house]

>

> Date: Monday, January 10, 2011, 3:32 AM

>

> Not to my knowledge. I doubt that any physician would make a

connection. They only think in terms of intercourse as the causation.

>

>

>

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