Presentation on theme: "By Heather Plude www.agoodhealthadvocate.com Are You Toxic? By Heather Plude www.agoodhealthadvocate.com."— Presentation transcript:
1By Heather Plude www.agoodhealthadvocate.com Are You Toxic?By Heather Plude
2What I’m going to talk about My familyMedical historyLyme treatmentHeavy MetalsMold – our keystone to healingThe toxins that are all around usHow to test for mold in buildings and bodiesHow to detox the body
3My FamilyThis was one week before my son got sick. He looks fine doesn’t he?Look at me, I don’t look sick. I was 174 pounds in this picture. I went on to gain another 20 pounds… even though I was throwing up every day.It took my son getting sick to help me figure out why I was sick.What a blessing in disguise!
4My Health History Always got sick eating sweets 16 amalgams from a car 21 yrs oldChronic reactive arthritis shortly afterMy pain was extreme and all over, migratingHospitalized for throwing up bloodCould not work as an auto mechanic any moreWent back to school for Nutrition
5I Wanted to Know Why I Was in Pain I was researching anything that might help with arthritis and inflammationI tried several natural “cures.”Tons of things didn’t work. Finally one thing worked for me.Grape Seed Extract took my pain away if I took enough of it AND it was high quality.I could buy a CVS brand or a GNC and those would do nothing for me… but over the years there have been 2 brands that worked for me.The first was New Image International and they went out of business.The 2nd was USANA Proflavanol (Grape Seed Extract) took that for the next 15+ yearsIt didn’t always work for every one who had pain from “arthritis” – but it always worked for my pain. Then again, I am sure my arthritis was never arthritis!Usana ProflavanolGet it from a UsanaDistributor or on ebay!
6In 2007, I got a new job and bought a house that needed renovations The new job was in a building that was old and had lots of water leaks.My “new” house was 100 years old and had lots of repairs neededBoth work and home were toxic… but I didn’t know it yetI had a constant stabbing pain on the right side of my torso, near my rib cageI saw my doctor who said there was nothing wrong with me… it was all in my head.The pain got progressively worseI started throwing up once or twice a dayI was gaining weight even though I was eating less and throwing up every day
7Back to the doctorThe doctor wanted to know if I was upset about the weight I had gained lately.They asked if I would like to see someone to talk about my weight problem and discuss why I was throwing upAgain, they were telling me it was all in my head.I left disappointed and still sick
8ER - February 2008 Liver Enzymes High and Kidney Function Low AST was at reference levels are (12-32)ALT was at reference levels are (20-65)My eGFR result was less than 60 f – which if it stays that low for 3 months is considered chronic kidney disease
9The next 2 years going to doctors and Hospitals with emergencies GI doctors, endocrinologist, internal medicine, gynecologist, several general practitioners…Emergency gallbladder surgeryEmergency ovarian cyst surgeryAdmitted to the hospital for 3 days for being unable to stop throwing upDiagnosed with Sphincter of OddiPut on muscle relaxers, Anti-nausea meds, and pain killers… I refused anti-depressants.Life goes on.
10July 2010 My 11 year old son gets what seems to be the flu Then he gets painful knees and anklesHe tests positive for Lyme DiseaseGets 28 days of AmoxicillinGets worse… no one explained the herxI was told “that’s normal” but not WHYHe can’t eat, can’t sleep, moans in pain, doesn’t want to move because of the pain
11Why? We are all different No ONE thing works for everyone Grape Seed ExtractI start giving him the Grape Seed Extract that helped me with my extreme painIt didn’t work for him the way it did for meIt didn’t seem to touch his pain… while it took my pain away.Why? We are all differentNo ONE thing works for everyone
12The Follow up with our doctor He no longer has LymeLyme cannot survive 28 days of antibioticsLiquid Prednisone was prescribed for pain and swelling of the joints… I was told he should be fine after that.Alternate Tylenol and IbuprofenNothing to ease the pain…
13PrednisoneThe first 2 days on the Prednisone, we saw some improvements in pain levels and I had hope.3 days into the prednisone, he started having seizures, pain was intensified, neurological tics and he was falling down walkingI called my insurance company for suggestions and a referral to another doctor.They called me back with a pediatric infectious disease specialist.Sounded great to me!
14Pediatric Infectious Disease She examined him for 10 minutes, asked some general questions and before taking one vial of blood, she wanted to check my son into the hospital.NOT for an infectious diseaseFor mental problemsThe doctor suggested he was faking itMaybe he was depressed?There was a special floor where they take care of kids “like him”
15I assured her that my son was SICK I asked her if she even planned on checking his blood and looking for infection?!!She wrote a prescription for some lab work, told us where the lab was and we leftWe didn’t go to the lab in that hospital, we went to an independent labThe Lyme test came back CDC positive and this ID doctor called me and told me she STILL thought my son had been treated adequately and needed no further treatment.
16Munchausen’s By Proxy This ID doctor haunted me for months She thought my son was “at an end result”She said it was all in his head and needed psychological treatmentShe thought his looking at me for answers when she questioned him was me coaching him… really he was just sick and confused by her questions.She saw him for 10 minutes!She said that if I did not follow her advice she may have to prosecute me for Munchausen’s By ProxyI lived in fear of getting prosecuted for seeking humane treatment for my son
17By this time I had found Lymenet You might know me as momlymeI found Lymenet in the fall of 2010 and was an active contributor and avid researcher while my son was sick.That’s how we found my son’s LL pediatricianShe would have done anything to get him wellShe was new to treating Lyme and had never seen a child as sick as my son
18My Son’s LL Pediatrician (Dr. B) Consulted with other Lyme doctors because my son’s case was difficultTested for every co-infection under the sunPrescribed multiple combo oral antibioticsCalled me nights and weekendsWrote letters to the school excusing my son from going to school [504 children with disabilities]Wrote letters to the insurance company to get the PICC line covered and extended antibiotic treatment at home
196 Months of Antibiotics My son was only getting worse His WBC was low His Liver Enzymes were high (AST & ALT)His blood was thickHe had dropped from 85 pounds to 70 poundsHe was throwing up every dayMiserably sickMissing out on his childhoodHe couldn’t readHe couldn’t play video games or watch T.V.He would fall down walkingNeurological seizures, tics, catatonic staresAlzheimer symptoms, forgetting what he was saying in mid sentenceHe needed a wheelchair to go outHe couldn’t go to schoolHe couldn’t play with his friendsHe was too sick to do anything… except sit and stareHe tried to do stuff and would wear out in no time
203 Days Before Christmas Pulled the PICC line Watched a video about HPU by Dr. KlinghardtKlinghardt says if you have white spots on your fingernails you don’t even have to test for HPU – you have it!I knew my son had those white lines.I looked at his fingers and couldn’t waitto call his doctor to tell her I hadfound the answer
21I couldn’t find a doctor to treat my son Dr. B admittedly knew nothing about mercury other heavy metals. She asked me to try to find another doctor to treat him.We saw ½ dozen doctors that would not consider testing or treating my son for HPU or heavy metalsI was told that you can only get heavy metal poisoning if you worked in a battery factory or a thermometer factoryI was told that Dr. K was an unreliable sourceI was told to stop researching on the Internet and make my son go out and play
22Heavy metals testingIn one of Dr. K’s HPU presentations he lists “Common Lab Abnormalities” –Dr. B. tested him for the ones we could do in NYSHigh LDL, low HDLLow normal alkaline phosphatase (Zn, Mag)Low wbc (Zn)Low Omega-6 fatty acids in red cell membrane testLow taurine in aminoacid profileHigh MCV (B6)Doctor’s Data Hair Test–available through
23I became “in charge” of the heavy metal detox I read everything I could get my hands on about mercury poisoning and HPU/KPU“Amalgam Illness” by Andrew Hall CutlerSeveral PPT presentations by Dr. K“Clear Body, Clear Mind” – detox protocol used by the firefighters and other 9/11 survivorsI had my own amalgams out so I could test everything on myself before trying it on my son
24Retested after 2 months Mercury levels were going down No change in my son’s conditionHe was still very sickWBC level was still very lowWe decided to keep doing the heavy metal detoxAt least the testing gave us some positive changeWe didn’t have any other ideas!
25One Day Everybody was sick I was supposed to be going to the doctor with my son because he was having a really bad string of seizures.The dog wouldn’t get up to eat. She cried when she tried to get up. I was heading to the vet to drop her off on the way to my son’s appointment.My husband’s work called-he was being rushed to the hospital with chest painsLater, my daughter’s nose started bleeding while she was talking to meI was overwhelmed, unable to stop crying and exhausted. It seemed my world was falling apart.I couldn’t figure out what was going on!
26I called the Department of Health I expected they would be interested in the fact that everybody, even the dog was sickThey offered me no help or adviceThey said the symptoms were seemingly unrelated and they could not recommend a course of actionI was sure it was environmental, they were sure it was notI have called them several times, during and after this ordeal.I would like to see them help families that are being made sick in their homesThey have told me that there is no such thing as toxic mold and my story is anecdotal… among other dismissive remarks.
27The thing that led me to the mold My daughter’s bloody nose was the reason I started looking at mold being the causeI found something on the Internet that said bloody noses could mean there is Stachybotrys in the home… one of the deadliest molds.I decided to order Dr. Shoemaker’s book, “Surviving Mold” which had just come out a few months before.I still remember the horror and relief while reading SM – knowing this was the cause of all our sickness – for years!
28Sick Building Syndrome A Multifactorial Cumulative Threshold Effectappears only when enough contributing genetic and environmental factors are present.Inflammation is almost universalTarget Organs Vary – Based On Occupant Factors and geneticsPeople in the same household, work or school could present with completely different symptoms… or none at all!
29Symptoms of Sick Building Syndrome Episodes of inappropriate fatigue during dayDifficulty sleeping, waking un-refreshedGeneral feeling of weakness, with shortness of breath after brief exertion, increased heart rateSinus problems, sore throats, light sensitivity, “floaters”Vertigo, hearing loss, hearing sensitivitiesIncreased thirst, but “water runs straight through”, increased urination, light urine colorStatic Shocks – sign of low ADHBody aches (FMS-like or not)Unexplained weight gain or weight lossDifficulty with short term memory, concentration, word finding, mood swings, decreased assimilationDifficulty regulating body temperature, sometimes with night sweatsCough, headache, blurred vision, strange neurological symptoms: vibration, sounds, tingling, numbness
30Other Signs of Sick Building Vague NEUROBEHAVIORAL symptoms in children & adults may be the norm in some environmentally induced illnesses. This is a CLUE to search for an environmental causeAllergies and AsthmaFrequent ColdsDyslexiaADD or ADHDAutism Spectrum Disorders – may be intensified
31More Symptoms SBS NeuroToxic Effects Severe Brain fog/dyslexia/bordering Alzheimer’sMucous Membrane Irritation/ Bloody nosesRespiratory/ Pneumonia/ Allergy/AsthmaSkin rashes/ oozing / look like hives or exemaChanges in sense of smell/increased or decreasedHyper-Reactivity to chemicalsGastrointestinal SymptomsCysts and/or cancerEndocarditis or heart arrhythmiaElevated Liver Enzymes (AST & ALT)Low Kidney functionLow WBC…symptoms sometimes subside on leaving the building ;…very often people remain sick for months or years after they have left the building
32After Surviving MoldI suspected mold was our problem… but I couldn’t see or smell mold in our houseI knew one way to test the house because that was in the book – the ERMII talked to my son’s doctor and she knew less about mold than she did about heavy metals!I sent her a copy of “Surviving Mold” with hopes that she could help us with this.There were tests that Dr. Shoemaker suggests and she ordered what she could. The results showed he was having a reaction to moldThe HLA-DR testing came back double which is the worst of the worst gene for being able to detox mold
33I tested the house for mold The test in Surviving Mold is the ERMIEnvironmental Relative Moldiness Index The scale goes from negative 10 to positive 20Our House was a 20.3 – off the charts!
34How to Leave a Moldy House Treat everything that came from the house as if it could kill you. Put it in a Ziploc bag if you have to take it with youWash any clothes in 1-2 cups of ammonia NO DETERGENT – put the clothes in new plastic bags that DID NOT COME FROM THE HOUSE!Shoes are not cleanable – flip flops are questionablePocketbooks, wallets, stuffed animals toys, computers, cars, phones, hats, keys or supplements can all cross-contaminate… be extremely cautiousScrub hair well – use grapefruit seed extract in shampoo
35Mycotoxins Chemicals produced by certain fungi Over 250 mycotoxins have been detectedMycotoxins are the difference between allergic molds and toxic moldsMycotoxins, by-products of fungal metabolism, have been implicated as causative agents of adverse health effects in humans and animals… Consequently, fungi that produce mycotoxins, as well as the mycotoxins themselves, are potential problems from both public health and economic perspectives.…During the 1970s and 1980s, the trichothecene mycotoxins gained some notoriety as putative biological warfare agents when they were implicated in “yellow rain” attacks in Southeast Asia.Understanding Fungal (Mold)Toxins (Mycotoxins)TRICHOTHECENE MYCOTOXINS – Dept. of Defense:
36Dr. Shoemaker tests http://www.survivingmold.com The online VCS Test is a measure of one of the neurologic functions of vision called contrast. In order to take this test, your corrected visual acuity must be better than 20:50.The VCS Test - Visual Contrast Sensitivity1 Test: $154 Tests: $4010 Tests: $7550 Tests: $250
37Dr. Shoemaker TestsHLA DR - Your Genes 24% of people are unable to detox mold on their own!C4a/ C3aTGF Beta-1 - Transforming Growth Factor Beta-1MSH - Melanocyte Stimulating HormoneVIP - Vasoactive Intestinal PolypeptideMMP-9LeptinADH/OsmolalityACTH/CortisolACLA IgA/IgG/IgMAGA IgA/IgGVEGF
38Shoemaker Tests- are they necessary? We had all these tests done… And never used them except for the initial diagnosisIf you have a Shoemaker trained doctor, you may be able to monitor your progress and use the Shoemaker protocol to get well. I do not know anyone who has gotten well using this protocol.That doesn’t mean they aren’t out there!Dr. Shoemaker stopped seeing patients in March 2013Shoemaker Protocol Certification open to physicians ($1,500)There are 3 newly trained doctors listed on survivingmold.com
39Getting back to Healthy I was lucky enough to have an appointment with a LL doctor that was scheduled for the day after we moved out of the moldHe reviewed my medical records, my mold test results, and examined me… and started to guide me in getting wellHe tested me for Lyme, Bartonella & mycoplasmaI was truly blessed to have found this doctor and I owe him a debt of gratitudeAlthough he did not see me through to 100%,without him, I didn’t know how to get started with the detox on my own.
40This is how I started treatment Follow the diet in the book “Clean” by Alejandro Junger for 13 weeks instead of 3 weeksNeti pot – ½ tsp baking soda, ½ tsp sea salt, 1 tsp xylitol in 8 oz warm distilled or boiled & filtered waterCholestyramine – compounded, away from foodLiverLife by Bioray Natural – 12 months (very helpful)Nystatin – 3 months –stopped because I was feeling toxic from itDiflucan – 1 month – this made me feel awful
41“Clean” Juice organic vegetables – morning and night Explains why certain foods are bad for you… horomones, pesticides, GMOs, other poisons.Elimination diet – eliminate most foods and then slowly add them back in, see how you feelAt least 12 hours of “fasting” at night
42Xylitol Antifungal Breaks up biofilms acts as a lubricant, facilitating the natural mucus secretions that float pathogens awayinfection-fighting capabilitiesaction against skin ulcerations in diabeticsCan be used topically, orally, or as a nasal wash, also comes in gum and toothpasteAvailable at vitacost.com
43Cholestyramine One comes with sugar Another comes with Sucralose I reacted badly to both of themWound up getting a compounded cholestyramine that I did not react badly to
44LiverLife by BioRayThe instruction say start out with 12 drops, 2x a day. I started with a drop and it was too muchI did ½ a drop 2x a day for a few days and then moved back up to a drop 2x a dayI slowly ramped up until I could tolerate 3 droppers full 3x a day and then I stopped taking this supplementIt blows other milk thistle supplements away!
45Positive for Lyme, Bart & Myco On my 4 week follow up, I got the results of my testing and I was positive for Lyme, Bart & Mycoplasma pneumonia plus M. FermentansTaking antibiotics when you are sick with mold is like adding fuel to the fire…Dr. W wanted me to start with Buhner herbs.Order of herbs: Japanese Knotweed, Cat’s Claw, Eleutherococcus, Andrographis, Sarsaparilla
46My son started getting better Just by getting out of the house, juicing, and eating organically, four days out of the house, my son started walking around…He asked if he could play badmitten and he played for a few minutesThat was progress.He started to be able to do more and moreHe got to see Dr. W and did much of the same treatment I did (no cholestyramine)We started physical therapyHe didn’t like the physical therapy so we found some things he did like
47Exercise Exercise is key… but not too much It’s important to like what you doWe got a Total GymWhen we started working out, it was 5-15 minutes at a time, every other dayOur goal was to work out an hour, every other day with slow, non-aerobic weight training according to Dr Burrascano's Lyme treatment guidelines**My son got there in 4 months. It took me 18 months. Not only was he lifting weights every other day, he was running 1-2 miles a day. **
48The Great Escape Exercise is anything that gets you moving. We got season passes to Six Flags Great Escape and we went for as long as he could tolerate it.In the beginning it was ½ hour to an hour and as the summer progressed, he was able to stay longer and do more thingsIn the beginning we would bring his wheelchair. Then later, he didn’t need it anymore.My son had been sedentary for so long, his muscles had been wasting away.He had gone from 85 to 70 pounds in a yearHe hadn’t done anything fun in a while
49I became Hyper-sensitive I was reacting to perfumes, lotions, shampoos, soaps, deodorants, laundry detergents, cleaning products, gasoline, places that were moldy, people that came from moldy places, foods, drinks, etc.My doctor said I was at a tipping pointI was so toxic that the smallest amount of toxins would put me over the edge.Look up safety of everyday productsMultiple Chemical Sensitivity
50Multiple Chemical Sensitivity I would never know when a chemical or a building would make me sickI couldn’t go out to eat, to my parent’s house, to friends houses, to malls, to the grocery store, pump gas or to my kid’s school functions.My kids were fine at school, but if I went there, I got sickI couldn’t function in society because people wear perfumes, buildings have mold and mycotoxins, I was so sensitive, I would get physically sick when I was exposed to these things.After a “hit” I could get lost in my own town, forget left and right or not know red from green. I was scared I would get in an accident because of my conditionNot only that, but I was breaking out from the products I used to use every day. Supplements, toothpastes, shampoos and other products were making me “burn” or that’s how it felt.There is no diagnosis and no known cure for MCSI have found that detoxing eased the symptoms I was having
51ORGANIC DUST TOXIC SYNDROME (ODTS) Can occur after ONE heavy exposure to dust contaminated with fungi and other agents –mycotoxins, endotoxins, glucans, bacteriaINHALATION FEVERFOG OF PARTICULATES OR THICK AIRBORNE DUST – may be completely invisibleSYMPTOMS: Flu-like, ache, pain, headache, lethargic feelings, vertigo
52Sicker, QuickerHypersensitivity develops when the normal processes of dealing with toxic substances failsEither there is too much toxin for the body to excrete and adjust, or the exposure goes on for such a long time that the ability of the body to adjust gets compromisedThe genetics of certain patients slow the excretion of toxins –these people get sick in low mold environments;When the extent and duration of a mold exposure is substantial, even those with healthy genetics have the potential to get sick.
53What has to be done to get well? Remove yourself from the exposureTake nothing with youWash the clothes on your back and put on new clothes that did not come from the home OR were washed in 1-2 cups of ammonia.Find temporary housing that is toxin free (Easier said than done)Detox the bodyRepair or build a permanent, toxin free homeRemove foods & products with toxins in themAddress any infections that are hindering recoveryMaintain health with avoidance (extreme, if needed)Continued maintenance detoxing
54Finding Temporary Housing This is what I am finding to be the biggest challenge for most people who are made ill by their environmentSome estimates claim 50% of the buildings in the U.S. are moldy enough to make people sick… some estimates are closer to 85%Finding a place to stay that is completely mold, formaldehyde & VOC free is a challenge
55Safe Housing www.reshelter.org Refurbishing a trailer – “Airstream” Tiny HousesCamping in a tent or a teepeeMCS safe housing (not always mold free)EcoVillagesCraigslist search housing for fragrance, chemical (will come up in chemical sensitivity or just in chemical free products), scent , and as a last resort, allergy or sometimes eco-friendly
56Propolis Diffuser“The propolis vaporizor is a strategy to make the house mold free. An Italian study showed that if you vaporize propolis at 82.3 C, it creates a monoatomic vapour of propolis in the house that kills every single living microbe in the air, making homes safe” ~Dr. Dietrich Klinghardt M.D., LIA Conference 2008
57Diffusing Propolis Model A3, Propolis Vaporizer with Ionizer & Fan I refill my capsules and it keeps the cost downI bought a pound of propolis 2 years ago and still have plenty leftI run my propolis diffuser 24/7 and take it with me when I travel
58HEPA FilterRemoves 99.97% of particles that have a size of 0.3 micrometresI bought an Austin Air first thing, ran it in motel roomsI have an Austin Air and a Purifan in my home and will be replacing the Austin Air with another Purifan eventually. I really like my Purifan
59Purifan http://purifan.com Attach to existing ceiling fan motor (or buy theirs)I immediately saw a decrease in dustSome MCS sensitive people react to the filtersI get replacement filters here:HEPA Filter PAF-HEP
6018 months after leaving the house I was still hypersensitive to most foods, many places, chemicals, molds, gasoline, and moreFatigue was overwhelmingBrain-fog was severepH was LowBody temperature was lowArthritis was still an issueI was taking handfuls of supplements and Buhner herbs to maintain a low level of healthMy doctor went on a leave of absence because of an investigation by the OPMC
61Cleansing and Replenishing A friend saw how sick I was and asked me to try a nutritional cleanse that works on a cellular levelI had been trying whey protein drinks because of an article on Mercola.comOne of the components of the cleanse is a whey protein drink – there are other products tooThere is a money back guaranteeI decided to give the 30 day system a try
62I stopped taking all my supplements I wanted to have a base line of where I was with no supplements or Buhner herbsI went a week without taking any supplements and continuing to eat healthy, organic, no gluten, sugar or dairyI was still very sick, sensitive, no energy, brain-foggedI started the nutritional cleanse and started to improve within 5 days.I did 2 full 30 day cleanses before testing my new found health with a weekend away with my husband
63Our First Vacation in Years We stayed at a HotelWent Out to Eat Every MealWent GolfingWas surprised at my new found healthHad plenty of energyNever had a GI painStayed healthy
64How I Maintain My Health I find that when I get toxic exposures, eat certain foods, or go too long without a cleanse, my health declinesI have an ND who helps me monitor my healthI have tested HLA-DR and MTHFR gene mutations that make it difficult to detoxI do nutritional cleanses regularly and I don’t allow myself to backslide to where my health was previously
65Finding a Doctor to treat Mold Illness Dr. Shoemaker, my son’s original LL Pediatrician and the doctor we started to see after we found the mold are being investigated by the OPMC (Office of Professional Medical Conduct)I have become an advocate for people who are sick with mold and have yet to find a doctor in our area (upstate NY) who will treat/test or take mold seriouslyI have accompanied several people to dozens of doctors.I have a long list of doctors who will not treat mold.And a short list of doctors who will treat mold
66On The ShortlistThe doctors who are on the short list do not take insuranceMany people have spent $10,000 - $40,000 on treatment and are still sickI don’t have a doctor that I will recommend yet because I don’t know anyone (besides myself, my family and some of the people I coach) who are well.
67Things that helped the most LiverLife – BioRay NaturalNeti pot rinseXlear nasal spray30 Day Cleanse and ReplenishExercisePropolis DiffuserPurifanEliminating bad foods, eating organically
68More InfoDr Dr Give Me the TruthAre You Toxic?David Asprey-MycotoxinsHome Air Check – Air test for VOC’s, Formaldehyde, & MoldEMSL Labs – for ERMIA Good Health Advocate (my blog)
69Mold Support Groups I found several online mold support groups on FB This was where I learned what was working and what was not.Unfortunately, the search feature in these fb groups does not go back indefinitely. Facebook gets rid of old posts intermittently.Friend me on facebook if you are interested in the support groups – PM me if you want the “secret” groups (Heather Plude)The “sickbuildings” group on yahoo – with my brain fog, and the yahoo group format, I couldn’t find/follow posts on this groupNewly formed forum for mold support – created by me… for people who are sick from mold
70Credits “Ways to reduce toxin exposure” Amy Derksen, ND “Medicine 2011: new symptoms, new causes, new treatments Innovative Protocols” Dietrich Klinghardt MD, PhD San Diego, February 2011“Building Related Health Problems” Albert F. Robbis, D.O., Occupational/Environmental Medicine“Surviving Mold” Dr. Ritchie Shoemaker, M.D."Understanding Mold Related Illnesses" Stevan Cordas DO MPH Occupational, Allergic and Environmental Medicine