Guest guest Posted March 20, 2006 Report Share Posted March 20, 2006 Thank you Carl for taking time to send this to us again. It's very valuable and I hope all will save it for reference. Not only save it, but read, digest and apply. I'll be doing the same. Since you have given me approval to share your posts with other groups, I will take the liberty of forwarding this to the Canadian MCS group and perhaps one other. Much respect, Rosie On Behalf Of Carl E. Grimes and group, I'm not sure of the " esteemed " part, but as the author of Personal Impact Rating I will repeat below that part of my post from Feb 24. First, however, I'm just now getting caught up on my e-mail including this discussion. (I've been out of town since Thursday and my e-mail wouldn't download for some reason.) Sharon, included is my opinion to your question about why reactivity changes. Dynamic combination of susceptibility and exposure. Same as why did someone catch the flu last week and not the week before? The same flu " bugs " were present. First, good news. I presented Friday at the national conference in Savannah of the Association of Specialists in Cleaning & Restoration (ASCR) http://www.ascr.org/ Dr Eugene Cole spoke on cleaning for the immuno-compromised. I followed him with the topic of " Susceptible Occupants " with an emphasis on the need for contractors and consultants to identify them and then how to change the standard operating procedure to meet the individual needs. There was excellent attendance, good questions showing legitimate interest that kept me past my ending time. As I've previously posted (the same Feb 24 post), the history of understanding and acceptance is very slow but it is increasing. Private conversations were extremely encouraging. However, it takes time to " trickle down " to some in the field. As for a " cure " I don't claim that there is one. Those of us that get ill from exposure will continue to do so - WHEN exposed. How quickly the impact stops depends on many factors. BUT that doesn't mean we are helpless and should sit idlely by doing nothing while waiting for a cure. You need to act NOW. Nobody is going to - or can - " fix " us, so we must improve our awareness and diligence - just like we want the contractors and consultants I spoke to - to IMPROVE our situation. Some of us won't improve much and we won't know until you try. Others will improve a lot and they won't know until they try. Stopping exposure and improving your susceptibility (health) are BOTH necessary. Finally, the fundamental purpose of avoiding and/or reducing exposure as much as possible is so the body can " clear " or at least be less impacted. It's took me over 12 years to reach a point where I'm not so reactive to exposures. In other words, it takes a bigger exposure over a longer period of time to affect me. The impact is less and I recover more quickly. Net result is my " clear " time is far greater than my " impacted " time. It used to be that my " impacted " time was almost all the time. That is how I " measure " where I am in the process. CSM, anti-fungals, etc help a lot now but if I don't minimize or stop my exposures with avoidance then no medicine works. Now for the Personal Impact Rating (PIR). PIR is a 6 point scale based on the overall impact exposures have on your life, irrespective of what causes the problems, what type of problems or by how much exposure. PIR 1 - No impact. There are no absolutes but some people insist nothing affects them. The only time that is true is when you are dead. PIR 2 - They recognize impact and a need to do something but they are easily distracted. Besides, they can ignore it and it will go away. And that what all of us should do, they insist, just ignore it. An example for me was tooth after a filling was replaced. The gum was sore and the tooth reacted to cold. I'd start to call the dentist but the phone would ring or I had an appointment or I had to go out of town. I just didn't get around to it. PIR 3 - It can't wait, you must do something now. But it is easily remedied and you can (fairly) quickly get back to a routine. The routine may have changed - get rid of the mold - but you have a routine. For my tooth, it came and went for two weeks before it got bad enough to stop my life and I had take care of it. All it needed was a bite adjustment and I'm back to my routine. Slight interruption. PIR 4 - You have no routine because you react to so many exposure sources so strongly that you are almost always sick, recovering from exposures or avoiding locations that have made you ill in the past. You experience many complaints, many doctors, many diagnosis and many treatment failures. The impact is disruptive and life altering. The remedy is life altering. Many in this group are at this level. PIR 5 - Disability. You are too sick to work or take care of family let alone yourself. Financial ruin is the rule. A number on this group are a 5. PIR 6 - The dispossessed. They are the individuals - three or four hundred estimated - who can get slight relief only by isolating themselves from as many exposures as possible. They live outside in tents or porcelan trailors, sometimes moving to high desert regions. I've had 9 clients reach this point in the past 19 years. Some of you have experienced this level. I will now add that once a 3 then always at least a 3 but it could advance to a 4, 5 or even 6 if you don't reduce exposures and your body weakens sufficiently. Not everyone will but there is that potential. But a 3 can live as a 2, at least most of the time. Also, once a 6 always a 6. But through self awareness, learning a few management practices and with increased diligence you don't have to LIVE as a 6. Even without a cure you might be able to reduce the " impact " to a 5 or 4 or 3 with management. Yes, CSM and other treatments can help tremendously. But they aren't a cure for exposure anymore than there is a cure for preventing broken bones in a car crash. Carl Grimes Healthy Habitats LLC Quote Link to comment Share on other sites More sharing options...
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