Guest guest Posted March 23, 2006 Report Share Posted March 23, 2006 Barb & Members, Please do not even think for one moment that you are stupid, because you don't understand something. As long as I've been on this board there are times when new terms and/or abbreviation show up that I don't understand or know. Please do not be afraid to ask. I apologize that I have not made a file of abbreviations and hopefully in the near future I will find the time to do it. I am constantly being pulled in many different directions and if someone would like to help with this, as far as compiling this information to make things easier I will be more than happy to add it to our files. I am reposting Carl's post on the terminology and impact of PIR. KC 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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