Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 Here's a list of the labs, although, it's slightly outdated as there are a few more that he now runs: http://www.moldwarriors.com/PDFs/NTordersheet.pdf I highly recommend that your friend go ahead and get the new patient packet from Dr. Shoemaker's office and work that in parallel. It requires alot of detailed information and it took me quite a while to get that completed. I also tried to get a local doctor to run the tests. However, it is very difficult to get doctors to follow another doctor's approach. I have friends that have tried the same thing with their local doctors and had similar results. My local doctor was willing to prescribe the CSM, but she just didn't see the point in running all the tests. If you read Mold Warriors you will find that some patients do not get well on CSM alone. If your friend is one of those (like myself), they'll need to see Dr. Shoemaker eventually anyways, which goes back to my first point. In the end, I invested alot more dollars and time in local doctors trying to get the right treatment than I did in traveling from Texas to Pocomoke and seeing Dr. Shoemaker and actually getting the r ight treatment. You will, of course, still require a local doctor for other things, but those test results have been invaluable in terms of my local doctor finally understanding that I'm not just a " normal " hypothyroid patient. The results also helped my accupuncturist in deciding what I should be treated for next. As a starting point, though, if your friend is determined to use a local doctor, I would suggest looking for a physician that's a member of ACAM: http://www.acam.org/dr_search/index.php Dr. Shoemaker spoke at their conference this past May, so your friend could use that as the basis for discussion, although the focus of that discussion was Lyme, the neurotoxin treatment is the same. I have had some success with doctors by going in with the explicit research and proposed treatment. B. -------------- Original message -------------- From: " moldcankill " <moldcankill@...> Hi Group, I just talked to a friend in Kalamazoo, Michigan. He believes that he is sick from toxic mold. His ENT even found black mold spores inside of his ears. I am trying to help him find a doctor near him who will help him. Does anyone know of any doctors around that area (Toledo, Chicago, Detroit). I tried to talk him into going to Shoemaker but it is not something that he is able to do right now. He wants to have a doctor run Shoemaker's testing and treat him with the CSM? Where can I find an explanation of the labs so that he can bring them to a doctor in his area? Thank you for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2006 Report Share Posted November 14, 2006 I got this from a toxin report Dr. Shoemaker did for St. Bernard's Parish, LA. Appendix A to RCS Letter February 22, 2006 Vision Tests & Analyses All subjects who normally wore corrective lenses for near-point viewing were asked to wear them during vision testing. The visual acuity and VCS tests were administered monocularly to each eye; an eye occluder was held over one eye while the other eye was tested. All vision tests were administered under illumination from a " daylight " illuminator (fluorescent source with a correlated color temperature of approximately = 6500E K; color rendering index > 90; intensity = 1150 lux; luminance approximately 70 foot-lamberts) in a clinical unit with normal background lighting. A light meter was used to insure that luminance remained constant throughout the test sessions. A test card holder, consisting of a face rest placed just under the cheek bones or chin as comfort provided, and connected by a calibrated rod to a card holder on the distal end, was used to position the acuity and VCS test cards at a constant distance, previously standardized, from the eyes (acuity - 36 cm (14 inches); contrast sensitivity - 46 cm (18 inches)). Near Visual Acuity The acuity test card (MIS Pocket Vision Guide, © 1997 MIS, Inc.) contained 10 rows of numbers in which the size of the numbers progressed from a larger size in the top row to a smaller size in the bottom row. Participants were asked to first read the numbers in a middle row. Testing proceeded to the next lower row if all numbers were correctly identified or to the next higher row if an error occurred. The Snellen visual acuity of the row (20/20 or 20/30, for example) with the smallest numbers each identified correctly was recorded as the visual acuity score. Two-tailed Student t-tests 0.05 were performed, using the mean score of each participant's two eyes, to determine if scores differed significantly between cohorts. Contrast Sensitivity (VCS) The contrast sensitivity test card (Functional Acuity contrast Test, (FACT), Stereo Optical Co., Chicago, IL, a Gerber-Coburn Co.) contained a matrix (5 x 9) of circles filled with sinusoidal gratings (dark and light bars). Spatial frequency (1.5, 3, 6, 12 and 18 cycles/degree of visual arc) increased from top to bottom, and contrast decreased from left to right in steps of approximately 0.15 log units. The grating bars were oriented either vertically, or tilted 15 degrees to the left or right. As the investigator called out each circle from left to right, row by row, subjects responded by saying either: vertical, left, right or blank. Participants were encouraged to name an orientation if they had any indication that the bars could be seen. Participants were given the option to point in the direction to which the top of the grating was tilted if they felt any difficulty in verbalizing the orientation; none needed this assistance. The contrast sensitivity score for each row (spatial frequency) was recorded as the contrast of the last test patch correctly identified on that row following verification by repeated testing of that patch and the subsequent patch. The procedure was repeated for each row in descending order. The a priori criterion for the inclusion of data in analyses was that the eye has a visual acuity (Snellen Distance Equivalent Score) of 20:50 or better, in order to avoid confounding of the VCS results by excessive optical-refraction error. All eyes include in data analyses met the visual acuity criterion. Data Analysis: The units of analysis for the VCS test were the mean scores of the participant's two eyes at each spatial frequency. Standard error of the mean was calculated for each group of measurements. The VCS data were analyzed using multivariate analyses of variance (MANOVA, with the Wilks' lambda statistic) procedures suitable for repeated measures with + = 0.05. The factors in the model were group and spatial frequency. A factor for gender was not included since there aren't any gender differences in susceptibility to biotoxininduced effects shown as yet, and no gender differences in VCS have been reported. Results that showed a significant group-by-spatial frequency interaction were further analyzed in the step-down, two-tailed Student t-tests (+ = 0.05), the equivalent of a univariate ANOVA to determine which spatial frequencies accounted for the overall effect. Laboratory: LabCorp, Inc., Quest Diagnostics, and Specialty Laboratories, Inc., each CLIA approved, high complexity, national laboratory facilities. MSH: alpha melanocyte stimulating hormone (MSH) is a 13 amino acid compound formed in the ventromedial nucleus (VMN) of the hypothalamus, solitary nucleus and arcuate nucleus by cleavage of proopiomelanocortin (POMC) to yield beta-endorphin and MSH. MSH exerts inductive regulatory effects on production of hypothalamic endorphins and melatonin. MSH has multiple anti-inflammatory and neurohormonal regulatory functions, exerting regulatory control on peripheral cytokine release as well as on both anterior and posterior pituitary function. Deficiency of MSH, commonly seen in biotoxin-associated illnesses, is associated with impairment of multiple regulatory functions and dysregulation of pituitary hormone release. Symptoms associated with MSH deficiency include chronic fatigue and chronic, unusual pain syndromes. Normal values of MSH in commercial labs (Esoterix and LabCorp) are 35-81 pg/ml. Leptin: leptin is a 146 amino acid adipocytokine produced by fat cells in response to rising levels of fatty acids. Leptin has peripheral metabolic effects, promoting storage of fatty acids, as well as central effects in the hypothalamus. Following binding by leptin to a long isoform of the leptin receptor in the VMN, a primordial gp-130 cytokine receptor, a JAK signal causes transcription of the gene for POMC, which is in turned cleaved to make MSH. Peripheral cytokine responses can cause phosphorylation of a serine moiety (instead of threonine) on the leptin receptor, creating leptin resistance and relative deficiency of MSH production. Normal values in commercial labs show differences between males (5-8 ng/ml) and females (8-18 ng/ml), with levels of leptin correlated with BMI. ADH/osmolality: abnormalities in ADH/osmolality are recorded as absolute if ADH is < 1.3 or > 8 pg/ml; or if osmolality is >295 or <275 mOsm/kg. Abnormalities are recorded as relative if simultaneous osmolality is 292-295 and ADH < 2.3; or if osmo is 275-278 and ADH> 4.0. Symptoms associated with dysregulation of ADH include dehydration, frequent urination, with urine showing low specific gravity; excessive thirst and sensitivity to static electrical shocks; as well as edema and rapid weight gain due to fluid retention during initial correction of ADH deficits. ACTH/cortisol: abnormalities in ACTH/cortisol are absolute if AM cortisol > 19 ug/ml or < 8 ug/ml; or if AMACTH is >60 pg/ml or < 10 pg/ml. Abnormalities are recorded as dysregulation if simultaneous cortisol is > 15 and ACTH is > 15, or if cortisol is < 8 and ACTH <40. Early in the illness, as MSH begins to fall, high ACTH is associated with few symptoms; amarked increase in symptoms is associated with a fall in ACTH. Finding simultaneous high cortisol and high ACTH may prompt consideration of ACTH secreting tumors, but the reality is that the dysregulation usually corrects with therapy. Androgens: total testosterone, androstenedione and DHEA-S provide measurements regarding the effectiveness of gonadotrophin secretion as influenced adversely by MSH deficiency. Normal ranges of these hormones in males are 75-205 ng/ml for androstenedione, 350-1030 ng/ml for testosterone and 70-218 ug/ml for DHEA-S. Normal values for pre-menopausal women are 60-245, 10-55 and 48-247, respectively. Postmenopausal normal ranges are 30-120, 7-40 and 48-247, respectively. HLA DR by PCR: LabCorp offers a standard HLA DR typing assay of 10 alleles using a PCR sequence specific chain reaction technique. As opposed to serologic assays for the HLA DR genotypes, the PCR gives far greater specificity in distinguishing individual allele polymorphisms. Linkage disequilibrium is strong in these genotypes, with multiple associations made to inflammatory and autoimmune disease. These genes are part of the human major histocompatibility complex (MHC), also called the HLA complex, located on the short arm of chromosome 6. Relative risk was calculated, susceptible genotypes identified, compared within each group to location and exposure. MMP9: matrix metalloproteinase 9 (gelatinase is an extracellular zinc-dependent enzyme produced by cytokine-stimulated neutrophils and macrophages. MMP9 is involved in degradation of extracellular matrix; it has been implicated in the pathogenesis COPD by destruction of lung elastin, in rheumatoid arthritis, atherosclerosis, cardiomyopathy, and abdominal aortic aneurysm. Cytokines that stimulate MMP9 production include IL-1, IL-2, TNF, IL-1B, interferons alpha and gamma. MMP9 is felt to play a role in central nervous system disease including demyelination, by generation of myelin peptides, as it can break down myelin basic protein. MMP9 " delivers " inflammatory elements out of blood into subintimal spaces, where further delivery into solid organs (brain, lung, muscle, peripheral nerve and joint) is initiated. Normal ranges of MMP9 have a mean of 150, with range of 85- 322 ng/ml. C3a and C4a: Split products of complement activation, often called anaphylatoxins. Each activates inflammatory responses, with spillover of effect from innate immune response to acquired immune responses and hematologic parameters. These short-lived products are remanufactured rapidly, such that an initial rise of plasma levels is seen within 12 hours of exposure and sustained elevation is seen until definitive therapy is initiated. The components increase vascular permeability, release inflammatory elements from macrophages, neutrophils and monocytes, stimulate smooth muscle spasm in small blood vessels and disrupt normal apoptosis. Anticardiolipins IgA, IgM and IgG: autoantibodies often identified in collagen vascular diseases such as lupus and scleroderma; often called anti-phospholipids. These antibodies in high titers are associated with increased intravascular coagulation requiring treatment with heparin and coumadin. Lower levels titers are associated with hypercoagulability. An increased risk of spontaneous fetal loss in the first trimester of pregnancy is not uncommonly seen in women with presence of cardiolipin antibodies. This problem does not have the same " dose-response " relationship seen with levels of autoantibodies and illness as does the antiphospholipid syndrome. Anticardiolipins are found in over 33% of children with biotoxin associated illnesses. Antigliadin IgA and IgG: Antibodies thought at one time to be specific for celiac disease. With the advent of testing for IgA antibodies to tissue transglutaminase (TTG-IgA), gliadin antibodies are most often seen in patients with low levels of MSH. Ingestion of gliadin, the 22-amino acid protein found in gluten (found in wheat, oats, barley and rye; often added to processed foods) will initiate a release of pro-inflammatory cytokines in the tissues lining the intestinal tract. This cytokine effect will often cause symptoms within 30 minutes of ingestion that mimic attention deficit disorder, often leading to an incorrect diagnosis. Antigliadin antibodies are found in over 58% of children with biotoxin-associated illnesses. Vasoactive intestinal polypeptide (VIP): neuroregulatory hormone with receptors in suprachiasmatic nucleus of hypothalamus. This hormone/cytokine regulates peripheral cytokine responses, pulmonary artery pressures and inflammatory responses throughout the body. Deficiency is commonly seen in mold illness patients, particularly those with dyspnea on exertion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2006 Report Share Posted November 14, 2006 This answers some long time questions about the VCS test I had asked earlier. This seems to implicate that there would be a difference in monitors used and/or the lighting in the roon if you are taking the test from home. Plus there is some more very good information here. Thank you for the post. This is great information. Chris... Life is a balance of holding on and letting go... Re: [] Searching for doctors I got this from a toxin report Dr. Shoemaker did for St. Bernard's Parish, LA. Appendix A to RCS Letter February 22, 2006 Vision Tests & Analyses All subjects who normally wore corrective lenses for near-point viewing were asked to wear them during vision testing. The visual acuity and VCS tests were administered monocularly to each eye; an eye occluder was held over one eye while the other eye was tested. All vision tests were administered under illumination from a " daylight " illuminator (fluorescent source with a correlated color temperature of approximately = 6500E K; color rendering index > 90; intensity = 1150 lux; luminance approximately 70 foot-lamberts) in a clinical unit with normal background lighting. A light meter was used to insure that luminance remained constant throughout the test sessions. A test card holder, consisting of a face rest placed just under the cheek bones or chin as comfort provided, and connected by a calibrated rod to a card holder on the distal end, was used to position the acuity and VCS test cards at a constant distance, previously standardized, from the eyes (acuity - 36 cm (14 inches); contrast sensitivity - 46 cm (18 inches)). Near Visual Acuity The acuity test card (MIS Pocket Vision Guide, © 1997 MIS, Inc.) contained 10 rows of numbers in which the size of the numbers progressed from a larger size in the top row to a smaller size in the bottom row. Participants were asked to first read the numbers in a middle row. Testing proceeded to the next lower row if all numbers were correctly identified or to the next higher row if an error occurred. The Snellen visual acuity of the row (20/20 or 20/30, for example) with the smallest numbers each identified correctly was recorded as the visual acuity score. Two-tailed Student t-tests 0.05 were performed, using the mean score of each participant' s two eyes, to determine if scores differed significantly between cohorts. Contrast Sensitivity (VCS) The contrast sensitivity test card (Functional Acuity contrast Test, (FACT), Stereo Optical Co., Chicago, IL, a Gerber-Coburn Co.) contained a matrix (5 x 9) of circles filled with sinusoidal gratings (dark and light bars). Spatial frequency (1.5, 3, 6, 12 and 18 cycles/degree of visual arc) increased from top to bottom, and contrast decreased from left to right in steps of approximately 0.15 log units. The grating bars were oriented either vertically, or tilted 15 degrees to the left or right. As the investigator called out each circle from left to right, row by row, subjects responded by saying either: vertical, left, right or blank. Participants were encouraged to name an orientation if they had any indication that the bars could be seen. Participants were given the option to point in the direction to which the top of the grating was tilted if they felt any difficulty in verbalizing the orientation; none needed this assistance. The contrast sensitivity score for each row (spatial frequency) was recorded as the contrast of the last test patch correctly identified on that row following verification by repeated testing of that patch and the subsequent patch. The procedure was repeated for each row in descending order. The a priori criterion for the inclusion of data in analyses was that the eye has a visual acuity (Snellen Distance Equivalent Score) of 20:50 or better, in order to avoid confounding of the VCS results by excessive optical-refraction error. All eyes include in data analyses met the visual acuity criterion. Data Analysis: The units of analysis for the VCS test were the mean scores of the participant' s two eyes at each spatial frequency. Standard error of the mean was calculated for each group of measurements. The VCS data were analyzed using multivariate analyses of variance (MANOVA, with the Wilks' lambda statistic) procedures suitable for repeated measures with + = 0.05. The factors in the model were group and spatial frequency. A factor for gender was not included since there aren't any gender differences in susceptibility to biotoxininduced effects shown as yet, and no gender differences in VCS have been reported. Results that showed a significant group-by-spatial frequency interaction were further analyzed in the step-down, two-tailed Student t-tests (+ = 0.05), the equivalent of a univariate ANOVA to determine which spatial frequencies accounted for the overall effect. Laboratory: LabCorp, Inc., Quest Diagnostics, and Specialty Laboratories, Inc., each CLIA approved, high complexity, national laboratory facilities. MSH: alpha melanocyte stimulating hormone (MSH) is a 13 amino acid compound formed in the ventromedial nucleus (VMN) of the hypothalamus, solitary nucleus and arcuate nucleus by cleavage of proopiomelanocortin (POMC) to yield beta-endorphin and MSH. MSH exerts inductive regulatory effects on production of hypothalamic endorphins and melatonin. MSH has multiple anti-inflammatory and neurohormonal regulatory functions, exerting regulatory control on peripheral cytokine release as well as on both anterior and posterior pituitary function. Deficiency of MSH, commonly seen in biotoxin-associated illnesses, is associated with impairment of multiple regulatory functions and dysregulation of pituitary hormone release. Symptoms associated with MSH deficiency include chronic fatigue and chronic, unusual pain syndromes. Normal values of MSH in commercial labs (Esoterix and LabCorp) are 35-81 pg/ml. Leptin: leptin is a 146 amino acid adipocytokine produced by fat cells in response to rising levels of fatty acids. Leptin has peripheral metabolic effects, promoting storage of fatty acids, as well as central effects in the hypothalamus. Following binding by leptin to a long isoform of the leptin receptor in the VMN, a primordial gp-130 cytokine receptor, a JAK signal causes transcription of the gene for POMC, which is in turned cleaved to make MSH. Peripheral cytokine responses can cause phosphorylation of a serine moiety (instead of threonine) on the leptin receptor, creating leptin resistance and relative deficiency of MSH production. Normal values in commercial labs show differences between males (5-8 ng/ml) and females (8-18 ng/ml), with levels of leptin correlated with BMI. ADH/osmolality: abnormalities in ADH/osmolality are recorded as absolute if ADH is < 1.3 or > 8 pg/ml; or if osmolality is >295 or <275 mOsm/kg. Abnormalities are recorded as relative if simultaneous osmolality is 292-295 and ADH < 2.3; or if osmo is 275-278 and ADH> 4.0. Symptoms associated with dysregulation of ADH include dehydration, frequent urination, with urine showing low specific gravity; excessive thirst and sensitivity to static electrical shocks; as well as edema and rapid weight gain due to fluid retention during initial correction of ADH deficits. ACTH/cortisol: abnormalities in ACTH/cortisol are absolute if AM cortisol > 19 ug/ml or < 8 ug/ml; or if AMACTH is >60 pg/ml or < 10 pg/ml. Abnormalities are recorded as dysregulation if simultaneous cortisol is > 15 and ACTH is > 15, or if cortisol is < 8 and ACTH <40. Early in the illness, as MSH begins to fall, high ACTH is associated with few symptoms; amarked increase in symptoms is associated with a fall in ACTH. Finding simultaneous high cortisol and high ACTH may prompt consideration of ACTH secreting tumors, but the reality is that the dysregulation usually corrects with therapy. Androgens: total testosterone, androstenedione and DHEA-S provide measurements regarding the effectiveness of gonadotrophin secretion as influenced adversely by MSH deficiency. Normal ranges of these hormones in males are 75-205 ng/ml for androstenedione, 350-1030 ng/ml for testosterone and 70-218 ug/ml for DHEA-S. Normal values for pre-menopausal women are 60-245, 10-55 and 48-247, respectively. Postmenopausal normal ranges are 30-120, 7-40 and 48-247, respectively. HLA DR by PCR: LabCorp offers a standard HLA DR typing assay of 10 alleles using a PCR sequence specific chain reaction technique. As opposed to serologic assays for the HLA DR genotypes, the PCR gives far greater specificity in distinguishing individual allele polymorphisms. Linkage disequilibrium is strong in these genotypes, with multiple associations made to inflammatory and autoimmune disease. These genes are part of the human major histocompatibility complex (MHC), also called the HLA complex, located on the short arm of chromosome 6. Relative risk was calculated, susceptible genotypes identified, compared within each group to location and exposure. MMP9: matrix metalloproteinase 9 (gelatinase is an extracellular zinc-dependent enzyme produced by cytokine-stimulated neutrophils and macrophages. MMP9 is involved in degradation of extracellular matrix; it has been implicated in the pathogenesis COPD by destruction of lung elastin, in rheumatoid arthritis, atherosclerosis, cardiomyopathy, and abdominal aortic aneurysm. Cytokines that stimulate MMP9 production include IL-1, IL-2, TNF, IL-1B, interferons alpha and gamma. MMP9 is felt to play a role in central nervous system disease including demyelination, by generation of myelin peptides, as it can break down myelin basic protein. MMP9 " delivers " inflammatory elements out of blood into subintimal spaces, where further delivery into solid organs (brain, lung, muscle, peripheral nerve and joint) is initiated. Normal ranges of MMP9 have a mean of 150, with range of 85- 322 ng/ml. C3a and C4a: Split products of complement activation, often called anaphylatoxins. Each activates inflammatory responses, with spillover of effect from innate immune response to acquired immune responses and hematologic parameters. These short-lived products are remanufactured rapidly, such that an initial rise of plasma levels is seen within 12 hours of exposure and sustained elevation is seen until definitive therapy is initiated. The components increase vascular permeability, release inflammatory elements from macrophages, neutrophils and monocytes, stimulate smooth muscle spasm in small blood vessels and disrupt normal apoptosis. Anticardiolipins IgA, IgM and IgG: autoantibodies often identified in collagen vascular diseases such as lupus and scleroderma; often called anti-phospholipids. These antibodies in high titers are associated with increased intravascular coagulation requiring treatment with heparin and coumadin. Lower levels titers are associated with hypercoagulability. An increased risk of spontaneous fetal loss in the first trimester of pregnancy is not uncommonly seen in women with presence of cardiolipin antibodies. This problem does not have the same " dose-response " relationship seen with levels of autoantibodies and illness as does the antiphospholipid syndrome. Anticardiolipins are found in over 33% of children with biotoxin associated illnesses. Antigliadin IgA and IgG: Antibodies thought at one time to be specific for celiac disease. With the advent of testing for IgA antibodies to tissue transglutaminase (TTG-IgA), gliadin antibodies are most often seen in patients with low levels of MSH. Ingestion of gliadin, the 22-amino acid protein found in gluten (found in wheat, oats, barley and rye; often added to processed foods) will initiate a release of pro-inflammatory cytokines in the tissues lining the intestinal tract. This cytokine effect will often cause symptoms within 30 minutes of ingestion that mimic attention deficit disorder, often leading to an incorrect diagnosis. Antigliadin antibodies are found in over 58% of children with biotoxin-associated illnesses. Vasoactive intestinal polypeptide (VIP): neuroregulatory hormone with receptors in suprachiasmatic nucleus of hypothalamus. This hormone/cytokine regulates peripheral cytokine responses, pulmonary artery pressures and inflammatory responses throughout the body. Deficiency is commonly seen in mold illness patients, particularly those with dyspnea on exertion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 14, 2006 Report Share Posted November 14, 2006 --- In , " moldcankill " <moldcankill@...> wrote: > > Hi Group, > > I just talked to a friend in Kalamazoo, Michigan. He believes that he > is sick from toxic mold. His ENT even found black mold spores inside of > his ears. I am trying to help him find a doctor near him who will help > him. Does anyone know of any doctors around that area (Toledo, > Chicago, Detroit). I tried to talk him into going to Shoemaker but it > is not something that he is able to do right now. > > He wants to have a doctor run Shoemaker's testing and treat him with > the CSM? Where can I find an explanation of the labs so that he can > bring them to a doctor in his area? Thank you for your help. You can find an explanation of the labs in the back of Shoemaker's book- Mold Warriors. But let me just say that you are better off doing the labs in Shoemaker's office. I did them here in Kansas because I was told from Shoemaker's office that he would work with my allergy dr. to help diagnose me and get me treated. Dr. Shoemaker didn't give us the time of day even after I did all the bloodwork because I was not his patient. Nor would he do any phone consultations because I was not his patient. So you are better off just going to land and doing it once. ( or do the labs and take them with you to Shoemaker's office). I wasted a lot of time because I believed that he would tell my dr. what to do with me, but he didn't. Now I have to go to land and see him to get my problems solved. Tell your friend to start the CSM now. He doesn't have to go to maryland to do that and it will help start to get the toxins out of his system. I buy the box of 60 packets of cholestyrimine. Tell your friend to take 4 packs a day- 30 minutes before he eats anything. That is what Shoemaker suggests. And tell him to read Mold Warriors and Desperate Medicine. He will have to do this before shoemaker will see him anyhow. Call and get a new patient packet from their office. There are A Lot of requirements to see Shoemaker. He is very expensive-- you are looking at close to $1000 just to get your foot in the door. That includes all the bloodwork you are required to do and the $150 read your file fee, and the $75 fee he has for msh research and stipends. You will also need to have dr. records from all your dr.'s from the last 5 yrs. Good luck and get on it because it takes a while to get in to him-- but I'm sure it is worth it. He can save lives! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2006 Report Share Posted November 15, 2006 Just to let you know so there is not any shock involved as far as going too see Dr. Shoemaker. You can expect to pay just a we bit more than that. We, meaning alot. I have an appointment and will be going in the begining of December. I don't want to scare anyone off because if you want answers you are going to get them there but it is best to be prepared financially. If you are lucky you have insurance and that should help quite a bit. If you don't have insurance I would suggest regardless of the cost get it before hand. If for no other reason you will not have to deal with pre existing conditions in the future. These are hard lesons I am learning as time goes on. Chris... Life is a balance of holding on and letting go... [] Re: Searching for doctors --- In , " moldcankill " <moldcankill@ ...> wrote: > > Hi Group, > > I just talked to a friend in Kalamazoo, Michigan. He believes that he > is sick from toxic mold. His ENT even found black mold spores inside of > his ears. I am trying to help him find a doctor near him who will help > him. Does anyone know of any doctors around that area (Toledo, > Chicago, Detroit). I tried to talk him into going to Shoemaker but it > is not something that he is able to do right now. > > He wants to have a doctor run Shoemaker's testing and treat him with > the CSM? Where can I find an explanation of the labs so that he can > bring them to a doctor in his area? Thank you for your help. You can find an explanation of the labs in the back of Shoemaker's book- Mold Warriors. But let me just say that you are better off doing the labs in Shoemaker's office. I did them here in Kansas because I was told from Shoemaker's office that he would work with my allergy dr. to help diagnose me and get me treated. Dr. Shoemaker didn't give us the time of day even after I did all the bloodwork because I was not his patient. Nor would he do any phone consultations because I was not his patient. So you are better off just going to land and doing it once. ( or do the labs and take them with you to Shoemaker's office). I wasted a lot of time because I believed that he would tell my dr. what to do with me, but he didn't. Now I have to go to land and see him to get my problems solved. Tell your friend to start the CSM now. He doesn't have to go to maryland to do that and it will help start to get the toxins out of his system. I buy the box of 60 packets of cholestyrimine. Tell your friend to take 4 packs a day- 30 minutes before he eats anything. That is what Shoemaker suggests. And tell him to read Mold Warriors and Desperate Medicine. He will have to do this before shoemaker will see him anyhow. Call and get a new patient packet from their office. There are A Lot of requirements to see Shoemaker. He is very expensive-- you are looking at close to $1000 just to get your foot in the door. That includes all the bloodwork you are required to do and the $150 read your file fee, and the $75 fee he has for msh research and stipends. You will also need to have dr. records from all your dr.'s from the last 5 yrs. Good luck and get on it because it takes a while to get in to him-- but I'm sure it is worth it. He can save lives! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2006 Report Share Posted November 15, 2006 There is a doctor here in Michigan. I have to find his name. Dr. Shoemaker even referred my kids to him, however he does not work with children. He is somewhere near Royal Oak. When I find the info. I'll let you know. [] Re: Searching for doctors > > Hi Group, > > I just talked to a friend in Kalamazoo, Michigan. He believes that he > is sick from toxic mold. His ENT even found black mold spores inside of > his ears. I am trying to help him find a doctor near him who will help > him. Does anyone know of any doctors around that area (Toledo, > Chicago, Detroit). I tried to talk him into going to Shoemaker but it > is not something that he is able to do right now. > > He wants to have a doctor run Shoemaker's testing and treat him with > the CSM? Where can I find an explanation of the labs so that he can > bring them to a doctor in his area? Thank you for your help. You can find an explanation of the labs in the back of Shoemaker's book- Mold Warriors. But let me just say that you are better off doing the labs in Shoemaker's office. I did them here in Kansas because I was told from Shoemaker's office that he would work with my allergy dr. to help diagnose me and get me treated. Dr. Shoemaker didn't give us the time of day even after I did all the bloodwork because I was not his patient. Nor would he do any phone consultations because I was not his patient. So you are better off just going to land and doing it once. ( or do the labs and take them with you to Shoemaker's office). I wasted a lot of time because I believed that he would tell my dr. what to do with me, but he didn't. Now I have to go to land and see him to get my problems solved. Tell your friend to start the CSM now. He doesn't have to go to maryland to do that and it will help start to get the toxins out of his system. I buy the box of 60 packets of cholestyrimine. Tell your friend to take 4 packs a day- 30 minutes before he eats anything. That is what Shoemaker suggests. And tell him to read Mold Warriors and Desperate Medicine. He will have to do this before shoemaker will see him anyhow. Call and get a new patient packet from their office. There are A Lot of requirements to see Shoemaker. He is very expensive-- you are looking at close to $1000 just to get your foot in the door. That includes all the bloodwork you are required to do and the $150 read your file fee, and the $75 fee he has for msh research and stipends. You will also need to have dr. records from all your dr.'s from the last 5 yrs. Good luck and get on it because it takes a while to get in to him-- but I'm sure it is worth it. He can save lives! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2006 Report Share Posted November 15, 2006 This $1000 INCLUDES THE COST OF THE LAB WORK? OMG, I have been so stupid.. That is great news for me, because I have been holding off on the lab work because the combined cost that I was quoted, buying them all one at a time was way, way over that.. If it is 'just' $1000 then that puts it in a different perspective completely.. > Tell your friend to take 4 packs a day- 30 minutes before he eats > anything. That is what Shoemaker suggests. And tell him to read > Mold Warriors and Desperate Medicine. He will have to do this before > shoemaker will see him anyhow. Call and get a new patient packet > from their office. There are A Lot of requirements to see > Shoemaker. He is very expensive-- you are looking at close to $1000 > just to get your foot in the door. That includes all the bloodwork > you are required to do and the $150 read your file fee, and the $75 > fee he has for msh research and stipends. You will also need to > have dr. records from all your dr.'s from the last 5 yrs. Good luck > and get on it because it takes a while to get in to him-- but I'm > sure it is worth it. He can save lives! > > __._,_. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2006 Report Share Posted November 15, 2006 No, you've not been stupid - that $1000 estimate does not include the lab work at all. My first office visit was like $600, which only included an EKG and the initial 2 hour appointment, then there are those other charges for the record review, etc. that you send when you send in your paperwork. That total was more like the $150 + $75, so that's $225. Then, there a couple labs that you have to pay cash for as they will no longer charge the insurance company. All these numbers are listed clearly in the new patient information packet. My lab work was well, well over $1000 that was charged to the insurance. Even if you pay cash, I don't think there's any way you're getting all those labs and the initial appt for $1000. I didn't have any doctor's records (for myself) - only my copies of labs that I sent in with all the requisite paperwork, which requires alot of detail in itself. That all said, I still found the total cost, including travel from Texas to be a bargain compared to all the time and money I've spent with doctors that couldn't figure out a thing and that kept running the same CBCs and CMPs and telling me there was nothing wrong with me - indeed once they see my CRP and HDL cholesterol, they're usually pretty much finished listening to me at all and ready to send me on my way with anti-depressants. Shoemaker's tests were the first and only that really showed that I am sick - and we had the results in just a few weeks. It's taken my local doc 1.5 years to finally come to the conclusion that there is something really abnormal about my endocrine system. Be well, B. -------------- Original message -------------- From: LiveSimply <quackadillian@...> This $1000 INCLUDES THE COST OF THE LAB WORK? OMG, I have been so stupid.. That is great news for me, because I have been holding off on the lab work because the combined cost that I was quoted, buying them all one at a time was way, way over that.. If it is 'just' $1000 then that puts it in a different perspective completely.. > Tell your friend to take 4 packs a day- 30 minutes before he eats > anything. That is what Shoemaker suggests. And tell him to read > Mold Warriors and Desperate Medicine. He will have to do this before > shoemaker will see him anyhow. Call and get a new patient packet > from their office. There are A Lot of requirements to see > Shoemaker. He is very expensive-- you are looking at close to $1000 > just to get your foot in the door. That includes all the bloodwork > you are required to do and the $150 read your file fee, and the $75 > fee he has for msh research and stipends. You will also need to > have dr. records from all your dr.'s from the last 5 yrs. Good luck > and get on it because it takes a while to get in to him-- but I'm > sure it is worth it. He can save lives! > > __._,_. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2006 Report Share Posted November 16, 2006 I have made it through the tornado's yesterday and now have my life back, Ooops I mean the internet. If you or anyone else is planning on going to see Dr. Shoemaker I am just going to say it. Prepare to spend just under $5000.00. The only figure I am uncertain for sure on is the brain scan. I was offered the dicission to bypass this test but declined. I figured if I am going I want whatever is offered and want to know everything I can. The figures below are close but slightly off. The office visit (this is for people in or going into litigation. It might be lower for those not going to court???) The cost is $675.00 The labs in his office are around $700.00 to $800.00 (I believe the exact figure was $775.00) the labs sent out is $3000.00. The record review charge is $150.00. You are required to pay a $75.00 CRBAI membership fee. You are also given the choice of having the cytokine panel, MMP-9 and serial MMP-9 tests done for $60.00. Again, I don't know the cost of the brain scan. By the time I had added these figures up it seemed alittle irrelevant at that point. As I stated before I don't hand out these figures to scare anyone but it is best to be prepared. I have no doubt it will be well spent money. Had I just done this first I would have actually saved some money. My best advice to anyone is to get a health insurance policy first if it is all possible. I have learned this the hard way. Between now needing a root canal and some other dental work and yesterday finding out about a horribly painful ear infection (Sorry KC, the vinegar did not help me any) Now I have a lovely little pre-existing condition problem I will have to deal with for a long time. But I like everyone else know how hard it is to do anything. I only have my family to thank for their help, otherwise I would just plain be *%#%*#... As for my comment about the internet, it is amazingly scary how true the recent sprint commercial is. Where the guys friend grabs his blackberry and he suddenly looks around like he is lost. Yikes. But on the positive side I have gotten to page 35 in Mold Warriors. I am already hooked and will continue reading it. I highly recommend it and I have not read much but I hate reading and it has taken me an entire day to get that far. If you plan to go to Shoemakers office don't buy it. All his books are included in your fees. Hope this clears any confusion on the cost's associated with what you will eventually pay regardless. Chris... Life is a balance of holding on and letting go... Re: [] Re: Searching for doctors No, you've not been stupid - that $1000 estimate does not include the lab work at all. My first office visit was like $600, which only included an EKG and the initial 2 hour appointment, then there are those other charges for the record review, etc. that you send when you send in your paperwork. That total was more like the $150 + $75, so that's $225. Then, there a couple labs that you have to pay cash for as they will no longer charge the insurance company. All these numbers are listed clearly in the new patient information packet. My lab work was well, well over $1000 that was charged to the insurance. Even if you pay cash, I don't think there's any way you're getting all those labs and the initial appt for $1000. I didn't have any doctor's records (for myself) - only my copies of labs that I sent in with all the requisite paperwork, which requires alot of detail in itself. That all said, I still found the total cost, including travel from Texas to be a bargain compared to all the time and money I've spent with doctors that couldn't figure out a thing and that kept running the same CBCs and CMPs and telling me there was nothing wrong with me - indeed once they see my CRP and HDL cholesterol, they're usually pretty much finished listening to me at all and ready to send me on my way with anti-depressants. Shoemaker's tests were the first and only that really showed that I am sick - and we had the results in just a few weeks. It's taken my local doc 1.5 years to finally come to the conclusion that there is something really abnormal about my endocrine system. Be well, B. ------------ -- Original message ------------ -- From: LiveSimply <quackadillian@ gmail.com> This $1000 INCLUDES THE COST OF THE LAB WORK? OMG, I have been so stupid.. That is great news for me, because I have been holding off on the lab work because the combined cost that I was quoted, buying them all one at a time was way, way over that.. If it is 'just' $1000 then that puts it in a different perspective completely.. > Tell your friend to take 4 packs a day- 30 minutes before he eats > anything. That is what Shoemaker suggests. And tell him to read > Mold Warriors and Desperate Medicine. He will have to do this before > shoemaker will see him anyhow. Call and get a new patient packet > from their office. There are A Lot of requirements to see > Shoemaker. He is very expensive-- you are looking at close to $1000 > just to get your foot in the door. That includes all the bloodwork > you are required to do and the $150 read your file fee, and the $75 > fee he has for msh research and stipends. You will also need to > have dr. records from all your dr.'s from the last 5 yrs. Good luck > and get on it because it takes a while to get in to him-- but I'm > sure it is worth it. He can save lives! > > __._,_. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2006 Report Share Posted November 16, 2006 Do you know if insurance (PPO) pays for this? I am sick and I am willing to fight them (the insurance co) to get it paid for.. I recommend that you get insurance, nomatter how much it costs. There are so many people now who lose everything because of one unplanned illness (thats the way they put it in the papers, but honestly, how many illnesses ARE 'planned') and in fact most bankruptcies now are because a family member got sick and then their family lost everything, job, then insurance then home then future.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2006 Report Share Posted November 16, 2006 Here is one study that talks about (all kinds of) illness as a contributor to bankruptcies... http://www.demos.org/pubs/Harvard_MedDebtFeb05.pdf Read it! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2006 Report Share Posted November 16, 2006 I am thinking they will tell you to call the insurance company yourself but try calling his office and asking. If nothing else get the paperwork needed sent to you about getting an office visit. Call (410) 957-1550. See if you can talk to Debbie. Who I believe to be the office manager. Like I said, at least ask them to send you the paperwork in order to prepare for an appointment. There is alot of information in it. I don't have insurance so I cannot answer this question. Hope that helps. Chris... Life is a balance of holding on and letting go... Re: [] Re: Searching for doctors Do you know if insurance (PPO) pays for this? I am sick and I am willing to fight them (the insurance co) to get it paid for.. I recommend that you get insurance, nomatter how much it costs. There are so many people now who lose everything because of one unplanned illness (thats the way they put it in the papers, but honestly, how many illnesses ARE 'planned') and in fact most bankruptcies now are because a family member got sick and then their family lost everything, job, then insurance then home then future.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2006 Report Share Posted November 19, 2006 Regarding gettting insurance even if it is expensive: I fell into a gap period with no insurance once,and due to the fact that I had been on Xanax for a sleep problem I could not get insurance that would cover doctor's visits, prescriptions, testing, etc. no matter how much I was willing to pay. I could only get catastophy insurance/i.e. hospital insurance and that was something like $450 a month or something absurd. Since I had few assets at the time other than my car, it wouldn't have been worth it. If you have sizeable investment in a house, you could lose that so you have to weigh the the amount of your assets against the possible losses you would have. Someone who has no assets, would be silly to pay a large sum for health insurance. If you are in an emergency situation health-wise and have no assets, hospital must treat you. If you are elderly and in good health, it would make good sense to buy it even if expensive, etc. It's not automatically a good thing to buy regardless of price. There are a number of otherwise low paying jobs that should be fairly easy to get I think but in exchange for low wages, you get group insurance coverage. I know a number of people who work for low hourly wage for group health insurance. Then there is no preexisting condition clause that applies to you in these cases I believe. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2006 Report Share Posted November 19, 2006 The one unexpected perk from moving to NM is the health insurance-NM is basically a socialist state. One out of three are on public assistance- They have a state run " Pool " for insurance-for BL Cross Bl Sh- they only take into account your income- I am only paying $109 a month- with a six month waiting for pre-existing- this is the least I have paid for health insurance in 25 years. The local clinic also has a sliding scale for payments. And I take therapy at the hospital once a week-totally free! no paperwork or questions asked just said I was poor! not trying to cause a run on New Mexico- but if you are thinking of re-locating you might consider it. Property values are low- but allot of houses (including mine) were damaged in the summer rains that were extremely unusually strong. Thinking of starting a local awarness group- nobody knows about mold. -- In , bbw <barb1283@...> wrote: > > Regarding gettting insurance even if it is > expensive: I fell into a gap period with no > insurance once,and due to the fact that I had > been on Xanax for a sleep problem I could not get > insurance that would cover doctor's visits, > prescriptions, testing, etc. no matter how much I > was willing to pay. I could only get catastophy > insurance/i.e. hospital insurance and that was > something like $450 a month or something absurd. > Since I had few assets at the time other than my > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2006 Report Share Posted November 19, 2006 That is very good! So everyone has accessto health care. I'm sure that saves a lot of money in the long run. Does this apply to everyone or just people over a certain age or under a certain income? In situations like that, I can't help but thinking that the potential for doing something really positive has to exist there, like setting up some kind of center that does research on mold illnesses and the best treatments for them. When i realized that 24% of all people had the potential to get mold illness, the first thing I thought is that SO MANY HEALTH ISSUES are probably related to mold but that the people suffering from them don't know it. Given what we know about what mold does to younger people, I think that one of the most tragic things that is probably happening is that mold is probably making a huge number of older people senile before they would be getting senile if they were not eposed to mold. But since older people are expected to get senile, I bet a lot of them just suffer and die without ever knowing that some of their senility was avoidable and that some of them might not even be senile at all.. Older people don't get fevers the way younger people do when they have infections, so that probably masks the underlying issues. In any case, there is a chapter in Mold Warriors that describes this situation and I think that its not unreasonable to think that it is common.. How much do these HLA-DR tests cost? In my opinion, everyone should get one if they can afford it. On 11/19/06, carondeen <kdeanstudios@...> wrote: > > The one unexpected perk from moving to NM is the health insurance-NM is > basically a socialist state. One out of three are on public assistance- > They have a state run " Pool " for insurance-for BL Cross Bl Sh- they only > take into account your income- I am only paying $109 a month- with a > six month waiting for pre-existing- this is the least I have paid for > health insurance in 25 years. The local clinic also has a sliding scale > for payments. And I take therapy at the hospital once a week-totally > free! no paperwork or questions asked just said I was poor! not trying > to cause a run on New Mexico- but if you are thinking of re-locating > you might consider it. Property values are low- but allot of houses > (including mine) were damaged in the summer rains that were extremely > unusually strong. Thinking of starting a local awarness group- nobody > knows about mold. > -- In <%40>, > bbw <barb1283@...> wrote: > > > > Regarding gettting insurance even if it is > > expensive: I fell into a gap period with no > > insurance once,and due to the fact that I had > > been on Xanax for a sleep problem I could not get > > insurance that would cover doctor's visits, > > prescriptions, testing, etc. no matter how much I > > was willing to pay. I could only get catastophy > > insurance/i.e. hospital insurance and that was > > something like $450 a month or something absurd. > > Since I had few assets at the time other than my > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 20, 2006 Report Share Posted November 20, 2006 The pool cost for insurance is based on your tax return, not assets- do not know yet what testing costs -my Dr is still slogging his way through Shoemaker stuff -he is a mold Dr in training- he wanted to learn so I am pointing him in the right direction- if anyone has links or papers he should read- send it to me- dont want to overwhelm him, but think he should read something besides Mold Warriors a d Desperation Med. > > That is very good! So everyone has accessto health care. I'm sure that saves > a lot of money in the long run. Does this apply to everyone or just people > over a certain age or under a certain income? > > In situations like that, I can't help but thinking that the potential for > doing something really positive has to exist there, like setting up some > kind of center that does research on mold illnesses and the best treatments > for them. > > Quote Link to comment Share on other sites More sharing options...
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