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Patient Information: Medical Care - Environmental Controls

ENVIRONMENTAL CONTROLS ARE MOST IMPORTANT

If you do not have a relatively nontoxic environment, you will not be able to adequately benefit from the medical treatment, because frequent exposures in or near the home (workplace/school) causing frequent symptoms interfere with the healing process.  If this is your situation, you need to do the following:

    1. On this web site, go to the Health and Environment History Questionnaire. Answer the questions developed at Johns Hopkins by Dr. Davidoff (#1). If you have multiple, frequent symptoms (on question 1) and have worsening of symptoms to multiple exposures listed in question #12, it is probably essential for you to focus on reducing exposures in and near your home environment.

    2. Obtain a copy of the essential reference entitled Less Toxic Alternatives (Ninth Edition) by Carolyn Gorman. The ISBN # is 1-57397-022-0.  Carolyn Gorman is the most experienced health educator in the United States regarding what products are and not safe. This economic and easy-to-use reference will save you significant suffering and medical bills.

    3. Review the Environmental Control Plan on this website.

    4. For pesticide issues consult the excellent 501C3 organization, www.beyondpesticides.org, (202-543-5450).  For nontoxic pest control products, consider www.gardensalive.com.

    5. Another listing of nontoxic products is the test, Endangered Brains, by Dr. K.H. Kilburn, Princeton Scientific Publishers, ISBN # 0-9745460-0-3.

    6. Determine whether you are eligible for reasonable accommodation. If you have a medical condition that significantly effects a major life activity, such as breathing, frequent severe pain, difficulty thinking clearly etc., you are probably qualified for reasonable accommodation under disability legislation such as the Americans with Disabilities Act and the Fair Housing Act.  Consult this website and Chemical Injury Information Network www.CIIN.org for more ideas, after you have thought through what accommodations are possible and reasonable.

    Accommodations need not be free. Wheelchairs, elevator, restroom and drinking fountain designs are all required reasonable accommodations even if no one with a wheelchair works in the building because they are essential for access.

    You need a doctor's statement that you are “a qualified individual for reasonable accommodation” because you have a medical condition affecting the major life activity of ___________.”

    Before seeking a doctor’s statement you should make a typed list of the specific accommodations that you feel are both necessary and reasonableTry to have alternatives that are reasonable. For pesticide problems, Beyond Pesticides is an excellent information source.

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