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Until the early 2000s, there were no definitive treatments for chemical injury and chemical sensitivity. With the development of the neural protocol for neural sensitization, a major debilitating component of chemical injury and sensitivity, medical practitioners have a tool to not just alleviate symptoms but reverse some of the damage caused by chemical injury.

Neural Sensitization: The Medical Key to Treatment for Chemical Injury

IME: Read how to protect your rights and obtain reasonable accommodations for a medical exam

Information for Dr. Ziem’s Patients

Guidelines to Medical Care for Treatable Forms of Chemical Injury and Sensitivity

Summary Health and Environmental History Form: Form intended to help all doctors identify chemical injury and sensitivity potential within minutes.

How Chemical Injury/Chemical Sensitivity Affects the Body: The range of affects that occur with injury

Treatable Forms of Chemical Injury: A listing of the treatable forms with a short description of each form.

Steps in Medical Evaluation and Treatment: A protocol for medical practitioners and patients

Testing for Treatable Chemical Injury: Essential tests for proper diagnosis of chemical injury and its extent

Reaction Factsheet: Guide to how to handle reactions experienced when away from home.

Distinguishing Infection from Inflammation: An important distinction in proper diagnosis and treat of chemical injury and chemical sensitivity.

Medications: The effects of medications on detoxification and other systems in the body.

Anesthesia: The effects anethesia can have on chemically injured and chemically sensitive patients.

Inhalers: The effects inhalers can have on chemically compromised patients with breathing problems.

Cardiovascular Effects: A list of the major impacts of chemical injury on the heart and blood vessels.

Emergency Room Testing: Suggested tests during an emergency room visit after a major reaction.

Biochemical Needs in Chemical Injury: Explanation of the nutritional requirements for proper operation of the detoxification system and general health.

Methacholine Challenge: Why chemically injured patients should avoid this respiratory test.

Diffusing Capacity

Food Intolerance

How to Know Whether an Exposure to Chemicals Caused an Illness

Genetics and Chemical Illness

Parkinson’s and Alzheimer’s Diseases

Workers’ Compensation

Toxic Torts

“Independent” Medical Exams

Toxic Encephalopathy (.pdf)

Reactive Airway Disease (.pdf)

Neurologic Testing

Neurophysiologic Testing

Use of Questionnaires

Health and Environmental History Questionnaire (This document is not under copyright)

Follow-up Questionnaire (This document is not under copyright)

Multiple Sclerosis

Myasthenia Gravis


Too Much Treatment: Aggressive medical care can lead to more pain with no gain. ConsumerReports.org article

Ziem, AUG 2001: Medical Evaluation and Treatment of Patients with Chemical Injury and Sensitivity (.pdf)

Ziem, OCT 2003: Endocrine Changes in Patients with Chronic Illness Following Chemical Overexposure

Ziem, Profile of Patients with Chemical Injury and Sensitivity, Environ Health Perspect 105: 417-437, 1997 (.pdf)

Ziem, Profile of Patients with Chemical Injury and Sensitivity, Part II. Intern J. Toxicol 18: 401-409, 1999 (.pdf)


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