Cookies must be enabled to use this web application.

To allow this site to use cookies, use the steps that apply to your browser below. If your browser is not listed below, or if you have any questions regarding this site, please contact us.

Microsoft Internet Explorer
  • 1. Select "Internet Options" from the Tools menu.
  • 2. Click on the "Privacy" tab.
  • 3. Click the "Default" button.
  • 4. Click "OK" to save changes.
Chrome Chrome
  • 1. Click the "Spanner" icon in the top right of the browser.
  • 2. Click Options and change to the "Under the Hood" tab.
  • 3. Scroll down until you see "Cookie settings:".
  • 4. Set this to "Allow all cookies".
Firefox Firefox
  • 1. Go to the "Tools" menu and select "Options".
  • 2. Click the "Privacy" icon on the top of the window.
  • 3. Click on the "Cookies" tab.
  • 4. Check the box corresponding to "Allow sites to set Cookies.
  • 5. Click "OK" to save changes.
Opera Opera
  • 1. Click on the "Tools" menu and then click Preferences.
  • 2. Change to the Advanced tab, and to the cookie section.
  • 3. Select "Accept cookies only from the site I visit" or "Accept cookies".
  • 4. Ensure "Delete new cookies when exiting Opera" is not ticked.
  • 5. Click OK.
Netscape and Mozilla Suite Netscape and Mozilla Suite
  • 1. Select "Preferences" from the Edit menu.
  • 2. Click on the arrow next to "Privacy & Security".
  • 3. Under "Privacy & Security" select "Cookies".
  • 4. Select "Enable all cookies".
  • 5. Click "OK" to save changes.
Safari Safari
  • 1. Click on the "Cog" icon in Safari.
  • 2. Click Preferences.
  • 3. Change to the Security tab.
  • 4. Select "Only from sites I visit" or "Allow".
  • 5. Close the dialog using the cross.
Book Image Not Available Book Image Not Available
Book details
  • Genre:HEALTH & FITNESS
  • SubGenre:General
  • Language:English
  • Pages:283
  • eBook ISBN:9781098335922

The Art and Science of CIRS Medicine

by Ritchie Shoemaker M.D. , Andrew Heyman M.D. MHSA and Scott McMahon M.D.

Book Image Not Available Book Image Not Available
Overview

As teachers and long-time proponents of Chronic Inflammatory Response Syndrome (CIRS), we felt that a compendium of current educational and scientific materials on the Chronic Inflammatory Response Syndrome (CIRS) had a place in the approach to the CIRS patient. In our existing training courses, the basics of CIRS medicine is the source of our curriculum. Call the current courses CIRS 101 and CIRS 201, if you will. Fundamental to our courses is student participation in discussion of published papers, often leading to deeper questions regarding the art of CIRS practice. The growing course work, and level of student engagement show us that students want – and need – greater exploration of the topic, access to the primary literature and opportunities to demonstrate mastery of the subject.

Survivingmold.com is pleased to announce the Ebook publication of the Art and Science of CIRS Medicine. Written by Ritchie C. Shoemaker, M.D., Scott McMahon, M.D., and Andrew Heyman, M.D., MHSA, this publication is the long-awaited textbook of CIRS medicine.

The book itself contains chapters of pertinent elements of CIRS medicine together with intriguing cases from the CIRS Academy and multiple published academic papers. The text on GENIE alone make it a must read. This book is targeted towards students of the inflammatory and metabolic physiology found in CIRS that wreak such never-ending havoc on so many people.

Reviewers of the book comment:

“This book is incredible. Much needed in this age of misinformation!” Lysander Jim, M.D.

Diane Parks, NP says, “To say I am totally blown away by this book is an understatement. One day I will have the authors teach me how to ‘do it all’ while maintaining their busy schedules. This is such an important book for providers and patients alike and a labor of love by all who participated.”

April Vukelic, D.O., says “This book is a page turner!”

Peg DiTulio, NP comments, “A substantive work that should change the game for many. Congrats on the find work!”

Jacki Meinhardt NP adds, “It is a great book and a thorough explanation of CIRS. Very enjoyable read. There were a few sections that I had to reread and think about because of its complexity. I thoroughly enjoyed reading.”

Available from Surviving Mold on the store tab, the book is currently for sale for $25. Get your copy today!

Description
As teachers and long-time proponents of Chronic Inflammatory Response Syndrome (CIRS), we felt that a compendium of current educational and scientific materials on the Chronic Inflammatory Response Syndrome (CIRS) had a place in the approach to the CIRS patient. In our existing training courses, the basics of CIRS medicine is the source of our curriculum. Call the current courses CIRS 101 and CIRS 201, if you will. Fundamental to our courses is student participation in discussion of published papers, often leading to deeper questions regarding the art of CIRS practice. The growing course work, and level of student engagement show us that students want – and need – greater exploration of the topic, access to the primary literature and opportunities to demonstrate mastery of the subject. What we have put together are informal chapters regarding opinions of skilled practitioners based both on published data and on bedside experience that should help guide new CIRS practitioners through the complex maze of treating this unique patient population. These chapters show the art of CIRS Medicine used by the authors. We cover the subtleties and nuances of exposures, symptoms, labs, physical exam, ancillary studies, use of medications and some of the cutting edge science, transcriptomics, that are brought to bear on the fundamental question, "How can we help the CIRS trainee become an expert?" We will also feature new dynamic published papers that impact our current thinking about inflammation in CIRS, namely (i) metabolism; and (ii) mycotoxin measurements in urine. We include eight demonstrative cases written up by members of the Surviving Mold CIRS Academy. We are grateful for permission provided by each of these authors (see below) to use their excellent studies for educational experiences. Here we see a merging of art and science of CIRS Medicine that translates into an answer to the question, "How do I sort out differential diagnosis and quickly identify the right approach to helping complicated patients?" Finally, we include published papers that serve as a journal club for our students. Here are the scientific foundations of CIRS Medicine. Sample teaching questions range from the obvious (what is the study design?) to the essence of science (based on these data, how can you logically apply them to patient care?). We all have our dreams for the future, like hopes and fears all rolled up into one package. We have asked Drs. Shoemaker, McMahon and Heyman to share with us their ideas on the expansion of CIRS Medicine-what is possible now and what will be possible in the future. To help on this quest, we have included a research module based on the work of Ken Hudnell PhD and Ritchie Shoemaker MD that forms a starting point for good scientific studies. Finally, the advances in transcriptomics tell us far more about metabolism and inflammation than any writings published to date. These are exciting times! Taken together, the chapters, papers and sidebars of The Art and Science of CIRS Medicine are part of the ever-expanding extrapolation of CIRS to medicine in general.
About the author
Ritchie Shoemaker, M. D., is a recognized leader in patient care, research and education pioneer in the field of biotoxin related illness. While illness acquired following exposure to the interior environment of water-damaged buildings (WDB) comprises the bulk of Shoemaker's daily practice, other illnesses caused by exposure to biologically produced toxins are quite similar in their "final common pathway." What this means is that while the illness might begin acutely with exposure to fungi, spirochetes, apicomplexans, dinoflagellates and cyanobacteria, for example, in its chronic form, each of these illnesses has similar symptoms, lab findings and Visual Contrast Sensitivity findings. Taken together the inflammatory illness from each of these diverse sources is known as a Chronic Inflammatory Response Syndrome. The few sentences above might make one think that the path of discovery of the complex abnormalities of innate immune physiology now confirmed to be present was simple. Frankly, none of the "players," as one might call C4a, TGF beta-1 and MMP9 or the genetic susceptibility from the immune response genes HLA DR, was known in 1997, the first year of Shoemaker's odyssey into the world of unusual diseases. Beginning with Pfiesteria, a dinoflagellate that killed fish and sickened over 300 people along the estuaries of the Chesapeake Bay from 1997-2001, Shoemaker has looked at multisystem, multisymptom illness with an environmental source as his "Holy Grail." Indeed, finding the answers to countless questions raised by biotoxin illnesses has provided help, and for some, cure, with illnesses defined by symptoms alone such as fibromyalgia and Chronic Fatigue Syndrome. Shoemaker says, "I suspect that the next textbook of autoimmunity and rheumatology will be one dedicated to treating high TGF beta-1 and restoring control of T-regulatory cells. Similarly, no one will be seen for neurological deficits and pulmonary problems without consideration of nerves and lungs as targets of innate immune responses gone haywire. As it is now we see unusual cases of multiple sclerosis, idiopathic juvenile arthritis, interstitial lung disease and many others unveiled as treatable conditions where the therapeutic target is lack of regulation of innate immune inflammation. Dr. Shoemaker has dedicated his life and career to uncovering the link between the toxic stew found in many of our buildings and homes, and the vast amount of misdiagnosed and catch-all ailments physicians often assign patients for whom they cannot offer any real treatment. By uncovering the real science behind these illnesses, and attacking the problem with clinical studies and sound research techniques, Dr. Shoemaker leads the way in not only identifying the true cause of these afflictions, but also in curing those whom the medical community deemed incurable. He truly feels it is imperative patients educate themselves, and has committed his time and resources to providing them with the tools they need for their survival. Dr. Shoemaker graduated from Duke University where he received honors in undergraduate and medical degrees. He is a practicing physician in Pocomoke City, MD, and conducts research with collaborators on an international basis. His dedication to his patients and his advancement of medicine through research has been recognized often, including receipt of the Maryland Academy of Family Practice Physician of the Year 2000 award, which was followed by an award as a finalist in the National competition for 2002. Shoemaker is asked to lecture to academic and lay audiences alike, with addresses to the US House of Representative and Senate. Dr. Shoemaker has published eight books, the newest being Surviving Mold, and has numerous publications in scientific research journals, on audio and video tapes and in newspapers. He has made many presentations at scientific meetings, and has frequently appeared on television.
Thanks for submitting a review!

Your review will need to be approved by the author before being posted.

See Inside
Front Cover

Loading book cover...

Book Image Not Available Book Image Not Available
Session Expiration WarningYour session is due to expire.

Your online session is due to expire shortly.
Would you like to extend your session and remain logged in?

Session Expired

Your session has expired.We're sorry, but your online session has expired.
Please log back into your account to continue.

This site uses cookies. Continuing to use this site without changing your cookie settings means that you consent to those cookies to enhance site navigation and the overall user experience. Learn more about our privacy policy or learn more about how to turn off cookies.