Sunday, July 12, 2020

DO NOT UNDERGO IRREVERSIBLE SURGERY WITHOUT A SECOND OPINION (for a friend)

The Letter From Corporanon:

It is worth discussing, and weighing, the urgency of the procedure, on one hand, against the value of getting a second opinion (perhaps from a physician that is experienced in screening for toxics) on the other hand, before doing anything that is irreversible.
I care because Max does. As you make health care choices it may (or may not) matter what caused the health issue. Where one has failed to find another cause, environmental causes are worth investigating as part of a differential diagnosis  [https://en.wikipedia.org/wiki/Differential_diagnosis], if one has had chronic exposure to certain toxic substances, even if one is no longer being chronically exposed. (For example, chronic exposure to cigarette smoke can cause health problems years later.) Chronic exposure may occur if has lived where air, land or water has been polluted by industrial processes, such as near a superfund site, or if one has been employed in an industry that uses toxic substances without adequate employee protection. 
You can look up locations where you have lived for superfund sites here [https://www.epa.gov/superfund/search-superfund-sites-where-you-live#map], tap water here [https://www.ewg.org/tapwater/], and EPA hazardous waste sites here [https://www.epa.gov/cleanups/cleanups-my-community]. Note: The EPA link only lists sites under jurisdiction of the federal government. The state of Ohio has an additional list and public health resources. Maybe Kentucky does. 
The effects of these toxic substances, according to the Centers for Disease Control, can be looked up by effect on the body here [https://www.atsdr.cdc.gov/substances/ToxOrganSystems.asp], and by substance here [https://www.atsdr.cdc.gov/substances/ToxHealthReferences.asp]. The CDC has guidance for physicians in how to go about screening for environmental causes of medical problems here [https://www.atsdr.cdc.gov/csem/csem.html]. 
It is worth discussing, and weighing, the urgency of the procedure, on one hand, against the value of getting a second opinion (perhaps from a physician that is experienced in screening for toxics) on the other, before doing anything that is irreversible. 
Of course, if it is urgent, or the effect of the procedure is not irreversible then that changes things. If it is not urgent, then your choice is not limited to an immediate yes/no. You could delay the irreversible part of the procedure to get a second opinion. It is your right. It is your body. Even if you are introducing this delay at the last minute.
If you do go looking for a second opinion, there are many ways to find a physician experienced with toxics. Your doctor can probably refer you. Also, for once, your interest may align with your medical insurer who would have a vested interest in referring you (since it could lead to another entity footing the bill besides them). Certainly lawyers who deal with toxic torts would know physicians that deal with toxics, so that’s another starting point in a referral chain. I mention these examples to say that you can find another good doctor to give you another look, if you decide it would be prudent to do so.
Your body. Your choice. Yes/no/partial/or another opinion. You know whether the above may apply, or not. You’ll be in our thoughts and prayers. Call if we can help or answer questions.   



my links (not well organized)

                   • Google Search: "vasculitis remove nerve"
Google Search: "vasculitis remove nerve"
uact=5
Google Search: "Vasculitic_neuropathy"
Vasculitic_neuropathy#Treatments
Google Search: "springfield ohio pollution OR superfund OR cluster"
Google Search: "springfield ohio pollution OR superfund OR cluster"
Google Search: "springfield shawnee high"
Google Search: "springfield shawnee high"
Google Search: "springfield shawnee high"
Google Maps: data=!3m1!4b1
Google Maps: 39.869364, 83.7844647,16z
Google Maps: 39.869364, 83.7888421,15z
Google Maps: 39.869364, 83.7975968,14z
Google Maps: 39.869364, 83.8151063,13z
Google Search: "map tremont city barrell fill"
Google Search: "map tremont city barrell fill"
Google Search: "map tremont city barrel fill"
Google Maps: data=!3m1!4b1
Google Maps: 40.0140476, 83.854584,14z
Google Maps: 40.0140476, 83.8720935,13z
Google Maps: 40.0140476, 83.9071124,12z
Google Maps: 39.869364, 83.8501252,12z
Google Search: "tetrachloroethylene vision occlusion"
Google Search: "tetrachloroethylene vision occlusion"
Google Search: "cis 1 neuropathy"
Google Search: "cis 1 neuropathy"
Google Search: "cis 1 vasculitis"
Google Search: "cis 1 vasculitis"
uact=5
Google Search: "1,2 Dichloroethene"
uact=5
Google Search: "class action springfield ohio clark county donnelsville"
Google Search: "class action springfield ohio clark county donnelsville"
uact=5
epa.gov supercpad cursites csitinfo.cfm?id=0510459
cdc.gov HAC pha New Carlisle Landfill PHAFinal 05/17/2012.pdf
brandonsmith.com: author paladin1787 page 10
brandonsmith.com: paladin1787 page 10
sitemap archive stories 452.xml
sitemap archive stories 452.xml
New Carlisle Landfill PHA Final 05 17 2012.pdf
Google Search: "chloroethand vasculitus"
Google Search: "chloroethand vasculitus"
CFR 2019 title21 vol5.pdf
Google Search: "vinyl chloride ovarian cancer"
Google Search: "vinyl chloride ovarian cancer"
uact=5
Google Search: "shawnee high school closed drinking water"
Google Search: "shawnee high school closed drinking water"
OH1243312.pdf
Google Search: "newport kentucky superfund"
Google Search: "newport kentucky superfund"
epa.gov ZyPURL Dockey:91003258.TXT
epa.gov ZyPURL
Google Search: "springfield shawnee vinyl chloride"
Google Search: "springfield shawnee vinyl chloride"
environmental topics
epa.gov ZyEntry=5
epa.gov ZyEntry=6
epa.gov ZyEntry=7
epa.gov ZyEntry=8
epa.gov ZyEntry=9
epa.gov ZyEntry=10
epa.gov ZyEntry=1
epa.gov ZyEntry=2
epa.gov ZyEntry=3
epa.gov
Study Published in Science Journal: 10.1177 000331978603700508 Journal=anga
Study Published in Science Journal: 10.1177 000331978603700508
Google Search: "define purpura"
Google Search: "define purpura"
Google Search: "vinyl chloride antidote neuralohathy"
Google Search: "vinyl chloride antidote neuralohathy"
Google Search: "vinyl chloride poisoning"
e002785
classical studies greek.html
epa.gov perc_comp_bib.pdf

No comments:

Post a Comment