Mold Madness: Neurotoxins Overlooked 1

by Dr Charles Parker on April 4, 2007 · 16 comments

Many Molds are dangerously Neurotoxic: Sick Buildings Deliver Crippling Brain and Body Blows.

“A 1984 World Health Organization report into the
syndrome suggested up to 30% of new and remodeled
buildings worldwide
may be linked to symptoms of Sick Building Syndrome.” Wikipedia

150pxdublinmold_2
Our experience is that the older, wet, damaged buildings have an even higher incidence of destructive mold pathogens. This problem is not insignificant, is frequently overlooked as
contributory to psych problems, and requires a comprehensive medical intervention
process.

Louisiana, Mississippi, and the Texas coast are almost completely overwhelmed with toxic mold issues downstream from the hurricanes, -as reported *off the record* by a Captain in Va Beach Fire Department who has made several trips to help in New Orleans  with that catastrophe. He says: “the mold is growing in houses up to the ceilings like large, black cauliflowers.”

The long term implications of mold exposure to a certain subset of the population, outlined in a moment, will stagger the cost of health care and is at this moment is almost completely unrecognized as an important clinical psych syndrome. You can start with the basic book Mold Warriors about Mold by my colleague Ritchie Shoemaker MD, on the Eastern Shore of MD:  [More refs later, been to his office in Pocomoke, MD]

First a bit more about what it is, then a story that will shock you.

I became even more interested in mold after making some significant brain observations in the context of taking a careful mold history in my DC office: Presenting complaint: brain fog, respiratory illness, multiple immune dysregulation issues. The SPECT showed significant scalloping and toxic exposure in a patient from, get this, a super East Side apartment in NYC. Mold is not just in the country! [Read Mold Warriors about a high end apartment complex in metro DC]180pxbiodigitalspectimaginglg_3

The husband of the patient had taken her everywhere, is an experienced downtown psychiatrist, so when I saw all the scalloping absent brain injury history I dug deeper. She had multiple autoimmune issues [including exhaustion, rheumatic pains], and 5 families had moved out of the apartment building in the last year because of exposure to mold. When I asked further, black mold constantly appeared in the bathroom and appeared to be in the walls “for years.”

He didn’t have symptoms, as the personal variability, just as in celiac disorder, is modified by the immune system and by HLA antibody activities. If the mold can be tagged by HLA it will be excreted. If mold toxins are not tagged the toxins recycle, passing through cell membranes, build up in fat, remain for years, and interfere with fat metabolism in the brain and body. Sounds awful, it is. It will remain toxic in the brain. More about treatments later.

First a major point:

Indoor Mold needs four things to grow:

(1) Spores: Both our indoor and outdoor environment have mold spores present. There is no such thing as a mold free environment. Spores need special filters to prevent exposure and are the source of floating, airborne neurotoxins.

(2) Nutrients: The Spores need food, and in the indoor environment these are normally cellulose materials (wood, dust, fabrics, cardboard, paper, etc.)

(3) Moisture Moisture is required to begin the decaying process of the cellulose material by the mold.

(4) Time: Mold growth typically begins between 24 hours and 10 days from the provision of the growing conditions. There is no way to date mold. Wikipedia – Mold

Now an even more striking example:

44 yo male arrives in my office with a severe limp, unable to walk a straight line down the hall, using a 4 point cane. Hands are both trembling uncontrollably, deep hacking cough, legs are twitching, brain is a complete fog, got lost coming over and I could not see how he could drive. -Sent by a neurologist who had worked him up for rapid onset of neurological symptoms for the last 4 years. -Sent to me for depression treatment, as the SSRI trials were not effective.

Asked the bowel question and his current *BM factor* was every 3-4 days, with severe bouts of IBS, with IBS the chronic presentation for many years. Clear metabolic issues not addressed, needed workup on that side of matters whatever we did next [see the CMP in the CorePsych Toolkit above].

The patient looked completely overwhelmed, significant dementia symptoms, awash with brain fog, with so much mood instability, anger and suicidal thinking – and the bad news he hasn’t been able to work for >2 years, is on disability, and his wife couldn’t come to our meeting because money was so tight.

He just looked very toxic: So about 10min into the history I said, “This may sound pretty silly, but do you have mold in your home?” He sucked his wind, paused briefly, and said “My whole house is one big mold bomb from the roof to the side shingles, to the all the walls. My wife has said it is a problem for years, and we have to move.”

He hesitated and then added: “Let me tell you the whole story. About 4 years ago my fuel oil tank in my basement ruptured and about 250 gallons of heating fuel was released in my basement. It seeped into the sub basement, and with that oil barrier the water has collected, and is always present in the basement, we just haven’t had time to get it fixed.” [Mold and petrochemical off gases frequently prove damaging to the same individuals.]

We will have several more posts on this subject folks, so stay tuned. Bottom line on this story, he had both toxic petrochemical intoxication and mold intoxication, and after I called his wife during the evaluation she asked the city inspectors what to do with the house.

The very next day inspectors condemned their home on the spot and the family moved. This is only the beginning of a sad correctable situation that had evolved into serious medical and brain issues because we are significantly uninformed about mold neurotoxins. His CMP [Download sample_report_4300_v_01.pdf] was off the chart on almost every single aspect of cellular and metabolic problems, and he is slow to turn around medically – as he is so angry at the world and so forgetful now he is almost untreatable.

Stay tuned on the mold subject.

A place to go for more info regarding testing: Tennessee Mold Consultants have a good reputation with those focused on mold assessment.

Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
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{ 16 comments… read them below or add one }

1 sally October 22, 2009 at 12:40 AM

I am a moldie family with lot of problem and I do not know where to start. I just called the bioLab to do the testing to get down to what damages already have been done to my daughter and I…It has already slowed our live considerably and mentally… We believe we are at stage II and we are terribly scared.

Please help.

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2 Dr Charles Parker October 22, 2009 at 6:12 AM

Sally,
The hardest step in mold recognition is that one: recognizing it is a part of the problem. Often mold can be the problem.
This will be oversimplified but consider these steps:
1. Remove the offending challenge one way or another.
2. If impossible, serious mold offenses may require moving out until corrected.
3. Treat any associated immune conditions: e.g. associated gluten or casein challenges will keep the immune system compromised and prevent healing if not directly addresses simultaneously.
4. After diminishing exposure the next steps are complicated and include measuring for nutritional deficiencies, detoxing, healing the gut, healing the body with specific nutritional support
5. Take a look at the ELISA testing here to review additional offenses.

Most people simply think removing the exposure, but healing the immune system and removing parallel insults are important next steps.
cp

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3 Dr Charles Parker April 15, 2007 at 7:09 PM

Joanie,
Went over to your site, and am linking it for others – just in case some don’t “believe.”

http://knibbedocuments.com/default.aspx

You do believe it when you see it. Don’t look, don’t tell.

One of the glaring subthemes of your story is the profound autoimmunity issue so often seen in chronic mold presentations. Multiple downstream effects appear so generalized it’s hard to unearth the origin of the exposure, thus protecting those in denial, on that end of the economic problem.

First easy thought: only happens to lower income folks. -Can tell you I have seen mold reactions from all levels including the very wealthy caught in building projects during the hurricanes in FL.

Your remarkable story should alert even the most avoidant. Another site with neuropsychiatric documentation:

http://www.bioline.org.br/request?ja05057

Thanks for your comments. One blessing: the Northwest has a number of informed physicians who are trained in the multiple issues present in your comment. Reference the Institute for Functional Medicine:
http://www.functionalmedicine.org/findfmphysician/index.asp

Chuck

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4 Joanie Knibbe April 15, 2007 at 3:08 PM

I rented this apartment in 2000 using the City of Salem Voucher. In 2002 the apartment had septic backups, spilling from the tub and toilet onto the bathroom floor. I have cabinets in there, which soaked up the nasty fecal water. I cleaned all of this.

From this point, there was a continued spewing, like a small leak from the water heater in that Laundry Room at the back of my apartment. The reason I say this is, in 2005 when the pipe blew, the Landlord came and fixed something back there in that room. He came to my door, saw my daughter soaking up this huge water intrusion. This time the water had come into my hallway, living room and the kitchen. I have cabinets in the kitchen on the floor, so they had time to soak up water, smell and damage my health even more.

The day the pipe burst, we soaked up all we could with towels. But, the water had stayed on this carpet for months, with huge lumps under the carpet. I have a pad under the carpet, but do not know what is under that pad. It might be cement floor or a wood floor. I am not messing with that part of lifting the carpet. The landlord just stayed in my front door entry, commented on the man next door. He said, “Gee, how could he not hear that explosion?” I did not understand that comment. He laughed as he left. He never did anything for me and my daughter here with 4 other kids. My newborn grandchild suddenly had RSV. I did not have knowledge of water intrusion hurting people’s health.

From that time until now, no one has acted on my behalf. I am poor. I won my disability award, but as of yet, have not recieved any funds to get out of here. I have nowhere to run too.

I was kicked off the Voucher November 2005. My daughter had moved in, on my one-bedroom voucher contract. The Landlord never issued us a renting contract at that time. From December 2005 until May 2006, my daughter had paid the rent for me.

After that, due to her marriage and moving out, I was left here alone, not able to pay any rent. From May 2006 until June 2006 there was no rent paid. Then, my ex-husband paid July and August 2006 rent.

Then from here, no rent paid and then the Landlord just waited for rent, but yet he posted non-payment notices on my door until December 2006. I forced him to give me a rental contract in November 2006 becase the presumptous medical board required this rental contract to prove I have a home for monies.

At this date and time, I had submitted the rental agreement to Dallas, Or. Housing Authority also. I applied to be on Housing again, for low rent and to move out of here after I had the funds. Long list of waiting to be accepted.

I had my disability claim from December 2003 and saw the ALJ September 2006 and won a fully favorable claim for back pay of SSI. I tried to work Oct. 2003 thru Dec. 2003, but failed as a caregiver. I had dizziness, facial mask of pain, numbness, headaches and vertigo became horrible.

I have had to stay here not going anywhere without any money to move. I then had a court order to be Evicted this April 9, 2007 because of non-rental payment. My mother-in-law then paid $4200.00 for all the back rent. The Landlord waited for rent monies. Why? He never enforced a court action until this late event for April 9, 2007.

I had the doctor’s note for me “not to be moved out” due to so much back pain, facet disease, daily diarrhea, atrophic mucosa gastritis, hives, yeast, many infections, and not able to walk hardly anymore.

The medical problems started May 2003. At that time, my face had gone numb. It was like a facial mask of numbness, along with a really dead like nose. I have some pressure behind my nose. I saw the ENT, and he did the Brain Scan. No MS and No Tumors. I saw the Neurologist and she said it was Trigeminal Neuralgia in my face. I also had many bulging discs all of the sudden. My walking stopped September 2004. No one knows why.

I did have some dental work April 2003 and thought the Oral Surgeon did something wrong, ut that never panned out, due to the long length of time with all of what I am stating here.

I have had diarrhea since June of 2005, it is daily! I am now living on Lomotil. At this time in July 2005, I had a huge sore on my stomach, infected and the doctor left it on me for almost one year before he had cut it out June 2006. He never did a culture. I had to have this sore packed 3 times, with no pain killer, and let me tell you, it was killing me to have it packed. No one told me what it was. I asked for a shot to numb me, but he could not because it would send it into the blood stream he told me. I would not go back to pack it. I quit that, but the sore is still there. It hurts deep inside. No one cares. My Neurologist says the sores are from being a Celiac.

I saw the Gastro doctor and he did the Colonscopy, all is ok. I worked with the New Neurologist in 20006 and he did the B12 Shots and Folic Acid right away on me. He did the Spinal Tap. After six months he did the Vitamin K bloodwork and I am Gluten Allergic. Celiac disease! I had so much pain that he referred me to the Pain Management Center for Epidurials, late 2006.

I had 2 sessions and had new pain from these shots. I had sudden outbreak of hives. I was put on Prednisone and out come this huge, foot long mucus ball and it scared me, so I flushed it! Not the next time, I am prepared to save it.

Since Nov. 2006 I went off all narcotics. I must use Lomotil daily. I have been torn on the anus since 2005, due to all the diarrhea. I have huge sores inside of rectum and anus. I assume they are Yeast, due to the Dimorphic changes, fungus to yeast, not sure what they are. I am always bloated up. I have mood changes, but they told me that I was in Menopause. I sweated daily so badly that I had to live infront of a fan. These sweats were not Menopause related. I had hives, itching with this sweating.

I recently in 2007, also had a hard time holding down 16 ozs. of water. I was having to hold in my bladder up to 32 ozs. of water for Pelvic and Vaginal Ultrasounds. I had pain in the breast so badly that I had the Mammogram and all is ok. From Nov. 2006 until now the itching is less and less, but at times it comes back with a vengence. I hardly eat at times, so tired, insomnia, headaches, my ankles are red and in pain as I hobble to walk. My neck, left shoulder, shoulder blade and on down my spine is in pain. I am home bound. Helpless.

There is so much more, but at least you can see into my story by what I have written. I hope it makes sense.

I tested for mold late 2006, and they report to me: Mucor, Penicillium, Cladosporium and “TNTC” so, this is why I am now relating my health issues to mold, water intrusion.

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5 Dr Charles Parker April 8, 2007 at 11:28 AM

Hey Valerie-
Many thanks for your kind remarks. Connections and understanding make a big difference, and, I confess, they are important to me as well.

You already appreciate, regarding your sometimes use of “moldy,” that mold itself can represent the tip of its own iceberg. The mold and the downstream effects all deserve attention.

Said another way, Val, you are more than a “moldy” to this fellow traveler.

Thanks again for your considerate comments.
Chuck

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6 valerie madeska April 7, 2007 at 5:50 PM

Hi Dr. Parker,

I am one of the “moldies” as we sometimes call ourselves that has been sickened by mold exposure. I do not know if you can comprehend the joy that I have experienced just by reading your article that attributes neurological problems to mold. So many of us have been ridiculed by physicians that just do not seem to have any idea that mold can cause these and other medical issues.

I want to thank you for acknowledging the fact that mold causes illness- I hope that the message will spread through the medical community and we moldies will be able to receive the help we so desperately need.

Sincerely,
Valerie

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7 Dr Charles Parker April 7, 2007 at 6:13 AM

Deborah,
Thanks so much for your kind remarks and articulate review of the current state of denial and misinformation regarding some in “traditional medicine.” Mold is only one subject wherein the preponderance of the medical community awaits proof from academia. Let me see… do cigarettes cause lung cancer?

How long did we wait for acceptance on that one. Smoking was permitted in NC airports even after clear evidence, but we all had to wait for the “proof” on passive exposure. The wheel turns slowly.

And remember, politics and money, not the docs, held up resolution of that problem.

I said “traditional medicine” earlier because at this moment good news is arriving: the “uninformed group” is rapidly shrinking – likely because of conversations and reports such as yours. It has been my experience that even in the last three years we have seen more acceptance of a variety of topics not previously appreciated, yet not completely “proven.”

All of us docs started because we all want to help people, but politics in medicine can be damaging to one’s personal life, family and income. The standard of care changes more slowly than either the science or line experience.

And line experience changes faster than science. The standard of care is set by what is proven, ultimately by science, by academia, and by money that invests in the proof.

Often the grid of changing ideas is managed by people who don’t want change in the first place.

I remember more than 10 years ago when I was speaking about adult ADD, and the literature had not agreed about it. Close to heresy. [At a meeting last month the evidence regarding Adult ADD is there on many levels.] -And speaking about ADD in the recovering community was like signing your death warrant.

On a more positive note: there are many change agents in medicine who do reach out to try new means of intervention that don’t/won’t/can’t bring harm to the patient.

As an aside, I often wonder when we talk about these matters what Jenner’s colleagues said about him when he discovered smallpox vaccination with the milk maid. Some office evidence may seem anecdotal at first, and certainly all evidence can use objective review.

The challenge comes in chasing down the ideas in open discussions such as this one. What does work? Can we change the way we thought it worked?

Thanks again for your thoughtful reply, and the tox posting, stay tuned for another remarkable mold story on the next post.
Chuck

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8 Deborah April 6, 2007 at 10:44 AM

Dr. Parker,

I hope that you don’t mind that I took the liberty of posting a link to your site at the toxboard. Many interested parties contribute and go there for info.

I am one of the “afflicted” and the scorn and disdain that I met with while trying to get medical assistance was nearly as debilitating as the illness itself.

I went from being in grad school, working in the secondary school system, pursuing other business matters to homeless, jobless, and without any healthcare in short order. Not such a far step down after all.

Hopefully you, and the others like you, will continue to shine light on this dark and damp subject.

Many thanks for taking the time to look at the big picture. I had 4 docs, 2 ENTs, 2 related to me that it was not possible to have a fungal infection of the sinus. My pointing out the Mayo Clinic article in the JAMA only earned me further disdain, with 1 doc calling me in and saying he didn’t want to be my doctor anymore. Guess I am a troublemaker.

It is refreshing to see a Doctor like you acknowledge that these matters have been overlooked. I don’t want a doctor that is omniscient, just one who will say, “HMM, I don’t know, let me find out and what info do you have to contribute.”; after all, I have a vested interest in my survival and its quality.

Interestingly enough, I have tried to pass this info on for years to the mental health care professionals as I read more and more about the health problems of Vietnam Veterans as they related to the symptoms I experienced due to chemical poisoning. Light bulb went off when I realized that not only were they exposed to the various rain agents (see Charles Kelley’s book), but also the incredible fungii in that tropical setting of Vietnam. Double whammy.

I am sure that you and your willing peers will bring a breath of fresh air into this overlooked phenomenon.

Later,
Deborah

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9 Dr Charles Parker April 5, 2007 at 6:50 PM

Hey Jack,
You have an interesting website, looks like you are well informed about the forensic downstream effects of mold. Please feel free to share your experiences in rendering expert testimony regarding mold and other neurotoxins.

Open conversations on these matters are welcome here, and will be appreciated by the readers, so feel free to chime in on these next posts as we cover some of the mold basics.

-And mold is but one of the issues. Stay tuned for mosquito spray.

Look forward to hearing more from your perspective.

Chuck

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10 Jack D. Thrasher, Ph.D. April 5, 2007 at 1:51 PM

Dr. Parker: Enjoyed your comments. I have seen many people with toxic exposure, molds include, with the same neurocognitive dysfunctions for the many years I have been studying the subject.

Please put me on your e-mail list for updates.

Jack D. Thrasher, Ph.D.

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11 Dr Charles Parker April 5, 2007 at 1:05 PM

Thanks Banaca and Mrs Kramer-
When I first read about this subject I was overwhelmed by the positive response from patients subsequent to simply asking specific mold oriented questions. -Also surprised how predictably the questions were answered as we talked further about their exposure and downstream medical issues following.

So many of these mold neurotoxic folks have chronic, “incurable” psych problems. They are considered “head jobs” simply because so many have vague unmanageable psych problems that appear unresponsive to the typical psych meds. As you know, this is my favorite theme.

I am very careful with my medical colleagues on this one, as I can remember how many times I didn’t ask the questions previously, and hate to think of the many I have missed with mold damage over the years.

Having said that, I also think we have to put the mold in context. Mold can be the primary cause, and it can also significantly aggravate other conditions with a pre-existing autoimmune presentation. All of these matters require the snapshot from 40,000 feet to see both the forest and the trees.

Will look tonight, Mrs K, at the sites your referenced and do have much more in the files on this subject.

Thanks for your comments, will have another mold post out tomorrow AM,
Chuck

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12 Banaca April 5, 2007 at 12:20 PM

Thanks so much for this one, Doc! I had a similar experience with the SPECT scans, except that I already knew I’d been exposed to a lot of mold. Thanks to having the scans done, I am receiving additional treatment previously overlooked. We call it “brain fog”, but the psychiatrist who did the scans called it ADD and treated it.

I’m so tired of hearing people say they’ve been in moldy buildings, then turn right around and say the psychologist they were sent to because of behavioral changes told them they have PTSD or depression. All the counseling in the world won’t make the mold go away, and it doesn’t get them to knowledgeable medical doctor for the help they need.

I do hope you’ll write more on this topic!

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13 Mrs. Kramer April 5, 2007 at 10:55 AM

Dear Dr. Parker,

Thank you for helping to bring to light that an atypical exposure to mold may cause neurocognitive difficulties. For those of us who have experienced this, yet were told by less enlightened physicians this is an impossibility, your writing is breath of fresh air. (pun intended).

Because there is financial liability for stakeholders of moldy buildings when these illnesses occur, there is strong resistance to getting this information out to physicians. There is much politics in medicine over the mold issue.

It it quite frightening for one to be able to feel that something physical is causing brain fog, yet not only be unable to obtain treatment from physicians, but in many cases be down right disrespected and laughed at by the misinformed. Quite often the sick are mistreated with great distain by unenlightened doctors. I know of several mothers who have frantically taken their children from doctor to doctor looking for help, only to be labeled by the medical community has having Muncheausen Syndrome by Proxy. I even known of a few that Child Protective Services have stepped in on the advice of misinformed physicians and attempted to take the sick children from the worried mothers. It is a tragic and disturbing situation.

As an illustation of the mindset that fuels the misinfo, below is an April Fools Day Spoof that is linked to the FDA Website. The jest being made is that the ex-pastry chef at the White House, Roland Mesnier, has determined toxic gelatin molds cause memory loss. The spoof is actually written by a board member of the American College of Occupational and Environmental Medicine and the Executive Director of the Assocation of Occupational and Environmental Clinics. Both are funded to treat environmental illnesses by NIOSH and ASTDR. These organizations drive much of the national understanding of mold induced illnesses.

The Spoof was shared via the internet with thousands of health professionals on April 1, 2007. For those of us who have experienced the devastation at the hands of such physician mindset regarding “Mold Madness”, this April Fool’s Day spoof by gov’t funded occupational physicians groups is about as funny as Catholic priests writing a spoof of pedaphilia and then putting it in the Sunday Church Bulletin.

http://www.occhealthnews.net/fda-mold.htm

http://www.whitehouse.gov/omb/inforeg/2003iq/66.pdf

blawg.midwestconstructionlaw.com/toxic_torts/index.html

http://www.occhealthnews.net

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14 Dr Charles Parker April 4, 2007 at 5:10 PM

Yep Lyle, this is a big one. I plan to have some more posts coming up soon with more refs and some specific treatment suggestions.

All mold folk agree, as with your friend: Gotta go! Get outta there! Problem with that solution is the fact that the neurotoxins, those smaller than a cell, lipophilic bandits, rob us blind and mess up our communication systems – over time. They lurk in fat.

Time becomes an important variable, with long term metabolic solutions more necessary to permit full repair.

Thanks for listening – and BTW, will have podcast or two coming up on this as soon as I figure out how to get the iTune load thing done.
Chuck

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15 Creative Careers Unleashed April 4, 2007 at 3:36 PM

Mold Madness

I wanted to draw your attention to a critical issue: Toxic Mold! Yes! MOLD! What many don’t know is that mold toxicity can cause severe psychological and physical problems. Read the post here at Corepsych by Dr. Charles Parker.

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16 Lyle Lachmuth - The Unsticking Coach April 4, 2007 at 3:31 PM

Holy crap!

A friend of ours, very fit, runner, and cyclist got sick from mold in her Vancouver apartment.

Got better after moving… and about a year of recovery.

Scary stuff!!

Thanks for keeping us posted on this issue.

I had not realized that some are more susceptible than others.

Keep up the fight, Lyle

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