Howard Frumkin, MD, MPH
To the Editor: The position paper (1) and accompanying editorial (2) on clinical ecology were timely, thoughtful, and balanced. As a practitioner of occupational and environmental medicine, I am referred a fair number of patients who carry the diagnosis of "environmental illness." Many have already seen several physicians and can relate an odyssey of diagnostic and therapeutic adventures.
In addition to the diagnostic measures described in the position paper, many of my patients have undergone assays of various body compartments—blood, urine, hair, and fat—for substances such as volatile organics, hydrocarbons, pesticides, and metals. Many dozens of tests are usually done
Frumkin H. Care for "Environmental Illness". Ann Intern Med. ;111:542. doi: 10.7326/0003-4819-111-6-542_1
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Published: Ann Intern Med. 1989;111(6):542.
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