Chronic Inflammatory Response Syndrome


We welcome Dr Ritchie Shoemaker M.D. to Australia to present on his research findings, diagnosis, treatment and study into Chronic Inflammatory Response Syndrome (CIRS) illness as a result of exposure to water damage buildings (WDB).

Saturday 14th and Sunday 15th March 2015 Medical Seminar
Sydney Australia
Saturday 7th of March 2015 Public Seminar
QUT Brisbane Australia

“Ever wondered why some patients just don’t get better despite the best of care-Could this seminar open up a new way of looking at these cases?”

World renowned Dr Ritchie Shoemaker M.D., is a recognised 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.” The inflammatory illness from each of these diverse sources is known as a Chronic Inflammatory Response Syndrome.

Dr Shoemaker will cover the diagnosis and treatment of what he has termed chronic inflammatory response syndrome (CIRS) – in particular, CIRS acquired following exposure to the interior environment of a water damaged building. This will also include information on genetic pre-disposal to develop CIRS.

WHAT IS CIRS? – CIRS-WDB involves a systemic inflammatory response that results when an individual does not have the immune response genes to eliminate neurotoxins produced by their exposure to a WDB. CIRS affects multiple systems in the body, causing patients to exhibit multiple symptoms.

SYMPTOMS OF CIRS – Symptoms can include fatigue, weakness, aches, muscle cramps, unusual pain, ice pick pain, headache, light sensitivity, red eyes, blurred vision, tearing, sinus problems, cough, shortness of breath, abdominal pain, diarrhea, joint pain, morning stiffness, memory issues, focus/concentration issues, word recollection issues, decreased learning of new knowledge, confusion, disorientation, skin sensitivity, mood swings, appetite swings, sweats (especially night sweats), temperature regulation or dysregulation problems, excessive thirst, increased urination, static shocks, numbness, tingling, vertigo, metallic taste, tremors, multiple chemical sensitivities.

Depending upon their symptoms, patients may be diagnosed with other illnesses, including multiple sclerosis, chronic fatigue syndrome, fibromyalgia, and depression; however, there are tests that can be used to establish if CIRS is the underlying cause of their symptoms.

We invite you all to come and join Dr Shoemaker for the weekend while he opens the pathway to an illness common amongst patients. Dr Shoemaker is also presenting a conference for patients and public in Brisbane on Saturday 7th December. Please find a flyer for this here.

There is more in-depth information available in the following pages. Please share this information with your colleagues.

Dr Richard Shoemaker
Seminar Flyer – Brisbane
Seminar Flyer – Sydney

Treating the Cause is So Important

Earlier this year our company was contacted by Scott Baker an individual who has numerous health issues, asking for advice on whether his current home could have a bearing on his brain fog, fatigue, constant coughing, night sweats, recurring flu-like symptoms and general malaise.

These symptoms we were informed started in a previous home, after discussions, the realisation was made that there were high levels of visible microbial contamination in two previous homes.

No medical physician has undertaken testing to determine whether our client is indeed CIRS (chronic inflammatory response syndrome).

Our client was on medications but had removed himself from most of treatments a month before we attended site. He did inform us that he was still on anti-depressants and sleeping medication.

Indoor microbial invasive testing showed the house to be heavily contaminated with extremely high bacterial levels in the actual particle board flooring due to moisture issues in the floor cavity, the result of poor perimeter drainage on the topside of the block. Our client had intuitively possibly recognised this area as a problem and installed a vapour barrier over the damp earth, we had also suggested the installation of moisture vapour barrier attached to the underside of the timber joists.

Our testing revealed that the particle board was producing high levels of microbial volatile organic compounds and needed to be removed to reduce the exposure level.

It took months for our client to come to the realisation that even though this was a huge job and costly, the removal of the bacterially contaminated flooring had to be undertaken.

Scott, along with a builder, removed the particleboard floor throughout the whole house – naturally Scott used a respirator. When the flooring had been removed, it was replaced with tongue and groove hardwood flooring ready for sanding. Our suggestion to install a moisture barrier on the timber joists was also carried out along with the installation of ecofans, to aid in the circulation of air beneath the home.

Scott’s health started to improve with the persistent coughing disappearing- night sweats also were reduced but severe brain fog continued, Scott will be contacting his medical practitioner for advice on whether the brain fog maybe associated with his anti-depression medication.  General feeling of unwellness reduced considerably since the removal of the flooring.

We re-attended to treat the home with a gas to further reduce any microbial residue, this process not only has a high mould and bacterial kill but actually reduces the microbial DNA along with the resultant toxins.

It was during this time on site, we were asked to inspect the home where Scott’s mum was staying while the flooring works were being undertaken, where she continued to cough. We found that there was a problem in a second hand kitchen which had been installed, after our inspection, Scott stayed at his mums for dinner and that exposure resulted in him relapsing and being affected for just under a week.

When Scott and his mum moved back into their finished home, Scott had some initial issues which were narrowed down to his contents not being completely remediated; removal of two bed-side tables from his room improved his sleeping.  All of the furniture that could not be successfully treated was stored in the garage and the door to the garage sealed from the house.

To address the cross contamination from his contents we installed a catalytic air purifier which within 36 hours reduced the air borne contamination to a level that saw his coughing disappear.

Just recently Scott’s health problems reappeared, we discussed why but after a 60 minute phone discussion, no cause could be identified, then Scott mentioned that he had a garage sale to get rid of the furniture which he was reacting too.

I asked him who did all of the work in the garage, Scott said he had, i.e. he exposed himself to the materials he was reacting to, for the day of the garage sale and then was sick the following day, to us not unexpected.

This simply confirms he has developed sensitivities to these microbial contaminants and in the future cannot put himself in a position where the exposure will affect his health, it’s something he is now starting to understand.

At Last The Blood Tests Developed For Dr Ritchie Shoemaker Are Here in Australia

The following are blood tests developed for Dr Ritchie Shoemaker in looking at CIRS – Chronic Inflammatory Response Syndrome – can be carried out in Melbourne, these tests would be looking for elevated TGF?-1, C4-a, C3-a, and low levels of MSH and VIP, which may provide your physician with results which can be used to determine CIRS.

CIRS may not just be associated with your home but your work environment and all too often people do not recognise there is an issue until they have run out of medical opinions, so please understand microbial exposures can be hidden and bacterial contamination cannot be seen by the naked eye.

Affected individuals with CIRS patients lose control of inflammatory pathways as levels of regulatory neuropeptides VIP and MSH decline, further adding to the inflammatory burden. Abnormal activation of MBL pathway of complement (Wallis, 2008) and elevated TGF beta-1 (Vignali, 2008) add to systemic inflammation and loss of normal regulatory T-cell function, 4 respectively.

These tests will be offered shortly here in Australia once validation has been completed.

Understanding These Tests
VEGF – Vascular endothelial growth factor suggested greater than 31 or less than 86- Astrocyte-derived VEGF-A drives blood brain barrier disruption in CNS inflammatory disease (Journal of Clinical investigation 122 (2012) 2454-68)

MSH – Melanocyte stimulating hormone- suggested threshole is greater than 36-MSH below 36 pg/ml has been associated with those suffering from Chronic fatigue Syndrome pg/ml. This important molecule helps regulate the immune system

C4a – can alter the blood brain barrier

VIP – Vasoactive intestinal polypeptide

MMP – Matrix metalloproteinase 9 – it’s an inflammatory marker involved in many degenerative processes- any levels above 332 ng/mL is considered to be elevated

ADH -ADH determines how often we pee and how concentrated our urine is.

Naturally the above information is simply to provide some understanding which up until now has not really being available here in Australia, this in no way promotes a medical opinion and should be used in conjunction with your treating medical doctor.

For those who like to understand more you might like to search a current paper written by Dr Ritchie Shoemaker “Innate immunity, MR spectroscopy, HLA DR, TGF beta-1, VIP and capillary hypoperfusion define acute and chronic human illness acquired following exposure to water-damaged buildings.”

A copy of that paper’s summary is below.

Progress in understanding host innate immune inflammatory responses has led to advances in diagnosis and treatment of patients with illness acquired following exposure to the interior environment of water-damaged buildings (WDB). Profiling cases compared to controls based on innate immunity abnormalities that are correlated with measures of capillary hypoperfusion resulted in accurate classification. WDB-illness is a complex syndrome of absent or deficient regulatory neuropeptides MSH and VIP, elevated C4a, TGF beta-1 cytokines and hormonal dysregulation. Use of symptom rosters, visual contrast sensitivity testing and genetic markers adds to diagnostic certainty. Treatment modalities that correct these abnormalities lead to symptom reduction and clinical improvement.

Cheers and Good Health
Vince Neil