Hey there. I have done five ERMI tests with Mycometrics and believe they are the best tool currently available for assessing a building for mold if you have CIRS or Lyme.
As far as “accurate”, no test of any kind for mold is accurate in some absolute way. It captures what you collect. As long as you follow the lab instructions, I would believe the data is reliable. I think reliable is a better term than accurate. At any rate, it’s the best we have at this point to my knowledge. I’m waiting for the day when they invent something affordable we can all have to instantly assess mold, mycotoxins, and VOC’s (including microbial) in any environment.
If spores are stirred up from vacuuming then they will settle wherever they land. I have always done the dust cloth not the vacuuming method.
As for Shoemaker, my Lyme doc doesn’t follow him but does use CSM. I don’t remember who she said she follows for mold. So yeah, there are other methods. I am aware of Shoemaker’s reputation for being difficult. I find his writings very frustrating. He writes in riddles and I think he does it on purpose.
I do listen to what he says and find value in the labs he uses, but the more I learn the more I question his methods and data. My own labs have not fit his data model perfctly, so he definitely doesn’t know or account for everything.
While he does include Lyme as a CIRS trigger, he says little about
coinfections and what he does say leaves me wondering what he is really measuring. In comments I have read on his site, he acknowledges the woeful inaccuracies of testing for Lyme and coinfections while at the same time seems to dismiss any clinical diagnoses of such.
For the sake of data collection, I find any data and studies on Lyme or Lyme patients to be faulty because how can anyone tell if what they are measuring is the effect of borrelia or some other coinfection or a combination. Most of us believe very few people have Lyme in isolation with no other infection.
Each of the infections activate specific cytokine pathways and they are not all the same. Buhner does a superb job of laying these out based on what research existed at the time of publication.
One burning question I have is do mold and bartonella activate the same pathways. I have wondered how many people diagnosed with CIRS from mold really have undiagnosed Lyme or bartonella or some other chronic infection. On the flip side, could people who think they have bartonella really have CIRS from mold instead, especially in absence of a positive bart test.
I cannot deny mold illness. I certainly have it and can instantly feel the presence of mold when I’m around it. I just wish I understood more about
I wouldn’t call Shoemaker’s methods outdated, though, as I am unaware of a newer, more accurate or effective method supplanting it. I would call his method limited and intolerable to sensitive patients, leaving them wondering how to deal.
Post Edited (WalkingbyFaith) : 3/14/2019 9:56:39 AM (GMT-6)