EXPENDABLE HUMANITY

The Chemically Sensitive Woman with More Than a Dozen Objective Medical Findings

2007-03-13T23:43:00.000-07:00

March 2007 Update

During a conversation with an officer affiliated with the Tennessee Disability Coalition, the woman was told that the coalition has several other clients who were "injured" by the indoor air quality of the building that housed the Cendant Corporation's Customer Contact Center, in Elizabethton, TN.

Preview

Concerning the woman whose medical records contain the following findings, would the reasonably minded person conclude that she has a psychosomatic illness or a physical one?

1 -Wheezing.
2 -Tachycardia.
3 -Hypopotassemia.
4 -Gruntled breathing.
5 -Rales and crackles.
6 -Erythematous uvula.
7 -Grossly enlarged turbinates.
8 -Erythema of the oropharynx.
9 -Edema of the true vocal cords.
10 - Adenopathy in the left postauricular region.
11 - Productive response in Spiriva challenge testing.
12 - A circumscribed nodule in the left occipital region.
13 - Thickened coating over the dorsum of the tongue.
14 - A firm 1x1 cm nodule in the right postauricular region.
15+ A couple additional findings consistent with Rhinitis.

Unless you are an avowed liar, the answer to that question is beyond obvious. Therefore, what right do corporate-funded attorneys and a corporate-funded independent medical examiner have in asserting that the person attached to those findings is merely mentally ill? What gives them the right to claim that she has no objective medical findings that would validate her symptoms? And her symptoms have included:

[1] a stinging tongue.
[2] shortness of breath.
[3] burning nasal passages.
[4] a metallic taste in the mouth.
[5] an adrenal-like stream throughout her solar plexus.
[6] headaches accompanied by the bruised feeling at the
cheekbones and temples.
[7] ice-like numbness pervading her upper-respiratory
tract (on specific occasion.)

Moreover, diagnoses given to her have included:

(1) Allergic and Irritant Asthma (Reactive Airways).
(2) Glossitis (inflammation of the tongue).
(3) Rhinitis and Turbinate Hypertrophy.
(4) Chemical and Irritant Sensitivities.
(5) Reactive Hyperplasia.
(6) Excessive Cholinergic Stimulation of the Nose and Lungs.

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Introduction

The corporation involved in the following account is one whose 2005 financial report marked its stockholder equity value at $11.2 billion. Net tangible assets were marked at $4.2 billion.

December 2006 one-line addition/update:
Until mid-2006, the corporation involved was legally known as the Cendant Corporation, of Parsippany-Troy Hills, NJ.

Continuing with the Introduction...

The geographic region involved in the following account is Elizabethton, Tennessee. Cendant Corporation once had a place of business there.

The apex of the following account concerns a year when the corporation's CEO received $17 million in salary and bonus income. During that same year, $1.02 million was placed into the CEO's pension fund. And an additional $4.54 million of stockholder money was used to pay the premiums on his $100 million life insurance policy.

The place of work involved in the following account is a former coal tar pitch research center. The corporation no longer uses it. It was found to have minute sized monfilament fibers pervading the employees' work areas. And needless to say, the smaller the molecular agent, the greater is its potential to infiltrate and afflict the complex human anatomy. After all, this was the case with a number of WTC cleanup crew members exposed to the Manhattan site's pulverized concrete dust. It resulted in Small Airways Disease.

This account highlights a former employee of that corporation. She was in the process of loosing the sum total of everything during the same year when the corporation's CEO was amassing a multimillion dollar income. Throughout the account, she is referred to as "the woman." That is to say, her name will not be used. Furthermore, other persons who worked in the former research center reported symptoms similar to hers.

The corporation was advertised as: The world's largest real estate brokerage franchisor.The world's largest vacation ownership organization. The world's largest "provider of outsourced corporate employee relocation services." One of the world's largest hotel franchisors. And one of the world's largest car rental operators. Operations included the telemarketing of its services.

Not Even a Get Well Card

During her six months with the corporation, the woman highlighted in this account generated approximately $500,000 in sales revenue. In fact, her sales of hotel room reservations averaged $2,777 per four hour shift. And in return for her services, she was rewarded with a chronic disability. To this
day, the corporation has offered her no apology, while the corporation's insurer has offered her no compensation. She was not even sent a Get Well card. Instead, the defense attorneys and independent medical examiner involved in her workman's comp case sought to have her tagged with a psy-
chiatric label which can conveniently serve as an excuse for the severe illness which developed during her time of work at the former coal tar pitch research center.

She Had to Fire Her Attorneys, in their Gross Negligence
That is to say, she had to file a voluntary dismissal

The woman won her Social Security disability case a year ago. But, in December 2005, she had to fire the legal counsel involved in her workman's comp case. Technically speaking, she filed a voluntary dismissal. Her attorneys refused to enter into evidence recent medical findings that resulted from an October rhinolaryngoscopy. And in the refusing thereof was mention of the cost of entering the new evidence.

The attorneys furthermore refrained from emphasizing the woman's prior medical findings. In fact, they accepted as uncontroverted truth the averments (assertions/allegations) of the defense counsel. Such averments would have resulted in the woman loosing her case. And those averments contradict her medical records. Therefore, the woman had to dismiss her attorneys. As a result, she is without legal counsel at a time when she is in need of it. And she is in need of it. After all, when you have lost all, and remain severely disabled, you can't easily survive on Social Security disability income alone, especially when you have a child in need of your support, and have always been the only parent in the child's life.

HER OBJECTIVE MEDICAL FINDINGS

The defense counsel in her workman's comp case asserted that she had no objective medical findings to support her symptoms. And a "mental health person" diagnosed her as having agoraphobia, along with panic anxiety. Yet, she has over a dozen objective medical findings attached to her medical records. And such findings indicate the presence of a physical illness, and not a psychiatric one.

Furthermore, four board certified physicians diagnosed her outside of emergency room settings. And those diagnoses are much different than the one given by the "mental health person."

Two of the diagnosing physicians are allergists & immunologists, while another one is a cytopathologist (a cytopathologist diagnoses illness at the cellular level.) And the third diagnosing physician is an ENT specialist who is also a fellow of the American College of Surgeons. The diagnoses given to the woman came predominately from the fine-needle biopsy, the fiberoptic rhinolaryngoscopy, and ER room records. In examinations and testing performed outside of emergency room settings, the woman was found to have:

(1) Grossly enlarged turbinates
(2) Erythematous uvula.
(3) Edema of the true vocal cords.
(4) Adenopathy in the left postauricular region.
(5) Thickened coating over the dorsum of the tongue.
(6) A firm 1x1 cm nodule in the right postauricular region.
(7) A circumscribed nodule in the left occipital region.

Plus, attending ER physicians recorded the following findings:

(1) Wheezing.
(2) Tachycardia.
(3) Hypopotassemia.
(4) Gruntled breathing.
(5) Rales and crackles.
(6) Erythema of the oropharynx.
(7+) A couple additional findings consistent with Rhinitis.

Her diagnoses were:

(1) Allergic and Irritant Asthma (Reactive Airways).
(2) Glossitis (inflammation of the tongue).
(3) Rhinitis and Turbinate Hypertrophy.
(4) Chemical and Irritant Sensitivities.
(5) Reactive Hyperplasia.
(6) Excessive Cholinergic Stimulation of the Nose and Lungs.

Upon certain environmental exposures, her symptoms reproduce themselves in a predictably reoccurring pattern. Nothing about her symptoms is random. In fact, due to the predictabilityof her condition, she quit keeping a diary of her ills as far back as June 2003. Furthermore, she has been in need of filtered masks and air cleaners, as well as ready access to oxygen. In addition, prescription medications posted in her medical records are consistent with one who has severe asthma. Her medications have included Albuterol, Ipratropium Bromide, Xopenex, Levalbuterol Hydrochloride, and Salmeterol, Spiriva, Allegra, Accolate, as well as intravenous steroids.

And finally, keep in mind that she was exposed to obscenely inordinate amounts of toxic dusts at her place of work (as is described in her exposure history account.) Well, she tested severely positive for dust mites (in RAST testing), while having tested negative for every other type of high weight molecular agent (such as ragweed.) In as much, a person can
become sensitized to dust mite proteins as much as he/she can become sensitized to formaldehyde, glutaraldehyde, phthalic anhydride, etc. In fact, barn workers have been documented as having become sensitized to storage mites.

HER EXPOSURE HISTORY
(transposed from her diary)

THE FIRST 3 MONTHS

April 10th 2002 Health: Perfect
Mental Health: "Optimistic, inspired, forward looking".

She moved from Tuscaloosa, AL to Johnson City, TN. Jogged and walked everyday. Could go up and down the entire complex; a span of about four miles. Went to the library, to Bristol Stores and malls. Explored the local university and the book stores. She generally did what one does when one moves to a new city.

May 2002 Health: Perfect

She was hired by the previously mentioned corporation, and put into a two week training program. Near the end of the two weeks, she developed what appeared to be the flu. This included a sore throat and fever, along with body-aches and headaches. She did not complete the training at that time. However, after her health improved, her training restarted. And shortly afterwards, she was hired as a temporary and part time employee. During the last few days of training, one of her fellow trainees had an asthma attack. She noticed some stuffiness in the corridors, along with a strange chemical odor. But, she did not pay attention to this at the time.

Late June/July 2002 Health: Perfect (for the final time)

Her group was assigned to work downstairs, at the main call center. And during her first day there, she noticed a stuffy stale smell. The chemical odor downstairs was more intense than the one on the floor where she was trained. And she also noticed an inordinate amount of dust everywhere. Furthermore, on the cubicle walls were tiny and transparent fibers the width of human hair, embedded into the cubicle walls' fabric. In fact, the cubicle partitions had a visible layer of brown dust on them.And upon a slight tap, a cubicle wall would spew out dust.

The agent resource books were laden with dust, also. Picking one of them up would result in dust spewing out from the pages.The carpeting was dirty, as well. And pesticides were sprayed indoors, even with call center employees on duty. Some of the ceiling titles had apparent water damage attached to them, and within time, fellow employees would point out blackened mold to the woman.

THE NEXT 11 MONTHS

July/August 2002
Health: Alternating between well and ill

She began to get a dry cough. Things then worsened, and it became very difficult for her to talk on the phone. Yet, she was expected to take a new phone call every three minutes. She soon felt a degree of tension in her lungs and bronchi, due to the dust and the continual talking. She resorted to throat lozenges, Tylenol, and Robutussin.

While the HVAC system was being fixed, her crew was often told to sit upstairs. The chemical odor was still present upstairs, and in addition to that, free standing fans were run at the far end of the call center. She preferred to sit at that end, being the other end was an entranceway crowded with smok-
ers and cigarette butts. Every time the door opened, smoke would waft into the room.

During the hot summer months, whenever the air conditioning was non-functional, this same door would be left open. And because of the obvious air quality issues there, she requested to sit upstairs. Her supervisor agreed. However, another supervisor spoke of having almost passed out when training new employees upstairs.

While working downstairs, the former employee had troublebreathing. It initially started off as a “choking” episode each time the free standing fans were turned on. The fans were laden with dust, and they were turned on frequently. The blowing air would agitate the dust in the room and propel it directly into the employees' breathing space. Many fellow employees began to complain about choking.

August 2002 Health: Quite Ill

When upstairs, the sensation of burning eyes was very much prevalent, as was the dry cough and the choking. Dust was on the cubicle walls upstairs, also. The woman developed sinus congestion, a runny nose, headaches, and a continual low grade fever. And she would get home from work exceptionally fatigued. Many of her fellow employees who were stationed upstairs had the same symptoms.

On one occasion, as she was going upstairs to clock in, her heart began to palpitate furiously. The staircase had not been cleaned, or if it had been, the cleanliness had not lasted long. Furthermore, the heavy chemical odor was present. And in addition to that, there was a strong musty and greasy smell.

Her hands began to sweat, her knees started to shake, and a tightness in her chest was making it hard for her to take in a breath. She was also dizzy. She went to her work area and clocked in. She then realized that if she didn't get fresh air soon, she would pass out. She went outside, and then to a nearby gas station, getting Benadryl and something to drink.

September 4th, 2002. First ER Visit.
Health: Declining

She was now starting to feel fairly bad on an everyday basis. She noticed that she felt better at home. It was only when she was at work when her symptoms were induced. This included the dry cough, the burning eyes, the choking, and the palpitations which would begin soon into the shift. In addition, her nasal passages, throat, and lungs felt as if they were filled with grittiness.This was the time when she first went to an ER. She was treated for allergies there, and then prescribed Claritin and Biaxin. She was diagnosed as having Allergic Rhinitis. The doctor noted on her records that she had a fever, rhinorrehea, and erythema of the oropharynx, along with post nasal drip. He also noted abnormal constitutional signs.

She continued to treat herself with Benadryl, as it was getting progressively difficult for her to work. After twenty minutes into a work shift, she would start coughing. She could now hardly speak on the phone, and the Benadryl made her sleepy. Her throat hurt and her voice squeaked, breaking off frequently.The heart palpitations continued.

A co-worker told her that he had begun to have these same types of symptoms soon after he had started working there. He also said that it seemed to be getting worse for him in 2002.Another fellow employee told her that he had frequent heart palpitations when at work, in addition to the dry cough.

September 8th 2002 Second ER Visit

She began work at 8 p.m and worked until 2 am. Throughout this time she felt a tightness forming in her chest area. She was taking Children's Benadryl and thought that this anti-histamine would be sufficient. Because of these exposures, she had a lot of congestion, along with a suppressed level of dry coughing. She completed the shift with much difficulty.

After work, as she was driving out of the parking lot, she began to choke. She tried to cough but no phlegm emerged. She pulled over at a gas station and called Emergency Medical Services. The EMS crew gave her a breathing treatment in their vehicle. It was albuterol. She was then taken to a hospital. The treating physician prescribed Volmax and an inhaler. In fact, he stated in her medical records that she was allergic to the work environment. And he noted the following: "Constitutional signs: abnormal; Tachycardia."

2007-03-13T23:41:00.001-07:00

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The Icy Numbing

"Imagine a strange metallic taste and magnify it at at least 50 times. Then imagine it pervading your nose, throat, larynx, tongue, bronchi, and brain, smashing you completely."

"A very weird state. Hard to explain. Almost the feeling one gets when exposed to subzero temperatures. Your membranes seem to get anesthesized. Yet, they make their presences known, despite the absence of sensation."

March 2003 Health: fair/fatigued
Emotional Outlook: well/optimistic

She was now practicing Avoidance. This is the practice of avoiding the airborne agents that trigger one's asthma. And it is a practice advocated in Report 4 (A-98) of the AMA's Counsel on Scientific Affairs.

On the woman's mind at this point in time was her plan to go to Huntsville, Alabama, and to search for an apartment there. This created hopeful optimism in her. Job opportunities were opening up for her in Alabama, and a physician told her that moving away from Johnson City could reduce her frequency of asthma. This optimism negates any suspicion that her ills
were triggered by anxiety or depression during this time span.

March 16, 2003

She went to a grocery store, in order to buy some last minute items for her trip. She had been in the store for only a minute, when an asthma attack was triggered. After all, the store was laden with strong odors, and the AMA has already defined strong odors as asthma triggers. On this occasion, her inhaler
took much longer than usual to work. And on this occasion, she became disoriented for the first time. She had entirely lost her sense of direction. An EMS crew had to drive her home.

March 18, 2003 EMS call - hospitalized.
Health: severe illness
Mental outlook: scared after the attack

Being that her trip had been arranged, she convinced herself that she could travel. So, she and her son left for Alabama. En route to her destination, she suddenly became sensitive to vehicle exhaust fumes. Her face seemed to get hot and swollen, while a gland near her tonsils seemed to enlarge. Chest tight-ness & asthma then set in. It felt as if a 10 inch ball of burning fire (exhaust fumes) hit her in the chest, spreading throughout her entire body. She could even taste the petroleum odors.

In having become too weak to continue the trip, she searched for an environmentally friendly hotel. Her son finally located a room that seemed suitable for her. But, the result was that the irritants in the hotel area triggered yet another asthma attack. She was placed on oxygen for six hours, and given breathing treatments with Xopenex, Atrovent, and Salmeterol. She was also given the intravenous form of steroids every four hours. That night, while in the hospital, her blood pressure dropped drastically.

She had been diagnosed with: (a) Acute and severe asthma attack, and (b) Hypopotassemia. Her objective medical findings, as noted on record, were: (a) labored breathing, (b) wheezing, (c) rales, (d) rapid heart beat, (e) gruntled

sounds. This negates the defense attorneys' allegation of mental illness. And the October 2005 rhinolaryngoscopy indicated the presence of a physical illness much more so.

March 20, 2003 Health: debilitated.

She recalled being barely able to function in Huntsville. Yet, she and her son attempted to explore the city. When waiting for a traffic light to change, she started to become hypersensitive to exhaust fumes once again. She had another asthma attack. This time, her inhaler did not seem to help. And when driving back toward the hotel, she completely lost her sense of direction once again. This is the second time that this happened. EMS personnel escorted her back to the hotel.

March 21, 2003 E.M.S call/Huntsville hospital

On this day, she went to a health food store. Her son went inside, while she waited outside. He purchased rosemary juice, and suggested that she put some in her bath water, thinking that a warm bath would help her. And being that she had always enjoyed the odor of Rosemary, she put a small capful into the bath. It was a mistake to have done that. The bath was relaxing, but upon coming out of the tub, she starting to feel warm, and then faint, being unable to take in a full breath. For the third time on this trip, she became totally confused, while feeling very light headed Her son called EMS, and en- route to the hospital, she was administered oxygen and an IV. At the hospital, she was given saline.

March 22, 2003 Health: very bad; EMS call

She realized that it was not possible for her to live in Huntsville, being that it seemed to have a lot more “ vehicular exhaust” than did Johnson City. However, she felt that she had to complete the trip to Tuscaloosa as planned. She did.

March 23, 24, 25, 2002

She spent 3 days in Tuscaloosa with friends. And she had trouble breathing outside their house as much as inside of it. Her friend smoked indoors, so she stayed with her friend's sister. She went to a Chinese restaurant with friends, but had to leave it, because of its indoor air quality. It was the now familiar type of irritant airspace.

She and her friends then went to Books-a-Million. This was the store where she would spend many hours when she lived in Tuscaloosa. This time, however, she had been seated for no more than five minutes, when the aroma of the coffee became too heavy, full, and noxious to her.Another asthma attack was triggered. So, she went outside and resorted to her inhaler.

Late that night, her friend's sister turned on a gas heater. The odor made the woman sick, bringing her close to another asthma attack. She had to sleep next to a window, while wearing a filtered mask throughout the entire night. Her friends then took her to church the next day, and she sat next to the open back door, wearing two filtered masks.

She went back to Johnson City that week. And on the way back, she got stuck in traffic. She became ill once again. Whenshe finally reached home, she collapsed out of weakness, a headache, a sore throat, and chest inflammation. This "collapse mode" lasted for the next few years. Since April, 2003, she has had varying degrees of tightness in the chest, along with asthma, nasal pain, burning, and congestion. She took all of her prescribed medications, and resorted to wearing activated carbon masks much of the time. In addition, she has a car air cleaner, as well as dust screens for the car. This helps her a lot. However, she can still smell odors, even through the carbon masks.

There were two doctor's appointments that she was unable to keep. One was missed because she couldn’t find the doctor’s office in the midst of another irritant response to exhaust fumes. And the other physician had his office in a commercial building downtown.As she was approaching the entrance, she caught sight of nurses smoking. She knew that she would not be able to make it down the smokey,fragranced, and cleaning agent laden corridor. Her need to find a primary care physician was pressing.

May 31st, 2003 Health: Depends on exposures.
Mental: Good/Fair

She found two doctors at a nearby university who understand her type of medical condition. And they did all they could to help her. She was very apprehensive on her first visit to one of the newly found physicians because of the indoor air issues. And it was with the utmost self-control that she waited in the waiting room. This was due to her extreme sensitivity to temperatures, fragrances, and cleaning agents. Blood tests were ordered after a lengthy consultation. And en route to the testing area, she started to feel ill again; yet more so than previously.

She was once scheduled to take a CT scan. And the center where the scan was to be taken was a bit worse than the building where she had previously been. The technician had the woman in the machine promptly, and performed the scan. Meanwhile, the woman began to feel light headed. It seemed as if a metallic smell were causing it. She had to be helped out of the room, after the scan. She felt dizzy, even to the point where she felt that she was about to pass out.

She remained ill up to 48 hours after the CT scan. After the scan, she was short of breath. But, this form of shortness of breath was much different than the previous bouts. It appeared to be a tissue reaction, she said; one accompanied by a hollow lack of sensation and even a numbness. This absence of sensation extended to her nose, bronchi, esophagus, trachea, and lungs. She said that her lungs hurt. But, it was a dull chronicinflammation that she felt. And she described it in the following manner:

"A very weird state. Hard to explain. Almost the feeling feeling one gets when exposed to subzero temperatures.Your membranes seem to get anesthesized. Yet, theymake their existences known, despite the absence of sensation."

"All this is very strange. It is anxiety-causing, because if not ameliorated, it leads to a strange sort of “inability" to breath. It's not like congestion, in the usual sense. It leads to the desire to cough, but the cough does not lead to a cessation of symptoms. Also, I feel as if I am in the process off fainting at times. I feel shakey."

June 05, 2003

She finally began to feel better, two days after the CT scan. That “hollow” & “metallic” syndrome finally resolved itself. About this she wrote: "Just that little exposure to the CT Scan environment made me ill for two days!"

She had to go to the bank one day. And it was a hot and/or humid 84 degrees outside. She started to feel ill in the heat, with the activated carbon mask on. The mask itself was starting to emit traces of exhaust odor. She never made it to the bank that day.

2007-03-13T23:24:00.000-07:00

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In Review

According to the defense's medical examiner, the woman has no severe asthma. The assertion is that she has severe panic disorder, instead. Now, if this is true, then how does the medical examiner explain the rales, crackles, grunted breathing, tachycardia, erythema of the oropharynx, adenopathy, and hypopotassemia? And if her case ever gets re-filed, then how will the medical examiner explain the October 2005 findings? Those findings were consistent with severe rhinitis, glossitis, and the previously mentioned adenopathy.

It is common in the world of occupational medicine for rhinitis (or rhinosinusitis) to coexist with asthma.Therefore, the presence of a severe upper-respiratory pathology in the woman supports the possibility of severe asthma. It does not support the existence of panic disorder. Moreover, since when has Reactive Hyperplasia been regarded as a mental illness?

The woman highlighted in this account stated that the medical examiner lied on record. And according to her, he gave her no medical examination beyond asking her to inhale and exhale three times while he had a stethoscope affixed to her. He simply asked her a lot of questions, she said. And she added that she has a witness who can corroborate her allegations.

The Defense's Medical Examiner De Facto Insinuated
that the Other Physicians Who Diagnosed the Woman
Committed Malpractice

If the woman has only mild asthma and severe panic disorder, then the physicians who stated otherwise committed malpractice. Therefore, the defense's medical examiner not only attacked the woman's reputation, in calling her mentally ill, he also attacked the reputation of each physician who diagnosed her as having a physical illness; and who then prescribed her medications that treat physical illness.

The symptoms of the woman can easily be construed as signs of Multiple Chemical Sensitivity. However, its not her symptoms that indicate this. It's her objective medical findings that do. This is because her symptoms are predominately limited to her respiratory system, (both upper and lower). Her objective findings indicate pathologies to more than one body system; namely, her endocrine system and her entire respiratory system.

The irony to this is that anti-MCS propagandists have repeatedly asserted that persons who show signs of MCS have no objective medical findings; that MCS is only suspected via self-reported symptoms. Well, the woman highlighted in this account has over a dozen objective medical findings attached to her record. And her medical findings indicate a form of multiple physical pathology, or at the very least, they indicate coexisting illnesses in the same one patient. And keep in mind that she was given the diagnoses of:

[1] Reactive Hyperplasia, [2] Glossitis, [3] Rhinitis and
Turbinate Hypertrophy, as well as [4] Asthma.

At this point in time, the question is this: In the event that her case gets re-filed, will the defense succeed in convincing an administrative law judge that the woman is merely mentally ill, or will the woman's objective medical findings, along with the monofilament fiber lab results, the woman's exposure history, and the deposition of a former fellow employee prevail?

Two other questions arise:

[1] How many workman's comp cases consisted in the defense's independent medical examiner lying on record?

[2] How do defense attorneys and independent medical examiners sleep at night, when the workman's comp claimant involved is one fighting for economic survival, and therefore, physical survival? That is to ask, what is it like to live without a conscience?
____________________

December 2006 Update
In November 2006, the woman filed her workman's comp case pro se, in the State of Tennessee. That is to say, she is going forth with her case, and she is doing so without an attorney.

February 2007 Update
The woman now has an attorney from the great State of Tennessee, who will be representing her in the workman's compensation case.

March 2007 Update
The women during a benefit analysis conversation with an officer affiliated with an organization called Tennessee Disability Coalition, was told that the organization has several other clients who were "injured" due to indoor air quality at the building that housed the Cendant Corporation's Customer Contact Center, in Elizabethton, TN.