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          1 Apr 96 16:16:03 EST
Date: Mon, 1 Apr 1996 15:55-EST
From: Phoebe.Sengers@GS80.SP.CS.CMU.EDU
Reply-To: phoebe@cs.cmu.edu
To: bovik@CS.CMU.EDU
Subject: allergists
Message-Id: <828392130/phoebe@GS80.SP.CS.CMU.EDU>

Hi Henry,

Recently I sent you some information I collected about allergists.  Now
I want to get back to you to tell you my impressions.

Here is the summary: I don't like Dr. Landerman.  I do like Dr. Weber
(of Dr. Solow's office).

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1. What's wrong with Dr. Landerman

About a year ago I had been suffering from a terrible bronchitis for
months, unalleviated by antibiotics.  My doctor decided to send me to an
allergist, and she recommended Dr. Landerman.  I went to see him and he
diagnosed me with about 30 or 40 allergies using skin testing.  He told
me I had asthma, gave me some drugs, recommended about a thousand
dollars worth of allergy-related paraphernelia (for which he
conveniently had catalogs), and told me to come back in 6 months.

Here is my opinion of Dr. Landerman:

Dr. Landerman is obviously intelligent and competent.  I have no doubt
that he was sincere in his diagnosis.  He also encouraged me to ask
questions and always tried to answer fully.  However, he is about the
most impersonal person I have ever met.  I doubt that he looked me in
the eye once during my 2 grueling multi-hour visits.  Also, when
answering questions he recites answers as though he has memorized them,
giving you the distinct impression that he did not really listen to your
question, just lumped it in a convenient category.  It would not
particularly surprise me to find out that Dr. Landerman was actually a
cyborg running an expert system program, and I believe that his
treatment suffers the same limitations (no empathy; no common sense when
outside of the domain of expertise; no critical faculties).  Also, I was
astonished that even though I was extremely sick and nothing had worked
so far, he would just hand me some drugs and tell me to come back in 6
months (surely he would want to know they worked?!).  Finally, it was
hard to believe he was not getting kickbacks from allergy equipment
companies from the amount of advertising he gave them.

Here is my opinion of Dr. Landerman's treatment plan:

I followed Dr. Landerman's plan to the T, including buying a lot of
expensive equipment and taking many kinds of drugs.  I did not get any
better until the summer (4 or 5 months later), which probably had a lot
more to do with the weather than with the drugs.  In fact, I eventually
stopped taking the drugs and was better without them than with.  I also
could never ascertain any effect from the many substances I was
supposedly allergic to - contact with them seemed to make no difference
to my level of health.  In addition, I went on a difficult elimination
diet to discover which foods I was really allergic to - none of them, as
it turns out.  Finally, I was re-tested this year by Dr. Weber, who 
determined that I had NO allergies.  This means I spent thousands of
dollars of my own and my health insurance's money and endured the side
effects of powerful drugs for absolutely no reason.

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2. What's right with Dr. Weber

Dr. Weber is almost the opposite of Dr. Landerman.  He is friendly
although very serious.  He spent quite some time listening to my story,
taking notes, and asking questions.  His testing confirmed my suspicions
that there was nothing wrong with me.  He did try to give me more
drugs, but agreed when I said I wouldn't take them unless I was
obviously sick from asthma.  He is not as busy as Dr. Landerman and
takes more time with his patients.  He treated me like a human being and
answered my questions thoughtfully.  I heartily recommend him.

Phoebe Sengers
phoebe@cs.cmu.edu
