09/02/2026
Every day, I ask patients what new indoor air environments they visited in the last week. Do you know what the answer almost always is?
“I haven’t been anywhere. “
So I ask questions like:
• When did you get groceries?
• What activities are your children engaged in?
• Did you go to church?
Inevitably, the answer to further inquiry reveals multiple visits to multiple indoor air environments. No one is intentionally lying, it’s just far too much to remember; especially when you have a CIRS-brain.
The solution? Make a log of all the indoor spaces you visit. Do regular VCS testing. This way you can confirm exposure after visiting (should your VCS worsen).
Generally, a failure to tolerate binders can be managed. You’re not doing anything wrong, you just haven’t yet considered the variables that trigger you.