Outpatient Toxicology Clinic Is One of a Kind

This article originally appeared in Connections, a magazine published for physicians and the community by UMass Memorial Medical Center.

Sean Rhyee, MD, MPH, explains his findings.
The UMass Memorial Medical Center Division of Medical Toxicology has expanded its clinical services to include a new Outpatient Toxicology Clinic. Open since November, the clinic is the only one of its kind in Central Massachusetts staffed by board-certified medical toxicologists, underscoring the role of UMass Memorial as the region's tertiary referral center.

"While our division has been at UMass Memorial for a long time, our consultation service previously was limited to the ED and inpatients with acute exposure or illness," said Sean Rhyee, MD, MPH, assistant professor of emergency medicine in the division. "Yet even without a formal clinic, and with no advertising or promotion, patients were being referred to us from as far away as upstate New York, and we would use the ED space to see them."

To serve these patients and fill a demonstrated need, UMass Memorial launched a formal clinic. In the outpatient realm, most of the cases seen are due to known or suspected exposure to substances encountered in the workplace. This can include health problems related to lead poisoning, asbestosis and other occupational lung diseases, heavy metal poisoning (arsenic, mercury), pesticides and other chemical exposures, and adverse drug reactions. The clinic also addresses concerns about household mold and other exposures.

"If a concern exists about exposure, we can evaluate it and help make a definitive diagnosis," Dr. Rhyee noted.

"Part of our mission is also education," he said. "There's a lot of misinformation and confusion out there about the risks of typical exposures, and in many cases we can exclude toxicity as the cause of health issues. But if there is anything of potential concern, we're happy to see that patient."

The clinic, located on the Medical Center's University Campus, is open on the second Tuesday of each month, and accepts adult referrals only (pediatric patients may be accepted in the future).
Appointments: 508-421-1455