Lori Farrell, You are assuming that the patient has already been diagnosed.  However, the lack of medical instruments prevents the physician from making an informed diagnosis.

Studies of the effects of pesticide use in California may not be relevant to Hawaii because California has stricter regulations.  It would be like comparing peaches to mangoes. 

The hard questions have been asked (For example, Are Hawaii residents being harmed by the tons of restricted use pesticides used annually by Monsanto, Syngentam and other big ag corporations?), and they are not answerable because of a lack of data.  Hawaii needs improved monitoring to generate the needed data.