We appreciate Dr Reich’s careful review and positive and carefully thought-out comments about our study, its design, and analysis recently published in CHEST (August 2016). The study we undertook used a novel dataset to determine an association between sarcoidosis and more severe forms of sarcoidosis (death) and occupation; the intent of our study was never to propose a causal relationship because this conclusion is not possible with a case-control study like ours. However, we did confirm a number of prior associations noted between occupation and sarcoidosis (eg, such as some of those found in the National Institutes of Health’s A Case Control Etiologic Study of Sarcoidosis [ACCESS] study). We did find some differences from prior studies and acknowledged that these findings could be due to some of the limitations in using this dataset. These limitations include the fact that not all occupations were known, that other confounders may have existed (eg, exposures outside of work or in the workplace), and the fact that we did not have information on the temporality of exposures and disease onset, to name a few. Finally, it was our hope to help support and provide potential hypothesis-generating data that could build on our findings to evaluate exposures and antigens that may be triggers for sarcoidosis in future studies, beyond the scope of our dataset.