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11/19/2008
Wednesday morning
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| >>> Gunisha Singh is a 46 year old Indian female with no significant past >>> medical history who presents for evaluation of a newly diagnosed right-sided >>> pleural malignant mesothelioma. >>> Mrs. Singh was in her usual excellent state of health until >>> approximately January 1996 when she noticed the onset of right neck, arm, >>> and shoulder discomfort gradually increasing in intensity. This was often >>> accompanied by a burning sensation in the distal arm and fingers on the >>> right side. At that time she was living in Hong Kong and was evaluated by a >>> neurosurgeon who felt that her symptoms were consistent with two herniated >>> cervical discs. The patient then came to the U.S. for evaluation by a >>> neurosurgeon at the University of California in San Francisco who felt that >>> she had cervical spondylosis with herniated disc. |
| >Carbone was puzzled. Mesothelioma is a rare cancer. Few human cases were >reported before the 1950s, but its incidence had been increasing steadily, >reaching several thousand cases a year in the United States by 1988. This parallels, with a delay, the rise in use of tobacco, a strong carcinogen, and the exposure of persons to second-hand smoke. |
| >>>>> Gunisha Singh is a 46 year old Indian female with no significant >>past >>>>> medical history who presents for evaluation of a newly diagnosed >>right-sided >>>>> pleural malignant mesothelioma. >>>>> Mrs. Singh was in her usual excellent state of health until >>>>> approximately January 1996 when she noticed the onset of right >>neck, arm, >>>>> and shoulder discomfort gradually increasing in intensity. This was >>often >>>>> accompanied by a burning sensation in the distal arm and fingers on >>the >>>>> right side. At that time she was living in Hong Kong and was >>evaluated by >>a >>>>> neurosurgeon who felt that her symptoms were consistent with two >>herniated >>>>> cervical discs. The patient then came to the U.S. for evaluation by &. |
| > 1980s, under AHERA, schools nationwide removed tons of it. > Construction > companies were forced to perform abatement before renovations or > demolition. > There is no doubt that there are very sick people with asbestosis and > mesothelioma who were exposed to asbestos. I meet several of them every |
| Malignant mesothelioma is a cancer of the lining of the lung, usually induced by long years of exposure to asbestoes. Treatment is very unsatisfactory -- the disease is resistant to radiotherapy and poorly responsive to chemotherapy. In America, we try treatment with adriamycin, taxanes, or platinal but the odds are against success. In a managed care enviroment, I could understand a reluctance to offer anything more than drainage of the fluid, oxygen, and morphine. I dont think your fathers care is wrong since most treatments are likely to be futile. |
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