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11/19/2008
Wednesday morning
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| 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. |
| >Studying 18- to 26-year-olds who probably had been exposed to the >contaminated vaccine, Fisher found a 19.6 percent greater incidence of the >two major brain cancers linked to SV40 when compared with the incidence in >people the same age who were not exposed. She also found 16.6 percent more >bone cancers and 178 percent more mesotheliomas among those exposed to the >vaccine. Did she control for tobacco use and other carcinogen exposure? Are the % differences with an incidence rate high enough to be statistically useful, or so small that a difference of one or two cases makes a big % diference? |
| 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 discs without evidence of frank neurological impairment. At this time, her primary intervention was manipulation of pain to control her symptoms. &nbs. |
| - Hide quoted text -- Show quoted text -The deadly truth about asbestos A brief chronology of what the owners and managers of asbestos companies knew, and when they knew it. 1890s * Asbestos, which previously had few industrial uses, becomes a raw material for large manufacturing industries, exposing large numbers of workers to asbestos dust for the first time. Asbestos-caused disease often develops decades after a person was first exposed. As a result, it was not until the early 1900s that large numbers of workers developed symptoms. David Kotelchuck, "Asbestos: The Funeral Dress of Kings - and Others" in Dying for Work: Workers Safety and Health in Twentieth-Century America, ed. by David Rosner and Gerald Markowitz, Indiana University Press, Bloomington, IN 1987, p193 1918 * A Prudential Insurance Company official notes that life insurance companies will not cover asbestos workers, because of the "health-injurious conditions of the industry.&q. |
| 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 |
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