1/7/2009
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 &.
> 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.
>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 disc.
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