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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 a >>> neurosurgeon at the University of California in San Francisco who felt that >>> she had cervical spondylosis with herniated disc. |
| > 1964 > * Dr. Irving Selikoff publishes a study of asbestos workers in the > Journal of > the American Medical Association, proving that people who work with > asbestos-containing materials have an abnormal incidence of asbestosis, > lung > cancer, and mesothelioma. > Barry I. Castleman, Asbestos: Medical and Legal Aspects, 4th edition, > Aspen Law > and Business, Englewood Cliffs, NJ 1996, p.126 |
| 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 |
| >Carbone decided to use PCR to test 48 human mesotheliomas stored at the >NIH. He was stunned: 28 of them contained SV40. And the other 20? |
| 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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