Here are experie
California
Paul & HanleyIf you are a resident of California and were diagnosed with mesothelioma please call Jerry Neil Paul of Paul & Hanley. Paul & Hanley has garnered many of the most significant California verdicts and they are dedicated to helping victims of mesothelioma. Call: 1-800-281-9804.
Midwest
The Maune Raichle Law FirmWould you like free information on mesothelioma or legal representation? If you or someone you know has mesothelioma and lived or worked in the Midwest, call The Maune Raichle Law Firm or visit our website. We handle only mesothelioma cases. Call us at 1-800-358-5922.
New York and New Jersey
Levy Phillips & Konigsberg LLP ("LPK")If you or someone you know has mesothelioma and has ever lived (or performed any work) in NY or NJ, call LPK for a free consultation, 24 hours a day, 7 days a week (1-800-637-6529) or visit their website. LPK has over three decades of experience, including many top mesothelioma jury awards in NY and NJ.
Maryland, Delaware, Washington D.C., Pennsylvania or Tennessee
The Law Offices of Peter G. AngelosIf you or someone you know has mesothelioma and has ever lived or performed work in Md., De., D.C., Pa. or Tn. please call or email the The Law Offices of Peter G. Angelos for a free consultation, 24 hours a day, 7 days a week. 1-800-556- 5522, http://www.angeloslaw.com/. The Law Offices of Peter G. Angelos has specialized in asbestos litigation since the early 1980's.
Anywhere in the United States
If you would like a free case evaluation (to find out how much your case may be worth) and further details on how to select a reputable mesothelioma law firm to get the best possible result, call Michael Horwin, M.A., J.D. at: 1-619-599-3112. Michael can help you regardless of where you are located.nced mesothelioma law firms you can contact for more information:
Sunday, February 24, 2008
Five Tips to the Legal Process for Mesothelioma Patients
Deciding to pursue legal recourse and selecting an attorney to represent you in a mesothelioma or asbestos lawsuit are important decisions that should be made carefully. Below are five tips to consider:
1) You Were Probably Exposed to Asbestos
Some mesothelioma patients know they worked around asbestos, but many do not know how they were exposed. In fact, many are not sure if they were ever near this carcinogen. Unfortunately, there have been thousands of products that contain asbestos - cigarette filters, hair dryers, brakes, basement and roof materials, pipes, boilers, insulation, and many other products found throughout the home and at work. Mesothelioma patients are often not aware that the products around them contained this carcinogen. Also, the latency period (the time from asbestos exposure to mesothelioma diagnosis) can be over 30 years. If you were diagnosed with mesothelioma it is more than likely that you were exposed to asbestos multiple times in your life and that this happened decades before your diagnosis. A skilled lawyer can help you identify the various ways you were exposed.
2) Don't Wait to Discover Your Legal Options
When you have been given the news about this terrible disease, you may not feel that you have the time to deal with the legal questions - should I file a claim? should I talk to a lawyer? However, you should not wait too long to learn about your legal rights for at least three reasons:
Statutes of Limitations - There are statute of limitations which means you only have a limited time to file your case after diagnosis. The statute of limitations time period is set by individual states and varies. If you wait past this time period you cannot file. The clock usually starts ticking on the day of diagnosis.
Financial Pressure - A diagnosis can bring financial stress, less income, more expenses, and treatments that are not covered by insurance. Knowing that money may be on the way from filing a claim can bring great financial relief, make more treatment options available, and remove at least one stress.
Lawyers can be Excellent Resources - The more experienced mesothelioma lawyers and law firms can often be excellent sources of information about various doctors and treatment options available for this disease.
3) Don't Pick an Attorney Based Solely on TV Ads
Many asbestos lawyers advertise on television, however, you should not use a TV commercial as the sole reason to hire an attorney. Actual credentials are what counts. For example, what type of accomplishments has the law firm achieved? How committed are they to cancer cases? How many other cases like yours have they handled?
4) Make Sure You Understand Fees
Contingency is the term that means that the lawyer gets paid only after they collect money for you. Nearly all asbestos related lawsuits are handled on a contingency basis. The amount of the contingency fee that your lawyer can charge varies by state. It is usually between 33% and 40% of the amount that is awarded to you after expenses are deducted. It is important to discuss fees openly, ask what services they cover, how they are calculated, and whether there will be any extra charges.
5) Find a Trusted Partner Who Cares
For something as important as a mesothelioma lawsuit, your attorney should not only be experienced, skilled, and dedicated, but also a trusted partner who understands the pressures and stress you are experiencing. The lawyer should know that your health needs are the most critical and that the medical aspects of this disease always take precedence over the legal aspects. The best lawyers are those that are not only expert at what they do, but are also caring, supportive, thoughtful and compassionate.
1) You Were Probably Exposed to Asbestos
Some mesothelioma patients know they worked around asbestos, but many do not know how they were exposed. In fact, many are not sure if they were ever near this carcinogen. Unfortunately, there have been thousands of products that contain asbestos - cigarette filters, hair dryers, brakes, basement and roof materials, pipes, boilers, insulation, and many other products found throughout the home and at work. Mesothelioma patients are often not aware that the products around them contained this carcinogen. Also, the latency period (the time from asbestos exposure to mesothelioma diagnosis) can be over 30 years. If you were diagnosed with mesothelioma it is more than likely that you were exposed to asbestos multiple times in your life and that this happened decades before your diagnosis. A skilled lawyer can help you identify the various ways you were exposed.
2) Don't Wait to Discover Your Legal Options
When you have been given the news about this terrible disease, you may not feel that you have the time to deal with the legal questions - should I file a claim? should I talk to a lawyer? However, you should not wait too long to learn about your legal rights for at least three reasons:
Statutes of Limitations - There are statute of limitations which means you only have a limited time to file your case after diagnosis. The statute of limitations time period is set by individual states and varies. If you wait past this time period you cannot file. The clock usually starts ticking on the day of diagnosis.
Financial Pressure - A diagnosis can bring financial stress, less income, more expenses, and treatments that are not covered by insurance. Knowing that money may be on the way from filing a claim can bring great financial relief, make more treatment options available, and remove at least one stress.
Lawyers can be Excellent Resources - The more experienced mesothelioma lawyers and law firms can often be excellent sources of information about various doctors and treatment options available for this disease.
3) Don't Pick an Attorney Based Solely on TV Ads
Many asbestos lawyers advertise on television, however, you should not use a TV commercial as the sole reason to hire an attorney. Actual credentials are what counts. For example, what type of accomplishments has the law firm achieved? How committed are they to cancer cases? How many other cases like yours have they handled?
4) Make Sure You Understand Fees
Contingency is the term that means that the lawyer gets paid only after they collect money for you. Nearly all asbestos related lawsuits are handled on a contingency basis. The amount of the contingency fee that your lawyer can charge varies by state. It is usually between 33% and 40% of the amount that is awarded to you after expenses are deducted. It is important to discuss fees openly, ask what services they cover, how they are calculated, and whether there will be any extra charges.
5) Find a Trusted Partner Who Cares
For something as important as a mesothelioma lawsuit, your attorney should not only be experienced, skilled, and dedicated, but also a trusted partner who understands the pressures and stress you are experiencing. The lawyer should know that your health needs are the most critical and that the medical aspects of this disease always take precedence over the legal aspects. The best lawyers are those that are not only expert at what they do, but are also caring, supportive, thoughtful and compassionate.
Monday, January 21, 2008
Mesothelioma Risk
Asbestos exposure plays a role in 70 percent to 80 percent of mesothelioma cases, though the actual percentage could be higher. Asbestos is a mineral that is found naturally in the environment. Asbestos fibers are strong and resistant to heat, making them useful in a wide variety of applications. Asbestos fibers have been used to make insulation, cement, brakes, shingles, flooring and many other products.
People who work around asbestos fibers are thought to have the greatest risk of mesothelioma. When asbestos is broken up — for instance, in the mining process or in removing asbestos insulation from a building — dust may be created. If the dust is inhaled or swallowed, the asbestos fibers may settle in the lungs or in the stomach, where they can cause irritation that may lead to mesothelioma, though how exactly this happens isn't understood. Although asbestos is still used in a limited number of industries, the federal government limits the amount of asbestos fibers workers may be exposed to and sets rules to protect workers.
Mesothelioma risk is believed to be increased in people who are exposed to high levels of asbestos, in people who are exposed to asbestos over a long period of time and in people exposed to asbestos at a young age. It can take 30 to 40 years or more for mesothelioma to develop as a result of asbestos exposure.
People who live with workers exposed to asbestos may also have an increased risk of mesothelioma. Asbestos dust is thought to have been carried home on workers' clothes. Today workers are required to shower and change clothes after working with asbestos to protect their families.
Some people with years of asbestos exposure never develop mesothelioma. Researchers estimate only about 5 percent of the people with the highest exposure to asbestos will develop mesothelioma. And yet, others with very brief exposure develop the disease. This indicates that other factors may be involved in determining whether someone gets mesothelioma or doesn't. For instance, you could inherit a predisposition to cancer or some other condition could increase your risk. Risk of mesothelioma is increased greatly in smokers who are exposed to asbestos.
Other possible risk factorsResearchers have identified other factors that may increase the risk of mesothelioma, including:
SV40. Some research indicates a link between mesothelioma and simian virus 40 (SV40), a virus originally found in monkeys. Millions of people may have been exposed to SV40 when receiving polio vaccinations between 1955 and 1963, because the vaccine was developed using monkey cells. Once it was discovered that SV40 was linked to certain cancers, the virus was removed from the polio vaccine. There is some evidence that SV40 may also be passed between people, though it isn't clear how. Whether SV40 increases the risk of mesothelioma is a point of contention, and more research is needed.
Radiation. The radioactive substance thorium dioxide was used along with X-rays to diagnose various health conditions from the 1920s to the 1950s. Thorium dioxide was later found to cause cancer and was no longer used. Some research links thorium dioxide to mesothelioma.
Asbestos-like minerals. A naturally occurring asbestos-like mineral called zeolite has been linked to mesothelioma cases in Turkey, where the mineral is used to construct homes.
Family history. Research into the same region of Turkey where zeolite is used reveals that family history may play a role in mesothelioma there. More research is needed to determine whether family history may predispose some people to mesothelioma.
People who work around asbestos fibers are thought to have the greatest risk of mesothelioma. When asbestos is broken up — for instance, in the mining process or in removing asbestos insulation from a building — dust may be created. If the dust is inhaled or swallowed, the asbestos fibers may settle in the lungs or in the stomach, where they can cause irritation that may lead to mesothelioma, though how exactly this happens isn't understood. Although asbestos is still used in a limited number of industries, the federal government limits the amount of asbestos fibers workers may be exposed to and sets rules to protect workers.
Mesothelioma risk is believed to be increased in people who are exposed to high levels of asbestos, in people who are exposed to asbestos over a long period of time and in people exposed to asbestos at a young age. It can take 30 to 40 years or more for mesothelioma to develop as a result of asbestos exposure.
People who live with workers exposed to asbestos may also have an increased risk of mesothelioma. Asbestos dust is thought to have been carried home on workers' clothes. Today workers are required to shower and change clothes after working with asbestos to protect their families.
Some people with years of asbestos exposure never develop mesothelioma. Researchers estimate only about 5 percent of the people with the highest exposure to asbestos will develop mesothelioma. And yet, others with very brief exposure develop the disease. This indicates that other factors may be involved in determining whether someone gets mesothelioma or doesn't. For instance, you could inherit a predisposition to cancer or some other condition could increase your risk. Risk of mesothelioma is increased greatly in smokers who are exposed to asbestos.
Other possible risk factorsResearchers have identified other factors that may increase the risk of mesothelioma, including:
SV40. Some research indicates a link between mesothelioma and simian virus 40 (SV40), a virus originally found in monkeys. Millions of people may have been exposed to SV40 when receiving polio vaccinations between 1955 and 1963, because the vaccine was developed using monkey cells. Once it was discovered that SV40 was linked to certain cancers, the virus was removed from the polio vaccine. There is some evidence that SV40 may also be passed between people, though it isn't clear how. Whether SV40 increases the risk of mesothelioma is a point of contention, and more research is needed.
Radiation. The radioactive substance thorium dioxide was used along with X-rays to diagnose various health conditions from the 1920s to the 1950s. Thorium dioxide was later found to cause cancer and was no longer used. Some research links thorium dioxide to mesothelioma.
Asbestos-like minerals. A naturally occurring asbestos-like mineral called zeolite has been linked to mesothelioma cases in Turkey, where the mineral is used to construct homes.
Family history. Research into the same region of Turkey where zeolite is used reveals that family history may play a role in mesothelioma there. More research is needed to determine whether family history may predispose some people to mesothelioma.
Treatment
Treatment of MM using conventional therapies has not proved successful and patients have a median survival time of 6 - 12 months after presentation. The clinical behaviour of the malignancy is affected by several factors including the continuous mesothelial surface of the pleural cavity which favours local metastasis via exfoliated cells, invasion to underlying tissue and other organs within the pleural cavity, and the extremely long latency period between asbestos exposure and development of the disease.
Surgery
Surgery, either by itself or used in combination with pre- and post-operative adjuvant therapies has proved disappointing. A pleurectomy/decortication is the most common surgery, in which the lining of the chest is removed. Less common is an extrapleural pneumonectomy (EPP), in which the lung, lining of the inside of the chest, the hemi-diaphragm and the pericardium are removed. It is not possible to remove the entire mesothelium without killing the patient.
Radiation
For patients with localized disease, and who can tolerate a radical surgery, radiation is often given post-operatively as a consolidative treatment. The entire hemi-thorax is treated with radiation therapy, often given simultaneously with chemotherapy. This approach of using surgery followed by radiation with chemotherapy has been pioneered by the thoracic oncology team at Brigham & Women's Hospital in Boston. [7] Delivering radiation and chemotherapy after a radical surgery has led to extended life expectancy in selected patient populations with some patients surviving more than 5 years. As part of a curative approach to mesothelioma, radiotherapy is also commonly applied to the sites of chest drain insertion, in order to prevent growth of the tumor along the track in the chest wall.
Although mesothelioma is generally resistant to curative treatment with radiotherapy alone, palliative treatment regimens are sometimes used to relieve symptoms arising from tumor growth, such as obstruction of a major blood vessel. Radiation therapy when given alone with curative intent has never been shown to improve survival from mesothelioma. The necessary radiation dose to treat mesothelioma that has not been surgically removed would be very toxic.
Chemotherapy
In February 2004, the United States Food and Drug Administration approved pemetrexed (brand name Alimta) for treatment of malignant pleural mesothelioma. Pemetrexed is given in combination with cisplatin. Folic acid is also used to reduce the side-effects of pemetrexed.
Immunotherapy
Treatment regimens involving immunotherapy have yielded variable results. For example, intrapleural inoculation of Bacillus Calmette-Guérin (BCG) in an attempt to boost the immune response, was found to be of no benefit to the patient (while it may benefit patients with bladder cancer). Mesothelioma cells proved susceptible to in vitro lysis by LAK cells following activation by interleukin-2 (IL-2), but patients undergoing this particular therapy experienced major side effects. Indeed, this trial was suspended in view of the unacceptably high levels of IL-2 toxicity and the severity of side effects such as fever and cachexia. Nonetheless, other trials involving interferon alpha have proved more encouraging with 20% of patients experiencing a greater than 50% reduction in tumor mass combined with minimal side effects.
Heated Intraoperative Intraperitoneal Chemotherapy
A procedure known as heated intraoperative intraperitoneal chemotherapy was developed by Paul Sugarbaker at the Washington Cancer Institute.[7] The surgeon removes as much of the tumor as possible followed by the direct administration of a chemotherapy agent, heated to between 40 and 48°C, in the abdomen. The fluid is perfused for 60 to 120 minutes and then drained.
This technique permits the administration of high concentrations of selected drugs into the abdominal and pelvic surfaces. Heating the chemotherapy treatment increases the penetration of the drugs into tissues. Also, heating itself damages the malignant cells more than the normal cells.
Surgery
Surgery, either by itself or used in combination with pre- and post-operative adjuvant therapies has proved disappointing. A pleurectomy/decortication is the most common surgery, in which the lining of the chest is removed. Less common is an extrapleural pneumonectomy (EPP), in which the lung, lining of the inside of the chest, the hemi-diaphragm and the pericardium are removed. It is not possible to remove the entire mesothelium without killing the patient.
Radiation
For patients with localized disease, and who can tolerate a radical surgery, radiation is often given post-operatively as a consolidative treatment. The entire hemi-thorax is treated with radiation therapy, often given simultaneously with chemotherapy. This approach of using surgery followed by radiation with chemotherapy has been pioneered by the thoracic oncology team at Brigham & Women's Hospital in Boston. [7] Delivering radiation and chemotherapy after a radical surgery has led to extended life expectancy in selected patient populations with some patients surviving more than 5 years. As part of a curative approach to mesothelioma, radiotherapy is also commonly applied to the sites of chest drain insertion, in order to prevent growth of the tumor along the track in the chest wall.
Although mesothelioma is generally resistant to curative treatment with radiotherapy alone, palliative treatment regimens are sometimes used to relieve symptoms arising from tumor growth, such as obstruction of a major blood vessel. Radiation therapy when given alone with curative intent has never been shown to improve survival from mesothelioma. The necessary radiation dose to treat mesothelioma that has not been surgically removed would be very toxic.
Chemotherapy
In February 2004, the United States Food and Drug Administration approved pemetrexed (brand name Alimta) for treatment of malignant pleural mesothelioma. Pemetrexed is given in combination with cisplatin. Folic acid is also used to reduce the side-effects of pemetrexed.
Immunotherapy
Treatment regimens involving immunotherapy have yielded variable results. For example, intrapleural inoculation of Bacillus Calmette-Guérin (BCG) in an attempt to boost the immune response, was found to be of no benefit to the patient (while it may benefit patients with bladder cancer). Mesothelioma cells proved susceptible to in vitro lysis by LAK cells following activation by interleukin-2 (IL-2), but patients undergoing this particular therapy experienced major side effects. Indeed, this trial was suspended in view of the unacceptably high levels of IL-2 toxicity and the severity of side effects such as fever and cachexia. Nonetheless, other trials involving interferon alpha have proved more encouraging with 20% of patients experiencing a greater than 50% reduction in tumor mass combined with minimal side effects.
Heated Intraoperative Intraperitoneal Chemotherapy
A procedure known as heated intraoperative intraperitoneal chemotherapy was developed by Paul Sugarbaker at the Washington Cancer Institute.[7] The surgeon removes as much of the tumor as possible followed by the direct administration of a chemotherapy agent, heated to between 40 and 48°C, in the abdomen. The fluid is perfused for 60 to 120 minutes and then drained.
This technique permits the administration of high concentrations of selected drugs into the abdominal and pelvic surfaces. Heating the chemotherapy treatment increases the penetration of the drugs into tissues. Also, heating itself damages the malignant cells more than the normal cells.
What is Mesothelioma?
Mesothelioma is a form of cancer that is almost always caused by previous exposure to asbestos. In this disease, malignant cells develop in the mesothelium, a protective lining that covers most of the body's internal organs. Its most common site is the pleura (outer lining of the lungs and chest cavity), but it may also occur in the peritoneum (the lining of the abdominal cavity) or the pericardium (a sac that surrounds the heart).
Most people who develop mesothelioma have worked on jobs where they inhaled asbestos particles, or have been exposed to asbestos dust and fibre in other ways, such as by washing the clothes of a family member who worked with asbestos, or by home renovation using asbestos cement products. Unlike lung cancer, there is no association between mesothelioma and smoking.
Most people who develop mesothelioma have worked on jobs where they inhaled asbestos particles, or have been exposed to asbestos dust and fibre in other ways, such as by washing the clothes of a family member who worked with asbestos, or by home renovation using asbestos cement products. Unlike lung cancer, there is no association between mesothelioma and smoking.
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