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Mesothelioma Lawyers in San Diego


Mesothelioma Lawyers in San Diego
To understand how to choose a lawyer for this disease, you should first understand the basics of the disease. In the simplest sense, mesothelioma is a cancer of the protective layers of the body cavities, known as the mesothelium.
These tissues have different names depending on the organs they protect. You have probably heard of the peritoneum–this is the covering around the stomach and intestines. Other organs and cavities have their own membranes as well.
Mesothelioma is a cancer of these tissues. They often do not just affect the tissues–they affect the organs they surround and can spread elsewhere. This cancer is most often contracted by exposure to asbestos, a highly dangerous mineral often found in floors, ceilings, and some products.
Employers and landlords are supposed to protect you from asbestos, but often this does not happen. If you have mesothelioma you have probably been exposed to asbestos. If so, you should contact mesotheloma attorneys in your area to see if you have a case against the party responsible for your exposure.
How Do I Choose?
San Diego is a big place. The whole area is so large it is almost connected to Los Angeles now with no real division. Choosing a professional in this area is a daunting task for busy people, so here are some steps to take to make the process easier.
asbestos lawyers california Mesolthelioma lawyers get to know the doctors who treat the disease. Over time they develop relationships and form help networks for patients. Often a doctor will have several contacts in the legal field and a lawyer will have several contacts in the medical field. This helps save you time.
If you have been diagnosed with mesothelioma, your oncologist may be your best source of names for attorney contacts. She will likely have already worked with them on cases and can tell you not only who specializes in your type of cancer but who is best and who is within a short distance from your home or work. If she does not have the right kind of specialist, there are other ways to find the right professional for your case.
You can check with other doctors who deal specifically deal with mesothelioma if your doctor is more of a general oncologist. These doctors may have worked more closely with mesothelioma lawyers in your area of southern California. You can also call local hospitals, various cancer support groups–area law schools are also excellent for references. Also check your union or professional group if you were exposed on the job.
Regardless of where you find your contacts, interview the lawyer, check on his or her background, and get references if you can. If you are ill, the last thing you need is more trouble.

Why Victims should File Mesothelioma Cancer Lawsuits


If you’re suffering from the effects of mesothelioma or someone in your family has been devastated by the disease, it could be to your benefit to file a lawsuit. After all, it’s your legal right, and as a victim you aren’t to blame for the disease that is ravaging your health and taking away your life. In these cases, you can either file a personal injury claim if you’re the one who has contracted the disease, or you can file a wrongful death suit on the part of another person. The county and state where the lawsuits are being filed will make some differences on the kind of lawsuit you’re eligible to file, but if you hire a lawyer specializing in mesothelioma cancer lawsuits, you’re sure to come out ahead.
A diagnosis of mesothelioma can be life-shattering. After all, it’s a type of lung cancer caused by exposure to asbestos, which usually happens in the workplace. Even if you’ve developed the condition from close contact with a person who works around asbestos, you may also be eligible to file suit. It’s best if you can pinpoint exactly where you had your exposure to asbestos, because that can make your case move along faster. However, you want to talk to a lawyer even if you don’t know where you got the disease, because he’ll be able to have a private investigation done in order to research your background history and find where the exposure occurred.
It’s important that you file your claim in a timely manner after being diagnosed. In most states the time limit will range from 1 to 2 years following diagnosis. However, make sure you know the time limits in the state where you’ll be filing your lawsuit, because if you don’t act within those limits, you may be unable to ever file a claim. In the case of a wrongful death lawsuit, the time limits will still apply, so make sure that you act quickly while there’s still time to pursue the restitution you are entitled to.
There’s no need to be concerned about the cost of hiring a lawyer to represent you in your mesothelioma lawsuits, even if you’re already buried under the debt of lost wages and medical bills, because most lawyers who specialize in cases like this work under a system known as no win, no fee. This means that if they take on your case and are unable to get any compensation for you, they won’t charge you for any of their services.
After you and your lawyer have discussed your claim and the evidence you can provide, he’ll be in a better position to project the amount of a settlement you might expect to receive. The more information you can give him and the severity of your condition will both help him get the maximum amount of settlement possible. While there’s no guarantee of what you’ll get, it might encourage you to know that others who have filed similar claims have gotten hundreds of thousands or even multi-millions of dollars in restitution. I think you’ll agree that money like this is worth fighting for, because it will provide for your entire family the rest of their lives.
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How mesothelioma is diagnosed


Most people begin by seeing their GP when they have symptoms. Your GP will examine you and may arrange for you to have some tests or x-rays. You may be referred to hospital for these tests and for specialist advice and treatment. At the hospital, the doctor will take your medical history and occupational history before doing a physical examination.

Chest x-ray

A chest x-ray will be taken to check for any abnormalities in your lungs, such as thickening of the pleura or fluid around the lungs. However, there can be other causes of thickening of the pleura and peritoneum (and fluid around the lungs or in the abdomen) apart from mesothelioma.
The following tests may also be needed to diagnose mesothelioma, and your doctor may arrange for you to have one or more of them at the hospital.

CT scan

A CT scan (computerised tomography scan) takes a series of x-rays, which build up a three-dimensional picture of the inside of the body. The scan is painless but takes from 10 to 30 minutes. CT scans use a small amount of radiation, which will be very unlikely to harm you and will not harm anyone you come into contact with. You will be asked not to eat or drink for at least four hours before the scan.
How-mesothelioma-is-diagnosedHaving a CT scan
CT scans of the chest and of the abdomen will show the size and position of the mesothelioma and whether it has spread to other parts of the body.
You may be given a drink or injection of a dye that allows particular areas of your body to be seen more clearly. For a few minutes, this may make you feel hot all over. If you are allergic to iodine, or have asthma, you could have a more serious reaction to the injection, so it is important to let your doctor know beforehand.
You will probably be able to go home as soon as the scan is over

Pleural or peritoneal aspiration

If there is fluid in your chest or abdomen, the doctor can take a sample by using a local anaesthetic and passing a needle through the skin into the fluid. Some of the fluid is then drawn off into a syringe and can be analysed in the laboratory to look for mesothelioma cells.
Taking fluid from between the pleura is known as a pleural aspiration and taking fluid from the abdomen is known as drainage of ascites (or peritoneal aspiration).

Biopsy

If you need a biopsy, your doctor will take a sample of tissue from the thickened pleura or peritoneum. A local anaesthetic is used to numb the area and a special type of needle is passed through the skin into the tumour. The needle has a tip that can cut out a sample of the tumour. The doctor may use ultrasound or a CT scanner to position the needle accurately. An ultrasound uses sound waves to build up a picture of the organs in a part of the body. A small device is passed over the skin to show the doctor where the tumour is and guide the needle into the right place.
Sometimes the doctor will want to look at the area of the pleura or the peritoneum directly to get a sample of tissue from the right area. This is done by using a thin flexible tube with a light and camera at the end. The tube (endoscope) can be passed through the skin of the chest, where it is called thoracoscopy, or the abdomen, where it is called laparoscopy. The procedure is done under a general anaesthetic by a surgeon. You will usually be able to go home the same day.
Your doctors may want to check for any signs of spread of the cancer to the nearby lymph glands in the centre of the chest. This central area, around the lower part of the windpipe, is called themediastinum and the lymph glands which are found there are the mediastinal lymph nodes. This test is called a mediastinoscopy. The test is done under a general anaesthetic and will mean a short stay in hospital. A small cut is made through the skin at the base of the neck. A tube, like a small telescope, is passed into the chest through the hole created by the cut. The doctor can use this tube to examine the area. Samples can be taken for examination under a microscope.
Analysing the biopsy in the laboratory is the only way your doctors can make the diagnosis of mesothelioma. Sometimes, even after taking a biopsy, the doctors may not be sure of the diagnosis, because mesothelioma can be very difficult to distinguish from other illnesses. In this situation, the biopsy samples may be sent to other laboratories to confirm the diagnosis, some of your tests may need to be repeated or you may be referred to another hospital for a second opinion.

Waiting for your test results

It will probably take several days for the results of your tests to be ready and a follow-up appointment will be arranged for you before you go home. This waiting period is likely to be an anxious time for you and it may help to talk things over with a close friend or relative.  | cancerbackup

Symptoms of mesothelioma


Mesothelioma often starts as a lot of tiny lumps (nodules) in the pleura, which may not show up on scans or x-rays until they are quite large. The main symptoms of pleural mesothelioma are breathlessness and chest pain. Some people find that their voice becomes hoarse and they have a cough that does not go away.
Peritoneal mesothelioma often causes swelling and pain in the abdomen.

General symptoms

Both types of mesothelioma can cause other general symptoms, such as loss of appetite, sweating (especially at night), weight loss and tiredness. As many of these symptoms can also be caused by other illnesses, your doctor will need to do a series of tests before a diagnosis can be made.

What is mesothelioma?


Mesothelioma is a cancer of the mesothelium. The mesothelium is a thin membrane that lines the chest and abdomen and surrounds the organs in these areas. The lining around the lungs is called the pleura and in the abdomen it is known as the peritoneum.

About 2000 people in the UK are diagnosed with mesothelioma each year.
Mesothelioma of the lining of the lungs, known as pleural mesothelioma, is much more common than mesothelioma in the peritoneum. For every one person with peritoneal mesothelioma, there will be about 12 people who have pleural mesothelioma.

Pleural mesothelioma

The pleura has two layers: the inner (visceral) layer, which is next to the lung; and the outer (parietal) layer, which lines the chest wall. The two layers of the pleura are usually in contact and slide over each other as we breathe. The membranes produce fluid, which allows them to slide over each other easily.
When mesothelioma develops in the pleura (pleural mesothelioma), the delicate membranes thicken and may press inwards on the lung. Fluid may also collect between the two layers of the pleura: this is known as a pleural effusion.
Pleural mesothelioma | Structure of the lungs and pleura | mesotheliomadiagnosisguide
Structure of the lungs and pleura

Peritoneal mesothelioma

The lining of the abdomen is known as the peritoneum. It also has two layers: the inner (visceral) layer, which is next to the abdominal organs, and the outer (parietal) layer, which lines the abdominal wall.
If the mesothelioma is in the peritoneum it is called peritoneal mesothelioma and causes thickening of the membranes surrounding the abdominal organs and a collection of fluid in the abdomen. The collection of fluid is called ascites and causes swelling of the abdomen.
Peritoneal mesothelioma | Side view of the abdomen. The peritoneum is shown as the thick line surrounding the abdominal organs | mesotheliomadiagnosisguideSide view of the abdomen. The peritoneum is shown as the thick line surrounding the abdominal organs.

University of Texas M.D. Anderson Cancer Center

When choosing an asbestos cancer treatment center, it is important to search for a highly regarded cancer center at which the newest treatments are offered. One of the difficulties that face mesothelioma patients is that even though the disease may sometimes take decades to develop, once it does show up and has been properly diagnosed, the prognosis is grim; it is generally in stage 3 or stage 4. Finding a facility with state-of-the-art equipment and who are experienced in treating asbestos-related diseases is consequently extremely important if you or a family member has any type of mesothelioma. Besides offering drug therapy, radiation therapy and surgical treatment, many cancer center also provide counseling to assist patients and their family cope with the difficulty of fighting the cancer. Sometimes, the right option may not be located close to your place of residence; if that is the case you may have to balance the difficulties of having to travel to obtain treatment (along with the related expenses for you and your loved ones) with the benefits of obtaining care from health care professionals who specialize in treating patients with malignant mesothelioma.
U.S. News & World Report ranks the University of Texas M.D. Anderson Cancer Center number one in the nation for cancer care services. Now over sixty years old, the mission of the institution is to "eliminate cancer" through a four-fold program consisting of:
Located in Houston, the M.D. Anderson Cancer Center is one of the largest cancer centers in the world, treating an average of 79,000 cancer patients every year. The facilities include five research buildings, three outpatient clinic buildings, a 521-bed inpatient pavilion, a proton radiation clinic building and a patient-family hotel.
Oncologists at the University of Texas M.D. Anderson Cancer Center treat all forms of cancer including lung cancer and mesothelioma cancer. Mesothelioma patients receive treatment at the Thoracic Center, which is home to surgeons and radiation oncologists who specialize in this disease, taking on a multidisciplinary approach to its treatment. In addition, these professionals deal with cancers of the:
  • lung
  • esophagus
  • chest wall
  • trachea
  • pericardium
  • pulmonary system
Treatment options include:
  • minimally invasive surgery
  • photodynamic therapy for endobronchial tumors
  • techniques to preserve pulmonary function
  • 3D-conformal radiotherapy
  • combination chemotherapy and radiation for inoperable tumors.

Contact Information

University of Texas M.D. Anderson Cancer Center
1515 Holcombe Boulevard
Houston, TX 77030

(713) 792-2121

Sources

The University of Texas M.D. Anderson Cancer Center
http://www.mdanderson.org/

Mesothelioma Treatment

If there’s one thing we know about mesothelioma treatment, it’s this: we’re still being challenged to arrive at efficacy.
Despite years of research since the disease was first identified, it’s still difficult to identify the best approach to treating the disease, says David Rice, MD, a cardiothoracic surgeon and nationally known mesothelioma expert who practices at the University of Texas MD Anderson Cancer Center in Houston, TX.
The very rareness of the cancer—only about 3,000 people a year are diagnosed in the United States—makes it difficult to run the kind of research studies needed to compare treatments and determine the ideal therapy at each stage of the disease. “There isn’t a lot of evidence-based science in this disease,” Dr. Rice admits. So when his patients ask him what the best treatment is for the disease, he tells them what we tell you in this section, adding that “we don’t have a reliable cure for this disease.”
Thus, a major goal of treatment is to reduce pain and suffering and prolong a patient’s life as long as possible while providing them with the highest quality of life possible.
Choosing the right mesothelioma doctor is an important first step in planning for treatment.
There are a number of mesothelioma experts, like Dr. Rice, practicing in specialized clinics throughout the country. Each of these cancer specialists has an acute knowledge of the behavior and pathology of malignant mesothelioma and its treatment. It is likely that if you are diagnosed with mesothelioma, you will be referred by your personal physician to a larger scale comprehensive cancer center.
The most important consideration in mesothelioma treatment is the cancer stage and type, said Dr. Rice. Treatment decisions also depend on whether the cancer is localized to the chest or has spread to the chest wall, diaphragm, or lymph nodes, your age and overall health, and the center where you’re being treated. Learn more about finding a doctor here.
Conventional treatments for mesothelioma involve surgery, chemotherapy, and radiation therapy.
As with most solid tumors, doctors turn to surgery, radiation and chemotherapy to manage mesothelioma. When exploring the various treatment options available with your doctor it is important to be informed about the risk and benefits of each one before making a final decision.

Surgery

Only about 1 in 5 patients with metastatic pleural mesothelioma undergo surgery. There are two main surgeries: pleurectomy/decortication, in which the surgeon tries to remove as much of the tumor from around the lung as possible, and the more radical extrapleural pneumonectomy, in which the lung itself is removed.
There is a lot of debate as to which is “best,” said Dr. Rice, although studies find that most long-term survivors have had surgery. He personally believes that pneumonectomy is best for tumor control if followed with radiation. Studies find it prevents tumor recurrence in the chest in 80 to 85 percent of patients who have the surgery.
However, Dr. Rice noted, it is a long, intensive operation with a 55 percent complication rate and a 3 percent risk of death, higher in some institutions. “So you only want to perform that surgery if the patient has a reasonably good prognosis,” said Dr. Rice. Translation: it doesn’t appear that the cancer has spread outside the chest.
Patients best suited for pneumonectomy are younger, with the epithelial form of the disease, no obvious lymph gland involvement, and are otherwise healthy enough to withstand the rigor of the procedure. Dr. Rice actually waits until he has the patient’s chest open in the operating room and biopsies the lymph nodes before deciding which procedure to perform.
Pleurectomy/decortication has a higher failure rate, with the tumor recurring in the chest cavity 50 to 80 percent of the time. However, that rate may change with improved radiotherapy techniques, Dr. Rice said. The reason for the high recurrence is that it’s impossible to completely remove the tumor without removing the lung.
However, he noted, there is no difference in survival rates between the two surgeries. Part of the reason is that the cancer has often spread to other parts of the body by the time it is diagnosed even if it appears to be confined to the chest.

Chemotherapy

Chemotherapy, also known as systemic therapy, uses oral or infusion-based medications to kill cancer cells throughout your body. Chemotherapy is used both before and after surgery, as well as in people who can’t handle surgery. It is also used in the palliative setting to reduce pain and improve quality of life.
The most commonly used chemotherapy drugs for mesothelioma are cisplatin combined with pemetrexed (Alimta) or raltitrexed (Tomudex). Other combinations include gemcitabine, carboplatin or oxaliplatin.
If you can’t manage combination therapy, your doctor may start on just one drug. Sometimes, your doctor may infuse the medication directly into your chest cavity, a procedure called pleural chemotherapy, or, abdomen, called intraperitoneal chemotherapy. You may also get a second course of chemotherapy, called “second-line” chemotherapy, with pemetrexed or other drugs, raltitrexed plus oxaliplatin, or the triple drug combination of irinotecan, cisplatin and mitomycin.
Some centers are beginning to provide intraperitoneal chemotherapy before surgery, followed by chemotherapy shortly after surgery. You can learn more about this approach here. There is also work underway to personalize chemotherapy based on the genetic characteristics of your tumor.

Radiation

Radiation can be an important part of mesothelioma treatment. The problem is that because the cancer is near the heart and lungs, it’s challenging to provide the kind of high-dose, intensive therapy needed to shrink the tumor. However, a newer option, intensity-modulated radiotherapy (IMRT), which can more accurately target cancer cells and avoid healthy tissue, may provide better results when performed by experienced clinicians.
Investigational therapies are being explored through clinical and surgical trials at many of the nation’s top cancer centers.
There are more than 50 studies on new therapies for mesothelioma in the U.S. that are looking for volunteers. Researchers are investigating new targeted drugs and chemotherapies, as well as new protocols for giving the medications; immunotherapy, which harnesses the power of the immune system to fight the disease; phototherapy, in which you are injected with a drug that bonds to cancer cells and is activated by high-intensity light; genetic therapies; and novel radiotherapy techniques like tomotherapy to treat the disease. Learn more about participating in a clinical trial here.
At some point, the management of the disease will shift from trying to cure the disease to trying to keep the patient as comfortable as possible for as long as possible.
This is the palliative care stage, when many people enter a hospice program. The primary goal at this stage is maximizing patient comfort. Medication to help with pain, difficulty breathing, and other symptoms that may be experienced is a mainstay. So is emotional and spiritual support for you and your family.
Alternative therapies for mesothelioma can be used to ease side effects of traditional cancer treatment.
Complementary and alternative medicine (CAM) includes such therapies as massage, acupuncture, and meditation. They can be a powerful part of your overall management plan, helping you better manage the stress and anxiety of the disease and conventional treatments.

Topics in this Section

Conventional Therapies

Conventional therapies for mesothelioma include surgery, radiation and chemotherapy.

Experimental Therapies

Several forms of mesothelioma treatment such gene therapy, immunotherapy, photodynamic therapy and multimodality therapy are still in their preliminary stages.

Alternative Treatments

These untraditional treatment approaches can complement conventional therapies and allow the patient to be more at peace and comfortable during this difficult time.

Treatment by Stage

This section lists typical treatment strategies based on the stage of the mesothelioma.

Mesothelioma Doctors

Medical doctors who specialize in aggressively treating mesothelioma cancer state by state.

Mesothelioma Experts

Medical doctors with a longstanding expertise in treating malignant mesothelioma.

Clinical Trials

Information about current studies of promising new or experimental mesothelioma treatments.

Mesothelioma Clinics

Top Cancer Centers for mesothelioma treatment have been listed alphabetically by state for your convenience.

Ask Your Doctor

We have listed some questions that you might want to ask your doctor in this section.

Treatment Side Effects

While undergoing treatment for mesothelioma, you should be prepared for the following treatment side effects.

Caregiver Resources

Resources for family members and loved ones responsible for caring for mesothelioma patients.

Mesothelioma Research

Selected abstracts relating to malignant mesothelioma from PubMed, the National Library of Medicine's search service.

Mesothelioma Treatment Alerts

Articles regarding the most recent advances in mesothelioma treatment that are helping to improve longevity and quality of life in patients.
Sources:
Campbell NP, Kindler HL. Update on malignant pleural mesothelioma. Semin Respir Crit Care Med. 2011;32(1):102-110.
Sugarbaker, David, Zellos, Lambros S. Multimodality treatment of diffuse malignant pleural mesothelioma. Seminars in Onology. 2002; 29 (1): 41-50.
Chua TC, Yan TD, Morris DL. Surgical biology for the clinician: peritoneal mesothelioma: current understanding and management. Can J Surg. 2009;52(1):59-64.
Dhalluin X, Scherpereel A. Treatment of malignant pleural mesothelioma: current status and future directions. Monaldi Arch Chest Dis. 2010;73(2):79-85.
Friedberg JS. Photodynamic therapy as an innovative treatment for malignant pleural mesothelioma. Semin Thorac Cardiovasc Surg. 2009;21(2):177-87.
Garland LL. Chemotherapy for Malignant Pleural Mesothelioma. Current treatment options in oncology. 2011. epub
Stevens LM, Lynm C, Glass RM. JAMA patient page. Palliative care. JAMA. 2006;296(11):1428.
Rice, David M.D. Telephone Interview. April 29, 2011.
 
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