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Colon Cancer and Nutrition
Colon Cancer also known Colorectal cancer. Colon cancer 2nd most deaths for cancers in the US. Colon cancer is cancer that starts in the large intestine (colon) or the rectum (end of the colon). The colon is the part of the digestive system where the waste material is stored. The rectum is the end of the colon adjacent to the anus. Together, they form a long, muscular tube called the large intestine (also known as the large bowel). Tumors of the colon and rectum are growths arising from the inner wall of the large intestine. Benign tumors of the large intestine are called polyps. Cancer of the colon or rectum is also called colorectal cancer. In the United States, it is the fourth most common cancer in men and women. It is the third most common form of cancer and the second leading cause of cancer-related death in the Western world. Colorectal cancer causes 655,000 deaths worldwide per year.Many colorectal cancers are thought to arise from adenomatous polyps in the colon. These mushroom-like growths are usually benign, but some may develop into cancer over time.
Colon cancer often causes no symptoms until it has reached a relatively advanced stage. Thus, many organizations recommend periodic screening for the disease with fecal occult blood testing and colonoscopy. It is common in the Western world, and is rare in Asia and Africa. In countries where the people have adopted western diets, the incidence of colorectal cancer is increasing. Most cases of colon cancer begin as small, noncancerous (benign) clumps of cells called adenomatous polyps. Polyps of the colon and rectum are almost always benign and usually produce no symptoms. They may, however, cause painless rectal bleeding or bleeding not apparent to the naked eye. There may be single or multiple polyps. Polyps greater than 1 centimeter have a greater cancer risk associated with them than polyps under 1 centimeter. Polyps with atypia or dysplasia are also more likely to progress on to colon cancer. The risk of cancer is much higher in sessile villous adenomas than in pedunculated tubular adenomas. Cancer is found in 40% of villous adenomas, as compared to 15% in tubular adenomas.
Chemotherapy is also used to treat patients with stage IV colon cancer. Surgery remains the primary treatment while chemotherapy and/or radiotherapy may be recommended depending on the individual patient's staging. High-fiber foods help move waste through your digestive tract faster, so harmful substances don’t have much contact with the lining of the intestine. High-fiber foods are also rich in phytonutrients, which appear to protect against several forms of cancer. Calcium and vitamin D also seem to help protect against colorectal cancer. There is certainly just as much buzz about folate and colorectal cancer prevention as there has been about calcium. The jury is still out on antioxidants and the prevention of colorectal cancer. Taking antioxidants, such as vitamin C or carotenoids, may reduce cancer risk but other studies have failed to back up these results. Vegetables high in folate, like leafy greens, seem to offer particular protection from colon cancer, especially for those who drink alcohol. Cruciferous vegetables, like broccoli and cauliflower, also contain phytochemicals that may prevent damage to colon cells.
Colon Cancer Treatment and Nutrition Tips
1. Chemotherapy is also used to treat patients with stage IV colon cancer.
2. Radiotherapy may be recommended Treatment fot colon cancer.
3. High-fiber foods help move waste through your digestive tract faster.
4. Calcium and vitamin D also seem to help protect against colorectal cancer.
5. Taking antioxidants, such as vitamin C or carotenoids, may reduce cancer risk but other studies have failed to back up these results.
6. Vegetables high in folate, like leafy greens, seem to offer particular protection from colon cancer, especially for those who drink alcohol.
7. Cruciferous vegetables, like broccoli and cauliflower, also contain phytochemicals that may prevent damage to colon cells.
Using A Real Estate Attorney in For Sale By Owner Transactions
Even though you are selling your home without an agent, the assistance of a professional is still needed at various steps in the home selling process. The requirement of a real estate attorney depends on the laws in your state. Even if you live in a state where a real estate attorney is not needed, as a for sale by owner seller, it will still be beneficial for you to use one.
An attorney can serve many purposes in the housing transaction. When you hire an attorney that specialized in real estate, that attorney is responsible for seeing that your best interests are met in the housing transaction. An attorney can act as the escrow agent by holding down payments, documentation, and earnest money deposits. Not only that, the attorney can help you decipher and evaluate complicated offers you might receive from a buyer. In the event that the lenders attorney does not handle the closing, your attorney will host and handle the closing. If the lenders attorney does handle the closing, then your real attorney will represent you in the process.
Your primary concern should be to find a real estate attorney that will provide you with assistance you need in the housing transaction. You can use a local or internet directory to find the names of some attorneys in your area. Asking friends or family who have recently sold homes for references is another way that you can find an attorney to assist you. If there are neighbors with for sale signs in their yards, you can casually inquire about the attorney they are using. Hiring an attorney that comes as a reference is often better than cold calling attorneys.
As you look for an attorney to hire, you should choose one that works primarily with real estate transactions. Avoid choosing a criminal or family law attorney that handles real estate transactions on the side. Your interests will not be best served by an attorney that does not spend a significant part of his or her time in real estate transactions. Certainly do not hire an attorney that has never worked in real estate.
Along with experience in real estate transactions, price will be the other factor you use to choose a real estate attorney. The attorney you hire will have two major responsibilities: reading and advising you on documents and representing you at closing. Get a price quote from prospective attorneys on those two tasks. You can get a discount from the attorney by letting him or her know that you will be preparing and filling out some of the documentation. Shop around among several attorneys to get a feel for experience level and price charged.
The most important thing is that you have a real estate professional available to assist you through the transaction. Even if you have successfully sold a for sale by owner home before, it is better to have legal assistance than to attempt to complete the process on your own.
How to Find a Good Attorney
The question of how to find a good attorney is on everyone's mind when in need of a lawyer. And it's difficult for an ordinary person to know how to find a good attorney. The legal profession is just like any other profession where you have good, disciplined and honest members as well as bad, not disciplined and dishonest ones. And in the legal profession, unfortunately, only fellow attorneys and judges know who is who. That leaves us, the ordinary people, to learn as best as we could on ways of how to find a good attorney to represent our case.
When faced with a legal issue that requires lawyer's participation, the only thing worse than not having a lawyer is to have a bad one. However, the "good" and the "bad" labels are a subject to a personal judgment. As mentioned above, while only fellow attorneys and judges know who is the good, the bad, and the ugly attorney, in the ordinary human world, two people could share a totally opposite opinion about one attorney who represented both of their cases. It's all based on the results that the attorney was able to obtain for them and whether the clients' expectations were met or not. This leads us to a conclusion that when we have a lack of resources to evaluate our prospect attorneys, we need to depend solely upon our individual judgment to pick a good attorney for our case.
On the other hand, there are ways to at least sense a bad attorney. Wait! Isn't it the subject of this article "How to find a good attorney"? Indeed so. In order for you to know how to find a good attorney, you need to know how to at least sense a bad one. Let's touch up on some basics.
1. Very simple. If you need to file for a divorce, would you call a criminal lawyer? Of course not. That's a bad lawyer for your case. On the same note, if other than a divorce lawyer is offering to handle your case, you would say no. You immediately know that a good lawyer for your case would be the one who has expertise in whatever legal issue you're facing.
2. You somehow find a lawyer that has the expertise in your problem area and you make a contact with him or her. But, it takes that lawyer a week or two to get back to you. That attorney may not be a bad lawyer but he or she may be overbooked with other clients and does not have enough time to give the needed attention to your case. That's a bad lawyer for your case. That attorney needs to immediately tell you that because of their current work load he or she wouldn't be able to handle your case. But if he or she doesn't tell you that, you need to immediately dismiss that attorney and look for another one who can give you the needed attention.
3. Here comes the bad one. It is highly unethical for a lawyer to pay a referral fee or a bonus for "leads" on new cases. (Depending on state law, a referral fee sometimes may be paid to another lawyer, but it needs to be disclosed to the client). Some of the profession's "bad apples" may still engage in the practice of paying "runners" for tips on new clients. So if a stranger (or even someone that you know) seems excessively persistent that you need to see a lawyer, or just happens to have a supply of the attorney's business cards, look out! This is not the kind of person who deserves your trust. On the same note, if you bump into a lawyer who does not take his or her time to understand your case but is also excessively persistent that you need to hire him or her, look out!
Now, let's cover some basics on ways of how to find a good attorney.
1. One of the best ways on how to find a good attorney is to ask someone whose opinion you trust; another lawyer, your accountant, banker, coworker, family friend, business acquaintance. These are the people that you trust and you know that they wouldn't refer you to a bad lawyer if they happen to know one related to your legal need.
2. If the above doesn't work for you, you could always call a company that may be represented by a lawyer of your need. For an example, if you're looking for a real estate lawyer, call a title company and ask them who they use. If you need a collection lawyer, call a collection agency. But, if your issue is pure personal, ask anyone who you trust, who has recently been through a lawsuit, and who is very satisfied with their lawyer. Even if that lawyer is not the right one for your case, you know that you're contacting a good lawyer. Call that lawyer and explain that you couldn't find an attorney on your own and ask him or her if they could refer you to the appropriate attorney for your case. Lawyers are the best source of information about other lawyers. And a good lawyer will always refer you to another good lawyer who could handle your case.
3. And last but not least on how to find a good lawyer, call your local or state bar association and ask them to refer you to a lawyer who is in good standing with the bar. Also, always check with your state or local bar association if your prospect lawyer has ever been the subject of an ethical complaint or inquiry.
To sum up the ways on how to find a good attorney, the primary considerations in selecting an attorney needs to be whether you feel comfortable with the attorney selected, and if you are confident that the attorney is competent in his or her field of expertise. You must feel very comfortable with the attorney and must feel confident that the attorney selected is the one who can capably handle your needs. Make sure that you interview two or three lawyers before making a decision on which one to retain. Ask yourself when interviewing a lawyer: "Do I feel comfortable talking to this lawyer, and am I confident in his or her abilities?" If the answer is anything other than a definite "yes," you need to keep looking. Your case is too important to entrust to someone who does not inspire your confidence.
Disclaimer: The author and publisher of this article have done their best to give you useful, informative and accurate information. This article does not represent nor replace the legal advice you need to get from a lawyer, or other professional if the content of the article involves an issue you are facing. Laws vary from state-to-state and change from time-to-time. Always consult with a qualified professional before making any decisions about the issues described in this article. Thank you.
How to Choose a Lawyer: Referral Attorneys
When selecting an attorney, there are a number of important factors to consider. This article focuses on one: is the attorney you have contacted a "referral attorney"? Referral attorneys are attorneys who advertise to attract clients, but do not represent clients themselves. Instead, they forward the client on to another attorney. A typical referral attorney takes a fee as a percentage of the total recovery.
Is my attorney a referral attorney?
This is a simple question to answer - just ask them. A referral attorney will always, at some point, have to disclose that they will not be the primary attorney on your case. They will eventually be forwarding you on to another lawyer. Generally, if your attorney is advertising on television or has run ads seeking victims of injuries caused by a specific product (Vioxx cases, asbestos or mesothelioma cases, diet drug cases, or other class action lawsuits), then they are probably a referral attorney.
Will it cost me more money if I have contacted a referral attorney?
Generally, no. The typical agreement between a referral attorney and the actual lawyer working on the case grants the referral attorney a percentage of the actual lawyer's fee. Instead of coming from the client, the money comes from the lawyer who eventually is the attorney on the case. However, you should make sure that this is what your actual agreement is. A typical contingent fee case costs the client one third of the recovery. If you have contacted a referral attorney, ask what the ultimate percentage will be.
Why even bother with a referral attorney if I'm going to someone else anyway?
If you know an attorney who is an expert in the field or who is handling that kind of case, there is generally no reason to. However, many people have absolutely no knowledge of the legal industry. They simply can't find an appropriate attorney on their own. A referral attorney usually only makes money if you win, so he will have an incentive to forward your case to a competent lawyer. Just make sure that you aren't being charged more for a referral - it's not worth paying extra to get it, especially because many other lawyers would be eager to point you to competent counsel for a cut themselves.
Cancer of the Penis the Staging, Grading and Treatment
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The staging of a cancer is a term used to describe its size and whether or not it has spread beyond its original site. Knowing the particular type and the stage of the cancer helps the doctors to decide on the best treatment for you.
* Stage 1 The cancer only affects the skin covering the penis, the head of the penis (glans) or the foreskin.
* Stage 2 The cancer has begun to spread into the shaft of the penis or into one of the lymph nodes in the groin.
* Stage 3 The cancer has spread deep into the shaft of the penis or to many lymph nodes in the groin.
* Stage 4 The cancer has spread to lymph nodes deep in the pelvis, or to other parts of the body.
If your cancer comes back after initial treatment, this is known as recurrent cancer.
Grading
Grading refers to the appearance of the cancer cells under the microscope and gives an idea of how quickly the cancer may develop. Low-grade means that the cancer cells look very like normal cells; they are usually slow-growing and are less likely to spread. In high-grade tumors, the cells look very abnormal, are likely to grow more quickly, and are more likely to spread.
Treatment
There are many types of treatment for penile cancer including surgery, radiotherapy and chemotherapy. Surgery of the penis has now advanced to a stage now where it doesn't mean the loss of the penis. It is also possible to now reconstruct a penis that has been operated on.
The type of treatment that you are given will depend on a number of things, including the position and size of the cancer, whether or not it has spread, the grade of the cancer, and your general health.
Men with cancer of the penis should be treated in a specialist cancer center.
Surgery
Small, surface cancers that have not spread are treated by removing only the affected area. The cancer can be removed with conventional surgery, using laser or by freezing (cryotherapy). Cryotherapy is carried out with a cold probe, which freezes and kills the cancer cells.
If the cancer is affecting only the foreskin, it may be possible to treat it with circumcision alone.
All the above treatments can usually be given to you as an outpatient. They may be done under local or general anesthetic, depending on individual circumstances.
Wide local excision If the cancer has spread over a wider area, you will need to have an operation known as a wide local excision. This means removing the cancer with a border of healthy tissue around it. This border of healthy tissue is important as it reduces the risk of the cancer coming back in the future. The operation is done under general anesthetic and will involve a short stay in hospital.
Removing the penis (penectomy) This may be advised if the cancer is large and is covering a large area of the penis. Amputation may be partial (where part of the penis is removed) or total (removal of the whole penis). The operation most suitable for you depends on the position of the tumor. If the tumor is near the base of the penis, total amputation may be the only option.
The surgeon may also remove lymph nodes from the groin if there is evidence that cancer cells have spread to these nodes, or a possibility that they may have.
Re constructive surgery It is often possible to have a penis reconstructed after amputation. This requires another operation. The techniques that may be used include taking skin and muscle from your arm, and using this to make a new penis. Sometimes it is also possible for surgeons to reconnect some of the nerves, to provide sensation and the necessary blood flow to allow the reconstructed penis to become erect. This type of surgery is carried out by surgeons who have specialist experience, and you may need to travel to a specialist hospital to have the surgery done.
Radiotherapy
Radiotherapy treats cancer using high-energy rays to destroy cancer cells, while doing as little harm as possible to healthy cells. It can be used before or after surgery. Radiotherapy may also be given to treat symptoms, such as pain, if the cancer has spread to other parts of the body, like the bones.
External radiotherapy is normally given as a series of short daily treatments in the hospital's radiotherapy department. High-energy x-rays are directed from a machine at the area of the cancer. The treatments are usually given from Monday to Friday, with a rest at the weekend. Each treatment takes 10-15 minutes. The number of treatments will depend on the type and size of the cancer, but the whole course of treatment for early cancer will usually last for up to six weeks. Your doctor will discuss the treatment and possible side effects with you.
Before each session of radiotherapy, the radiographer will position you carefully on the couch and make sure that you are comfortable. During your treatment you will be left alone in the room, but you will be able to talk to the radiographer who will be watching you carefully from the next room.
Radiotherapy is not painful, but you do have to lie still for a few minutes while your treatment is being given. The treatment will not make you radioactive and it is perfectly safe for you to be with other people, including children, after your treatment.
Radioactive implants Radiotherapy can be given using a radioactive implant. This is also known as brachytherapy. Under a general anesthetic, small radioactive wires are very carefully positioned in the affected area of the penis. The wires stay in place for about 4-5 days and are then removed. This method of treatment is usually used for smaller cancers on the end of the penis (the glans). While the implant is in place, you need to stay in an isolated room in the hospital so that other people are not exposed unnecessarily to the radiation.
Side effects of radiotherapy
There are sometimes side effects from radiotherapy treatment to the penis. Towards the end of your treatment, the skin on your penis can become sore and may break down. Long-term, radiotherapy can cause thickening and stiffening of healthy tissues (fibrosis). In some men, this can result in narrowing of the tube that carries urine through the penis (the urethra) and so can cause difficulty in passing urine. If narrowing of the urethra does develop, it can usually be relieved by an operation to stretch (dilate) the area. This is done by passing a tube into the urethra and is performed under a general anesthetic.
Chemotherapy
Chemotherapy is the use of anti-cancer (cytotoxic) drugs to destroy cancer cells. It can be one drug or several drugs used together. It is not commonly used to treat cancer of the penis. Chemotherapy cream may sometimes be used to treat very small, early cancers that are confined to the foreskin and end of the penis (glans).
Chemotherapy may also be given as tablets, or by injection, into a vein for more advanced cancer. It may be given along with surgery or radiotherapy (or both).
Mesothelioma and Its Links to Asbestos
It has been in use since the mythological era of Ancient Greece, but asbestos is a modern-day killer. Widely used for fireproof insulation purposes in the nineteenth and twentieth centuries, asbestos has since been found to cause the deadly cancer mesothelioma along with other lung conditions.
Occupational Exposure and Dangers To Workers
After noticing that chronic diseases, especially cancers of the lung such as mesothelioma, were extremely common in construction workers who were exposed to asbestos, doctors began making a connection between asbestos and mesothelioma. Unfortunately, construction and other workers who were exposed to asbestos from the 1950s through the 1970s, when the dangers of asbestos were more fully recognized, are still suffering from the ill effects of asbestos exposure at work. There are now laws and regulations in place that are designed to prevent workers from exposure to toxic asbestos; however, these laws cannot undo years upon years of exposure to this deadly mineral in the workplace.
Delayed Diagnosis Due To Long Dormancy Period
Workers may have been exposed to asbestos in the 1970s, but may only just now be developing the tell-tale symptoms of mesothelioma. This is because the disease is slow to manifest, which challenges doctors struggling to diagnose and treat mesothelioma patients in time. Because its symptoms take so long to manifest and often align themselves with those of other diseases, mesothelioma in workers may be misdiagnosed as pneumonia or other diseases during its early stages.
Mesothelioma Symptoms
Symptoms of mesothelioma include:
* shortness of breath;
* abdominal swelling;
* pain of the abdomen;
* blood clotting problems;
* chest pain;
* chronic cough;
* heart palpitations;
* fever;
* labored breath; and
* weight loss.
Pleural, peritoneal and pericardial mesothelioma are all possible variations of the deadly cancer, with pleural (lung) mesothelioma the most commonly manifested version of the disease.
High-Risk Professions
Though the use of asbestos is now regulated by laws and regulations, the disease's long dormancy period means that it still has a high number of potential victims. Professions at a high risk for asbestos exposure and mesothelioma are those which involved repeated exposure to asbestos in its industrial forms. These professions include:
* electricians;
* painters;
* insulators;
* carpenters;
* bricklayers;
* construction workers;
* mechanics; and
* other tradespeople, especially those who were involved with commercial or home construction before the 1970s.
The families of these workers were also at risk, since they may have inhaled or ingested asbestos through the employee's clothing or hair.
Legal Options
Because of the huge number of potentially affected workers, there has been a significant amount of litigation against companies who irresponsibly used asbestos, exposing their workers to the threat of mesothelioma and other life-threatening asbestos-related illnesses. If you are suffering the ill effects of asbestos exposure, talk to your doctor and determine a reasonable treatment plan. Then contact an asbestos attorney who is experienced in mesothelioma litigation. A competent asbestos lawyer may be able to help you recover damages for the pain and suffering incurred through asbestos exposure and mesothelioma, defray the costs of treatment, and provide for your children if you die of the disease.
How to Find an Attorney in My County via the Internet
Simply typing in the phrase "find an attorney in my county" in your favorite search engine won't give you your desired results for the most part. "Find an attorney in my county" is a very broad term because there are millions of counties world wide. The search engine won't know where it is exactly that you need a lawyer. You would be better off typing in a phrase such as "orange county attorney", or "sacramento county attorney", or whatever county you need a lawyer in. And always include the quotation marks in your search phrase. That will give you results for the exact phrase that you are searching and nothing else. If you don't include the quotation marks, the search engine will give you results for each word in the phrase, which is usually in the thousands or even millions of results and may not be what you really need.
Let's get back to "how to find an attorney in my county" subject. You will get much better results when you search for the exact attorney of your need. For an example, if you need a divorce attorney and you live in macomb county, you simply search for "macomb county divorce attorney". Also, don't forget to check for the other expression "macomb county divorce lawyer". Attorney and lawyer is a same thing, but when the search engines are concerned, attorney and lawyer are two different words. You don't know if the webmaster of the lawyer's website has optimized the site for both words. For that reason you need to search for both. This search will produce only a few results that contain this specific phrase. This way you may get a website of an actual divorce attorney in macomb county or you may get garbage results, or even no results at all. It depends on what the search engines have in their database for that search phrase. Whether they have websites from actual attorneys, or from advertisers targeting that search phrase, or from some scammers who are also targeting that search phrase by tricking the search engines.
To narrow down your search even further, if you type in "orange county attorney", you may get results from orange county in Florida and orange county in California, or elsewhere in the world. So, it would be better to try "orange county ca attorney" or "orange county fl attorney". Or better yet "orange county ca divorce attorney". These are very narrow search methods that will produce very few results and straight to the point. But, since you cannot depend on the optimization of the websites, whether they have been done correctly or mischievously (that's how search engines know which website is for what), you would get a lot more relevant results by splitting your search phrase. By all means, try your search first with the above search phrases because you would have only a few results to evaluate. The next search method will give you hundreds or even thousands of results that would still be relevant, but you need to spend some time weeding out the bad ones or the ones that you don't need.
What splitting the search phrase means is to include the lesser populated search in quotation marks and the more populated phrase without quotation marks. For an example, if you live in ramsey county and you need a DUI attorney, you can search for: "dui attorney" ramsey county. Also don't forget: "dui lawyer" ramsey county. So, you only put the type of attorney that you need in quotation marks and the county without quotations. The reason you get thousands of results with this type of search is that every dui attorney website will contain the term dui lawyer or whatever lawyer you are searching for. But it may not contain the county term because either the webmaster forgot about it or didn't know that he or she needs to include it. So, when you do this type of split phrase search, you will first get all of the results that contain the term dui lawyer (of whatever type of lawyer you're seeking) from the websites that also contain the term that describes your county, and then the rest of the other websites within that county. You get more choices to choose from.
If the above methods don't produce the attorney of your need (based on the optimization of the websites and the available sites in the search engine database), instead of wasting hours of endless search with no results, there are still easy ways to "find an attorney in my county" online.
Besides the above methods of typing in the county and the type of attorney in quotations, you can also use some free services to actually find the attorney for you. By the way, have you forgotten your yellow pages or whatever phone book you have in your county? That's your best bet. But that's the offline world. However, these types of services are also available online.
Any type of website that deals with locating businesses, such as anywho.com, truelocal.com, yellowpages.com, can find you an attorney in not only your county, but in your city. Just key in the type of attorney that you need under business category (i.e. immigration attorney) and choose your city and state. Also, you can try the lawyer directories such as martindale.com, findlaw.com, lawyers.com, that contain attorneys and law firms from the whole world. Lawyer referral services such as legalmatch.com, globallawyerreferral.com, your local and state bar association, can also find you a lawyer in your county.
Regardless of how you find your lawyer, remember that same principals apply while choosing your attorney. You need to make a list of qualifications you want in your lawyer and interview your prospect lawyers before you decide on who will represent you.
Disclaimer: The author and publisher of this article have done their best to give you useful, informative and accurate information. This article does not represent nor replace the legal advice you need to get from a lawyer, or other professional if the content of the article involves an issue you are facing. Laws vary from state-to-state and change from time-to-time. Always consult with a qualified professional before making any decisions about the issues described in this article. Thank you.
Choosing and Working with a Mesothelioma Attorney
Mesothelioma is a rare but fatal form of cancer that almost always develops as a result of asbestos exposure. This disease typically affects the lining that encases the lungs, but can also occur in the chest or abdominal cavity. Most people with mesothelioma will die within one to five years of diagnosis, depending on how far advanced their disease is. Being diagnosed with mesothelioma is a distressing time for the sufferer and their family, and it can be difficult to cope with the strain and expense of dealing with the disease.
The stress of coping with the expense of treatment and lifestyle changes associated with mesothelioma can be alleviated considerably by employing an attorney who can help you fight for compensation from the company that was responsible for your asbestos exposure. A mesothelioma attorney who is experienced at dealing with these types of cases can work with you to secure not only compensation, but also justice for the pain and suffering you experience.
Choosing your Attorney
Choosing a mesothelioma attorney may seem like a daunting task-there are many attorneys who are specialized in dealing with such cases. Ideally you'll want to choose an attorney who has plenty of experience, with a proven track record of winning or settling lawsuits successfully. Of course, no attorney will be able to tell you any personal details about the clients they have worked with, but a good attorney should still be able to provide you with general details such as how many cases they have dealt with, how quickly these cases were resolved, and the amount of compensation their clients received.
There are several other questions you should ask when selecting an attorney. One of the most important is how the fees for your case will be handled. Most people with mesothelioma will find that money is tight, and because of this, many attorneys work on a contingency basis. This means your attorney is paid only when you receive compensation-if you do not receive any money, the attorney does not charge a fee.
It's also a good idea to ask a prospective attorney what your role will be in the case, and how the case will be handled. Try to get an overview of what the process will be like, both before and during the court case. You may also want to ask the attorney what percentage of their mesothelioma cases were settled out of court. Many cases of this type are settled before the court date, and this not only means the process is completed more quickly, but it also puts much less strain on you.
Selecting your attorney as quickly as possible once you have been diagnosed with mesothelioma is important. All states have a statute of limitations on this type of case, which means that if you do not file a lawsuit within a certain period of time, you lose your right to make a claim. In most states, this period is one to three years after diagnosis-your attorney will know all the details, but your job is finding that attorney quickly to prevent any unnecessary delays in getting your case resolved. However, do not feel pressured to select the first attorney you talk with-in most cases there will be time to talk to several different people and choose the one that you feel most comfortable with.
Working with your Attorney
Once you have chosen an attorney, the next step is working with them to put together the facts of your case. This can be a somewhat difficult task, simply because there can be a gap of up to 40 years between asbestos exposure and mesothelioma diagnosis. That means it may be hard to remember exactly when, where and how you were exposed to asbestos. Your attorney will be able to help you with this-most attorneys will have considerable research tools at their disposal, and you won't need to do any of this work alone.
Most mesothelioma attorneys will make every effort to build a case with as little inconvenience to you as possible. In most cases, you'll be required to sign documents that give your attorney the legal right to gather medical and other relevant information. You may need to give depositions to your attorney and perhaps to the defendant's attorney as well. An experienced mesothelioma attorney will understand that you may not be up to repeated visits to their office and will do their best to make sure the process does not put too much strain on you.
Human Papilloma Virus and Cancers
In recent years, it has become clear that certain types of human cancers have a viral component to their etiology. Cancers due to Human Papilloma Virus (HPV) are most common among these. This has been a study of intense research for number of years. Specific types of HPV genotypes were found to be the causative agents of some common cancers, most notable invasive cervical carcinoma. Apart from this anogenital cancer, HPV’s are also causally associated with other anogenital cancers such as cancers of vulva, vagina, penis and anus. HPV is also responsible for approximately 20-30% of head and neck cancers [1].
Association OF HPV with Cervical cancer
The link between HPV and cervical cancer is now established beyond doubts. Many epidemiological [2], [3] and molecular evidences [4] suggest the causal association of HPV’s with cervical cancer. It has been estimated that about 500,000 women acquire cervical cancers every year and 75% of this are from developing countries. In United States about 13000 cervical cancer cases are diagnosed every year and about 7000 deaths annually from prevalent disease [5].
Evidence suggests that the great majority of all grades of cervical intraepithelial neoplasia can be attributed to cancer-associated types of HPV infections [3]. It has been estimated that only about 10% of the HPV patients would develop cervical dysplasia and of these only few people would develop cervical cancer. Studies conducted on HPV DNA in a variety of genital lesions suggested that HPV types 16 and 18 are most closely associated with risk of genital cancers [4] and some of HPV types are considered to be more prevalent among cervical cancer patients in a specific geographical areas; HPV 45 in Western African [6].
The development of cervical cancer is associated with factors other than just high risk HPV infection. Factors like impaired cell mediated immunity, long term use of contraceptives and smoking also increase the risk of gaining and the persistence of HPV types which in turn may lead to cervical cancers [7],[8].
Association of HPV with other anogenital cancers
Strong links between HPV and anogenital cancers such as penile, anal, vulvar cancers have been demonstrated by many studies. These cancers are formed from lesions develop in the vagina, vulva, penis and anus as the result of sexual contact [9]. But the exact role of HPV in the natural history of anal squamous intraepithelial lesions is still unknown [10].
Studies indicate that about 1% of sexually active adults in the United States show visible genital wart and about 15 % have sub clinical infection. The most commonly detected HPV types were found to be HPV 16 and 18 [11]. But, HPV types 56, 59-64 and 71 also have been isolated in vulvar intraepithelial neoplasia [12] .
Association of HPV with head and neck cancer
The term head and neck cancer refer to the cancers in the oral cavity, lip, nose, para nasal sinuses, naso-pharynx, oro-parynx, larynx, oesophagus, salivary glands, soft tissues of the neck and ear. Oral cancer is the sixth most prevalent cancer worldwide and about 620,000 patients are diagnosed with cancer of oral cavity every year [13]. Many studies have found evidence suggestive of a role for human papilloma virus in head and neck cancer [14],[15]. Though the exact mode of transmission of HPV infection in the head and neck region has not been determined, it’s association with sexual behavior and perinatal transmission have been demonstrated [16].
During the pathogenesis of HPV, it enters to the host through the mucosal epithelial layer surface. Oral mucosa resembles the mucosa of the genital region in their histological structure. As the correlation between HPV and cervical cancer are well established, the resemblance of the mucosal histology led to the suggestion that HPV could play a role in the development of benign and malignant lesions of the oral mucosa [17].
After the first report of papilloma virus in tongue carcinoma[14], many studies have shown the presence of HPV DNA in oral cavity [15] and head and neck cancer [13]. The most prevalent HPV types in these were found to be HPV 16 and 18. Further epidemiologic and molecular investigation should be carried out to establish a precise relationship between HPV and head and neck cancer.
HPV INDUCED CANCER DETECTION
Detective measures to date have centered on screening programs for HPV induced cancers. The most common and the traditional way of screening for cervical cancer and cervical dysplasia are to conduct a pap smear test. This has significantly reduced the incidence of cervical cancers in recent years. If the result is turned out to be positive, then the colposcopy would be carried. Since cervical cancer and anal cancer resembles in their biological features, it has been observed that screening for anal high grade squamous intraepithelial lesions with anal pap smear allows detecting individuals at risk of developing anal cancers. To obtain a confirmatory result, an anoscopic examination should be performed [18, 19].
Detection of earlier stage of head and neck cancers as well as premalignant lesions can be done by regular physical examinations by the doctor. Any abnormalities should be further evaluated. An endoscopy is performed on the samples obtained from throat, larynx, and upper esophagus. Computed tomographic (CT) scans, magnetic resonances imaging (MRI) scans or ultrasounds could be performed to identify the size and extent to which the cancer has spread from its site of origin [20].
No standard screening tests are followed for vulvar cancers. In vulvar cancer lymph node pathologic status is the most important predictive factor. A study conducted by De Ceccoc et al indicated that Lymphoscintigraphy and sentinel-node biopsy under gamma-detecting probe guidance are easy and reliable methods for the detection of sentinel node in early vulvar cancer [21]. Coloscopy can also be used to detect abnormalities on vulvar epethilia [19].
The above mentioned tests cannot be used to detect the presence or absence of the virus which would eventually cause a cancer. A test based on the hybrid capture technologies is now available to detect 13 cancer causing kinds of HPV. This technology is based on the principle of signal amplification of a hybrid species produced by RNA probes fixed with HPV DNA [22]. Polymerase chain reaction is one of the most sensitive tests for HPV DNA detection [23]. But Zhao M. et al suggest that there could be limitations in this method when applying to a broad population [24]. Studies indicate that HPV DNA testing is one of the most effective tests which could be used for the prevention of cervical cancer [25].
In a study conducted by Reid et al, to compare the efficacy of cervical cytology, cervicography and/or DNA hybridization for cervical cancer screening, showed that none of the tests succeeded in identifying all the abnormalities [26].
REFERENCES
1. I. Benjamin Paz, N.C., Tamara Odom-Maryon, Yuan Xie, Sharon P. Wilczynski,, Human papillomavirus (HPV) in head and neck cancer. Cancer, 1997. 79(3): p. 595-604.
2. Koutsky, L.A., et al., A cohort study of the risk of cervical intraepithelial neoplasia grade 2 or 3 in relation to papillomavirus infection. N Engl J Med, 1992. 327(18): p. 1272-8.
3. Schiffman, M.H., et al., Epidemiologic evidence showing that human papillomavirus infection causes most cervical intraepithelial neoplasia. J Natl Cancer Inst, 1993. 85(12): p. 958-64.
4. JC Macnab, S.W., JW Cordiner, and JB Clements, Human papillomavirus in clinically and histologically normal tissue of patients with genital cancer. The New England Journal of Medicine, 1986. 315(17): p. 1052-1058.
5. Parkin, D.M., P. Pisani, and J. Ferlay, Estimates of the worldwide incidence of 25 major cancers in 1990. Int J Cancer, 1999. 80(6): p. 827-41.
6. Bosch, F.X., et al., Prevalence of human papillomavirus in cervical cancer: a worldwide perspective. International biological study on cervical cancer (IBSCC) Study Group. J Natl Cancer Inst, 1995. 87(11): p. 796-802.
7. Calore, E.E., S.M. Pereira, and M.J. Cavaliere, Progression of cervical lesions in HIV-seropositive women: a cytological study. Diagn Cytopathol, 2001. 24(2): p. 117-9.
8. Brisson, J., et al., Risk factors for cervical intraepithelial neoplasia: differences between low- and high-grade lesions. Am J Epidemiol, 1994. 140(8): p. 700-10.
9. Jung, W.W., et al., Strategies against human papillomavirus infection and cervical cancer. J Microbiol, 2004. 42(4): p. 255-66.
10. Palefsky, J.M., et al., Detection of human papillomavirus DNA in anal intraepithelial neoplasia and anal cancer. Cancer Res, 1991. 51(3): p. 1014-9.
11. Koutsky, P., Laura, Epidemiology of Genital Human Papillomavirus Infection. The American Journal of Medicine, 1997. 102(5, Supplement 1): p. 3-8.
12. Longuet, M., S. Beaudenon, and G. Orth, Two novel genital human papillomavirus (HPV) types, HPV68 and HPV70, related to the potentially oncogenic HPV39. J. Clin. Microbiol., 1996. 34(3): p. 738-744.
13. Syrjanen, S., Human papillomavirus (HPV) in head and neck cancer. J Clin Virol, 2005. 32 Suppl 1: p. S59-66.
14. de Villiers, E.M., et al., Papillomavirus DNA in human tongue carcinomas. Int J Cancer, 1985. 36(5): p. 575-8.
15. Palefsky, J.M., et al., Association between proliferative verrucous leukoplakia and infection with human papillomavirus type 16. J Oral Pathol Med, 1995. 24(5): p. 193-7.
16. Szentirmay, Z., et al., Human papillomavirus in head and neck cancer: molecular biology and clinicopathological correlations. Cancer Metastasis Rev, 2005. 24(1): p. 19-34.
17. Woods, K.V., et al., Analysis of human papillomavirus DNA in oral squamous cell carcinomas. J Oral Pathol Med, 1993. 22(3): p. 101-8.
18. Sheary B, D.L., Cervical screening and human papillomavirus. Aust Fam Physician., 2005. 34(7): p. 578-80.
19. JD., O., Genitoanal papillomavirus infection--a diagnostic and therapeutic dilemma. Semin Dermatol., 1990. 9(2): p. 141-7.
20. Antunes, J.L.F., et al., Trends and spatial distribution of oral cancer mortality in Sao Paulo, Brazil, 1980-1998. Oral Oncology, 2001. 37(4): p. 345-350.
21. C De Cicco, M.S., M Bartolomei, C Grana, M Cremonesi, M Fiorenza, A Maggioni, L Bocciolone, C Mangioni, N Colombo and G Paganelli, Sentinel node biopsy in early vulvar cancer. British Journal of Cancer, 2000. 82: p. 295-299.
22. Thomas, R.J., Early Detection of Cervical Cancer -New diagnostics identify HPV. Modern Drug Discovery, 2000. 4: p. 57-58.
23. Miller CS, Z.M., White DK., Detection of HPV DNA in oral carcinoma using polymerase chain reaction together with in situ hybridization. Oral Surg Oral Med Oral Pathol., 1994. 77(5): p. 480-6.
24. Ming Zhao, E.R., Andre Lopes Carvalho, Wayne Koch, WeiWen Jiang, David Sidransky, Joseph Califano,, Feasibility of quantitative PCR-based saliva rinse screening of HPV for head and neck cancer. International Journal of Cancer, 2005. 117(4): p. 605-610.
25. Denny, L.A., Human papillomavirus testing and screening. Best Practice & Research Clinical Obstetrics & Gynaecology, 2005. 19(4): p. 501-15.
26. Harry, T.C.S., K.M., Evaluation of the Hybrid Capture human papillomavirus deoxyribonucleic acid detection test. American Journal of Obstetrics & Gynecology, 1996. 175(3): p. 758-9.
Asbestos Litigation in California
California asbestos laws have changed over the past few years, showing more favor toward the side of companies that have violated California asbestos laws prior to the year 1980.
Asbestos litigation has taken on a whole new meaning as lawyers have had to take on this new specialty and grow into asbestos lawyers. What does all this mean for California residents in need of asbestos litigation?
It means that the lawsuit being filed by California based asbestos lawyers are under a more scrutinous attack, which mean the time to enter into an asbestos lawsuit in the state of California is now.
Asbestos lawyers recommended a consultation for any individual who has been exposed needlessly to asbestos, even if they have not yet been diagnosed with Mesothelioma, the cancer specifically caused by asbestos exposure.
Filing asbestos litigation cases prior to determining that the exposed victim is ill is not uncommon. This is done to protect the rights of the victim while the California asbestos laws allow for a tolerable and reasonable settlement, as California asbestos laws change often enough to complicate cases in the future.
Of course, victims with open and shut cases will always have some favor in the eyes of California asbestos laws, but open and shut cases are harder and harder to come by. Most asbestos litigation isn't as simple as it seems. Often people were employed by more than one company within their working lifetime and proving that the asbestos exposure that is prompting the asbestos litigation came from any one particular company is not always simple.
Many companies who have experienced asbestos litigation understand the penalties for intentionally or negligently exposing their employees to asbestos, and have chosen unscrupulous routes to avoid ending up in any additional asbestos litigation.
California asbestos law is complex and requires an expert to help decipher it. It is important for those considering pursuing asbestos litigation to get the professional counsel that an asbestos lawyer can offer.
Asbestos lawyers are up to date on all the changes in California asbestos law and can help those who were needlessly exposed to asbestos understand their rights within the realms of the ever changing California asbestos laws. Naturally, the entire state of affairs is completely unfair, and people need to understand that while companies may be empathetic to a victim's plight, most companies by now have changed hands, or at least management, and are now also trying to protect the rights of the current workforce, even if that means allowing a Mesothelioma victim flounder in their pain, suffering, and exorbitant medical bills.
This is of course unfair to those who worked tirelessly for these companies in the past, and it is a fine ethical line for the companies of the present to find a middle ground to protect all employees, past, present, and even future.
California asbestos laws are not the only asbestos laws which have undergone change over the past few years. Asbestos lawyers all over the country are having to fight harder for victim's rights. However, in most cases, these victims are still receiving fair judgments and settlement offers, at least for now.
There have been asbestos litigation cases that have been filed on behalf of those who are not sick and may or may not become ill in the future, however the threat that asbestos exposure brings with it is often enough to enter into asbestos litigation. It takes a talented asbestos lawyer, one who is on top of every change in California asbestos laws, to complete these premature examples of asbestos litigation, however the claims are still very legitimate.
The best advice an asbestos lawyer can offer anyone wondering if they qualify for asbestos litigation under the current California asbestos laws is to receive a consultation. Most asbestos lawyers will in fact meet with a client with a potential claim free of charge in order to determine if the information provided is adequate for entering into asbestos litigation.
A consultation can place the minds of potential and actual victims at ease as they attempt to make decisions about their future. Asbestos litigation is a complex field, and not every average attorney can truly handle the specified laws that relate to asbestos cases.
Just as a victim of road rage would not hire an asbestos lawyer, victims of asbestos exposure should not hire an attorney not equipped to handle the intricate California asbestos laws associated with asbestos exposure in the state of California. It is of course, common sense.
The Facts About Asbestos Exposure
Knowing the facts about asbestos exposure will help you to protect yourself and your loved ones. The U.S. and many other governments have compiled fact sheets and created guidelines and laws for handling and reporting asbestos exposure, as well as strict guidelines for asbestos removal and abatement. Being informed about asbestos and the dangers of asbestos exposure can help you avoid becoming a statistic.
Why Asbestos Exposure is a Problem
The danger of asbestos exposure arises from inhaling and swallowing tiny dust particles and fibers. Those particles are released when asbestos is broken up or disturbed in anyway. Once the asbestos fibers have been inhaled or swallowed, they may lodge in the lining around the lungs, heart or abdominal cavity and go unnoticed for decades.
Eventually, though, they cause scarring and cell changes that can become a malignant cancer known as mesothelioma. Even when mesothelioma does not develop, asbestosis and other asbestos related conditions can cause pain, restricted breathing and other difficulties.
How Asbestos Exposure Happens
There are many ways to be exposed to asbestos, but the most common type of asbestos exposure is occupational, or work related. Asbestos was used in the construction industry, the auto industry, on the railroads and in shipyards and in many factories that made items coated with or woven with asbestos.
When the asbestos was broken, moved, sanded, poured or otherwise manipulated, fine particles and dust was released into the air, where it was inhaled and swallowed. Family and household members of people who worked with asbestos were also often exposed to the dust when it was carried home in clothing and hair.
People who lived in the vicinity of asbestos plants may have been exposed to asbestos in the environment. According to the Agency for Toxic Substances and Disease Registry, residents who lived near asbestos plants may have been exposed to asbestos by breathing the air within a few blocks of the plant, playing in waste piles of rock near the factories and moving or handling waste rock from processing plants.
In addition, there is a significant risk of exposure to asbestos in some older buildings where asbestos laced materials were used in construction. These materials are safe as long as they are covered and/or in good condition. However, asbestos may be disturbed during renovations, demolition or when flooring, ceilings and walls become damaged.
How to Protect Yourself from Asbestos Exposure
Although the use of asbestos in new products is now heavily regulated, there are still ways that you might be exposed to asbestos. If your home was built before 1978, for instance, it likely contains many materials that were made with asbestos.
Most of these materials only become a concern when they are disturbed or start to decay. Asbestos exposure can become a significant risk if you are renovating or dealing with the aftermath of a flood, fire or other event that damaged your home. If you're not certain about materials in your home that may contain asbestos, it's best to contact your local town offices or health department to find out about having your home evaluated for asbestos and what sort of asbestos abatement regulations apply in your area.
What You Can Do If You Believe You Were Exposed to Asbestos
Mesothelioma affects thousands of people every year. Because its earliest effects are often mistaken for the symptoms of a cold, virus or flu, it's often not diagnosed until it has progressed beyond the treatable stage.
For that reason, anyone who worked or works in a job with a high risk of asbestos exposure should have regular medical checkups that include lung x-rays, and be especially watchful for respiratory ailments which may be the earliest symptoms of mesothelioma.
In addition, when asbestos exposure combines with smoking, your risk of developing lung cancer increases astronomically. If you were exposed to asbestos in the past and you smoke, quitting now can significantly reduce your chances of developing lung cancer.
Why Asbestos Exposure is a Legal Issue
Asbestos was one of the most widely used industrial minerals through the early to mid 1970s. The companies that mined, distributed and used asbestos were very aware of the danger that asbestos posed to their workers.
Instead of warning them and providing for safer handling, the industry deliberately hid those dangers from the public, their workers and the government. In doing so, they callously exposed hundreds of thousands of workers and their families to a deadly carcinogen.
Because these companies were aware of the dangers of asbestos and did nothing to warn or protect their workers intentionally, they may be legally liable for compensating people who became ill because of asbestos and their families.
If you believe that you or a family member became ill because of asbestos exposure, a law firm experienced in handling asbestos-related cases can evaluate your claim and help you get the compensation you deserve for your loss.
California Asbestos Lawyers Representing Thousands
Asbestos litigation and mesothelioma lawsuits are on the rise once again in California. Thankfully, there are top notch, eager asbestos lawyers ready to handle the workload as mesothelioma victims are coming by the thousands in search of their day in court. Mesothelioma lawsuits are now one of the fastest growing medically based lawsuits bracket in California, a perfectly preventable tragedy.
California asbestos laws have attempted to make mesothelioma lawsuits harder to file, but the evidence can not be swept under the rug and asbestos lawyers are proving time and again that the American dream was flushed down the hall of hopes with big business taking callous and careless attitudes toward the dutiful employees that made them wealthy.
California asbestos laws can't hide the negligence, and asbestos lawyers are fighting on behalf of victims and their families to prove this. Asbestos litigation is nothing new. The first filing of a mesothelioma lawsuit dates all the way back to the 1930's. It would have made sense for big business to have addressed their asbestos problems by now, or perhaps it is way past time for tougher California asbestos laws for asbestos neglect by businesses and corporations.
With the history of mesothelioma lawsuits and asbestos litigation, it would have made sense for California asbestos laws to require more stringent bans on the use of asbestos and higher standards for company policies involving employee protection. However, asbestos is still in use today, granted in smaller amounts, but still at high enough concentrations to cause more mesothelioma lawsuits in the future.
If California asbestos laws would impose a ban on asbestos and require asbestos removal, the health of California employees would simply no longer be at risk. It's just logical.
Asbestos litigation and asbestos lawyers are hard at work presenting this logical thought process to juries throughout the state. Jury awards in asbestos litigation tends to run very high, as asbestos lawyers have been able to impress upon juries how simple and cost effective it would have been for companies with asbestos exposure problems to protect their employees.
Juries, who are typically average hardworking individuals themselves, understand the insanity of being in a situation that requires a mesothelioma lawsuit, and often have had enough of big business practices which do not consider employee health or well being.
Thus businesses that are guilty of asbestos exposure are likely to run into numerous mesothelioma lawsuits in the near future. Mesothelioma lawsuits are the only voice that a mesothelioma victim has against the company that negligently contributed to their illness and asbestos lawyers are their very necessary mouthpiece.
Asbestos lawyers have sent eh detrimental nature of mesothelioma, and are fighting diligently both in the courtrooms of California as well as in the California legislature to hopefully amend California asbestos laws to work more in favor of harsher discipline for violators of asbestos safety requirements, as well as to tighten the belt of requirements as soon as possible.
While asbestos is a fire retardant, there are now newer and safer materials that can do the job of asbestos, although granted not as cheaply. California asbestos laws are too lenient on the use of asbestos as well as violators of current California asbestos laws. It takes a very good asbestos lawyer to fight this battle in full flair, but the necessity of the fight can no longer be denied.
Mesothelioma victims who file mesothelioma lawsuits do so in order to protect their family's financial future, to help offset the astronomical costs of mesothelioma treatments, and to heighten awareness of asbestos related illness and their ability to be prevented.
It is senseless that a lifetime of service to a company and a dedication that employees have shown end up in a courtroom fighting a mesothelioma lawsuit, and in a hospital room fighting a mesothelioma prognosis.
Every human being has the right as a human to be treated with respect of health and well being. There truly is no excuse for asbestos exposure in our age of technological advancements and our ability to produce safer and more effective fire resistant materials.
Perhaps it will take more than a few dedicated asbestos lawyers and mesothelioma lawsuits and asbestos litigation to drive these points home and change California asbestos laws, but it the place we have to start. With the dedicated expertise and the heart of the victims, California asbestos laws are bound to face changes one day.
Unfortunately for the thousands in California alone who are already affected by mesothelioma and asbestos related disease, someday did not come soon enough.
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