Actos Lawsuit News – 2/14/2012: If you were prescribed Actos and have suffered negative side effects, please contact us today so that we can put you in touch with an attorney to advise you of your legal rights.
Actos Lawsuit: Because of the risk of recurrence of bladder cancer after cystectomy, patients require careful follow-up and evaluation after surgery has been completed. Your doctor will establish a specific follow-up schedule for your particular situation and strict compliance with follow-up visits is mandatory to ensure that if the cancer recurs after surgery, it is detected and treated as early as possible. In general, patients treated for superficial disease are followed every 3 to 6 months by cystoscopic evaluation (examination of the urinary tract with a cystoscope to detect cancer or other problems) and urine cytology
Bladder cancer recurrence following radical cystectomy can either be local or distant. Local recurrence refers to the recurrence of a tumor at the site of the surgery or in the nearby (regional) lymph nodes. In general, early stage bladder cancer that is confined to the bladder is associated with a low risk of local recurrence (3% to 6%). In contrast, higher stage tumors that invade the deeper layers of the bladder wall, regional lymph nodes, or nearby organs carry a much higher risk for local tumor recurrence.
Distant recurrence of bladder cancer refers to the recurrence of the cancer in distant sites from the bladder. It has been reported that up to 50% of patients undergoing cystectomy for muscle-invasive bladder cancer eventually develop distant recurrence of the disease (usually within 3 years after cystectomy). Most commonly, distant recurrence involves spread of the cancer to bone, lung, or liver. Patients who develop distant recurrence are treated with combination systemic chemotherapy, with either M-VAC or GC as the standard regimen.
In discussing the role of CAM therapies for the management of cancer, it is important to differentiate between CAM therapies that purport to “cure” cancer as opposed to those therapies that are used in palliative cancer care to provide relief from cancer-related symptoms and improve the patient’s quality of life. Unlike some conventional cancer treatments that have been demonstrated to cure patients with certain types of cancers, currently there is a lack of sufficient scientific evidence to support the conclusion that any specific type of CAM modality can cure cancer. Patients who fail to draw a distinction between the “care versus cure” aspects of CAM therapies may delay seeking or may completely abandon potentially curative mainstream cancer treatments in hope that a particular CAM therapy may be a “magic bullet” for curing their cancer. On the other hand, complementary therapies have become an important aspect of palliative cancer care by helping cancer patients better cope with cancer-related symptoms and side-effects and, thereby, improving quality of life. In fact, many cancer centers in the United States and other Western countries have integrated complementary therapies into their mainstream treatment strategies for palliative cancer care in an emerging field of cancer practice known as integrative oncology.
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Actos Lawsuit: Conventional cancer treatments such as chemotherapy, radiation therapy, and surgery are often associated with severe side-effects that can significantly impact the patient’s quality of life and interfere with routine activities of daily living, in general, side-effects of conventional cancer treatments may include nausea/vomiting, fatigue, anxiety, depression, pain, sleep disturbances, loss of appetite, dry mouth, gastrointestinal disturbances, and peripheral neuropathy. Conventional treatments may not always be completely effective in relieving cancer-related symptoms and, in some cases, the treatments themselves may cause additional side-effects. Complementary therapies, when used in conjunction with conventional mainstream treatments can help patients better cope with cancer-related symptoms and side-effects and also improve physical and emotional well-being and overall quality of life.
In general, patients with severe mood disturbances (e.g., panic attacks; suicide ideation) require immediate psychological evaluation and treatment to stabilize their acute condition before CAM therapies may be considered. For most patients with mild to moderate anxiety and mood disturbances, CAM therapies are a useful adjunct to conventional treatments for managing psychological distress. Techniques such as mind-body interventions, acupuncture, and music therapy are generally safe when performed by qualified, experienced practitioners and can help cancer patients better cope with feelings of anxiety, fear, hopelessness, and depression. Although some herbs and dietary supplements (e.g., Kava Kava; St. John’s Wort; Passionflower) have been reported to relieve anxiety and mood disturbances, some experts have discouraged the use of these products in cancer patients because they may interfere with drugs used to treat cancer (chemotherapeutic agents) and/or other medications that patients may be taking. Patients should discuss the risks and benefits of using any herbal medications/dietary supplements with their oncologist before taking any of these products, particularly if they are undergoing chemotherapy, radiation therapy, or surgery.
Pain is a common symptom that can affect many cancer patients. Most often, the source of the pain is the tumor itself. Cancer-related pain may be caused by spread of the tumor to other tissues and organs or may result from compression of the tumor on a nerve or the spinal cord. In general, acute cancer-related pain is most responsive to conventional mainstream treatments which may involve medications (e.g., narcotic analgesics; steroids) or, in severe cases, (e.g., tumor causing spinal cord compression; tumor associated with abdominal obstruction), emergent surgery may be required to relieve the acute pain.
Some cancer patients who undergo surgery to remove a tumor develop persistent neuropathic pain due to injury of nerves during the surgical procedure. In general, severe neuropathic pain may be difficult to control with conventional pain management treatment modalities. There is some evidence that acupuncture, when used in conjunction with conventional pain management strategies, may be effective for the management of persistent neuropathic pain that may develop in some patients after cancer surgery.
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Actos Lawsuit: Nausea and vomiting are relatively common side-effects in patients undergoing cancer chemotherapy. When used in conjunction with standard treatments, CAM therapies may offer patients additional relief from chemotherapy-induced nausea and vomiting. A 1998 National Institutes of Health (NIH) Consensus Conference concluded that there is clear evidence supporting the efficacy of acupuncture for controlling nausea and vomiting associated with cancer chemotherapy. Other CAM therapies that may help cancer patients better cope with chemotherapy-induced nausea and vomiting.
Evidence from epidemiological studies strongly supports a relationship between dietary factors and the risk for developing certain types of cancers. In general, a diet that is rich in certain food constituents (e.g., fruits, vegetable, fiber) appears to be protective against the development of cancer. In contrast, excessive consumption of other dietaiy substances (e.g., animal fats, alcohol) appears to increase the risk of certain types of cancers. Some vitamins that possess antioxidant properties (e.g., vitamins A, C, and E) may protect against certain types of cancers by protecting the body’s cells from damage by certain compounds known as free radicals.
The diagnosis of any type of cancer is a frightening, life-altering event for both the patient and their family. The potential for a diminished quality of life for newly diagnosed cancer patients becomes an immediate, pressing concern when confronted with anxiety, fear, pain, the prospect of a long course of treatments that may cause significant side effects, and the possibility that the treatments may not work. It is critically important, however, for cancer patients and their families to address and learn to cope with the physical, emotional, and social issues that, if ignored and left to “fester”, can rapidly lead to a significantly reduced quality of life.
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Actos Lawsuit: Over the years, cancer specialists and other allied health-care professionals have come to realize that addressing a cancer patient’s quality of life issues is an integral component of a comprehensive, overall cancer treatment strategy. From a practical perspective, that means developing an effective treatment plan that aims not only to control and/or to eradicate the patient’s cancer with medical and/or surgical therapy but, at the same time, also takes into consideration critical issues of supportive care throughout the course of treatment and offers the patient the best chances of maintaining a reasonably high level quality of life. In fact, most cancer specialists now consider supportive care as an essential component of an overall, effective cancer treatment plan.
If sleep disturbances begin to affect your functional ability and diminish your quality of life, a variety of options are available to deal with the problem. These treatment options include learning new sleep habits (improved sleep hygiene practices); complementary therapies (e.g., relaxation techniques, biofeedback, meditation); and the use of prescription sleep medications. If lack of sleep is affecting your quality of life and interfering with your activities of daily living, talk with your doctor about developing an individualized treatment plan to help improve your quality of sleep.
Fatigue is perhaps the most common and potentially debilitating symptom experienced by cancer patients that can have a significant negative impact on routine activities of daily living and diminish quality of life. Fatigue may be attributed to a variety of causes including side-effects of cancer treatments (e.g., chemotherapy, radiation therapy), anemia, sleep deprivation resulting from insomnia, chronic pain, inadequate nutrition, and lack of physical exercise. In many cases, a combination of factors contributes to fatigue, exhaustion, and a general lack of energy. It is important to notify your cancer specialist or primary health care provider if you begin to experience bouts of fatigue lasting a few days or longer.
A variety of strategies are available to overcome the problem of fatigue in cancer patients. Fatigue related to anemia (low numbers of red blood cells) can be treated with blood transfusions and drugs, such as erythropoietin (e.g., Procrit) that promote the production of red blood cells. Fatigue not related to anemia may be managed with lifestyle modifications such as proper nutrition, regular exercise, and improved sleep hygiene practices.
In the past, cancer patients were usually advised to “relax”, “take it easy11 and “don’t overdo it”. More recently, however, doctors are beginning to realize the potential benefits of physical exercise for cancer patients undergoing treatment as well as for cancer survivors. Researchers are continuing to explore the effect of physical exercise on survival rates for various types of cancers. In general, the potential benefits of physical activity for patients suffering from chronic diseases include enhanced physical and mental function and improved quality of life. For cancer patients, the potential benefits of exercise also include decreased fatigue, improved appetite, better toleration of side effects of chemotherapy and radiation therapy and improved quality of life.
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Actos Lawsuit: One of the most common symptoms experienced by cancer patients is unintentional weight loss which can lead to malnutrition, increased susceptibility to infections, reduced quality of life, and shorter survival time. The underlying causes of unintentional weight loss in cancer patients may be attributed to a variety of factors including loss of appetite associated with chemotherapy and/or radiation therapy and psychological disturbances such as depression which has been found to affect up to 25% of cancer patients.
From a metabolic perspective, unintentional weight loss may be understood by the increased energy (calories) required by cancer cells to grow and spread as well as the increased energy requirements of the body to mount an effective response to fight the cancer. A net loss in weight occurs when the body uses more calories from stored energy reserves than is available from calories ingested from nutrients in the diet. Metabolic changes in cancer can also cause a condition called cachexia – a generalized wasting condition involving the loss of muscle mass and fat Cachexia may develop even in people with good nutritional intake due to the failure of the body to absorb nutrients. Symptoms of cachexia, which affects about 50% of all cancer patients, include loss of appetite, weight loss, wasting of muscle mass, generalized fatigue, and significantly reduced capacity to perform routine activities of daily living.
The management of weight loss in cancer patients usually involves nutritional counseling to ensure an adequate intake of calories. Nutritional counseling can also help cancer patients develop new eating habits to prevent further weight loss including eating foods that are rich in calories or protein; eating smaller meals more frequently throughout the course of the day; “snacking” between meals; and drinking high-calorie liquid nutritional supplements (e.g., Boost, Ensure, Sustacal). In some cases, medications such as megestrol acetate (Megace) or dexamethasone (Decadron) may be prescribed to stimulate the appetite.
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