Document 0gveyQ55Od5gqayXp9EGLoKOR

Page 175 Page 177 1 This is a gentleman who is 55 years of age, 1 could no longer take care of himself. He was 55 years 2 had never been in the hospital in his entire life 2 of age. He could no longer bathe himself, dress 3 except for a tonsillectomy at the age of 21. 3 himself, eat, groom himself. 4 At 54 years old, ladies and gentlemen, the 4 He had continuous pain in the left shoulder, 5 evidence will show that he couldn't walk 30 feet 5 short of breath walking up and down the stairs, 6 because his left lung was completely encased, two- 6 constipated, and the pain was increasing so badly that 7 thirds encased in a tumor. 7 the morphine wasn't working enough that he was having 8 Dr. DeLuca, again, shortness of breath with 8 breakthrough pain every four to six hours. 9 minimal exertion, thin and chronically ill, left lung 9 He was sleepless at night. His weight was 10 almost completely opacified, encased, advanced 10 down to 150 pounds and now on four times the normal 11 mesothelioma by that time. 11 dose of an individual who has major surgery of oral 12 Again, he was being treated at the 12 morphine. 13 University of Maryland with some chemotherapy, but he 13 The pain was so bad not only was he on 14 developed a very severe reaction to it and developed 14 morphine, but he had to have Dilaudid for the 15 mucositis which was an inflammation of his mouth, his 15 breakthrough pain. 16 tongue, his nose and all of his mucous membranes in 16 There was now a subacute mass over the 17 the mouth from his chemotherapy. 17 lining of his ribs because the mesothelioma doesn't 18 Again, he was so ill that in 1993 he 18 stop at the intercostal nerves and the muscles, it 19 developed a right-sided pneumonia because that left 19 invades the rib as well and cracks them. 20 lung that was encased was now affecting the mechanics 20 He had to have a pump installed in his left 21 of his respiratory system that his body - his lungs 21 hip so he could survive the pain so he could have a Page 176 Page 178 1 were unable to move fluid; and, therefore, there was a 1 dose of pain medication whenever he needed it. He had 2 buildup of bacteria in the lungs, and he developed a 2 no appetite. 3 right-sided pneumonia. 3 By September of '93, he lost 51 pounds. He 4 By February of '93, he was on 60 milligrams 4 was down to 133, and he was a strong virile man who 5 of morphine every eight hours which is double the dose 5 had never been sick. 6 of an individual who undergoes major surgery. 6 He now had five by five centimeters 7 Bilateral chest wall pain. He was still 7 cachectic tumors in his chest. 8 experiencing rashes on his legs from the 8 Appetite was down, pain was increasing and 9 chemotherapy. His mesothelioma continued to worsen. 9 died in October of 1993. 10 By May of 1993, he had increasing shortness 10 He had to be suctioned through his lungs 11 of breath and chest tightness. 11 because his lungs were inoperable, and they could not 12 By May of 1993 -- that was a picture of Mr. 12 remove the pulmonary secretions. He was terminally 13 Grewe's left chest. There was - there is a left lung 13 ill and eventually he died. 14 there, but it is almost completely encased in a tumor 14 Again, there will be no dispute about his 15 rind. 15 disease. There will be evidence in this case and 16 That tumor rind, ladies and gentlemen, 16 proof that his mesothelioma was caused by his 17 became so thick, so thick, that by May of 1993 the 17 occupational exposure to asbestos. 18 pleura was so thick it was unable to be tapped because 18 You will hear from Dr. Hammar, a pathologist 19 they couldn't surgically puncture it with a needle to 19 who examined the lung tissue, and he will tell you Mr. 20 drain the fluid. 20 Grewe suffered from malignant mesothelioma caused by 21 By June of 1993, he had assistance. He 21 asbestos exposure and also by Dr. Lewis Rubin, head of 7 (Pages 175 to 178)