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1 If you take a look at his left lung, that
1 antibiotic treatment purposes, but it was instilled
2 left lung is almost two-thirds completely encased in a 2 into this pleural space on the left side of his lung
3 tumor rind or pleural fluid. That was mesothelioma.
3 to destroy the space so that there would no longer be
4 There won't be any dispute that that was
4 a space where fluid would collect with the hopes that
5 mesothelioma, ladies and gentlemen.
5 that would relieve some of his shortness of breath
6
The very next day he was so short of breath
6 because that fluid buildup prevents that left lung
7 they had to drain that with something called
7 from moving and mechanically operating like it is
8 thoracentesis which is a surgical puncture of the back 8 supposed to and causes extreme shortness of breath.
9 of the chest through the diaphragm -- I mean through 9
That was the attempt that was made in Mr.
10 the ribs so that they can drain the fluid off. They
10 Grewe's case, but his only continued to go downhill.
11 drained about 2,500 ccs or two and a half quarts of
11
Again, he saw Dr. DeLuca, an oncologist at
12 fluid.
12 North Arundel Hospital.
13 They couldn't diagnosis him at that time
13 Dr. DeLuca told him unfortunately, he was
14 because the cells only looked malignant, but there was 14 diagnosed with mesothelioma and the only thing that
15 no definite diagnosis of mesothelioma.
15 could be done for him was radical surgery where his
16
Mr. Grewe's medical problems continued and
16 whole left lung would be removed and he decided not to
17 in October, almost a week later, he had 3,000 more ccs 17 undergo that or palliative chemotherapy.
18 of fluid because that left lung that was encased was 18
There is absolutely no cure. There was no
19 almost completely shut down and just wasn't
19 treatment. He was basically told, unfortunately, that
20 functioning properly.
20 he had a death sentence.
21 Again, it was nondiagnostic.
21 Again, strong history of asbestos exposure.
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1 November of '92 he was complaining of chest 1 He was referred to the University of Maryland. The
2 pain and pleural effusion, and he was complaining of
2 one thing you will hear from Dr. DeLuca when he
3 chest pain because that tumor that was growing in his
3 testifies is the one thing he remembers about Mr.
4 left lung was starting to invade into his chest wall
4 Grewe is the intractable, unrelieving, unrelenting,
5 where his intercostal nerves and muscles were and
5 unforgiving chest pain that Mr. Grewe suffered as a
6 starting to cause excruciating pain.
6 result of that disease.
7 They did a bronchoscopy because they were 7 Again, chronic chest pain, again, asbestos
8 looking within the tubes of the lung to see if it was
8 exposure from working on brakes and clutches.
9 a lung cancer.
9 Again, by December of '92, there was
10
Mr. Grewe - that came up negative and there
10 continuing constipation from analgesics.
11 was no evidence of bronchogenic cancer.
11 That occurs because the only medicine they
12 In November of '92, he went back into the
12 can give these individuals to treat them are these
13 hospital and again you see the very first thing,
13 analgesics and narcotics and what the narcotics do is
14 exposure to asbestos in brake linings. Signal tumor.
14 decrease the motility of the intestines and causes the
15 There was a thought that it was a
15 individuals to become extremely constipated.
16 mesothelioma and eventually diagnosed on November 1st, 16
Mr. Grewe was started on MS Contin, oral
17 1992 as a mesothelioma.
17 morphine, 15 milligrams.
18 There was a pleural biopsy done, a
18 January of '93, again, progressive shortness
19 pleurodesis was done.
19 of breath and chest wall pain and couldn't walk in the
20 What a pleurodesis is, ladies and gentlemen, 20 hallway in the hospital. He was short of breath
21 there is an instillation of antibiotic fluid, not for
21 walking 30 feet.
6 (Pages 171 to 174)