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Dr. Robert Cameron on Treating Mesothelioma – Lung-Saving P/D vs. Radical EPP -
There are two surgical procedures which are used in the treatment of pleural mesothelioma: the Extrapleural Pneumonectomy and the Pleurectomy/Decortication.
The Extrapleural Pneumonectomy, or “EPP”, is a radical procedure which involves the surgical removal of the entire lung, a portion of the diaphragm (the muscle located below the lung) and the pericardium (the lining of the heart). Because of the radical nature of this procedure, and the fact that the patient will be left post-operatively with only one lung, it can only be performed on patients who meet certain criteria such as good cardiac and pulmonary functioning.
The Pleurectomy/Decortication, or “P/D”, is a less radical procedure because it involves the surgical removal of the tumor and the pleura, but not the lung. The procedure typically takes much longer to perform as the surgeon carefully separates the tumor from the lung and repairs any damage to the diaphragm so that the patient will continue to enjoy the use of the affected lung. Because it is less radical than the EPP, the P/D has a much lower rate of surgical mortality and can be performed on patients who would not be eligible for EPP.
Despite the benefits of P/D vs. EPP, EPP has been the most frequently used surgery for mesothelioma. As more information has been published regarding reduced surgical mortality, enhanced post-surgery quality of life and comparable if not better survival with P/D, more and more surgeons are recommending P/D over EPP.
Dr. Robert Cameron was the innovator of the lung-saving P/D procedure for mesothelioma and has performed the procedure on hundreds of patients to date. Below, Dr. Cameron shares his opinions regarding P/D vs. EPP. Read More ⇒
PMC Laboratory Solely Dedicated to Researching Malignant
Wow! What a terrific year we have had at The Pacific Meso Center (PMC) at The Pacific Heart, Lung & Blood Institute (PHLBI). Thanks to the support of our friends and families, including generous contributions from The Asbestos Legal Center in San Francisco and Roger G. Worthington P.C., we are pleased to report that our new laboratory at 10780 Santa Monica Boulevard has opened.
The Pacific Meso Center Mesothelioma Research Laboratory |
Pictured from left to right: Marko Kostic, MSc, Clare Cameron ED, Saroj Basak, PhD., Dongmei Hou, PhD, Anne Rorie NP, Dr. Robert B. Cameron
This has been a year of significant strides in our mission of establishing a research facility to improve mesothelioma victims’ lives and longevity. As the equipment begins to be installed in our laboratory, and our researchers get geared up to start work on several important and exciting projects, we feel very confident in building this foundation to make some significant breakthroughs in fighting malignant pleural mesothelioma (MPM), an asbestos related cancer.
The Pacific Meso Center’s research activities are currently supporting research being performed by Robert B. Cameron M.D, Dongmei Hou, PhD, Warren Grundfest, MD and collaborators, Saroj Basak, PhD, Sherven Sharma, PhD and Robert Strieter MD. In addition to these scientists there is also an active international group of collaborators who share in the vision of PMC, an open collaborative effort both in basic and translational science, to bring the best therapeutics to the benefits of our patients. Read More ⇒
Pacific Meso Center Receives Generous Donation to First Free-Standing Mesothelioma Research Laboratory in Los Angeles
Roger and Ann Worthington Donate $100,000 in honor of veterans afflicted with malignant pleural mesothelioma (MPM)
LOS ANGELES, Dec. 23, 2011 /PRNewswire/ — Pacific Meso Center (PMC) at the Pacific Heart, Lung & Blood Institute (PHLBI) announces a generous donation of $100,000 from Roger and Ann Worthington. Mr. Worthington is the founding partner of The Law Office of Roger G. Worthington, PC, an asbestos law firm in San Pedro. The $100,000 will go towards PMC’s new laboratory in Santa Monica, California. The new state-of-the-art mesothelioma research laboratory is dedicated solely to the discovery of new treatments for malignant pleural mesothelioma, and will focus not only on the development of novel treatments for mesothelioma but also on its prevention.
Amgen’s Breakaway from Cancer April 30th Event Raises $50,000
LOS ANGELES, May 11, 2011 - /PRNewswire/ — The Dana Point Community Cycling Foundation, in conjunction with Amgen’s Breakaway from Cancer initiative, hosted a successful fundraiser at the Dana Point Yacht Club on Saturday, April 30th. Over 350 guests attended an evening of food, wine, beer, entertainment and a fabulous silent auction with many prestigious items up for bid. The Pacific Meso Center (PMC) at PHLBI will be one of the beneficiaries from this event, whose mission it is to raise funds for better treatments and research that will eventually lead to a cure for mesothelioma, a deadly cancer caused by exposure to asbestos. Other local charities will also benefit from this initiative.
Maryln and Terry Latham with Nasseem and Sanna Farag. Terry and Nasseem are patients of Dr. Robert Cameron |
As part of the weekend festivities, the Saturday Breakaway from Cancer Night was also a kick-off for the nationally recognized Sunday May 1st, Breakaway from Cancer 5th Annual Dana Point Grand Prix. The event, hosted by the City of Dana Point and organized by the DPCCF, drew a record crowd of thousands of enthusiastic fans to watch international and domestic cycling pros in the main event broadcast live on YouTube. Spectators also came to support, cheer and participate with hundreds of survivors, caregivers and family members who gathered to walk on the most beautiful bicycle race course in the USA immediately prior to the Pro main event, as part of the “Breakaway from Cancer Walk” to celebrate life.
The Dana Point Grand Prix of Cycling is organized by the Dana Point Community Cycling Foundation, a 501(c)(3) non-profit corporation with a mission of community cycling advocacy and growth. All proceeds will be donated to charity. In prior years, a portion of the proceeds from the race have been donated to the Dana Point Boys & Girls Club and the 5th Marine Regiment Support Group.
For more information, please visit https://www.danapointgrandprix.com.
Contact:Clare Cameron, Executive Director, Pacific Meso Center at PHLBI
Phone: 310-478-4678
Breakaway from Cancer® and the Dana Point Grand Prix
The 5th Annual Dana Point Grand Prix of Cycling offered up fun, excitement and inspiration
Crowds estimated at between 10,000 and 12,000 lined the streets of Dana Point’s town center and historic Santa Clara neighborhood on Sunday to witness the 5th Annual Dana Point Grand Prix of Cycling. Whether toddlers with training wheels or elite nationally-ranked professionals were on the course, spectators went wild as competitors whizzed past. The sights and sounds of the event varied—from the buzzing of super thin racing tires tracking steady lines and the blur of multi-colored spandex to bicycle bells and zig-zagging lines—but the roar of the crowd never ceased.
The criterium, a six-turn L-shaped relatively flat and fast course saw racers hit speeds upwards of 35 miles per hour in the men’s pro division. At the conclusion of that race, it was Brad Huff of team Jelly Belly who took the win. A prize purse of $15,000 was split among the top 20. Offers of premiums—or “preems”—shouted at racers by announcers as they passed the start/finish line of cash and prizes for the winner of randomly chosen laps, turned up the excitement , sped things up, opened up the pack and gave riders added chances at prize money.
“Moving the start/finish line to Del Prado this year made the course even better,” said Grand Prix Director Russell Ames. “All day I have had people come up to me and tell me this is the best event we’ve ever had. The vibe today is really positive and we are thrilled to see so many more entries than in the past.”
Many visitors made a day of it, visiting the many food and product vendors and attending BMX demos and cycling related booths. Area restaurants were hopping as spectators took a break from the sunny day to enjoy a relaxing meal indoors.
In honor of this year’s title sponsor AMGEN’s Breakaway from Cancer, the Grand Prix included the Breakaway from Cancer Walk, an inspirational gathering of cancer survivors, patients, caregivers and the families of those both fighting and taken by the disease.
Maryla and Terry Latham |
Dana Point resident Terry Latham who is currently battling mesothelioma and a patient of the Pacific Meso Center was among the walkers.
“Without the Pacific Meso Center I wouldn’t be here,” said Latham. “Dr. Robert Cameron operated on me and saved my life. Events like this not only raise money to help find a cure it raises awareness of the need for funding and also honors the special people who care for cancer patients.”
Latham’s wife Maryla added that she was blown away to see so many people come out to walk in support of those struggling with cancer. “It is very important to have the support of family, friend and even strangers who care. This is a very important part of caring for cancer patients emotionally,” said Maryla. “Bless everyone who came out today.”
Event proceeds will be given to the Pacific Meso Center to support continued research and a search for a cure for mesothelioma.
For more information on the Dana Point Grand Prix, visit the event website at www.danapointgrandprix.com. To read more about Breakaway from Cancer, thePacific Meso Center and Latham’s story, go to www.breakawayfromcancer.com and www.pacificmesocenter.org
Judge Jacob Jager: Every Crisis Presents an Opportunity. San Clemente, CA
Judge Jacob Jager |
It’s a beautiful day in San Clemente. The kind of day that might usually be spent fishing with the grandkids off his boat in Dana Point Harbor, but for retired Judge Jacob Jager, those boating days are on hold as he finishes his post-operative radiation treatments. While the Judge enjoys the view surrounded by his gracious family, wife Norma, daughter Tammy, and grandsons Ashton and Hunter, he continues to wage a determined battle against malignant pleural mesothelioma. Although his radiation treatments have taken 35 pounds off his athletic frame, Judge Jager still commands the room and positively lights up for his delightful grandsons. Judge Jager continued to lead an active and fulfilling lifestyle, but in April of 2010, the Judge began to experience trouble breathing and sought medical help. In August, severe chest pains finally lead to a battery of tests revealing a right-sided pleural effusion with an underlying right lung consolidation. A mass was also noted. In October, a tissue biopsy and thoracentesis confirmed malignant mesothelioma. That diagnosis began a family commitment, spearheaded by daughter Tammy, to find the best possible care and treatment available. Like her father, Tammy possesses the intellect and tenacity to not only educate herself on this type of cancer, but to explore all possible treatments throughout the United States. Both father and daughter are native Californians, and their love for the West Coast escalated even more when they learned that most East Coast mesothelioma surgeons promoted a radical surgery in which the entire lung among other vital body parts were amputated. It was Judge Jager’s originating oncologist, Dr. Lloyd Nagasawa, who first mentioned thoracic surgeon, Dr. Robert Cameron of UCLA Medical School. Since 1994, Dr. Cameron has been a pioneer of the “pleurectomy and decortication (P/D) procedure,” the goal of which is to remove all visible tumor and spare the underlying lung. He has performed over 300 of these “rational” operations. With her usual diligence, Tammy researched both the procedure and Dr. Cameron. The family warmed to the idea that Dr. Cameron’s procedure was designed to spare the lung, since Judge Jager’s lung was functioning normally. They learned that, while the procedure is much less “radical” for the patient, it is a more lengthy and difficult procedure for the surgeon. They believed that Dr. Cameron’s commitment to this procedure, which is designed to afford patients a much better quality of life with use of both lungs, speaks volumes about Dr. Cameron’s dedication to his patients. But most of all, they appreciated Dr. Cameron’s medical philosophy. As Tammy put it, “Dr. Cameron treats mesothelioma as a chronic disease – something that can be treated and managed with the ultimate goal of prolonging and increasing the quality of life. A ‘cure’ sounds great, but unfortunately from what I know about meso it’s unrealistic at this stage.” When they met with Dr. Cameron, Tammy was positive that they had made the right choice. She recalled that Dr. Cameron very patiently and candidly set out the nuts and bolts of his procedure without sugar-coating it. The Judge and Tammy felt reassured. “We had great confidence in him from the beginning- truly a brilliant man,” gushed Judge Jager. In November, Dr. Cameron operated on the Judge. Like any major surgery, recovery was not without its hiccups. But through it all, the family’s will remained strong. The experience, instead of a dark and foreboding cloud that brought everyone down, showed that with the right blend of medical expertise, a solid strategy, perseverance and abiding hope, a medical crisis can also help bind the family ties even tighter. San Clemente, CA 3/10/2011
Terry Latham: A Life Spent Beating Bullies with Strength, Honor and Kindness. Dana Point, CA
Terry and Mary Latham |
As a teen in Oxfordshire, England, 70 year-old Terry Latham excelled in sports. “I was tall and tough,” he recalls with a grin. “I played rugby. I was fast. I set all kinds of records. Looking back, sports saved me.”
From 1948 to 1959, Terry lived and attended school at the Kingham Hill School Orphanage, a place that valued basic survival skills. He both avoided and ended many a scrape, thanks in part to his strength and cunning. He learned that bullys were simply cowards with brawn and once he overcame his fears they were just another bump in the road.
Since childhood Terry has honed his mind and body to deal with external threats. Through his 60s and 70s, he continued to exercise with near religious devotion. Recently, Terry was introduced to a bully of another kind. One not so easy to duck, dodge or knock down.
On March 22, 2010, with a simple, yet profound, “I’m sorry” from his pulmonologist, Terry and his lovely wife, Mary, were told that he had malignant pleural mesothelioma. What began as an annoying cough worsened until it was affecting him all the time, “I sing deeply (and “beautifully” added Mary!), but started coughing on the high notes,” explained Terry. “I began feeling a lot of pressure in my chest.”
Terry initially sought treatment from his family doctor. During this time, Terry tested positive for tuberculosis. Terry’s mother had tuberculosis and spent most of her adult years living in a sanitarium. Several courses of antibiotics were prescribed, but when the cough continued to worsen, chest X-rays and CT scans lead him to consult with the pulmonologist.
Ultimately, he was diagnosed with mesothelioma, an internal bully that quite frankly is unphased by reason, compasssion or firepower. The Lathams fell into a state of low-grade shock. “You go totally numb, and your body doesn’t even respond,” observed Mary. Terry, however, after a brief stumble, descided to get back on his feet and into the ring. Your proverbial self made man, Terry was no stranger to hard work and mental discipline. When he came to the US in 1970, he buckled down. He wanted a car and a home. He worked 12 to 14 hours a day (mostly in construction) and he got both that car and that home in two years.
Terry was referred to oncologist, Dr. L. Stuart Nagasawa. Dr. Nagasawa advised the options which included chemotherapy and surgery. Terry had vowed, however, to never take chemotherapy. “My impression was that the treatment was worse than the disease.” He decided to explore surgery.
Dr. Nagasawa referred thoracic surgeon, Dr. Kemp Kernstine, at the City of Hope Medical Center in Duarte. Dr. Kernstine’s initial testing indicated that Terry’s cancer was confined to one area and had not spread to the lymph nodes, and that would make him a candidate for the radical lung removal surgery.
Dr. Kernstine candidly discussed Terry’s options, and per Terry’s recollection, said something along the lines of “If this was me and I am who I am, I would not do what I do – I would not remove a lung.” Dr. Kernstine then referred Terry to see Dr. Robert Cameron at UCLA Medical Center.
With renewed optimism, Terry consulted with Dr. Robert Cameron at UCLA Medical Center. Dr. Cameron is the innovator of the lung-saving Pleurectomy/Decortication, a less radical surgical option that removes all visible tumors while sparing the underlying lung. Terry and Mary were both taken with Dr. Cameron’s thoroughness and passion. “He is amazing,” crowed Terry, “He seems to work 20 hours a day!”
The Latham’s have also appreciated Dr. Cameron’s leadership in mapping and managing Terry’s pre-surgery and post surgery care, “Dr. Cameron insisted on UCLA for surgery, and only allowed us to go to Hoag for the post radiation treatments, because the technician was trained by Dr. Cameron’s department at UCLA.”
On his darkest day, Terry with uncharacteristic melancholy beseeched one of his doctors to tell him how, precisely, in anatomic terms, how he was going to die. He hasn’t dwelled on the darkness since. Instead, he finds himself imbued with a new sense of optimism, a newfound joie de vivre, which he credits to the loving care of his wife, the skill of his doctors, and his own sense of resiliency.
But mainly he credits Mary. She’s been by his side from the start, like a rib. “A nurse will give you sympathy,” he mused, “but a wife will give you love and encouragement.” The Latham’s devotion to each other has made this equally hard on Mary, but she continues to be so proud of her husband. “Terry is a person who always sees the good in people, always gives them the benefit of the doubt, and always finds something good in them.”
Bully for you Terry Latham.
March 19, 2011
The Force in Bob Vitale Remains Strong. Rolling Hills Estates, CA
Bob Vitale |
Bob with Carl Lewis (r) |
74 Year-old Retired Banking Executive on the Fast Track for Meso Treatment. Laguna Hills, CA
Arleen and Walter Nielsen |
Breakaway from Cancer® and the Dana Point Community Cycling Foundation - Join Us in Our Fight Against Cancer!!
Ride with Us … Walk with Us … Join Us for a Gala Evening
and Celebration of Life
Here is the schedule of events!
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Breakaway-UBS Elite Masters Racing |
The Pacific Meso Center is pleased and proud to be involved with the 2011 Master’s Cycling initiative, which now includes a new found focus on charitable endeavors. With the 2011 streamlined masters cycling initiative, beginning this month, we will be featuring on this site an updated link to their monthly newsletter, keeping our audience apprised of upcoming news and events throughout the year.