JUDGES AND LAWYERS BREAST CANCER ALERT SAVE THE DATE The Twelfth Annual Ellen P. Hermanson Memorial Symposium LOCATION:
Association of the Bar of the City of New York42 West 44th St., NYC
SUBJECT:
Specific topics to be announced. Panelists and judges willgenerally discuss (1) the role of government policies andlaws, or absence thereof, in reduced breast cancer screeningand the significance of reduced screening to the reportedlower incidence of breast cancer and (2) the impact universalhealth care would have on cancer patients.
2 CLE credits – qualification pendingFree of charge – open to the publicPlease RSVP to JALBCA
NYC GOVERNOR SIGNS BILL THAT PROVIDES NEW RIGHTS TO CONSUMERS AND PHYSICIANS IN MANAGED CARE PLANS
On August 1, 2007, Governor Eliot Spitzer signed
Provides for a cooling-off period so that con-
legislation to broaden the rights of health care con-
sumers aren’t needlessly alarmed by notices that
sumers, physicians and hospitals associated with man-
a hospital may no longer be in a health plan’s
aged care health plans. The new law provides key legal
network when a contract negotiation between the
protections to address long-standing problems of
health plan and a hospital goes down to the wire;
patients who become caught in the middle between hos-
Requires managed care plans to report key data
pital and insurer disputes, as where a health plan denies
on health care quality that the Department of
care that it previously pre-authorized. The law also helps
untangle the complicated maze of rules that have beendeveloped by hospitals and insurers so that clear and
Sets a time limit of 15 months for hospitals to
timely health care decisions can be made.
submit claims to health plans when they have
The package of legal protections contained in the
provided out-of-network services to patients.
new law advances consumer and provider rights in sev-
Organizations that participated in this process
include the Medical Society of the State of New York,the Healthcare Association of New York State, New York
Limits a health plan’s ability to deny care that it
Health Plan Association, Empire Blue Cross Blue
Shield, Excellus Blue Cross Blue Shield, the Suburban
Gives consumers the ability to appeal to an inde-
Health Care Alliance and the Greater New York Hospital
pendent reviewer when a health plan denies a
Association. Senator Kemp Hannon sponsored the bill in
request to see an out-of-network specialist for a
the Senate, and Assembly Health Committee Chair
service not available in their plan network;
Richard N. Gottfried sponsored the bill in the Assembly. OCTOBER COURTHOUSE ALERT PESTICIDE PRODUCTS - ANNOUNCEMENT ACTIVE AND INERT INGREDIENTS
The Harlem Mammography Van will be located in
Pesticide products contain both active ingredients
front of the Harlem Community Justice Center, 170 East
(that control the pest) and inert ingredients (added ingre-
121st St., on October 22, 2007, beginning at 8 am.
dients which do not have pesticide activity but can be
Appointments can be made by calling 1-800-564-6868.
biologically active). Inert ingredients may comprise
most of the weight of the pesticide product and include,for example, water, solvents, emulsifiers, surfactants,
JALBCA COCKTAIL RECEPTION
clay or propellants. Many inert ingredients used in these
IN SEPTEMBER
products are listed as hazardous chemicals under the
JALBCA has scheduled its annual cocktail reception
Clean Air Act, the Clean Water Act, and the Safe
to kick-off the Annual Courthouse Alert. The reception is
Drinking Water Act. Environmental organizations, con-
scheduled for Wednesday, September 19, 2007 from 5
sumers and policy makers have expressed concern about
PM to 7 PM at the Appellate Division, Second
potential health effects of many of these substances.
Department Courthouse, 45 Monroe Place, Brooklyn
Under current labeling requirements, there is no need to
Heights, NY. The Honorary Event Chair is Hon. Gail A.
identify the inert ingredients by name, or state the toxi-
Prudenti, Presiding Justice, Appellate Division, Second
city of inert ingredients on the pesticide product label.
Department. The Event Co-Chairs, as in prior years, are
To learn more about this subject and applicable ref-
Hon. Ellen Spodek and Hon. William C. Thompson of
erence material, you may want to refer to the Spring
2007 Newsletter of the Cornell University Program on
All persons interested in attending are asked to
Breast Cancer and Environmental Risk Factors
R.S.V.P. by contacting JALBCA at 212-289-9720.
(BCERF) at http://envirocancer.cornell.edu. BCERF REGIONAL CANCER AND ENVIRONMENTAL FORUM
Relevant Environmental Exposures in the 21st
September 27, 2007, 10 am – 3 pm, at Abby Aldrich
Rockefeller Dining Room, Rockefeller University, 1230
York Ave, NYC. The subjects to be covered are:
Panel Discussion: Local Efforts on Breast
Breast Cancer, Estrogens, and Environmental
Cancer Research, Education and Activism.
Prophylactic Human Papilloma Virus Vaccines
To RSVP or for further information, contact Carmi
New Developments in Breast Cancer Detection
Orenstein at 607-255-1185 or cso1@cornell.edu. BREAST CANCER NEWS
ous surgeries and women with a strong positive family
The Journal of Academic Radiology recently pub-
lished results of a study concerning breast-specificgamma imaging (BSGI), which involves nuclear medi-
Evista Recommended for Approval to FDA for Breast
cine imaging of the breast utilizing a high-resolution
gamma camera. The results indicated that BSGI provides
An expert panel that advises the US Food and Drug
a higher sensitivity for the detection of Ductal
Administration (FDA) voted in July 2007 to recommend
Carcinoma In Situ (DCIS) than mammography or MRI
that the osteoporosis drug Evista, manufactured by Eli
and can reliably detect small, sub-centimeter lesions.
Lilly, be approved for use in preventing invasive breast
This would support the value of BSGI as a complemen-
cancer in post-menopausal women. Evista (chemical
tary diagnostic procedure to mammography to detect
name raloxifene hydrochloride) is a prescription drug
breast cancer when post-mammogram evaluation is indi-
that prevents and treats osteoporosis in post-menopausal
cated. Standard film and digital mammography are the
women. It is a selective estrogen receptor modulator
accepted imaging procedures for breast cancer screen-
(SERM) which the FDA has recently classified as an
ing, and mammograms (and ultrasound) can detect the
Three studies filed by Eli Lilly all showed that women
BSGI, however, involves a test to determine if a sus-
who took Evista for up to five years developed fewer inva-
picious mass is benign or malignant. Therefore, results
sive breast cancers than women who took a placebo. But
can be of assistance in a decision as to whether a breast
women who took the drug also had a higher risk of seri-
biopsy is appropriate. The test involves the injection of a
ous blood clots and fatal stroke. Evista is not recommend-
small amount of a radioactive tracer that is absorbed by
ed for women who are pregnant or breast feeding, or who
all the cells in the body. Because cancerous cells in the
have liver or kidney problems or are under treatment for
breast have an increased rate of metabolic activity, they
blood clots or have a history of them. Being immobile for
absorb a greater amount of the tracing agent than normal,
long periods would add to the risk of blood clots develop-
healthy cells. Breast compression is not required for the
ing in the veins. An FDA analysis of the three studies was
procedure. It appears that BSGI is particularly helpful
reportedly inconclusive as to whether Evista’s potential
for patients with mammograms that are difficult to inter-
benefits outweighed its risks. It is recommended that
pret because of a variety of factors: dense breast tissue,
women with a history of stroke or associated risk factors,
suspicious areas on a mammogram, lumps that can be
smoking, or irregular heart beat (atrial fibrillation) should
felt but not seen with mammography or ultrasound,
discuss both the risks and the benefits of taking Evista
implants and breast augmentation, scarring from previ-
with their medical provider before taking the drug. CALENDAR/CONTACTS ADELPHI NY STATEWIDE TOPIC: BREAST CANCER
This is a disease-specific meeting, co-led
by social workers and nurses, and is tai-
CancerCare MEMORIAL SLOAN KETTERING CANCER CENTER Post-Treatment Resource Program Educational Forums1275 York Avenue- Room-M107
SHARE (Self-Help for Women with DATE: TIME: TOPIC: Bendheim Integrative Medicine CenterSPEAKERS: DATE: TIME: PRESORTED FIRST-CLASS MAIL U.S. POSTAGE TERMINAL PRINTING
Vision and headaches No specific mechanism exists in the eye itself that causes headache, except in Similarly many pains of the face are transferred from the muscles in the neck and the farsighted people where there is a spasm of the muscle that focuses the lens. muscles responsible for posture. These pains would typically occur during working hours. A chiropractor will be able to locate t