When my father was diagnosed with asbestosis, no one in my family had even heard of the disease. What was it? How did he get it? And what did the prognosis mean for my father and our family? The answers to these questions unfolded in a series of blurred events that eventually lead to my father’s death in 1996. I still long for the relationship I lost to this disease.What are asbestosis and mesothelioma?

Both asbestosis and mesothelioma are lung diseases caused by asbestos. Asbestos fibers scar the lung tissue making them more susceptible to lung diseases such as pneumonia. They also decrease the lungs’ ability to supply oxygen to the heart increasing the risk of developing heart problems.

How are asbestosis and mesothelioma contracted?

Asbestos is a flame retardant, pliable yet strong mineral used in products such as vinyl floor tiles, caulk, adhesives, stage curtains, fire blankets, and insulation. Although once considered a miracle mineral, it is now known to be highly toxic. Inhaling asbestos fibers can cause mesothelioma and asbestosis. These fibers may exist at work, in your environment, or on the clothes of a loved one who works with asbestos.

What does a prognosis of asbestos related diseases mean for you and your family?

My dad was always active, which helped slow the progression of the disease. Even when he had to use oxygen, he strapped the tank to his back and went for a bike ride several times a week.

Unfortunately, he worked for the steel plants, where he contracted the disease, along with all of his friends. He and my mom watched as each of their friends struggled with the insidious nature of this disease. He watched them struggle for breath. He watched them suffer from heart failure. He watched them die slow, agonizing deaths knowing this was his fate too.

* My dad loved the snow, but he could no longer shovel or clean off the car.
* My dad loved racquet ball, but he could no longer run.
* My dad loved to swim, but he could no longer dive.
* My dad loved to laugh and had one of the hardiest laughs on the planet, but he could no longer laugh.
* All of these things require the breath only healthy lungs can deliver. My dad no longer had healthy lungs.

When he died, not only was my mom distraught, devastated, and exhausted from caring for him, she was also in a financial dilemma. How would she support herself when my dad had been the provider?

Many law suits have developed as a result of asbestos related diseases. I am so grateful for the wonderful attorneys that helped my mom sort through the legalities of this national injustice.

Asbestos is something very dangerous and a lot of people are still unaware of that. Asbestos surveys need to be carried into buildings if it has not be done yet in order to identify if asbestos was used or not in the building.A recent survey carried out actually indicates that the highest risk of asbestos related lung illness in fact arises from insulation work in the United Kingdom. Epidemiologic work done by a professor called Peto has shown that in the first few years of the twenty first century we can keep on expecting a rise in the number of new cases of mesothelioma in Great Britain mainly due to asbestos. Mesotheliome really is a horrible cancer with a very long latency period.

In the United Kingdom, it presently causes more deaths than road traffic accidents and epidemiologists predict that a further one hundred thousand individuals would die from one type of asbestos cancer called mesothelioma in the coming years. When all types of asbestos-related diseases are gathered, the final death toll could be even higher than that previous number which is shocking.

Research into the treatment and care of this aggressive cancer in the United Kingdom is apparently in bad shape due to a lack of government help over the last years. In 2007 there was just one project dedicated to mesothelioma research funded by Cancer Research UK, but nothing by the Medical Research Council, despite the fact that between 1995 and 2004 the incidence rate of this disease in United Kingdom grew faster than any other cancer. Improvement have been made though with the availability of support for people suffering from mesothelioma by cancer charities throughout the United Kingdom. Any delay in diagnosing mesothelioma can impact negatively on treatment options, since an early diagnosis is a key to achieving a better cure for the patient. With the fact that patients are now getting older and are often diagnosed at a late stage of the disease. It becomes more and more urgent to use asbestos surveyors to carry out asbestos surveys. It seems that other countries like Australia have done things differently when it comes to deal with asbestos related diseases. The Australian government actually committed millions of pounds for a research program which would help people suffering from those diseases.

It is very easy to find a company specializing in asbestos management. They would usually also do legionella risk assessment and asbestos awareness training.

A personal injury lawyer who has dedicated his life to campaigning for compensation for asbestos victims today claims that a new High Court Ruling indicates a landmark victory for asbestos victims.Solicitor and personal injury expert Peter Hankins has given over 30 years of his life to the cause, fighting tooth and nail for the ex-employees of former Chalford-based asbestos firm Fibrecrete and their families.

Many became terminally ill after their jobs at the firm brought them into close contact with the dangerous substance. The families of workers at the factory were also put at personal risk through contact with contaminated workers, in addition to facing the pain of losing loved ones.

The case has been ongoing due to the slow appearance of the effects of working with asbestos, which can manifest themselves years later in the form of aggressive cancers.

The latest twist in the rollercoaster trail of legal successes and setbacks comes with this month’s test case judgment defeating insurers, who were reluctant to validate ongoing payouts to ill workers. “It is a milestone. I feel enormous relief for the families involved,” said Mr Hankins, consultant to Rowcroft solicitors AES Winterbothams.

“This is probably one of the most aggressively fought areas of injury and disease in my professional life,” he said.

“This is also a very important case for Stroud as the lead defendant insurer was BAI and six test case victims defeated the insurers.”

Mr Hankins maintains that the insurer, BAI, had gone along for years with the payouts to the ex employees of Fibrecrete, before arguing in 2007 that the payments should only begin once symptoms of the associated diseases began to manifest themselves.

For many victims, diseases such as mesothelioma and lung cancer which are caused by exposure to the dangerous asbestos particles do not develop until up to 30 years after the original contact, by which point the majority of insurance policies would have expired.

Luckily after 6 weeks of arguing, the High Court found in favour of Mr Hankins and the ex employees of Fibrecrete.

“If they’d won there would have been nothing more disappointing than finding that, after working through a case with either a very ill person or a widow, that there was no insurance policy to pay out their compensation,” Mr Hankins said.

“These men are totally innocent but die dreadful deaths with these illnesses. There are also the wives and daughters who washed their clothes for them and inhaled the asbestos particles. These women had not done anything wrong and yet they too are deprived of their health.”

Mr Hankins, who said he came into his profession on a vocation to “right all wrongs”, expects asbestos cases to peak in about 2015.

“During the test case litigation BAI admitted that over the last two years they had rejected 284 fatal mesothelioma claims, whose f families are consequently still awaiting compensation averaging £125,000 each, which is a total of a staggering £35.5 million,” Mr Hankins said.

There was a time when using asbestos as a way of insulating homes, public buildings and even clothing was considered to be an outstanding form of insulation. It was only after a significant period of time that we became aware of the tremendous health problems that asbestos can cause on the health of just about anyone even remotely exposed to the substance. Certainly if we had known that exposure to asbestos would result in a virtual plague of illnesses, it would not have been used with such freedom as it was for so long. Only now are we starting to understand the various ways that exposure to asbestos can damage the lungs and the lethal diseases that will result.

Possibly the most common illness that results from asbestos exposure is a cancer called Mesothelioma. Because asbestos is made up of thousands or tiny fibers, people who work with the substance installing insulation or other building related jobs easily inhale these tiny fibers into their lungs and bloodstream often without even knowing it. Over a lengthy period of time, these tiny strands of asbestos become integrated into the walls of the lungs leading to cancer.

The frightening thing about Mesothelioma and many of the other asbestos related ailments is that in most cases they will occur as long as 20-30 years after the asbestos exposure. In addition, it isn’t just workers who are directly exposed to asbestos who are at risk. Because asbestos clings to the clothing and then gets free in the air to be breathed in by anyone nearby, innocent children and spouses of workers who bring home asbestos dust or debris are also at risk of these lung diseases many years after the exposure occurred and many times when they never knew they had been exposed to asbestos in the first place.

Another ailment directly related to asbestos exposure is appropriately named Asbestosis. The symptoms and ways this affliction causes suffering in the patient is similar to the threats that pneumonia causes. The parts of the lungs that draw the necessary oxygen from the air to keep us alive and passes it into the blood stream are called alveoli. When asbestos dust gets into the alveoli, that process is interrupted or even stopped causing shortness of breath that in severe cases can be life threatening.

The membranes around the lungs are another source of potential damage from asbestos exposure. When the dust and residue of asbestos gets into these membranes, this can lead to pleural plaques, which is a scarring of these important working parts of your lungs. Pleural thickening is also a potential problem when the lung membranes that must be flexible and moist to operate begin to harden and become think making them less able to do their jobs. The result is significant to severe discomfort to the sufferer, which can lead to more life threatening lung problems down the road.

If there is any reason to believe that you or someone in your family has been exposed to asbestos over the years, seek medical attention quickly. Remember that the exposure could have been decades ago and these various lung diseases can come up suddenly with tragic results. Early detection gives doctors what they need to take action before the problems become too severe. Along with top-notch medical care, you may need to enlist legal assistance as well to solicit financial help from the institution who was responsible when you encountered the asbestos exposure. That legal assistance can do a lot to help you pay for expensive medical care that you will need to deal with the damage the asbestos has done to your health.

Contact Information: The Finer Times P.O BOX 1058 Parramatta CBD NSW Website: http://www.TheFinerTimes.com

DefinitionThe most thorough definition of mesothelioma describes it as a rare cancer caused by asbestos fibers that have been lodged in the mesothelium for many years. The mesothelium is the membrane that encases organs such as the lung, the heart and those of the abdomen. Although it takes many years, these fibers can cause cancer cells to grow in the membrane tissue surrounding the fibers.

Mesothelioma most often develops in the membrane surrounding the lung, and results from inhaled asbestos fibers. This mesothelial membrane is called the pleura. Because lung tissue is so soft and porous, the motion of breathing massages the fibers through the lung tissue to the membrane. The consistency of the membrane is such that the fibers penetrate the pleura and remain trapped there.

Occasionally, fibers that are swallowed follow a similar path through the stomach wall where they become lodged in the lining around the stomach, called the peritoneum. With less frequency, fibers can pass through to the lining around the heart, called the pericardium. Mesothelioma can grow in any of these membranes.

Symptoms

Pleural mesothelioma symptoms can include thickening of the pleura, pleural effusion (fluid collecting in the pleural space), which in turn compresses the lung in that area reducing the amount of oxygen that can get into the blood. This causes shortness of breath along with some pain due to inflammation and, sometimes, infection. Persistent cough is common.

Symptoms of peritoneal mesothelioma might include stomach pain or swelling, bowel obstruction, foot swelling, nausea, weight loss, and pain.

Fever, night sweats, or anemia might also be symptoms of either form of mesothelioma. Diagnosis involves specific testing to differentiate it from other diseases, many of which have similar symptoms.

Diagnosis

There are a number of diagnostic tests that are used together with the results of a physical exam to make a diagnosis of mesothelioma. These tests differentiate between diseases and allow the doctor to rule out other diseases and cancers, identifying mesothelioma as the one that matches all of the diagnostic criteria. These include:

• X-rays - X-rays can reveal pleural effusion, pleural calcification, and scarring
• CT or CAT Scan (Computed Axial Tomography) - CT Scans identify tissue density and can identify pleural effusion, pleural thickening and calcification, but it can’t differentiate between mesothelioma and other disease.
• MRI (Magnetic Resonance Imaging) - An MRI is more sensitive than CT or X-ray, and is useful for more accurate identification of tissue changes during the course of treatment, and evaluating for surgery.
• PET Scan (Positron Emission Tomography) - PET Scans measure cellular activity. Cancer cells are more active than healthy cells, and this activity shows up in PET Scans.
• Biopsy - A biopsy involves taking a sample of the suspect tissue, either with a needle or through a small incision, and sent to the lab for analysis.
• PFT (Pulmonary Function Testing) - PFT involves a set of breathing tests to measure your lung volume, elasticity, airflow, and gas exchange into your bloodstream. These measurements reveal whether areas of your lung have a reduced volume or are not exchanging gas (i.e., from pleural effusion and resulting atelectasis, aka collapsed lung,) restrictive lung disease, or reduced airflow from obstructive lung disease.
• CBC (Complete Blood Count) - CBC shows the number of red and white blood cells and platelets, the amount of hemoglobin, and the percent of blood that is red blood cells. It also tests other common blood factors that indicate health and illness.
• Bronchoscopy - A bronchoscope is inserted into the patient’s lungs through the throat that allows the doctor to view the trachea and upper airways. The scope has the ability to take a tissue sample that can be examined under a microscope, in the same was as tissue collected from a biopsy.
• Cytology - A pathologist microscopically examines cells drawn from fluid near the site of the suspected disease.

The U.S. Department of Labor gives links to OSHA’s standards and guidelines for evaluating exposure to asbestos. These links include medical questionnaires, X-ray interpretation standards, medical surveillance for asbestos and more.

If you work with or around asbestos and aren’t properly protected, there is a chance that prolonged exposure will leave you vulnerable to developing mesothelioma. Mesothelioma is a form of cancer that is caused by exposure to asbestos. With mesothelioma, malignant cells grow in the mesothelium, which is the protective lining that covers many of the body’s most important internal organs. The most common place for this cancer to develop in on the lining of the lungs or on the chest wall, although it can develop elsewhere within the body. Because mesothelioma can be prevented by safety equipment and because it is a work-related illness, compensation claims are a big issue.The first claim against an asbestos manufacturer was in 1929, although as part of the lawsuit it was agreed to not pursue any further cases. It wasn’t until the 1960’s that asbestos was officially recognised as the cause of mesothelioma. An article was written in which more than 30 cases of people working with asbestos and suffering from the disease were recorded. Today, many claims are made by employees against employers who have failed to implement strict safety measures, rendering the employer negligent. In the US claims resulting from asbestos lawsuits have now reached into billions of dollars. In the UK claims are less common but the number of lawsuits citing asbestos as the primary cause of mesothelioma is growing steadily.

On the 20 August 2008 Thomas Renfrew of Ardrossan, Ayrshire, was awarded £130,000 in damages for ill health due to exposure to asbestos. He worked as a shipbuilder for 14 years, often coming into contact with asbestos. It was argued in court that Mr Renfrew could live for another 10 years with the disease and that the amount of money rewarded was to make the rest of his life a more pleasant one. The companies that he worked for wanted to pay significantly less because they estimated that he would only live for another 3 years, effectively admitting that his exposure to asbestos had affected his health and predicted life span.

Today, an increasing number of claims are being made due to mesothelioma. One of the reasons for this may be that the symptoms often don’t appear until 20 to 50 years after the asbestos exposure. Symptoms include shortness of breath, persistent coughing, chest pains, weight loss, abdominal swelling and a wide range of other problems. In the later stages of the disease tumours develop throughout the body, although usually these tumours are located primarily in the lungs. As the symptoms of mesothelioma are similar to other illnesses, they can often be misdiagnosed. Obviously, as you can see in the case of Mr Renfrew, life expectancy is reduced dramatically.

If you have worked with asbestos in the past and you experience any of these symptoms then you should consult a doctor immediately. You may also wish to contact specialist claims lawyer who has experience with asbestos cases. As you can see from the Renfrew case, claims of asbestos poisoning and the contraction of mesothelioma are taken very seriously indeed. It is important to have a specialist lawyer working for you, as they will understand the legal proceedings that will directly apply to a claim of this nature. They will also be aware of past cases that can have a bearing on your own case.

Medical records that pertain to asbestosis or mesothelioma must be dug up from the archives of the past. Without medical record collections and retrievals, the forewarnings of impending asbestosis and mesothelioma come only from witnessing the sufferings of an asbestosis patient or the languishing death of a mesothelioma cancer patient.Asbestosis and mesothelioma statistics are sharply under-estimated due to the lack of many nations to implement an efficient medical retrieval system and properly care for and diagnose lung disease patients who are suffering from asbestosis or mesothelioma due to asbestos exposure. In many nations, physicians that are able to properly diagnose the disease are rarely, if ever, available. These same nations often have poor record keeping systems in place to monitor health trends and examine medical histories. Many times asbestosis and mesothelioma are simply referenced as “lung disease,” without a proper determination of the classification of lung disease.

Years pass before these progressive lung diseases start showing their scarring presence, but an archive of medical history can facilitate proper diagnosis, and national archives of medical histories can facilitate early warnings. Despite this knowledge, India has no cancer registry, nor does it have a system for recording mesothelioma and asbestosis cases. In the Philippines, the Occupational Safety and Health Center (OSHC) reports that asbestos caused diseases will be under diagnosed due to low employer participation in submitting medical records to a central agency. (Less than 5% of employers do so.)

In Brazil, where corporations scurry to cover any implications of occupational hazards or ill will, medical records are virtually non-existent for asbestos workers. The Eternit asbestos plant in Brazil has had asbestos workers for over 50 years, yet no medical records were ever kept prior to 1978. In China, death records are purged and permanently eliminated after death, leaving no source for documenting trends in deaths or comparisons and similarities between diseases. And although China is one of the top five asbestos producers and users in the world, this nation continues to have a minimal amount of empirical studies on the implications of asbestos exposure.

Fortunately, in many nations, allowable exposure limits are being reduced, inspections are being heightened, and politicians and corporations are being pressured. Environmental groups and protection agencies continue to test asbestos material and promote its eventual ban. Unfortunately, politics and corporations still govern irresponsible asbestos promotions, and millions of innocent people are unaware of its dangers. The lack of public awareness has led to a deadly economic dependency on asbestos.

Asbestosis and mesothelioma deaths need to be recorded, death records need to be maintained, and medical histories of asbestos workers need to be compiled to gain a full realization of the statistical and economical impact of the world’s burgeoning asbestosis and mesothelioma crisis. Asbestosis and mesothelioma records are useless, however, unless they are used to promote change and develop public awareness - which is precisely what the mining and trading nations are afraid of.

The lung diseases asbestosis and mesothelioma have been proven for decades to be a result of asbestos exposure. Yet, asbestos continues to be mined, and employers still fail to protect workers from the dangers of asbestos. Faint warnings to the public have been made barely audible, and a deadly global health epidemic is looming on the horizon.Asbestosis and mesothelioma are the subjects of 21st century international reports warning international officials, advocacy workers, and the general public of an impending epidemic of these two devastating diseases. Asbestosis and mesothelioma, which are caused by exposure to asbestos, take decades to surface symptoms, and the retired workers of yesteryear’s thriving asbestos industries are beginning to suffer from asbestos related diseases today.

In countries like Brazil, workers suffered decades under corrupt politics, medical care was discouraged, workers were randomly dismissed from employment, and diagnostic tests were not made available to support any identification or claim for asbestosis or mesothelioma. It is only recently that unions protecting workers have surfaced, but for thousands of asbestos workers, it is too late to avoid succumbing to the harsh lung disease of asbestosis or the fatal cancer of mesothelioma.

As workers and innocent home dwellers continue to be exposed to asbestos, the death estimates due to asbestos related diseases will continue to reach into the next half century. Factories in China spew asbestos from their factories into neighboring cities. In Africa, a state of emergency has been requested in asbestos filled territories where hundred-mile stretches are filled with residents living, working and sleeping while surrounded by airborne asbestos fibers. In India, the European Asbestos Removal Association (EARA) issued a 2008 report titled “India’s Asbestos Time Bomb” which warns of India’s future burden of caring for tens of thousands of asbestosis and mesothelioma patients as a result of India’s infatuation with asbestos products. In this asbestos removal report, comparisons are made between the export levels of India and the UK. In just two decades, India’s asbestos imports surpassed the levels that the UK used in their entire industrial history. The UK is now facing record levels of occupational disease, with thousands dying from mesothelioma every year. Despite the UK’s forewarning of the future, India continues to import massive tons of asbestos products annually, and corporations with significant monetary interest encourage unsuspecting consumers to embrace the use of asbestos products.

Even with indiscriminate medical records that deflate the actual deaths due to asbestosis and mesothelioma, the World Health Organization estimates that asbestosis and mesothelioma will be responsible for 90,000 deaths around the world in a single year. As long as asbestos continues to be mined, imported and exported - the numbers will continue to rise over the next century.

Asbestosis and mesothelioma are not diseases that are easily recognized by physicians or the lay citizen. The public must be made aware of the dangers of working with, and living with, asbestos made products. Scientists and manufacturers must race to discover the economic answer to replace asbestos products with a safer alternative. But with or without change, the next decade will surface the consequences of haphazard occupational healthcare as the children of tomorrow care for the asbestos workers of today

Asbestos is a toxic chemical substance that has been used directly or indirectly in hundreds of products across the globe. It is incorrect and inappropriate for human beings to have excessive exposure to asbestos. This might result in malignant mesothelioma — a rare cancer that affects the lining of the lungs, abdomen or heart — and other diseases. It is amazing to find that, asbestos has still not been entirely banned in the United States, and Americans continue to risk exposure to this dangerous fiber.If you feel that you have been exhibiting symptoms of mesothelioma (like shortness of breath, pain in the chest or back region, swelling in the abdomen, difficulty swallowing, cough, fever, sweating, fatigue, and weight loss.), it is important for you to consult your doctor immediately. There are various methods that are available for treating the victims of mesothelioma.

They are either direct methods or alternative methods. Some of the direct methods are Surgery-both Aggressive and Pallative, Chemotherapy, Radiation therapy etc. Immunoagumentive Therapy (IAT), Gene Therapy, Intraoperative Photodynamic Therapy (IPT) etc. are some of the commonly practiced alternative methods.

Also one can take the help of Support Groups, which are available to help sufferers deal with the challenges that they are facing. A recent publication says that over 20% of Americans have participated in some type of self-help group. There are mainly two types of support groups that are available namely- online support groups and community centred support groups.

If you have already been diagnosed with mesothelioma it is important for you to have a positive frame of mind and keep yourself well informed about the latest medical developments that has taken place pertaining to this field. Also as a victim of the Asbestos industry you can have certain legal and social claims. The following propositions can be considered if you are a victim of Mesothelioma caused due to negligent asbestos exposure.

1. Legal Aid and Financial Compensation People who contract the disease must be absolutely sure that the cause for the same was asbestos exposure and then take steps to get the right legal counsel. Once the legal counsel has been retained the law will ensure that he or she gets the compensation for employers negligence if any.

2. Claim from the Asbestos Industry Mesothelioma victims have the option to claim large monetary compensation from the asbestos industry. These claims can go into the millions of dollars depending on the rights and cause of the claims. A Law firm that specializes in mesothelioma cases ensures that the families of victims gets ample compensation.

3. Claim Social Security Disability Victims can claim social security disability after getting advice from an attorney that specializes in these cases.

4. Disability Insurance You are legally entailed to claim disability insurance if you have disability insurance either privately procured, within your life insurance policy or through your employer.

5.Worker’s Compensation It is one of the core responsibilities of an employer to take care of its employees. Thus, even while the victim takes legal action against the asbestos industry he or she can simultaneously claim workers compensation for being ‘disabled’ during work. A lawyer who has experience in the asbestos industry should handle this sort of claim.

6. Health Insurance A victim of mesothelioma can incur huge medical bills due to the expensive nature of treatment that’s required for the treatment of this disease. If a victim is admitted to the hospital he or she should talk to the Discharge Planner or other personnel who can help with hospice and hospital coverage. Laws cover medial treatments and action can be taken health insurance company if they fail to provide proper coverage. Again it is imperative to ensure that the victim employs a proper legal representative.

Mesothelioma is a rare type of cancer that is believed to affect around 2000 people in the UK each year. It develops when the cells of the mesothelium (a thin membrane that covers the chest and abdomen) start to multiply in a rapid and uncontrollable way and can take up to 60 years to fully develop. In this article I will be discussing this type of cancer in greater detail.As I already said mesothelioma develops in the mesothelium. The mesothelium is actually divided into two parts. The first is the pleura which lines the lungs. The pleura is comprised of an inner layer and an outer layer which slide over each other as you breath. If mesothelioma develops in this area it is known as pleural mesothelioma and it causes the two layers to become thicker. The second is the peritoneum which lines the abdomen and it also has an inner layer and an outer layer. If the mesothelioma affects this area it is known as peritoneal mesothelioma and it also causes these layers to become thicker.

Both types of mesothelioma can be very painful and lead to a number of undesirable symptoms. Pleural mesothelioma can cause breathlessness, coughing and chest pain. It can also lead to pleural effusion where lubricating fluid in the lungs becomes trapped between the inner and outer layers of the pleura. Peritoneal mesothelioma can lead to abdominal pain, bowel problems and it swelling in the abdomen.

Almost every case of mesothelioma is caused by exposure to asbestos. In the past asbestos was a very popular construction material in the UK. However, as people became more knowledgeable they learnt about the dangers associated with this material. In particular they discovered that the very fine fibres that make up asbestos are easily released when the material is handled. This led to a complete ban on the importing and use of asbestos being imposed in the UK in 1999.

Mesothelioma is a very rare type of cancer and is believed to affect one person in every million. However, it can be deadly. If you have previously been exposed to asbestos you should go see your doctor right away and explain your concerns. Even if it turns out that you do not have this type of cancer it is better to be safe than sorry.

Whilst every intention has been made to make this article accurate and informative, it is intended for general information only. Mesothelioma is a very serious, life threatening condition and you should discuss any concerns, treatments or lifestyle changes fully with your doctor.