Topic

Health

768 petitions

Update posted 18 hours ago

Petition to Scott Gottlieb MD, Jeff Shuren, Sybill Storz, Managing Director, Hal Lawrence, William Maisel MD

Health Alert: Many Women Have Died Unnecessarily Because Dangerous Cancers of the Uterus and Ovaries Are Being Spread using MORCELLATORS. Stop MORCELLATION in Minimally Invasive Gynecological Surgery.

Friends of the Public, Many women have been harmed and have died prematurely or unnecessarily because of a routine but avoidable gynecological practice known as MORCELLATION. This world-wide practice has devastated many families for well over two decades now. More than 600,000 hysterectomies are done in the US every year. By the age of 70, one out of every three American women will have had a hysterectomy. About 90% of these surgeries are done for what is presumed to be a benign condition called fibroids. More and more of these surgeries are done with minimally invasive techniques.  Usually, to get the uterus out of the body using the "minimally invasive" technique, it is cut into small pieces with a machine called a morcellator.  However, a devastating problem happens if in fact the woman did NOT have fibroids – but if she actually had cancer.  Unfortunately, the tests that are done before a hysterectomy do not identify these cancers well.  Many gynecologists don't even bother getting any tests. In fact, morcellating cancer spreads the cancer inside the woman’s body.   This is called ‘up staging’ the cancer.  It is important to understand: 1) The average life span following accidental morcellation of sarcoma is only 24-36 months. 2) Only 15% of woman who have leiomyosarcoma (LMS) that has spread (stage 4) will be alive after 5 years. 3) Women with sarcoma who are morcellated are about 4 times more likely to die from sarcoma than if they had not been morcellated.  This is an avoidable disaster. This problem has been recognized for more than two decades.  A review of the literature, by the Food and Drug Administration, revealed that 1 in 350 women who go for fibroid surgery actually have sarcoma.  This means that everyday 2-5 women in the US – and more around the world are susceptible to having a deadly cancer spread because of morcellation. This catastrophic problem has happened in my family and we are fighting to stop this dangerous activity called morcellation.  A chance of 1 in 350 for such a devastating outcome is much too high to accept.  Women should be told the truth and the practice should stop. Please help us bring an end to spreading cancer with morcellation.  This is a totally AVOIDABLE practice.  People need to understand their options, which include hysterectomy through a mini-lapartomy incision or trans-vaginally – but – up until recently, most women never heard anything about morcellation or about the possibility of cancer upstaging. And, if they do, this risk is down-played by most minimally invasive gynecologists. We can tell you based on our experience, when cancers are spread by morcellation, the outcomes can be devastating - because the cancer is upstaged. We need your help. Please sign our petition so we can get the word out.  We want the American College of Obstetricians and Gynecologists and the American Board of Obstetrics and Gynecology to change this "standard of care" by ending the needless waste of life caused by spreading cancer with morcellation. For more information and original references see: http://journals.lww.com/oncology-times/blog/onlinefirst/pages/post.aspx?PostID=188 ) (also see:http://www.ncbi.nlm.nih.gov/pubmed/23189178) (also see:http://www.ncbi.nlm.nih.gov/pubmed/21565389). The attached video below shows an example of morcellation https://www.youtube.com/watch?v=nPkKw0j-aXE The following companies manufacture and distribute uterine morcellator devices: 1) ETHICON: Gynecare morcellator 2) Storz: Rotocut Morcellator 3) Richard Wolf Medical Instrumentation Company 4) LiNA: LiNA Xcise Cordless Laparoscopic Morcellator 5) Blue Endo MOREsolution Tissue Morcellator 6) Pneumoliner Power Morcellation System by Olympus Corporation. Intuitive Surgical's Da Vinci Robot deserves special mention, as the frequency of robotic hysterectomies performed by minimally invasive gynecologists is currently on the rise across the United States. Note that Intuitive Surgical builds and markets the DaVinci robot, which is not itself a "morcellator". However, use of the DaVinci robot almost invariably appears to require that the uterus be minced up, or morcellated, into smaller pieces inside the woman's belly cavity in order to extract from the abdomen. A clear example is shown in the following YouTube video of DaVinci being used to perform a robotic hysterectomy and manually morcellating the uterus using the endo-wrist component of the robot (morcellation is being performed at minute 5:30 of the video).  https://www.youtube.com/watch?v=f6luiX6UQmg  Without morcellation using equipment manufactured by Intuitive Surgical, robotic hysterectomies would, likely, not be possible using the DaVinci Robot. It is noteworthy that the DaVinci robot does not appear to have a readily available warning label advising against its use to morcellate tumors with malignant potential inside the body. The company's Chief Medical Advisor, Dr. Myriam Curet, a surgeon herself, has been informed and advised of this severe hazard in the use of DaVinci for robotic hysterectomy and the absence of a readily available warning label.

Hooman Noorchashm
94,030 supporters
Update posted 2 days ago

Petition to Donald Trump, Centers for Disease Control and Prevention, Federal Drug Administration, Drug Enforcement Agency

Develop procedures and/or testing to separate addicts from pain sufferers!

As an advocate for chronic and intractable pain awareness and laws (and being a pain sufferer myself), I wrote this petition to appeal to you (President Trump, CDC, FDA and DEA) that we understand the war on drugs and wanting to stop the overdoses, abuse and addiction caused by illegal use of various substances (including opioids) is justified. However, it is causing harm to real chronic and intractable pain sufferers. The harm goes from a low to no quality of life to suicide!  We deserve to be treated like human beings and taking away a big part of pain management is inhumane. Many strategies and options exist to treat chronic noncancer pain. Since chronic and intractable pain is not a single entity but may have myriad causes and perpetuating factors, these strategies and options vary from behavioral methods, alternative medicine, rehabilitation approaches and using several different medications, including opioids to help the pain sufferer. We now are looked at as addicts and abusers when in fact many of the pain patients that I have come in contact with throughout the world are just the opposite. They follow their doctor's guidelines perfectly. The biggest question that is asked all the time is "what does it feel like to get high"? Pain patients medications are going to the areas of the body to help their pain and thus no extra medication to get high. Treating pain sufferers is very difficult. Treatment plans made by a team of doctors is the best way. This includes, internal medical doctors, psychologists, occupational therapists. physical therapists, dietitians, alternative medical doctors, holistic medicine and homeopathic medications. I realize this is a lot of specialists, but I feel they at least should be available to the patients. Our bodies are all different (as you know) so using a one size fits all way of treating pain will not work! We have no problem with some all-inclusive pain treatment plan using other methods with the opiate treatment, but just cutting people down to a one size fits all approach to opiates is insane and will cause more suicides with the pain population. You may help the abusers, overdoses, and deaths from those individuals you are trying to help, but you will cause more suicides and deaths from those pain patients who really need their medications. This makes our pain sufferers collateral damage! We are tired of being collateral damage in the "war on drugs"! This war has been going on a long time and you have all had issues separating addicts and abusers from those people who have chronic and intractable and need opiates and other medications to have some semblance of normalcy. This is a violation of our human rights! Please stop the suicides and treat chronic and intractable pain sufferers with treatments that their physician deems appropriate!

DrPatty Verdugo
1,905 supporters