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Pancreatic Cancer - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Pancreatic Cancer - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
Pancreatic cancer is a disease that begins in one of your digestive organs, the pancreas. It is located just behind the stomach. Your pancreas is made up of a head, body, and tail. It contains two main cell types. One type called exocrine cells produce digestive enzymes that are secreted into tubes called ducts. The enzymes traveling through ducts eventually empty into your small intestine, where they aid in digestion. The other type of pancreatic cell is called an endocrine cell. Endocrine cells are clustered into groups known as the islet of Langerhans. These cells produce the hormones insulin and glucagon which are released into the bloodstream to help control your blood sugar level. Pancreatic cancer starts as mutations of pancreatic cells causing them to grow very quickly and uncontrollably. The mutated cells will often clump together to form tumors which can interfere with the normal pancreas function. Like this tumor most pancreatic cancers form in the ducts and are called adenocarcinomas or exocrine tumors. Endocrine tumors which developed from islets of Langerhans are much less common. Your doctor will recommend treatment based on the type of cell involved, location, and stage of your cancer. Treatment may include surgery, radiation, chemotherapy, targeted therapy, or a combination of treatments. There are three surgical options to treat pancreatic cancer. During a Whipple procedure also called a pancreatoduodenectomy your surgeon will remove the head of your pancreas, your gallbladder, and portions of your common bile duct, small intestine, and stomach. The remaining structures will be arranged in such a way to allow continued digestion. In a total pancreatectomy your surgeon will remove your entire pancreas, common bile duct, gallbladder, spleen, and surrounding lymph nodes, as well as portions of your stomach and small intestine. During a distal pancreatectomy your surgeon will removed the body and tail of the pancreas as well as your spleen. Radiation or radiotherapy uses high energy rays to kill cancer cells in the treated area only. If the radiation originates from a machine outside your body, the treatment is called external beam radiation therapy. Radiation therapy placed inside your body in the form of radioactive pellets is called brachytherapy or internal radiation therapy. Chemotherapy uses drugs to stop the progression of cancer by either killing the cells or preventing further growth. Systemic chemotherapy is taken by mouth or an injection allowing the drugs to travel through the bloodstream to reach cancer cells throughout the body. Regional chemotherapy involves the injection of the drug into the arteries surrounding the tumor allowing immediate delivery to the cancer cells. Targeted therapies focus on specific abnormalities of cancer cells. One targeted therapy erlotinib is thought to stop tumor growth by blocking chemical signals that initiate cell growth and division.

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What attorneys say about MLA and The Doe Report:
"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

"Medical illustrations are essential during trial for any medical malpractice case. The people at MLA have the uncanny ability of creating medical illustrations that simplify the most complex of medical concepts and human anatomy to a lay audience. The exhibits of MLA allow experts to easily describe complex concepts and human anatomy in a manner that could not be done otherwise.

In addition, their custom illustrations show in great detail the extent of injuries suffered and the devastating effects they have had on the client's anatomy. These custom illustration can show, side by side, the body before and after a catastrophic injury. The effect of this juxtaposition is unmatched by any testimony that can be adduced at the time of trial.

Even jurors after trial have commented on the ease with which they grasp medical concepts and anatomy once the MLA exhibits were introduced and used by my experts. Even judges who have "seen it all" are thoroughly impressed by the detail and sophistication of the illustrations.

I would not want to try a case without them."

Lambros Y. Lambrou
McHUGH & LAMBROU, LLP
New York, NY

"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD
"We got a defense verdict yesterday! Your exhibit was extremely helpful in showing the jury how unlikely it is to damage all four of the nerve branches which control the sense of taste."

Karen M. Talbot
Silverman Bernheim & Vogel, P.C.
Philadeplphia, PA













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