UNIVERSITY OF LOUISVILLE’S TWENTIETH ANNUAL CARL A. WARNS, JR. LABOR AND EMPLOYMENT LAW INSTITUTE June 12-13, 2003 Proposed Amendment to the Americans With Disabilities Act Mark S. Dichter Morgan, Lewis & Bockius LLP 1701 Market Street Philadelphia, PA 19103-2921 (215) 963-5291 Sharon A. Lisitzky Morgan, Lewis & Bockius LLP 5300 Wachovia Financial Center 200 South
Komenlowcountry.orgWhat is chemotherapy?
Treatments can be given at home, at the doctor’s Chemotherapy is the use of anti-cancer drugs office or in the hospital — depending on the type to treat cancer. It can be used to treat cancer by stopping the growth of cancer and by killing cancer cells that have spread to other parts of the When is it given?
body. Chemotherapy is given after surgery (called Chemotherapy usually starts within 4 to 12 weeks adjuvant chemotherapy) or before surgery (known after surgery. Today it is commonly given on a as neoadjuvant chemotherapy) to reduce the risk of 21-day or 28-day cycle. Drugs are generally given weekly or once every third week, with a rest period to allow your body to regain strength. Some How is it given?
studies are looking at a shorter schedule — giving There are many different chemotherapy drugs used chemotherapy more often along with drugs to today. Some drugs work better in combination than control side effects. This may prove to be beneficial alone, so your doctor may give you more than one for some women.The length of the cycle will depend to take. A few anti-cancer drugs are taken by on the type of drugs used. The length of the treatment mouth or injected into the muscle or fat tissue period will vary, but it typically lasts from 3 to 6 below the skin, but most are injected into a vein. Each chemotherapy drug belongs to a class of drugs. Each class has a different effect on cancer cells. That is why different anti-cancer drugs are often used in combination with each other. The major drug classes are described below.
paclitaxel (Taxol), docetaxel (Taxotere), vincristine (Oncovin), vinblastine (Velban), vinorelbine (Navelbine) cancer cells and stopping cellreproduction Many women are afraid of having chemotherapy because of its side effects and the toll it can take on the body. Although chemotherapy does have a dramatic effect on the body, it is often a successful treatment. It reduces the risk of cancer returning after surgery. Doctors know more about chemotherapy than ever before. The doses are more accurate and there are a variety of medications to help minimize side effects.
Expect some changes in your life during chemotherapy. Your daily routine will be affected. You may be able to keep working and doing your normal activities. Or you may be too tired to do all the things you normally do. That’s okay. Your co-survivors (friends and family) can help. You will start to feel better once the treatment is over. Until then, your doctor and nurses can give you suggestions on how to manage your daily activities.
Chemotherapy and You: A Guide to Self-Help During Cancer Treatment. National Cancer Institute. http://www.nci.gov/cancertopics/chemotherapy-and-you The Breast Cancer Survivor Manual, 3rd ed. by John Related fact sheets in this series:• Chemotherapy — Coping With Side Effects• Making Treatment Decisions• Getting the Support You Need• New Drugs for Breast Cancer Treatment• Clinical Trials
ABOUT THE BEERS CRITERIA In 1991 gerontologist Dr. Mark H. Beers developed a list of potentially avoidable, high-risk medications to be avoided in the elderly, based on the literature and consensus from a panel of experts. This list was subsequently updated in 1997, 2001, and most recentlyin 2003. We have used a modified version of the Beers drugs, based on Saskatchewan's formulary. The chart i