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    <title>Antelope Valley Personal Injury Lawyer</title>
    <description>Contact Lancaster injury attorney Rick Patterson if you have been the victim of individual or corporate negligence. Practicing most areas of injury law.</description>
    <link>http://lancaster.legalexaminer.com/</link>
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      <title>Driver killed, Two Injured in Off-Road Vehicle Collision</title>
      <description>&lt;p&gt;Kevin Kramer, 40, of Los Angeles, was killed when the dune buggy he was driving collided with a second off-road vehicle.  The &lt;a href="http://www.bakersfield.com/blogs/breaking_news/x529879771/One-killed-two-injured-in-off-road-collision"&gt;crash occured&lt;/a&gt; at around 6:30 p.m. on Saturday on a dirt road in the the Jaw Bone Canyon Off Highway Vehicle Area.&lt;/p&gt;
&lt;p&gt;Kramer was  traveling northbound on a dirt road when his vehicle started to slide as he rounded a corner.  His vehicle crossed into the path of a second vehicle driven by Marshall Bennett, 58, of Pasadena, traveling  southbound on the same road.&lt;/p&gt;
&lt;p&gt;Kramer's dune buggy overturned resulting in fatal injuries. Bennett suffered major injuries and was airlifted to Antelope Valley  Hospital by Mercy Air.&lt;/p&gt;
&lt;p&gt;A passenger riding with Bennett was identified as Alan Perkins, 21,  of Los Angeles. Perkins suffered moderate injuries and was transported  to Antelope Valley Hospital.&lt;/p&gt;
&lt;p&gt;All occupants were wearing seatbelts, and alcohol does not appear to be a factor. The collision remains under investigation.&lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/driver-killed-two-injured-in-offroad-vehicle-collision.aspx?googleid=289478"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/driver-killed-two-injured-in-offroad-vehicle-collision.aspx?googleid=289478</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Tue, 22 Mar 2011 12:00:50 GMT</pubDate>
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    <item>
      <title>Three Killed in San Bernardino Small Plane Crash</title>
      <description>&lt;p&gt;According to FAA spokesman Ian Gregor, all three people were killed in a small &lt;a href="http://latimesblogs.latimes.com/lanow/2011/03/small-plane-crashes-near-barstow-daggett-airport.html"&gt;plane crash&lt;/a&gt; Sunday.  The accident occured 2.5 miles east of the Barstow-Daggett Airport in San Bernardino County, officials said.&lt;/p&gt;
&lt;p&gt;The plane, believed to be a Cessna 210, was headed from John Wayne  Airport in Tustin to Henderson Executive Airport in Las Vegas when it  crashed about 12:40 p.m., said Federal Aviation Administration spokesman  Ian Gregor.&lt;/p&gt;
&lt;p&gt;The San Bernardino County Sheriff&amp;rsquo;s Department reported that the aircraft was fully engulfed in flames, Gregor said.&lt;/p&gt;
&lt;p&gt;Both the FAA and National Transportation Safety Board will investigate.  Neither agency releases the identities of crash victims, Gregor said.&lt;/p&gt;
&lt;p&gt; &lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/three-killed-in-san-bernardino-small-plane-crash.aspx?googleid=289476"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/three-killed-in-san-bernardino-small-plane-crash.aspx?googleid=289476</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Tue, 22 Mar 2011 05:41:00 GMT</pubDate>
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      <title>Motorcyclist Killed in Hit-and-run in West Los Angeles</title>
      <description>&lt;p&gt;A motorcyclist was killed in a &lt;a href="http://latimesblogs.latimes.com/lanow/2011/03/police-seeking-driver-in-west-los-angeles-fatal-hit-and-run.html"&gt;hit-and-run accident&lt;/a&gt; in West Los Angeles on Sunday at the intersection of Jefferson Blvd. and Mesmer Avenue. Police continue to search for the driver of the 2001 BMW that turned left into the victim riding his 2007 R1 motorcycle.  The accident occured around 3:05 pm.&lt;/p&gt;
&lt;p&gt;Officers respoded to a collision call where they found the victim unresponsive next to his motorcycle. The man was later pronounced dead at a local hospital.&lt;/p&gt;
&lt;p&gt;Anyone with information about the accident should contact investigators at (213) 473-0228, or Crimestoppers at (800) 222-8477.&lt;/p&gt;
&lt;p&gt; &lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/motorcyclist-killed-in-hitandrun-in-west-los-angeles.aspx?googleid=289474"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/motorcyclist-killed-in-hitandrun-in-west-los-angeles.aspx?googleid=289474</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Mon, 21 Mar 2011 10:43:00 GMT</pubDate>
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    <item>
      <title>Bakersfeld Woman Suffers Major Injuries After Being Struck by SUV</title>
      <description>&lt;p&gt;Synuon Suon, 28, of Bakersfield was walking in a marked crosswalk on Lake  Street when &lt;a href="http://www.bakersfield.com/blogs/breaking_news/x529879030/Woman-struck-by-SUV-suffers-major-injuries"&gt;she was hit &lt;/a&gt;at 6:30 p.m., according to a California Highway  Patrol news release. She suffered major injuries to her head, neck,  back and pelvis and was taken to Kern Medical Center.&lt;/p&gt;
&lt;p&gt;The driver of the SUV, Donald Foster, 69, of Bakersfield, had been  traveling at 35 mph south on Mount Vernon Avenue, the news release said.  As he approached Lake Street, he saw a bicyclist stopped in the center  median of Mount Vernon Avenue and within the crosswalk. The rider  appeared to have been traveling in an easterly direction.&lt;/p&gt;
&lt;p&gt;Foster began to slow down and was traveling at 30 mph as he crossed  into the intersection, the news release said. As he approached the  crosswalk, he noticed a figure on the right side of his vehicle and hit  his brakes but was unable to stop in time.&lt;/p&gt;
&lt;p&gt;Suon was hit by the right front and windshield of the SUV, the news  release said. Alcohol does not appear to be a factor in the collision.&lt;/p&gt;
&lt;p&gt; &lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/bakersfeld-woman-suffers-major-injuries-after-being-struck-by-suv.aspx?googleid=289480"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/bakersfeld-woman-suffers-major-injuries-after-being-struck-by-suv.aspx?googleid=289480</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Fri, 11 Mar 2011 12:11:00 GMT</pubDate>
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      <title>Three Injured in Ridgecrest Collision</title>
      <description>&lt;p&gt;At 12:23 p.m. Thursday, a 2007 Toyota Camry driven by Bahzad Ali of  Fort Irwin was traveling south on China Lake Boulevard and stopped at  the intersection of Highway 395 in the Ridgecrest area.&lt;/p&gt;
&lt;p&gt;Ali accelerated and began a left turn to travel southbound on Highway  395. He entered the intersection directly in the path of a 2011 Toyota  Sienna traveling northbound on the highway.&lt;/p&gt;
&lt;p&gt;The Sienna, driven by Richard Chung, of Brea, &lt;a href="http://www.bakersfield.com/blogs/breaking_news/x1248562315/Passenger-suffers-major-injuries-in-collision"&gt;collided with the Camry&lt;/a&gt;. The Sienna left the roadway and overturned.&lt;/p&gt;
&lt;p&gt;Bahzad Ali and his passenger, Nicholas Adams, suffered minor injuries.&lt;/p&gt;
&lt;p&gt;Chung received no apparent injuries, but a passenger, Grace Chung, suffered major injuries.&lt;/p&gt;
&lt;p&gt;Alcohol does not appear to be a factor. An investigation is ongoing.&lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/three-injured-in-ridgecrest-collision.aspx?googleid=289482"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/three-injured-in-ridgecrest-collision.aspx?googleid=289482</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Mon, 21 Feb 2011 13:01:00 GMT</pubDate>
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    <item>
      <title>NYT: A Pinpoint Beam Strays Invisibly, Harming Instead of Healing</title>
      <description>&lt;p&gt;The initial accident report offered few details, except to say that an  unidentified hospital had administered radiation overdoses to three  patients during identical medical procedures.&lt;/p&gt;
&lt;p&gt;Terri Anderson was given &lt;a href="http://www.nytimes.com/2010/12/29/health/29radiation.html?pagewanted=1&amp;amp;_r=1&amp;amp;ref=homepage&amp;amp;src=me"&gt;too much radiation&lt;/a&gt; last year  while being treated for a benign tumor. She now suffers facial spasms.  &amp;ldquo;I started having 12 to 14 of those a day,&amp;rdquo; she said.&lt;/p&gt;
&lt;p&gt;It was not until many months later that the full import of what had  happened in the hospital last year began to surface in urgent nationwide  warnings, which advised doctors to be extra vigilant when using a  particular device that delivers high-intensity, pinpoint radiation to  vulnerable parts of the body.&lt;/p&gt;
&lt;p&gt;Marci Faber was one of the three patients. She had gone to Evanston  Hospital in Illinois seeking treatment for pain emanating from a nerve  deep inside her head. Today, she is in a nursing home, nearly comatose,  unable to speak, eat or walk, leaving her husband to care for their  three young daughters.&lt;/p&gt;
&lt;p&gt;Two other patients were overdosed before the hospital realized that the  device, a linear accelerator, had inexplicably allowed radiation to  spill outside a heavy metal cone attachment that was supposed to channel  the beam to a specific spot in the brain. One month later, the same  accident happened at another hospital.&lt;/p&gt;
&lt;p&gt;The treatment Ms. Faber received, stereotactic radiosurgery, or SRS, is   one of the fastest-growing radiation therapies, a technological  innovation designed to target tiny tumors and other anomalies affecting the brain or spinal cord, while minimizing damage to surrounding tissue.&lt;/p&gt;
&lt;p&gt;Because the radiation is so concentrated and intense, accuracy is  especially important. Yet, according to records and interviews, the SRS  unit at Evanston lacked certain safety features, including those that  might have prevented radiation from leaking outside the cone.&lt;/p&gt;
&lt;p&gt;The mistakes in Evanston involve linear accelerators &amp;mdash; commonly used for  standard radiation therapy &amp;mdash; that were redesigned by the manufacturer,  Varian Medical Systems, so they could also perform SRS. As the devices  became more versatile and complex, problems arose when vital electronic  components could not communicate with one another.&lt;/p&gt;
&lt;p&gt;In the last five years, SRS systems made by Varian and its frequent  German partner, Brainlab, have figured in scores of errors and  overdoses, The New York Times has found. Some mistakes were caused by  operator error. In Missouri, for example, 76 patients were overradiated  because a medical physicist did not realize that the smaller radiation  beam used in radiosurgery had to be calibrated differently than the  larger beam used for more traditional radiation therapy.&lt;/p&gt;
&lt;p&gt;Medical physicists say there is nothing inherently wrong with linear  accelerators that deliver general radiation therapy, as well as SRS.  And, they say, the overdoses might have been caught had users followed a  more rigorous system of checks and double-checks.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;Tens of thousands of patients have been treated with protocols properly  followed and no mistakes were made,&amp;rdquo; said Dr. Frank J. Bova, a medical  physicist in Gainesville, Fla., and a pioneer in developing and  enhancing the accuracy of SRS. &amp;ldquo;It has changed many difficult  procedures, ones with high surgical risk, into one-day outpatient  procedures.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;But radiation safety experts say the retrofitted devices made up of  different companies&amp;rsquo; products present a special challenge.&lt;/p&gt;
&lt;p&gt;Dr. Howard I. Amols, chief of clinical physics at Memorial Sloan-Kettering Cancer Center  in New York, said some problems appeared to be &amp;ldquo;a combination of user  error, coupled with neither the manufacturers nor the F.D.A. being able  to anticipate a potential safety flaw in a &amp;lsquo;mix and match&amp;rsquo; treatment  delivery system.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Dr. William David Bloomer, chairman of radiation medicine at Evanston  Hospital, said the mistakes happened even though medical personnel there  had followed the manufacturer&amp;rsquo;s instructions. &amp;ldquo;We rely on them to make  sure the medical devices are safe,&amp;rdquo; he said.&lt;/p&gt;
&lt;p&gt;Varian, the world&amp;rsquo;s leading manufacturer of linear accelerators,  declined to be interviewed, but said in a statement that it has &amp;ldquo;deep  concern&amp;rdquo; for accident victims and their families. &amp;ldquo;Our products include  many built-in safety features, and we work continually to make them even  safer,&amp;rdquo; Varian said.&lt;/p&gt;
&lt;p&gt;Brainlab denied any role in the accidents.&lt;/p&gt;
&lt;p&gt;The accidents highlight shortcomings in the regulation of medical radiation.&lt;/p&gt;
&lt;p&gt;Despite their complexity, the multipurpose devices are less regulated  than their more simply designed competitor, the Gamma Knife, a device  engineered specifically for stereotactic radiosurgery.&lt;/p&gt;
&lt;h6 class="byline"&gt; &lt;/h6&gt;
&lt;p&gt;Linear accelerators, which generate radiation without using radioactive material, are overseen by the Food and Drug Administration, while the Gamma Knife is regulated by the Nuclear Regulatory Commission  because it uses a radioactive isotope. The nuclear commission has more  authority to investigate and publicize radiation errors.&lt;/p&gt;
&lt;p&gt;The F.D.A. approved the retrofitted linear accelerators  with little  review on the grounds that they were mere extensions of existing  technology.&lt;/p&gt;
&lt;p&gt;But since there is no requirement that all mistakes involving linear  accelerators be reported to a central database, getting a handle on how  often SRS errors occur is difficult. &amp;ldquo;Everybody says these are isolated  incidents,&amp;rdquo; Dr. Bloomer said, &amp;ldquo;until you find out that maybe they are  not so isolated.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Seeking Respite From Pain&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;Before Marci Faber became a nursing home invalid at age 50, she had been  leading a rich, full life. She loved musicals, country music and  anything to do with her three daughters. When a mother was needed to  oversee the sale of Girl Scout cookies, Ms. Faber was there.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;We go into a room and people really didn&amp;rsquo;t care so much about me &amp;mdash;  Marci was definitely the person that people gravitated to,&amp;rdquo; said Richard  Faber, her husband. &amp;ldquo;She was gregarious, had a great smile. Her eyes  light up the room.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Last March, Ms. Faber sought treatment for trigeminal neuralgia,  a non-life-threatening condition that produces facial pain. While Ms.  Faber&amp;rsquo;s pain was intermittent, some cases become severe.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;It&amp;rsquo;s unimaginably bad and can drive some people to suicide,&amp;rdquo; said Dr. Daniel Yoshor, chief of neurosurgery  at St. Luke&amp;rsquo;s Episcopal Hospital in Houston. &amp;ldquo;It&amp;rsquo;s an awful, awful  thing and the cause of it is not very well understood.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;What is known is that the pain emanates from the tiny trigeminal nerve  at the base of the brain. And stereotactic radiosurgery is one of the  most effective methods of eliminating the source of the pain.&lt;/p&gt;
&lt;p&gt;But treating trigeminal neuralgia &amp;ldquo;is probably the most technically  demanding&amp;rdquo; form of radiosurgery, said Dr. Bova. &amp;ldquo;You are literally  giving doses that are very, very high,&amp;rdquo; he said, &amp;ldquo;and the machine has to  be able to deliver the dose to the trigeminal nerve and stay off the  brain stem, which is immediately adjacent to it.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Standard radiation therapy can involve dozens of treatments at lower  doses, so one incorrect treatment might not cause much damage. But with  SRS, there is often just a single potent dose requiring scalpel-like  accuracy.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;It requires a little different mindset than when you are actually  saying, I will give a little dose today, a little dose tomorrow and I  will check it later,&amp;rdquo; Dr. Bova said. &amp;ldquo;This has to be checked the first  time you do it because there is not a second day.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;For years, the Gamma Knife provided the necessary power and accuracy to accomplish its goal.&lt;/p&gt;
&lt;p&gt;But many institutions could not afford it; the device costs upwards of  $3 million and requires its own room, and treatments take longer. There  is also the added difficulty of handling and replacing radioactive  material.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;It doesn&amp;rsquo;t pay to have a Gamma Knife unless you have a large number of patients,&amp;rdquo; said Dr. Amols.&lt;/p&gt;
&lt;p&gt;By using linear accelerators retrofitted with cone attachments, hospitals expanded their pool of patients without having to buy an extra unit.&lt;/p&gt;
&lt;p&gt;Radiosurgery appeals to patients because it is an alternative to surgery  and can be performed as an outpatient procedure, often in a single day.  In recent years, the use of these small beam treatments has soared, as  doctors have begun using them on parts of the body other than the brain  and spine.&lt;/p&gt;
&lt;p&gt;When Ms. Faber entered Evanston Hospital in March 2009, she had every  reason to believe that her treatment would put an end to her pain.  Indeed, when she left the hospital her trigeminal nerve was no longer an  issue.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Little Problems Get Bigger&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;At first, Ms. Faber had no reason to be especially concerned. After her procedure, she experienced some vomiting, burning in her throat, and even a little weight loss. Swatches of hair began to fall out.&lt;/p&gt;
&lt;p&gt;Still, the Fabers did not connect any of this to her radiation treatment.&lt;/p&gt;
&lt;p&gt;But weeks later, as the hospital was on the verge of overradiating a  fourth radiosurgery patient, its medical physicist caught the problem.  He fixed it, and the patient received the correct dose.&lt;/p&gt;
&lt;h6 class="byline"&gt; &lt;/h6&gt;
&lt;p&gt;But the hospital temporarily shut down its stereotactic radiosurgery  program and began to investigate. What it found was deeply disturbing:  three patients, including Ms. Faber, had been overradiated around the  same time. All the victims were notified.&lt;/p&gt;
&lt;p&gt;Evanston Hospital declined to discuss specific cases on privacy grounds,  but a brief report sent to the F.D.A. in 2009 said one patient had been  hospitalized three weeks after treatment with an irregular heartbeat, weakness, and changes in mental status; another was hospitalized for four days because of nausea, vomiting and dehydration; and the third, apparently Ms. Faber, was said to have experienced hair loss.&lt;/p&gt;
&lt;p&gt;But about a year after her treatment, Mr. Faber said, his wife began  losing her balance, falling occasionally and having memory problems. &amp;ldquo;I  was sick to my stomach &amp;mdash; scared,&amp;rdquo; he said.&lt;/p&gt;
&lt;p&gt;Jordan Kagan, a family friend, said that when Ms. Faber attended his  daughter&amp;rsquo;s bat mitzvah in April, she was mentally coherent but  physically diminished.&lt;/p&gt;
&lt;p&gt;Then, in what seemed like a blink of an eye, she disintegrated. &amp;ldquo;Four  weeks later, she was like a vegetable,&amp;rdquo; Mr. Kagan said. &amp;ldquo;It was  mind-boggling to see one person who was not elderly deteriorate that  quickly.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Now, she can only blink her eyes and lightly squeeze her husband&amp;rsquo;s hand.  &amp;ldquo;It is very hard on the kids,&amp;rdquo; Mr. Faber said. &amp;ldquo;It has been hard on me  but really nothing compared to what Marci is going through.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Doctors who deal with her type of radiation injury say the prognosis for any meaningful recovery is poor.&lt;/p&gt;
&lt;p&gt;At the hospital, officials had been scrambling to figure out what went  wrong. While the software that drives the linear accelerator is complex,  the mechanics of how the overdoses occurred is strikingly simple.&lt;/p&gt;
&lt;p&gt;Linear accelerators can be adapted to perform stereotactic radiosurgery  in two ways: with small computer-controlled metal leaves that shape the  beam, or with a cone attached to the machine&amp;rsquo;s opening through which  radiation is delivered. That opening is made smaller or larger by moving  four heavy metal &amp;ldquo;jaws&amp;rdquo; that shape the beam into a square. When a cone  attachment is used, the square beam must fit entirely within the  circumference of the  cone. If the square is slightly larger than the  cone, radiation will leak out through the four corners of the jaws and  irradiate healthy tissue. In the Evanston accidents, records show, the  beam was four times too large.&lt;/p&gt;
&lt;p&gt;Operators could not see this incorrect setting directly because a metal  tray on which the cone is mounted hides the jaws, though the settings  should have been displayed on a computer screen, according to people who  have worked with this device. The mount also blocks a light field that  could have shown where the radiation was to hit the patient.&lt;/p&gt;
&lt;p&gt;But while the mount blocks light, it does not block radiation, which in  the case of Ms. Faber and other Evanston patients went into healthy  brain cells.&lt;/p&gt;
&lt;p&gt;Determining that the jaws had been set wrong was the easy part. Then the hospital had to figure out how and why.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;A Failure to Communicate&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;Precisely why the jaws were open so wide is still in dispute. There is  no indication that the State of Illinois or the F.D.A. has investigated  the accident. No lawsuits have been filed. And Varian has declined to  answer questions.&lt;/p&gt;
&lt;p&gt;But public records and interviews with doctors and others familiar with  Varian&amp;rsquo;s equipment point to a complicated matrix of computer systems and  communication flaws that made such an accident more likely to happen.&lt;/p&gt;
&lt;p&gt;That system is supposed to work this way: A treatment plan is developed  on one computer, then transferred into another software system that,  among other things, verifies that the treatment plan matches the  doctor&amp;rsquo;s prescription. The data is then sent to a third computer that  controls the linear accelerator.&lt;/p&gt;
&lt;p&gt;Several months after the Evanston accidents, Brainlab reminded customers  to verify the correct jaw setting, specifically citing the possibility  that treatment information could be altered as it passed &amp;ldquo;through a  chain of devices.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Evanston Hospital had earlier encountered its own communication glitches  after upgrading Varian software in December 2008. As a result, medical  personnel had to load patient information onto a USB flash drive and  walk it from one computer to another.&lt;a href="http://community.nytimes.com/comments/www.nytimes.com/2010/12/29/health/29radiation.html" rel="3v"&gt;&lt;br /&gt;
&lt;/a&gt;&lt;/p&gt;
&lt;p&gt;Then, three months ago, concerned that radiation might leak outside the  cone, Varian warned customers that its software did not recognize cone  attachments on the type of linear accelerator involved in the Evanston  accidents.&lt;/p&gt;
&lt;p&gt;To work around that problem hospitals needed to, as one medical  physicist put it, essentially trick the machine into thinking it was  using a different attachment, which it did recognize. To do that, users  had to enter additional data into the SRS system.&lt;/p&gt;
&lt;p&gt;Similar communication problems affected three other Varian brands of linear accelerators.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;If you weren&amp;rsquo;t careful, you could give the wrong treatment,&amp;rdquo; said Dr.  Subhash C. Sharma, chief physicist at Parkview Comprehensive Cancer Center in Fort Wayne, Ind.&lt;/p&gt;
&lt;p&gt;Last year, Varian promised to devise, among other things, a decidedly  low-tech solution: a decal to stick on the machines, warning operators  to be extra careful in setting the radiation field.&lt;/p&gt;
&lt;p&gt;Dr. Bloomer, the radiation oncologist at Evanston Hospital, said the  manufacturer had not answered the hospital&amp;rsquo;s questions about why the  overdoses occurred there. &amp;ldquo;We haven&amp;rsquo;t gotten an adequate response,&amp;rdquo; he  said.&lt;/p&gt;
&lt;p&gt;Dr. Amols, the Sloan Kettering physicist, said he believed several factors could have contributed to the accidents.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;Arguably, the physicist or radiation therapist should have noticed that  there was a mismatch,&amp;rdquo; Dr. Amols said, &amp;ldquo;and arguably there should be  stricter laws regulating the &amp;lsquo;mixing and matching&amp;rsquo; of complex medical  equipment from different manufacturers. But at present there&amp;rsquo;s no legal  requirement for different companies to make equipment integration  transparent to the end user &amp;mdash; i.e., the hospitals.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;After the accidents at Evanston, Brainlab and Varian this year released a  software fix that will restrict the jaw size, so similar accidents will  not occur, said David Brett, a Brainlab official. So far, 75 percent of  the affected machines have incorporated the fix, the company said.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Dozens Are Overradiated&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;While Evanston and its suppliers were dealing with the fallout of the  overdose cases there, a different problem involving the retrofitted  linear accelerators had been unfolding at CoxHealth, a hospital in  Springfield, Mo.&lt;/p&gt;
&lt;p&gt;Earlier this year, CoxHealth announced that it had overradiated 76  patients, most of whom had brain cancer, during SRS treatments. The  overdoses had continued for five years because the hospital did not  realize that its radiation therapy equipment had been set up  incorrectly.&lt;/p&gt;
&lt;p&gt;The hospital&amp;rsquo;s medical physicist, who was apparently accustomed to  calibrating larger radiation beams, did not realize that smaller beams  needed to be handled differently, radiation experts say.&lt;/p&gt;
&lt;p&gt;A hospital spokesman said the physicist used the wrong calibration tool to set up the machine, causing the overdoses.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;They were supposed to have switched over to a smaller detector,&amp;rdquo; said  Dr. Brad Bradshaw, a lawyer, who represents many of the overdosed  patients. &amp;ldquo;The larger detector gave them a false reading.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Terri Anderson, 54, was overradiated at Cox last year while undergoing SRS treatment for a benign tumor.  After her treatments, she began experiencing facial spasms. &amp;ldquo;I started  having 12 to 14 of those a day,&amp;rdquo; Ms. Anderson said. She says she also  developed balance and memory problems.&lt;/p&gt;
&lt;p&gt;Dr. Bradshaw, who represents Ms. Anderson, said parts of her brain had  received overdoses ranging from 25 percent to 100 percent.&lt;/p&gt;
&lt;p&gt;A similar calibration problem involving a Brainlab and Varian unit was  discovered in April 2007 at a hospital in Toulouse, France, where  overdoses &amp;mdash; smaller than those in Missouri &amp;mdash; had occurred for a year,  affecting 145 patients. These SRS treatments used tiny metal leaves to  shape the beam.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;There were strong similarities between what happened in Missouri and  what happened in Toulouse,&amp;rdquo; said Dr. Ola Holmberg, who heads the  radiation protection unit for patients at the International Atomic Energy Agency.&lt;/p&gt;
&lt;p&gt;But without a requirement that accidents and near-misses be reported,  other hospitals cannot learn from these mistakes, Dr. Holmberg said.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;There is no effective way now of sharing the information or learning in  a systematic way,&amp;rdquo; Dr. Holmberg said. &amp;ldquo;If something happens, such as  Evanston, I would have wanted to know about it at the time.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;That point was echoed by Dr. Benjamin Movsas, chairman of the department of radiation oncology at Henry Ford  Health System in Detroit. &amp;ldquo;I was not able to find any information about  Evanston,&amp;rdquo; Dr. Movsas said. &amp;ldquo;It&amp;rsquo;s frustrating. We didn&amp;rsquo;t know there was  a problem.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;Earlier this year, the American Society for Radiation Oncology called  for the establishment of the nation&amp;rsquo;s first central database for the  reporting of errors involving linear accelerators. So far that hasn&amp;rsquo;t  happened.&lt;/p&gt;
&lt;p&gt;&amp;ldquo;The system does need to change,&amp;rdquo; Dr. Movsas said. &amp;ldquo;Reporting needs to  be transparent and mandatory.&amp;rdquo; He added: &amp;ldquo;We need regulations &amp;mdash; that has  to happen. It&amp;rsquo;s better for me and it&amp;rsquo;s better for my patients.&amp;rdquo;&lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/nyt-a-pinpoint-beam-strays-invisibly-harming-instead-of-healing.aspx?googleid=287728"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/nyt-a-pinpoint-beam-strays-invisibly-harming-instead-of-healing.aspx?googleid=287728</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Tue, 28 Dec 2010 22:40:00 GMT</pubDate>
    </item>
    <item>
      <title>FDA Issues Warning Letters to Makers of Caffeinated Alcoholic Beverages</title>
      <description>&lt;p&gt;The U.S. &lt;a href="http://www.fda.gov/Food/FoodIngredientsPackaging/ucm190366.htm"&gt;Food and Drug Administration&lt;/a&gt; told the manufacturers of seven  caffeinated alcoholic beverages Wednesday that their drinks are a  &amp;quot;public health concern&amp;quot; and can't stay on the market in their current  form.&lt;/p&gt;
&lt;p&gt;&lt;a href="http://www.cnn.com/2010/HEALTH/11/17/alcohol.caffeine.drinks/index.html?iref=allsearch"&gt;The move&lt;/a&gt; follows a year-long review by the FDA, which gave  the companies 15 days to either reformulate their products or face  possible seizure under federal law, said Dr. Joshua Sharfstein, the  agency's principal deputy commissioner. Experts have said the caffeine  used in the beverages can mask the effects of alcohol, leaving drinkers  unaware of how intoxicated they are.&lt;/p&gt;
&lt;p&gt;&amp;quot;FDA does not find support  for the claim that the addition of caffeine to these alcoholic beverages  is 'generally recognized as safe,' which is the legal standard,&amp;quot;  Sharfstein told reporters. &amp;quot;To the contrary, there is evidence that the  combinations of caffeine and alcohol in these products pose a public  health concern.&amp;quot;&lt;/p&gt;
&lt;p&gt;One of the companies that received warning  letters was Phusion Projects, of Chicago, Illinois, which makes Four  Loko -- a drink nicknamed &amp;quot;blackout in a can&amp;quot; by some users. The company  announced Tuesday that it was dropping caffeine and two other  ingredients, guarana and taurine, from Four Loko in the face of &amp;quot;a  difficult and politically-charged regulatory environment.&amp;quot;&lt;/p&gt;
&lt;p&gt;The  other companies are San Diego, California-based United Brands, which  manufactures the Joose and Max brands; Portland, Oregon's Charge  Beverages Corp., which sells Core High Gravity HG, Core High Gravity HG  Orange, and Lemon Lime Core Spiked; and New Century Brewing of Boston,  Massachusetts, which makes Moonshot.&lt;/p&gt;
&lt;p&gt;Sharfstein called Phusion's  decision to drop caffeine and two other ingredients a &amp;quot;positive step&amp;quot;  Wednesday. And in a statement issued after the decision, the company  said it was pleased by FDA's response.&lt;/p&gt;
&lt;p&gt;&amp;quot;As we stated yesterday,  we have stopped the production and shipment of all our products  containing these ingredients,&amp;quot; the company said. &amp;quot;We will continue to  work closely and cooperatively with national and state regulators.&amp;quot;&lt;/p&gt;
&lt;p&gt;But New Century proprietor Rhonda Kallman told CNN she was puzzled by the FDA's decision to include Moonshot on its list.&lt;/p&gt;
&lt;p&gt;&amp;quot;I  don't know what to say except I'm really shocked about the outcome of  the FDA's inquiry, and I need more answers than what I've gotten,&amp;quot; said  Kallman, who said she is New Century's only full-time employee.&lt;/p&gt;
&lt;p&gt;Kallman described Moonshot as a craft beer  that has about 4 percent alcohol by weight, about two-thirds the  caffeine of a cup of coffee and is sold in only three cities -- &amp;quot;and yet  it's being singled out with Four Loko and Joose.&amp;quot;&lt;/p&gt;
&lt;p&gt;&amp;quot;Those brands are neon green. They're not beer, they're juice, with 200 grams of sodium and artificial everything,&amp;quot; she said.&lt;/p&gt;
&lt;p&gt;United  Brands said Tuesday that it would review any new FDA guidelines, but  noted it was unaware &amp;quot;of a single incident of injury or other harm  associated with its products.&amp;quot; Neither United nor Charge Beverages had  responded to requests for comment after the announcement.&lt;/p&gt;
&lt;p&gt;The FDA  has no authority to ban the products outright. But Sharfstein said the  review is still going on, and &amp;quot;We expect these warning letters to be  read across the industry.&amp;quot;&lt;/p&gt;
&lt;p&gt;&amp;quot;This will send a message to the  industry about the importance of looking directly at these alcoholic  beverages and how the FDA will respond to that,&amp;quot; he said.&lt;/p&gt;
&lt;p&gt;The FDA  began its review in November 2009, after complaints from officials in  several states. The controversy exploded in October, when nine underage  students at Central Washington University were hospitalized after  drinking Four Loko, both on its own and mixed with other drinks, police  reported.&lt;/p&gt;
&lt;p&gt;Critics say drinks like Four Loko mix caffeine equal to  the amount in three cups of coffee with the alcoholic equivalent of  three cans of beer and are designed to appeal to younger consumers  accustomed to consuming high-caffeine energy drinks. A 23.5-ounce can of  Four Loko contains either 6 or 12 percent alcohol by volume, depending  on state regulations.&lt;/p&gt;
&lt;p&gt;Phusion has compared Four Loko to popular  drinks like rum and cola or Irish coffee that also mix caffeine and  alcohol. But &amp;quot;we didn't see these kinds of events when people were  drinking irish coffees,&amp;quot; Robert McKenna, Washington's state attorney  general, told reporters.&lt;/p&gt;
&lt;p&gt;&amp;quot;What we're seeing now is striking, and we need to take quick action,&amp;quot; McKenna said.&lt;/p&gt;
&lt;p&gt;Washington  and four other states -- New York, Utah, Michigan and Oklahoma --  already have taken steps to remove Four Loko and similar drinks from  store shelves. And Gil Kerlikowske, the White House anti-drug czar,  praised the FDA for moving against products he said are &amp;quot;designed,  branded, and promoted to encourage binge drinking.&amp;quot;&lt;/p&gt;
&lt;p&gt;&amp;quot;Acting early  to protect public health is critical and a vital component of the Obama  administration's effort to reduce drug use and its consequences,&amp;quot; he  said.&lt;/p&gt;
&lt;p&gt;Combining large amounts of caffeine and alcohol produces &amp;quot;a  wide-awake drunk,&amp;quot; said Dr. Mary Claire O'Brien, an associate professor  of emergency medicine at Wake Forest University's medical school in  North Carolina. But since caffeine's effect wears off faster than  alcohol's, she said, drinkers are left with &amp;quot;much more alcohol than he  would have been able to tolerate -- and that leads to blackouts.&amp;quot;&lt;/p&gt;
&lt;p&gt;&amp;quot;If  you're going to drink caffeine, drink it responsibly. If you're going  to drink alcohol, drink it responsibly,&amp;quot; said O'Brien, who has studied  the drinks extensively. &amp;quot;But mixing them is dangerous, because you might  not know when you've had too much to drink.&amp;quot;&lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/fda-and-prescription-drugs/fda-issues-warning-letters-to-makers-of-caffeinated-alcoholic-beverages-.aspx?googleid=286132"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/fda-and-prescription-drugs/fda-issues-warning-letters-to-makers-of-caffeinated-alcoholic-beverages-.aspx?googleid=286132</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>FDA &amp; Prescription Drugs</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Wed, 17 Nov 2010 21:13:00 GMT</pubDate>
    </item>
    <item>
      <title>Austrailian Man Charged in Fatal Hit-and-run</title>
      <description>&lt;p&gt;Prosecutors charged an Australian businessman  with a felony &lt;a href="http://latimesblogs.latimes.com/lanow/2010/11/australian-businessman-charged-in-fatal-west-hollywood-hit-and-run.html#more"&gt;hit-and-run&lt;/a&gt; charge in connection with the death of a  21-year-old woman who was struck and killed by the driver of a Bentley  last week in West Hollywood, a spokeswoman for the L.A. County district  attorney's office said Monday.&lt;br /&gt;
&lt;br /&gt;
Ryan Bowman, 43, was released from custody  Monday afternoon after posting $50,000 bail, which had been reduced  from $2 million. Bowman did not enter a plea to the hit-and-run charge  put forward by prosecutors. He is scheduled to return Jan. 4 to Beverly  Hills Superior Court.]&lt;strong&gt;&lt;br /&gt;
&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;Bowman was behind the wheel of a Bentley that slammed into Lauren Ann  Freeman as she was in the crosswalk at Hammond Street about 11:50 p.m.  Wednesday, authorities said. Freeman's body was thrown about 50 feet.&lt;br /&gt;
&lt;br /&gt;
Sheriff's  investigators said Bowman sped away in the car, and that debris found  at the scene suggested that the vehicle could have been a dark-colored  Bentley. Investigators said they found a Bentley abandoned in a  residential neighborhood near the intersection of Melrose Avenue and La  Cienega Boulevard, about 1 1/2 miles from the incident.&lt;br /&gt;
&lt;br /&gt;
Bowman is  a director of Zeal Entertainment, a Sydney Australia based company that  provides content  licensing agreements for mobile phone companies. The  company owns the rights to &amp;quot;Girls Gone Wild&amp;quot; for Australia.&lt;/p&gt;
&lt;p&gt;John Nazarian, a Beverly Hills private detective who is representing  Freeman's family, said the woman left the concert early because she had  to get up early for an internship.&lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/austrailian-man-charged-in-fatal-hitandrun.aspx?googleid=286134"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/austrailian-man-charged-in-fatal-hitandrun.aspx?googleid=286134</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Mon, 15 Nov 2010 21:21:00 GMT</pubDate>
    </item>
    <item>
      <title>Blue Line Train Collides with Car Injuring Four</title>
      <description>&lt;p&gt;Four people &lt;a href="http://latimesblogs.latimes.com/lanow/2010/11/blue-line-car-crash.html"&gt;were injured&lt;/a&gt; Wednesday afternoon when a light-rail  commuter train collided with a car in downtown Los Angeles, authorities  said.&lt;/p&gt;
&lt;p&gt;Police believe the driver of the car attempted an illegal left turn  about 3:15 p.m. in front of the Metro Blue Line train as it traveled  south on Flower Street near the 18th Street intersection, Metro  spokesman Rick Jager said.&lt;/p&gt;
&lt;p&gt;The driver of the car was seriously injured and taken to a hospital,  Los Angeles City Fire spokesman Erik Scott said. Two passengers on the  train suffered non-life threatening injuries and were also taken to  hospitals. A third passenger had minor injuries and was treated at the  scene. All of the victims complained of neck and back injuries, Jager  said.&lt;/p&gt;
&lt;p&gt;The train was at half-capacity with about 150 people on board, Jager  said. A different train was sent to cover its route and commuters  experienced a 20-minute delay.&lt;/p&gt;
&lt;p&gt;The crash is still under investigation. The names and ages of the victims were not given.&lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/mass-transit-accidents/blue-line-train-collides-with-car-injuring-four.aspx?googleid=286138"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Greg-Owen/"&gt;Greg Owen&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/mass-transit-accidents/blue-line-train-collides-with-car-injuring-four.aspx?googleid=286138</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Mass Transit (Airline, Cruise Ship, Train, Bus)</category>
      <dc:creator>Greg Owen</dc:creator>
      <pubDate>Wed, 10 Nov 2010 21:38:00 GMT</pubDate>
    </item>
    <item>
      <title>Three Vehicle Crash Causes Delay on Pasadena Gold Line</title>
      <description>&lt;p&gt;A Thursday-&lt;a href="http://latimesblogs.latimes.com/lanow/2010/10/three-vehicle-crash-in-pasadena-causes-traffic-delays-on-metro-gold-line.html"&gt;morning crash&lt;/a&gt; involving a car, a big rig and a pickup  truck on the eastbound 210 Freeway in Pasadena snarled traffic and  caused delays on the Metro Gold Line, after two of the vehicles ended up  on the tracks, authorities said.&lt;/p&gt;
&lt;p&gt;Quoting witnesses, the California Highway Patrol said the driver of a  green Toyota Camry made an unsafe lane-change, cutting off the big rig.  Both vehicles spun out of control, with the big-rig driver swerving to  the left and pushing a Chevrolet pickup truck onto the tracks between  Sierra Madre Villa Station and Allen Station on the Gold Line.&lt;/p&gt;
&lt;p&gt;The big rig also ended up on the tracks, said CHP spokesman Ming Hsu. The accident occurred about 8 a.m.&lt;/p&gt;
&lt;p&gt;No one appeared to be seriously hurt, Hsu said, but the driver and a  passenger from the pickup truck, as well as the big-rig driver, were  transported to Huntington Memorial Hospital for a check.&lt;/p&gt;
&lt;p&gt;Traffic on the eastbound side of the 210 was backed up, causing at  least an hour's delay, Hsu said. The carpool lane and lanes one and two  would be closed until at least 11:30 a.m., according to CHP reports.  Westbound traffic was slow &amp;quot;due to looky-loos,&amp;quot; Hsu said.&lt;/p&gt;
&lt;p&gt;No trains were involved in the incident, but Gold Line service will  be delayed up to 20 minutes due to damage to the tracks, said Luis  Inzunza, a spokesman for the agency.&lt;/p&gt;
&lt;p&gt;Metro Rail trains were being returned from Allen Station, and Metro  buses were providing a shuttle service between the Allen and Sierra  Madre Villa stations, Metro officials said.&lt;/p&gt;
&lt;p&gt;Inzunza said authorities estimated that it would take at least four hours to clear the tracks.&lt;/p&gt;&lt;a href="http://lancaster.legalexaminer.com/miscellaneous/three-vehicle-crash-causes-delay-on-pasadena-gold-line.aspx?googleid=286148"&gt;Originally posted&lt;/a&gt; at &lt;a href="http://www.legalexaminer.com"&gt;The Legal Examiner&lt;/a&gt; by &lt;a href="http://members.injuryboard.org/Rick-Patterson/"&gt;Rick Patterson&lt;/a&gt;</description>
      <link>http://lancaster.legalexaminer.com/miscellaneous/three-vehicle-crash-causes-delay-on-pasadena-gold-line.aspx?googleid=286148</link>
      <source url="http://lancaster.legalexaminer.com/">Antelope Valley Personal Injury Lawyer</source>
      <category>Miscellaneous</category>
      <dc:creator>Rick Patterson</dc:creator>
      <pubDate>Fri, 08 Oct 2010 22:11:00 GMT</pubDate>
    </item>
  </channel>
</rss>