Day 254 - 22 May 96 - Page 44


     
     1        matters to them.  I do not find it either courteous or
     2        helpful.  It does seem to me that from what Ms. Steel has
     3        read Professor Crawford intends to expand quite
     4        considerably upon the evidence he gave last time both in
     5        the witness box and in his statement.  That being so, since
     6        I have my cancer specialist here now I ought to have been
     7        given notice of it so he can have a proper opportunity of
     8        thinking about it.
     9
    10   MR. JUSTICE BELL:  When I said 'put the proposition' I did not
    11        mean put the whole proposition, the whole paragraph.  What
    12        I suggested, break it down to as small bits as you can and
    13        put each small bit, and then you can put the conclusion at
    14        the end as well.
    15
    16   MS. STEEL:   The reason I interrupted Mr. Rampton is because, as
    17        is Mr. Rampton's way, he accuses us of doing things which
    18        we have not done.  I do not have a supplementary statement
    19        from Professor Crawford.  I did say some time ago that he
    20        was going to write one.  He has not had the time to do it
    21        yet.  We only got Dr. Arnott's statement very recently, and
    22        he has only just received it.  This was just some questions
    23        that he suggested that I put.
    24
    25   MR. JUSTICE BELL: Let us see if you can break it down and you
    26        tell me if I have it wrong.  You started off, first he says
    27        he did not say that cancer cells fixed on atheromas.  Well,
    28        I do not think he did, but what I had understood, rightly
    29        or wrongly, is that it is the atheroma between the cell
    30        walls which affects the endothelium and therefore, as a
    31        secondary effect, means that blood clots can stick and
    32        cause coronary problems, and that he was suggesting that by
    33        the same token cancerous cells could stick to it and cause
    34        progression of the cancer.
    35
    36   MS. STEEL:  I am not sure that is it.  I got the impression that
    37        the damage to the vessels was not just in relation to
    38        atheromas, that was just one example of the type of damage.
    39
    40   MR. JUSTICE BELL:  When he comes back no doubt we will find out,
    41        but however that may be the first proposition, looking back
    42        at Caseview, was that eating a high saturated fat diet, you
    43        said, tends to make blood cells sticky.
    44
    45   MS. STEEL:   Yes.  The witness has said he does not know about
    46        that.
    47
    48   MR. JUSTICE BELL:   No, I assume that you are putting cancerous
    49        cells.
    50 
    51   MS. STEEL:  I am not entirely sure whether he is saying that the 
    52        effect is that the cells lining the blood vessels are the 
    53        -- the problem is that I find it quite hard to understand.
    54
    55   MR. JUSTICE BELL:  I appreciate you have a difficulty with it.
    56        A.  The problem with the lining cells is that they
    57        themselves do not become irregular unless there is some
    58        other precipitating factor such as flecks of fatty deposit
    59        within the wall of the artery, or that there is trauma.
    60        One sees this after surgery, for example, that the

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