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1977 Richard Mithoff, a Houston attorney, wins the first lawsuit for a Cleveland woman who claims that her ruptured implants and subsequent operations had caused pain and suffering. She receives a $170,000 settlement from Dow Corning. Case receives little publicity. 1980s Ralph Nader's Public Citizen Health Research Group, Washington, D.C. sends out warning signals that silicone breast implants cause cancer. January 1982 FDA proposes to classify silicone breast implants into a Class III category which would require manufacturers to prove their safety in order to keep them on the market. 1984 Stern vs Dow Corning, San Francisco.

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15, 1998. "LASIK Pearls." Houston Ophthalmology Society, Houston, Texas, September 10, 1998. "Options for the Correction of Myopia." Grand Rounds - Hermann Eye Center, University of Texas Medical Center. September 10, 1998. "LASIK Pearls." Grand Rounds-Department of Ophthalmology, Baylor College of Medicine, Houston, Texas. September 11, 1998. "Leading your Practice into Laser Vision Correction." Midwest Refractive Group, Hinsdale, Illinois. September 18, 1998. "Advances in Laser Vision Correction." Alameda County/Contra Costa County Optometric Society, Lafayette, California. September 22, 1998. "Antibiotic prophylaxis in LASIK." 7th Annual

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Julie Downs, and Susan Houston for their help with the conduct of this research, as well as to anonymous reviewers. The views expressed are those of the authors. NOTE For further information, please address communications to Martha Embrey, MPH, Department of Environmental and Occupational Health, The George Washington University School of Public Health and Health Services, 2300 K St, NW, Washington, DC 20037, eohmae@gwumc.edu. REFERENCES [1.] Bondurant S, Ernster V, Herdman R, eds. Safety of Silicone Breast Implants. Washington, DC: Institute of Medicine (US), National Academy Press; 1999. [2.] Bostrom A, Fischhoff B, Morgan