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The internal education of cultural-heritage-resources professionals merited its own discussion . He would n't have taken it had he known about the heart attack risk , lawyer Chris Seeger told jurors.Merck repeatedly reminded jurors that the U.S. Food and Drug Administration had approved it as safe and effective on four occasions for use against different types of pain , the last a month before Merck recalled it.The company 's lawyers cited Humeston 's elevated blood pressure , weight and stress from an ongoing dispute he was having with his U.S. Postal Service bosses , saying they were to blame for his heart attack , not Vioxx.The night before the heart attack , Humeston was called by his personal physician in response to an office visit by Postal Service fraud investigators in which they showed him a secretly-recorded videotape of Humeston working on a car at his home.Merck 's expert cardiologist testified that that call was the " absolute trigger " for the heart attack.While Humeston made for a sympathetic plaintiff , he also was a relatively healthy one , appearing in court for nearly every day of testimony and taking the stand for one day.In the Texas case , the victim was a Wal-Mart produce manager who died after taking Vioxx ; his widow was the plaintiff.Merck 's lawyers also told jurors there was no scientific link between short-term Vioxx use and heart attacks . In the case , the widow of a man who took the drug for about eight months before he died in his sleep alleges Vioxx caused his death and Merck knew the drug was dangerous years before voluntarily pulling it from the market in September.Merck says the company acted responsibly , disclosed Vioxx research and voluntarily removed the drug from the market when a study showed it doubled the risk of heart attack if taken for a year and a half or more.On Monday Lanier presented an internal memo laying out the " Dodge Ball " training and asked Santanello why trainees could only move on to the next round of the card game if they gave Merck-approved answers to possible doctors ' questions about Vioxx safety or dodged such questions altogether . There must be lots to write about in a place like that if one could but get to the bottom of it ! Nearly 5,000 lawsuits , including dozens of class-action cases , that allege patients were harmed by the drug 's side effects had been filed as of Aug. 15 . " That is the most important fact in this case , " said Sullivan.Cox-2 drugs inhibit the Cox-2 enzyme , which promotes inflammation , but protect users against stomach bleeding and ulcers , unlike other anti-inflammatory drugs.Agreeing with Humeston 's lawyers that the best evidence in the case was Humeston himself , Sullivan insisted his physical condition he had elevated blood pressure , was overweight and was under stress from a dispute with his U.S. Postal Service bosses triggered the Sept. 18 , 2001 heart attack , not Vioxx.She said there was doubt whether Humeston took the drug on the night of his heart attack , as he testified.Humeston had been given a 30-pill Vioxx prescription in May 2001 but did n't use it all because he said it was n't working for him . Why are n't some people training to become professionals in our field ? Audiences in even the most fashionable theatres included members of every class , from aristocrats and financiers , to businessmen and professionals , to shopkeepers , clerks , and artisans , to servants and laborers .