matthew

“Baby Bumper” Marketing and Safety Concerns

Post to Twitter

This morning on the Today Show, Jeff Rossen reported on an important safety concern for all parents and babies. The concern stems from the marketing and product placement of items commonly referred to as “baby bumpers.” These baby bumpers are soft pads that encircle the inside of a crib between the frame and the mattress.

As reported, the Center for Disease Control has recently come out with a new study that indicates that such products are hazardous to the safety of your children. You can view the CDC’s website New Infant Safe Sleep Recommendations at this link. Likewise, the American Academy of Pediatrics has recently issued a Policy Statement entitled “SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment.” This Statement specifically states:

4. Keep soft objects and loose bedding out of the crib to reduce the risk of SIDS, suffocation, entrapment, and strangulation.
a. Soft objects, such as pillows and pillow-like toys, quilts, comforters, and sheepskins, should be kept out of an infant’s sleeping environment.
b. Loose bedding, such as blankets and sheets, might be hazardous and should not be used in the infant’s sleeping environment.
c. Because there is no evidence that bumper pads or similar products that attach to crib slats or sides prevent injury in young infants and because there is the potential for suffocation, entrapment, and strangulation, these products are not recommended.
d. Infant sleep clothing that is designed to keep the infant warm without the possible hazard of head covering or entrapment can be used.

Despite the CDC report and the AAP’s Policy Statement, Lisa Woody, a spokeswoman for Juvenile Products Manufacturers Association, was interviewed by Mr. Rossen and cast the blame upon parents in stating that “No Juvenile Products will ever be a substitution for parenting and parents know this and they are smart.” When asked “Why make crib bumpers,” Ms. Woody stated, “Parents are truly the experts of their child.”

Yes, there is some truth to Ms. Woody’s statement; however, Mr. Rossen’s report goes on to indicate that the marketing of these products neutralizes and trumps the parents’ say in the safety of their children. This undercover report specifically documents store clerks upselling these crib bumpers and recommending their use to parents seeking advice.

While some stores have evidently made strides to correct their marketing of these devices, it does not change the fact that these products are in the market despite their propensity to cause injury, harm, and death to our children. What should be taken from Mr. Rossen’s report is that a baby’s crib should be unencumbered by soft pillows and decorations that may be aesthetically pleasing but ultimately hazardous and that when shopping for your infant, be sure to research the products fully because some companies simply believe that that is your job and not theirs.

Posted in Family Safety, Patient Safety, Uncategorized | Leave a comment
Jon

Doctors Agree that Malpractice Concerns are “Unimportant Element” of Rising Health Care Costs

Post to Twitter

At the Avoiding Avoidable Care Conference in Boston, doctors agreed that malpractice concerns were not a significant driver of the rising cost of health care.  The Boston Globe reports

Malpractice is “such an unimportant element of what is going on,” said Dr. Jerome Hoffman, professor of emergency medicine at the University California, Los Angeles, and the University of Southern California, after a panel of experts spoke about what drove doctors to provide unnecessary care.

Amitabh Chandra, a Harvard professor and ecnomist agreed with Dr. Hoffman, “It’s not clear to me that this is really going to be the thing that changes the cost curve.” 

What is the reason for this medical liability push then?  Big Insurance and Big Pharma will do whatever it takes to increase their bottom lines, even in the slightest degree.  Even at the expense of your Seventh Amendment rights.  The real issue in medical care reform should continue to be patient safety and controlling costs in a way that does not infringe on our individual Constitutional Rights.  And it seems a lot of doctors are starting to agree.

Posted in Uncategorized | Leave a comment
matthew

Boehringer Lowers Pradaxa Costs

Post to Twitter

Boehringer-Ingelheim (“B-I”) and its subsidiaries have recently been named in numerous pharmaceutical lawsuits throughout the United States for their marketing and distribution of their anticoagulant drug, Pradaxa. Despite the availability of Warfarin in the pharmaceutical market, B-I introduced Pradaxa, in part, to fill a “niche” in the pharmaceutical world for patients with atrial fibrillation.

For over 50 years, Warfarin has been prescribed to prevent blood clots and is commonly referred to as a blood thinner. While Warfarin is not a perfect drug, it is a drug with an antidote. Specifically, protamine sulfate and vitamin K have a reversal affect to the anticoagulant activity of Warfarin. Protamine sulfate and vitamin K, however, do not affect Pradaxa. This is a serious issue as there is no antidote for Pradaxa should a bleed occur.

While the allegations being brought forward against B-I in the recently filed lawsuits address the dangers of the Pradaxa itself; it is also believed that there will be an inquiry into B-I’s faulty marketing of the product and its rush to beat competitive manufacturers into the anticoagulant field. B-I even defends the cost benefit analysis of Pradaxa in attempting to claim that it is a superior product to Warfarin through its own RE-LY study; however the cost-benfit analysis shows otherwise. Specifically, it shows that the yearly cost of Warfarin to those patients eligible for both drugs in 2009 was $544, while the yearly cost of Pradaxa would amount to an outstanding $2,585.

Coincidentally, B-I has subsequently lowered the cost of Pradaxa by 13% since the filing of these lawsuits on March 29, 2012.

Posted in Dangerous Chemicals, Mass Tort, Pradaxa, Uncategorized, drug use | Leave a comment
Jon

Report: Dental X-Rays Linked to Brain Cancer

Post to Twitter

The American Cancer Society has published a study which links dental x-rays to brain cancer.  As reported in the Washington Post, the study found that “that people with meningioma were more than twice as likely as people without the brain tumor to have had a bitewing X-ray sometime in their life.”   The study also found a link between “panorex” x-rays, which are taken from outside the mouth, and meningioma risk. 

The American Dental Association issued a statement asking to reduce panic, but also invited patients to talk openly with their dentists about the risks and benefits of any x-ray.  ADA guidelines for X-Rays can be found here.

Posted in Uncategorized | Leave a comment
Jon

New Study Finds Doctors Cover Their Mistakes

Post to Twitter

A new study, found by subscription in Health Affairs, has found that nearly 1 in 5 doctors failed to disclose a medical mistake they knew could lead to a lawsuit.  Numerous studies have shown the opposite, however.  That a doctor who admits a wrong and apologizes is less likely to be sued than one who covers a mistake up.  This failure to admit mistakes is often what sends patients or their surviving loved ones looking for answers and for civil justice.

Posted in Uncategorized | Leave a comment
matthew

Questionable Actions of Park Police Heighten Occupy DC Tension

Post to Twitter

Yesterday, Park Police began to enforce Washington, D.C. “long standing regulation prohibiting camping on federal parkland at the Occupy sites at McPherson Square and Freedom Plaza.” As was to be expected, tension began to rise as officials began to enforce this policy.

According to the Washington Post, an individual identified as “Lash” became angry when officers entered his tent and started to tear down notices of the enforcement. “Lash” was eventually tasared by the officers and a Youtube video soon surfaced of the incident. A link to the Youtube video is attached below. This video does contain explicit language and may not be suitable for some.

Youtube Video of DC Protester

Based off of this video, it is unclear as to what transpired before the bystander started to film this altercation, and clearly the officer’s subjective view of the situation is not taken into account by the video. Nevertheless, based solely off of this video, questions do arise as to the necessity of such force being employed. Hopefully, the enforcement of the ban will not raise any more concerns.

Posted in Police Brutality, Public Duty Negligence | Leave a comment
matthew

One Tree Hill Raises Awareness of Child Heatstroke

Post to Twitter

This past week the CW Network’s One Tree Hill delved into a highly dramatic yet utterly tragic plot line as the episode concluded. As the episode came to a close, there is a tragic scene in which one of the main characters is talking on her phone with her husband about their son not showing up to pre-school, when the husband suddenly realizes that he had left his child in the back seat of the car as he ran some errands. As music begins to rise and drama begins to unfold, paramedics are show at the father’s car, and it becomes clear that the child has been left in the car and more than likely passed away. The scene left my wife gasping and claiming that such a scene was “uncalled for.”

The sad truth in this is country is that more and more children are falling victim to vehicular heatstroke fatalities. KidsandCars.Org is an organization dedicated to raise the awareness of child vehicular incidents, including fatalities that occur from an unattended child suffering heatstroke in a car. According to the research conducted by KidsandCars.Org, as of November 8, 2011 there had been 31 child vehicular heatstroke fatalities in 2011 alone.

KidsandCars.Org has even posted statistical charts for the public’s own benefit including a map of the U.S. identifying the number of child heatstroke fatalities from 1990 – 2010.

KidsandCars.Org finds these preventable tragedies to be caused by a combination of education and technology and fights every day to raise public awareness to these situations. While One Tree Hill’s final scene this week may have been “uncalled for” to its passionate viewers, it was certainly called for to the public at large.

Posted in Family Safety, Patient Safety, Uncategorized | Leave a comment
Jon

Johnson & Johnson Hid Diabetes Study on Risperdal

Post to Twitter

Johnson & Johnson is being accused of having hid three studies linking diabetes to their anti-psychotic drug risperdal:

Johnson & Johnson officials hid three studies showing some patients using Risperdal developed diabetes while claiming the antipsychotic drug didn’t cause the disease, a witness testified.

According to the Bloomberg article, as early as 1999 J&J had done studies showing that about half of its subjects developed diabetes after a year of taking the medication.  The ongoing lawsuit further alleges that “salespeople were telling doctors that researchers concluded the drug didn’t cause the disease.”

Posted in Uncategorized | Leave a comment
matthew

Mob Wives Season Premier Demonstrates Public Perception of Medical Complications

Post to Twitter

Recently, on the season premier of VH1′s Mob Wives Season 2, the country got a brief glimpse into the life of an individual who suffers complications from a medical procedure. Evidently, Renee Graziano underwent elective plastic surgery. (The links to VH1′s website contains material that may be considered explicit and not suitable to some.) After her surgery, Ms. Graziano tore open her staples during recovery and was subsequently sent to the hospital. During her stay in the hospital, she suffered massive blood loss, leading to a blood transfusion and additional physical impairments during her recovery process. This blog posting is in no way a commentary on the procedure conducted by the healthcare provider who operated on Ms. Graziano, but rather it is more a commentary on the public perception that embodies medical complications.

As the show progressed, Ms. Graziano continually referred to her ordeal as her “plastic surgery nightmare,” in fact, VH1 even summarized the episode as:

Renee is amped to finally get on the table for her full body makeover, but her “easy-fix” suddenly turns into her plastic surgery nightmare.

When we think about nightmares, we tend to think of things that can never happen in the real world and only our subconscious can create. Sadly, complications such as these, and even more serious complications during other procedures, occur more often than one would like to acknowledge. Unfortunately, the public at large fails to recognize that these complications do in fact occur, and yes, medical malpractice does in fact occur.

In what VH1 has dubbed “Bonus Clips,” and left out of the episode, Ms. Graziano epitomizes the public perception of medical errors when she states that if somebody were to ask her today about undergoing the procedure she would tell them not to do it. Too often in the medical malpractice legal field does this mantra demonstrate itself: “Until it happens to you, you don’t care or don’t think it ever will.”

Luckily, it appeared by the end of Season 1, Episode 1 that Ms. Graziano has recovered from her complications, and I for one wish her well in her recovery.

Posted in Medical Complications, Patient Safety | Leave a comment
barry

Hot Coffee Justice

Post to Twitter

On March 8, 2011, the West Virginia Supreme Court refused to enforce the rights of a spouse.  James MacDonald and his wife Debbie MacDonald had prevailed in a lengthy medical malpractice case in Berkeley County, West Virginia.  Mr. MacDonald was the typical American.  He had just retired as a school teacher, had been married for 36 years, and was known around his community as a teacher and a coach.  However, after malpractice was committed by his treating physician and hospital, the jury awarded him minor economic losses because there were few.  He had just retired (therefore not employed) and he was not going to need additional medical treatment because the damage that had been done could not be reversed.  He basically did not have the use of his legs.

The jury awarded him $1,000,000.00 on non-economic damages for past pain and suffering and the pain and suffering he would endure the rest of his life.  His wife, Debbie, who in many ways had now become a caretaker, who had lost her husband and now had to go back to work herself while trying to monitor her husband, who has lost the ability to even engage in what was their favorite pastime of teaching dancing was unanimously awarded the sum of $500,000.00 by a jury.  No one hearing the case would suggest that the award was inflated.  However, the Defendants argued first that a cap in West Virginia of $500,000.00 should be $250,000.00 because basically James was still able to breathe and do some things.  The fact that he could not possibly get out of a burning home, could not get off the floor if he fell, etc. was argued that it was not enough to allow him to recover $500,000.00.  The reason for that is that there is a cap in West Virginia providing $250,000.00 or $500,000.00 for catastrophic injuries.  The trial court reduced the $1,000,000.00 award to Mr. MacDonald to $500,000.00 conceding that there was a catastrophic injury.  However, he also reduced the award to Debbie MacDonald to nothing.

In other words, the legislation according to the judge, provided that it did not matter how many victims there were of malpractice, there could only be one $500,000.00 award and the spouse could not collect anything until Mr. MacDonald collected all that was available, in this case $500,000.00.

The case was taken to the West Virginia Supreme Court.  In West Virginia, it is necessary to ask the Court to take a case, as in a civil case an appeal is not a matter of right, it is a privilege.  When the West Virginia Supreme Court read the brief submitted by Plaintiff, they agreed on a 4 to 1 basis to consider the case.

First, one Judge voluntarily withdrew from the case because he served on the Board of a hospital.  Another Judge was asked to recuse himself and after initially refusing too, agreed to do so.  He had campaigned on the basis that he would never vote to change any medical malpractice laws.  There were videotapes of him making such pledges.  So, while he initially refused to withdraw from the case, he eventually did.  After the briefs were all filed, the case was argued as the two withdrawing judges were replaced.  By a vote of 4 to 1, the judges agreed find the cap constitutional.  The following Organizations filed briefs with the Court as a “friend of the Court” on behalf of the health care providers:

(1) the parties and their attorneys;

(2) the West Virginia Board of Risk & Insurance Management;

(3) the West Virginia Chamber of Commerce;

(4) the West Virginia Mutual Insurance Company;

(5) the Defense Trial Counsel of West Virginia;

(6) the West Virginia State Medical Association;

(7) the Component Societies of the West Virginia State Medical Association;

(8) the West Virginia Academy of Family Physicians;

(9) the West Virginia Hospital Association;

(10) the American Medical Association;

(11) the West Virginia Orthopaedic Society;

(12) the West Virginia Chapter American Academy of Pediatrics;

(13) the West Virginia Academy of Otolaryngology-Head and Neck Surgery, Inc.;

(14) the West Virginia Podiatric Medical Association;

(15) the West Virginia Medical Group Management Association;

(16) the West Virginia Radiological Society;

(17) the West Virginia State Neurosurgical Society;

(18) the Health Coalition on Liability and Access;

(19) the Physicians Insurers Association of America;

(20) the American Insurance Association;

(21) the Property Casualty Insurers Association of American; and

(22) the NFIB Small Business Legal Center.

Clearly the business community, the insurance industry, the health care industry, and all those organizations dedicated to limiting the rights of our citizens lined up to protect themselves. The result: Mrs. MacDonald received nothing, by a 4 to 1 decision.

What the Court did not address was the issue raised by Mrs. MacDonald: “I am a person who has a claim under West Virginia law, the jury found in my favor and made an award, but I cannot collect the award.”

Mrs. MacDonald was thus left in this position.  She filed her action as a claim of “loss of consortium,” which is a recognized claim in West Virginia.  She won her claim in front of a jury, unanimously.  However, she cannot collect one penny of that claim.  This is what would be known as a Catch 22.  She has a claim, she wins the claim, but she can collect nothing.

While the Court did not separate Mr. from Mrs. MacDonald in its Opinion they are, in fact, two different people with their own claims. Indeed, there was a separate verdict for Mrs. MacDonald and yet the West Virginia Supreme Court simply lumped the verdicts together.

Thus the Court had no time to even address Debbie’s issue.

There will certainly be motions filed in this matter, but one cannot help wonder why the Court did not even address the issue and allow Mrs. MacDonald’s valid claim to have no value, despite what a jury made up of voters in Berkeley County believed.  The Court simply allowed legislators to decide how much Debbie MacDonald should be awarded, and that amount was nothing. Legislators who knew nothing about the case or the injuries were allowed to impose their will over their citizens who vote, pay taxes, and die for their Country.

A movie called “Hot Coffee” is now available on HBO and it is a must see for any citizen who has ever heard the terms “jackpot justice,” “junk science,” “hit the lottery,” etc.  We now have a new term that can be used for those judicial decisions that protect everyone but citizens: Hot Coffee Justice.

Posted in Civil Justice System, Family Safety, Medical Malpractice, Negligence, Patient Safety, Tort Reform | Leave a comment