Archive for October, 2006

Family Awarded $16.5 M In Baby Brain Damage Case

Tuesday, October 24th, 2006

The family of a one-year-old baby who was left severely brain damaged as a result of medical negligence in an army hospital was awarded $16.5 million for their losses and suffering.

Izzy Peterson was born healthy in January 2005 before a doctor mistakenly gave him what she thought was oxygen to boost his breathing. However, for about 41 minutes, Izzy was inhaling carbon dioxide, which slowly made its mark on his newborn body.

“It’s an unbelievable tragedy,” said Rick Fried, the family’s lawyer. “His brain has been wiped out by the carbon dioxide.”

Now the one-year-old requires around-the-clock professional care, cannot breath on his own, and eats through a tube in his stomach. Izzy is expected to die before his thirtieth birthday.

Details of the Lawsuit

The child’s parents filed a medical malpractice lawsuit against Tripler Army Medical Center, claiming that their son’s condition was a direct result of “gross negligence” on the part of the doctor.

The government admitted fault and the suit, which went to trial in August, focused only on the amount of compensation that should be awarded.

District Judge David Ezra found the hospital liable for the damages and ordered the federal government to pay $16.5 million in damages to the child’s family. The compensation award is one of the largest ever given to a single individual in a personal injury case in Hawaii.

The verdict includes $12.4 million for future life and medical care expenses in addition to $1.5 for loss of future income capacity.

Patient Claims Surgeon Never Disclosed Risk Of Incontinence

Tuesday, October 24th, 2006

In July 1996, plaintiff Anthony Crisanti, 58, a self-employed tailor, underwent removal of his prostate gland. He subsequently developed mild incontinence and sexual dysfunction.In May 1999, Crisanti developed urine backup and was not able to urinate. Dr. Howard Adler determined that the urinary dysfunction was a product of a bladder-neck stricture that was a result of the 1996 surgery.On May 12, 1999, Adler performed a cystopic procedure to relieve the stricture. During the surgery, Adler determined that Crisanti had developed a suspended bladder stone that was causing the blockage. Adler shattered and flushed the stone. However, the stone was hanging from a section of suture material that had eroded through a tissue wall that was created during the prostate-removal surgery. In an effort to remove the suture material, Adler removed tissue from the bladder neck. Following the surgery, Crisanti developed total incontinence.

Crisanti sued Adler and two other surgeons who assisted Adler, Drs. Wellman Cheung and Albert Kim. Crisanti alleged that the defendants failed to properly perform the May 1999 surgery, that Adler failed to obtain informed consent to the surgery, and that the failures constituted medical malpractice.

Cheung was never served, and Crisanti did not pursue the case against him. Crisanti also discontinued the claim against Kim. The matter proceeded to a trial against Adler.

Crisanti claimed that he did not provide consent for Adler’s removal of the suture material. He acknowledged that he consented to Adler’s opening of the blockage, but he contended that he was never informed of the risks that were associated with the material’s removal. He claimed that he would not have approved the suture-material’s removal if he had known that it would have produced a significant risk of incontinence. The form did not identify incontinence as a risk.

Plaintiff’s counsel also claimed the procedure was not properly performed and that there was no need to remove tissue in the bladder neck. Crisanti’s expert urologist opined that, once the stone was flushed and the blockage had been removed, Adler should have stopped the surgery, revived Crisanti, and then discussed the next course of treatment.

Adler contended that the he exercised good and accepted medical judgment by immediately removing the suture material. Defense counsel argued that Crisanti had read and signed a consent form that permitted Adler’s use of his best medical judgment. Adler’s expert urologists opined that the injury was a known risk of the procedure that Adler performed, and they contended that the suture material was appropriately removed.

Crisanti sustained damage of his bladder neck. He has undergone five collagen injections, but the injections were not successful, and he suffers total incontinence. He also underwent five procedures for the installation of artificial sphincters that enable him to urinate.

Crisanti claimed that his condition is permanent and that it causes great embarrassment. He sought recovery of a total of $1.2 million for his past and future pain and suffering. His wife sought recovery of damages for her loss of consortium.

The jury rendered a defense verdict. It found that Adler did not depart from accepted care standards.

Tenn. Police Officer Sues Waffle House

Tuesday, October 24th, 2006

A police officer has filed a lawsuit against the Waffle House restaurant chain and one of its former cooks, claiming the cook admitted to spitting in the officer’s food.Police Lt. John Morgan accused 19-year-old Homer Disher in the lawsuit of spitting in his order of hash browns and eggs before serving them to him last September.

“He had his back slightly to me, and I saw the spit hit the food,” Morgan said. “I was furious.”

The lawsuit seeks $82,500. In court papers, Morgan said Disher told his manager what he had done and the manager did nothing to warn Morgan or report the incident to police.

Morgan said he brought an investigating officer to the restaurant and that Disher admitted to spitting in his food and gave a recorded video statement to the officers.

Morgan said he thought Disher was upset over a warning he gave Disher and a friend during a traffic stop a few weeks before the incident.

Phone numbers for Disher and the manager on duty that day could not be found in listings. Calls to Waffle House headquarters in Norcross, Ga., were not immediately returned Sunday.

Disher has been charged with adulteration of food and retaliation for past actions, both felonies. If convicted, he could face up to eight years in prison, the Southern Standard newspaper reported.

Boston Commuter Train Runs Into Construction Truck, Injuring 19 Passengers

Tuesday, October 24th, 2006

A commuter train heading into Boston struck a flatbed truck that had bottomed out on a railroad crossing, injuring 19 people Monday morning, authorities said.The driver of the truck, which was hauling construction equipment, had walked up the tracks to try to warn the approaching train, but the engineer was unable to stop in time, said Joe Pesaturo, a spokesman for the Massachusetts Bay Transportation Authority.

Construction equipment on the truck swung around when the train hit and smashed into one of the passenger coaches and another nearby vehicle.

Eighteen people and the engineer, who warned passengers to brace for impact, were hurt in the 8 a.m. (1200 GMT) crash, he said. Most had been released from hospitals by afternoon.

“The crossing is at a slight incline. The low-bed truck bottomed out and became stuck on the tracks,” Pesaturo said. He said a sign warned that such trucks shouldn’t attempt that crossing.

Transit police and the National Transportation Safety Board were investigating.

Franklin is about 40 miles (64 kilometers) southwest of Boston.

Zyprexa, Other Anti-Psychotics, Found To Have No Net Benefit

Monday, October 23rd, 2006

According to a study released by the National Institute of Mental Health (NIMH), the benefits of some anti-psychotic drugs like Zyprexa do not outweigh the risks. Although prescribed almost routinely – about 75% of the 4.5 million Alzheimer’s sufferers in the U.S. take some form of anti-psychotic, according to at least one estimate – they are often not effective, and have serious side effects including sudden death. 

The far-reaching study “Effectiveness of Atypical Antipsychotic Drugs in Patients with Alzheimer’s Disease,” which was conducted in 33 clinics and nine doctors’ offices, assessed the effectiveness of Zyprexa by Eli Lilly & Co., Seroquel by AstraZeneca, and Risperdal by Johnson & Johnson. The study was published in the New England Journal of Medicine in October 2006. 

“These medications are not the answer,” said NIMH Director Dr. Thomas Insel. 

But many doctors and families disagree, despite the fact that drugs like Zyprexa have never been approved for use in Alzheimer’s patients. The Food and Drug Administration (FDA) approved Zyprexa in 1996 for patients with schizophrenia and severe bi-polar disorders. However, once a drug has been approved for sale in the U.S., doctors can prescribe it for any condition they feel is appropriate. 

The problem with this approach, and indeed an endemic problem with the whole drug approval system, is that not enough safety data is collected before a drug hits the market. There have been too many cases in the last several years: Zyprexa, Vioxx, Bextra, Celebrex, the transdermal birth control patch, ACE inhibitors – all have shown severe and life-threatening side effects that were not noted before the products hit the market. Some of these drugs like Vioxx and Bextra have been removed from shelves. 

In the case of Zyprexa and similar drugs, the results have been devastating. About four out of every five patients tracked in the study stopped taking the medication due to troubling side effects such as confusion, weight gain, and Parkinson’s-like symptoms. Five deaths were recorded, versus two in the group taking placebos. Thirty percent of patients showed any improvement while taking the drugs – not a huge gain when compared with those in the placebo group, of which 21% showed signs of improvement. 

This study shows that Zyprexa clearly should not be generally prescribed to Alzheimer’s patients – and some medical experts wonder if it should be on the market at all. Dr. Lon Schneider, director of the Alzheimer’s Disease Center of California and the lead researcher of the study suggested that if doctors do decide to treat patients with Alzheimer’s with these drugs, they should be closely monitored over the first few weeks and removed from the drug if there are signs of severe side effects or no improvement. 

Christopher Reeve Foundation Quality Of Life Grants Help Paraplegics And Quadriplegics

Monday, October 23rd, 2006

Living with paraplegia or quadriplegia brings on many challenges to day-to-day life that those without disability can hardly understand. Simple things like getting out of bed, eating meals, and brushing teeth often require the assistance of another. This can severely reduce quality of life, both for the paraplegic or quadriplegic, and his or her family members.

 

But the Christopher Reeve Foundation is helping community organizations improve the lives of paraplegics and quadriplegics through its Quality of Life Grants. Funding goes towards a variety of projects including adaptive sports programs, support groups, and specialized dormitory beds. The purpose is to help those with disabilities live better, more active lives.

 

Since the grant’s inception in 1999, the Christopher Reeve Foundation has given 1,073 grants totaling $8,503,576 to organizations nationwide who help improve quality of life for paraplegics and quadriplegics. “It is my passion to help disabled individuals, their families and caregivers in ways that will more immediately give them increased independence, day-to-day happiness and improved access. Our Quality of Life program is about freedom,” said the late Dana Reeve, who took over as chair of the Christopher Reeve Foundation after his death.

 

Currently there are about 250,000 paraplegics and quadriplegics living in the United States. The number one cause of injury is auto accidents, though in recent years this has been in decline while injury due to violence is climbing. Costs, including medical expenses and lifestyle change expenses, total in the hundreds of thousands of dollars in the first year alone. Over a lifetime, this can easily total $428,000 for paraplegics, and $1.4 million for quadriplegics. Often the opportunity to participate more fully in life is hampered by these enormous financial burdens, which makes programs like the Quality of Life grants so much more important.

 

All registered, non-profit groups are eligible to submit an application for a Quality of Life grant, up to a maximum of $25,000. Application deadlines each year are April 1 and October 1. Full details are available on the Christopher Reeve Foundation website.

 

School Bus Accident Extrication Training Can Save Lives

Monday, October 23rd, 2006

As crews in Nebraska have learned, school bus safety features can actually hamper rescue efforts after an accident. On October 13, 2001, a school bus carrying 27 students and 3 chaperones from a band competition entered into a construction zone, and came upon another bus. Although there was no collision, the school bus veered to avoid the other bus, hitting the guardrail several times before breaking through. The bus then traveled up an embankment under a bridge, and rolled 270 degrees as it fell 49 feet into a creek. Four students died, and the other 23 plus chaperones had injuries ranging from minor to serious.

 

Many passengers were trapped inside the bus, and had to wait for rescue workers to come and help. When they arrived, they found that the same features such as reinforced frame, roof, and tightly packed seats didn’t allow the use of standard equipment like pickaxes and “the jaws of life.” Ultimately, they had to use hacksaws to remove parts of the bus, and thankfully there were no additional injuries caused by the delay. But especially considering that the bus came to rest in a creek, the results could have been a lot worse.

 

A similar school bus accident in Texas in 1989 caused the deaths of 21 students when their bus left the road and crashed into an excavation pit filled with water from a recent rainfall. Since the loading door at the front had been damaged during the accident and would not open, the only exit available to the 81 passengers and the bus driver was through the emergency back door of the bus. As a result, the National Highway Transportation Safety Administration (NHTSA) made 20 recommendations after their investigation – some of which may have helped prevent even more loss of life in the Nebraska accident twelve years later.

 

But the NHTSA found in this particular school bus accident that the rescue would have been done more efficiently if rescue crews had undergone “school bus extrication training.”

 

Taking the administration’s advice, several area crews worked with the Nebraska Emergency Medical Services program, Emergency Management Agency Region 15, the Nebraska Department of Roads and other county agencies to train specifically for this type of accident.

 

“All these people came together out of the goodness of their hearts on a Sunday afternoon to help make us a better EMS squad,” Barb Wilkinson, a member of Frontier County EMS, told The North Platte Telegraph. “An accident involving a school bus is something that can happen around here, with all the buses that run through the county,” she said.

 

Study Finds Computer Plant Workers Have Increased Cancer Risk

Monday, October 23rd, 2006

A recently released study, published in the online scientific journal Environmental Health, found an increased rate of various types of cancers among Plant workers at International Business Machines Corp. (IBM).

For many years IBM executives have fought to thwart the release of the study conducted by Boston University professor of environmental health Richard Clapp.

Details of the Study

The study evaluates information collected by IBM of the ages and causes of fatality of almost 32,000 of its employees who died sometime between 1969 and 2001. Clapp obtained the data, referred to as IBM’s “Corporate Mortality File,” when he was an expert witness in a civil lawsuit filed on behalf of several disk-drive plant workers who developed cancer.

Researchers compared the cancer death rate among IBM employees to the average national death rate from several specific cancers. Out of the 27,272 male computer workers who died, 7,697 of deaths were from cancer—a “significantly greater” number than the predicted national average of 7,206.

There was a reported 4,669 deaths among female IBM employees, 1,667 of which were caused by cancer. This figure was well over the 1,454 cancer deaths that were expected of the national average.

Furthermore, several particular cancers showed a significantly high rate compared to the national average, including brain, kidney, central nervous system, digestive organ, malignant melanoma, lung, breast, and female genital cancer.

Conclusions

Lead analyst Clapp concludes in his report that IBM workers suffered an increased risk of developing cancer than those in the general population. He also revealed that fatalities resulting from cancer were elevated among IBM plant workers.

While the technology industry, particularly disk-drive plants and semiconductors, often utilize solvents and chemicals that are known to cause cancer, IBM’s database failed to specify which employees were exposed to which toxic chemicals.

An IBM spokesman argues against Clapp’s findings claiming the study is “based on flawed methodology and woefully incomplete data.”

Nearly Final Vioxx Suit Tally: 23,800 Cases For 41,750 Plaintiffs

Monday, October 23rd, 2006

This morning Merck announced the number of Vioxx-related lawsuits that had been filed against it as of September 30, 2006. That date is crucial, because it represents the second-year anniversary of the company’s withdrawal of Vioxx from the market, and the vast majority of states have either one- or two-year statutes of limitations for personal injury suits. According to Vioxx plaintiffs lawyer Mark Lanier, only seven states remain with statutes of limitations that have not yet expired. So we’re getting close to the grand totals.As of September 30, 2006, Merck had been hit with 23,800 suits on behalf of 41,750 “plaintiff groups.” (A plaintiff group might include the spouse or dependents of a victim, who might be alleging “loss of consortium” or other damages related to the loss of a loved one or breadwinner.)

In addition, the company now faces 275 class actions, either for personal injury or economic damages (including consumer fraud suits, seeking reimbursement for patients’ costs of buying a drug that was allegedly misrepresented as being safer than it really was, even if nothing bad ever happened to the purchaser as a result.)

The September 30 date is important for another reason. Because most of the filing is complete, Merck can realistically begin to consider moving toward a settlement strategy without worrying that its willingness to settle would entice a deluge of suits by lawyers and clients seeking quick and easy money.

Though the company is still pledging to fight every one, that might be a posture it can begin relaxing. Says Lanier in an email: “Merck is going to have to come up with another strategy than to try every case. Aside from the fact it abuses the court system (the corporate version of lawsuit abuse), the next 12 months Merck will sustain some real significant losses.”

Merck also announced today that it would increase its reserves for Vioxx-related legal defense costs from $685 million to $958 million, and said it had spent $325 million on defense costs during the first nine months of 2006. The company has not yet allocated any reserves toward paying Vioxx-related judgments or settlements.

Judge Dismisses Suit Against Cruise Line By Family Of Missing Man

Monday, October 23rd, 2006

A Miami judge has dismissed a lawsuit filed against Royal Caribbean by the family of a man who disappeared from a Mediterranean honeymoon cruise.George A. Smith IV disappeared July 5, 2005 from the Brilliance of the Seas somewhere between Greece and Turkey - a case that became one of the most publicized incidents of a missing passenger aboard a cruise ship. While his body has not been recovered, bloodstains were found on an awning underneath the newlywed’s cabin balcony and the FBI is investigating.

Judge Jon I. Gordon granted a motion Monday to dismiss the lawsuit faulting Royal Caribbean International its handling of the case.

“It’s a setback, of course, but it’s not the end,” maritime lawyer Brett Rivkind told Greenwich Time Thursday. “The Smith family isn’t discouraged. Whether the Smith family won or lost, the issue is going to be decided in an appellate court.”

Royal Caribbean welcomed the dismissal.

“For some time, we have said that a fair, accurate and objective review of the facts would clearly demonstrate that the lawsuit was completely baseless,” the cruise line said in a statement, adding that while it would not be surprised by an appeal, “we are confident that the outcome will be the same.”

“We continue to extend our sympathies to the Smith family for the tragic loss of their son.”

Smith’s disappearance sparked congressional hearings on maritime security and a federal bill requiring cruise lines to report cases of missing passengers and crimes to the Department of Homeland Security.

Smith’s parents and sister believe the 26-year-old Greenwich man was murdered, and allege in their lawsuit filed in June that the cruise company tried to cover up the incident to avoid liability and negative publicity.

Royal Caribbean representatives have said the cruise line exceeded its legal requirements when it contacted the FBI and other authorities immediately after learning about Smith’s disappearance.