Archive for the ‘Birth Injury Law’ Category

Pharmaceutical Product Liability Has Disproportionate Effect on Women

Tuesday, May 11th, 2010

The FDA, while a useful regulatory body in many ways, has now been proven unable to reign in the profit-hungry pharmaceutical industry.  Whether through the lack of resources or the lack of motivation – or both – the FDA has utterly failed to protect patients from dangerous drugs and devices.  The Chicago personal injury lawyers at Passen Law Group have seen the disastrous effect of the FDA’s failure on innocent victims of pharmaceutical greed – and that failure’s disproportionate impact on women.

That’s where the American court system comes into play.  Due to the lack of successful protection by the FDA, lawsuits have been a critical tool in forcing the drug companies to show concern for the welfare of patients.  Only when lawsuits and verdicts make it costly for the drug companies to callously injure women (and men) – more costly than the profits reaped from the sale of dangerous drugs and devices – can we be certain that the drug companies will act in the best interests of patients.  Even former FDA commissioner David Kessler has acknowledged this, stating that, “the tort system has historically provided a critical incentive to drug and device companies to disclose important information to physicians, patients, and the FDA about newly emerging risks.”  Products liability lawyers like those at Passen Law Group thus play a critical role in keeping the pharmaceutical industry honest and on track.

The failure of the FDA has, unfortunately, had a disproportionate impact on women.  Many argue that the greater impact on women is due to a form of sexism:  a heightened disregard for the health and welfare of women.  While this is no doubt part of the picture, it is also true that certain kinds of drugs are more commonly targeted at women:  from late adolescence to the twilight of their lives, women are encouraged and pressured to consume an endless string of products designed to keep them both sexual and infertile.

The perfect example is the mass marketing and prescription of the drugs commonly known as “HRT” or “ERT” (hormone replacement therapy or estrogen replacement therapy).  These drugs, which consist of large doses of synthetic or animal-derived estrogen, have for decades been routinely prescribed to menopausal or post-menopausal women to control or reverse the natural aging process and its effect on the female reproductive system.  HRT became wildly popular in 1966 with the publication of “Feminine Forever,” a book by Dr. Robert Wilson, whose research was entirely funded by drug companies marketing HRT.  In it, Dr. Wilson described post-menopausal women as “no longer women,” “eunuchs,” “castrates,” and “caricatures,” simply because they are no longer fertile and may have reduced sex drive – the natural effects of aging.

After the publication of “Feminine Forever,” HRT sales shot through the roof, with some forms of HRT quickly becoming among the top five most-prescribed drugs in the country, and with major pharmaceutical companies recording nearly 15% of their revenue from HRT.

The problem was that decades before this highly successful marketing push, research had established that estrogen was a carcinogen, particularly in unnatural forms and levels.  Indeed, this evidence had been around since the 1930s and 40s.  Yet it was not until 2002 that the FDA finally took action, labeling steroidal estrogens as a “known human carcinogen.”  Over the course of the nearly 40 intervening years, countless women were willfully exposed to this known threat – while the drug companies raked in obscene profits.  In the meantime, evidence had also been amassed that estrogen therapy causes other problems, including the risk of heart attack.  Although evidence of the extreme risks of HRT continued to mount, it was only with the advent of large numbers of lawsuits against the manufacturer that we began to see real change.

The Chicago personal injury attorneys of Passen Law Group are shocked by this course of neglect and malfeasance.  If only it were an isolated occurrence – but instead, it is only one of many examples of the pharmaceutical industry’s nonconcern for the safety of women.  There are many other recent examples of this disturbing pattern of behavior in the area of birth control and women’s reproductive medicine, including:

•    The Ortho-Evra weekly birth control patch, which the drug companies and the FDA knew could cause blot clots, heart attacks, and stroke.  The FDA and the companies concealed this information until it was forced out in litigation.
•    The Dalkon Shield IUD, which caused hundreds of thousands of injuries up to and including infertility.  Although the FDA suspended distribution of the device due to safety concerns, it allowed the company to promote and sell its existing stock for 10 years before litigation forced the company to stop.
•    The Copper-7 IUD, which caused numerous injuries and deaths but was not withdrawn until litigation forced the company’s hand
•    The Ortho-Novum 1/80 birth control pill, whose dangerously high estrogen levels caused blood clots, blood disorders, and life-threatening injuries.  The estrogen levels were not corrected until litigation forced this change.
•    The synthetic estrogen DES, marketed as preventing miscarriages, which in fact was not only ineffective but also caused cancer, infertility, and other tremendous problems not only in the women to whom it was prescribed, but also in the children they carried.  Even after these problems emerged, the company was allowed to promote the drug until litigation halted them.
•    High-absorbency tampons, which can cause such problems as toxic shock syndrome, which has in turn caused many deaths.  Only punitive damage awards have put a stop to these dangerous products.
•    The drug Parlodel, used to supress lactation after birth in mothers who intend to bottle feed, but which causes heart attack and stroke.  The FDA simply asked the pharmaceutical industry to stop making the drug voluntarily – a request with which many did not comply.  The drug was marketed and used for an additional five years before lawsuits forced the last company making the drug to stop.

These examples, and others, demonstrate that only lawsuits and the threat of civil accountability can force the pharmaceutical industry to act responsibly.  If you or someone you love has developed health problems after using these or any other reproductive drug or device for women, you may have a cause of action.  The products liability attorneys of Passen Law Group urge you to meet with an attorney who can help you to investigate your case, and to pursue any claims you might have.  The health and lives of the women who come after you may depend upon your action.

For a free consultation with an experienced Chicago wrongful death lawyer at Passen Law Group, call us at (312) 527-4500.

New Guidelines for Treatment of Children with Cerebral Palsy

Monday, May 3rd, 2010

child cerebral palsy treatment 216x300 New Guidelines for Treatment of Children with Cerebral PalsyPassen Law Group’s premier Chicago personal injury lawyers represent individuals and families of those inflicted with cerebral palsy — often in the context of medical malpractice or birth injury negligence.   More than 100,000 babies each year in this country will develop cerebral palsy, a complex neurologic disorder that affects body movement and posture.

Our representation typically involves investigating the cause of the disorder, what should have been done to prevent the injury, and the permanent consequences of living with cerebral palsy.  We ensure that our clients receive proper treatment for their condition — and in that capacity, we discovered a new treatment guideline was recently recommended for children and adolescents with cerebral palsy.  Each Chicago cerebral palsy lawyer at Passen Law Group understands that while the disorder cannot be cured, effective treatment can dramatically improve a child’s condition.

According to the new guideline recently published in Neurology, a medical journal of the American Academy of Neurology (AAN), the AAN and the Child Neurology Society found botulinum toxin type A to effectively treat spasticity in children and adolescents with cerebral palsy.  Cerebral palsy is the most common cause of spasticity, which describes muscle tightness and abnormal reflexes that interferes with movement in children with the disorder.

Researchers note that treatment with botulinum toxin type A is not without risk.  According to Mauricio Delgado, MD, Fellow of the American Academy of Neurology, “In reviewing this drug for treatment of spasticity in children, the Food and Drug Administration is investigating isolated cases of generalized weakness following use of botulinum toxin type A for spasticity.”

In any event, more research is needed to establish effective treatments for generalized spasticity, which affects the majority of children with cerebral palsy.

For a Free Consultation with a Chicago cerebral palsy lawyer with Passen Law Group, call us at (312) 527-4500.

Medical Malpractice: Court Allows Evidence of Doctor’s Financial Motive

Friday, April 2nd, 2010

financial motive surgery 227x300 Medical Malpractice: Court Allows Evidence of Doctors Financial MotiveThe experienced Illinois medical malpractice attorneys at Passen Law Group conduct a thorough investigation into the facts and circumstances of each case, and seek to put before a jury at trial all evidence which demonstrates that a doctor acted negligently, and which shows the full extent of damage caused to the patient as a result.  One area of evidence which may be important for a particular case, but has frequently been excluded by the courts in Illinois, is information concerning a doctor’s financial motive to perform the medical procedures at issue.

In particular, evidence that a doctor had a financial motive to perform an unnecessary medical procedure, which results in substantial injury to the patient, can be very persuasive in certain medical malpractice cases, yet this type of information has routinely been held inadmissible by the courts.  In a recent appellate court opinion, however, the Illinois Appellate Court has dramatically altered the landscape for such financial motive evidence, and recognized the common-sense rule that this type of information may be relevant, and therefore admissible, in medical malpractice cases.

In Martinez v. Elias, No. 1-08-0265, (Ill. App. Ct. 1st Dist., Dec. 28, 2009), the Illinois appellate court  was confronted with allegations of  medical malpractice involving back surgery complications.  The plaintiff, Thomas Martinez, experienced back problems after an accident at work.  After a series of evaluations, his doctor, defendant Sarmed Elias, M.D.,  performed a procedure known as a discogram to determine the extent of his injuries, and whether surgery should be performed.

Using the procedure, Dr. Elias concluded that back surgery was appropriate and would be helpful in Mr. Martinez’s case.  Unfortunately, the subsequent surgery resulted in substantial spinal nerve damage, leaving Mr. Martinez with pain radiating down his side and leg, and even greater problems with mobility going forward.  Mr. Martinez then brought a legal action against Dr. Elias and his practice, alleging medical malpractice.

Unlike the typical medical malpractice lawsuit, Mr. Martinez did not allege that Dr. Elias negligently performed the surgery, or that the radiating nerve pain was a possible complication of which he had not been advised.  Instead, Mr. Martinez alleged that his back surgery was unnecessary, was unlikely to be of benefit to him due to the nature of his back problems, and should never have been performed. Mr. Martinez alleged that because a discogram is an unusual and disfavored procedure with a high rate of error due to its subjective nature, it was an inappropriate diagnostic tool, and certainly should not have been performed and interpreted by the physician who would be conducting any subsequent surgery.

In support of his allegations, Mr. Martinez introduced expert testimony about the problematic nature of discograms.  His experts further testified that a discogram should never be performed by the operating surgeon, because that surgeon has a financial interest in the outcome of the test:  if the test is interpreted to show operable back problems, then the surgeon will reap the financial reward of performing that surgery.  Over the objection of the defense, the trial court allowed this testimony.

Dr. Elias appealed.  The appellate court first recognized a line of authority excluding evidence of financial motive in Illinois medical malpractice cases.  The court noted that motive is not an element of medical malpractice – the negligent performance of medical duties is malpractice regardless of the good intentions of the doctor involved.  Thus, financial motive testimony is generally irrelevant.

The court found, however, that this general rule must give way to the facts of a particular case.  Rather than blindly excluding evidence that can be irrelevant, trial courts must examine whether it is in fact relevant given the circumstances and allegations in a particular case.  In Mr. Martinez’s case, the medical negligence alleged was that the discogram should not be performed by the treating surgeon because he has a financial interest in the outcome of the test.  Mr. Martinez alleged that Dr. Elias interpreted the test results improperly due to his financial interest, and therefore performed unnecessary surgery that caused him permanent harm.  The Illinois Appellate Court held that testimony concerning Dr. Elias’s financial motive was central to the particular malpractice alleged, and was properly admitted by the trial court.

This holding takes a practical approach to the admission of evidence, and in that way is no more than the court’s use of common sense.  But from another perspective, the court’s opinion is groundbreaking.  The court’s opinion set aside a rule that has been hampering the introduction of relevant and persuasive evidence for almost 20 years.  In doing so, the court reaffirmed what our Illinois personal injury lawyers have known all along: that the victims of medical malpractice must be allowed to present their case, which demonstrates the defendants’ negligence and the resulting injury – regardless of what may or may not be appropriate in other cases.

For the victims of medical malpractice, this opinion is encouraging.  If you or someone you love has been harmed by the negligence of a doctor or hospital, a top Chicago medical malpractice lawyer from Passen Law Group can help you to uncover all the evidence of that negligence, and make sure that it is admitted in court so that you receive full compensation, and justice.

For a free consultation with an experienced Chicago personal injury lawyer at Passen Law Group, call us at (312) 527-4500.