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Archive for March, 2012

Post Traumatic Stress Order and Brain Injuries

Written by Spencer Aronfeld on . Posted in Brain Injury

Victims hurt in a Florida car crash, slip and fall or as the result of careless doctors usually seek immediate medical attention for their physical pain and suffering. Rarely is any focus put on the more difficult to diagnose trauma known as Post Traumatic Stress Disorder, P.T.S.D. As a Miami PI attorney, I am alarmed if I hear a client complain about sleep loss, terrible images being replayed in their head, or feelings of guilt or fear.

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Granted, the majority of our clients who suffer these normal post-trauma reactions to one degree or another recover and return to a relatively normal state within weeks or months of an accident. However, some do not. A small percentage of people get trapped in their trauma and experience chronic P.T.S.D.

The way one copes with emotional trauma is far more complex than once thought. One of the challenges in diagnosing P.T.S.D. lies in the fact that the symptoms often do not surface for weeks or months after the event. Signs of P.T.S.D. can, according to the Mayo Clinic, take years to develop.

Generally, P.T.S.D. is grouped into three classes: Intrusive Memories, Avoidance or Emotional Arousal. Symptoms of intrusive memories typically include flashbacks and nightmares of the event. Symptoms of Avoidance include feelings of numbness, hopelessness and memory problems. Symptoms of Increased Emotional Arousal may include. irritability, guilt, shame, trouble sleeping or self-destructive behavior.

Often, post-traumatic stress disorder symptoms can come and go. The symptoms can intensify when the person is under more stress in general. In addition, symptoms can be brought up by seeing a movie, the smell of a familiar scent or a hearing a song.

If feelings persist or interfere with the quality of one’s life, our Aventura traumatic brain injury law firm recommends that you seek immediate medical attention. It is important, that if as as a result of the accident or trauma you had lost consciousness, even for just a few seconds, you relate this history to your doctor.

The symptoms of those who have suffered a head injury or traumatic brain injury (TBI), sometimes mimic and overlap those of post-traumatic stress disorder. Many people believe you have to have had a serious head injury to suffer a traumatic brain injury. This is simply not true. There are plenty of studies which show that brain injuries can occur without direct contact to the head. For example, when a person suffers whiplash from a rear-end car accident, the brain may be shaken within the skull. This damage can cause bleeding between the brain and skull.

Our South Florida accident lawyers are deeply committed to helping our clients rebuild their lives after a catastrophic accident. We work closely with neurologists, neuropyschologists and psychiatrist to make sure our clients are properly evaluated and cared for longer after their case resolves. As sometimes, the emotional damage leaves behind emotional scars more painful than some physical injuries.

Florida Women Dies from Plastic Surgery

Written by Spencer Aronfeld on . Posted in Plastic Surgery Malpractice

As a Broward plastic surgery malpractice lawyer, I was deeply saddened by the recent news of that Idell Frazer, a 50-year old Florida grandmother, lost her life during a liposuction and fat transfer at Strax Rejuvenation and Aesthetics Institute. Our law office is currently representing the family of Lidvian Zelaya who died during the same procedure last year. You can read the filed Stamped Complaint-8731.pdf

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Fat embolisms are one of the many known complications associated with fat re-injection procedures. Pulmonary embolisms occur when a blood clot forms and clogs an artery in a patient’s lung. Any plastic surgery patient can develop a pulmonary embolism or “PE” but certain factors increase the risk:

1. Surgery is the leading cause of blood clots. The risk of developing a blood clot increases with the duration of anesthesia. In other words the longer the procedure the higher the risk of developing a blood clot. This is one of the reasons that multiple cosmetic procedures are not recommended to be performed during one operation.

2. Prolonged immobility. Blood clots are more likely to form in the legs after patients are subjected to prolonged bed rest (recuperating from surgery) or from sitting in cramped positions during long car trips or flights.

3. Age. Older patients are at a higher risk for an embolism because the valves that move blood in the veins become increasingly inefficient with age. Older patients are more commonly dehydrated and have co-morbid medical conditions like cancer or heat disease which can increase the risk for a clot.

4. Family History. It is important that doctors, particularly those performing elective cosmetic procedures like fat injections, understand a patient’s family history for blood disorders. Special tests can and should be ordered before any procedure to determine if there are any clotting disorders that would put a patient at a higher risk for a blood clot.

5. Smoking and Obesity are additional factors that predispose a patient to form a blood clot. The risk is higher when combined with the other factors listed above.

Our Fort Lauderdale surgery malpractice law firm advises anyone considering undergoing an elective cosmetic procedure to have a thorough physical exam performed by a Board Certified internal medicine doctor who has no relationship to the potential plastic surgeon or clinic to obtain medical clearance. In addition, we recommend that you carefully select your plastic surgeon and only use one who is Board Certified in Plastic Surgery. We hope no other family will lose a spouse, parent, child or partner due to a botched plastic surgery.

Januvia and Janumet Claims for Pancreatitis

Written by Spencer Aronfeld on . Posted in Defective Drugs

The FDA has issued a formal warning letter to Merck for being months late on two post-market study deadlines to assess acute pancreatic damage risk associated with the diabetes drugs Janumet and Januvia. Januvia (sitagliptin) is a medication approved for the treatment of adults with Type-2 diabetes. It is one of the first in a new class of medications known as dipeptidyl peptidase-4 (DPP-4) inhibitors, Janumet combines Januvia with metaformin.

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The FDA required Merck perform additional testing following increasing concerns over a Januvia pancreatitis over risk three years ago. Merck broke its promise to conduct the three-month pancreatic safety study after the FDA expanded approvals for Januvia and Janumet. The study was due to be completed by March 15, 2011, and a final report should have been presented to the FDA by June 15, 2011. It was not.

One Januvia pancreatic cancer study in 2011 did find indications that the drug may increase the risk of pancreatitis and pancreatic cancer.

The FDA warning appears to be the first time the FDA has invoked its new enforcement authority for postmarking requirements granted under the 2007 FDA Amendments Act. Violations of this obligation can result in charges of mislabeling, and in fines of $250,000 and potentially more if they continue. As a dangerous medication attorney, I am pleased that this may signal a new trend at the agency for holding manufacturers more accountable.

Our Januvia and Janumet claims lawyers advise that if you are taking one of these medications to discuss the risks and benefits with your prescribing doctor. We encourage you to report any adverse events you may have on this medication directly to the FDA. You may also be entitled to make a claim against Merck. Please our contact our Miami Beach personal injury law firm to discuss your legal rights.