Jury Awards Truck Driver $9.5 Million for Permanent Damage from Erectile Dysfunction Treatment

Ed sad

    This absolutely fascinating story comes out of Georgia where plaintiff John Henry Howard (a Georgia truck driver) sued defendant Boston Men's Health Center, Inc. for damages suffered after treatment for erectile dysfunction (ED).  A Dekalb State Court Jury of his peers awarded Howard $750,000 in compensatory damages. However, the jury also found that the defendant acted with an intent to cause harm and further awarded Howard $8.5 Million in punitive damages.  Howard was brilliantly represented by attorney W. Fred Orr II, who himself received bear hugs from 10 of the 12 jury members after the trial was over.

Viagra pills

    Howard went to the clinic in an effort to resolve his ED.  The waiting room was filled with literature warning about the dangers of Viagra and Cialis, ED medications which are administered orally (i.e., the little blue pills).  The clinic staff advised Howard that their therapy was painless and based on a proprietary formula.

    They injected medication, whose primary ingredient was papaverine, directly into his penis. Papaverine was the treatment of choice until the introduction of Viagra in 1998.  Since that time, the Food and Drug Administration has warned that papaverine should not be used to treat ED.

    A macho man, Howard did not run scared when faced with the injection. However, he testified that "Not a man on the face of the earth would go into one of these places if they knew what they were going to do to them."   True, how painfully true.

    Not surprisingly, the injection gave him immediate results and Howard shelled out $1,200 for a six-month supply of the clinic's medication.  He was instructed to inject it into himself in the same location. He did and had "the best erection he's ever had in his life."  Unfortunately, that best erection lasted for a couple of days.  It had become painful, so he visited the clinic.  

    The staff removed blood from his penis in order to provide relief but that didn't work.  He wound up in the emergency room.  Eventually, he discovered that the medicine caused fibrosis and scar tissue to form.    

    Read the complete story from Law.com.

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Testerone Gels: FDA Orders Label Warnings (Harmful to Children)

Testim gel The Food and Drug Administration is requiring box warnings on two topical testosterone gels.  Click here for basic information on the male hormone, testosterone.  Here's the FDA report:

The U.S. Food and Drug Administration today announced that it is
requiring manufacturers of two prescription topical testosterone gel
products, AndroGel 1% and Testim 1%, to include a boxed warning on the
products’ labels. The agency is requiring this action after receiving
reports of adverse effects in children who were inadvertently exposed
to testosterone through contact with another person being treated with
these products (secondary exposure).

The gels are approved for use in men who either no longer produce
testosterone or produce it in very low amounts. Both products are
applied once daily, to the shoulders or upper arms. Only AndroGel 1% is
approved for application to the abdomen. Precautions in the current
labels instruct users to wash their hands after using the product and
to cover the treated skin with clothing.

“These drugs are approved for an important medical need, but can
have serious, unintended side effects if not used properly,” said Janet
Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and
Research. “We must ensure that the adults using them are well-informed
about the precautions needed to protect children from secondary
exposure.”

In 2007, 1.4 million prescriptions for AndroGel—the most commonly
dispensed gel form of testosterone—were dispensed by U.S. retail
pharmacies. Approximately 25,000 of those were dispensed for off-label
use in women. During the same period, some 370,000 prescriptions were
dispensed for Testim, according to data from SDI: Vector One National. 

Despite the currently labeled precautions, as of Dec. 1, 2008, the
FDA has received reports of eight cases of secondary exposure to
testosterone in children ranging in age from nine months to five years.
Since that time, additional reports of secondary exposure have been
received by the agency and are presently under review.

Of the fully reviewed cases, adverse events reported in these
children included inappropriate enlargement of the genitalia (penis or
clitoris), premature development of pubic hair, advanced bone age,
increased libido, and aggressive behavior. 

In most cases, the signs and symptoms regressed when the child no
longer was exposed to the product. However, in a few cases, enlarged
genitalia did not fully return to age-appropriate size and bone age
remained modestly greater than the child’s chronological age.

In some cases, children had to undergo invasive diagnostic
procedures and, in at least one case, a child was hospitalized and
underwent surgery due to a delay in recognizing the underlying cause of
the signs and symptoms.

Signs of inappropriate virilization (development of male secondary
sexual characteristics) in children and the possibility of secondary
testosterone exposure should be brought to a health care provider’s
attention.

In most of the cases, users of these products failed to follow
appropriate use instructions, resulting in direct contact between
treated skin and the child.
     
The required label
changes will provide additional information about the risk of secondary
exposure and the steps that should be taken to reduce this risk. The
FDA also is requiring that the manufacturers of these products develop
a Medication Guide as part of a Risk Evaluation and Mitigation Strategy
to ensure that the benefits of these products continue to outweigh
their potential risks.

The FDA recommends the following precautions be taken to minimize the potential for secondary exposure:

  • Adults who use testosterone gels should wash their hands with soap and warm water after every application;
  • Adults should cover the application site with clothing once the gel has dried;
  • Adults
    should wash the application site thoroughly with soap and warm water
    prior to any situation where skin-to-skin contact with another person
    is anticipated;
  • Children and women should avoid contact with testosterone application sites on the skin of men who use these products; and
  • Adults
    should note that use of any similar, but unapproved, products from the
    marketplace –including the Internet– that can result in the same
    serious adverse effects should be avoided.

Health care professionals and consumers may report serious adverse
events (side effects) or product quality problems with the use of these
gels to the FDA's MedWatch Adverse Event Reporting program either
online, by regular mail, fax or phone.

Relevant Websites/Information

Androgel Androgel 002 Testim gel 002 Testosterone in a tube

Testim Video: How to apply Testim

What is Testim?

Testim Side Effects: MedicineNet.com

Androgel Side Effects: eMed TV

Testosterone Gels Risky to Children: Web MD

FDA Orders Label Warnings for Testosterone Gels: ABC News

Testosterone Deficiency: The Urology Channel

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If
you, or someone you know, has been injured in a motorcycle or
automobile (or similar) accident, please call me, Lowell Steiger,
immediately at

(323) 852-1100 or send an e-mail to me at lowell@steigerlaw.com

"Treated With the Respect That You Deserve"

Ed Heads: Where You Are The Virtual Surgeon!

Edheadsorg_2 EdHeads.org.  What an incredible site! You are the surgeon as you perform a virtual hip replacement, hip resurfacing or knee surgery.  You are the crash investigator at an accident scene.  Try it out.  It gives us all an appreciation for the role of a professional in these intense circumstances.  Hipsurg_2 Having handled many accident cases wherein my clients have had to have hip and/or knee surgeries, this website was of great interest to me. 

The Law Office of Lowell Steiger Represents Injured Victims

If you have suffered a Personal Injury, Call for a Free Consultation

Contact Attorney Lowell Steiger at (323) 852-1100

or via e-mail at lowell@steigerlaw.com

"Treated With the Respect That You Deserve"

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Videos of Surgical Procedures: Not for the Faint Hearted

Operating_room  Medline Plus provides links to literally hundreds of surgical procedures ranging from heart surgery to brain surgery to orthopaedic surgeries to name a few.  Here are links to just a few:

Minimally Invasive Repair of the Thoracic Aortic Aneurysm

Robot Assisted Heart Bypass Surgery

Heart Transplant

Hip Replacement

Total Knee Replacement

Penile Implant

Birth by Cesarean Section

and more, much, much more.

This fascinating site is not for the faint-at-heart.

The Law Office of Lowell Steiger Represents Injured Victims

If you have suffered a Personal Injury, Call for a Free Consultation

Contact Attorney Lowell Steiger at (323) 852-1100

or via e-mail at lowell@steigerlaw.com

"Treated With the Respect That You Deserve"

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American Academy of Physical Medicine & Rehabilitation and Other Pain Management Sites

Physiatrist The American Academy of Physical Medicine and Rehabilitation is the national medical society representing more than 7,000 physicians who are specialists in the field of physical medicine and rehabilitation. They are called physiatrists (fizz ee at’ trists).

Physiatrists focus on restoring function. They care for patients with acute and chronic pain, and musculoskeletal problems like back and neck pain, tendonitis, pinched nerves and fibromyalgia. They also treat people who have experienced catastrophic events resulting in paraplegia, quadriplegia, or traumatic brain injury; and individuals who have had strokes, orthopedic injuries, or neurologic disorders such as multiple sclerosis, polio, or ALS.

Other links to information in Physiatrists

Association of Academic Physiatrists

Wikipedia on Physiatrists and Physical Medicine

Spine Universe has a wonderful article which describes the medical training and types of injuries treated by a physiatrist

Ohio State University College of Medicine

The Law Office of Lowell Steiger Represents Injured Victims

If you have suffered a Personal Injury, Call for a Free Consultation

Contact Attorney Lowell Steiger at (323) 852-1100

or via e-mail at lowell@steigerlaw.com

"Treated With the Respect That You Deserve"

www.steigerlaw.com 

Dr. Barry Carlin on Living Pain Free After an Auto Accident

Barry_carlin_2 YOU ACTUALLY CAN LEAD A LIFE

FREE OF PAIN AND DISCOMFORT AFTER A  CAR ACCIDENT

HERE IS HOW YOU CAN DO IT!

               

                                                   

Dr. Barry Carlin practices in

West Los Angeles

If you have any questions he can be reached at  310-478-1234 or barry@bestperformancesystems.com

When you are in an auto accident, there are a number of unique aspects of the injury that make it impact more on your life than the average sports, work or lifting injury; and frequently cause the injuries to become a chronic problem that effects your quality of life for years, sometimes forever.

Why is it that so many of you live with discomfort and sometimes limitations in sports, social and work activities after a car accident? Should not modern medicine be able to fix these aches and pains?

Due to the tremendous forces applied to your body, generated by two vehicles colliding, you do not have an injury. You have thousands of small injuries that not only cause pain, but cause instability in the soft tissue stabilizing structures in your body.

That is why you hurt so much, your symptoms flare so easily while performing normal activities, it takes so long to get better, and you often then have chronic or recurring problems for years or forever.

You are told you have to live with the pain. Worse yet, some of you have been told you probably will develop arthritis, and have worse problems in the future.

Click here to read the rest of Dr. Carlin’s informative article in Adobe Acrobat Format.  If you do not have the free Adobe Acrobat Reader, click on the link to the left to download the Reader for free.

The Law Office of Lowell Steiger Represents Injured Victims

Free Consultation

Contact Attorney Lowell Steiger at (323) 852-1100 or via e-mail at lowell@steigerlaw.com

"Treated With the Respect That You Deserve"

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Link of the Day: Drug Interactions

Food_and_drug_interactionsDrug DIgest provides an invaluable service the general public.  It allows you to check potential interactions* between two or more drugs with the following caveat:

*Note: Not all drug interactions are known or reported in the literature, and new drug interactions are continually being reported. This information is provided only for your education and for you to discuss with your personal health care provider.

Always check with your physician and/or pharmacist regarding drug interactions.  Drug Digest, of course, only provides a guide but is not necessarily conclusive.  Your physician is best equipped to advise you as to drug interactions. 

The FDA provides some valuable insight into food and drug interactions as well.

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Lowell Steiger, Attorney at Law (323) 852-1100

High Blood Pressure: Guide to Lowering It!

Bloodpressure725010 High blood pressure is one of the leading killers of unsuspecting sufferers of the condition.  The U.S. Government’s National Heart Lung and Blood Institute has some great resources to guide you and your loved ones in lowering blood pressure.  They address issues such as:

  • How Do I Know if I Have High Blood Pressure?
  • ow Is Blood Pressure Tested?
  • Tips for Having Your Blood Pressure Taken
  • Categories for Blood Pressure Levels in Adults
  • What Device Can I Use to Take My Own Blood Pressure?
  • Treatment of High Blood Pressure
  • and more

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