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Archive for the ‘Meningitis outbreak medical emergency’ Category
Wednesday, October 17th, 2012
The meningitis toll now has risen to 9 in the State of Ohio according to the Ohio Department of Health. This up from 7 a mere 24 hours ago . Warren County, Ohio has reported their first person with fungal meningitis. Hamilton county had previously reported one person with the disease as a result of the tainted steroid shots compounded by the New England Compounding Center .
Ohio Menigitis Outbreak by the Numbers and Counties
Here is the current toll in Ohio as of 10/17/2102 5:30 PM EST
Crawford County a 40 year old female
Warren county a 52 year old Male
Hamilton County a 65 year old male
Morrow County 45 year old male, and females age 47, 50, 55, 52, 62
All of these meningitis cases are fungal and linked to the tainted batches from the NECC.
In Ohio there were four facilities that purchased the batch of steroid for primarily epidural inection .
The Four Ohio Facilities That Gave The Steroid Injections With Fungus
Here are the facilities in Ohio that have reported having the contaminated steroid:
Marion Pain Clinic
BKC Pain Specialists in Marion
Cincinnati Pain Management Center
Ortho-Spine Rehab Center in Dublin
More Problems with Products From NECC
Unfortunately there have been new reports of fungal meningitis infections from other products made by NECC. A cardioplegic solution has been implicated as well as another type of steroid used for back injections.
Local offices that received one or more of those medications are:
The Christ Hospital Spine Surgery Center
Cincinnati Eye Institute
Cincinnati Pain Management, Cornell Road
Greater Cincinnati Pain Management, Hunt Road
Medical Weight Management Center
Middletown Surgery Center, Franklin
Physicians Healthsource Inc.
Professional Radiology, Blue Ash
Western Hills Interventional Pain
SW Ohio ASC, Middletown
Anthony Castelli Attorney in Cincinnati, Ohio is following the meningitis outbreak closely. As a personal injury lawyer he has had many back injury clients that have received epidural steroid injections. He has discussed this with the Hamilton County Health Department as well as with a Doctor at University Hospital infectious disease clinic. Anthony is accepting clients injured by the tainted steroid from NECC. For your free case consultation with Anthony please call 513-621-2345 or 1-800-447-6549
Tuesday, October 16th, 2012
As a Cincinnati personal injury lawyer reviewing meningitis outbreak cases for legal redress there are certain questions I have for people that have received the tainted drug. There are also questions I have for the medical community. And then there are critical things to know about this outbreak.
5 Critical Facts About Fungal Meningitis
1. This disease can cause stroke and death.
2. The quicker it is diagnosed and treated the better your chances of recovery.
3. The Cincinnati Pain Management Center has been identified as 1 of four facilities in Ohio having received the tainted drug from NECC.
4.The Cincinnati Pain Management Center has injected over 200 patients with the drug.
5. You should get to a doctor for evaluation if you have been told you received a tainted dose or if you think you got a tainted dose.
Who is the Best Facility to Treat Meningitis
I called the Hamilton County Health Department and asked Dr Camille Jones who is the best facility in this area to treat meningitis. She would not refer me to anyone specific other than to say an infectious disease doctor.
In my research I noted the the University Hospital has an infectious disease center. I called the Center and asked to speak to Dr. Pampush Kaul director of the infectious disease center to see if she could shed some light on what someone should do that has been diagnosed with infectious fungal meningitis or has been given a shot containing the tainted steroid from the NECC. Hopefully she will return my call.
If you have been infected or given the shot I know this must be terrifying. And that you are probably looking for the best medical help possible. The CDC guidance is somewhat general. You would think in affected areas they would have some coordination of where you would go and who you would see medically that can help you and also help add to the fund of knowledge that just does not seem to be out there.
Anthony Castelli Attorney in Cincinnati is reviewing is reviewing cases for damage claims and lawsuit of fungal meningitis victims. At present his criteria is:
Steroid shot on or after May 21, 2012 through October 5th, 2012 from a named purchaser of the tainted steroid.
The individual was told by a government agency or medical personal that gave them the shot that they received a tainted dose.
You can call Anthony Castelli at 513-621-2345 or 1-800-447-6549 for a free case consultation.
Resource: CDC patient guidance
Sunday, October 14th, 2012
The Cincinnati Pain Management Consultants in Ohio on Cornell Road have been implicated by the Center for Disease control as having injected the tainted steroid batches compounded by the NECC . The first article on the subject incorrectly had stated this terribly misleading incorrect headline:
Local clinic got meningitis-linked steroids
But unlikely local patients received doses.
See for yourself at this link http://news.cincinnati.com/article/20121005/NEWS/310050126/Local-clinic-got-meningitis-linked-steroids That’s from the article atributed to Janet Morse of Cincinnati.com . There has been no retraction by Janet Morse or cincinnati.com that I saw. Maybe I missed it
In fact, Reports From CDC and Hamilton County Health Department confirm Cincinnati Pain Management injected tainted Steroid. This is what Bill Price reported of wcpo.com:
“Hamilton County Public Health officials confirmed the Tri-State victim received an injection at Cincinnati Pain Management in Sycamore Township. He is currently receiving treatment at a local hospital, but no information on his condition has been released.
Over 200 patients at the Cincinnati Pain Management clinic have been contacted by Hamilton County Public Health. So far, the Springfield Township man in the only person in Hamilton County to have developed a confirmed case of fungal meningitis.”
In addition, CDC and state health departments have released the names of approximately 75 healthcare facilities in 23 states that have received contaminated product.” One was the Cincinnati Pain Management Center.
Who is Cincinnati Pain Management Center
They do have a web presence http://cincypain.com/ If you search this site there you see this in one link:
They also have another link on their site where these four doctors along with others apparently have a separate anethesia practice. These four doctors listed above are anesthesiologists and the only doctors listed on the Cincinnati Pain management center web site. My initial questions for them is;
Was Dr Chandoke misquoted, misinformed or did he make the statement as reported.
Why did they use NECC as a source of the steroid?
What checks did they go through to see that the steroid was safely prepared?
How much did an injection cost?
Did they prepare a prescription and purchase the steroid per patient or in bulk?
Were their any intermediaries involved?
Have you been able to reach all of the patients injected?
Should I get a Lawyer’s Help and How Can I Afford It
Most if not all lawyers that are investigating these case will take them on a contingency fee. and they will advance expenses of litigation. The first lawsuit against NECC has already been filed. Don’t you think NECC , and the whole chain of distibution have lawyered up. If you received an injection of steroids made by NECC since May 21 by Cincinnati Pain Management you may be at serious.risk.
Anthony Castelli Attorney in Cincinnati would be honored to speak with those of you concerned if you have contracted meningitis or want to know if you have a case and should be compensated. Call 513-621-2345 or 1-800-447-6549 to get your questions answered at a free consultation directly with Anthony.
Menningitis Outbreak – What We Have Is a National Public Health Emergency Without a Federal Declaration
Sunday, October 14th, 2012
The National Disaster Medical System Federal Partners Memorandum of Agreement defines a public health emergency as “an emergency need for health care [medical] services to respond to a disaster, significant outbreak of an infectious disease, bio terrorist attack or other significant or catastrophic event. For purposes of NDMS activation, a public health emergency may include but is not limited to, public health emergencies declared by the Secretary of HHS [Health and Human Services] under 42 U.S.C. 247d, or a declaration of a major disaster or emergency under the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), 42 U.S.C. 5121-5206).”
The Act has provisions for infectious diseases that have the potential to threaten national security by incapacitating public employees, the military, etc. It does not have a provision for multi-state iatrogenic (man made) non infectious events such as the fungal meningitis outbreak. While “covered events” such as an outbreak of swine flu trip the coordination of specific public responses, “noncovered events” such as this outbreak of fungal meningitis rely on individual states to determine their own response systems. The risks associated with the event are transferred to the individual, affording them little or no protection beyond existing regulation.
Where tracking has occurred, an effort has been made to track from the clinic level to the consumer wherever they may be located. Consumers who reside in other states have been directed to their resident state departments of public health for information. If the state has not been notified that clinics in their jurisdiction received contaminated materials, they have not stood up a statewide response. Consumers in the opportunity threat zone cannot find their way to adequate information within their functional treatment zone. That’s a problem. It appears that at this time, the best way to find information is through the department of public health for the state in which you received treatment.
Because a multistate coordinated response has not been put into place, we are observing a host of predictable problems that increase the difficulty for individual affected consumers:
Barriers to recall at the physician practice level – Consumers are reporting that medical practitioners did not track the information necessary for an effective recall. Medical records do not reflect the necessary information about dosage, product, and lot code. Dosage vials may have been used across multiple consumers and traceability is non existent. Phyisician procurement systems lack identifying information, product specifications are missing, ingredient declarations are absent, lot tracking numbers are not codified into inventory management. Consumer records may be incorrect or incomplete. In some cases, consumers received contaminated injections after the national recall was issued on September 25, leading providers to conclude incorrectly that injections issued after that date are not covered by event procedures.
Barriers to care – Because rimary care is separated from pain management and emergency response, another layer of complexity is added to the process. Local hospitals are responding inconsistently to individuals who present with symptoms. In some cases, physicians are refusing to treat due to fear of personal litigation. It may be difficult for individuals to resolve the payor responsibility issues, particularly where the originating treatment arises from a workman’s compensation injury but the person is affected by a secondary injury due to exposure to contaminated materials. Treating to the limits of personal insurance plans promotes wide variation in treatment response. Where diagnostic procedures require prior authorization or the fungal medications are not approved for payment, those costs will be passed on to the consumer. This creates immediate access to care issues
In some states, physician practices routinely charge patients for copies of their records and may refuse to release health records without a hefty fee. While many of use maintain emergency contacts, this is not the same as a designated care partner who can act on our behalf when we are incapacitated. Someone who is acknowledged with the right to become actively involved in treatment decisions must be sorted out in the middle of the crisis.
Evaluate this in terms of who is affected by the outbreak
Most of the affected are already affected by disabling levels of chronic pain which already limits personal resources for response. While some of their pain events may have originated in a work place accident, for many, a long standing battle with chronic pain is reflected in their histories. Already disadvantaged, this man made emergency will result in adding insult to injury on many levels. It is important to understand this event in terms of the system in which it has occurred and the layers of failure that resulted in personal injury on a wide scale.
This article was written by an citizen health care advocate Terri Lewis. She is not an attorney. With so many lawyers out there seeking fungal meningitis cases sometimes critical issue fly under the radar and points of view that demand systematic changes are missed.
Terri is a Doctoral Candidate in Rehabilitation Counseling and Administration at SIU-C, a trained Red Cross responder, a researcher, and a subject matter expert in issues that result in health care failure for persons with chronic pain that originates with spinal chord injury. She has extensive experience in community health care integration, public policy and ethics. Terri collaborates with worldwide consumer communities of care and research communities of practice.
Anthony Castelli Attorney is focusing on helping victims of this fungal meningitis outbreak and long term preventatitve measures. Anthonyis investigating his belief that there may be many negligent parties as this crisis is deeper and wider than just NECC.
Saturday, October 13th, 2012
Four facilities in Ohio have been identifed by the CDC as having purchased and used the tainted steroid from the NECC. However news reports are seemingly contradictory whether the Cincinnati Pain Managment Center on Cornell road in Cincinnati, Ohio used the steroid.
A press release issued by the Ohio department of Health stated in pertinent part:
After the federal Centers for Disease Control and Prevention (CDC) notified ODH that tainted medication from the Mass.
drug maker went to four Ohio healthcare facilities, state health officials have worked closely with
the clinics, local health officials and the CDC to contact patients who may have received tainted medicine.
The four clinics are Marion Pain Clinic and BKC Pain Specialists in Marion, Cincinnati Pain Management and Ortho-Spine Rehab Center in Dublin.
Cincinnati.com reported with respect to Ohio cases the following:
“Mike Samet, spokesman for Hamilton County Public Health, said his agency helped health departments in surrounding counties locate people who could possibly have been exposed to tainted medicine at Cincinnati Pain Management Consultants of Sycamore Township. That’s the region’s only facility identified as a recipient of shipments from New England Compounding Center, a Massachusetts company that recalled its products. A rare type of meningitis was found in people who received epidural injections of the company’s steroid medication. Federal health officials suspect the medication was tainted with fungus, but they say the original source of contamination had not been found.
As of Monday, 105 people in nine states were diagnosed with the non-contagious brain infection; eight have died. Nationwide, about 13,000 patients may have been exposed to batches of preservative-free methylprednisolone acetate that are suspected of being linked to the outbreak, the U.S. Centers for Disease Control said. That medication was distributed to about 75 facilities in 23 states. The list includes Ohio and Indiana but excludes Kentucky.
Locally, health officials identified 200 Cincinnati Pain Management patients who may have been at risk; as of Monday, officials had questioned 193 of them about possible symptoms of meningitis. They made telephone calls and even went door-to-door, Samet said, sometimes enlisting help from police and ambulance crews to find people who needed to be alerted.
Officials referred 56 patients to emergency rooms, mostly Bethesda North, for precautionary examinations. Only one person was strongly suspected of having meningitis, but that person’s tests came back negative, Samet said, adding, “There’s one case confirmed in the entire state of Ohio, and it’s not here.” Officials wouldn’t disclose the county of residence for that 65-year-old man, saying they wanted to protect his identity.
On Friday (Oct 5), a doctor at the Sycamore Township clinic said it was doubtful any patients were injected with doses from New England Compounding Center because the clinic had stopped using that center’s products even before the meningitis concerns arose.”
However further reports are contrary to the statement attributed to Cincinnati Pain Management
Further reporting on October 9th by WCPO.com indicated that:
“An office manager with Cincinnati Pain Management said they are no longer using the potentially contaminated batch of medication. They are also continually following up with patients who were given the injection to make sure they are doing well. That batch of medication came from the New England Compounding Center, Inc.”
On October 11th Wcpo news person Bill Price reported that:
The Ohio Department of Health has linked two more cases of meningitis to tainted steroid injections distributed by the New England Compounding Center, including one case in Hamilton County.
The total number of cases in Ohio is now three, which includes an unnamed 65-year-old man from Springfield Township in Hamilton County. A 39-year-old woman from Morrow County and a 40-year-old woman from Crawford County have also contracted the disease.
Each of the patients is reported to have contracted fungal meningitis after receiving steroid shots for back and joint pain.
Hamilton County Public Health officials confirmed the Tri-State victim received an injection at Cincinnati Pain Management in Sycamore Township. He is currently receiving treatment at a local hospital, but no information on his condition has been released.
The Associated Press reported on October 12th that:
“One case was recently reported in the Tri-State. A Springfield Township man is currently being treated for fungal meningitis after receiving a tainted injection from Cincinnati Pain Management. Officials have not released any other details on his condition at this time.”
Although the Cincinnati Pain Management initially reportedly denied using the drug, it is now clear from the sources quoted that Cincinnati Pain Management had in fact used the drug which has allegedly infected a 65 year old man in Hamilton county. This initial denail is concerning in light of the further facts reported.
Due to the long incubation period just because one injected with the tainted steroid has not felt symptoms does not mean that you will not be getting this symptoms. Even if you have not contracted meningitis but received the tainted steroid and had a lumbar punture that confirmed you were disease free you may still have a case against the New England Compounding Center or other entities that may be responsible.
By Anthony Castelli Attorney personal injury attorney. Anthony is closely following the developments in the fungal meningitis health care crisis. He has spoken with attorneys in Tennessee and Minnesota and Indiana regarding the investigation ongoing. You can call 513-621-2345 or 1-800-447-6549 to see if you meet the criteria for the meningitis cases Anthony is willing to review and accept. The consultation is free and you can sit down directly with Anthony to discuss your options.
His office located at 8170 Corporate Park Drive is less than a mile from the Cincinnati pain management facility.
For more information on the fungal mennigitis outbreak go to Anthony Castelli’s web site devoted solely to the crisis.
Thursday, October 11th, 2012
As an Ohio personal injury attorney and with an office close to one of the facilities alleged to have purchased some of the
tainted steroid from the New England Compounding Center I wanted to provide you with this update on the outbreak of meningitis.
The toll now is 12 dead and 137 infected the Centers for Disease Control and Prevention said. this is a slight increase from the last update of 119 confirmed cases in 10 states.
If you believe you have been infected get to your doctor immediately.
The states where the fungal meningitis has been identified in the outbreak are:
States With Outbreak of Fungal Meningitis
Ohio Florida Indiana Maryland Michigan
Tennessee Virginia New Jersey
Minnesota North Carolina
Tennessee so far appears to have been the hardest hit State. Officials are reporting that at least 36 people in Ohio have received the injections. The injections were for back pain and are called epidural steroid injections. It is anticipated that more cases will be reported as the time from injection to symptoms can range up to and even exceed 30 days.
Dr. William Schaffner, who has been tracking the outbreak at the Vanderbilt University Hospital in Nashville, Tenn., said the sooner they find the infected, the better the odds of recovery.
“Whether each and every vial was contaminated is not known. But we have an increasing number of patients who are being infected,” he said.
Symptoms include: fever, headache, stiff neck and confusion.
Seventy-six facilities in 23 states received the contaminated product, which was shipped from the New England Compounding Center. Injections may have started as early as May 21. (as reported by CBS news)
The New England Compounding Center in Framingham, Mass., made a steroid used in contaminated injections tied to the outbreak. Ohio has suspended the Ohio distribution license of a Massachusetts pharmacy linked to a meningitis outbreak.
The Ohio State Board of Pharmacy’s director says the board on Tuesday suspended the pharmacy’s license to distribute in Ohio after seeing evidence that its professional practice presented a danger of immediate and serious harm to others.
State health officials on Wednesday revised the number of Ohio patients who received potentially contaminated injections from 430 to 424. The Ohio health department says 410 have been contacted. here is a link to the latest press release put out by the Ohio department of Health
Anthony Castelli is monitoring this outbreak . His office is only a few minutes from one of the facilities that purchased the steroid. He is offering free consultation to people injected with the tainted drug through epidural steroid injections.
Call Anthony today at 1-800-447-6549 0r 513-621-2345
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