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“Hypertonia-related contractures in the severe dementia population are significant risk factors for heel and trochanteric decubitus ulcers that lead to predictable morbidity and mortality. There are several possible mechanisms for the contracture. The most likely primary cause is chronic central nervous system pathology, and this diagnosis is part of the upper motor neuron syndrome,” states Greg [...]
“This is an important study because it shows Diffusion MRI and MR spectroscopy of newborns after therapeutic cooling has predictive value as to outcomes when it relates to adverse outcomes, including moderately/severely delayed development and significant psychomotor development and/or mental developmental index," states Greg Vigna, MD, JD, national birth injury and malpractice attorney. What did [...]
“The effect of comorbidities on the location showed, among those with comorbidities beyond spinal cord injury, sacral ulcers were the most common primary ulcers, whereas ischial ulcers accounted for nearly 90% of all the recurrent ulcers. In patients without significant additional incapacitations, there were no differences in ulcer location in either primary or recurrent ulcers," [...]
“Despite Boston Scientific admitting to ‘serious injury’ caused by their Marlex mesh, doctors continue to fail to timely diagnose and treat the known complications caused by these devices," states Greg Vigna, MD, JD. Dr. Greg Vigna, national pharmaceutical injury attorney, practicing physician, and expert in Life Care Planning, comments, “Despite PVDF, a safer alternative material, being [...]
“In our cohort, the presence of seizures, per se, was not associated with abnormal outcome; however a high seizure burden as well as a persistent abnormal aEEG background pattern and MR lesions resulted as being significantly associated with poor prognosis," states Dr. Claudia Basti, Neonatologist, Italy. Dr. Greg Vigna, MD, JD, national birth injury attorney, [...]
“Single-incision slings are associated with more pain at 4 weeks, more dyspareunia, and require more frequent further surgeries than full-length mid-urethral slings. No class of women would derive benefit from this device when compared with traditional full-length slings," states Greg Vigna, MD, JD. What was the author’s conclusion of the SIMS trial published in the [...]
“Now that it is known that Depo-Provera is associated with meningiomas and causes a 5.6x risk of this brain tumor, it is important to understand the baseline risks and epidemiology of meningiomas," states Greg Vigna, MD, JD, national pharmaceutical injury attorney, PM&R MD. Dr. Greg Vigna, national pharmaceutical injury attorney, and retired Physical Medicine Rehabilitation [...]
“Sick patients require constant care. The risks of fatigue and burnout mandate that one person cannot and should not do it all. To enable the best outcomes and the most sophisticated management, a reliable system of care is needed," asserts Dr. Bruce Gewertz, MD. Department of Surgery Cedars-Sinai Medical Center, Los Angeles. Dr. Greg Vigna, [...]
“I was the medical director of a Long-Term Acute Care Hospital (LTAC), a licensure that provides a path to payment for the management of flaps and other reconstructive surgeries for patients with serious bedsores. Gaylord Specialty Hospital should be in the business of fixing serious bedsores, and not part of the national epidemic of hospital-acquired [...]
“Unstageable pressure wound, decubitus ulcer, also referred to as a bedsore is a ‘Never Event’ according to the Centers for Medicare & Medicaid Services (CMS). This means that the care rendered at bedside at this hospital is broken. If care at bedside is broken, the hospital is likely broken, as care at bedside is the [...]