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“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 [...]
“(Full-length mid-urethral slings) are associated with significant complications, including bladder perforation and vessel injuries with RMUS (retropubic slings), and postoperative groin and thigh pain with TMUS (transobturator slings). To minimize these complications, a new generation of slings emerged: single incision slings (SIS),” states Dr. Le Mai Tu, Neurourol Urodyn. 2023; 42: 1722-1732. Dr. Greg Vigna, [...]
“As a practicing rehabilitation physician in skilled nursing facilities and rehabilitation hospitals, I would provide orientation to new physical therapists and nurses to prevent pressure injuries to the heel. I would order arterial studies for patients admitted with heel sores, and proceed from there," states Greg Vigna, MD, JD, national malpractice attorney and wound care expert. [...]
“A significant proportion (approximately 25%) of infants with mild neonatal encephalopathy have mild to moderate disability at 2 years. By 5 years, 35% are having difficulties in one or more areas. No trials of cooling in mild HIE have been undertaken and so clinicians have no evidence base to guide treatment in this group," states [...]
“Our client has allegedly been seriously injured from the Altis mini-sling. The data from the Coloplast Altis 522 study reveals acute pain in the limb following the procedure that, in this study, was unique to the Altis group and not in the full-length mid-urethral sling group," states Greg Vigna, MD, JD, national mid-urethral sling and malpractice attorney. [...]
On August 15, 2024, the Vigna Law Group launched the Therapeutic Cooling/Birth Injury Help Desk. This website includes the web version of The Mother’s Guide to Birth Injury, available for families. “The Mother’s Guide to Birth Injury, was written by physicians, birth injury attorneys, and a Life Care Planner who is an expert in cerebral palsy, spina [...]