Tuesday, January 15, 2019

“THE INTERSECTION OF MEDICINE AND LAW”Presentation made by LANA C. KEETON on 09/05/2018 to the FDA’S CDRH of 87,000 UNREPORTED SYNTHETIC SURGICAL PELVIC MESH ADVERSE EVENT REPORTS from the U.S. DISTRICT COURT OF WEST VIRGINIA


LANA C. KEETON
© 2005 - 2018 Lana C. Keeton All rights reserved. 09/05/2018
This material may not be published, broadcast, rewritten or redistributed.
Truth in Medicine  -  Med Device Expert LLC
Device Expert . Legal Consultant . Patient Advocate

“THE INTERSECTION OF MEDICINE AND LAW”

Presentation made by LANA C. KEETON on 09/05/2018 
to the FDA’S CDRH of  87,000 UNREPORTED 
SYNTHETIC SURGICAL PELVIC MESH ADVERSE EVENT REPORTS

Transvaginal Mesh Lawsuits listed against Manufacturers in Multidistrict Litigation in the U.S. District Court S.D. W.VA.:
MDL 02327 JOHNSON & JOHNSON/ETHICON 40,290 PLAINTIFFS
MDL 02326 BOSTON SCIENTIFIC 25,282 PLAINTIFFS
MDL 02325 AMERICAN MEDICAL SYSTEMS 21,251 PLAINTIFFS
MDL 02187 C.R. BARD/BARDDAVOL 15,694 PLAINTIFFS
MDL 02440 COOK MEDICAL BIOLOGIC 640 PLAINTIFFS


U.S. Federal District Courts is where ADVERSE EVENT REPORTS GO TO DIE. Hundreds of Plaintiff and Defense Attorneys do not inform the FDA of deaths and serious injuries of Hundreds of Thousands of Plaintiffs purposefully to benefit themselves financially and maintain the stock market price and profits of Big Pharma corporations. As such, Dangerous Drugs and Devices the FDA/CDRH has cleared or approved for human use remain on the market.

Today September 5, 2018, I, Lana C. Keeton, submit a 3rd party report of over 87,000 Unreported Adverse Events of severe injuries caused by pelvic synthetic surgical mesh kits which have required surgical removal of the Synthetic Surgical Mesh manufactured by these 5 companies, for both Stress Urinary Incontinence and Pelvic Organ Prolapse.


All of these adverse events reported today are verifiable through a search of the individual cases listed on Pacer.gov. Judge Joseph R. Goodwin issued Pretrial Order 293 in Ethicon / Johnson & Johnson MDL02327, S.D.W.VA. 13,000 Transvaginal Mesh Injured Plaintiffs were dismissed without prejudice April 11, 2018 specifically because there was no Mesh Removal Surgery to remove their Permanently Implanted Pelvic Mesh Medical Device(s). Deducting the 13,000 Ethicon “Non-Revision” Plaintiffs dismissed without prejudice under Pretrial Order 293 and the 4,000 Caldera Mesh Plaintiffs forced into the Federal Insurance Class Action Settlement in California from over 104.382 Mesh Plaintiffs in the Southern District of West Virginia leaves the staggering number of adverse event reports not under consideration by the FDA’s CDRH.

Based on these staggering numbers, it is imperative the FDA recall and remove all PELVIC SYNTHETIC SURGICAL MESH and MESH KITS, whether for incontinence or pelvic organ prolapse from the Market Immediately. The reclassification of Prolapse Mesh Kits to the FDA’s higher risk Class III has not, and will not, prevent the ongoing genital mutilation of hundreds of thousands of women caused by these “mesh medical devices”. Their counterpart, the dangerous Mesh Kits for bladder suspension remain in the lower risk Class II despite thousands of women becoming permanently disabled pelvic cripples from these bladder slings.

Nearly twenty (20) years after the dangerous recalled predicate device Boston Scientific’s Protegen Bladder Sling was first cleared through the FDA’s 510(k) in 1997, the FDA in January 2016, up-classified Urogynecologic Synthetic Surgical Mesh for Pelvic Organ Prolapse repair use to high risk Class III Pre Market Approval (PMA) process. Meanwhile, despite a decade of ongoing loud signals directly to the FDA of literally hundreds of thousands of women worldwide suffering death or permanent disabling injuries, dozens of the dangerous synthetic surgical pelvic mesh kits, remain on the market.

Below is the current e-mail marketing from Mass Torts Made Perfect where 500 to 1,000 Plaintiff’s Attorneys meet each April and October in Las Vegas to divvy up the
latest crop of plaintiffs harmed by a drug or device approved or cleared by the United States Food & Drug Administration or the Center for Devices & Radiological Health.
Meanwhile, the U.S. FDA/CDRH has not used its’ policing authority to protect the public health by removing these dangerous devices from the market.

“MTMP INFORMS YOU IN TIME TO GET INVOLVED” 08/21/2018
Over the past 5 years MTMP highlighted the below projects and the law firms handling them. We encouraged our attendees to get involved.  We were right. Look what happened!  COME TO VEGAS OCTOBER 3 – 5, 2018 TO HEAR ABOUT THE NEXT BIG MASS TORTS AND CLASS ACTIONS.
TRANSVAGINAL MESH  MORE THAN $3 BILLION IN  SETTLEMENTS
TALCUM POWDER MORE THAN $5 BILLION IN SETTLEMENTS
ACTOS MORE THAN $2 BILLION IN SETTLEMENTS
HIP IMPLANTS MORE THAN $8 BILLION IN SETTLEMENTS
VIOXX MORE THAN $4.5 BILLION IN SETTLEMENTS
SO THAT’S $22.5 BILLION DOLLARS PAID OUT BY MAJOR CORPORATIONS WHO PAID TO SETTLE WITH INJURED PATIENT PLAINTIFFS.
40% MINIMUM TO PLAINTIFF’S ATTORNEYS = $9 (NINE) BILLION TO ATTORNEYS.
HOW MANY HUMANS WHO DEPEND ON THE FDA/CDRH TO PROTECT THE PUBLIC HEALTH DOES $22.5 BILLION DOLLARS REPRESENT?
THE INTERSECTION OF MEDICINE AND LAW IS A DISASTER FOR DEVICE AND DRUG INJURED PATIENT/PLAINTIFFS

No demand for device companies to provide materials characterizations before they are allowed to design and run a single clinical trial for Pelvic Organ Prolapse repair has been mandated. Companies must demonstrate exactly what the reaction of the human body is to the polymers manufactured into polypropylene synthetic surgical mesh kits they sell. Companies have to test the actual medical device kit, not bench test a sample piece of mesh or implant it into a few pigs or rabbits or sheep, as is the norm for these mesh manufacturers.

Female and Male Mesh injured patients want to know why polymers manufactured into polypropylene synthetic surgical mesh cause so much injury and why the injury has not been prevented. There is a simple, complicated answer. Yes, simple/complicated. All manufacturing processes, whether for steel or polymers or any manufactured product, have tolerances and inherent manufacturing defects which create secondary quality products as a result of those inherent manufacturing defects.

Polymers have a life their own…both a shelf life and a service life. From the date of manufacture, polymers morph, degrade, decompose, react to their environment, internally and externally. Suppliers of resin to polymer manufacturers advise their customers to test the final product to validate it will perform as intended. Testing of components is unreliable and provides no guarantee their product will perform as intended in the human body.

Polymers are not stable, require additives, antioxidants, surfactants to be processed and even then the molecular structure of the polypropylene synthetic surgical mesh continues to morph internally, whether actually sitting on a shelf in a package or in the final intended use implanted in the human female pelvis. Time, temperature, moisture, heat and mechanical stress have a continuing effect on the product, even in an unused state. These same inherent manufacturing defects apply to all polypropylene synthetic surgical meshes implanted for any and all hernia meshes, whether implanted in a male or a female.

Based on their own intention, implanted mesh will not stay in place in the body without causing scarring and chronic inflammation. Johnson & Johnson, C.R. Bard, American Medical Systems, Boston Scientific, Cook Medical, Neomedic and Caldera intend for their deadly Synthetic Surgical Mesh products to cause inflammation and internal scarring. The implantation of mesh necessarily includes some relocation of internal tissue as a consequence of repairing the defect for which the mesh is implanted.

There is an exponential set of reactions/complications of injured human tissue because of the following factors and more:
1.     1.  Wide variety of polymers, ie. polypropylene, polyethylene terephthalate, etc.
2.      -2,  Weight of the mesh, low density, high density; Pore size of the mesh; any coatings on the mesh
3.     3.  Sterilization process
4.      -4. Total amount of mesh implanted
5.      5. Where the mesh is placed in the body (biomechanical properties of collagen, fascia, muscle,         nerves,etc. that make up the affected native tissue)
6.    6.   How mesh is cut, mechanical or laser
7.      7. Wrinkle recovery, creep factor
8.      8.  Host response with concomitant procedures; multiple responses of body to implantation: scarring together of tissue where removed at the same time of native tissue scarring into interstices of mesh
  
Chemical interaction in vivo exponentially changes the physical and chemical properties of polypropylene synthetic surgical mesh which is a degradation, decomposition process. The extracellular matrix created by these physical and chemical changes to the properties of the polypropylene synthetic surgical mesh is completely new and separate entity in the human body. The surgical procedure to implant synthetic surgical mesh causes a wound and a physical injury to the human, but the changes in the physical and chemical properties of the polypropylene synthetic surgical mesh is not the direct result of the surgical implantation “procedure” that the surgeon may follow but rather the physical, chemical interaction of the human body and the foreign body polymer and the continuing internal morphing of the foreign body polymer whether implanted in a human or in a package sitting on a shelf.

“Protecting the Product, Not the Patient“
In our innate wisdom as humans we create man-made products, give them names, define their properties, give them shelf lives, describe how they will perform during service life and expect the human body and the man-made product to perform based on the words we use.
 Reality is the human body and the man-made product make those decisions, regardless of how we humans describe them.”
Quote by Lana C. Keeton

CONCLUSION

Doctors purposely diminish the severity of the complications to diminish the enormity of the problem. Doctors remove mesh in the office because it is so difficult to fully remove it in a surgical procedure in the hospital anyway. They hope to avoid legal liability. They are scared because even the most skilled surgeons are at risk for their careers, their reputations and their incomes when they surgically remove mesh in a hospital setting. Or they are under contract and have been paid massive amounts of money by the mesh manufacturer to protect the mesh, not the patient.

Doctors have a simplistic view of a very complicated process. The current belief in the medical community is surgical skills (or lack thereof) and the pore size, weave, strength and surgical placement in the body cause the major complications they see in their practices. Their medical view does not take into perspective the physical and chemical properties and the service/shelf life of the polymer itself. They do not study polymers in medical school. Doctors currently use the mesh classifications of a medical doctor, Parvis Amid, heavyweight, lightweight, etc. This simplistic view has to change. There is NO simplistic view. There is NO simplistic answer.

The simplistic view leads to doctors who routinely abandon their mesh injured patients because they likely do not know the truth about the  mesh products they are implanting. Denial is the first line of defense to avoid legal liability. Major respected clinics and university teaching hospitals across the U.S. have joined forces protecting the mesh product, not the patient. Patient wellness and safety are last on the list. Betrayal is the norm. Ethics have been left by the wayside. God help the innocent patients who believe the health system protects their health instead of the fatally flawed “mesh medical devices”.

Hundreds of thousands of drug and device injured patients are not, and have not been, protected by BIG PHARMA CORPORATIONS, DOCTORS, HOSPITALS, THE FDA/CDRH, PLAINTIFF NOR DEFENSE ATTORNEYS. I ask the FDA/CDRH in its’ position as the pre-eminent health organization in the world to protect the public health in the face of the rampant corruption by the medical and legal cartels which routinely kill and maim hundreds of thousands of United States citizens who become patient plaintiffs.

LANA C. KEETON
© 2005 - 2018 Lana C. Keeton All rights reserved. 09/05/2018
This material may not be published, broadcast, rewritten or redistributed.
Truth in Medicine  -  Med Device Expert LLC
Device Expert . Legal Consultant . Patient Advocate
901 Pennsylvania Avenue, Suite 3-423, Miami Beach, FL 33139


305-671-9331 phone . 800-509-9917 fax 786-566-7780 . 305-342-8002 cell phones


“THE INTERSECTION OF MEDICINE AND LAW”

Presentation made by LANA C. KEETON on 09/05/2018 
to the FDA’S CDRH of 
87,000 UNREPORTED SYNTHETIC SURGICAL PELVIC MESH
ADVERSE EVENT REPORTS



Thursday, January 10, 2019

SYNTHETIC SURGICAL MESH FATALLY FLAWED: MUST BE RECALLED by LANA C. KEETON (c) all rights reserved 03/02/2012


SYNTHETIC SURGICAL MESH FATALLY FLAWED:
MUST BE RECALLED

By LANA C. KEETON
© all rights reserved Lana C. Keeton 03/02/2012
This material may not be published, broadcast, rewritten or redistributed.

Med Device Expert LLC
Device Expert . Legal Consultant . Patient Advocate
901 Pennsylvania Avenue, Suite 3-423, Miami Beach, FL 33139

305-671-9331 phone . 800-509-9917 fax 786-566-7780 . 305-342-8002 cell phones


IT’S THE DEVICE, NOT THE DOCTOR!

            There is a raging debate between and among the FDA, surgeons, the medical device industry, patients and patient advocates. Why the debate? On July 13, 2011 the FDA issued a Safety Communication Update: “The FDA is issuing this update to inform you that serious complications associated with surgical mesh for transvaginal repair of POP are not rare. This is a change from what the FDA previously reported on Oct. 20, 2008. Furthermore, it is not clear that transvaginal POP repair with mesh is more effective than traditional non-mesh repair in all patients with POP and it may expose patients to greater risk.”
           
            Proclaiming the FDA has no “denominator”, a group of pelvic organ prolapse surgeons issued “Time to Rethink: an Evidence-Based Response” stating their “concerns regarding the message the FDA Safety Communication is sending to our patients, the healthcare community and ‘unfortunately’ to the legal community as well.” These surgeons are clinging to their mesh as though there are no alternatives.

            Public Citizen then called for a ban on the marketing of all currently available non-absorbable surgical mesh products specifically designed and labeled for trans-vaginal repair of pelvic organ prolapse (POP), a recall of all surgical mesh products currently available for POP and all proposed future POP products be classified as a class III device only approved through the premarket approval process.

            Profit driven entities selling and implanting synthetic surgical mesh, protecting their financial interests, created a straw man argument: “Surgical procedures are more difficult to compare than pharmaceuticals because they are dependent on the judgment and skills of the operator.”

            “Time to Rethink” is a moot argument, and under its current regulatory authority, should be completely disregarded by the FDA. The FDA does not regulate the practice of medicine, nor have authority over, doctors or surgeons.  The FDA regulates medical devices, not surgical procedure.

            Even if the FDA had the authority to regulate the practice of medicine, the POP surgeons have no basis to take the position the FDA’s MAUDE database adverse events reported for POP repair were caused by bad surgeons for the following reasons: 

1.      Surgical report not available through adverse event reports on MAUDE database.
2.      Injured patient not available for examination by the POP surgeons.
3.      If the premise were correct and the adverse events are caused by bad surgeons and the average doctor is unable to use mesh/mesh kits per instructions for use provided in the package insert, the mesh and/or mesh kit is defective. It is a flaw in the usability of the design and consequently, a flaw in the medical device itself.

            Other professional medical societies recommend educating the patient of the harm, but take no actions to stop the harm. The American Congress of Obstetricians and Gynecologists (ACOG) responded to the FDA’s 2011 warning with its Practice Bulletin #85, “Pelvic Organ Prolapse” (reaffirmed in 2009): “…patients should consent to surgery with an understanding of the postoperative risks and complications and lack of long-term outcomes data.” ACOG’s response to new data in the FDA’s 2011 warning is its’ outdated 2009 Practice Bulletin?

            ACOG further states: “Fellows should follow the emerging literature closely to remain knowledgeable about which techniques and products should be avoided and which are ultimately proved to be of benefit to patients.” Exactly when and how are Fellows supposed to know techniques and products have been proved to be of benefit to patients? What guidelines does ACOG offer? This in no way informs the debate. These products and procedures are ever evolving because they cause significant harm and do not provide better outcomes.    

            Following the October 2008 FDA warning, the American Urogynecologic Society (AUGS) presented a January 2009 webinar pointing out to their members how to avoid legal liability from surgical mesh implantation by informing women of the complications of mesh. Perhaps if they had put down their scalpels then, there would not have been another 2,874 seriously injured women reporting adverse event reports on the MAUDE database and the July 2011 Patient Safety Communication would not have been issued by the FDA.

            Still today, patient consumers are not adequately informed of potential prolonged, delayed and irreversible disorders from the implantation of synthetic surgical mesh. Daily thousands of women continue to be put at risk for serious harm, and even death, from synthetic surgical mesh implantation while POP surgeons protect their “important tool in our surgical armamentarium” while professing  “This large segment of highly dedicated

surgeons,…could suffer unjustified and arbitrary medical-legal exposure.” POP surgeons have the power not to pick up the scalpel to implant surgical mesh in women, protecting themselves from medical-legal exposure and women from debilitating, life altering permanent complications. There are other options available.

 “TENSION-FREE” CONCEPT FLAWED

            Surgically implanting mesh without sutures purposely unleashes the body’s natural inflammatory response. The body attempts to encapsulate or reject the implanted foreign body polymer. Acute inflammation is not followed by healing. Chronic inflammation sets in creating a cascade of life threatening inflammatory responses.  

            Mesh is not tension free once human tissue scars into the interstices of the mesh. Inflammation from scar tissue growing into the interstices creates a scar plate with greater strength than the surrounding tissue. Tension is placed on surrounding muscle, tissues or organs. This process stops normal body function.

            In pelvic floor repair, the tissue-mesh scar plate can create more serious problems than the original prolapse. Achieving anatomically correct pelvic floor is virtually impossible as the mesh-tissue scar plate displaces other organs, tissue and muscles, again stopping normal body functions.

CONCLUSION

            Synthetic Surgical Mesh fails to meet the FDA’s 510(k) “Intended Use/Indications Statement” for pelvic organ prolapse repair. It fails to bridge and/or support fascial defects in the vagina because it is incapable of following the direction of the fascia, particularly in the pelvis. It actually stops normal body function because it creates an amorphous matrix. Long term, failure of Synthetic Surgical Mesh is highly probable, no matter who the surgeon, what the surgical procedure, who the manufacturer of the device or where the placement of the mesh in the pelvis.

What is not being debated:
1.      Risk Evaluation and Mitigation Strategy for potential irreversible complications.
2.      The root cause of the irreversible complications
3.      No established protocol for the visualization of the mesh in the body through MRI, CT Scan or Ultrasound.
4.      No established mesh removal protocol. What surgical procedure addresses the complications? Are there surgical procedures to address the complications? Do these procedures account for the in vivo shrinking, hardening and/or degradation of synthetic surgical meshes used for hernia repair, bladder suspension and pelvic organ prolapse repair? 
5.      The “skilled” surgeons blaming the “unskilled” surgeons hypothesis is a straw man argument. Even the “skilled” surgeons are frequently incapable of removing mesh.
6.      Hundreds of studies, research papers and abstracts only recite the facts as seen by medical professionals from their individual perspective as doctors, not evaluations of the overall flawed concept of the use of synthetic surgical mesh.
7.      There is no comprehensive analysis of the physical and chemical properties of the petroleum based polymers used in the manufacture of synthetic surgical mesh in relation to the human body or how mesh physically and chemically breaks down in the body resulting in life threatening chronic inflammation (which may lead to autoimmune disease).
8.      Who, what, where, when and why are missing from the narrative.

                        Despite the debate, still no clear path exists for patients suffering symptoms of weakened or torn tissue evidenced as hernias, incontinence or pelvic organ prolapse. All the current market conditions which precipitated the FDA’s July 13, 2011 warning of trans-vaginal mesh implantation, are the same today, except there is a national dialogue and huge awareness of the serious complications of synthetic surgical mesh implantation.

            There is a tremendous amount of discussion without real solutions. Patient harm continues unabated. Hernias, incontinence and pelvic organ prolapse are not diseases. They are conditions. The symptoms of these non-life threatening conditions are routinely treated with life threatening, life altering devices. This is not a surgical procedure issue. This is a dangerous medical device issue. As Public Citizen has called for, the solution is a complete recall of these very harmful devices.

            Truth in Medicine supports the petition of Public Citizen  pursuant to the Medical Device Amendments to the federal Food, Drug, and Cosmetic Act, 21 U.S.C. 360f and 360h, and 21 C.F.R. 10.30, 810, and 895 to immediately 1) ban the marketing of all currently available non-absorbable surgical mesh products specifically designed and labeled for trans-vaginal repair of pelvic organ prolapse (POP) 2) recall  all surgical mesh products currently on the market available for POP and 3) that all proposed future POP products be classified as a class III device only approved through the premarket approval process.

Respectfully,
Truth in Medicine Incorporated
Lana C. Keeton
Lana C. Keeton
President & Founder
901 Pennsylvania Avenue, Suite 3-423
Miami Beach, FL 33139

Sunday, November 25, 2018

87,000 #MESH ADVERSE EVENT REPORTS SUBMITTED BY LANA C. KEETON ON 09/05/2018... THE FDA SCHEDULES #PELVICMESH ADVISORY PANEL MEETING FOR FEBRUARY 12. 2019... ALMOST 4 YEARS AFTER UPCLASSIFICATION OF POP MESH, MORE ACTION EXPECTED!!

OVER 104,000 LAWSUITS in the Southern District of West Virginia... 7 Multidistrict Litigations.. MDL"s WHERE ADVERSE EVENT REPORTS GO TO DIE!

COMPLIMENTS OF CORRUPT PLAINTIFFS ATTORNEY STEERING COMMITTEE!

WOMEN #MESH PLAINTIFFS ARE NOTHING MORE THAN CHITS IN EXCHANGE FOR SETTLEMENTS FROM GREEDY EVIL CORPORATIONS!

#MESH REMAINS ON THE MARKET BECAUSE OF THE CORRUPTION OF OUR LEGAL SYSTEM BY A FEW SELECT POWERFUL EXTREMELY RICH LAW FIRMS

STOP THE HARM! REMOVE #MESH FROM THE MARKET... FOR PELVIC AND FOR HERNIA MESH FOR WOMEN & FOR MEN!

Friday, September 7, 2018

LANA C. KEETON PRESENTATION "THE INTERSECTION OF MEDICINE & LAW" 09/05/2018 TO FDA'S CDRH 87,000 UN-REPORTED TRANSVAGINAL MESH ADVERSE REPORTS MADE BY MS. KEETON


LANA C. KEETON
© 2005 - 2018 Lana C. Keeton All rights reserved. 09/05/2018
This material may not be published, broadcast, rewritten or redistributed.

Truth in Medicine & Med Device Expert LLC
Device Expert . Legal Consultant . Patient Advocate
901 Pennsylvania Avenue, Suite 3-423, Miami Beach, FL 33139

305-671-9331 phone . 800-509-9917 fax

“THE INTERSECTION OF MEDICINE AND LAW” Hundreds of thousands of lawsuits wind up in Multidistrict Litigation where Adverse Event Reports go to Die.

THE UNITED STATES FOOD & DRUG ADMINISTRATION CENTER FOR DEVICES & RADIOLOGIC HEALTH ADVERSE EVENT REPORTS as of SEPTEMBER 5, 2018

UNITED STATES DISTRICT COURT, S.D. WEST VIRGINIA

JOHNSON & JOHNSON/ETHICON INC 40,290 PLAINTIFFS

BOSTON SCIENTIFIC 25,282 PLAINTIFFS

AMERICAN MEDICAL SYSTEMS 21,251 PLAINTIFFS

BARD 15,694 PLAINTIFFS

COOK MEDICAL BIOLOGIC 640 PLAINTIFFS

Judge Joseph R. Goodwin issues Pretrial Order 273 in MDL02327, S.D.W.VA. Re: Johnson & Johnson/Ethicon Inc. 13,000 Transvaginal Mesh Injured Plaintiffs are dismissed without prejudice April 11, 2018 because of No Mesh Removal Surgery to remove a Permanent Implant

Today I submit a 3rd party report of over 87,000 unreported adverse events of severe injuries requiring surgical removal of the Synthetic Surgical Mesh manufactured by these 5 companies, for both Stress Urinary Incontinence and Pelvic Organ Prolapse.

THE ANSWER to these THOUSANDS OF ADVERSE EVENTS: The FDA must REMOVE TRANSVAGINAL SYNTHETIC SURGICAL MESH FROM THE MARKET IMMEDIATELY.

Sunday, June 24, 2018

A PEAK INTO THE LIVES OF THE 13,000 ABANDONED WOMEN "NON-REVISION" #MESH PLAINTIFFS FORCED TO BE BUTCHERED (PTO#293 SIGNED BY JUDGE GOODWIN IN U.S.DIST.CT. WVA) OR LOSE LEGAL REPRESENTATION “THE DAILY DROP” The Legal Cartel: Facts, Rumors & Innuendoes by Lana C. Keeton, Med Device Expert LLC . Legal Consultant . Medical Device Expert © 2005 - 2018 Lana C. Keeton All rights reserved. This material may not be published, broadcast, rewritten or redistributed Volume 1, Issue 5 June 22, 2018

by 
Lana C. Keeton
 Med Device Expert LLC
Legal Consultant  .  Medical Device Expert
© All rights reserved. Lana C. Keeton 2005 - 2018
This material may not be published, broadcast, rewritten or redistributed
 Volume 1, Issue 5 June 22, 2018

A PEAK INTO THE LIVES OF THE 13,000 ABANDONED
NON-REVISION #MESH PLAINTIFFS
FORCED TO BE BUTCHERED OR LOSE LEGAL REPRESENTATION



Meet DOTTIE GRIGGS 

“NON-REVISION” PLAINTIFF DYING FROM MESH..
A former ER Nurse at Baylor Hospital, a former Urgent Care Nurse at GMC, an HMO, a former Coronary Care at Rowan Hospital, Former General Manager at Hilton Hotel Corporation

Here’s the word on Facebook… From DOTTIE GRIGGS, just one woman among thousands, who are furious with Pretrial Order 293 and denial of her rights to a trial by her own attorneys. Even the famous amazing surgeon DR. SHLOMO RAZ, who consulted with her will not operate on DOTTIE GRIGGS. Maybe the Plaintiffs Attorneys Steering Committee does not know how to prosecute a “Non-Revision” Plaintiff  case but this “Non-Revision” Plaintiff  does.

            
FACEBOOK POST on 06/08/2018 by DOTTIE GRIGGS,
a Really Smart Mesh Injured Woman
(reprinted with her permission)


“I want to know when the judge in WV also obtained his medical degree in urology and gynecology. He is not an expert at medical, his specialty is supposed to be the law.

However, as we can all see the scales of justice do not set balanced. There are a number of reasons people who need surgery for mesh removal can't have it.
  
 Number #1 reason look at the number of patients that need it and the number of qualified 
 physicians that have the skills to perform it.

#2. Look at the # of Doc's who denied there being any such problem for so many years.
  
#3 Distance, how do the patients all afford to get to these doctors that have the skills, we
don’t all have money trees growing in our backyard. Or an attorneys, doctors, or judges
income.

#4 Why in the world is the sick patient having to bare all the responsibility to begin with.
The Manufactures knew this was going to cause people problems they just did not know
how soon . Admitted in their 2007 annual meeting of AUGS, in addition to it was still in
experimental stages and should not have been billed. No data had been submitted during
those years tracking the patients. To bill was a FELONY, to send the bill through the mail
was a FEDERAL OFFENSE, also a felony.

# 5. When F.D.A. recalled the first implant kit approved, did they not have sense enough
to STOP the other like ones from going to market, rather than grandfathered them in
510K. I have been to multiple doctors seeking help during 12 years, i have been blown
off, lied to, humiliated, given narcotic prescriptions, given help no. Not even by one of
the Most Renowned Doc's in this field. Now I am told I am in too bad of conditions, that
maybe another specialist could do something.

How many years how many doctors does one go to? You’re sick or you wouldn’t be
going to start with, this is not a world travel adventure.

Women/men have had from no surgeries after implant suffering to 20 and I believe I
heard 45 surgeries. My body is damaged. I have multiple complications. 

I am going to die from it. 
Or get lucky and get hit by a bus. 
But for a Judge, any Judge, 
to determine 
the worth of our Vagina 
and the rest of our health 
on the # of surgeries is wrong.


What is right? It’s for the manufactures and the FDA to accept responsibility. Set up a
hospital for treatment, get some doctors trained in removal and help us. The cost is on the
manufacturers, FDA, original doctor and hospital doing the implanting. The patient still
receives equal settlement the same for all, we’re not Call Girls one getting $100 a night
and another $5k.

You can't award one woman $15K for injuries and another $54 million, plus her husband.
What those of us not married didn’t lose consortium? Well I hope all remember the song
“I Can't Get No Satisfaction ". That’s what’s been done mutilation and pain.

The only people gaining anything at the cost of our health,The Courts they get a % of every claim. The attorneys both sides. And why in God’s name would we be paying an insurance company that performed surgery on many of us without our knowledge, if they had stolen our kidney, would we pay insurance for that. All the following care needed because of something that should not have been on the market and harmed us, get real.

That’s like hiring a hit man and paying him two times before and after.”

HOW DID THIS HAPPEN??

Over 13,000 "Non-Revision Plaintiffs" who were dismissed without prejudice can probably thank Henry Garrard III of Blasingame, Burch,Garrard & Ashley and Fred Thompson & Joseph Rice of Motley Rice and Bryan Aylstock of Aylstock, Witkin, Kreis & Overholtz.

These men have been for decades the perpetual lead counsel / plaintiffs steering committee of various monstrous Multidistrict Litigations (mesh, asbestos, tobacco, 9/11, etc.). They, and/or others in their firms, are also the plaintiff’s steering committee in multidistrict litigations for Ethicon Physiomesh and Atrium C-Qur. They should all immediately resign from their positions on the plaintiffs steering committee of Ethicon Physiomesh and Atrium C-qur for conflict of interest in not fully prosecuting these 13,000 women’s cases.

So how do we remedy another potential 13,000 “Non-Revision” Plaintiffs in the Multidistrict Litigations for Ethicon Physiomesh and/or Atrium C-Qur if these men do not resign? Add new qualifications, not a part of the current member of the “Good Ole Boys/Girls Club” qualification, to the current ones.

The current method of determining who will serve on the Plaintiffs Steering Committees for MDL and Class Action lawsuits has to change. The rules for nominating Plaintiffs Steering Committees have to include the following additional investigation of these powerful few men and women attorneys who control the destiny of  hundreds of thousands of Plaintiffs across the United States in the United States Court System:
                       
1)      Forensic accounting of finances of Lead and Co-Lead counsel to determine they have actually paid their previous clients all the money they are owed and are actually financially stable.

2)      A psychological evaluation to eliminate the potential narcissist and/or sociopath.

3)      Drug testing to prevent drug addicted attorneys holding these positions of power

4)      Are there conflicts of interest with their current case load, as in the current situation between 13,000 “Non-Revision Plaintiffs and the new Hernia Mesh Plaintiffs for Ethicon Physiomesh and Atrium C-Qur?

The confidentiality demanded by Defendants, and agreed to by Plaintiff’s Attorneys Steering Committee, in order to settle claims for hundreds of millions of dollars must see the light of day to stop the Three C’s: the very likely collusion, corruption and conspiracy.


The philosophy of the powerful few: 
“Don’t Kill the Company”
To perpetuate the power and positions of 
the Repeat Entrenched Players 
and their Repeat Entrenched Law Firms 
in massive multidistrict litigations for decades

IS KILLING DOTTIE GRIGGS!
© 2005 - 2018 Lana C. Keeton All rights reserved.
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Monday, April 2, 2018

#MESH INJURED WOMEN THROWN UNDER THE BUS! FALSE EVIDENCE? GASLIGHTING? ALL OF THE ABOVE? YEP, PROBABLY. TRANSVAGINAL MESH MDL'S. C.R. BARD MDL 02187, J&J/ETHICON MDL 02327. AMERICAN MEDICAL SYSTEMS MDL 02326, BOSTON SCIENTIFIC MDL 02325


Comments from Lana Keeton, speaker Transvaginal Mesh Panel, Mass Torts Made Perfect, April 2012 Las Vegas sent via e-mail on 04-28-2012 to all of the following email addresses. 

ALL OF THESE PLAINTIFFS ATTORNEYS KNOW THE TRUTH!

Dear MDL Litigators,

dpotts@potts-law.com; ffitzpatrick@motleyrice.com; hfbell@belllaw.com; jorent@motleyrice.com; paul@greeneketchum.com; jrobertrogers@hotmail.com; don@discepolollp.com; andy@discepolollp.com; Amy Eskin ; baylstock@awkolaw.com; dkreis@awkolaw.com; jgreen@ashcraftlaw.com; mparf@aol.com; nhersh@hershlaw.com; champ@champlyons.com; mlabaton@motleyrice.com; bdalton@bdaltonlaw.com; lsimon@bdaltonlaw.com; dallen@cohenandmalad.com; rbaggett@awkolaw.com; jbarger@awkolaw.com; Lee.Balefsky@Klinespecter.com; Michelle.Tiger@Klinespecter.com; Tom.Kline@Klinespecter.com; zelbst@zelbst.com; dnast@rodanast.com; pjf@foote-meyers.com; rpinto@feldmanpinto.com; slove@triallawfirm.com; cclark@triallawfirm.com; dmarkoff@atkinsandmarkoff.com; jatkins@atkinsandmarkoff.com; cbrown@hershlaw.com; pgorski@petergorskilaw.com; cmcorwin@nvlaw.us; info@potterlawoffices.com; amylynnstued@hotmail.com; cmoore@forthepeople.com; mgoetz@forthepeople.com; dch@abowitzlaw.com; mainmail@abowitzlaw.com; eric@ericfonglaw.com; rriggle@suddenlinkmail.com; thouck@suddenlinkmail.com; foxandfox@sbcglobal.net; kbaghdadi@walkuplawoffice.com; orchard@spencelawyers.com; glennlaw@lowcountrylawyer.com; mark.davis@daviscrump.com; martincrump@daviscrump.com; tsifers@potts-law.com; aburmeister@berkshire-law.com; pcoates@pckb-law.com; rachel@montesherald.com; bclark@potts-law.com; ats@millerlawpc.com; aoliver@oliverlg.com; awilliams@gustafsongluek.com; dgustafson@gustafsongluek.com; dhedlund@gustafsongluek.com; epm@millerlawpc.com; ashleyspencer@spencer-law.com; bonniespencer@spencer-law.com; george_fleming@fleming-law.com; Karen_Beyea-Schroeder@fleming-law.com; laura_yaeger@fleming-law.com; mmoreland@triallawfirm.com; gbh@homseylawcenter.com; jsc@homseylawcenter.com; akent@girardikeese.com; asolomon@girardikeese.com; tgirardi@girardikeese.com; rabrams@levinsimes.com; conniewtaylor@gmail.com; Goss39587@aol.com; tvm@dpmlawfirm.com; vra@ab-plc.com; aimee.wagstaff@ahw-law.com; jerry@yourlawyer.com; mmuhlstock@yourlawyer.com; lbp@bbgbalaw.com; andy@hbsslaw.com; rcarey@hbsslaw.com; Robert Price ; andy.birchfield@beasleyallen.com; jpage@jrplawpc.com; leigh.odell@beasleyallen.com; Chad.Cook@BeasleyAllen.com; mrossi@chelaw.com; whunt@chelaw.com; cmcnabb@potts-law.com; Ben@andersonlawoffices.net; carln@facslaw.com; jwitkin@awkolaw.com; noverholtz@awkolaw.com; jkuntz@wcllp.com; mayberry@theringmccarley.com; thering@theringpllc.com; eberezofsky@wcblegal.com; mcuker@wcblegal.com; petestrom@stromlaw.com; rmadden@stromlaw.com; tcartmell@wcllp.com; jzonies@rplaw.com; jquinton@edwardslawok.com; mthetford@edwardslawok.com; nrhoads@lopezmchugh.com; tvanronzelen@cvdl.net; david@zevandavidson.com; kevin@zevandavidson.com; randall@randallkedwards.com; leehollis@hollislawfirm.com; alevin@lfsblaw.com; Mweinkowitz@lfsblaw.com; jrhoades@dpmlawfirm.com; dusti@harveyfirm.com; rsmith@smithelliott.com; betsy@greeneschultz.com; shahn@leesebergvalentine.com; nvresearch@aol.com; murphylaw@msn.com; gfalkowitz@yourlawyer.com; gilknox@sidgilreath.com; jplattenberger@torhoermanlaw.com; thoerman@torhoermanlaw.com; skatz@burgsimpson.com; mjohnson@johnsonbecker.com; shauer@johnsonbecker.com; ymflaherty@locklaw.com; cmcgowan@mcgowanhood.com; jgrand@bernlieb.com; josh@parilmanlaw.com; kendall.dunson@beasleyallen.com; tony@simonluke.com; tad@simonluke.com; talley@tampatriallawyers.com; dgreiwe@tampatriallawyers.com; jclark@tampatriallawyers.com; kchambers@tampatriallawyers.com; henry@vallaw.com; t.oconnor@hundleyandjohnson.com; chaffin@chaffinluhana.com; luhana@chaffinluhana.com; choussi@hdhtex.com; jaosborne@babbitt-johnson.com; ecopeland@fhl-law.com; joe@saunderslawyers.com; arobinson@rcrlaw.net; drobinson@rcrlaw.net; kbmenzies@rcrlaw.net; stracey@traceylawfirm.com; slukei@rcrlaw.net; wpolischuk@rcrlaw.net; rjohnson@lopezmchugh.com; paul@sizemoretaylor.net; davidaugustus@spencer-law.com; riamobile@nbalawfirm.com

For those of you who don’t know me, my patient advocacy organization, Truth in Medicine, and I were instrumental in getting the FDA warnings on synthetic surgical mesh issued in 2008 and 2011. Based on that work, I appeared as a speaker on the Transvaginal Mesh Panel at Mass Torts Made Perfect April 20, 2012 in Las Vegas.

It’s important to understand, this is a bigger fight than a lawsuit and a product.
Use of synthetic surgical mesh is a fatally flawed concept which remains unchallenged. Hernias, incontinence and pelvic organ prolapse are conditions caused by torn or weakened tissue. These are not diseases, only conditions. Implanting a foreign body polymer, synthetic surgical mesh, does not treat causation.

Treating the symptoms with synthetic mesh is a confounding factor in these conditions. Based on my extensive research, the simple act of implantation is the culprit. The complications are complicated. The cause is not. It’s the device, not the doctor, not the procedure, not the patient.

I.                    ABDOMINAL SACRAL COLPOPEXY
         
Abdominal sacral colpopexy is not a better, safer alternative than mesh kits for pelvic organ prolapse. It has a high complication rate and a long recovery. In addition, a significant complication is stress urinary incontinence (SUI) leading to further surgery and the use of synthetic mesh slings, which is the subject of current litigation.

Recurrent prolapse:                   8% - 24%

Repeat surgery:                           5% - 9%

Stress Urinary Incontinence:    10%

TVT/Ob-Tape:                              3% - 13%
(recommended postoperatively for SUI)

Attached you will find a description of the procedure and a listing of some studies demonstrating these complications. Highlighted notes show the severity of this procedure and its complications. This is well documented in other long standing literature. It is a very intrusive procedure drastically cutting the internal pelvic organs with a long recovery period.

There are significantly better, safer surgical and non-surgical alternatives.

II.                  POLYPROPYLENE DEGRADATION AND DECOMPOSITION

As a steel broker with 30 years experience and an excellent knowledge of the physical and chemical properties of steel, I have researched the physical and chemical properties of the commercial uses of polypropylene and other polymers. Polypropylene is not inert, degrades and decomposes in commercial use. Medical device manufacturers know this.

Labeling polypropylene and other foreign body polymers as biocompatible and inert because it is used for a medical device is a misnomer, a misrepresentation and not true. I have a significant compilation of studies demonstrating synthetic surgical mesh implanted for hernia repair, bladder suspension and pelvic organ prolapse repair degrades and decomposes when implanted.

My analysis looks at these foreign body polymers from a manufacturing perspective and the inherent defects that are impossible to escape.

I wish all of you success as you go forward seeking justice for your clients. While you are seeking justice, I am working at the FDA and in Congress as a patient advocate to get synthetic surgical mesh off the market. 

Advocacy is not enough. This has to be approached on every level possible. That is why I am pleased to consult attorneys based on my thousands of hours of research as a Pro Se Plaintiff against Johnson & Johnson/Ethicon in federal court, as a patient advocate and as a mesh injured patient.

If you contract with me, I will be happy to consult you and provide you additional information. Wishing you many victories in court!

All the best,
Lana

Lana C. Keeton,
Med Device Expert LLC
901 Pennsylvania Avenue
Suite 3-423
Miami Beach, FL 33139

305-671-9331 phone
305-342-8002 cell phone
786-566-7780 cell phone
800-509-9917 fax

lanakeeton@meddeviceexpertllc.com
www.meddeviceexpertllc.com