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Maker of Ancure Pleads Guilty to Hiding Significant Product Problems from FDA; Guidant's Admission Bolsters Hersh & Hersh's Civil Suits Against Manufacturer

Guidant, maker of the Ancure Endograft System, pled guilty yesterday to 10 felonies in federal court for hiding evidence of significant problems with the Ancure product from the FDA. Although the company knew of problems with over 36% of the 7,632 Ancure devices sold, the it reported only 172 of these to the government. 

The U.S. attorney charged that Guidant allowed sales and marketing personnel to influence scientific decisions, even when this put patient health at risk. This complaint echoes those included in the civil suits that Hersh & Hersh filed against the company earlier this year. 

Hersh & Hersh's civil suits allege that Guidant gave inadequate warnings about its Ancure system. The company marketed its product as a "safer" and less-invasive method for fixing abdominal aortic aneurysms. Abdominal aortic aneurysms are weakened places in the aorta that can, if they burst, cause death in a matter of minutes. 

These aneurysms have traditionally been successfully repaired through an open surgical procedure. However, after approving the device in 1999, the FDA subsequently received reports of device malfunctions and severe adverse events related to Ancure. These included cases of severe blood vessel damage with the Ancure system. 

Finally, the civil suits also allege that Guidant, maker of the Ancure Endograft System, did not warn patients that they would need lifetime monitoring to ensure that their endovascular implants don't move, leak, or cause other adverse effects. This level of monitoring substantially raises the lifetime cost of the procedure, and is not necessary with a traditional open surgical repair..

Related Newspaper Articles:
Related Television and Radio Coverage:
  • CNN, News Night with Aaron Brown, 7PM PST, 6/13/03

Hersh & Hersh Aims to Enforce Prominent Cautionary Labeling
on Eli Lilly's Most Profitable Anti-Psychotic Drug

February 27, 2003

Hersh & Hersh of San Francisco today announced that it has already filed several complaints on behalf of plaintiffs across the U.S. against Indianapolis-based Eli Lilly & Co. Attorneys are in the process of filing numerous other complaints and plan to prove that as a result of taking Zyprexa, a drug prescribed for the treatment of schizophrenia and bipolar mania, their clients have sustained life-threatening or fatal injuries, including diabetes mellitus, hyperglycemia and pancreatitis

In some cases patients have died after long-term use of Zyprexa, even though it has been FDA-approved only as a short-term treatment, and their families have hired Hersh & Hersh to represent them in wrongful death suits against the giant drug manufacturer. Cases are being filed individually, in both Federal and State courts. 

According to Hersh & Hersh partner Nancy Hersh, "Eli Lilly's profits are skyrocketing from these 'atypical' anti-psychotic drugs, while patients are being kept in the dark about their damaging side effects. We believe Eli Lilly is culpable in heavily promoting Zyprexa as a safe and effective drug for psychotic disorders, yet virtually concealing the risks to doctors and their patients.


Evidence of Fatal Side Effects Exposed

Since 1996 Eli Lilly has widely promoted Zyprexa as the most effective medication on the market for bipolar disorder, with fewer adverse side effects than any other methods of treatment. It is also the company's top-selling drug, with reported sales of $3 billion in 2001. However in 2002, author of Mad In America and medical journalist Robert Whitaker exposed clinical trial data about Zyprexa that was not made available to most doctors prescribing the drug. According to Whitaker, "Of the 2,500 patients in the trials who received Zyprexa, 20 died; 20 committed suicide; and 22% suffered a 'serious' adverse event. Two-thirds of the Zyprexa patients did not successfully complete the trials..."

 In July 2002, a team of medical researchers at Duke University discovered the link between the new generation of anti-psychotic drugs like Zyprexa and early onset diabetes. They identified 289 cases of diabetes in patients who had been prescribed Zyprexa, stating, "Of the 289 cases of diabetes linked to the use of Zyprexa, 225 were newly diagnosed cases; 100 patients developed ketosis (a serious complication of diabetes); 22 people developed inflammation of the pancreas, a life-threatening condition; and 23 people died. Over 70% of these cases occurred within six months of starting the drug treatment." 

Numerous other medical studies have reported that Zyprexa can result in serious - and oft-fatal -- diabetic diseases, caused by severe insulin deficiency. In one Hersh & Hersh case, the North Carolina plaintiff suffered a diabetic coma after taking Zyprexa for eight months, and had to have his left leg and right foot amputated. In spite of these dangerous side effects there is no warning in Zyprexa's product information to monitor blood glucose levels, or discontinue use if high blood sugar is noted or if the patient develops diabetes. Currently, the literature accompanying Zyprexa only alludes to diabetes and acidosis as part of a list of side effects that are purported to be very rare. 

In the early 1980s Hersh & Hersh began working on DES cases and was the first law firm in the Bay Area to successfully beat Eli Lilly on behalf of DES children. Today Hersh & Hersh is suing Eli Lilly for failing to adequately disclose the serious side effects of Zyprexa, and for not ameliorating the cause of these injuries even though they were "scientifically knowable" at the time of distribution. 


Off-Label Drug Use is Growing Problem

Among the numerous cases to be filed by Hersh & Hersh attorneys, several individuals were prescribed Zyprexa for the treatment for "off label" symptoms, including anxiety and depression, even though it is FDA-approved exclusively for schizophrenia and bipolar disorder. At least one client so far has developed an irreversible neurological disorder known as Tardive Dyskinesia and is subjected to a life of repetitive, rhythmic involuntary movements such as tongue thrusting, lip smacking, chewing movements, rocking of the trunk, marching in place and repetitive sounds such as humming or grunting. 

Zyprexa is among a host of anti-psychogic drugs that doctors are encouraged to prescribe for off-label uses by manufacturers. According to an article published last summer in The Globe & Mail (August 13, 2002), medical ethics professor Miriam Shuchman, MD, stated that the biggest difference between the approved and unapproved use of a drug is the evidence that backs it up. To get a medical condition approved or "on-label," drug companies must convince the FDA that high-quality studies show that the drug makes a real difference for people with that condition. Off-label uses of a drug typically have not been subjected to that level of scrutiny. 

"To boost sales and circumvent the FDA approval process drug manufacturers like Eli Lilly are actually encouraging their sales reps to push secondary uses of these anti-psychotic drugs and regularly review reports of the frequency of doctors prescribing these meds for off-label uses," added Hersh. "In many cases, off-label sales account for the bulk of revenues generated by these drugs. Our intention in the case against Eli Lilly is to also shine a light on the severe damage caused by this kind of dubious sales and marketing practice."

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Hersh & Hersh Represents Employees in Toxic Mold Claim Against 
Landlord of San Benito County Government Office Building

February 27, 2003

San Benito County Takes Steps to Remediate Toxic Mold
On Friday, February 28, employees of the San Benito County Department of Child Support Services, located at 220 San Felipe Road in Hollister, CA, will be temporarily relocated to a new facility while the building undergoes extensive toxic mold remediation.

The building's landlord will begin remediation immediately to address the severe mold problem in order to make the building safe for the workers. The repairs are expected to take eight to ten months. Child Support Services Workers will be temporarily re-located to 2320 Technology Way, Hollister while the remediation takes place.

January 17, 2003

Hersh & Hersh Files New Complaints, Takes on Majority of Workers
San Francisco plaintiff rights law firm Hersh & Hersh filed six additional complaints on behalf of employees at the San Benito County Department of Child Support Services, located at 220 San Felipe Road in Hollister, Calif. This brings the total number of individual complaints filed to twenty-four, or 96% of the buildingís workers.

Test Results Confirm Presence of Mold in Building
Test results issued by Air Quality Sciences Building Consulting, Inc. confirm the presence of harmful mold spores in the conference room and bathroom, which require remediation. The landlord has responded by cordoning off the conference room.

Union Rep Follows Suit, Requests Worker Relocation
On Thursday, January 16, 2003 the union representative for the workers sent a letter to the County requesting that employees be relocated to a different facility. Under advisement of the union rep, employees are considering all allowable collective actions next week if the situation is not remedied.


January 14, 2003

San Francisco plaintiff rights law firm Hersh & Hersh today announced that it has filed 18 individual complaints so far on behalf of employees of the San Benito County Department of Child Support Services, based in Hollister. Each complaint, filed in San Benito County Superior Court, states that the one-story office building, located at 220 San Felipe Road, has been a breeding ground for dangerous toxic mold due to chronic water intrusion and leakage. Because of neglect and faulty building maintenance, air quality inside the premises -- and the health and well being of Hersh & Hersh plaintiffs -- have been adversely affected. 

"California law requires landlords to maintain their premises in a safe and sanitary condition and to remedy known health hazards," said Charles Kelly II, Hersh & Hersh attorney representing San Benito County plaintiffs. "We believe this is a case in which the landlord is being negligent and not looking out for the health and welfare of its tenants." 

Hersh & Hersh attorneys contend that county employees had notified the building owner and landlord, Lawrence Family LLC on numerous occasions complaining that the hazardous fungal growth was causing a range of health problems including respiratory, sinus, gastro-intestinal, and skin rashes -- even neurological damage -- prior to filing the complaints. But despite employees' persistent efforts Lawrence Family has failed to perform the necessary repairs even though they promised to do so. Moreover, attorneys argue, employees have suffered the loss of earnings and will continue to incur medical expenses precipitated by the harmful exposure. 

According to the World Health Organization, countless cases have been reported. It now estimates that one out of three employees is working in a place that is making them sick and it is costing businesses billions each year in lost productivity. Locally, the California Legislature has addressed the "sick building" problem in the last 12 months by appointing a taskforce to identify standards and ultimately provide guidelines to building owners, landlords and contractors. 

Hersh & Hersh has identified a particular fungus in the Hollister building as stachybotrys, which is becoming more common in homes and buildings within the United States and Canada. Stachybotrys is a greenish black mold that typically grows on building materials such as wood, ceiling tile, drywall, insulation backing, cardboard boxes, paper files, etc. when these items become water damaged. The fungus tends to proliferate in very wet or high humid conditions due to plumbing leaks or water leaking through foundations. Many experts agree, in fact, that once a building has been contaminated with this fungus, it is extremely difficult to remediate it. 

Lawrence Family LLC has until February 8 to respond to complaints filed by Hersh & Hersh.

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Hersh & Hersh Files Complaint Against Bay Area Pro Wrestling School; 
Exposes Danger and Deceit of All Pro Wrestling

Student Dies of Injuries Suffered in Wrestling "Boot Camp"
When Pitted Against Goliath Sparring Partner

The San Francisco law firm of Hersh & Hersh (www.hershlaw.com) filed a complaint at the Superior Court of California in Alameda County against Roland Alexander, founder of All Pro Wrestling (www.allprowrestling.com) and Pacific Coast Sports Promotion companies. The complaint was made on behalf of the parents of Brian Ong of Berkeley, California who died as a result of injuries suffered during All Pro Wrestlingís "Boot Camp" training. Headquartered in Hayward, California, Alexanderís company bills itself as the number one wrestling school in America and markets wrestling "Boot Camps" to amateurs as a chance to "Live Your Dream" as a professional wrestler by providing wrestling training camps, career counseling and talent agency services to wrestling amateurs at fees of $6,000 or more.

Mr. Ong, age 24, enrolled in All Pro Wrestlingís Hayward, CA Boot Camp and was fatally injured as a result of being thrown to the ground in a practice wrestling maneuver. According to the complaint, Mr. Ong suffered a concussion during a practice session and instead of being advised to seek medical attention and take time off from his training to fully recover, he was given a lower evaluation for not avoiding injuries and was told to continue practicing and performing.

The complaint goes on to state that Mr. Ong, at 5 feet, 7 inches and 185 pounds, was subsequently pitted against a sparring partner more than twice his size and that the enormous disparity in size between Mr. Ong and his opponent, a massive 7 feet, 3 inches and weighing 400 pounds, increased the risk of harm to Mr. Ong. He was thrown twice off his sparring partnerís shoulders, lost consciousness when his head hit the floor and died in the ambulance on the way to the hospital. All Pro Wrestling did not provide Mr. Ong with any protective gear or any supervision by APW staff, and the floor mats provided were not adequate to cushion the impact of such maneuvers.

"All Pro Wrestling lures wrestling wanna be's with the promise of fame and fortune on the exhibition wrestling circuit," stated Nancy Hersh, partner of Hersh & Hersh. "Legitimate wrestling organizations would never pair-up sparring partners from weight classes at such opposite ends of the spectrum. Tragically for Mr. Ongís family, they lost their son as a result of All Pro Wrestlingís negligence and deceit."

The complaint, seeking damages and requesting a jury trial for injuries causing death and for fraudulent contract charges, will proceed to trial within the near future.

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Related Television and Radio Coverage:
  • Connie Chung Tonight, 8PM PST, CNN National, 8/27/02
  • NBC11 News, KNTV 11/NBC3, San Jose & San Francisco, 8/27/02
  • ABC 7 Morning News, KGO-TV (ABC) San Francisco, 9/18/02
  • ABC 7 News at 11:00, KGO-TV (ABC) San Francisco, 9/17/02
  • KGO-AM 810 Radio (ABC) San Francisco, 9/17/02
  • KCBS-AM 740 Radio (CBS) San Francisco, 9/17/02

Hersh & Hersh Represents "Jane Doe" in Landmark Embryo Mix-up Case, 
Files Suit Against San Francisco Fertility Clinic

Hersh & Hersh filed suit against Fertility Medical Associates of the Bay Area, a fertility clinic that implanted an embryo belonging to another couple during Jane Doe's in vitro fertilization procedure in June 2000.

The suit alleges that the clinic scientist and the doctor knew before Jane Doe left their offices on the day of the implantation that they had implanted the wrong embryo in her. But the clinic did not inform Ms. Doe and the couple of the mix-up until a year and a half later, and then only after the California Medical Board began investigating the switch. According to Nancy Hersh, "they were keeping the information secret and never intended to tell. The only reason they did is because the medical board was nosing around. That's very bad. Aren't they morally and ethically obligated to tell?"

Related Newspaper Articles:
  • "Embryo mix-up at S.F. clinic prompts lawsuits." Contra Costa Times, 8/4/02
  • "Suit filed over mix-up of embryos at S.F. clinic." San Jose Mercury News, 8/2/02

Related Television and Radio Coverage:
  • CBS Early Show, National, 8/23/02
  • KCTV5 News at 4:30 & 6, KCTV-TV CH 5 (CBS) Kansas City, 8/23/02
  • CBS 4 News at 5:00, WFOR-TV CH 4 (CBS) Miami/Ft. Lauderdale, 8/23/02
  • CNN Live Today, National, 8/08/02
  • Connie Chung Tonight, CNN National, 8/07/02
  • Barbara Simpson Show, KGO-AM 810 Radio San Francisco, 8/03/02
  • Channel 5 Eyewitness News, KPIX-TV 5 (CBS) San Francisco, 8/2/02
  • NBC2 News at 5, KNTV-TV CH 11 (NBC) San Jose, 8/2/02

San Francisco Chronicle: "All in the Family; These Kids Went to Work 
with their Mom or Dad - and Stayed There"  (4/24/03
)

Seeing how much their father, LeRoy Hersh, enjoyed practicing law inspired both Nancy Hersh and her sister Jill to follow him into the legal profession. Read more in the San Francisco Chronicle story.



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