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Birth Defects Attorneys: The Danger of Topamax

Topamax (Topiramate) is a drug produced by two divisions of Johnson & Johnson that is prescribed for two conditions; epilepsy and migraines. For both conditions, the drug is used preventatively. It can not relieve seizures or migraines already happening, but, taken on a regular basis, can help to prevent them from occurring. Off-label uses of the drug, for which Johnson & Johnson and Ortho-McNeil Neurologics were sued and found accountable, include bipolar disorder, alcoholism, obesity, infantile spasms, myoclonic seizures, and absence seizures. Professionals realize that because of the wide disbursement of the medication, many different people have been affected by its side effects, and need to be informed and warned about the dangers of its use.

What are the Dangers of Using Topamax?

new jersey philadelphia topamax topiramate cleft lip palate birth defects attorneys A recent FDA announcement warned that using Topamax has been linked to an increase in the development of cleft lips and palates by over 21 times the normal rate. This side effect manifests in women who have taken Topamax while pregnant, or before becoming pregnant, but during child-bearing years. Topamax has been classified as a Pregnancy Category D drug, meaning there is positive evidence of human fetal risk, but usage of the drug may continue if medically necessary. If your child was born with a cleft lip, palate, or both, and you took Topamax while you were pregnant, or before becoming pregnant, it may be responsible for the development of your child’s birth defect.

Our attorneys caution you to consult your physician immediately, if you have not already done so, to discuss what these new dangers mean to you. Please note, that you should consult your physician before discontinuing usage of Topamax, as there may be complications associated with a rapid discontinuance.

Birth Defects Attorneys in New Jersey and Philadelphia

If your child was born with a cleft palate/lip and you were taking Topamax before or during pregnancy you are wondering what are your legal rights. You may also be wondering what the cost will be to have legal representation. Our experienced professionals are here to help. Contact the Mininno Law Office for a free case evaluation and consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia. You and your child deserve compensation, so please do not hesitate.

Birth Defects Attorneys Discuss Non-Surgical Speech Options

The idea of having a surgery to correct a cleft palate or cleft lip has been discussed in a previous blog post and, in many cases, it is the correct decision for your child’s health. However, in cases where surgery may not be the best option due to health concerns or fears that the surgery will not be successful, there are other non-surgical treatment options. Our birth defects attorneys would like to highlight some effective, nonsurgical treatment options specifically targeted to help your child develop better speech.

Speech Bulbs and Palatal Lifts

new jersey philadelphia birth defects attorneys non surgical speech options Once your child starts to grow, your doctor may want to discuss appliances that can be put in his or her mouth, to make speech easier. The speech bulb may be suggested, which is a plastic ball that fits into the velopharyngeal space, which is then attached to a plastic plate fitted to the roof of the mouth and held in place by wire clasps. The size of the bulb will vary depending on the size of the velopharyngeal space. The bulbs function is to stop air and sound from escaping the nose during speech. It is removed at night before bed.

Another appliance that may be suggested is a palatal lift. This is similar to a speech bulb, but is a wider, plastic paddle that extends back into the mouth and lifts the soft palate up, closing the velopharyngeal space. Your child’s care team should be consulted to see which, if any, of these appliances is appropriate.

Birth Defects Attorneys in New Jersey and Philadelphia

Many parents who have children with a cleft lip or cleft palate are often overwhelmed and, in some instances, confused about their legal rights and whether or not birth defects attorneys would even be needed. In some cases, there have been improper actions that may have lead to your child’s birth defect and contacting birth defects attorneys is beneficial to your family’s physical and financial health. For example, the FDA has recently announced that Topamax (Topiramate), taken during pregnancy or during child-bearing years, has been linked to an increase in the development of cleft lips and cleft palates. We are able to assist parents dealing with these issues. Contact the Mininno Law Office for a free case evaluation or call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.

Birth Defects Attorneys Discuss Velopharyngeal Dysfunction

After your child has a palate repair surgery, most people would think that they are out of the woods and nothing else will have to be done. Unfortunately, approximately 15-25% of children born with a cleft palate will develop Velopharyngeal dysfunction (VPD). Our birth defects attorneys think that parents should be informed about the possibilities that may affect their child, and be able to react in a well-informed manner.

What is Velopharyngeal dysfunction?

new jersey philadelphia Birth Defects Attorneys Discuss Velopharyngeal Dysfunction Velopharyngeal dysfunction occurs when the open space between the back wall of the throat and the soft palate cannot be properly closed during speech. Unfortunately, this results in an unwanted escape of air or sound through the nose during speech. Essentially, this dysfunction may result in what is called hyper-nasal speech. The sounds that create speech come from both the nose and the mouth. When we speak, the majority of those sounds should come from the mouth alone. Closing the velopharyngeal space allows people to build pressure in the mouth and make the appropriate speech sounds. When a VPD is present, air comes through the nose that should not, and speech becomes too nasal.

In many cases, after surgery has been completed, or if surgery is not going to be undertaken, there are other options that can be explore. There are appliances that your doctor may recommend that can help alleviate these issues and eliminate the hyper-nasal speech problem.

Birth Defects Attorneys in New Jersey and Philadelphia

Giving birth to a child with a cleft lip or cleft palate begs the question,”Do I need the assistance of birth defects attorneys?” They are necessary when a birth defect is caused by a deviation in the standard of care. For example, contacting our experienced professionals would be beneficial to you and your child if Topamax (Topiramate) was taken during pregnancy. The FDA has recently announced that Topamax has been linked to an increase in the development of cleft lips and palates. Contact the Mininno Law Office for a free case evaluation or call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.

Birth Defects Attorneys Give Anti-Bullying Advice

new jersey philadephia birth defects attorneys anti bullying advice Your child has a cleft lip and is about to start school and you are nervous that he or she may be the victim of a school bully. Our caring birth defects attorneys want to help you get ready for this. It is in any parent’s nature to want to nurture their child for as long as possible and shield them from the cruel outside world. Now that your child is school aged, this is less and less an option and you should be focusing and preparing your child for school and the social interactions that comes with it. As we all know from our school experiences, children can be cruel (although we are not suggesting that all children are). It is not to say that bullying will happen, just that it can happen, and you should take steps to prepare your child to deal with it in a positive way. We wish you and your child a happy school year and want it be as successful as possible.

Helping Your Child Understand Their Situation

It is important for your child to understand his or her condition in a way that helps them communicate to others what is different about them, as curious children may ask. Explaining this in a way that children can understand will be beneficial to your child and expose other children to the differences in people. Take the opportunity to make your child feel special and help him or her understand what is different (and special) about them.

It may go without saying, but taking photographs as your child matures is helpful so they can see their physical history and see it as “normal.” These photos document changes and help children have an opportunity to ask questions about their condition in a non-threatening environment.

In the case of a negative social interaction with another student, many parents get angry and want to confront the other child’s parents right away. Before you do, ask your child to express his or her feelings about it and try to understand what happened. Use this is a segue to discuss the birth defect in a positive way and ask how your child would like to proceed. Obviously, there are going to be situations where confronting the other parents is necessary, even if your child does not want to. But in some situations, letting kids work out their own differences, with a little adult help, can be beneficial.

Birth Defects Attorneys in New Jersey and Philadelphia

In many cases, parents of a child with a cleft lip or palate ask if they need the services of birth defects attorneys. Due to the nature of the birth defect, lawyers would do little good. However, the FDA has recently announced that Topamax (Topiramate) has been linked to an increase in the development of cleft lip/palates. If you believe that Topamax may be involved with your child’s cleft palate/lip contact the Mininno Law Office for a free case evaluation, or call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.

Birth Defects Attorneys Discuss Cleft Lip Dental Options

Unfortunately, when a child is afflicted with a birth defect like a cleft palate or cleft lip, there are other physical manifestations of the birth defect that must be dealt with. One of the major physical issues confronting children with cleft lip/palates is that they may need serious dental attention. The cleft usually occurs between the cuspid (eye tooth) and the lateral incisor. Possible dental issues include: a missing lateral incisor, two lateral incisors on both sides of the cleft, poorly formed teeth (with misshapen crowns and/or roots), and displaced teeth. We want you to be informed about the potential issues related to your child’s unfortunate birth defect and be able to take the appropriate actions.

Your Child’s Dentistry Needs

new jersey philadelphia birth defects attorneys topamax cleft lip dental options Although this may seem overwhelming, children born with a cleft lip/palate can still have healthy teeth. Proper cleaning, good nutrition, and fluoride treatment is necessary. The teeth should be cleaned with a small, soft-bristled toothbrush, as soon as the teeth are visible. Early evaluation is critical, with many dentists recommending the first visit being scheduled at one year of age, or in some cases, even sooner. What dental work your child needs will be determined by the dentist, which can be as simple as preventative care, or can be extensive including dental surgery.

It may be necessary for orthodontic care to be sought, even before the child has any teeth. This is to assess facial growth and plan for the child’s short and long term dental needs. If the teeth do not fit together correctly, braces will most likely be necessary.

Birth Defects Attorneys of New Jersey and Philadelphia

Parents who have children with a cleft lip or palate are often confused about their legal rights and whether or not birth defects attorneys are necessary. In many cases, birth defects attorneys are not necessary, because the cause is usually natural. However, the FDA has recently announced that Topamax (Topiramate) has been linked to an increase in the development of cleft lips and palates. In this situation, it would be beneficial to contact the Mininno Law Office: Our experienced and caring birth defects attorneys off a free case evaluation and consultation. You may call 856-833-0600 in New Jersey, or 215-567-2380 in Philadelphia.

Birth Defects Attorneys Discuss Insurance “Gate Keeping”

As experienced birth defects attorneys, the Mininno Law Office has significant experience dealing with insurance companies. To you, it seems simple: your child has a medical issue (like a cleft palate), you have valid insurance for which you’ve paid your premium, and your child should receive medical care. As you may have unfortunately found out by now, it is not always this simple. A seemingly unwritten tool in many insurance companies’ belt is “gate keeping.” Ultimately, even if your claim has merit, the insurance company denies and delays treatment in the hopes that you become frustrated and go away. This is done in many ways, including excessive forms to fill out, waiting for confirmations, and outright denials. If you have dealt with insurance companies before, this frustration is probably no surprise.

Protecting Yourself From Gate Keeping

We’ve all heard the cliche “Knowledge is Power.” This is an absolute truth when it comes to fighting to get what you need from insurance companies.

First, you should make an effort to stay abreast with the relevant laws. This may seem difficult, as they change often, but being able to quote a law can be very helpful when talking with an insurance officer. Sometimes, representation by birth defects attorneys can be useful, but more often, a little research goes a long way.

Second, you should know your policy inside and out. Many times, the insurance representative is making an educated (and usually good natured) guess as to what the company will allow. If you know your policy, you can tell them exactly what you have paid for and what they should provide. It is inevitable to get rejected in some cases, but never accept a “No” without appealing. Carefully word your responses to indicate the medical necessity of the procedure.

Birth Defects Attorneys in New Jersey and Philadelphia?

There are many factors that influence whether you need the services of birth defects attorneys. In many cases, the cause of the birth defect is natural, and there is little birth defects attorneys can do for you. In other cases, there are external factors involved in the development of your child’s birth defect and the experienced birth defects attorneys of the Mininno Law Office can be of assistance. For example, the FDA just announced that the drug Topamax (Topiramate) has been linked to an increase in the development of cleft lip/palates.

If you believe that Topamax may have contributed to your child’s development of a cleft lip or palate contact the Mininno Law Office for a free case evaluation and consultation at 856-833-0600 in New Jersey, or 215-567-2380 in Philadelphia.

Birth Defects Attorneys Provide Questions for Your Surgeon

Surgery can be a scary proposition, especially if performed on your child. However, there are certain questions that can ground your expectations of surgery, and help glean information regarding the qualifications of your surgeon. The caring and experienced birth defects attorneys of the Mininno Law Office would like to offer a list of basic questions that you can ask your surgeon in the event that you are uncertain about the procedure and have not yet made a decision to have your child undergo it. While surgery is no small matter, it is important to realize that this step is greatly beneficial for your child and his or her overall well being.

What to Ask your Surgeon Regarding Oral Cleft Repair Procedures

You may want to ask some of the following questions to get a better feel for the procedure your child will undergo, as well as the knowledge and capabilities of your surgeon.

How many cleft lip/palate corrective procedures has your surgeon performed?
What are the risks and complications associated with the procedure?
How are these complications handled?
What options are available if the surgery is unsuccessful?
What kind of results can you expect? Are there before and after photos that you can look at?

Birth Defects Attorneys in New Jersey and Philadelphia

Many people who have a child born with a cleft lip or palate are confused about the cause of the birth defect and their legal rights. Most cleft lip/palate defects are believed to be caused through genetics and environmental factors. However, the FDA has recently announced that Topamax (Topiramate) has been linked to an increase in the development of cleft lips and palates.

If you believe that your child’s cleft lip/palate may have been influenced by your use of Topamax, it is important to act now and contact the experienced birth defects attorneys of the Mininno Law Office. Contact the Mininno Law Office in New Jersey at (856) 833-0600 or in Philadelphia at (215) 567-2380 for a free consultation and case evaluation.

Birth Defects Attorneys Discuss Cleft Palate Surgery Steps

If your child was born with a cleft lip or palate, you most likely have considered the option of surgery to correct the birth defect. However, many people talk about surgery but do not know what it actually entails. The caring and experienced birth defects attorneys of the Mininno Law Office believe that knowledge of a procedure is essential to an informed decision. There are three essential steps to a cleft palate surgery;

Anesthesia,
Incision, and
Closing Incision.

Elaborating on the Three Essential Steps of Cleft Lip/Palate Surgery

First, your child is given anesthesia for his or her comfort during the surgery. There are choices between intravenous sedation and general anesthesia, and your doctor will recommend the best choice for your child.

Second, for a cleft lip surgery, the doctor attempts to close the lip, to provide a more normal function and structure. Incisions are made on the lip and the tissue is drawn together and stitched to close the cleft. The repair of a cleft palate requires repositioning of tissues and muscles to close the cleft and rebuild the roof of the mouth, which is then stitched at the midline of the roof and allows for normal feeding and speech development.

The third step, closing the incisions, is done in such a way that the scar lines up with the normal ridge of the lip. This helps prevent the scar from standing out and helps it appear completely normal.

Birth Defects Attorneys in New Jersey and Philadelphia

Parents of children born with a cleft palate birth defect are sure to have questions about their legal rights. In many situations, there is little that can be done because the birth defect is genetic or caused by environmental factors. However, the FDA has recently announced that Topamax (Topiramate) has increased the likelihood of the development of a cleft lip/palate.

If you believe that your use of Topamax may have contributed to your child’s cleft palate, act now and contact the Mininno Law Office. The experienced birth defect attorneys of the Mininno Law Office can be reached at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia for a free consultation or case evaluation.

Birth Defects Attorneys Discuss Cleft Palate Surgery Risks

The decision to allow your child to undergo a cleft palate surgery is extremely personal and should be made with the consultation of your child’s doctors. The experienced birth defects attorneys of the Mininno Law Office would like to inform you of some possible risks associated with cleft lip/palate surgeries in order to make you more informed about your choices. It is important to remember that cleft lip/palates can be corrected through surgery and it may be the best choice for your child’s health and well being.

There are some risks associated with cleft lip/palate surgery that the birth defects attorneys of the Mininno Law Office think you should know about before surgery. A good surgeon will discuss these risks with you before surgery, but educating yourself is essential. It is possible for there to be bleeding and infection. In some cases, poor or irregular healing of incisions may take place, which may create a puckering effect. There are anesthesia risks that you should discuss also. More seriously, there is the possibility of damaging deeper structures, such as nerves, blood vessels, muscles, and lungs, which can be temporary or permanent.

Ultimately, it is essentially to discuss the risks and benefits of surgery with your child’s care team. Usually, a cleft lip/palate can be corrected and your child can live a happy life, free of oral malformations. However, the possibility of risks is a reality.

Birth Defects Attorneys of New Jersey and Philadelphia

Many people that have children with a cleft lip or cleft palate birth defect have questions about their legal rights. In many situations, there is little that can be done because the birth defect is genetic or caused by environmental factors. However, the FDA has recently announced that Topamax (Topiramate) has increased the likelihood of the development of a cleft lip/palate. If you believe that Topamax may have contributed to your child’s cleft palate act now and contact the Mininno Law Office birth defects attorneys for a free case evaluation. You may also call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.

Birth Defect Attorneys – Topamax Could be a Leading Cause of Cleft Lip

Topamax is a popular prescription drug, used to help prevent epileptic seizures and migraine headaches. Birth defect attorneys have recently discovered, via an issued warning from the FDA, that Topamax use during pregnancy may cause oral malformations, such as a cleft lip or cleft palate, in newborn children. The formation of a cleft lip forces a young child to undergo surgery (or surgeries) within the first three months of birth in order to repair the cleft or clefts. Cleft lip can have many damaging consequences on both the baby and the mother, which is why it’s essential to fix the problem as soon as possible. Birth defect attorneys recommend that mother’s seek medical assistance as soon as possible and avoid the use of Topamax during pregnancy.

Post Childbirth Surgery

The recommended age for cleft lip or cleft palate correction surgery is generally ten weeks following birth. Two surgeons, Wilhelmmesen and Musgrave, coined the “rule of ten”, calling for children suffering from cleft lip to be at least ten weeks old, weigh ten pounds, and have at least 10g hemoglobin before an operation.

Birth defect attorneys have learned that children suffering from a bilateral cleft may need to undergo two surgeries to close each side separately. Also, children who have an incomplete cleft lip may be required to have the same exact procedure as those with a complete cleft. Although mothers may dread the thought of subjecting their baby to surgery at such a young age, it is usually the only logical route to take. Those babies who have the surgery within 2-3 months following birth are likely to fully recover and have a minimally noticeable scar. Birth defect attorneys and medical professionals alike stress the importance of mothers meeting with both medical experts and family members to choose a plan that works best for them and their child. Although potentially scary and nerve-racking, birth defects, such as cleft lip and cleft palate, can be easily treated, allowing kids to lead perfectly normal and happy lives.

Birth Defect Attorneys in New Jersey and Philadelphia

If your child was born with a cleft lip or cleft palate birth defect, and you believe it is attributable to your use of Topamax during pregnancy, you probably have some questions for a birth defects attorney. Please contact the Mininno Law Office for a free case evaluation, or call for a free consultation at 856-833-0600 in New Jersey, or 215-567-2380 in Philadelphia.