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.
Prentiss Center for Skilled Nursing Care, a MetroHealth nursing home in Cleveland, has been in the news recently because Steve Piskor captured the abuse of his 78 year old mother, Esther, on a hidden camera. The videos, which have led to both criminal charges and regulatory investigations, show nurse’s aides Virgen Caraballo and Giselle Nelson striking the patient’s face, violently throwing her into her bed and wheelchair, pushing her face into the wall, and repeatedly spraying her face with an unknown liquid that was later identified as perfume.
A woman entered the Lake Ridge Care Center in Buffalo, Minnesota on January 14, 2010 with a diagnosis of congestive heart failure and low potassium. She was prescribed two tablets of potassium three times a day to help keep her blood pumping through her heart. On January 23, 2010, the resident was sent to the emergency room because she was found unresponsive. Treaters in the emergency found a severely abnormal heart rhythm and extremely low potassium levels. The woman died later that afternoon. Her official cause of death was cardiac arrest. 
According to a report issued by the Minnesota Department of Health Facility Complaints Office, the man fell from his wheelchair on March 8th and suffered a “large hematoma, approximately four centimeters by three centimeters, on his left forehead.” He had bleeding that was putting pressure on his brain and depriving him of oxygen. The patient was examined 30 minutes after the fall, but no vital signs or neurological tests were done for at least three hours. Four hours after the fall, he was unresponsive and his vital signs were not stable. The nursing home transferred him to a hospital where he died two days later on March 10th. The death certificate states the cause of death as a “massive intracranial hemorrhage.”
An 82-year-old man from Illinois died this month at Heartland Healthcare nursing home. According to the police report, Irvin W. Brackett was found by nursing assistant Annette Payton at 10:30 p.m. on the floor with an oxygen tube and electrical cord wrapped around his neck and tied to an assistance lever that was hanging over his bed. Payton immediately called other nurses for help. They removed the constraints and began emergency resuscitation. An ambulance was called to help but nothing could be done and the nursing home called for the coroner at 12:16 a.m. Brackett was pronounced dead at the scene by the Knox County Coroner Mark Thomas. According to Thomas: