Friday, 21 May 2010 22:41

Gadolinium

Written by Law Offices Of Gary Green

Gadolinium is an FDA approved contrast agent for MRI and MRA. Gadolinium provides greater contrast between normal tissue and abnormal tissue in the brain and body. It looks clear like water and is non-radioactive. After it is injected into a vein, Gadolinium accumulates in the abnormal tissue that may be affecting the body or head. Gadolinium causes these abnormal areas to become very bright (enhanced) on the MRI. This makes it very easy to see. Gadolinium is then rapidly cleared from the body by the kidneys.

On May 23, 2007—The FDA announced that it is asking manufacturers of gadolinium-based contrast agents to include a black box warning alerting patients to the risk of a potentially fatal disease NSF (Nephrogenic Systemic Fibrosis) or NFD (Nephrogenic Fibrosing Dermopathy).

It is a condition which involves hardening of the skin, resulting in varying degrees of immobility, can damage internal organs, and is sometimes fatal. It appears to affect only those persons with impaired renal function caused by kidney disease. NSF / NFD is resistant to treatment and can be very painful and debilitating. Most importantly, NSF / NFD is entirely preventable.

The following gadolinium-based agents are implicated by the warning:

  • Magnevist (gadopentetate dimeglumine)
  • Omniscan (gadodiamide)
  • OptiMARK (gadoversetamide)
  • MultiHance (gadobenate dimeglumine)
  • ProHance (gadoteridol)

The FDA has been aware of problems with gadolinium since at least June 2006, when the agency warned healthcare professionals about the risk of nephrogenic systemic fibrosis. A subsequent warning was issued in December 2006.

If you experience any of the symptoms of NSF / NFD after MRI (Magnetic Resonance Imaging) or MRA (Magnetic Resonance Angiogram), you should seek immediate medical attention and get tested for the disease. Symptoms include:

  • Tightening and swelling of the skin, typically starting with the legs, moving to the arms, and sometimes the trunk
  • Thickening of the skin around the joints, restricting movement
  • Skin which feels “woody” and has a texture similar to that of an orange peel
  • Red or dark patches of skin
  • Burning, itching, and/or sharp pains in affected areas
  • Fluctuating hypertension preceding the appearance of skin lesions
  • Symmetrical skin lesions, commonly on the ankles and thighs and between the wrists and upper arms
  • Muscle weakness
  • Deep bone pain in the hips and ribs
  • Calcification of soft tissues
  • Yellow plaques near the eyes

If you have kidney disease or impaired renal function you should always question having a MRI / MRA with contrast to make sure the contrast being used is not one of the ones listed above.  When asked if you are allergic to any medications you should say “Yes, Gadolinium!”

Currently, there are federal lawsuits pending in the United States against the drug manufacturers: Bayer Healthcare, Bracco, GE Healthcare and Mallinckrodt due to the possibility that they have not properly informed patients and doctors regarding the dangerous side effects of these drugs.

Over 250 federal lawsuits have been consolidated in a Multidistrict Litigation (MDL) in the Northern District of Ohio, and at least another 104 cases have been filed in various state courts. The purpose of the MDL is to prevent inconsistent pretrial rulings, avoid duplicity and serve the convenience of the parties, witnesses and the Court. Under the MDL rules, if the cases do not settle or resolve during pretrial, they will be returned to the court in which they were filed.

Attorneys representing persons suffering from NSF have been pushing for aggressive scheduling deadlines to move the cases quickly to trial or settlement, as most of the people are very sick and many may not survive a lengthy trial.

If you have been diagnosed with NSF or NFD you should contact  Law Offices of Gary Green toll free at 1-888-442-7947 or send us an e-mail at ggreen@gGreen.com to discuss your legal options without obligation.

Friday, 21 May 2010 22:41

Business and Commercial Litigation

Written by Law Offices Of Gary Green

Business litigation deals with the legal problems arising from commercial and business relationships including litigation of controversies arising from those relationships. Business and commercial litigation law includes evaluating, handling, and resolving such controversies before state courts, federal courts, administrative agencies, mediators, and arbitrators.

We offer percentage and hybrid fees to help finance the cost of business litigation. To submit or discuss a particular situation please contact Law Offices of Gary Green toll free and without obligation at 1-888-442-7947 or send us an e-mail at ggreen@gGreen.com.

Friday, 21 May 2010 22:41

Prescriptive Easements

Written by Law Offices Of Gary Green

If you are the owner of land locked property, need an access easement and negotiations have failed, contact us for litigation services.

Generally, one cannot be denied reasonable access. Reasonable access usually includes a roadway and utility access. We’ve got experience!

If you have questions about easements or need additional information, call Law Offices of Gary Green today toll free and without obligation at 1-888-442-7947 or send us an e-mail at ggreen@gGreen.com.

Law Offices of Gary Green is located in Little Rock and serves clients throughout Arkansas and across the country.

Incorporation and a limited liability company are both ways to attempt to avoid personal liability by creating a separate legal entity that is recognized as a person under the law. A limited liability company (LLC) is a legal form of business offering limited liability to its owners. It is similar to a corporation and is often a more flexible form of ownership, especially suitable for smaller companies with a limited number of owners.

If you choose to limit liability in this way, it is important to remember that the mere fact of incorporating the business or forming the limited liability company is not enough. You must hold out for the world to see that they are dealing with a separate entity and cannot reasonably expect personal liability from the owners of the business. In this regard, the name of the business should always show the limited designation when the name is displayed, e.g., on signage, stationery, business cards, etc. In addition, when signing for the company the signer should always have a title following the signature, e.g. John Doe, President. In case the corporate or limited veil is pierced, liability insurance is always recommended to a business owner.

The main difference we find between corporations and limited liability companies is the record keeping requirements. A corporation can have its corporate veil pierced for not keeping corporate records, while a limited liability company is not expected to keep much in the way of records beyond its annual franchise tax requirement and income tax reporting requirements.

Corporate records should be kept of all major transactions and updated at least annually. These record keeping requirements are statutory and are not as stringently found in the later-year statutes, which allow the creation of LLCs. LLCs pass all income directly to the members, with no lower taxation applicable to the LLC entity.

While limiting liability is probably the most important reason for forming a small company, tax treatment is also a consideration. Companies are usually taxed at a lower rate than a high-income individual is and corporations sometimes can elect a fiscal year end other than the calendar year while LLCs cannot elect a year end other than the end of the calendar year.

Without giving tax or securities advice, our fee for incorporating a small business or forming a limited liability company in any state in which we have an office is $500.00 plus costs. Costs include filing fees at the Secretary of State’s office, initial franchise taxes, and the cost of a corporate record book. Costs vary from state to state but usually do not exceed $200.00.

Contact the attorney manager of Law Offices of Gary Green in the state in which you reside for this service or for any questions or additional information contact us toll free and without obligation at 1-888-442-7947 or send us an e-mail at ggreen@gGreen.com.

Friday, 21 May 2010 22:11

Tire Failure

Written by Law Offices Of Gary Green

When it is over 100 degrees outside you want to keep your speed below 100 miles per hour! Much less, of course. As you are driving, be aware of the relationship of tire blowouts to heat, speed and age of the tires. See the National Highway Transportation Safety Administration report, which long story short, shows that in a hot climate tires four to six years of age should be replaced regardless of age or tread wear. To quickly check the age of your tires, look for the last few digits of a code on the tire which represents the manufacturing date of the tire. For example, the “459” on one tire means it was manufactured the 45th week of 1999. Since 2000, tires are identified using 2 digits for the week and 2 digits for the year. For example, a tire manufactured during the 31st week of 2005 would end with 3105.

Should your vehicle’s tires fail, whether it is due to a manufacturer’s faulty design or simply a poor quality production run, it can have devastating consequences in the form of car wrecks that can lead to brain injury, paralysis and even death.

If you or a loved one have been the victim of an injury due to a car wreck caused by tire failure, please contact us today for an initial consultation to discuss your legal options for making the tire manufacturers responsible. If you have questions or need additional information, call Law Offices of Gary Green toll free and without obligation at 1-888-442-7947 or send us an e-mail at ggreen@gGreen.com.