Good intentions
Forum Replies Created
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Hello. Dr. Towfigh posted on her pinned News Feed post that the News Feed would auto-populate from the Discussions page. I find that it only shows my own posts, not those of other members. So, in order to see new stuff from other members, I still have to sign in, then click Discussions and go to the Discussions page, to see new replies.
Also, I am still unable to Comment to a post on the News Feed page. I tried to comment to Dr. Towfigh’s post but got kicked out after a few seconds. Just long enough to type about 50 words then have them get disappeared. Kind of exasperating.
I guess, big picture wise, there is still hope. There are thousands of forums out on the internet, and different types of forum software out there, that manage to exclude the trolls and execute a certain useful discussion format. Here is an example.
https://www.f150forum.com/f12/
Good luck, and thank you!
f150forum.com
Maintenance Shop - Ford F150 Forum - Community of Ford Truck Fans
Maintenance Shop - Keep your Ford F150 truck running strong. Discuss all things maintenance here.
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Testing my ability to post something with a link in it. And, also, to see where it is placed. This is in an already created thread.
https://custom.cvent.com/9D6126EEBC1B404DA11E747D5B4411CE/files/955da81f74bd4068b0c320dd2aba1bdb.pdf
At the start I’m getting an error message about creating a link preview. Probably because it’s a link to a pdf file page. I’ll hit Post anyway.
Edit – it worked! Yay….
Edit 2 – but it still placed a November post before a September post. Not yay…
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This reply was modified 1 year, 1 month ago by Good intentions.
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This reply was modified 1 year, 1 month ago by
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Hello again @dev
Unfortunately the problem seems to be back. You can see my November 16 reply above my November 15 reply. Edit – along with this post above both of them.
I have also found that I cannot post a reply with a link in it. I assume that the link is the problem, the error message does not specify. Here is an image.
Sorry to be such a bother. The discussion page is almost back to normal, just not quite there yet.
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This reply was modified 1 year, 1 month ago by Good intentions.
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This reply was modified 1 year, 1 month ago by
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Thank you @dev for all of the hard work on fixing the bugs. This is a quick test of my ability to reply. I replied to a different thread and got an error message.
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The next trial is really interesting. It involves a very popular mesh, Bard 3D Max, that is used in laparoscopic and robotic procedures. Very mainstream modern hernia repair, the type to where the societies and technology companies are trying to push the hernia repair field. It could have big impact. It looks like they’re focusing on the “3D” nature of the product and its tendency to fold. Although the flat meshes fold also. The focus on manufacturing though, essentially gives an “out” for Bard (now BD) for seling future product. They should focus on the verifiable facts and the harm done. Don’t dilute the argument..
“November 13, 2023: More Bellwether Trials Set
What is next in the hernia mesh lawsuits? Another trial. Scheduled for January 2024, the fourth/fifth bellwether trial involving Bard centers on plaintiff Jacob Bryan, who underwent a surgical procedure involving the use of a 3DMax hernia mesh for inguinal/groin hernia repair. Post-surgery, Mr. Bryan experienced severe complications, including mesh deformation and chronic pain, which have necessitated ongoing medical treatment and may lead to additional surgery.
Originally selected as a bellwether trial by the defendants years ago, there was an effort by them to remove Mr. Bryan’s trial date. Their argument centered on the premise that Mr. Bryan’s complications were more severe than initially expected, potentially skewing the representative nature of the bellwether trial. However, the motion to replace Mr. Bryan as a bellwether case was denied by the Judge Sargus.
The product at the center of this case, the 3DMax hernia mesh, is subject to similar allegations as other products in similar lawsuits. The plaintiff accuses Bard of failing to adequately warn both patients and healthcare providers about the significant risks and potential complications associated with the use of the 3DMax mesh. This includes not just an omission of known risks but also underrepresentation of the severity and frequency of possible adverse effects. Additionally, the lawsuit raises issues regarding the design and manufacturing of the 3DMax mesh. It is alleged that defects in the design and manufacturing process contributed to the complications suffered by patients like Mr. Bryan.”
https://www.millerandzois.com/products-liability/hernia-mesh-case-value/
millerandzois.com
Hernia Mesh Lawsuit Settlement Compensation Payouts
Our hernia mesh lawyers seek new clients suffering severe side effects from these defective products. Over 20,000 hernia mesh lawsuits have been filed. Three hernia mesh device lawsuits have gone ...
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Here is an image showing May bracketing November.
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I just stumbled across this old post by Pinto and wondered if Dr. Jacob has had his hernia repaired yet. 3+ years have passed.
Here is a link to the video.
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Not sure what’s happening, the software showed my double post as being at the end of the thread then moved it up a few again. Anyway, if this is at the end, scroll up a few posts and check the date. Good luck people.
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This will be a double reply. I used the red “Reply” button at the upper right and the software stuck my reply in to the middle of the stream. I assume, maybe, wherever my cursor was.
Hopefully this one shows up at the end of the thread where it can be found, as I thought it would.
Might as well give the forum software some more testing. It is now almost six years since I had mesh removed by Dr. Billing of Transform Weight Loss in Kirkland Washington. Things have been going very well, My range and duration of activities is still slowly expanding. I don’t really have any “down” days anymore, every day is open to spontaneous possibilities. Lifting heavy weights, walking long distances, running, sprinting. I do still get some soreness at the spot of the original hernia, but it feels like it is generated from the outside now. From slight constant external pressure on the spot.
So, as I’ve said before, I don’t want to make anyone feel bad about the long time it might take to get back to full fitness, six years is a long time. But I’d also like to give some hope to people that expected faster results from their surgery, whether it was mesh removal or hernia repair, if recovery is slow for them If you’re feeling progress it will probably continue.
But, also, to be clear, as far as mesh repair surgery, I was making zero progress of recovering from the original best practice top level best surgeon standard of care of TEP implantation of Bard lightweight Soft Mesh. My first ever surgery of any kind was a disaster that lasted three years plus the years after to heal from mesh removal So if you’re having mesh problems don’t let this account convince you to wait too long. You’ll know if things have any chance of getting better.
Also, finally, and maybe most importantly, Dr. Billing really does seem to know what he’s doing “in there”. If you’ve watched any videos of surgeons narrating what they’re doing and/or heard them describe it, there are all sorts of different ways that surgeons do things. There is no standard practice mesh removal method. As far as I know and according to his surgery notes, all that he did was carefully remove as much mesh as he could. No neurectomies were noted as having been done and I do not have any symptoms of neurectomy. No numbness or phantom pain. And no signs of recurrence.
So I can sincerely recommend seeking out Dr. Billing if you feel that you need to have mesh removed.
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Double post. The software placed my reply in the middle of the thread. I copied it to the end.
Might as well give the forum software some more testing. It is now almost six years since I had mesh removed by Dr. Billing of Transform Weight Loss in Kirkland Washington. Things have been going very well, My range and duration of activities is still slowly expanding. I don’t really have any “down” days anymore, every day is open to spontaneous possibilities. Lifting heavy weights, walking long distances, running, sprinting. I do still get some soreness at the spot of the original hernia, but it feels like it is generated from the outside now. From slight constant external pressure on the spot.
So, as I’ve said before, I don’t want to make anyone feel bad about the long time it might take to get back to full fitness, six years is a long time. But I’d also like to give some hope to people that expected faster results from their surgery, whether it was mesh removal or hernia repair, if recovery is slow for them If you’re feeling progress it will probably continue.
But, also, to be clear, as far as mesh repair surgery, I was making zero progress of recovering from the original best practice top level best surgeon standard of care of TEP implantation of Bard lightweight Soft Mesh. My first ever surgery of any kind was a disaster that lasted three years plus the years after to heal from mesh removal So if you’re having mesh problems don’t let this account convince you to wait too long. You’ll know if things have any chance of getting better.
Also, finally, and maybe most importantly, Dr. Billing really does seem to know what he’s doing “in there”. If you’ve watched any videos of surgeons narrating what they’re doing and/or heard them describe it, there are all sorts of different ways that surgeons do things. There is no standard practice mesh removal method. As far as I know and according to his surgery notes, all that he did was carefully remove as much mesh as he could. No neurectomies were noted as having been done and I do not have any symptoms of neurectomy. No numbness or phantom pain. And no signs of recurrence.
So I can sincerely recommend seeking out Dr. Billing if you feel that you need to have mesh removed.
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This reply was modified 1 year, 1 month ago by Good intentions.
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This reply was modified 1 year, 1 month ago by
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Hello Carmen. I am on a full-size computer, running Windows and a Chrome browser. I cleared the cache and history completely, every box checked, on my computer and there is still no button visible to start a new Discussion, and the “You cannot…” notification is still there. Here is an image.
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I have found the Discussion page. And used Search to find my old thread. Search on the “News Feed” page does not search the Discussion page. That explains my previous problem.
@dev (Sorry to be so demanding. Discussing the hernia repair situation is a form of catharsis for me, and HerniaTalk is a big part of it).
I have found some documents that describe the complete path to the current state of Per-Fix plug case. Pretty interesting. You can see who used the plug initially, and who removed it then used a different type of mesh to repair the defect.
“<b style=”background-color: var(–bb-content-background-color); font-family: inherit; font-size: inherit; color: var(–bb-body-text-color);”>November 3, 2023 Update
We are still in the defense case in Stinson. Dr. Radke, the explanting surgeon, testified by videotape yesterday.”
Here is a recent document regarding the case, with a summary.
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The Stinson case is progressing along. This latest post makes it seem like a “reasonable” settlement is expected.
Another surgeon has been introduced to the saga. This is from the Miller and Zois link above.
Dr. Badylak is associated with a biotech company, Triad Life Sciences, Inc. https://innovamatrix.com/
Also a professor of surgery. Interesting that he is used by Bard for defense. It would be really interesting to see actual transcripts of trial testimony.
https://www.surgery.pitt.edu/people/stephen-badylak-dvm-phd-md
“November 8, 2023: On Day 14 of the Stinson bellwether hernia mesh trial, Bard called brought Dr. Stephen Badylak to the stand, a witness with a history of testifying for Bard in similar cases. In a move reflective of the parties confidence in a favorable outcome, both sides have jointly filed a motion advocating for the use of a single damages’ verdict form, a measure in accordance with Maine law. This is intended to minimize confusion among jurors and reduce the risk of potential appeals or retrials due to the issue of multiple recoveries for a single harm.”
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That is a very interesting article William, thanks for posting it. I see another familiar name, Dr. Rosen of the Cleveland Clinic, is quoted in it too. He’s one of the good guys.
What I got from the article was not so much that surgeons were learning incorrect techniques via YouTube but that the technology companies facilitated it. They didn’t care that it was wrong they just wanted to get people buying and using their equipment. Like paying to have a training center built on a public university campus. Whatever it takes to get that revenue. Patient health is secondary. It’s just the world we live in today.
I pulled a bunch of pieces from it for anybody who doesn’t want to click through. It’s pretty incredible. Worth reading the whole thing but it won’t make anybody more comfortable about any future surgery.
“Over the next 15 years, the number of times that doctors billed Medicare for a hernia component separation increased more than tenfold, to around 8,000 per year. And that figure is a fraction of the actual number, researchers said, because most hernia patients are too young to be covered by Medicare.”
” “It’s unbelievable,” Rosen said. “I’m watching reasonably healthy people with a routine problem get a complicated procedure that turns it into a devastating problem.” ”
“Component separation must be practiced dozens of times to master it, experts said. But 1 out of 4 surgeons said they taught themselves how to perform the operation by watching Facebook and YouTube videos, according to a recent survey.”
“One instructional video, paid for by another major medical device company, showed a surgeon slicing through the wrong part of the muscle with the da Vinci.
Peper Long, a spokesperson for Intuitive, said the company hired “experienced surgeons” to lead its training courses. “The rise in robotic-assisted hernia procedures reflects the clinical benefits that the technology can offer,” she said.”
“In interviews with the Times, more than a dozen hernia surgeons pointed to another reason for the surging use of component separations: They earn doctors and hospitals more money. Medicare pays at least $2,450 for a component separation, compared with $345 for a simpler hernia repair. Private insurers, which cover a significant portion of hernia surgeries, typically pay two or three times what Medicare does.”
“Intrigued by the hype, Dickens taught himself component separation by watching online videos. His first operation went well, he recalled, but a later patient developed a serious complication, necessitating an additional surgery.
Then, at a dinner meeting in Houston, he presented a video of one of his own surgeries to a group of about 50 other doctors, Dickens recalled. A more experienced surgeon interrupted to say he was operating on the wrong part of the muscle. The rebuke felt like a “red flag,” he said, and he stopped doing the procedure, although he is still a proponent of the da Vinci for other operations.
In June 2021, W.L. Gore & Associates, a medical device company that makes surgical mesh used in hernia repairs, posted a video tutorial on its website. It promised to be a step-by-step guide to component separation surgery.
A surgeon narrated as he cut the patient’s abdominal muscles, releasing tissue so he could close a hernia. But he was operating in the wrong place and likely created a new hernia, according to four surgeons who reviewed the video.
“It absolutely trashed the abdominal wall,” said Jeffrey Blatnik, who directs the Washington University Hernia Center. “It was so offensive to the point that we reached out to the company and told them, ‘You guys need to take this down.’”
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Hi dev. I think I @’ed you already but just want to be sure. The ordering problem is still there.
Good luck, keep going.
Thanks.
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Good morning Carmen. @Carmen_Calvo I was able to create a title and write text but I got an error message when I clicked on Post. Here is an image. Progress!
“! Error: Forum ID is missing.”
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Hello @CursedGroin I managed to find your original post using Google search. I’ve seen your conversation with Herminius and was trying to go back to see what his original symptoms and procedures were and came across your thread instead. If I find it I’ll reply to it and see if it comes back to life.
Alos posting here just to see if I get updates or can follow along with a discussion. The HerniaTalk forum is in bad shape right now, I hope that somebody finds a solution. It might be that Dr. Towfigh has grown tired of it and is phasing it out. Who knows.
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Thanks for the story Dave @mrhernia So, so far, two success stories. One for the original Desarda repair, and one for Dr. Conze.
Do you know if the 2008 Desarda was done with permanent sutures or absorbable? I have seen a drift toward absorbable sutures in various methods, but as far I can understand, that’s probably a bad idea. Nothing wrong with permanent if the repair is done correctly, I think.
Good luck.
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Sensei, you’re back. Who did your repair?