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Ethicon Media Monitoring 9/14/2018

    Client Attorney Privileged/Attorney Work Product/At Request of Counsel

    Online Sources

  1. Federal Prosecutors Stepping Up Investigation In Surgical Mesh Case

    Sep 13, 2018 | ECNmag.com

    By Daniel Seeger

    The New York Times reports this week that a federal investigation into allegations of women pressured into surgery is reaching a critical new level. Although officials aren’t confirming, the Times has sources claiming subpoenas have been issued.
  2. Grieving family say Holyrood’s temporary ban on mesh operations isn’t enough

    Sep 13, 2018 | The Scotsman

    The use of transvaginal mesh implants has been immediately halted in NHS Scotland, the health secretary has announced.
  3. Don’t tell women to shut up about childbirth. Sharing stories saves lives

    Sep 13, 2018 | The Guardian

    By Suzanne Moore

    ...This does not fuel fear: it fuels action. How else would the scandal of vaginal mesh have been made prominent?

    Client Attorney Privileged/Attorney Work Product/At Request of Counsel

    Online Sources

  1. Federal Prosecutors Stepping Up Investigation In Surgical Mesh Case

    Sep 13, 2018 | ECNmag.com

    By Daniel Seeger

    The New York Times reports this week that a federal investigation into allegations of women pressured into surgery is reaching a critical new level. Although officials aren’t confirming, the Times has sources claiming subpoenas have been issued.

    The United States attorney’s office for the Eastern District of New York apparently launched the investigation following an earlier story in the Times detailing a scheme to coerce women into undergoing surgery to remove pelvic mesh implants. The article claimed many of the surgeries were unnecessary, but were expected to bolster a lawsuit against Boston Scientific, the manufacturer of the mesh.

    Medical personnel in walk-in surgery centers, legal firms, marketing agencies, and hedge fund investors backing the whole endeavor were identified as complicit in the recruitment of hundreds of women to endure unneeded procedures and then join the mass tort legal action.

    Complications related to surgical mesh do take place and are best addressed with a procedure to remove the device. For those who aren’t experiencing difficulty, however, undergoing a new invasive surgery can have devastating consequences.

    As Victor Nitti, MD, a urogynecologist with NYU Langone Health, explained to the Times, “scaring a patient who has limited to no symptoms into removal is just dangerous and irresponsible.”

    Without official confirmation from federal prosecutors, the direction of the current investigation remains unclear.

    The Times adds the attorney general’s office Florida is engaged in their own investigation of the matter.

    https://www.ecnmag.com/news/2018/09/federal-prosecutors-stepping-investigation-surgical-mesh-case

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  2. Grieving family say Holyrood’s temporary ban on mesh operations isn’t enough

    Sep 13, 2018 | The Scotsman

    The use of transvaginal mesh implants has been immediately halted in NHS Scotland, the health secretary has announced.

    The move comes after the Evening News revealed Eileen Baxter, from Loanhead, was the first person in Scotland to have mesh repair listed as an underlying cause of death.

    In a statement in Holyrood, Jeane Freeman said an effective ban would be in place until the introduction of a new “restricted use protocol”.

    This does not include other procedures such as transabdominal mesh which 75-year-old Eileen underwent for a pelvic organ prolapse but these will be subject to “high vigilance” procedures. There was mixed reaction to the news, with campaigners urging the health secretary to implement a total ban on the use of mesh products.

    Mark Baxter, Eileen’s son, expressed concern at the decision, while opposition politicians welcomed the move. Mark said: “The underlying cause of my mum’s death was the mesh, that’s what cut through her bowel, that’s what caused the damage – this announcement doesn’t address that.

    “My understanding is it’s the product that causes the damage, and it’s barbaric they’re using this material in the first place.”

    Eileen, a great-grandmother married to 79-year-old Chic, had multiple organ failure listed as directly leading to her death after being admitted to the Royal Infirmary of Edinburgh with internal bleeding, sickness and diarrhoea the week before her death on August 27.

    Elaine Holmes and Olive McIlroy on behalf of the Scottish Mesh Survivors campaign said they were disappointed for the Baxter family and their hearts went out to them.

    They said: “As a result of the story of Eileen’s death and mesh being an underlying cause, we believe that this has prompted the announcement.

    “The fact is that abdominal mesh is not going to be included in this halt.

    “When we took our petition to the parliament in 2014 there was only a small number of us and we all had transvaginal mesh, that is what our petition is about.

    “Since then we now have many people in our group who have similar mesh to Eileen, we also have men and women with hernia mesh. If we were doing our petition again we would widen it and we would include all mesh.”

    Scottish Labour MSP Neil Findlay said: “This is a welcome move that represents a victory for campaigners and the many victims of one of the greatest corporate scandals of recent times.

    “Hundreds of women have had their lives ruined by mesh implants and it is right that the government has finally acted.”

    https://www.edinburghnews.scotsman.com/news/grieving-family-say-holyrood-s-temporary-ban-on-mesh-operations-isn-t-enough-1-4799006

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  3. Don’t tell women to shut up about childbirth. Sharing stories saves lives

    Sep 13, 2018 | The Guardian

    By Suzanne Moore

    Mumsnet may be responsible for a lot of questionable things – penis beaker, anyone? – but will it actually end the human race? Will it stop us reproducing? This seems a tad excessive but apparently by sharing stories about childbirth there, women are scaring other women into “a pathological terror of childbirth”, says an expert. Catriona Jones is a lecturer in midwifery at the University of Hull who studies “tocophopbia”. She suggests social media is partly to blame for this fear-with-no-name (which, of course, now has one).

    Let’s break this down, shall we? Women fear childbirth because pushing out another human being through a small opening in your body is to be split asunder. They fear the pain that leads up to it: labour. They fear the pain during the actual pushing-it-out bit, and often have little idea about the pain that comes after. But we “feel the fear and do it anyway” – just as that dumb mantra tells us to.

    The fear is rational. When women tell each other birth horror stories nowadays, this is not an exercise in fiction. They are telling the truth.

    My mother described childbirth to me thus: “I was sitting next to your nana on the couch. I felt a twinge, and she said, ‘It’s time to pop upstairs’ – and you were born.” She also said there was no need to “make any noise”. That phrase came back to me when, off my skull on pethidine, I was giving birth to my second child, I thought I was in a field of enormous cows mooing; then I realised these deep, groaning noises were actually coming from me.

    For my sins, I have had one natural birth, one on monitors (with said lovely pethidine), and a caesarean. My experience is that I recovered much more quickly from vaginal deliveries than caesarean ones. Anecdote is not data, though, and essentially I feel women should have the choice.

    Choice cannot be made in a vacuum. And this is why women talk to each other. You might get the odd sadist who takes pleasure in describing torn perinea, infection, the devastation of their entire “undercarriage” (!). But you also learn. In theory everyone wants a low-lit birthing pool. In reality, when the shit hits the fan – or sometimes the birth “partner” – one is relieved that hi-tech, medicalised births are to be had.

    The feminist discourse around birth seeks simply a smidgen of control. Women should not have to beg for pain relief or caesareans, any more than they should have to beg to keep everything as natural as possible. Extreme pain makes us feel out of control – all of us. To prepare for that, it is necessary to know what options are available.

    This is not sharing “horror stories”. But while babies may be beautiful, let’s not pretend birth is. It is full-body horror. Why deny it? Who knew that once the baby comes out you still have to deliver what looks like a massive internal organ – the placenta? Who actually wants to be stitched up in the most sensitive part of your body, while being told you don’t feel it, even though you do?

    The euphoria may take the edge off, but this does not mean you will not be sent home in pain, heavily bleeding – whichever way you have given birth. All the squidgy toys and soft baby blankets and consumable cuteness is a huge denial of the blood-and-guts experience of birth. It is telling that so many female obstetricians opt for elective caesareans.

    They say you forget the pain of childbirth. Yes and no. You mainly wonder how you got through it. What I don’t forget is the pain after childbirth, and that actually is what much conversation on Mumsnet is about. Women feel damaged, sore, cut, worried about ever having sex again. They fear incontinence and the loss of the ability ever to feel pleasure again, as well as totally abandoned by medics. They are meant to be happy, but their bodies feel broken. They feel that no one told them it would be this way, and they are afraid.

    This does not fuel fear: it fuels action. How else would the scandal of vaginal mesh have been made prominent? The reality of an NHS stretched to it limits is: not enough midwives, too few anaesthetists on call, and ante- and postnatal care reduced to six-minute slots. In this context, then, fear of childbirth is not ungrounded, or to be treated with a bit of CBT.

    I would say to any women: yes, it bloody hurts, but it’s usually only a day or so out of your life. Don’t blame yourself if it doesn’t go as planned. The best plan is the one where both you and the child are alive at the end of it. It is the experience of a lifetime. If you feel mentally and physically traumatised, please do keep talking. You are not spreading fear. Because women sharing their truths, however bloody messy these are, is actually how we change things.

    https://www.theguardian.com/commentisfree/2018/sep/13/women-childbirth-stories-giving-birth-painful

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