Congress needs to turn its attention to medical device safety

This article was originally published by STAT (www.statnews.com) on December 21, 2016:

With the landmark 21st Century Cures Act now signed into law, Congress needs to turn its attention to another pressing health issue: the safety — or lack thereof — of medical devices.

Thousands of medical devices are on the market today, with a steady stream of new ones coming along. They include spinal and breast implants, pacemakers, TENS devices for pain, transvaginal mesh slings, tubal occlusion sterilization coils, dental amalgam, prosthetic joints, and more.

The Food and Drug Administration puts medical devices into three categories. Class I devices are simple and have little potential to cause harm, such as bandages. Class II devices are more complicated and present a greater risk or harm. These include motorized wheelchairs and simple implants such as radio frequency identification chips; they are often approved with special guidelines for control. Class III devices help support or sustain life or present a potentially significant risk of injury. Examples include pacemakers, artificial heart valves, and joint replacements.

For all the good that medical devices do, they can also cause harm. I know this because my health was almost irreparably harmed by the mercury-based dental amalgam used over my lifetime to fill cavities — it turns out that genetic susceptibility is a factor. I have friends, relatives, and colleagues who have endured cancers and autoimmune diseases, allergies, rashes, pain, memory loss, and incredible emotional strain from problems caused by various medical devices.

Click here to read the complete article. 
https://www.statnews.com/2016/12/21/medical-devices-safety-congress/

Presentation to FDA Panel: "Precision Device" Framework for FDA: Is Essure Medical Device "Right for You?"

Here are the six slides I presented at the FDA Ob/Gyn Panel on Essure Sept. 24, 2015.

The testimony is on pages 173-175 of the FDA Hearing Transcript here. They asked a question about biocompatibility testing after my presentation.

Discovering Essure’s problems the hard way

Discovering Essure’s problems the hard way

MetroWest Daily News

By Melanie Goshgarian and Laura Henze Russell
Guest Columnists

September 04. 2015 11:05PM

FDA’s medical device standards outdated, ineffective

Here is a warning for women: do your homework before putting anything in your body. Why? The Food and Drug Administration (FDA) rules governing medical device safety are about 40 years old. They are practically medieval when it comes to patient health and safety.

Can social media and digital apps track illness and help save health? Yes, says a new study by Epidemico, a Boston-based digital health innovator which partnered with the patient illness group, Essure Problems. The study combined social media outreach with the MedWatcher tool to encourage women with medical device illnesses to report problems to the Food and Drug Administration (FDA). Lead author Chi Y Bahk presented it at a major conference in Boston.

This helps to build a more robust database of side effects for an upcoming FDA hearing on the safety problems with Essure, a form of permanent birth control. Essure is made of a nickel titanium alloy and a polyester-like fiber called polyethylene terephthalate (PET). It triggers an inflammatory response, causing scar tissue to form and block the fallopian tubes, preventing pregnancy. The scarring process takes three months. Women must use other contraceptives until testing confirms the tubes are blocked. Most often this test is not covered by insurance.

Over 19,790 have joined the Essure Problems Facebook group, because this contraceptive device that was supposed to be quick, easy and safe permanent birth control, has turned their bodies into a little house of horrors. Through May 2015, nearly 5,100 adverse event reports had been submitted to the FDA. The new study found the most common complaints include: pain, fatigue, abdominal distention, heavy menstrual bleeding, cramps, headache, abnormal weight gain, arthralgia, migraine, painful intercourse and hair loss.

Doctors tell us to rely on their knowledge and look askance at the Internet. However, device manufacturers can get FDA approval based on modest numbers with short term data. In the case of Essure, 400 women were followed for one year, and 200 for two years. There is difficulty in getting device illness reports taken seriously, especially when they are filed by patients, but doctors often do not file reports. There is a lag time for information to be collected, papers published and read, and information shared. Physicians who rely on the highest standards of evidence-based medicine will always be behind the curve.

We have both been injured by very different FDA-approved devices. Our symptoms escalated and cascaded, and our growing series of doctors and specialists could not find out what was wrong with us. At first they did not even consider that a device could be causing these systemic problems. Some were disbelieving as they had not read of reported cases of device illnesses in the literature. In each case, a great doctor helped figure out what went wrong, and we built new excellent medical (and dental) teams to work on addressing multiple and systemic problems.

Among the consequences: unable to work, impacts on our families, and high uncovered costs. Device illness patients face lives changing from a series of adventures, enjoyments and accomplishments to a series of medical appointments, medications and procedures.

According to the original Essure brochure given to women, the device should not be used in women who, “Have a known hypersensitivity or allergy to nickel as confirmed by skin test.” The brochure also stated (emphasis added): “There are very little data on the safety of or the chance of pregnancy with Essure beyond this time frame. Once longer-term data are available, the information on the safety of and chance of getting pregnant while using Essure may be different than the data based on 1 or 2 years of use.” By 2014, Bayer's updated brochure included additional warnings of pelvic pain, device migration, ectopic pregnancy, and allergy warnings.

Why does the FDA alert you to do a patch test for hair color 24 hours in advance, yet not require or recommend pretesting for biocompatibility (allergy and immune reactivity tests) before permanent devices are installed in non-emergency situations? Medical devices are not subject to the same type of premarket safety testing as prescription drugs. They have always been the poor stepchild of the FDA, and women, children and men who are unlucky enough to not be “average” pay a tragically high price. Metals allergies – and genetic variations in methylation – are not uncommon - but are rarely tested in advance.

Patients like us learn that our installed medical and dental devices were not “biocompatible” with our bodies, genes and cells after the fact, when it is too late. Historically, reporting of medical device health impacts – called adverse events by the FDA – has been done sporadically by doctors and rarely by patients. There is little incentive for research on post-market health problems – that arise after devices have been approved and are in widespread use. Nobody makes money on limiting uses of devices, vs. expanding their use.

Epidemico’s Medwatcher app empowers patients to report their health problems directly to the FDA quickly and easily, adding a new, direct experience database to document health impacts, and improvements from remediation that include operations to remove the device. Some patients have undergone multiple operations in efforts to contain and reverse the damage.

Many women will be going to an FDA Expert Panel Meeting on Essure September 24, 2015 – the day Pope Francis will be in town to address Congress. They will ask FDA to remove Essure from the market until further testing is done, or at a minimum issue a black box warning. Basically get this product off the market and find a remedy for those who have been harmed. Patients with other device illnesses – there are many – are submitting statements of support.

If you have any health problems whatsoever, look into whether a medical or dental device might be a factor in causing it. Do not be afraid to speak up when they think something is wrong. Only you know your body and nobody can tell you how you feel. Without your information, doctors and the FDA will be missing key impacts. If you have problems, report them on MedWatcher, so your experience can help support others’ health. Learn more, and tell FDA, the Administration and Congress to put patient safety and health first. Act now.

Melanie Goshgarian is a 911 Emergency Dispatcher with over 17 years of experience in police, fire, and medical emergencies. She volunteers as a patient advocate to Women harmed by Essure and collaborated with Epidemico on this MedWatcher study. Laura Henze Russell is Principal of Precision Research & Communications and Hidden River Health Challenge. She is launching a call for Medical and Dental Device Safety Urgent Reform: MEDDSURGE.

Storify: White House Champions of Change for Precision Medicine July 8, 2015

Click here for highlights, comments, questions and tweets from White House Champions of Change for Precision Medicine July 8, 2015. Also attended Pre-Meeting on Regulations with FDA. 

Key points: 
Reboot FDA device regulations for patient safety 
Recognize genetic variation in tolerance vs. toxicity
Patient labels, Informed consent, Precision Devices 
Pretest "right for you" before they are installed
Include in medical (not just dental) record
Add dental section to MedWatch Report Forms 
Integrate dental into healthcare, insurance, records

NIH Precision Medicine Patient Engagement & Health Equity Work Group, July 1-2, 2015

Storify: NIH Precision Medicine Advisory Committee Work Group on Patient Engagement & Health Equity July 1-2, 2015

Click here for highlights from the Meeting, comments, questions and tweets.

 Follow

Laura H Russell @LauraHRussell

Excited to be at NHI #PMINetwork Meeting on Participant Engagement and Health Equity and meet all working for health

11:01 AM - 1 Jul 2015

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LET'S GET HEALTHIER AGAIN! 1 MINUTE VIDEO

Laura Henze Russell on Health, Chronic Disease & Hidden River Health Challenge, a project of Ocean River Institute

WELCOME! HIDDEN RIVER'S PATHS TO GOOD HEALTH, MAKING CHRONIC DISEASES HISTORY

What We Do To Help Others:

• engage people of all ages, stages, walks of life

• learn about genes and toxins, common causes of chronic diseases 

• understand our own health information

• share what we learn with others

• take actions to help ourselves and others

• reach out to health care stakeholders, patient advocacy and other device illness groups, and innovators in patient care, health apps, precision medicine, biotech, digital health, big data

What We Do to Help Ourselves:

• work with functional/integrative/environmental MDs, biologic/holistic/mercury-safe dentists

• get appropriate, helpful tests (biocompatibility, allergy, genetics, heavy metals, toxins)

• separate ourselves from exposures - in our bodies, homes, schools, workplaces, yards 

• get supportive treatment from knowledgeable professionals, monitor & curate our health

• build supportive communities so we share, give and receive support and help

• ask questions, advocate, communicate, innovate, thrive!

We Get Healthy, and We Change Policy Together

20 Hard Questions to FDA Science Forum on Storify

20 Hard Questions to FDA Science Forum 2015 (Click here) 

Will FDA throw medical device illness patients a lifesaver, or continue to see, hear and speak no evil of dental and medical devices that - due to genetic variability in methylation, immunity, and detoxification pathways - are not "Right for Us?" We need #RightToKnow and #WrittenInformedConsent for everything installed in our bodies. We need all installed device #UDIs in #EMRs - not just in dental records, not seen by our doctors or #BigData. 

It is time to recognize and respect #GeneticRights, and put patients' health first through #PrecisionDevices. We do not control our DNA, so we need strict controls and prior biocompatibility screening for all dental and medical device materials before they are installed. This is basic science and safety to protect children and adults as genetically unique snowflakes. 

Silent Spring 2015 - FDA: Lifesaver, or See/Hear/Speak No Evil. Q: Is Your Device "Right for You?"

Silent Spring 2015 - FDA Must Recognize Dental Amalgam Dangers
MetroWest Daily News 
By Laura Henze Russell, Guest Columnist Posted May. 28, 2015 at 8:39 PM 

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  Will FDA throw medical device illness patients a lifesaver, or continue to see, hear and speak no evil of dental and medical devices that - due to genetic variability in methylation, immunity, and detoxification pathways - are not "Right for Us?"

  We need Right To Know and Written Informed Consent for everything installed in our bodies. We need new Universal Device Indicators (UDIs), now being rolled out by FDA, in our electronic medical records - not just in dental records, which are not seen by our doctors, or by BigData, and considered as a factor in disease and health.

  It is time to recognize and respect Genetic Rights, and put patients' health first through Precision Devices. We do not control our DNA, so we need strict controls and prior biocompatibility screening for all dental and medical device materials before they are installed. This is basic science and safety to protect children and adults as genetically unique snowflakes.

  It is impressive that Makers and the Makers movement can make anything these days. That brings great promise, especially as we do not take care to preserve our bodies by being careful about what we eat and what we install in them. The FDA needs to come down squarely on the side of patients and the Maker - who makes our bodies and brains as living, pulsing cells, neurons, organs and systems - that do not take kindly to foreign materials, especially if they have common genetic methylation variants.

  FDA tells us to do a patch test for hair color products 24 hours in advance. It is time to require a one-time advance biocompatibility test for all installed dental and medical materials, before they are permanently installed, with an exception for emergency procedures, in which case post-testing can be done.

  Rachel Carson was a marine biologist who helped protect birds from extinction by noting the impact of DDT on their ability to reproduce. Today, humans are the endangered species, and the endangering one. Mercury is human DDT, wreaking havoc on cells, health and lives. It is time to get it out of U.S. dentistry for all time.

  We must make Precision Devices the top priority for President Obama, the FDA, CDC, NIH, PHS, IHS, HHS and the Surgeon General of the United States, so we stop chronic toxic poisoning of those for whom dental and medical devices are not a good fit, based on their genetic profile. This will significantly lower rates of autoimmune, behavioral, cardiovascular, cognitive, dermatological, kidney, neurological, and psychiatric diseases, as well as memory, mobility, movement, mood and mental status changes, as these are triggered or exacerbated by systemic chronic inflammation.

  The administration, Congress and the courts must take swift action now to reboot the FDA's practically medieval medical device regulations. The bill to regulate devices was proposed by President John F. Kennedy in 1962. It passed 14 years later, in 1976. There is now action to add UDIs to devices under recent legislation that is being rolled out for comment starting this month. However, patients still get no information sheets on composition and health risks, no right of written informed consent for installation of dental fillings or information on who to contact if problems arise as MedWatch Form 3500B Adverse Event Reports make no mention of dental devices, patients do not know the manufacturer or model and serial number as it was never provided, and hundreds of reports filed over the years have been lost or misplaced by the FDA and never entered into MAUDE.

  The FDA repeatedly overrules its own expert product panels on dental amalgam, repeatedly ignores petitions for reconsideration of its flawed risk assessment, repeatedly ignores expert dentist and ill and injured patient testimony. The FDA repeatedly ignores new scientific evidence of immediate neurobehavioral harm and kidney changes to children with certain gene types, and mounting evidence of harm to dentists, dental workers, and patients compared to matched controls, with harm linked to certain gene types that do not methylate well.

  The FDA is repeatedly sued and ordered to act by a federal judge, but still allows dental amalgam to be in Class II unrestricted use with no warnings to patients and no written informed consent. It still allows dental amalgam to be called silver fillings, even though they are 50 percent mercury fillings. It is still studying the safety of dental amalgam, six years after its flawed classification. Labels and warnings to dentists only protect the manufacturers from liability, they do not help patients. Dentists are silent because of gag orders on the health risks of amalgam in the ADA Code of Ethics.

  The ADA is a patent-holding organization that mixes professional and commercial/trade functions. Nobody knows, acts or cares about this fundamental conflict of interest. Except the legions of prematurely aged, cognitively challenged, unsteady on their feet, chronically diseased, disabled, hearts failing, kidneys failing, unemployed and suffering mercury poisoned patients and their families.

  The same thing happens in other devices. Some 4,500 reports have been filed and five women have died from complications from the Essure contraceptive coil. Many women have been harmed by vaginal mesh. Men and women alike have been harmed by various implants in the teeth, jaw, and throughout the body. While modern engineering marvels and the Makers Movement can make anything these days, we must first pay attention to the original Maker - how our bodies as cells and electrical charges operate, and what they can tolerate that is foreign to the human body, which varies as each individual is as genetically unique as a snowflake.

  Laura Henze Russell is the Principal of Precision Research and Communications: Precision Health. She planned to attend the FDA Science Forum May 27-28 in Washington, DC, but is home recovering from pneumonia. Participating through the Webcast, on Day 1 four of her 14 questions have been posed to panelists. You can see them in the Tweet stream here: https://twitter.com/hashtag/FDAScienceForum. 

  © Copyright 2006-2015 Gatehouse Media, Inc.
  

RECOMMENDATIONS FOR ACTION May 2015 - HELP THE TOXIC SUBSTANCE ABUSED FOR HEALTH, LOWER COSTS

1. Patient Labeling of All Installed Medical and Dental Devices

2. Funding Recovery Services for Device Related Illnesses

3. Develop Comprehensive Plan for Patient/Worker Protection, Reform

4. Urgent FDA Safety Reform of Installed  Devices, Surgeon General Report
OUTLINE OF COMPREHENSIVE PLAN for Patient Protection and Reform

a)      Patient Protection

i)   Follow the lead of four states and add consumer labels with warnings to the product to discourage its use by those for whom it may be harmful and written consent; the FDA has indicated state consumer laws do not violate preemption.[1]

ii)   Fund and require Medicaid to pay for alternate filling materials, as Pennsylvania does, so people can chose what is best for their children’s and their own health needs.

iii)   Require dental plans to be cost neutral on fillings, and accountable to medical necessity and patient protection laws, and require them to use of biocompatible dental materials.

iv)    Encourage integrated health and dental insurance plans to ensure oral care supports physical and cognitive health, and reduce costly externalities down the road.

v)   Require and expedite inclusion of dental materials and records in electronic medical records for review and analysis by physicians, ACOs, health insurers, HiWay, MA Health Policy Commission.

b)      Research

i)        Set up a surveillance system and reporting system as there is none functioning at the federal or state level, and include as a priority for the Health Prevention Trust Fund.

ii)       Hold hearings and survey the public as to prevalence of people who had health impacts, survey biologic dental practices and functional medicine practices to quantify numbers served with dental mercury toxicity and assess training and capacity building needs, and conduct a learning tour to get their input on steps to expand training and capacity.

iii)     Include dental insurance data in the all-claims database and analyze connections between oral health, dental materials, chronic diseases, and health and long-term care costs.

iv)     Require organ donor programs operating in Massachusetts, and all autopsies performed with state funds, to measure bioburden of mercury in the brain, heart, kidneys and liver of its donors and report to state and federal authorities, along with proximate cause of death.

c)       Systems Reform and Building Capacity

i)        Update dental and medical practice and insurance standards to confidentially screen people for genetic glitches, and for toxic burden; and/or require biocompatibility tests for dental materials.

ii)       Tax dental amalgam to equalize the costs with alternative filling materials, and neutralize the bias of dental insurance plans that base what they will pay on amalgam fillings cost.

iii)     Reboot community hospitals that have overcapacity for acute care needs as centers for the training and practice of biologic dentistry, train all dentists in mercury safe removal protocols and special safety equipment. Explore launch of a state university Biologic Dental School.

iv)     Design a new a Mass Save Health program, similar to Mass Save, helping screen people for toxins in their bodies and homes, and fund treatment and remediation, as win-win.

d)      Occupational and Environmental Risks

i)        Require dentists and staff who work chairside be tested periodically for mercury exposure. Because standard blood and urine tests only measure circulating mercury, more sensitive tests are required to rule out false negatives for non-excretors.

ii)       Require dentists and staff get special training and equipment to protect patients, staff and dentists from mercury vapor during installation, polishing and amalgam removal.

iii)     Test mercury levels in all dental offices and dental schools, and inspect all dental offices and dental schools for proper use and functioning of amalgam separators.

iv)     Require removal of amalgam from all bodies before cremation, and require installation of adequate scrubbers on crematoria, to protect people from exposure via air, water and fish.

4. Ask Delegation for Urgent FDA Safety Reform of Installed Dental and Medical Devices
5. Petition for Surgeon General Report on Dental Amalgam and Mercury Health Risks

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[1] http://www.fda.gov/downloads/MedicalDevices/ProductsandMedicalProcedures/DentalProducts/DentalAmalgam/UCM174024.pdf pp. 71-72.

20+ QUESTIONS ON DENTAL AMALGAM AND MERCURY HEALTH RISKS: DID YOU KNOW?

These questions are posted as a guide to increase consumer, patient and parent awareness about a toxic substance - mercury - that is mixed with amalgam and installed in our teeth without any labels, warnings, or the basic human and medical right of informed written consent in the United States.

20+ QUESTIONS ON DENTAL AMALGAM AND MERCURY HEALTH RISKS: DID YOU KNOW?

THE AMERICAN DENTAL ASSOCIATION (ADA)

1.  The ADA was founded in 1859 (155 years ago) as a pro-amalgam trade association?

2.  A 1990 60 Minutes special, Is There Poison in Your Mouth? the highest-watched 60 Minutes show at the time, was pulled and never again shown or referred to on network TV? 

3.  The ADA put a gag order clause in its Code of Ethics saying that dentists who promote removal of amalgam for health reasons will be expelled, and expelled dentists until the courts put a stop to it? 

4.  Center for Responsive Politics calls ADA a ‘heavy hitter’ for campaign contributions, legal expenses?

5.  The ADA is also a commercial organization, with 83 patents in 38 years, while the AMA has none? 

DENTISTS AND DENTAL PLANS

6.  There are serious health warnings on mercury amalgam that dentists receive from manufacturers?

7.  About half of dentists don’t use amalgam any more, out of concerns for safety or environment?

8.  Dentists who want to teach at US dental schools keep quiet any concerns or reservations about the health impacts of amalgam?

9.  Dental plans are not cost neutral, the vast majority only pay the amount it would cost to put more amalgam back in the back of your mouth, and deny appeals despite medical proof of toxicity?

10. Removal of amalgam by regular dentists without special techniques and equipment beyond a dental dam increases exposure to mercury vapor, while biologic dentists use special training and equipment?

DIAGNOSTIC TESTS AND REPORTING

11. Blood, urine and hair tests for mercury levels are not that reliable with false negatives, as how your metabolism processes mercury determines if it shows up in tests, or stays in body, cells and brain?

12. More reliable tests for mercury damage may include urinary porphyrin levels, and glutathione levels?

13. A biocompatibility blood test can determine, among the vast quantity of dental metals and materials, which are most reactive, somewhat reactive and least reactive to your individual immune system?

14. Simple genetic tests can find at-risk gene types impacting methylation and detoxification pathways?

15. Reporting amalgam reactions is not mandatory, nor billable, and is confusing, so rarely happens?

16. The FDA considers sensitivity or reactivity reactions rare, because they are rarely reported?

17. You can and should report adverse events to the FDA, and report unsafe medical devices?

18. You can and should also report adverse events to the State Dental Board, and Poison Control Hotline?

THE FOOD AND DRUG ADMINISTRATION (FDA)

19. Mercury amalgam is considered a medical device, a prosthetic device, not a substance, by the FDA?

20. The FDA long grandfathered it “generally recognized at safe,” never rigorously tested or proven safe?

21. As a result of a lawsuit, the FDA only ruled it Class II, with a guidance document for manufacturers to dentists in 2009 stating that mixed metals should not be used in the same or abutting teeth, because it creates galvanic micro-electrical currents that can degrade mercury in amalgam?

22. The FDA Commissioner recused herself because she sat on the board of an amalgam distributor for six years before taking this position?

23. The FDA ignored recommendations of its own Scientific Advisory Panels in 2010 to restrict its use and post warnings for use in children, pregnant women and people with a known allergy to mercury?

24. Thomas Duplinsky of Yale SOM published a 2012 study finding dentists have higher prescription usage for neurological, psychiatric, cardiovascular and respiratory diseases than matched controls?

GENES AND IMMUNE SYSTEM

25. People with ApoE4, CPOX4, or with a number of other common genetic mutations (SNPs) affecting methylation and detoxification do not clear mercury well, so have higher rates of toxicity?

26. People with these gene types have higher rates of Alzheimers, autoimmune and movement disorders?

27. Genetic screening diagnostic tests for the above, and for immune pathways are covered by insurance?

28. Mercury can cause allergies and skin reactions to yeasts, sugars, wheat, gluten, corn and soy?

29. Monkeys and sheep with amalgam placed in their teeth immediately start redistributing it throughout their bodies and brains? And get very ill pretty quickly when amalgam is put in their teeth?

HEALTH AND HEALTH IMPACTS

30. Mothers pass mercury on to our children via the placenta and breast milk?

31. There are changes in children’s urinary porphyrins evident soon after amalgam is installed?

32. Loss of teeth does not protect one from mercury poisoning, as the body and brain burden persists if one does not clear mercury well, or follow an effective, medically supervised detox protocol?

33. Populations with high amalgam exposures include midlifers, boomers and older adults, Native Americans, the Military, Medicaid patients, and all who don’t know or can’t afford alternatives?

34. Crematoria are exempt from adequate pollution controls, and have no provisions to remove mercury amalgam dental fillings prior to cremation? 

35. Health disparities and chronic health problems have proven correlations with amalgam exposure, but this is not considered sufficient proof to act to ban or restrict its use?

36. James S Woods, an author of the Children’s Amalgam Trial in Portugal, reanalyzed data by gender and gene type, publishing new studies that amalgam led to kidney and behavioral problems in some boys?

OTHER NATIONS

37. Amalgam was banned in Norway and Denmark in 2008, Sweden 2009, and other nations restrict it?

38. The third largest Israeli dental plan will not pay for amalgams in children?

39. Parker Hannifin, a major engineering company that self-insures, pays for amalgam removal to protect the health of its employees, and only pays for fillings using safer, biocompatible alternatives?

40. The World Health Organization has called for its end in dentistry, and under a new International Treaty signed in 2013, many nations are working to phase out its use in dentistry worldwide?

41. The EEC is laying the groundwork to follow the Scandinavian countries and stop using it?

WHAT STATES CAN DO (AND CANNOT DO)

42. Courts have ruled that states cannot ban amalgam because of the Interstate Commerce Clause, as long as the FDA maintains in is safe, despite the recommendations of the FDA Scientific Advisory Panel?

43. That there are no informed consents required or health warnings shared with patients, except in the four informed consent states of Maine, California, Connecticut and Vermont, and Philadelphia, PA?

44. Consumers do not get a label or the most basic right of informed written consent for use of amalgam?

45. The FDA was sued by the International Academy of Oral Medicine & Toxicology et al in March 2014 for violating the federal APA law by not responding to petitions for reconsideration for years?

46. What can we do?  What ideas do you have?  What can you do?  What can we all do together?

 This work is licensed under a Creative Commons Attribution 3.0 Unported License. 

Audio: Rob Moir's Environmental Dialogues with Laura Henze Russell

Audio: Moir's Environmental Dialogues

Listen to Dr. Rob Moir and Laura Henze Russell discuss mercury poisoning and safer alternatives in dentistry.

March 20,2014 Episode  - Dental Assistant Karen Palmer of Bethlehem, PA talks about her occupational mercury poisoning.

March 6, 2014 Episode - Laura Henze Russell talks about the Campaign for Good Health, Call for a Surgeon General's Report, and IAOMT Lawsuit Against the FDA and HHS.

November 29, 2012 Episode - Laura Henze Russell talks about the upcoming Sharon, MA Town Warrant Articles.