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Life Threatening? No
Write-up: Information has been received regarding a case in litigation concerning a minor male pt who was exposed to high levels of mercury from thimerosal through exposure to unspecified products. In additional, the pt was exposed to mercury from continually inhaling and ingesting industry mercury emissions from fossil fuel driven power plants. The mercury included in thimerosal laden products and power plant emissions together caused the pt to suffer from serious and permanent neurological injuries. The pt was exposed to airborne mercury vapor and mercury through food chain. The exposure to airborne mercury in the environment through inhalation, the food chain, and other sources contributed to the cumulative mercury toxicity and was a substantial factor in causing his neurological damage. it was noted that the pt had a heightened vulnerability to suffer neurological injuries from industrial mercury as a direct result of thimerosal exposure. As a direct and proximate cause of the toxic mercury exposure to the pt, minor male was caused to suffer serious and permanent neurological damage which included past and future mental, intellectual, development and neurological incapacity and associated learning disabilities, disorders and impairments. Additional information has been received regarding a case in litigation via medical records concerning a male infant born at 39 weeks normal vaginal delivery with a birth weight of 9lbs 4 oz. Apgar score was 9 and 10. Family history was negative for consanguinity, mental retardation, and tics. There were no known inherited disorders or language disorders in the family, no hyperactivity, no seizures. A paternal cousin had learning disabilities. On 5/7/1993, 6/7/1993 and 12/14/1993, the pt was vaccinated with hepatitis B virus vaccine rHBsAg. On 8/1/1994 and 4/29/1997, the pt was vaccinated MMR II (lot 606582/0075A first dose, 619133/1250D second dose). The pt has a reflux for the first year and a half of life which was minimal and no medication was necessary. The pt had no significant history of ear infections. The pt has inverted feet and wore a cast for 2 or 3 months at age 2. At 34 months of age, the pt still fell alot and was clumsy. He would bury his head in his mattress at night and rock himself to sleep. He was sensitive to sound and crowds. An educational assessment performed on 10/12/1995 at the age of 34 months reported that the pt was at a gross motor level of 29 months, fine motor skills level of 23 months, cognitive skills at level of 19 months, language skills were at 16 month level, self help skills at 25 month level, and social emotional skills at were at 24 month level. It was reported that the pt was eligible for early intervention services due to developmental delays in the area of fine motor, cognitive, language, self help, ans social emotional skills. On 10/31/1995, a speech and language evaluation was performed with the following results, receptive language skills were significantly delayed and approx to 18 month level, oral expressive language skills were significantly delayed and approx 16 months with some scatter to 20 months, pragmatic at 18 months to 27 months. It was recommended that the pt receive direct speech, language therapy, occupational therapy evaluation be completed to investigate possible sensory integration difficulty, and placement in special education preschool outreach class. On 11/21/95, the pt was evaluated by a neurologist who indicated that the pt did not have any hospital admissions, surgical procedures, or serious accidents. The pt was not on any medicine and had no known allergies. Development was late compared to his siblings and he did not walk until he was 15 months of age. Speech began at approximately 2 years and consisted of 20 words and two word phrases. Toilet training had not even been attempted. On physical examination, the pt presented as a generally healthy appearing youngster who did make eye contact and was interactive. He weight 35 lbs
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