The Evolution of the Opioid Crisis

With President Trump declaring the opioid crisis a public health emergency in October 2017, Americans may be wondering how in the world we got here. Opioid related drug overdoses and deaths are increasing at an alarming rate in recent years, killing more than 60,000 people in 2016. Considering the following facts published by the White House in the study The Underestimated Cost of the Opioid Crisis, Nov, 2017:

  • The majority of these deaths fall between the ages of 25-55.
  • About two-thirds of opioid drug overdoses are from prescription medications.
  • The crisis is costing Americans over $500 billion per year.

In addition to the deaths between the ages of 25-55, an increasing number of children are being found unconscious or dead after accessing their parent’s drugs or coming in contact with these very dangerous drugs, and there is a surge of babies being born who are opioid dependent. In this article we examine the evolution of the opioid crisis to see how we ended up in this position as a nation.

Opioid History

Opioid addiction has been a problem for much of the history of the United States, but never at this level. Beginning in the 1990’s something began to change. There was a push by patients in the US to more effectively treat pain and pharmaceutical companies began to promote the benefits of opioid pain relievers. Pharmaceutical companies dramatically increased the size of their sales staff and gave out generous bonuses to sales reps. Doctors began writing prescriptions more liberally for all sorts of pain ailments from back pain to arthritis pain to chronic pain. Thus, began an epidemic use of prescription opioids in the United States.

An enlightening fact that has emerged in the evolution of the opioid crisis is that there has been a demographic shift among opioid users from the 1960s to the 2000s. In the 60s more than 80% of opioid users began by using heroin. In the 2000s, 75% report beginning with a prescription opioid pain reliever.

Opioid Crisis Statistics

According the Centers for Disease Control the rate of drug overdose deaths in the United States was 2.5 times higher in 2015 than in 1999. Examine these statistics per 100,000 people:

19992015
Overall Deaths6.116.3
Male Deaths8.220.8
Female Deaths3.911.8
Deaths Ages 55-644.221.8

The largest percentage of increases have occurred since 2013 and by 2015 deaths in the age range of 45-54 had increased to 30 per 100,000.

States with the statistically significant increases in death rates from 2013 to 2015 include an overwhelming majority from the eastern half of the United States including:

  • Connecticut
  • Florida
  • Illinois
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • New Hampshire
  • New Jersey
  • New York
  • North Carolina
  • Ohio
  • Pennsylvania
  • Tennessee
  • West Virginia

When comparing statistics from the Annual Surveillance Report Of Drug-related Risks And Outcomes, 2006 to 2016 data shows that current levels of prescriptions are trending downward overall, yet some states still have very high prescription rates:

Location20062016
Overall72.466.5
Oklahoma108.797.9
Alabama115.6121
Arkansas98.3114.6
Tennessee124.8107.5
West Virginia129.996
Kentucky122.697.2

What is Being Done Now?

The CDC published a report titled CDC Guideline for Prescribing Opioids for Chronic Pain in 2016 which “provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.” This includes recommendations on when to use an opioid for pain relief, which opioid to choose, dosage and duration recommendations, and assessing risks and potential harm to patients.

In addition, in a 2015 address titled What is the Federal Government Doing to Combat the Opioid Abuse Epidemic?, Nora D. Volkow, Director, National Institute on Drug Abuse, stressed that the recent initiative by the U.S. Secretary of Health and Human Services would implement better prescription practices as well as reversal drugs, research, and promotion of findings to the public as well as healthcare facilities and practitioners. In addition, measures would be taken to develop treatment plans with “reduced potential for misuse and diversion.” Types of intervention shown to be successful are:

  • Delivering addiction/overdose education and prevention in schools and communities
  • Supporting drug monitoring programs
  • Distribution of reversal drugs such as naloxone to opioid users
  • Investigation and prosecution of inappropriate use of opioids by doctors and pharmacies

For more information on this topic contact Taylor Martino, P.C. at 1-800-256-7728 or locally at 251-433-3131.

Steven A. Martino, Esq.

TAYLOR MARTINO, P.C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
 Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
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Mycobacteria Infection

A number of patients who recently had surgery may have been exposed to dangerous bacteria that is notoriously hard to diagnose. The bacteria can have life-altering, even deadly consequences. What is worse and frightening is that the patients probably don’t even know they have been infected and may not learn that they have been infected until it is too late.

The problem, which has become global in scope, is that a few years ago certain medical equipment frequently used during cardiac surgery was contaminated with bacteria in a German manufacturing plant. The contaminated equipment was then shipped to hospitals in the United States. Unfortunately, hospitals have used this equipment for years without properly cleaning and disinfecting it, thus exposing countless patients to a dangerous pathogen called non-tuberculosis mycobacteria. And because mycobacteria is a slow growing organism, most patients don’t even know they have been infected until they become sick or incapacitated, which can take many months.

The contaminated medical equipment is frequently referred to as a heating-cooling system. The purpose of the heating-cooling system is to keep patients either warm or cold during surgery to optimize the chance of successful surgery. These machines are routinely used during open-heart surgery. A German company called Sorin Group (now known as LivaNova) manufactured a popular model known as the Soren 3T heating and cooling system. The Soren 3T’s were sold all over the United States.

Beginning in 2011, a number of reports began filtering in about patients suffering from unusual mycobacteria infection after heart surgery. The risk of a mycobacteria infection from heart surgery is normally very low, so a cluster of new cases was alarming. The one common thread among these cases was that a Soren 3T heating system was used during surgery. In July of 2014, Soren sent a letter to a number of medical facilities using the 3T model that outlined important information about reported mycobacteria infections. The letter notified hospitals about the problem and recommended strict adherence to the company’s cleaning and disinfection protocols.

According to a recent FDA release, Soren discovered that the mycobacteria contamination originated in its plant in Germany. In other words, these machines were contaminated during production and sent to medical facilities already colonized with dangerous bacteria. Compounding the problem, the evidence is beginning to emerge that these machines were not being properly cleaned by hospitals. Thus, the mycobacteria was permitted to colonize the machines and potentially infect countless patients during surgery.

The nature of mycobacteria has made this recently discovered crisis even more dangerous. Mycobacteria is notoriously slow growing and subtle. Often patients do not feel its effects until months after exposure. This is very dangerous because it allows the infection to grow and spread over time. Without intervention with antibiotics, these infections can become a major health risk. Patients who received valve replacement surgery are at particularly high risk because the bacteria can grow on the valve and eventually break off causing a potential stroke or even death.

Taylor Martino is a law firm that serves victims in Alabama and Mississippi. If you believe that you, or a loved one, has been affected, please contact us today for a free and confidential consultation and case evaluation by calling 251-433-3131 or by email.

Steven A. Martino, Esq.

TAYLOR MARTINO, P.C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
 Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
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Practice Road Safety

Holiday events and celebrations can be exciting times for family and friends to get together. But, get-togethers with family and friends can turn into tragedies when people are killed or injured in traffic crashes.

As the holiday season is approaching, motorists need to be mindful of actions that will make their holiday travel safer. Drivers can protect themselves and their passengers by following these holiday travel rules.

1. Before beginning any trip, have your vehicle tuned up and make sure it’s in good shape for travel. This is especially important for winter driving conditions. Vehicle safety changes based on the weather around it. If you are not sure what all to check ,take your vehicle to your local service department.

2. Make sure you and everyone in the car is properly wearing their seat belts and riding correctly in car safety seats. Remember, the rear seat is the safest place for children of any age to ride. Being on the road for long periods can cause some passengers to move their safety belt or even remove it. Make sure you check frequently to assure proper use.

3. Have flexibility in your travel plans. Having flexibility allows for unexpected events that may arise in different areas. This gives you plenty of time to reach your destination and not feel rushed. Rushed driving causes more accidents.

4. Stay fresh and alert when driving. Take plenty of breaks and do not push yourself to meet an unrealistic schedule. If you get tired, pull off the road.

5. Don’t speed and follow all traffic safety/driving rules. Use the correct lanes, signals, and other driving courtesies to notify other drivers of your intentions.

6. Lastly, don’t drink and drive. Don’t use your cell phone while driving.

All in all, there are several ways you can practice road safety while driving this holiday season. Taylor Martino wants everyone to be safe, buckle up and obey the law. Happy Holidays!

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Alabama-Car Wreck-Injury- Mobile-AL-Car-Accident-Lawyer

If you have been in an Alabama Car Wreck and sustained injury by an uninsured driver, you are required by Alabama Law to put your insurance company on notice of the wreck. You are required by your insurance policy to do it promptly after the wreck. Some policies have time limits, and if you go beyond a time limit, you may not be allowed to use your uninsured motorist (UM) coverage on your policy. Why is this important? It is important because if you are injured, and hit by a driver who does not have any insurance coverage, or doesn’t have enough, then you can use your uninsured motorist coverage if you purchased it. But, if you did not timely put your company on notice, your company will try to get out of providing the coverage for you on your policy.

Alabama-Car Wreck-Injury- Mobile-AL-Car-Accident-Lawyer

Many people are concerned that using their uninsured motorist coverage will make their premiums go up , but if the wreck was not your fault, and you have not had repeated claims on your policy, then your premiums should not go up. After all, you have paid for this coverage over the years, and you should use it when the time comes that you need it.

What exactly is uninsured motorist coverage? Let’s look at an example: if you are hit by a driver who has only $25,000 in liability coverage on their policy, and your damages from the case including lost wages and medical bills total $50,000, then you should use your uninsured motorist coverage to help pay the claim. If you have $25,000 in UM coverage on your policy, then you would be entitled to add that on top of the at-fault person’s coverage to help pay for your damages. It is called “stacking” and you are entitled to stack your UM coverage on top of the at-fault insurance driver’s coverage if your damages warrant stacking. You should check your policy to see if you have “added on” or “excess” UM coverage. If you do, you can stack it. If you bought “reduced by” then you won’t get to add your UM to the at fault insurance company’s coverage. The take home point here is to check your policy to make sure you don’t have “reduced by” UM coverage, and if you do, change it by calling your agent to “added on” UM coverage. Also, you should buy the highest amount of UM coverage you can afford, as this may someday be needed if you are hurt badly in a wreck.

If you have been in an Alabama Car Wreck and Sustained Injury by an Uninsured Driver, contact an experienced Mobile, AL Car Accident Lawyer TODAY!

RICHARD H. TAYLOR
Taylor Martino, PC
51 St. Joseph Street
P. O. Box 894
Mobile, Alabama 36601
OFFICE: (251) 433-3131
FAX: (251) 433-4207
richard@taylormartino.com

Dangerous ET-Plus guardrails

Ed Rowan, Esq. of Taylor Martino, P.C. recently met with an expert engineer, Dr. Brian Pfeifer of BEC Consulting about his extensive experience investigating potential defective designs and installation of guardrails and barriers along highways and interstates. His specialty is roadside safety and analysis of maintenance of traffic issues.

The sole purpose of guardrails and barriers is life safety – to protect us from a hazard that is on the other side of the guardrail or barrier in case of a crash such as trees, embankments, and other structures. All across the United States, there currently exists a potentially defective end cap installed on guardrails (called the guardrail terminal) – this is an endcap called the “ET-Plus” manufactured by Trinity Industries. This end cap does not collapse when a car impacts it, but rather has the potential to cut the car into pieces and the rails have speared through the driver or passenger-side doors, into seats and through the vehicle floors. This particular guardrail endcap has been the subject of a recent $680 million verdict in Texas and the company faces at least 40 product liability lawsuits nationwide over its ET-Plus product.

A recent study conducted by the University of Alabama-Birmingham concluded that a redesigned version of the ET-Plus guardrail system places motorists at a higher risk of serious injury or fatality than its previous version. The study examined eight years of data for injury and death crashes in Ohio and Missouri involving five different guardrail end terminal designs. The study found that the ET-Plus design was 3.95 times more likely to produce a fatality than its predecessor, the ET-2000 design. In addition, the ET-Plus guardrail was 1.45 times more likely to produce a severe injury. The study was funded by The Safety Institute and the Missouri Highways and Transportation Commission.

If you were seriously injured in a crash and there was a guardrail or barrier involved, there could very well be a defectively designed and/or installed guardrail or barrier that did not serve its one and only purpose – to protect you.

Please contact Ed Rowan at (800) 785-8755 or at ed@taylormartino.com for a free and confidential consultation.

TAYLOR MARTINO, P. C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
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Taylor Martino, PC has filed a lawsuit on behalf of Portersville Bay Oyster Company against 4H Construction and Gunter N. Guy, Commissioner of Alabama Department of Conservation. Portersville Bay Oyster Company holds private and state-owned aquaculture easements for cage-raised and bottom oysters. Portersville claims the heavy machinery used by 4H Construction to complete the Marsh Island Restoration Project is creating more than normal sediment and silt and the project is causing the larvae and mature oysters to become contaminated and smothered by the extra silt and sediment.

Click here to read Lagniappe’s story Lawsuit claims state project is killing oysters in Portersville Bay dated September 29, 2016. The story features our client, Troy Cornelius, owner of Portersville Bay Oyster Company in Coden, Alabama.

In January 2016, Department of Conservation awarded 4H Construction out of Mississippi a contract to complete the Marsh Island Restoration Project. The project was intended to rehabilitate and restore the salt marshes destroyed by past hurricanes and affected by the Deepwater Horizon oil spill. The state decided to do this by constructing a semi-permeable segment breakwater barrier to project the shoreline. The Marsh Island Restoration Project requires the construction company use heavy machinery to remove sediment from the salt marshes, which, in turn, creates more than normal sediment and silt, which is then carried by the tides and the currents. The larvae and oysters become contaminated and smothered by the extra silt and sediment, which has decimated the young oyster population by  Portersville Bay Oyster Company and other oyster farmers in the bay. 

The extra sediment and silt began to affect the oyster beds as early as May 2016. Prior to the Marsh Island Restoration Project, the Portersville oyster beds had a mortality of 3-5% and now the affected oyster beds have 40-50% mortality rate, which is continuing to grow as the work continues on the berm.  The oysters being raised on the bottom have all been lost.

Portersville Bay Oyster Company alleges the Alabama Department of Conservation and 4H Construction has not implemented the proper safeguards to prevent the movement of dredged sediments and has failed to limit or has created turbidity that exceed acceptable levels.  “I’ve been making a living on this river for 30 years and for someone to sit behind a desk and tell me how things work down here is unbelievable, pumping all of this silt and sediment is killing my oysters,” said Troy Cornelius, owner of Portersville Bay Oyster Company. 

During the bidding phase, the Alabama Department of Conservation and contractors were aware creation of the breakwater marsh could create the excess silt and pollution to the oyster beds.  “The State of Alabama is using a portion of the settlement money from the Deepwater Horizon oil spill to rebuild the salt marshes but, at the same time,  have embarked on a project that will destroy the oysters and the livelihood of local oyster farmers like our client,” said attorney Steve Martino of Taylor Martino, PC, which represents Portersville Bay Oyster Company.

“We are hopeful that this will get the state’s attention and prevent further damage to the state’s burgeoning oyster industry,” said attorney Brad Kittrell of Taylor Martino, PC, which represents Portersville Bay Oyster Company.

Taylor Martino is a law firm that serves victims in Alabama and Mississippi. If you believe you or a loved one have a personal injury claim, please contact us today for a free and confidential consultation and case evaluation by calling 251-433-3131 or by email.

Steven A. Martino, Esq.

TAYLOR MARTINO, P.C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
 Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
Follow us on Facebook

 

You just had a trucking accident and now you need an attorney. Whether you have been in an accident before or not, this can be a hard choice to make. At Taylor Martino, we like to make things as easy as possible for our clients, even before they choose to become clients. Here are a few things to look for in a personal injury attorney.

What kind of expertise does the lawyer have?

If you have been in a trucking accident, make sure the lawyers you are looking to hire are experienced in working truck accident cases. There are laws and regulations you need your lawyer to know about before representing you.

What kind of experience does the lawyer have?

If you are looking for a lawyer to represent you, having experience in litigation is much needed. Not all trucking accident cases go to court, so you will need an experienced negotiator to make sure your injury claims are settled correctly. If you do go to court, you want an experienced lawyer representing you to help get the most compensation needed.

Does the lawyer you are hiring have a good reputation?

When your lawyer represents you, they will be talking to a number of people on your behalf. Having a good reputation among insurance companies and other businesses in town is beneficial to helping your case be settled in a timely and fair manner.

Is the lawyer going to charge you for the initial consultation?

Most personal injury attorneys offer a free consultation before you decide whether or not you want to work with them. If you make an appointment, be sure to ask how much the first meeting will cost. Also, do not sign a retainer unless you plan to work specifically with the lawyer you are signing with. No one should ask you to sign a retainer simply for coming in to meet with them.

At Taylor Martino, we understand making the decision of which lawyer to choose to represent you after a trucking accident can seem like a tough task, but it doesn’t have to be. Use these helpful hints or call us for more information. Our lawyers would be glad to help.

Richard H. Taylor, Esq.

TAYLOR MARTINO, P.C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
Follow us on Facebook

More than one in four children in ‪Alabama come from families that experience food hardships and nearly 60% of Alabama’s public school children are eligible for free and reduced lunch.Taylor Martino, P. C. is participating in the Alabama Legal Food Frenzy, which is a food & fund drive among all Alabama lawyers. The competition joins together the Alabama State BarAlabama Attorney General Luther Strange and the Alabama Food Bank Association to help end child hunger with the launch of the Alabama Legal Food Frenzy set for April 25 – May 6, 2016. Visit allegalfoodfrenzy.org for more information.

The Legal Food Frenzy provides a much-needed supply of food and funds to Alabama’s regional food banks to help the families of those kids during summer months when schools are closed. The Alabama Legal Food Frenzy is timed to help meet that demand. Ed Rowan, partner at Taylor Martino, is leading the food drive challenge for firm. “I had no idea that the shortage of food in Alabama was in this state of crisis. The Alabama Legal Food Frenzy is one of the most important things that we can do for our local community. It will have an immediate impact and benefit for our children.”

We will be collecting food and funds at our office located at 51 St. Joseph Street, Mobile, AL 36602 from April 25 – May 6, 2016. Monetary donations can also be made online at TaylorMartinoALLegalFoodFrenzy2016. Be sure to designate your donation for Taylor Martino, PC!

What is the Legal Food Frenzy?

The Office of the Attorney General, the Alabama State Bar, and the Alabama Food Bank Association have joined forces to create a friendly food and fund drive competition among Alabama law firms, law schools and legal organization to support the Feeding America food banks in Alabama.

All food and funds collected by Taylor Martino, PC will go directly to Feeding the Gulf Coast, formerly Bay Area Food Bank. To learn more about our local food bank, visit Feeding the Gulf Coast or contact Missy Busby, 251-653- 1617 ext. 127, mbusby@feedingthegulfcoast.org

TAYLOR MARTINO, P.C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
 Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
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Photo credit: Austin Kirk, Flickr

Talcum powder in Johnson & Johnson’s Baby Powder and Shower to Shower is causing ovarian cancer. Recently, a jury awarded $72 million in damages to the family of a woman who regularly used talcum products and died of ovarian cancer. Research has linked women’s regular use of talc-containing products like talcum powder, baby powder and body powder in their genital area to the development of ovarian cancer.

By the Numbers

  • 10% of all Ovarian Cancers are believed to be talc-related
  • 2,500 talc-related Ovarian Cancer diagnoses per year
  • 1,500 talc-related deaths per year

Who is at risk for developing baby powder ovarian cancer?

Over four decades of medical literature document the link between talcum powder use and ovarian cancer. Women who have used talc-based baby powder on a weekly basis face a 33% increased risk of developing ovarian cancer, and women who have used talcum powder on a daily basis face a 41% increased risk for ovarian cancer.

How is Talcum powder dangerous?

When talc products such as baby powder are applied to the genital region, talc particles can travel through the female reproductive system to the ovaries. Talc particles may remain in the ovaries for many years, causing inflammation and creating an environment conducive to the growth of cancer cells. One expert estimates that roughly 10,000 women each year develop ovarian cancer as a result of using baby powder or body powder.

Researchers have known for more than thirty years that the perineal use of talcum powder is associated with an increased risk of ovarian cancer. However, the substance is not regulated in the United States and no product warning labels are attached to talcum powder products. Ovarian cancer is a harmful disease that can result in suffering and death.

Taylor Martino is a law firm that serves victims in Alabama and Mississippi. If you believe that you, or a loved one, has been affected, please contact us today for a free and confidential consultation and case evaluation by calling 251-433-3131 or by email.

TAYLOR MARTINO, P.C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
 Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
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Requirements for CDL Truck Drivers

Why you should contact an experienced Mobile, Alabama Truck Wreck Lawyer at Taylor Martino P.C.

Traveling on the highways, with or without family, can be stressful at times. Especially if you worry about the truck drivers on the roads with you. New regulations required by the Department of Transportation’s Federal Motor Carrier Safety Administration (FMCSA) state all USDOT physicals must be performed by one of the qualified health professionals listed in the National Registry of Certified Medical Examiners.

According to the FMSCA website, “Safety is our highest priority and it is vital that every commercial truck and bus driver be qualified, alert, and focused when they are behind the wheel,” said Secretary Anthony Foxx.  “Medical examiners equipped with a thorough understanding of DOT fitness standards will be able to ensure that commercial drivers meet the health requirements necessary to operate on our highways and roads, thereby strengthening safety for every traveler.”

So what does this mean to you, the driver? It means CDL drivers must have their examinations done by medical professionals trained specifically on what to look for in drivers. A USDOT medical exam assesses a number of conditions that could affect a driver’s ability to safely operate the vehicle they are driving. Cardiovascular disease, respiratory and muscular functions, vision and hearing capabilities are some of the things screened during the process. This new program is required by federal law for medical professionals and drivers.

As of May 2014, more than 22,000 medical professionals had completed the coursework and testing. These professionals are listed on the National Registry with more beginning the certification process. Interstate commercial truck and bus driver’s who currently hold a medical certificate will not be required to visit a certified medical examiner until their current license is expired. However, they must pass a USDOT medical examination every two years to maintain their CDL, obtain a medical certification and legally operate a commercial motor vehicle.

FMCSA developed the National Registry of Certified Medical Examiners program as part of the agency’s commitment to enhancing the medical oversight of interstate drivers and preventing commercial vehicle-related crashes, injuries, and fatalities. The medical examiners on the National Registry are required as well to maintain federal standards through training and recertification. To learn more, visit http://nationalregistry.fmcsa.dot.gov

The Mobile, Alabama Truck Wreck Attorneys of Taylor Martino have handled a number of trucking accident cases. In each case, Taylor Martino determines  if a medical card was provided to an unsafe, unqualified driver. A trucking company must require the use of one of these certified examiners, but often they do not. Unsafe CMV drivers remain on our roads.

We anticipate several CMV drivers acquire a medical card from their “favorite” medical provider. Since they won’t have to recertify for a year, don’t expect safer roads until at least May 21, 2016! When you hire a Mobile, Alabama Truck Wreck Attorney, be sure that lawyer is up to date on the ever-changing trucking laws. Ask questions.

Contact an experienced Mobile, Alabama Truck Wreck Attorney

If you have suffered a personal injury, you need to call a Mobile, Alabama Truck Wreck Attorney at Taylor Martino at 251.433.3131 or Toll-Free at 1-800-256-7728 for a free consultation. You owe it to yourself.

 

TAYLOR MARTINO, P.C.
PERSONAL INJURY LAWYERS
455 St. Louis Street
Mobile, Alabama 36602
Toll-Free: 1-800-256-7728
Main Tel:  251-433-3131
Follow us on Facebook