Advocating Safety in Healthcare, E-Sisters

Angie Firmalino



Angie Firmalino holds a Bachelor of Fine Arts in Metalsmithing from Syracuse University, an Associate’s in Psychology from Syracuse University, and an Associate’s in Jewelry Design from FIT.  She also studied abroad in Florence, Italy. She then worked as a bench jeweler in New York City, a goldsmith for Steven Kretchmer, and then became a freelance wax model maker after her first child was born in 1998.  Due to continuing health problems, she no longer is able to work as a jeweler.  Mrs. Firmalino founded an advocacy group against Essure in 2011, called Essure Problems.  She continues to run that group and founded ASHES in 2015. She is also involved with Medical Device Problems, a website launched in July of 2018.  She and her family live in the Catskill Mountains of New York. 

Amanda Dykeman

Vice President


Amanda is a stay-at-home mother that had to undergo major surgery after complications related to the female sterilization device Essure. Her advocacy efforts contributed to the FDA calling a safety hearing in September of 2015 which resulted in a Black Box Warning, a patient/physician checkist, and the FDA ordering additional post market surveillance studies to better understand the benefit/risk portfolio of Essure compared to traditional tubal ligation. She has over five years of experience in extensive research that she utilizes to help advocate for improvements in patient safety, our drug and device approval system, and post-market surveillance. 

Angela Desa

Communications Director


Starting at a very early age, Angela Lynch-Desa has exemplified herself by demonstrating an overwhelming sense of love and compassion for humanity. She volunteered her time taking care of the mentally disabled and visiting the elderly without family on a regular basis. That compassion lead to employment as a community representative, followed by customer service, and now materials management at her community hospital. Her skills also include database management, social media, public relations, and some business. Angela is a single mother of 3, and resides near Sacramento, CA.

Sarah Carlin


Sarah K. Carlin holds a Bachelor of Science in Accounting and Forensic Accounting from Franklin University. After many years of tax preparation she completed the educational and testing required to hold an Enrolled Agent designation. She’s currently enrolled at Franklin University working towards her Master’s in Business Administration and Accounting to complete the Certified Public Accountant educational requirements.

After being personally injured by the Essure medical device, Sarah joined Essure Problems where she found invaluable information that led to her being able to overcome some of her health struggles and return to work after many years. Paying it forward, Sarah joined the sisterhood of E-Sisters to continue to raise awareness and advocate for safer, more effective and transparent regulations for medical devices. She resides in Powell, Ohio with her husband and five children.  

Amanda Rusmisell


Amanda Rusmisell is a wife and mother of two boys in Charlotte, North Carolina. She holds her Bachelors of Science from Appalachian State University and her Masters of Counseling from the University of North Carolina Charlotte. Currently, she works as an Executive Recruiter.
Amanda has always been an active volunteer and advocate in her community. After being harmed from a medical device and having major surgery, she joined the Essure Problems Group. She was shocked to see the harm caused to so many women and was compelled to help. Amanda is the Legislative Liaison for the Essure Problems Group. She has spoken before the FDA, organized and participated in numerous advocacy meetings in Washington DC and collaborated with other nonprofits to bring awareness to the issues surrounding Essure and medical devices.

Holly Ennis


Holly Kelly Ennis has been practicing law since 1987. She was born in Jacksonville, Florida and graduated from the University of Florida School of Law and earned her JD degree in 1986. While pursing her Law Degree she was on the Moot Court Team, won Best Brief Award and was the attorney general for the University of Florida Honor Court for the Academic year 1985-86. She received her Undergraduate Degree from the University of Florida School of Journalism in 1982. 

Since 2000 Holly has been representing Plaintiffs who have been victims against Pharmaceutical, Medical Device and Product Manufacturers. Holly focuses her practice on representing Females nationwide who have been the victims of many of the Mass Tort Cases in the Country. Holly has assisted clients who have participated in settlements against the manufacturers of TVM, Yaz Birth Control, Ortho Evra, Vioxx, Avandia, Zyprexa, Seroquel, Fosamax, Guidant, Medtronic, Hip Implants, Actos, Granuflo, Nuva Ring and Pradaxa. 

She is currently focusing her practice on the fight to assist Essure Victims in their fight to have the product's PMA status revoked and removed from the market and getting E-Sisters the compensation they deserve. Holly has been assisting the E-Sisters Lobbying in Congress and the FDA. She has written extensively on the subject on her quest to prevent women in the future being harmed by Essure. 

Lisa Saenz

Development Coordinator

Lisa Saenz is a wife and mother of three daughters in NYC. She became an advocate for women’s reproductive safety when she suffered and became a victim of a failed medical device. Recognizing the need for activism and advocacy, she joined a team of women to work on medical device safety. Her desire is to ensure her daughters and all women for generations to come, do not have to experience what she and many other women have. Her goal is to provide women the tools needed to advocate and remain empowered.

Lisa is a Licensed Master Social Worker (LMSW), in the state of New York. She graduated from Yeshiva University, Wurzweiler School of Social Work, with her graduate degree in Social Work and her undergraduate degree in Forensic Psychology from John Jay College of Criminal Justice. Lisa has always had a desire and passion to help those who suffer with severe chronic mental illness, homelessness and addictions. After obtaining her graduate degree, she went onto a supervisory position, which led to her building a care coordination program in NYC.

During this time, she volunteered and served on two parent committees. She served as President on one board and was secretary on the other, in two high schools in the Bronx. In an effort to help parents and advocate for adolescents who are suffering with mental illnesses, within the NYC public school system. She continues this work in hopes of closing the gap on failed student outcomes.

Currently, Lisa works in an opioid addictions program, empowering and helping those addicted to opioids through their recovery. During these times of the current opioid epidemic, it is her desire to bring continued hope and motivation to those in need.