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Post by lojothehus on May 16, 2019 11:34:11 GMT -5
In my first thread that was locked; I discussed the primary sources of criticism; Shorts with an agenda and frustrated Longs. I also advised Mike, as I have stated over and over again to simply "make more noise," and to abandon the traditional methods. With that being said, in my opinion, Mike should not be upset by all the criticism that he is receiving.
To begin, if I were Mike, I would not be concerned with the Shorts who have an agenda. That would roll off of me like ice on a spoon. However, I would be concerned about the criticism coming from long-term investors (and rightly so) who are frustrated with the current rate that this stock is trading at.
Unfortunately, long-term investors are very limited to knowing every single thing that is going on with Mankind. That would include any remarkable progress or hard work that Mike and his colleagues may have put into this company. Some will try to follow the numbers; some will try to ascertain the projections; a lot will listen to analysts, while many will give Mike the benefit of the doubt and let hope guide them. Whatever the case may be, the current stock price is what will control the majority of many long-term investors emotions; causing many to drown in despair and to allay or even give up on some of their immediate plans or dreams. So when you factor everything in, it should be easy for Mike to realize and to accept why he is being criticized; and I did not even mention the raises, but I guess I just did.
Therefore, Mike should not be upset by all of this criticism. Instead, he should find a way to be a bit more transparent with investors. Communication and noise should be made through an updated and current Website; through easily accessed testimonials; open up the doors to Mankind and let investors in! Accept the criticism and let investors know that while their money has been remarkably decreasing; that your concern is not rested on yours increasing but in the efficacy of this drug and in improving the lives of many people who suffer from using inferior treatments. People can accept sinking on a vessel when they see the Captain doing everything that they can do to save them.
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Post by peppy on May 16, 2019 15:04:27 GMT -5
I Believe Mike and Kendall and the rest are at the same shock level I am. Shocked that a fast acting insulin like Afrezza, seen working on diabetic CGM's, the nicest fast acting insulin out there in terms of how it manages Blood glucose and it is not being prescribed.
I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal.
Bitch and Moan all we want, our medical system in this country is not doing the job I thought through osmosis it wanted to do; which was help the health and wellbeing of human beings.
It turns out our medical system is run by corporate profit and big pharmaceutical. Catch and Kill probably used regularly.
We are all upset.
Additionally, what other medication are people saying good things about on the internet? Users are happy. How can physicians not know? It is their job to know.
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Post by boca1girl on May 16, 2019 15:28:39 GMT -5
I Believe Mike and Kendall and the rest are at the same shock level I am. Shocked that a fast acting insulin like Afrezza, seen working on diabetic CGM's, the nicest fast acting insulin out there in terms of how it manages Blood glucose and it is not being prescribed. I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal. Bitch and Moan all we want, our medical system in this country is not doing the job I thought through osmosis it wanted to do; which was help the health and wellbeing of human beings. It turns out our medical system is run by corporate profit and big pharmaceutical. Catch and Kill probably used regularly. We are all upset. Additionally, what other medication are people saying good things about on the internet? Users are happy. How can physicians not know? It is their job to know. Peppy, that’s exactly what Dr. K. expressed to me (shock) after the meeting. Even with the proof laid right in front of them, the doctors are still reluctant. It was obvious to me that are plugging along and not giving up. He used the phrase, “noise, chatter, and now real communication regarding Afrezza in the medical community”.
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Deleted
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Post by Deleted on May 16, 2019 15:47:19 GMT -5
I Believe Mike and Kendall and the rest are at the same shock level I am. Shocked that a fast acting insulin like Afrezza, seen working on diabetic CGM's, the nicest fast acting insulin out there in terms of how it manages Blood glucose and it is not being prescribed. I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal. Bitch and Moan all we want, our medical system in this country is not doing the job I thought through osmosis it wanted to do; which was help the health and wellbeing of human beings. It turns out our medical system is run by corporate profit and big pharmaceutical. Catch and Kill probably used regularly. We are all upset. Additionally, what other medication are people saying good things about on the internet? Users are happy. How can physicians not know? It is their job to know. Peppy, that’s exactly what Dr. K. expressed to me (shock) after the meeting. Even with the proof laid right in front of them, the doctors are still reluctant. It was obvious to me that are plugging along and not giving up. He used the phrase, “noise, chatter, and now real communication regarding Afrezza in the medical community”. Boca, nothing takes the place of persistence and selling starts when the customer says "No". Doctors practice defensive medicine, they don't want to be pioneers and get sued. Once they loose their license, that level of income never can be replaced. But, Dr. K's comments are what I would expect from someone who has worked at Big Pharma. Had Dr. K had a successful startup under his belt, those words would never roll off his tongue. Big company life has its challenges but most who spend their careers in that environment have no idea what its like to really build something because they have momentum, a big company name and enormous resources at their disposal. When you have all of those resources and a workforce of thousands, your individual efforts, or pulling the sled so to speak is a lot easier. Take away the big company name, budgets and people, add the Inertia of a small company with new technology, and the weight you need to pull on your portion of the sled just increased by 1,000. Props and respect for people who have built a company, it takes a whole lot more effort, stones and creativity. Remember the scene in Rocky where before his fight his trainer punched him in the stomach and said, "now your not scared, your pissed off", Mike and his team need to get pissed off, then they will be ready for the real war.
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Post by boca1girl on May 16, 2019 15:54:57 GMT -5
Yes, most of the management team are from BP. Maybe they didn’t know how tough it would be. Do they have the toughness to battle in the trenches? I hope so and I hope they are “pissed off” enough to win.
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Post by peppy on May 16, 2019 15:57:22 GMT -5
in regard to the post above by Scotta. Quote: Doctors practice defensive medicine, they don't want to be pioneers and get sued.
reply: I know that they do not want to be sued. The part I have trouble with is, "Doctors practice defensive medicine. I do not agree.
Read the package inserts of the medication these physicians are prescribing, some of them are terrible.
Buyer beware.
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Post by Deleted on May 16, 2019 16:18:34 GMT -5
in regard to the post above by Scotta. Quote: Doctors practice defensive medicine, they don't want to be pioneers and get sued. reply: I know that they do not want to be sued. The part I have trouble with is, "Doctors practice defensive medicine. I do not agree. Read the package inserts of the medication these physicians are prescribing, some of them are terrible. Buyer beware. Some of those meds are beyond terrible but there is a safety in numbers and more data from BP to muddy the waters and provide air cover so to speak. Many docs providing clinical services to people with diabetes are not all that well informed on a variety of fronts. The current treatment regime on a macro scale sucks. I've seen first hand the results of poor compliance and control of blood glucose levels. The foot wounds are horrific. I wish Mike would man up, drop the gloves and turn this thing into a street fight. No idea why he doesn't. Afrezza is so good a case could be made that not using it is malpractice. All he needs to 50 type ones who use a CGM and put them on Afrezza for 2-3 months no charge. The data would speak for itself. It would also help if Dr. K had coaching to change his demeanor from nutty professor / intellectual to hard core patient health advocate and be less verbose and cut to the chase. This guy pioneered the lumpectomy. He initially was dismissed as nut, incompetent and he almost had a nervous breakdown when telling the world why lumpectomy is better than mastectomy. The world is immensely better for having him stand strong. Some people are more wired than others to stand up to the crowd and fight for what is right. If I had a box of Chutzpah, I would mail it to Mike and Dr. K. It's what they need but unfortunately, its not something you can learn. en.wikipedia.org/wiki/Bernard_Fisher_(scientist)
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Post by rockstarrick on May 16, 2019 17:14:31 GMT -5
I Believe Mike and Kendall and the rest are at the same shock level I am. Shocked that a fast acting insulin like Afrezza, seen working on diabetic CGM's, the nicest fast acting insulin out there in terms of how it manages Blood glucose and it is not being prescribed. I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal. Bitch and Moan all we want, our medical system in this country is not doing the job I thought through osmosis it wanted to do; which was help the health and wellbeing of human beings. It turns out our medical system is run by corporate profit and big pharmaceutical. Catch and Kill probably used regularly. We are all upset. Additionally, what other medication are people saying good things about on the internet? Users are happy. How can physicians not know? It is their job to know. Peggy wins the Internet for the day !!! The fact that so many longtime investors have trouble seeing this is flabbergasting to me !! We have the only FDA approved Inhaled Mealtime Insulin currently available, and an FDA approved Drug Delivery Platform and Device, and we are sitting at a $1.34/Share ?? And if it costs a Billion dollars to get a drug through the FDA process, how is this possible ?? We are seriously undervalued IMO, and because of this, our problems are magnified immensely. Just try and imagine how much easier everybody’s job at MNKD would be if our market cap were at just the average cost of an approved drug. We are getting the “red headed stepchild” treatment by our Healthcare System and Wall Street, and because of this, I have a really hard time trying to drop all the blame on MC and Mannkind. It is what it is, but it stinks like doo doo to me. Our Healthcare System is corrupt and broken.
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Post by careful2invest on May 16, 2019 17:46:43 GMT -5
I Believe Mike and Kendall and the rest are at the same shock level I am. Shocked that a fast acting insulin like Afrezza, seen working on diabetic CGM's, the nicest fast acting insulin out there in terms of how it manages Blood glucose and it is not being prescribed. I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal. Bitch and Moan all we want, our medical system in this country is not doing the job I thought through osmosis it wanted to do; which was help the health and wellbeing of human beings. It turns out our medical system is run by corporate profit and big pharmaceutical. Catch and Kill probably used regularly. We are all upset. Additionally, what other medication are people saying good things about on the internet? Users are happy. How can physicians not know? It is their job to know. Peppy, As an 8 plus year, six figure investor in Mannkind I agree with everything that you wrote, Except this line... “I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal.” There is no doubt that Mike has done SO much and has literally saved this company! Thus far! BUT, what he hasn’t done is effectively use Social Media. In MNKDS case, Social Media is an unused tool! AND, it’s inexpensive! I honestly just don’t get why this is the case! MNKD needs a team of savvy Social media experts that will aggressively and effectively use the platforms that are out there! The Mannkind website desperately needs to be revamped and treated along these same lines. Afrezza is just too damn good to fail, and far superior to other mealtime treatments to be trading at $1.27/share. Not to mention our horrible Market Cap... At least I hope that MNKD can overcome BP and our broken and corrupt Healthcare system! I’ve got a lot riding on it! As do so many others! Monetarily and physically! GLTA MNKD LONGS!
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Post by peppy on May 16, 2019 20:31:46 GMT -5
Mike C, I do want to have an update on Mannkind Direct Purchase.
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Post by lakon on May 17, 2019 4:22:23 GMT -5
I Believe Mike and Kendall and the rest are at the same shock level I am. Shocked that a fast acting insulin like Afrezza, seen working on diabetic CGM's, the nicest fast acting insulin out there in terms of how it manages Blood glucose and it is not being prescribed. I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal. Bitch and Moan all we want, our medical system in this country is not doing the job I thought through osmosis it wanted to do; which was help the health and wellbeing of human beings. It turns out our medical system is run by corporate profit and big pharmaceutical. Catch and Kill probably used regularly. We are all upset. Additionally, what other medication are people saying good things about on the internet? Users are happy. How can physicians not know? It is their job to know. Peggy wins the Internet for the day !!! The fact that so many longtime investors have trouble seeing this is flabbergasting to me !! We have the only FDA approved Inhaled Mealtime Insulin currently available, and an FDA approved Drug Delivery Platform and Device, and we are sitting at a $1.34/Share ?? And if it costs a Billion dollars to get a drug through the FDA process, how is this possible ?? We are seriously undervalued IMO, and because of this, our problems are magnified immensely. Just try and imagine how much easier everybody’s job at MNKD would be if our market cap were at just the average cost of an approved drug. We are getting the “red headed stepchild” treatment by our Healthcare System and Wall Street, and because of this, I have a really hard time trying to drop all the blame on MC and Mannkind. It is what it is, but it stinks like doo doo to me. Our Healthcare System is corrupt and broken. 1. MannKind Direct Purchase program seems to be an attempt to combat part of the corrupt and broken system. 2. VDEX seems to be independently combating another aspect. It sure would be nice if MNKD could or would support them more. 3. Latest advertising was also suggestive of management's recognition of regulatory impediments with new tactics attempted to grow awareness. 4. Other actions taken, like filling the gap internationally for need-based solutions in under-served markets.
Unfortunately, these ideas are a slow slog to greasing someone's palm in a position to get the Hell out of the way...
Who is John Galt?
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Post by agedhippie on May 17, 2019 9:53:27 GMT -5
1. MannKind Direct Purchase program seems to be an attempt to combat part of the corrupt and broken system. 2. VDEX seems to be independently combating another aspect. It sure would be nice if MNKD could or would support them more. 3. Latest advertising was also suggestive of management's recognition of regulatory impediments with new tactics attempted to grow awareness. 4. Other actions taken, like filling the gap internationally for need-based solutions in under-served markets.
Unfortunately, these ideas are a slow slog to greasing someone's palm in a position to get the Hell out of the way...
Who is John Galt?
There are some serious issues around providing support to clinics or doctors. This is what got various of the insulin cartel prosecuted - they were providing services that otherwise doctors would have had to pay for to doctors. This is also why you are not going to see Mannkind funded clinics any time soon.
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czap
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Post by czap on May 17, 2019 10:00:53 GMT -5
Blaming the healthcare system at this point is like blaming the referees for loosing the game in the opponents home town. I am a long term holder. At this point we know the game and just need the strategy to win or just go home.
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Deleted
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Post by Deleted on May 17, 2019 10:37:40 GMT -5
I Believe Mike and Kendall and the rest are at the same shock level I am. Shocked that a fast acting insulin like Afrezza, seen working on diabetic CGM's, the nicest fast acting insulin out there in terms of how it manages Blood glucose and it is not being prescribed. I believe Mike has done everything possible to save us, including the UTHR deal, which is moving right along. Our saving deal. Bitch and Moan all we want, our medical system in this country is not doing the job I thought through osmosis it wanted to do; which was help the health and wellbeing of human beings. It turns out our medical system is run by corporate profit and big pharmaceutical. Catch and Kill probably used regularly. We are all upset. Additionally, what other medication are people saying good things about on the internet? Users are happy. How can physicians not know? It is their job to know. Peppy, that’s exactly what Dr. K. expressed to me (shock) after the meeting. Even with the proof laid right in front of them, the doctors are still reluctant. It was obvious to me that are plugging along and not giving up. He used the phrase, “noise, chatter, and now real communication regarding Afrezza in the medical community”. When are you guys going to realize this is not like buying Keurig coffee machine or switching from a Ford to a Mercedes. Afrezza is a brand new therapy with a not so great label. Doctors don't have time to scan the internet or message boards or even read information on everything in the medical field. They rely heavily of STUDIES and DATA. Naturally when they see insulin being delivered via the LUNGS they are skeptical. They knew about Exubera and how it failed so it's in the back of their minds. Match that with a NON INFERIOR LABEL and the doctor is going to say...I'm not going to mess with this. So you have MNKD severely behind the 8 ball. It's going to be a SLOW PROCESS but once they get rolling it will SNOWBALL. MNKD is doing everything they can to inform and educate doctors. Some doctors will try it and love it. Others will experiment with one or two patients and wait a 6-12 mos. before they treat more patients. It's a tough situation for MNKD but they are up to the challenge. Also remember this is MNKD's FIRST FDA DRUG so they have no clout in the FDA nor the Doctor's offices. It's going to take time.
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Post by bradleysbest on May 17, 2019 10:49:42 GMT -5
At the 2018 ASM Mike pumped up the Scientific Advisory Board as some of the best doctors in the endocrinology field. Anyone know what the SAB is doing or has done to spread Afrezza awareness? You would think scripts would rise on the SAB’s help alone?
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