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Post by dreamboatcruise on Jul 26, 2017 17:19:55 GMT -5
I just went to "find a doctor" on afrezza.com and was pleasantly surprised when I did a search of docs within 10 miles of me. Not only were there a lot but 5 of the endos had spirometry onsite. It seems as if few endos normally would have a spirometer, so perhaps this means 5 of them interested enough in prescribing Afrezza to get a spirometer.
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Post by Chris-C on Jul 26, 2017 17:55:22 GMT -5
dream That's encouraging. On the flip side, I did the same thing for my zip code, expecting that since we live in the shadows of TWFMC (The world famous mayo clinic"), that in this city of 110K of whom several thousand are physicians, there might be JUST ONE family practitioner or endo or internist who was listed as a prescriber. Nope. Not one. But I'll confess I'm not terribly surprised. Although they have an innovation center (and pride themselves on being cutting edge), I have never heard them described by their own physicians as cutting edge, and a good number of my associates avoid getting care within their hallowed halls.
Personally, I think it has to do with risk aversion. Just keep on collecting the check and avoid doing anything too progressive until it's been endorsed by the mother ship. After all, they have a world famous brand name to protect— and protect it they do! IMO it is a malady that affects all successful corporations (and in the present case don't be misled by Mayo's "non-profit" status). The more successful an organization becomes, the more risk aversive they are inclined to be, which in more than one case over the years has compromised the innovation that made the enterprise successful in the first place. Chris
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fap
Newbie
Posts: 23
Sentiment: Long
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Post by fap on Jul 26, 2017 18:48:08 GMT -5
I also checked the St Louis area and there was 30 Doctors, Makes me feel better.
FAP
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Post by twibs66 on Jul 26, 2017 19:56:28 GMT -5
chi-raq here, 50 plus doctors 50 mile area 9 have spiro- 4 of them say validated referral available-
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Post by BlueCat on Jul 26, 2017 20:01:47 GMT -5
26 found within 50 miles of Silicon Valley. Only a couple with spirometry. Some of the addresses looked like they may be at UCSF and at Stanford.
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Post by wmdhunt on Jul 27, 2017 7:03:11 GMT -5
Tulsa Oklahoma had 2 docs within 50 miles and one of them was a Gyno/Pediatrics. Disappointed only 2 but it is a start where just a few weeks ago there were none. Overall I am encouraged. Each had spirometer too. Hang in there MNKD.
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Post by straightly on Jul 27, 2017 9:23:44 GMT -5
Tulsa Oklahoma had 2 docs within 50 miles and one of them was a Gyno/Pediatrics. Disappointed only 2 but it is a start where just a few weeks ago there were none. Overall I am encouraged. Each had spirometer too. Hang in there MNKD. How often does a doctor write Afrezza rx? It seemed to me to be very low. Anything we can do there?
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Post by prosper on Jul 27, 2017 11:15:32 GMT -5
I live in White Plains, NY within a 10 mile circle is Stamford, Greenwich, Rye, Scarsdale, New Rochelle, and all I could find were 2 in Yonkers. Something is wrong with a sales force that can't find or motivate Docs in the most affluent area of the country.
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Post by rombic33 on Jul 27, 2017 11:52:00 GMT -5
We do have a list of MNKD management team, but not a sales force and not an area where they work at. If anything is true.
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Post by peppy on Jul 27, 2017 12:01:23 GMT -5
I live in White Plains, NY within a 10 mile circle is Stamford, Greenwich, Rye, Scarsdale, New Rochelle, and all I could find were 2 in Yonkers. Something is wrong with a sales force that can't find or motivate Docs in the most affluent area of the country. look at what was reported about Mayo Clinic, Rochester MN. no prescribing physicians.
In the 1980's Mayo was full of people from the middle east to get treatment. Those people are gone too.
Mayo clinic taken out by computer technology. People do not have to fly to Minnesota for treatment anymore? Or Mayo Clinic behind the times?
Yes, prosper it is strange. People with high incomes and good health insurance, and the physicians are not prescribing.
Has our healthcare system been taken over by the standards of care written by many who had jobs in big pharma and pharmacy managers?
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Post by therealisaching on Jul 27, 2017 12:04:02 GMT -5
I live in White Plains, NY within a 10 mile circle is Stamford, Greenwich, Rye, Scarsdale, New Rochelle, and all I could find were 2 in Yonkers. Something is wrong with a sales force that can't find or motivate Docs in the most affluent area of the country. expand to 25 mi there are approx 100
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Post by rombic33 on Jul 27, 2017 12:22:07 GMT -5
How many of those approx 100 were visited by MNKD salesperson? 2 or 100? How many willing to prescribe? How many prescribed? How many prescribed more than to one patient? How many prescribed week before or next week? If it works than scripts have to rise if not than scripts have to fall, but it stalled for months - no any explanations here but artificial.
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Post by sportsrancho on Jul 27, 2017 12:24:09 GMT -5
What gets the doctors on the list?
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Post by saxcmann on Jul 27, 2017 12:33:03 GMT -5
What gets the doctors on the list? probably the sales reps.
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Post by Chris-C on Jul 27, 2017 13:17:00 GMT -5
What gets the doctors on the list? Good question Sports! I'll make an educated guess and say it boils down to if they have actually written a prescription. Since no prescribers came up in my search, I don't know if the list includes other primary care providers with script writing privileges in the various states.(i.e, nurse practitioners and physician assistants). The deeper question is what gets them to prescribe: And to that I'd answer three things: Education, evidence, and motivation.Education: Providers and patients need awareness of it as a viable treatment option. Evidence: For providers, it will be considered viable if, in their existing decision tree, there is credible scientific evidence of efficacy from published studies and positive experience by opinion leaders (people they consider experts). For patients, evidence mostly boils down to their provider's advice, recommendations from respected members of their social network, and their experience. Motivation: For both patients and providers, the motivation to change is influenced by the benefits of changing their existing habits. The benefits need to outweigh the costs (which for providers, includes a myriad of things including spirometry tests, formulary access, cost, and perhaps importantly The presence of the option in their digital online protocol. For patients, motivation to change is provided by the drug's convenience, affordability, efficacy, and how it impacts their lifestyle. I know that Mayo has been developing their point of care (bedside/office) electronic decision database for over a decade. I also know that I greatly underestimated the barriers to adoption of Afrezza when I invested in this company. Some innovations reach the tipping point quickly (like iPhones, tablets, Uber and Lyft and social media) and become disruptive quickly. But these are mass markets where the consumer chooses with cost and availability being the only constraint. Not so with FDA approved drugs with physician gatekeepers and investing headwinds thrown up by competitors and hedge funds. The issue is having the resources to persist knowing that this is going to take time. Still long, still deeply in the red, (and this is a nail-biter I would have gladly avoided). Chris, C
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