Post by caesar on Aug 6, 2018 20:54:05 GMT -5
Here is a quote from 'Meet David Kendall, MD'; posted on November 3, 2010 by American Diabetes Association. diabetesstopshere.org/2010/11/03/meet-david-kendall-md/
"People with diabetes now have a nearly normal lifespan. The management (although arguably complex) is infinitely better than when my aunt and grandfather sharpened their needles before injections and urinated in a cup to determine their glucose levels. Now we have remarkable tools – but how do we provide better care?
I think that’s what we have coming up in the next decade. Everything from drug development to care delivery has to be better integrated. You can’t just hand someone a tool and hope they know how to use it. Insulin pumps and CGMs are useless unless someone knows how to use them – it’s like giving someone a Ferrari in rush hour – it’s an incredible remarkable improvement that can’t be used to its full potential."
First of all, note that he doesn't talk about the debilitating results of living with diabetes for a lifetime - instead he said: "People with diabetes now have a nearly normal lifespan". It's not about the quality of one's life, it's about how long a diabetic lives that is the measure of success. Unfortunately, in order for a person to fully participate in a dynamic culture like ours, it's best to be as healthy as possible. A good number of the diabetics I work with, struggle daily - they really struggle because Metabolic Breakdown is like "rust" - paraphrasing Neil Young's album, RUST NEVER SLEEPS
Second, I would rewrite the second portion of his statement to say: 'I think that’s what we have coming up in the next decade. Everything from drug development to care delivery has to be better integrated. You can’t just hand someone a tool and hope they know how to use it. Insulin pumps and CGMs are useless unless someone knows how to use them – it’s like giving someone Afrezza – it’s an incredible remarkable improvement that can’t be used to its full potential.'
What I'm getting at is that Mike got David to jump ship from a competitor because he was supposedly 'Born Again'. I truly hope so, because the community that has to be convinced of the benefits of driving a Ferrari are the Endocrinologists, not the PWD (patient's with diabetes). The technology is there - the Field of Dreams has been built.
Every paradigm shift requires a generational shift. Remember "Monetize the Eyes" or the term "Cloud Computing" - both were bantered around Silicon Valley during the Dot-com Bubble. Google and Facebook monetized the eyes; and the Cloud - well, we are all enjoying its benefits.
I have a hard time believing that MNKD with a Board of Directors and a management team trying to overcome their own biases, can disrupt not only a multi-billion dollar Insulin marketplace, but a Medical Community that sucks up 17% of our GDP. If Mike Castagna wants to be viewed in the same light as he markets himself on his twitter account: 'as Entrepreneurial executive, father and pharmacist excited to be helping patients with diabetes'; he might want to stop having his company operate like a BP; and refactor it into a nimble "disruptive" start-up.
The last statement I take exception to is: "At that point it was the physician’s job to manage diabetes. But now physicians and other health care providers don’t really manage diabetes. Patients manage diabetes with the guidance of their health care team." I am flabbergasted that David view's Physicians role as being mentor, a team member. Physician's need to be advocates for their patients. The physicians control every aspect of what tests, drugs and information a patient has at his/her disposal. Unless anybody on this board can prove otherwise; most people have no clue of what is happening to their bodies, and more importantly cannot figure it out on their own. People don't go to Medical School - physicians do!
"People with diabetes now have a nearly normal lifespan. The management (although arguably complex) is infinitely better than when my aunt and grandfather sharpened their needles before injections and urinated in a cup to determine their glucose levels. Now we have remarkable tools – but how do we provide better care?
I think that’s what we have coming up in the next decade. Everything from drug development to care delivery has to be better integrated. You can’t just hand someone a tool and hope they know how to use it. Insulin pumps and CGMs are useless unless someone knows how to use them – it’s like giving someone a Ferrari in rush hour – it’s an incredible remarkable improvement that can’t be used to its full potential."
First of all, note that he doesn't talk about the debilitating results of living with diabetes for a lifetime - instead he said: "People with diabetes now have a nearly normal lifespan". It's not about the quality of one's life, it's about how long a diabetic lives that is the measure of success. Unfortunately, in order for a person to fully participate in a dynamic culture like ours, it's best to be as healthy as possible. A good number of the diabetics I work with, struggle daily - they really struggle because Metabolic Breakdown is like "rust" - paraphrasing Neil Young's album, RUST NEVER SLEEPS
Second, I would rewrite the second portion of his statement to say: 'I think that’s what we have coming up in the next decade. Everything from drug development to care delivery has to be better integrated. You can’t just hand someone a tool and hope they know how to use it. Insulin pumps and CGMs are useless unless someone knows how to use them – it’s like giving someone Afrezza – it’s an incredible remarkable improvement that can’t be used to its full potential.'
What I'm getting at is that Mike got David to jump ship from a competitor because he was supposedly 'Born Again'. I truly hope so, because the community that has to be convinced of the benefits of driving a Ferrari are the Endocrinologists, not the PWD (patient's with diabetes). The technology is there - the Field of Dreams has been built.
Every paradigm shift requires a generational shift. Remember "Monetize the Eyes" or the term "Cloud Computing" - both were bantered around Silicon Valley during the Dot-com Bubble. Google and Facebook monetized the eyes; and the Cloud - well, we are all enjoying its benefits.
I have a hard time believing that MNKD with a Board of Directors and a management team trying to overcome their own biases, can disrupt not only a multi-billion dollar Insulin marketplace, but a Medical Community that sucks up 17% of our GDP. If Mike Castagna wants to be viewed in the same light as he markets himself on his twitter account: 'as Entrepreneurial executive, father and pharmacist excited to be helping patients with diabetes'; he might want to stop having his company operate like a BP; and refactor it into a nimble "disruptive" start-up.
The last statement I take exception to is: "At that point it was the physician’s job to manage diabetes. But now physicians and other health care providers don’t really manage diabetes. Patients manage diabetes with the guidance of their health care team." I am flabbergasted that David view's Physicians role as being mentor, a team member. Physician's need to be advocates for their patients. The physicians control every aspect of what tests, drugs and information a patient has at his/her disposal. Unless anybody on this board can prove otherwise; most people have no clue of what is happening to their bodies, and more importantly cannot figure it out on their own. People don't go to Medical School - physicians do!
