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Post by mnkdfann on Feb 9, 2020 2:52:11 GMT -5
Thank You OD and Joey I'm a type 2. Take no Basil injection. Mostly, I've got a handle on this. My average is around 130 but would like to get closer to the 100 mark. I've had only one read out in the 60s; the one I mentioned / several at 88 with fewer under 100 and more above 135. I'm so happy to have this drug; just don't want to lose it because of the system that is in place. Spirometry on Monday. thanks for the best wishes all. Back at you too. If you have not given up, grow a pair and check this thread out: mnkd.proboards.com/thread/11674/revolutionary-type-2-diabetes-discoveryIt worked for me. |
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Post by Charlie on Feb 19, 2020 13:06:32 GMT -5
mnkd fan. You are one who who thinks insulting works to inspire by example. Glad you grew a pair; hope they work out for you. Mine descended at an early age and have been working ever since. Until your post everyone has been more than kind. However, for what it's worth, being offensive in the you do to advise a stranger to replicate "your" success, is not a winning approach.
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Post by Charlie on Feb 19, 2020 13:14:35 GMT -5
I went to the hospital for the Spirometry test. It was very different than the one I took in the doctors office. The one at his office was administered without a verbal description on what to do nor a video from MNKD that should be standardized so everyone knows how to perform to get approval. At the hospital I was given a different device to breath into which included a little meditation of normal breathing prior to the big exhale. My breath was being shown on the monitor before me so I could visually see how close and how far away I was from the guidelines. I decided to close my eyes during the test so that it was all about the breath and not my mind second guessing and undermining the final outcome. I have sleep apnea issues that can not be corrected by a cpap or surgery and this is one of my challenges. Fortunately I was within range and with that I am able to continue using Afrezza; one of the MOST important tools I have for my personal medical circumstances.
The federal legislation requires physicians to provide this testing by 3rd party medical associates.
Clearly there may be some physicians who provide their own exam (which I'd prefer); but from what my Endo said to me about it was; MNKD rented out the machines to test pulmonary function and no longer do so. I can only assume from the physicians point of view having a standardized test relieves him of liability.
Best to All and Good Luck to Us in the upcoming annual meeting and call conference.
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Post by liane on Feb 19, 2020 14:40:33 GMT -5
A physician can provide (and bill for) the test in their office. What would not be legal is for the physician receive the instrumentation (either given or leased) from MNKD.
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Post by Charlie on Feb 19, 2020 14:44:29 GMT -5
You are correct. Maybe I used the wrong word "rented" rather than "leased". Thanks!
Perhaps Now, someone else might talk about their experiences who are contributors to this board.
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Post by mnholdem on Feb 19, 2020 14:46:39 GMT -5
However, MannKind can provide information to physicians about where these FEV-1 instruments may be purchased. As I recall, Alfred Mann worked out a low-cost deal with a reputable manufacturer and that information was included in the sales packet. The equipment was limited to specific testing and much cheaper than advanced spirometry instruments.  |
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Post by sweedee79 on Feb 19, 2020 15:07:08 GMT -5
When my dad was on Afrezza he was sent to a hospital for his Spiro. Since then I thought I remembered that Mnkd was working with doctors so they would have the machine right in the office making it more convenient and less expensive for the patient.. not sure how that turned out.
My dad had a really great experience with Afrezza.. he loved it. After about 6 months his insurance quit paying and doctors weren't very cooperative.. he got tired of fighting to stay on it even though his health overall was much better.. His blood pressure even dropped.. he lost 25lbs.. had way more energy.. It was amazing.. but way to expensive and a stressful battle for him..
That was a few years ago.. since then he has had a stroke and his health has steadily deteriorated.. and I sometimes wonder what things would be like now had he been able to stay on it.
Best wishes to you Charlie.. so happy you will have Afrezza.
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Post by sayhey24 on Feb 19, 2020 20:37:28 GMT -5
However, MannKind can provide information to physicians about where these FEV-1 instruments may be purchased. As I recall, Alfred Mann worked out a low-cost deal with a reputable manufacturer and that information was included in the sales packet. The equipment was limited to specific testing and much cheaper than advanced spirometry instruments. At the 2015 ASM Sanofi's big excuse for not selling afrezza was the spirometer requirement. Al brought with him a handheld device which was about $400. We got into a discussion about Jones marketing the afrezza spirometer. Soon after Al's health got bad so I don't think he ever put a deal together. Jone's is still selling the afrezza spirometer www.jonesmedical.com/spirometry-for-afrezza/ |
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Post by Charlie on Feb 29, 2020 19:12:42 GMT -5
I went to the hospital for the Spirometry test. It was very different than the one I took in the doctors office. The one at his office was administered without a verbal description on what to do nor a video from MNKD that should be standardized so everyone knows how to perform to get approval. At the hospital I was given a different device to breath into which included a little meditation of normal breathing prior to the big exhale. My breath was being shown on the monitor before me so I could visually see how close and how far away I was from the guidelines. I decided to close my eyes during the test so that it was all about the breath and not my mind second guessing and undermining the final outcome. I have sleep apnea issues that can not be corrected by a cpap or surgery and this is one of my challenges. Fortunately I was within range and with that I am able to continue using Afrezza; one of the MOST important tools I have for my personal medical circumstances. The federal legislation requires physicians to provide this testing by 3rd party medical associates. Clearly there may be some physicians who provide their own exam (which I'd prefer); but from what my Endo said to me about it was; MNKD rented out the machines to test pulmonary function and no longer do so. I can only assume from the physicians point of view having a standardized test relieves him of liability. Best to All and Good Luck to Us in the upcoming annual meeting and call conference. |
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Post by Charlie on Feb 29, 2020 19:13:50 GMT -5
I forgot to mention that the person who gave me the spirometry test at the hospital when asked if he has heard about Afrezza; his reply was NO.
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Post by mutoymd on Mar 1, 2020 3:36:59 GMT -5
Charlie, on the contrary, the fact your doc used Cough as a diagnosis code probably helped you out w/out you knowing it. In that way, your insurance would pay for it. If it were some sort of screening code, chances are you’d foot the bill for it as insurance won’t cover it.
As to why the endo does not buy their own simple spiro and bill for it, I don’t know. Perhaps they don’t do it often enough to recover the expense of obtaining one. If that 400$ spiro really exists, no reason not to buy one. usually they’re much more but still, if done often enough, ROI should be attainable.
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Post by rockstarrick on Mar 1, 2020 11:00:02 GMT -5
However, MannKind can provide information to physicians about where these FEV-1 instruments may be purchased. As I recall, Alfred Mann worked out a low-cost deal with a reputable manufacturer and that information was included in the sales packet. The equipment was limited to specific testing and much cheaper than advanced spirometry instruments. At the 2015 ASM Sanofi's big excuse for not selling afrezza was the spirometer requirement. Al brought with him a handheld device which was about $400. We got into a discussion about Jones marketing the afrezza spirometer. Soon after Al's health got bad so I don't think he ever put a deal together. Jone's is still selling the afrezza spirometer www.jonesmedical.com/spirometry-for-afrezza/I wonder why no spirometry testing for tobacco, weed, even asthma meds, why just Mannkinds Afrezza. |
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Post by rfogel on Mar 1, 2020 11:05:19 GMT -5
Charlie, on the contrary, the fact your doc used Cough as a diagnosis code probably helped you out w/out you knowing it. In that way, your insurance would pay for it. If it were some sort of screening code, chances are you’d foot the bill for it as insurance won’t cover it. As to why the endo does not buy their own simple spiro and bill for it, I don’t know. Perhaps they don’t do it often enough to recover the expense of obtaining one. If that 400$ spiro really exists, no reason not to buy one. usually they’re much more but still, if done often enough, ROI should be attainable. More than the spirometry requirement, I think the difficulty lies in the wording of the black box: "Before initiating AFREZZA, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients." That, in effect, assigns the endo to diagnose underlying lung disease, a responsibility I imagine most endos don't want. |
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Post by mannmade on Mar 1, 2020 12:56:58 GMT -5
At the 2015 ASM Sanofi's big excuse for not selling afrezza was the spirometer requirement. Al brought with him a handheld device which was about $400. We got into a discussion about Jones marketing the afrezza spirometer. Soon after Al's health got bad so I don't think he ever put a deal together. Jone's is still selling the afrezza spirometer www.jonesmedical.com/spirometry-for-afrezza/I wonder why no spirometry testing for tobacco, weed, even asthma meds, why just Mannkinds Afrezza. IMHO, likley because of the frequency of use, eg: up to six doses a day if use for three meals and require a follow up. Others are much less frequent I beleive, except perhaps weed... GLTAL's |
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Post by letitride on Mar 1, 2020 14:45:07 GMT -5
I beleive tobacco has a black box warning on the side of every pack. And it like current SOC for diabetes will kill you slowly without malice.
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