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Post by prcgorman2 on Dec 8, 2023 13:42:10 GMT -5
There's more than 50 reps and only 50 states. You're dreaming if you think we'll need a major BP partner to be able to get in front of 50 state school nurse associations (and a handful of school districts in each state). With all due respect, you’re dreaming if you expect MNKD to successfully pursue such a sales/marketing initiative going it alone. Your “let’s pitch the school nurses” idea is nice, but it would at best be a secondary strategy. We have yet to prove we can successfully execute a primary strategy, after six years it still hasn’t been accomplished. There’s nothing wrong with dreaming, but it doesn’t necessarily result in revenue. Got something against dreamers?
Anyway, I already suggested it would not be a primary sales strategy and would only make sense after and assuming successful Pediatric study proving SAFETY (safety, safety) and superiority.
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Post by sayhey24 on Dec 8, 2023 13:58:11 GMT -5
I think that's good too but I'm saying get in front of the state association for school nurses. Most states have one. Then if you want to get to districts, cherry-pick the largest and most influential. Doesn't have to be a singular focus. Work it in when you're not working doctors or clinics. One other comment on this idea of focusing on school-age children and their school nurse healthcare providers. Older investors in Apple will likely remember that Steve Jobs made it a focus of their marketing to put Apple computers in schools. It wasn’t just altruism. It was to capture mindshare and create lifelong Apple customers. Mike Castagna has also mentioned the importance of serving children for the same marketing reasons. I think that is probably true in both cases, but what will also please me is the thought of the relative safety and superiority (I assume) of Afrezza will provide greater emotional and physical health benefits than current treatments. I do remember when Jobs did that. I also remember working a proposal many years ago called TESS which was a pretty sizeable contract to put weather stations on aircraft carriers and one of the engineers showed up with his Mac and printer. The next thing we knew was we had a little Mac network going and it was working a lot better than the stand alone PCs we had and whatever our IT LAN guys could do. I am a simple guy. Doing state associations and big things is great but small things work too. Do both. I remember Mike complaining a while ago that his sales reps could not get in front of the doctors. OK, so what were they doing all day? If the reps have some open time let them bring in dinner and get the school nurses in for an afrezza session. Probably no one buys them dinner and it would be a big deal for them. At the same time I think afrezza would be a big deal for the kids and if the school nurses could be a sales force multiplier with the moms, all the better. |
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Post by cretin11 on Dec 8, 2023 14:26:43 GMT -5
With all due respect, you’re dreaming if you expect MNKD to successfully pursue such a sales/marketing initiative going it alone. Your “let’s pitch the school nurses” idea is nice, but it would at best be a secondary strategy. We have yet to prove we can successfully execute a primary strategy, after six years it still hasn’t been accomplished. There’s nothing wrong with dreaming, but it doesn’t necessarily result in revenue. Got something against dreamers? Dreaming’s great (remember, you’re the one who first accused me of it). It took a lot of dreaming to make Afrezza happen. Many many years later we are at 900, the lesson there is dreaming ain’t enough. Let’s make things happen in reality. |
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Post by prcgorman2 on Dec 8, 2023 14:50:38 GMT -5
Got something against dreamers? Dreaming’s great (remember, you’re the one who first accused me of it). It took a lot of dreaming to make Afrezza happen. Many many years later we are at 900, the lesson there is dreaming ain’t enough. Let’s make things happen in reality. We agree and I'm suggesting a low-effort approach to marketing to an important and influential segment of the healthcare community supporting pediatric prandial insulin users. |
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Post by agedhippie on Dec 8, 2023 15:26:07 GMT -5
We agree and I'm suggesting a low-effort approach to marketing to an important and influential segment of the healthcare community supporting pediatric prandial insulin users. What is the outcome you are looking for from marketing to the school nurses? |
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Post by prcgorman2 on Dec 8, 2023 16:19:53 GMT -5
We agree and I'm suggesting a low-effort approach to marketing to an important and influential segment of the healthcare community supporting pediatric prandial insulin users. What is the outcome you are looking for from marketing to the school nurses? At a minimum, awareness of Afrezza as a safer, more effective, prandial insulin and differences in administration as compared to pumps, pens, and syringes.
A bonus would be minor modifications of the school district (or school) Section 504 plan to include reference to inhalable insulin and administration of Afrezza as appropriate in Section 3 "Student's Level of Self-care and Location of Supplies and Equipment", and Section 7 "Checking Blood Glucose Levels, Insulin and Medication Administration, and Treating High or Low Blood Glucose levels".
The key is awareness. The modifications, if any, to a Section 504 plan would just be for completeness with regard to information of importance mainly to school nurses or any non-medical school staff members in the role of Trained Diabetes Personnel (TDP).
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Post by longliner on Dec 8, 2023 16:29:22 GMT -5
As I talked about in the past, a friend had to move his family to locate his child in a pre-school that would administer insulin injections. I assume from his experience that if school nurses were given the option of not administering injections, they would prefer to administer inhalations. Successful pediatric trials plus awareness are key. Awareness is what (I assume) PRC is trying to get out.
There's risk and damage every time you jab someone with a needle.
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Post by sayhey24 on Dec 8, 2023 17:41:40 GMT -5
We agree and I'm suggesting a low-effort approach to marketing to an important and influential segment of the healthcare community supporting pediatric prandial insulin users. What is the outcome you are looking for from marketing to the school nurses? I would be happy with just getting the sales reps out in the field and providing value instead of having Mike complain they can't get in to see doctors. With the kids, its all about the moms. With the moms its all about their community experience and the nurses are a natural part of their local diabetic community. If you get just one mom saying how great afrezza is you will get a lot more moms wanting to give it a try real fast. Having the school nurse on your team saying not only is afrezza great but the sales reps are so nice is a big deal. Heck, have another dinner and invite all the kids and their parents along with the nurses. Remember Tip O'Neil and what he said about politics. Its the same with moms and their local community groups. In a place like NYC maybe not as much but if you go to Scarsdale I doubt it would much different than Wynnewood, PA where Gary Scheiner is located. |
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Post by hopingandwilling on Dec 8, 2023 17:52:02 GMT -5
Every state's Department of Education has a very strict policy/guidelines for how legal drugs are dispensed for students in a public school and some private schools. The first requirement is that the student's parent/parents or legal guardian must sign an affirmative document for giving the school/nurse the approval for dosing a drug to a student. It is the responsibility of the parent/legal guardian to make the drug available in the school. Most states require the drug to be delivery in the original and well labeled by the pharmacist as to the name and dosing regimen. School nurses are employees of the school district, for them promoting drugs for a drug company could lead to the nurse and school district opening themselves to much legal trouble and subject to criminal charges if something goes badly wrong. Nurses simply must dose the drug like the label says it must be dosed, etc. As for using nurses to promote a particular drug, in the case of MannKind's drug---the parent/legal guardian will still face the same problem that Mankind now faces--insurance companies not covering the drug. MannKind needs to work on getting Afrezza covered just like the current best-selling drugs. Then nearly 75% of their real issue will be solved and MannKind will be on the same playing field with those company who are selling their insulin product.
Merely google your respective state's Department of Education for their policy...but most states will closely adhere to the same policy model. But you can be assured none of them will advocate a school district or one of their employees actively promoting a drug company's drug product.
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Post by prcgorman2 on Dec 8, 2023 18:14:12 GMT -5
Didn't say "actively promoting". And quit cutting-and-pasting from ChatGPT.
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Post by agedhippie on Dec 8, 2023 19:01:08 GMT -5
What is the outcome you are looking for from marketing to the school nurses? At a minimum, awareness of Afrezza as a safer, more effective, prandial insulin and differences in administration as compared to pumps, pens, and syringes.
A bonus would be minor modifications of the school district (or school) Section 504 plan to include reference to inhalable insulin and administration of Afrezza as appropriate in Section 3 "Student's Level of Self-care and Location of Supplies and Equipment", and Section 7 "Checking Blood Glucose Levels, Insulin and Medication Administration, and Treating High or Low Blood Glucose levels".
The key is awareness. The modifications, if any, to a Section 504 plan would just be for completeness with regard to information of importance mainly to school nurses or any non-medical school staff members in the role of Trained Diabetes Personnel (TDP).
I certainly think they should modify the language in the plan to include inhaled insulin. For example change to "Insulin and/or other diabetes medication will be administered at the times and by the route (e.g., syringe, pen, inhaler, or pump) prescribed on the student’s DMAF". I would argue that this aligns with the ADA SoC and thus should be modified to reflect that. Mostly though, the 504 document doesn't specify delivery or form and just say insulin. What I am trying to figure out is given that the nurse is absolutely bound to deliver the plan and only the plan, and in the manner prescribed in that plan, what can they do to promote Afrezza? I do agree that they need to know how to handle Afrezza, so does MNKD have a plan in place to undertake that education as soon as it is cleared for pediatrics? It's not absolutely necessary since the plan spells this out, but if they are aware ahead of time there is likely to be less push back. |
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Post by prcgorman2 on Dec 9, 2023 10:14:41 GMT -5
Maybe that’s the ticket. “We’d like to meet for dinner and discuss why the Section 504 Plan in the state/district would benefit from some minor modifications to include support for our inhalable insulin.”
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Post by agedhippie on Dec 9, 2023 12:14:17 GMT -5
Maybe that’s the ticket. “We’d like to meet for dinner and discuss why the Section 504 Plan in the state/district would benefit from some minor modifications to include support for our inhalable insulin.” They would probably just ask you to send them the proposed amendment and justification. I cannot see it being a fight. Interestingly section 504 gets quite unclear once you get to religious and private schools. This is a topic of some heartburn to campaigners. There is still the Americans with Disabilities Act to fall back on in those cases though, but it requires a lawsuit. |
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Post by longliner on Dec 9, 2023 13:13:19 GMT -5
stkt.co/zzXmLlrkMost interesting to me was the statement that at least 50% of patients expressed their fear of injections. Many miss or skip injections. The wave of "kiddo's" is building.........
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Post by prcgorman2 on Dec 9, 2023 14:56:14 GMT -5
Maybe that’s the ticket. “We’d like to meet for dinner and discuss why the Section 504 Plan in the state/district would benefit from some minor modifications to include support for our inhalable insulin.” They would probably just ask you to send them the proposed amendment and justification. I cannot see it being a fight. Interestingly section 504 gets quite unclear once you get to religious and private schools. This is a topic of some heartburn to campaigners. There is still the Americans with Disabilities Act to fall back on in those cases though, but it requires a lawsuit. The school nurses and Trained Diabetes Personnel (TDP) could also benefit from a demonstration (using BlueHale??) and some information about dosing and administration. I wonder if there are placebo cartridges for demonstrations? |
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