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Post by pengiep on Sept 20, 2015 22:57:33 GMT -5
I'm suprized that Sanofi/MNKD hasn't worked out some tables they can provide to the Endos & patients that tell them what combinations of cartridges they should use. And a smartphone app that does the same thing. This isn't rocket science and I wonder why something so simple and direct hasn't been given out.
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Post by compound26 on Sept 21, 2015 12:35:34 GMT -5
Rob. I do think he is over thinking the process. I also wonder when a person's ego is involved they are unlikely to ask questions when they don't understand the answer. I'm glad to hear you say that most doctors do understand.. that's what I'm invested in. thekindaguyiyam, FWIW, here is someone (who supposedly is an Afrezza prescribing physician) commenting on this issue. docfrezza • Aug 5, 2015 11:11 AM I have no idea if you are really a prescribing practitioner. All I can say is that in the real world Afrezza takes less time to prescribe and correctly instruct the patient than the injectable rapid acting insulins. If Afrezza prescribing takes you more time then perhaps it is not the patients that need instructions, perhaps it is you. Have a talk with your representative. Afrezza is easy to prescribe. And very easy to educate patients in its use. Sanofi is providing practitioners with more than adequate educational materials for the patients.
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Post by thekindaguyiyam on Sept 21, 2015 13:35:31 GMT -5
thanks Compound. I'd like for these two doctors to get together and communicate. I provided an overview of my appointment. The Endo told me what was getting in his way (understanding the application & possibly intimidated by the selection of packages). I offered this to let other people know my experience and what obstacles were presented. This is one physicians response, but may be emblematic of a percentage of doctors who don't get it. Any unstudied new patient with have a greater learning curve if his/her physician doesn't understand what docfrezza describes "Sanofi is providing practioners with more than adequate educational materials for the patients". <------ apparently not enough for this PHD who is respected here. It would take a good Rep to communicate and clarify if there is confusion from the doctor. Only with a confident Doc will the patient have a better chance in getting through the initial learning curve with physician support. My Endo had 2 patients return to the previous drug; why I ask, because my Endo Has a learning curve.
this is the brief note I wrote to Matt.. my first and only email to him:
Sent: Sun, Sep 20, 2015 12:08 pm Subject: recent endo visit re: Afrezza
Hello Matt.
Thanks for your good work. I wanted to share with you which came from my experience with my Endo in northern, ca. I'm @ 6.3 to 6.5. I was prescribed metformin; but having liver issues stopped taking that. Afrezza is said to bring down the A1C by Spiro, Eric, Sam etc. So, I'm thinking it might be right for me.
Here's what you need to know. My Endo was ignorant about Afrezza having prescribed it to patients and having them return to their previous medication. My Endo is not a believer even though he has Webmd advertising Afrezza in his office and the Dr. Bode interview of WebMD in his waiting room.
His complaints are that he only has 4 unit cartridges for samples. From what I understand that would be a typical dose taken at meal time with blood monitoring @ 1, 2, & 3 hours post meal to see in another 4 unit cartridge is necessary.
I think this doctor is not understanding the education delivered by Sanofi Reps. The physician is a smart guy but he's not getting it. Another of his compaints was that it takes 5 seconds to write a script for a vile of insulin but 10 steps to write one for Afrezza (5 minutes). To some who interpret this on the MNKD proboard, say that the doctor is lazy. He may be. But he doesn't seem to understand the method of delivery. Another thing he said was that some new patients had to inhale 5 cartridges to be effective (I find this hard to believe unless he is suggesting that Afrezza be substituted for a daily injection for type 1 patients.
Bottom line ... the guy isn't going to prescribe if he doesn't understand it. He doesn't... and I can see that maybe his ego gets in the way for asking for clarification from the Sanofi Rep.
Anyway... there is some feedback for you from my experience. He is more than resistant but has prescribed a couple of times that didn't work out and gave away some samples. It takes one who is confident and well educated to convey calmness when new patients are dealing with their own learning curve.
Best Regards... from N. California
======== I let him know the area where I live knowing that one Rep would hit the whole community. In this way, My Endo's Rep will know that one of the Doctors on the call isn't getting it and the company Sanofi can professionally address the issue.
Hang in there everyone; you gotta know where the kinks are to iron em out. Thanks for the many replies.
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Post by dreamboatcruise on Sept 21, 2015 17:57:17 GMT -5
I'm suprized that Sanofi/MNKD hasn't worked out some tables they can provide to the Endos & patients that tell them what combinations of cartridges they should use. And a smartphone app that does the same thing. This isn't rocket science and I wonder why something so simple and direct hasn't been given out. I'm not sure it's that simple for patients with more advanced diabetes. If a patient needs 12u at mealtime you might prescribe just that. But then what if snacks might require 4 or 8. Do you give a mixed 8/12 or separate 12 and 4 boxes, etc. Is it someone that eats slow digesting carb rich meals like pizza requiring follow up doses. Obviously it's not rocket science, but it would require the doc to spend some few minutes thinking about the daily eating habits. The early T2 patient should be much easier though. Try a 4u and see how it works.
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