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Post by rockstarrick on May 12, 2016 11:52:11 GMT -5
Matt also stated that the offering was sold to select investors so it wouldn't have a negative affect on shareholders. Not his exact words, I'm shooting from memory, but I'm fairly sure this is an accurate statement. Here is the exact quote from Matt regarding the offering. .. "were very careful in placing the new shares with a few select investors, which is important to existing shareholders"
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Post by babaoriley on May 12, 2016 11:58:16 GMT -5
I wondered about having the nurse educators present in doc's offices - can any docs chime in on that? It seems as though the docs would not want such people in their offices for various reasons, one of which is potential liability.
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Post by BlueCat on May 12, 2016 12:09:37 GMT -5
Ok. Listening now.
I think Matt is sick.
Yes, he sounds a little off his presentation game. So listen to him breathing in between every sentence starting before slide 10. He sounds really, really congested - you can hear it in his voice, and in his breathing. I've listened to enough of his presentations now to hear the difference.
Presenting that way is tough - worse if you are feeling sick too. Guy is probably working 24x7, just had surgery, and now come down with something, while having to travel to Vegas (see also, lots of toxic smoke, too).
But even with that, and under pressure - He's clearly articulating a well thought plan. Good flow to presentation. A lot to cover, fast.
"Stay tuned" on SNY - no surprise on that terminology considering the context.
He has a plan. He's bought time. There's no wiggle room on execution, but he's bringing in a serious team with experience and energy in doing that.
Matt if you are reading - good job. Get better - next time before going to podium, take a hit of Afrin (or albuterol) about 30mins before taking podium ..... congestion is a preso killer.
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Post by centralcoastinvestor on May 12, 2016 12:32:36 GMT -5
Matt inherited such a crap sandwich. He had very little say in how all of this was set up. Al and Hakan were in charge of the Sny deal and even the joint committee. If Matt and team actually pull off a comeback, Matt will be a turnaround rock star.
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Post by Deleted on May 12, 2016 12:34:58 GMT -5
Matt inherited such a crap sandwich. He had very little say in how all of this was set up. Al and Hakan were in charge of the Sny deal and even the joint committee. If Matt and team actually pull off a comeback, Matt will be a turnaround rock star. He will be filthy rich also with his options
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Post by babaoriley on May 12, 2016 12:35:00 GMT -5
"take a hit of Afrin (or albuterol) about 30mins before taking podium" Q2U, I see it's fairly rapid acting, does that get out of the system fast, too?
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Post by longinvstr on May 12, 2016 12:51:13 GMT -5
They want the nurse educators up and running so that the nurse educator can meet with patients at the doctors office and do a hands on training with the patient. It is going to be a value added service, reduces patient drop off rate, saves doctor & doctor staff time and helps patient to "dial it in" quickly and with minimal patient frustration. Nurse Educators aka: DNEs aka: Diabetes Nurse Educators may also help with the prior authorization but this is a guess on my part. They also act as a second set of eyes and ears and with greater clinical knowledge than most reps DNEs bring their own form of credibility to the physician and staff. Smart move to get the DNEs out a month before the reps. Shows commitment to docs and confidence in Afrezza. Love your summary of their approach & why. I think it's key and their importance can not be overstated. New and novel Afrezza needs EXTRA effort in the show & tell of what, why & how. DNE's will also have opportunity to educate the doctors; they'll be onsite proxy salespeople. Their 'informal" discussions w/ patients & doctors could include why taking your puff after starting the meal will lead to better A1C's, etc. Sell past the God-complex, know more than you what's better for you, reluctant (as old habit & for fear of MP lawsuits) to try new things doctors. I hope MNKD spends as much initial focus on this nurse core and their Education and Research Foundation as any other target. Let's present at the next AADE meeting. As they are more likely to influence doc's than patients, it is DNE's that could take us viral. Isn't their mission our mission? How many are there? >>AADE is a multi-disciplinary professional membership organization dedicated to improving diabetes care through innovative education, management and support. With more than 14,000 professional members including nurses, dietitians, pharmacists, exercise specialists, and others, AADE has a vast network of practitioners working with people who have, are affected by or are at risk for diabetes. Our Mission Empower diabetes educators to expand the horizons of innovative education, management and support Our Vision Optimal health and quality of life for persons with, affected by or at risk for diabetes and chronic conditions<< www.diabeteseducator.org/
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Post by Deleted on May 12, 2016 12:53:50 GMT -5
Ok. Listening now. I think Matt is sick. Yes, he sounds a little off his presentation game. So listen to him breathing in between every sentence starting before slide 10. He sounds really, really congested - you can hear it in his voice, and in his breathing. I've listened to enough of his presentations now to hear the difference. Presenting that way is tough - worse if you are feeling sick too. Guy is probably working 24x7, just had surgery, and now come down with something, while having to travel to Vegas (see also, lots of toxic smoke, too). But even with that, and under pressure - He's clearly articulating a well thought plan. Good flow to presentation. A lot to cover, fast. "Stay tuned" on SNY - no surprise on that terminology considering the context. He has a plan. He's bought time. There's no wiggle room on execution, but he's bringing in a serious team with experience and energy in doing that. Matt if you are reading - good job. Get better - next time before going to podium, take a hit of Afrin (or albuterol) about 30mins before taking podium ..... congestion is a preso killer. He may not be allowed to take certain meds due to his eye surgery.
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Post by Deleted on May 12, 2016 12:57:09 GMT -5
I wondered about having the nurse educators present in doc's offices - can any docs chime in on that? It seems as though the docs would not want such people in their offices for various reasons, one of which is potential liability. On the call earlier this week, Castagna mentioned the nurses would be HIPPA compliant. In the world of insulin pumps, companies have trainers that meet with patients to show them how to work the pump. Meetings take place at the doctors offices for the most part. In some cases the doctor won't want the Mannkind nurse educator in the office to train the patient. No big deal, just go to the next office. Part of this me thinks is once the doc sees patients doing well and the docs staff participates in training, there may be some type of handoff as the confidence level of the office builds. Its not like one nurse educator can effectively cover a couple dozen endo offices as depending on patient load, it is logistically impossible.
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Post by hokiemcd on May 12, 2016 13:07:23 GMT -5
Matt also stated that the offering was sold to select investors so it wouldn't have a negative affect on shareholders. Not his exact words, I'm shooting from memory, but I'm fairly sure this is an accurate statement. Here is the exact quote from Matt regarding the offering. .. "were very careful in placing the new shares with a few select investors, which is important to existing shareholders" Ok, so I don't really like reading into things that Matt says (well anyone from MNKD really), but I'm going to take a shot on this one anyways... Any chance Matt said this because he was talking about only selling these new shares to investors who won't lend them out to be shorted? That's the only thing I can think of as to why WHO he is selling to would be important to existing shareholders. Thoughts?
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Post by capnbob on May 12, 2016 13:41:46 GMT -5
I wondered about having the nurse educators present in doc's offices - can any docs chime in on that? It seems as though the docs would not want such people in their offices for various reasons, one of which is potential liability. On the call earlier this week, Castagna mentioned the nurses would be HIPPA compliant. In the world of insulin pumps, companies have trainers that meet with patients to show them how to work the pump. Meetings take place at the doctors offices for the most part. In some cases the doctor won't want the Mannkind nurse educator in the office to train the patient. No big deal, just go to the next office. Part of this me thinks is once the doc sees patients doing well and the docs staff participates in training, there may be some type of handoff as the confidence level of the office builds. Its not like one nurse educator can effectively cover a couple dozen endo offices as depending on patient load, it is logistically impossible. Practically every endo office has its own "nurse educator" who instructs patients on how to fo fingersticks, injections, logs, etc. Why not simply hire a single Mannkind "nurse educator" to go around and train all the docs own educators? I recognize that MNKD mentioned they would do other things like seminars, presentations, etc, but, realistically, how many of those kind of activities can you schedule? I mean, they're talking about hiring 30 of these people? That seems to be a bit much to me.
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Post by sweedee79 on May 12, 2016 13:48:19 GMT -5
I wondered about having the nurse educators present in doc's offices - can any docs chime in on that? It seems as though the docs would not want such people in their offices for various reasons, one of which is potential liability. I am so impressed with this nurse educator plan. In many clinics they now have nurses who coordinate everything for patients with diabetes. My dad has one and she is a lifesaver. She spends an hour with him each time we go, she has an open mind and listens to the patient, also advocates for us and is probably more knowledgeable than the docs. If the MNKD nurse educators can get to these nurse coordinators and possibly even sit in on these meetings with patients that could be amazing...
I feel bad for Matt for what he is up against and I have faith in him. It seems to me he is giving it all he has. I am impressed with the plan. Positive news coming out of clinics and seeing the script count start rising again will help with the financing. Yes our backs are up against the wall, but a good plan is in place.. now lets see what happens.. we deserve some good news..
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Post by Deleted on May 12, 2016 13:51:45 GMT -5
I wondered about having the nurse educators present in doc's offices - can any docs chime in on that? It seems as though the docs would not want such people in their offices for various reasons, one of which is potential liability. I am so impressed with this nurse educator plan. In many clinics they now have nurses who coordinate everything for patients with diabetes. My dad has one and she is a lifesaver. She spends an hour with him each time we go, she has an open mind and listens to the patient, also advocates for us and is probably more knowledgeable than the docs. If the MNKD nurse educators can get to these nurse coordinators and possibly even sit in on these meetings with patients that could be amazing...
I feel bad for Matt for what he is up against and I have faith in him. It seems to me he is giving it all he has. I am impressed with the plan. Positive news coming out of clinics and seeing the script count start rising again will help with the financing. Yes our backs are up against the wall, but a good plan is in place.. now lets see what happens.. we deserve some good news..
the doc office which had your dad on Afrezza still prescribing Afrezza? or did they put a pause..? they should have seen the results first hand
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Post by sweedee79 on May 12, 2016 14:03:48 GMT -5
I am so impressed with this nurse educator plan. In many clinics they now have nurses who coordinate everything for patients with diabetes. My dad has one and she is a lifesaver. She spends an hour with him each time we go, she has an open mind and listens to the patient, also advocates for us and is probably more knowledgeable than the docs. If the MNKD nurse educators can get to these nurse coordinators and possibly even sit in on these meetings with patients that could be amazing...
I feel bad for Matt for what he is up against and I have faith in him. It seems to me he is giving it all he has. I am impressed with the plan. Positive news coming out of clinics and seeing the script count start rising again will help with the financing. Yes our backs are up against the wall, but a good plan is in place.. now lets see what happens.. we deserve some good news..
the doc office which had your dad on Afrezza still prescribing Afrezza? or did they put a pause..? they should have seen the results first hand We were the only patient they had on Afrezza and we asked for it. The nurse coordinator was positive and I shared everything I knew with her. The problems were with the docs who didn't understand Afrezza and wouldn't raise the dose. Afrezza is not the same dose for dose as injectable.. My dad had excellent results, his numbers were about the same as when on injectable, but could have been better had they raised the dose. You can raise the dose with Afrezza and get better numbers with less risk of hypo... He had no hypo while on Afrezza.. he also lost 24lbs in 5 months... and his blood pressure dropped as well .. He ended up having to go off of it because his insurance removed it from their formulary. He was frankly fed up with all of the hoops he had to jump through to be on this drug... so he quit.. but the minute he can go back on he will.
I don't know that we gained that much traction with impressing the docs... he was just one of many patients and they didn't take Afrezza that seriously to begin with. But I do think the nurse coordinator we were seeing understood what Afrezza was, so we may have gained some points with her. Its funny how people are, they seem to want to wait and see what everyone else is saying and doing before they try something. One doc we saw was waiting for the price to drop and better insurance coverage. Its a mixed bag of issues we have to overcome, but I believe Matt is on the right track. SNY didn't seem to care much... MNKD does.
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Post by rockstarrick on May 12, 2016 14:13:56 GMT -5
Here is the exact quote from Matt regarding the offering. .. "were very careful in placing the new shares with a few select investors, which is important to existing shareholders" Ok, so I don't really like reading into things that Matt says (well anyone from MNKD really), but I'm going to take a shot on this one anyways... Any chance Matt said this because he was talking about only selling these new shares to investors who won't lend them out to be shorted? That's the only thing I can think of as to why WHO he is selling to would be important to existing shareholders. Thoughts? I'm not sure why he would say this other than he was considering MNKD shareholders when deciding who to sell the shares to. I won't speculate, but im sure we will find out what he meant as soon as he can share it. Good Luck
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