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"It's teeny!": the World of Healthcare


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Wow. An addition of one "satisfying event" per month. Totally worth it. I can think of a few non-pharmaceutical methods that could produce the same results.

 

To me a satisfying event is Joann's having a 50% off sale on beads.  This says a lot about my "event" life these days.

Edited by pandora spocks
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To me a satisfying event is Joann's having a 50% off sale on beads.  This says a lot about my "event" life these days.

Or J.C. Penney's recent big sales. New towels! New sheets! I probably wouldn't know an "event" if it bit me on the ass.

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Well, if you're into that sort of thing...

Maybe I need to go to the local VW dealer for their rear end event!

To be fair, if I ever meet a guy I'd like to "event" with, I'd more than likely kill the poor slob. I guess I'm not the target audience for female Viagra...

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Wow. An addition of one "satisfying event" per month. Totally worth it. I can think of a few non-pharmaceutical methods that could produce the same results.

And some don't even cost anything.  A man should not underestimate the value of watching the kids for an afternoon or vacuuming the living room unasked.

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There's still part of me that wishes that the pharma industry never became consumer-driven.....none of this "talk to your healthcare professional today about ___" and retired sportsmen talking about shingles and cholesterol. I would be just fine with returning the Rx decision-making to doctors and nurses. Anyway, tonight I saw yet another commercial aimed at opioid users having bowel issues.  Oh the good old days, when the drug reps would share the info with the HCPs, and then the doctor or nurse would give the Rx during the post-op discussion or follow-up visits. Instead, I guess there are a disproportionate amount of people on opioids, making it necessary for us to see cartoon poop stuck in the bowel during prime time.  

 

....and I just realized (since the commercial just repeated now) that the ad I'm complaining about is from a company I worked for years ago.  I hated the consumer push back then, too.

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I agree. The one and only time I ever asked my doctor about some drug (can't remember what it was) I saw on TV, he gave me a little smile and then listed off the many, many reasons why it would be inappropriate and contraindicated for me. And then he said that even if appropriate, the side effects were hideous and he wouldn't prescribe it for anyone.

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I wonder how many years have passed since that was the case? My experience has been that the doctors prescribe whatever the drug reps have been pushing. Free samples, perks, etc.

 

I admit that almost everything I know about medical professionals as a group is what I've learned from TV and the few people in the profession I've known over time, but what I know validates your experience. And a bit disturbing: I have the same experience with hair care professionals. They tend to push whatever has been most effectively, persistently and aggressively sold directly to them on to their clients.

 

I guess it's ok, but knowing the power of marketing might universally be a substitute for doing your own research makes me uneasy no matter which group of people I put myself in the hands of.

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I wonder how many years have passed since that was the case? My experience has been that the doctors prescribe whatever the drug reps have been pushing. Free samples, perks, etc.

On one hand, this bothers me.  But on the other hand, I've been grateful when the doctor just gives me some free pills and they do the trick, especially since I didn't have insurance for years.

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I wonder how much less medications would cost if the pharma companies weren't buying advertising time.

IMO meds would cost a lot less.  Can you imagine how much commercial time on the evening news programs costs, much less air time on TV Land or INSP, bastions of baby boomer shows?  Half the time I can't remember what the med names are, only the commercial content:  High-fiving cholesterol lady, big bad wolf grandpa, horny lady with English accent, etc.  We're bombarded with so many commercials, it's a wonder we know what our names are much less the names of these wonder drugs. 

 

The drug names that I do remember are suddenly the object of class action suits.   Not really a recommendation to try them.  So the big pharm companies would do everybody a favor and cut back on the ads although I can't see that happening anytime soon.

Edited by pandora spocks
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I love the wake/sleep creatures.  They're so cute.  But I don't understand why the guy in bed doesn't have one.

 

I do too. They look and act like cats. I love the one at the end curling up with her.

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started laughing hysterically at the Belsomra commercial - the one with the furry wake/sleep creatures.  I'll try to link it.  Part of the ad mentions possible hallucinations.  Like the wake/sleep creatures? Ha!

They are there so we don't really hear them say 'Suicide?' 'Sleep Driving?' 'Aggressive actions.?' "Awww cute sleep-kitty and wakey-doggie."   

 

Good commercial. Bad drug.... soon to be featured in the lawyers "Did you take Belsombra and drive to work in your PJ's? Commit suicide? Murder your husband? Grow two heads?   You maybe eligible for compensation.....blah....blah" commercial.

Edited by crowswork
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I wonder how many years have passed since that was the case? My experience has been that the doctors prescribe whatever the drug reps have been pushing. Free samples, perks, etc.

Its really two separate issues, the advertising on TV and the pushing drugs to doctors.

They were pushing drugs to doctors for years before the TV ads appeared. This is actually one of the reasons why I think you see more TV ads. Some physicians have pushed back and no longer see pharmaceutical reps

There is a middle ground. Not all doctors that see reps just automatically prescribe what is pushed by the reps. I don't. I can think of easily 10 drugs I have heard about that have no real purpose in my practice and they keep telling me about them, I keep using other things. I do think the reps serve a purpose though. And I do think there is a place for samples. I prescribe many medications with potential side effects and I don't want patients paying for a month supply if they are going t take 2 or 3 and not tolerate it.

Dinners and other perks have been cut back or completely eliminated as well. And I am fine with that. I think its that money though the pharmaceutical companies have shifted to direct to consumer advertising.

Belsomra while its commercials are weird actually is a completely novel and new mechanism for insomnia, so it certainly can have some advantages over older products. In particular it should not be habit forming and should not cause respiratory suppression.

If you truly trust your doctor you should not being worried about how much influence the industry has on them. And conversely, if you are worried they might be influenced by them/the industry, think about if they are the doctor for you.

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I saw an ad where a lawyer was saying that they were looking for clients who had been injured by a drug which is one of the drugs that I take (though I have suffered no ill effects for it).  I asked my doctor, and she said the lawsuits have no grounds, there is no evidence that anybody has been injured.

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Belsomra while its commercials are weird actually is a completely novel and new mechanism for insomnia, so it certainly can have some advantages over older products. In particular it should not be habit forming and should not cause respiratory suppression.

 

This has been mentioned before, but what bothers me about the Belsomra ads is that one of the warnings they issue is not to use to product if you suffer from narcolepsy. Which....whut? It might cause you to sleep-drive, possibly operate heavy machinery, and maybe even burn the house down while you're asleep, but the narcolepsy thing is just weird. Being only slightly facetious, if you're already nodding off at random intervals, why would you need Belsomra?

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I had forgotten how many ED commercials are on football games until I was watching the college games.

Cars, boner pills and beer, 90% of the commercials played during a game.

Football: The sport for older men who like to get drunk, then make bad decisions about driving and sex!

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one of the warnings they issue is not to use to product if you suffer from narcolepsy. Which....whut? It might cause you to sleep-drive, possibly operate heavy machinery, and maybe even burn the house down while you're asleep, but the narcolepsy thing is just weird. Being only slightly facetious, if you're already nodding off at random intervals, why would you need Belsomra?

I haven't done any research on this drug, but in my experience when there are warnings like that, ie "don't take X if you have Y condition" when either it would make no sense to need X if you had Y, it's usually because in testing they found some elevated risk of a major complication but only in people with the Y condition. So all the little warnings like "may cause stroke, heart attack or your eyes to suddenly explode" might be super ridiculously rare, but happen 10x more frequently in people with whatever other condition, hence the "seriously, don't do it, yo" kinda thing. I'm not saying that's the case here. Like I said, I haven't researched that drug. But knowing the above is one reason I'm generally nonplussed by those types of other-condition-having specific warnings.
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My understanding is that the list of side effects includes all of the symptoms/effects encountered during trials. So, if you are in a drug trial and you eat bad sushi, the nausea, gastroenteritis, and vomiting becomes part of the list of side effects because you can't be sure whether it was caused by food poisoning or the drug. As such, most patients won't experience many of the symptoms listed, but the drug ends up sounding like it's methyl-ethyl death acid.

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My understanding is that the list of side effects includes all of the symptoms/effects encountered during trials. 

That's my understanding too. They have to mention anything that has happened in conjunction with testing even if only to one person and even if it isn't certain there was a causal relationship. The result is that a lot of people who might actually be helped by a particular drug, and suffer no bad effects, have a "and risk going bald and then dying? hell no!" reaction.

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This has been mentioned before, but what bothers me about the Belsomra ads is that one of the warnings they issue is not to use to product if you suffer from narcolepsy. Which....whut? It might cause you to sleep-drive, possibly operate heavy machinery, and maybe even burn the house down while you're asleep, but the narcolepsy thing is just weird. Being only slightly facetious, if you're already nodding off at random intervals, why would you need Belsomra?

There is a specific reason this is mentioned about narcolepsy.

Belsomra's novel or new mechanism of action is that its a hypocretin antagonist. Hypocretin is the chemical/hormone in the brain that when deficient causes narcolepsy. this is why they have to put that warning in there. Would be specifically contraindicated in narcolepsy for this reason. This is also the reason for possible hallucinations, i think. One of the lesser known symptoms of narcolepsy is sleep related hallucinations. (Though its actually not common even in those with narcolepsy).

And yes, some people with narcolepsy do develop insomnia, as odd as that may seem. Its messes up the sleep wake cycle and causes fragmented sleep, so this can lead to insomnia. There is actually a drug for this some patients use, believe it or not, that most people would be horrified to learn about. Its not advertised, its called Xyrem by prescription. Its actually Gamahydroxybutyrate, which is Rohypnol, the date rape drug. Tightly regulated, for good reason. It helps not just insomnia but some symptoms of narcolepsy. Just be glad there are not ads for that one on TV. You can imagine the warning for that

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They are there so we don't really hear them say 'Suicide?' 'Sleep Driving?' 'Aggressive actions.?' "Awww cute sleep-kitty and wakey-doggie." 

 

I can handle hearing about those side effects in the Belsomra commercial. (And I think the sleep-kitty and wakey-doggie are actually pretty insightful symbols, which is why so many of us have encoded the commercial.) But the side effect that leaps out at me is "may cause temporary inability to move while falling asleep or waking up." Excuse me? Temporary inability to move? That one freaks me out.

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I can handle hearing about those side effects in the Belsomra commercial. (And I think the sleep-kitty and wakey-doggie are actually pretty insightful symbols, which is why so many of us have encoded the commercial.) But the side effect that leaps out at me is "may cause temporary inability to move while falling asleep or waking up." Excuse me? Temporary inability to move? That one freaks me out.

I already often experience the "temporary inability to move while falling asleep or waking up" sometimes accompanied by the feeling that the bed is falling away from my body, so I think I'll avoid belsomra like the plague.  It is a really bizarre feeling.  Took me a long time to not freak out.  Then again, I cannot take "sleep aids" (remember when these were called sleeping pills?  I guess that term got associated with overdoses and suicides).  My rule is if a drug can cause hallucinations, it will.  ah the things that I've seen while on seemingly innocuous meds. 

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I have a dog that will watch a pet food commercial with rapt attention. Now, he's got a new favorite.

Belsomra. The sleep aid that has the fake cat or whatever it is that spells "sleep."

He watches that with his head tilted as if he's trying to figure out what kind of animal is it that walks around and yet doesn't look like a normal cat.

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It's not on YouTube yet, but we need to talk about the Xifaxan ads. More specifically, we need to discuss the weird, animated intestine-turtle mascot they use. It creeps me out more than that lady with the pet bladder.

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revbfc, I was just coming here to post about the walking intestines.  They take themselves out to dinner.  There are intestines sitting at a table, looking through the menu.  Aaaaaaaarrrrrgh!

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revbfc, I was just coming here to post about the walking intestines.  They take themselves out to dinner.  There are intestines sitting at a table, looking through the menu.  Aaaaaaaarrrrrgh!

OMG! Now I have to see this commercial! I laughed so hard my pet bladder gave me the sad eyed look as I almost peed myself.

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revbfc, I was just coming here to post about the walking intestines.  They take themselves out to dinner.  There are intestines sitting at a table, looking through the menu.  Aaaaaaaarrrrrgh!

My favorite part is the intestines looking into the fish tank, and being magnified by it while the fish swim past.

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They say watching fish is calming, so if Mr. Intestine is acting irritable, that's probably how the human handles IBS - by getting the intestines to watch fish swimming around.  NOW there's a drug that "may cause an increase in liver enzymes" to help with that, so you don't have to turn yourself inside out in front of an aquarium.

 

I think.

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