Sunday, August 19, 2012

Sunday Editorial


The last few weeks have reared the ugliness and immaturity that exists in our country and in spine, this has become indicative by the vulgarity and sophomoric humor (to some) that has surfaced on TSB's blog. So let TSB share some wisdom, the definition of freedom means exemption from "control, interference, or regulation." If you notice TSB put those words in quotations. The time has come to implement regulation. Contrary to what some think, this is not your blog, neither is this a forum to spew vulgarities and non-sense..  You don't control the blog, neither do you have a "right" to spew the non-sense that comes out of some of your foul mouths. The purpose of this blog has been to provide everyone with a forum that no other platform has or ever will provide for the industry. You don't see it on OrthoWorld, Orthopedics This Week, or Orthospine News.  If the intent of the few is to destroy the blog or drive readers away, the necessary measures will be taken to incarcerating your thoughts or opinions. Censorship is a beautiful thing.  If you want to spew your non-sense develop your own blog, or better yet log on to Medical Holocaust, but then again no one follows or reads that second rate blog because no one likes crazy people. Yes that's right, CRAZY PEOPLE. Your rights and freedoms are nothing more than a fleeting moment.  So in closing, like the Times, the Wall Street Journal, The New Republic, or any other publication, it you want censorship remember what TSB says, "So I say to you, ask and it will be given to you; seek and you will find, knock too hard and the door will be slammed in your face."  TSB will not tolerate the disgusting and vile non-sense that the few of you write, neither do our readers welcome this aberration. Patients, Physicians, Public Officials, Attorneys and the General Public read this blog. If this vile and disgusting language does not cease TSB will block your IP address so you never have access again.  TSB wants to know what our readers think about these few individuals from North Carolina, Alabama and California that exemplify the unprofessional people that have infiltrated this industry.  This is your blog and TSB wants to know what you think,  It's time to let these people know what you think!

118 comments:

  1. Just censor these people enough is enough, thanks TSB

    ReplyDelete
  2. TSB Censor this people, they are immature and misrepresent the many people in this industry that take pride in what they do

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  3. You only need to censor 3 or 4 I bet and the blog will be back to normal. Or as normal as you can get.

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  4. Block them....after you tell us who they are!

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  5. I was wondering when you finally were going to do this! It was pretty obvious that these few were effectively trying to ruin TSB, and that means you to Kelly Clarkson! It wasn't even funny the first time let alone the 15th.

    ReplyDelete
    Replies
    1. What are you talking about? What does Kelly Clarkson have to do with anything?

      Delete
  6. What city in North Carolina? Let me guess.....just outside of Charlotte!

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  7. The only problem is it is very easy to change IP addresses or simply use their cell phone. Cell phones change IP addresses all day long.

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    Replies
    1. Plus Blogspot.com only allows you to mark a comment as spam or delete the comment. The only thing you are able to see is the state/county from which your traffic comes from and not individual ip addresses of commentators.

      Delete
    2. If TSB finally launches a new website as rumor has it, you may be surprised what you can do when you know the right people or you control the content.

      Delete
    3. So you obviously know because no one else has heard the Rumor. When are you guys starting your website? Is the rumor that it will be like OTW or stay as a blog formatt?

      Delete
    4. From what I've heard the word is that it will be a blog format

      Delete
  8. I apologize for making a few dirty comments although they were all retaliatory to suck it boy. Still doesn't make it right and I will abstain from sinking to that level again. I just can't stand it when people say things inaccurate or derogatory to others, it is the competitor in me and why I enjoy sales. I also enjoy the blog, the information provided and the healthy debate and would prefer not to have my IP address blocked. Although I would probably be more productive.

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  9. Block them now TSB. That's my vote

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  10. One warning, than block.

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  11. TSB is correct. The government cannot censor free speech, but while we are on TSB's playground it's his rules, and censorship of knuckleheads is a good thing.

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  12. Make people sign in with Facebook or just eliminate the anonymous option. No more anonymous internet tough guys.

    ReplyDelete
    Replies
    1. Yes, but then you will limit the amount of information. Whether you like it or not Anonymous posting allows for facts to seep through. You have to sift through the BS but you are more likely to arrive at the truth if identities are protected.
      Case in point Evan. Why did you not sign in with your full name, title, company?

      Delete
    2. At first, I agreed with Evan. Then I realized that I would not be able to post anything on this blog because of my position. I have never said anything bad about anybody on this blog. I have complained about others saying gross, untrue, and harmful things anonymously that they would never say otherwise. Clearly removing the anonymous option would stifle comments, it would also raise the bar. TSB: I'm not sure how you can censor the blog given the about of time it would take on your end. But, it would be a great improvement if you eliminated the slander and profanity from the blog.

      Delete
  13. Censor the "When will Globus go public?" guy. BTW, when will Penile USA go public?

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  14. Block Fat Bastard, EL and now Bally Baldez and anybody else who simply uses the anonymous postings to say things to people they are too coward to say in person. I also think anonymous posting should not be allowed, but rather by a user name. Maybe require people to become members and log in in order to post. Just do something, this has gotten ridiculous and nothing worthwhile about spine has been discussed in weeks.

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  15. Bravo TSB.
    Decide how you want to proceed and I'm sure the majority of your readers will support you.

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  16. I agree with TSB, But you better do it quick before the spine industry in the whole is over. I can't stand the distributors or reps who think they earned all their business. It makes me laugh to hear how hard these indaviduals worked to get the business they have from their Father, Brother in-law, husband, 1st cousin, ect. I have been in this industry for a decade and it makes me sick or am I just a player hating what the game has turned into?

    Truly Yours,

    Spine Rep trying to get out.

    ReplyDelete
    Replies
    1. You are bitching and moaning and it's annoying. If you were truly a successful sales person it would be easy to get a job outside the industry. What you will learn is that everything you see in spine will occur in your new sales position. Your only solution is to sell a product no one else has.

      Delete
    2. First off the bitching in the industry comes from those of us that attempt to run a legitimate business, Just because you make money using underhanded tactics doesn't make it right. Why shouldn't we bitch, we use to sell on features and benefits, surgeons didn't have their hands out every time you went to see them, at least then you could see them. You have to laugh when a surgeon's practice demands that you pay to sell them something, how about Vaccaro's practice, they book a lunch and then ask for the distributors Amex Card, I'm sure that TJ would love to know that, but then again they may advocate that type of practice, hucksters, charlatans and then you wonder why people bitch. Get serious,

      Delete
    3. 4:35 PM- I agree... So how many of your customer are family members? I am not hating the player I am hating the game. If my family member was a doctor I would be sucking off that tit too.

      5:22 PM- That sucks because from what I hear you only get about $600 bucks for a pedicle screw.

      Delete
    4. Dear 3:40,
      "You didn't build that!" Said like a true Obamaniac. So I guess the large distributorship that I lead is a happy co-in-ky-dink... Could have happened with me sitting on the couch with my bong but I JUST GOT LUCKY after 100 hr weeks, travel to smelly cadaver labs, hundreds of rubber chicken dinners, hiring/mentoring/training reps, negotiating with the incompetent blobs in Mat Mgmt, fighting PODs. I'M SO LUCKY THANKS TO OBAMA BEING MY DEAR LEADER because I didn't build that, the DMV did.
      Jealousy from entitled Libs is an ugly emotion.

      Delete
    5. 4:22 AM: Bravo!!! I have a few distributors like you, and would kill for more. You guys are a rare breed. We treasure distributors like you. Keep fighting the good fight. You'll win.

      Delete
  17. I will support TSB. I really enjoyed this blog more before these problem comments became so common. I enjoy this industry while realizing its flaws. The blog can be a valuable place to share
    and find information if we respect the intention of the creator.

    Eastern North Carolina Distributor

    ReplyDelete
  18. I agree. I have been reading this blog for several months now and value the worthwhile opinion of others in the industry. It is frustrating to sift through the senseless chatter at times. This blog is the only genuine, viable one that exists. Let's keep it that way.

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  19. This comment has been removed by a blog administrator.

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    Replies
    1. Really, Mr. Pot.

      And I'd call them beneficiaries of our hard work, not victims.

      Delete
    2. This comment has been removed by a blog administrator.

      Delete
    3. 90% of spine surgery patients would not classify themselves as victims. I track patient outcomes and I assure that a majority of patients gets their lives back after surgery. The surgeons that get the best results are far busier than the hacks, which shows patients do their homework.

      Delete
  20. It is true that the nepotism has pretty much destroyed a solid business. It's not what you know, it's who you are married to, but whatever.... It is what it is... No one if forcing anyone to be in spine. Sure it's not what is was, and never will be again so deal with it. Maybe the government will have their say about PODS, but most likely they won't. Oh, and no one is going to jail, so you can stop wishing that on your enemies. I've been in this biz for 20 years. There are always crooks and 99% of them get away with it. It's just part of the sleazy side of med dev.

    So to get back to normal programming, does anyone know what's really going on at Synthes-DePuy? Are the legacy Synthes/DePuy reps getting the squeeze? Are reps jumping ship or thinking about it? Are people signing the non-competes?

    ReplyDelete
    Replies
    1. So far retention has been good out in the West...that is, after Armageddon going direct. Looking forward to new relationships to leverage with new products to sell. Those that stick are worthy and those that leave and whine didn't have the relationships or skills to make it. There will be a reduction in size, but it will be more of a Darwinian process than "deselection." Good look, but good riddance. Too many passive, "me too", farmer reps. This industry needs a paradigm shift and this acquisition will help.

      Delete
    2. Those with skills and relationships should leave and work for themselves. It is much easier to sell with the 1000 pound J&J gorilla in your corner, but not nearly as lucrative. You are selling yourself short if you are such a great rep and still stay.

      Does the baby bird stay in the nest forever?

      Delete
  21. Ya man, this weekends posting were low comedy. It offered some funny banter, but the toilet talk gets old fast. I was thinking TSB was going to need to convert to a blog dedicated to Proctology.

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  22. This comment has been removed by a blog administrator.

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  23. Instrument ManufacturerAugust 20, 2012 at 5:05 AM

    It seems the better the topic - the better the conversation. Once a topic gets "stale" the thread turns to bar talk.

    I would block the fools that consistently post - we need a new topic, boring......if they would stop whining and use that effort and recommend a new topic we'd all stay attentive and informed.

    GOOD WORK TSB!!!

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  24. There are so many comments on this blog about "professionalism" yet the lack of professionalism shows with all the nasty, foul languaged, and truly immature comments. The spine industry has become more difficult every day and I don't propose that we all lock arms and sing Kumbaya, but a true exchange of information would be refreshing and professional. There are enough outside factors that we have to contend with every day, it would be great if we could use this blog for what I believe it was truly intended, an EXCHANGE of information not a place to launch personal attacks. Hmmmm, sounds like the image of our current presidential campaign.

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  25. Let's bring back the honor in the Medical device profession. This used to be a destination profession and many (Surgeons included) have diminished it's lusture. Remember, it always comes back to: what if it your loved one on the table? Cliche? maybe? but the righteous truth!!

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    Replies
    1. well played 7:45, well played.

      Delete
  26. Who has the best expandable cage for lat extracavitary corpectomy?

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    Replies
    1. Hands down, Nuvasive X-CORE.

      Delete
    2. this is going to start a brawl.....but check out Globus new cage. just went to a lab last weekend. the instruments are excellent and the implant is both titanium and full peek.

      Delete
  27. Globus just knocked it off after reading your comment. It will be available Tuesday.

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  28. I don't call on the big metro markets, but I do have some busy community hospitals spread throughout my area and I have been contacted by a few of the newly formed DS team.

    I'm just wondering if its really as bad as it seems for reps in different markets at the newly formed big boy. Or are they just blowing smoke?

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  29. I'd be interested to learn from the posters and readers thoughts on how to covert just one surgeon customer from scratch. For those who have the business I've gathered:

    1. You either own and have owned it for many years. The relationships have been built on years of quality service, dependability and reliability...with corporate resources such as meetings, dinners, activities (things of the past).

    2. You've inherited the business. Perhaps the stable of surgeons utilize you because of the company you represent.

    3. You're related.

    What about building from nothing. New to a territory with little to no resources; can't even pull from out of pocket because it's against company policy to even buy drinks. Office staff don't know you and don't want to know you, not mention treat you like scum of the earth and OR staff work against you. Hospitals put you in the never ending hamster wheel of getting product approvals. All for a straight 8% on commodity products that everyone else has. What are the odds of success?? 1 year...maybe 2 a few surgeons will evaluate your product because they're pissed at the current rep for some reason or use you as a last resort.

    Clearly I'm not a rockstar rep yet and in a mid-sized city almost a year into this meatgrinder. Do I really have to align myself with a top five company or start pulling from saving to fund 'educational' activities? I'm all about whatever it takes at his point.

    It's no question to me why shady business transpires to get the business. Makes a person wonder what the hell is going on when the products you're representing are just as good and if given the chance would blow the service levels through the roof. How do you not feel desperate when you've got to provide for your family?

    If anyone responds, get out of the business, you're a douch. I'm just curious if any ethical hard working reps out there have had to start from scratch in the last 2 years and how they did it.

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    Replies
    1. Gotta tell ya bud, I would not want to enter the spine market at this stage as a newcomer. You have to ask yourself, why would a surgeon change products if he is facile with his current system and has a good relationship with his rep? To be successful in your position, you have to have a product that is unique or be with a company that is established and has a complete line. But even a rep with a top 2 company in my areas can't get a case because his company has never established a foothold around here and there are too many good, long term reps that control the business. If you can get into 2nd place with a few docs, then you might get some business when a product fails or a rep screws up or the company doesn't participate at the captivated prices, but you have a long row to hoe.

      The best best for a new rep, outside of having a truly unique product, is to get on board as an ASR for whoever has the market share in your area. Eventually, they will split the territory and you will be considered, but chances are that business was converted someone other than you and it will be vulnerable if the your relationship with the doc is not solid by then.

      All of this info is excluding the coin operated docs and the reps who feed them. For them, it doesn't matter what product you have. You can go that route, but know your business is always vulnerable to the next guy who is willing to feed more quarters into the machine.

      Delete
    2. only way to do it is to sell a brand the doc recognizes but doesn't currently use. discount the crap out of it to make procurement give you a chance then slowly raise the price over time while you develop a relationship with the doc. kiss his ass, follow him to the bathroom with a roll of toilet paper if you have to. compliment his wife and shine his shoes for him when he changes out of his scrubs.

      Delete
  30. Find niche products and work your way in that way. Commodity products will make it next to impossible. Be a resource to the physician and see what they are looking for, and not just what you are selling.

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    Replies
    1. 7:22 has the best advice. There are holes in everyone's armor. Buddy up with nurses and staff and work on finding out what areas a docs current company may not be doing a great job with. A lot of docs will bow to niches an keep 90% with one company. If you diversify yourself with 10% of multiple docs, you'll be doing OK, but more importantly you'll slowly earn their trust and cut further an further into the other reps share of cases. It's a long and grueling road, but that's how I did it. Good luck.

      Delete
  31. Entry like 7:20 is why I keep coming back to this blog regardless of the many moronic comments.

    Love "coin operated". Been in spine 20+ years and just got the shake down from a surgeon that expressed great interest in one of my products BUT it would cost me a 15% kick-back into his pocket to secure the business. He's a vending machine and apparently I'm supposed to be an ATM with a future cell mate. Looks like I picked the wrong week to quit drinking.

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    Replies
    1. ugh that makes me sick

      Delete
    2. I find it interesting to read the disclosures during some of the bigger meetings SRS, NASS, CSRS. I can see why some of these guys have deals, because they do bring a level of expertise above the norm. For instance, a guy like L.L. has a level of data and experience that benefits the entire community. While Joe Blow Surgeon down the road wants the same deal with much less experience and data collection.
      I have sold in a territory that 9:10 Surgeons have their hands out. In fact, have gone so far to say, "If my name is not associated with the product, I will not use it." Meaning, if he does not get paid to design, consult or research the product he won't use it.
      I do see a trend with the younger academic guys to buck the trend and stay above board with deals. I know of one guy that has turned down a ton of big dollar deals. We shall see how long that will last. I figure as soon as he takes a deal, I will know this industry is done for me.

      Delete
    3. Don't forget that your iPhone has a really good recording function that will record about an hours worth. I wish we would organize a repository of such evidence that could be submitted directly to the OIG.

      Delete
  32. Now that is why I started reading this blog! Nice work MM and everyone who responded. I hope we can all stay on this kind of path. Thanks again!

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  33. I appreciate this blog. Of course a few juvenile idiots lessen the mission, but remember you are in sales in an industry that rewards regardless of intelligence. Sales has never been selective. Medical device sales had it's grand run. If you weren't in on it, don't be a hater, it was timing. The industry is eerily similar to the mortgage industry. Both attract talent motivated by money. I bet many of you came from there. No fault in that, you are opportunistic. However, this ship has sailed too, unless you have flexibility to meet your customer's needs, which today is certainly not features and benefits of commodity products, you too soon will be wondering why you experienced a reduction in force.

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  34. 10:36 - Thanks for asking a meaningful question and opening up constructive dialogue. I whole-heartedly agree with 7:22 and have made a 23 year career out of selling new niche products. It takes a while to get surgeons to change to a new mind-set so it is not as easy as a lot of commodity guys selling for the 800lb gorillas may think. You really have to change the way people think by helping them see that they are not accomplishing their objective with the commodity they have been using. The real challenge is finding the niche technolgy. It used to be a 6 year cycle where there would be something new and cooll. It would take 18 months to create a buzz then an 18-24 month solid run before others copied it or it got acquired, then the cycle would start over again. Now, the cycle is much longer than 6 years and there don't appear to be any new cool niche products surfacing on the market. TSB hit it on the head with the comment on plasma sprayed peek and titanium. Is this really a game-changer?

    What product(s) do you think is a solid niche technology? Does anyone see an unmet need that one could be developed for?

    ReplyDelete
    Replies
    1. We have to start thinking about positively impacting patient outcomes not re-invention of the wheel with certain widgets. I am sure the expandable cages have a small niche market, were as the cage helps facilitate a better outcome due to the design. However, that is more than likely a small segment of the actual usage that is being done.
      A "Game Changer" to me, is a product or procedure that significantly benefits the patient outcomes in a way that is clearly quantifiable. Think of USS staple system and the impact that made in the market and more importantly patient outcomes. I would appreciate hearing of any new procedures or products that accomplish patient outcome goals.

      -j

      Delete
  35. This BLOG is entertainment, not news. It is a hobby for whomever is doing it, not a job. It is not factual, just opinion. Don't take it too seriously. Just set your BLOG up to filter inappropraite language. Let freedom ring and understand that Albert Einstein once said:
    “Laws (and censorship) alone can not secure freedom of expression; in order that every man present his views without penalty there must be spirit of tolerance in the entire population.”

    ReplyDelete
    Replies
    1. Kelly Clarkson said that not Einstein.

      Delete
    2. Kelly stole that line from Fergie

      Delete
  36. SpineFrontier FDA Warning Letter

    http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2012/ucm315584.htm

    Doesn't look good!

    ReplyDelete
    Replies
    1. So easy, even a caveman can address CAPA's properly. Rookies!

      Delete
  37. I always miss all the fun, dammit.

    ReplyDelete
  38. Thank you to all who responded with words of encouragement and suggestions on surgeon conversions from scratch. It's professionals such as yourselves that inspire young blood! Interesting perspective on the slot machine analogy. Quite appropriate if I don't say so myself.

    Given the opportunity to promote niche hardware is closed at this point in time, the biologics arena may server as a more efficient strategy to get in the door and start working on a 2nd place position.

    By the way, how is it that unrestricted grants are not viewed as kick-backs in the industry?

    Best of luck to all those in the trenches as the battle rages on!

    ReplyDelete
    Replies
    1. Research grants are kick-backs! These new companies think they are being clever, but when you boil it down..it's clearly a kick-back.

      Delete
    2. @10:25 New Companies are not the biggest contributor to Research Grants. DePuy/Medtronic/Stryker are always in the top of the charts for grants. Fact is every company does it and in some cases it is very legitimate. An Unrestricted Research Grant given to a Academic Institution through the proper University channels is, in my opinion, legit. Unless you have the NIH giving you research or the University is making it rain with funds, the research does not get done.
      It is possible that you are thinking about those industry white paper "research" studies? I would agree that those are certainly in most cases kick backs. I see no reason to do a study on why company A's pedicle screw is better than company B's pedicle screw in pullout strength. Most of those studies are written by the companies research arm and "signed" off by the contributing Surgeon author. I feel sorry for any Sales Representative using White Papers to justify the superior function of their products.

      Delete
    3. There are new company's poping up that pay surgeons to "evaluate" their products by providing reseach grants. They are paying for a surgeons business plain and simple. Those are the comapany's that are at the same slimey low level as POD's!

      Delete
    4. Nothing new the big boys do it too. Who do you thinly gave them the idea? The new companies get more exposure on it because they go after every Tom. Dick, and Harry with the evaluations. Were as the bigger companies stay mostly with high volume implanters or influencer. Reference the coin operated doc post. Those guys flip with the wind. Not worth the time or effort.

      Delete
  39. The solution is simple- eliminate the option to remain anonymous.

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  40. I hate to be a D@#K, but I think this industry in a whole is in the can. I would love to expose distributors and reps that have customers that use there products because of their unethical relationship. This can be a family member(son, brother, sister, wife,cousin,brother in-law ect...) or company that gives cash payment. My question to TSB and his followers are. Who in your territory has a doctor using there products bc of this type of relationship? It would be nice to go back 10 years and sell based on benefits of product and how they would help the doctors and the patients. IF WE CAN EXPOSE THESE REPS/DOCS MAYBE WE CAN LEVEL THE PLAYING FIELD!!! (Or am I just bitching bc I don't have a family member that is an MD.)

    ReplyDelete
    Replies
    1. You're just bitching. Most high dollar sales of any product will have nepotism and payoffs going on. The only way out is to find a niche where there are few competitors. Go sell Ferraris, you will be able to sell on relationships.

      Delete
  41. The niche market is in no way closed.

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  42. Thank you for giving information on spine surgery.It is really good and helpful for the people.Keep giving such a valuable information.I will wait for your next post.
    Regards:spine surgery in india

    ReplyDelete
  43. Who in North Carolina are the no good nicks?

    I know a bit about the goings on in the "research" triangle and some of the clinical trial scams. I also know about a practice that that has some dirty dealings with Medtronic and Infuse.

    ReplyDelete
  44. Uhhhhhh ok Billy, thank you for the worst post ever. If you have something to say stop being a pussy and say it. If not shut up because you cryptic posts are awful.

    ReplyDelete
    Replies
    1. MSM, is this the type of tripe that you are discussing?

      Carolina Spine and NeuroSurgery use Medronic products and after a little research I will post the personal information of an NC doctor who took nearly $200k in one year for speaking and travel while still doing surgery providing I have MSM's permission to do so.

      Delete
    2. Didn't we just go through a whole blog to clean this site up and get back to the reasons we come here in the first place. Relapsing back to mud slinging again.

      Delete
    3. Bally Balldez is actually fat bastard and changed his/her/its name. You are a looser which is why no one comments on any of your blogs.

      Delete
    4. I am not hiding the fact that I'm Mike Gerard aka Fat Bastard.

      Why do stupid right wingers spell loser looser?

      Loser is the opposite of winner and looser is the opposite of tighter.

      Here is what people think of the US health care system based on a poll I put on Medical Holocaust about the culpability and punishment the FDA and its industry masters should face.

      Only if killing and maiming innocent Americans for the sake of obscene profits is treason. 58 (16%)

      No. The FDA protects American from bad food and medicine 10 (2%)

      Yes, and their punishment should be a firing squad. 255 (72%)

      No. Somebody needs to protect the struggling and altruistic medical industry from all the greedy lawyers. 30 (8%)

      Based on 353 votes 72% of Americans would like to see the heads of the corporate medical industry tried for their crimes and shot for treason.

      The numbers are quite telling. 10% thinks that the FDA is doing a good job and that the medical industry is ethical. 10% is the same percentage that thinks the Republican congress is doing a good job. Obviously 10% of Americans are very stupid. 90% of Americans think that the medical industry sucks.

      Any industry that would put metal on metal joints in a human being is evil and that is why 72% of my readers would like to see those criminals executed.

      If you were to read my blogs you would know that I am not actually fat but I am a bastard.

      When I registered for Google + I lost my blogger profile.

      Delete
    5. Did you attend the University of Alabama? Your poll is about as scientific as this dump I'm taking.

      Delete
    6. Then all the people in your poll can go to Mexico when they get sick and get treated there. Also, how does anything you are talking about fall under treason? That makes no sense at all.

      Did you know bird feathers can cause mesothelioma if breathed in, just like asbestos?

      TSB poll: who thinks all birds should face a firing squad for causing mesothelioma.......and treason?

      Delete
    7. I just looked at your medical houlocost blog and you have almost no comments on any of your posts. How can you take a poll when no one responds to your poll? You are a left wing progressive that wants to follow Spian, Greece, Italy, and Portugal into bankruptcy. I say cut welfare, kick out illegals and tell these lazy losers to get to work flipping burgers and picking strawberries. It will make them feel good to provide for themselves. We also need a flat consumption tax so EVERYONE pays taxes, not just 50% of us. Maybe then the lady next door would think twice about leasing a Mercedes and buying an iPhone while recieving state disability and paying ZERO in income taxes. We need to fight the left wing government nipple suckers.

      Delete
    8. AnonymousAugust 26, 2012 7:31 AM babbled

      "Did you attend the University of Alabama? Your poll is about as scientific as this dump I'm taking."
      ****************************************************************************************************************************

      Are you giving birth to another brain damaged child. Is taking a dump what you CONS call childbirth?

      ************************************************************************************************************************

      AnonymousAugust 26, 2012 8:00 AM babbled

      "Then all the people in your poll can go to Mexico when they get sick and get treated there. Also, how does anything you are talking about fall under treason? That makes no sense at all.

      Did you know bird feathers can cause mesothelioma if breathed in, just like asbestos?

      TSB poll: who thinks all birds should face a firing squad for causing mesothelioma.......and treason?"

      ************************************************************************************************************************

      I know that fact upset CONS but the fact is over 1 million Americans go outside the US for health care. Hanaford's Supermarkets has health insurance that pays for medical tourism.

      ***********************************************************************************************************************

      AnonymousAugust 26, 2012 8:19 AM

      I just looked at your medical houlocost blog and you have almost no comments on any of your posts. How can you take a poll when no one responds to your poll? You are a left wing progressive that wants to follow Spian, Greece, Italy, and Portugal into bankruptcy. I say cut welfare, kick out illegals and tell these lazy losers to get to work flipping burgers and picking strawberries. It will make them feel good to provide for themselves. We also need a flat consumption tax so EVERYONE pays taxes, not just 50% of us. Maybe then the lady next door would think twice about leasing a Mercedes and buying an iPhone while recieving state disability and paying ZERO in income taxes. We need to fight the left wing government nipple suckers.

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      Ahh,,, another CON who can't spell. It's spelled holocaust not houlocost. Spain is spelled S P A I N not Spian.

      The US pays over 20% of it's GDP for health care. The countries with Government run health care pay 6% of their GDP for health care so your statements are completely fact free but then again you are a CON and information is like poison to you.

      FYI, Obama has deported more illegals in 3 years than Bush and he also killed more terrorists and he's kept us safe when Bush didn't.

      Everyone does pay taxes so you can drop that CON lie too. When you figure all the taxes and fees the working poor pay a higher % than the filthy rich. Romney paid 13.9% in 2010.

      There is a tried and true therapy that could help you immensely. It's called an enema. Try one.

      Delete
    9. It is clear, "Bally," from your "medical holocaust" blog that you obviously have an axe to grind with the entire US health care system. Like all zealots such as yourself, there is no amount of commentary or explanation which will change your opinion. Therefore I would recommend that you continue to preach to the handful of like-minded faithful on your own blog, and stop polluting this blog with your continued ranting.

      I would offer some legitimate challenges to your positions, but you are obviously too closed-minded and paranoid to listen. You have clearly stated your position, now please go away and don't come back - we have already heard all you will ever have to say. Thank you.

      Delete
    10. You have no idea about European healthcare. France just stopped paying for ALL artificial discs, including your beloved discs, because of the cost. If a European wants to be seen and treated in a timely manner they buy secondary insurance and pay out of pocket.

      The U.S market is subsidizing the rest of the worlds healthcare. Because companies get good margins here they are able to sell cheaper in Europe.

      You are wrong about who pays taxes. 49% of Americans pay ZERO income tax. Everyone needs to pay something into the system which would make people more responsible and improve self esteem. The liberals want low income people relying on the government so they have guaranteed votes. That is the biggest CON in modern history. Most Americans would rather collect handouts than take the jobs the illegals are willing to take. If we take away well fare people will take the jobs , curbing illegal immigration, and at the same time provide for themselves and their families. The self worth of the U.S would rise significantly.

      Delete
    11. 7:31 AM here, Billy B. I am probably more left-leaning and against the status quo than you are, liver lips, so I don't appreciate you tagging me as a "con." That said, I'm sorry if my words hurt you, but a sh*t poll is a sh*t poll regardless of my political persuasions.

      Delete
    12. Please help with your facts:
      How is it a Republican Congress?
      Do you know what the 1M who go OUS for "healthcare" as you say are having done?
      What percentage of Americans pay Federal Income taxes? How many Illegals pay taxes?

      You are an irrational and completed jaded individual. I have never heard of you or your website before but after visiting it is apparent you spend a great deal of time in your mother's basement blogging.

      Your lack of perspective and skewed facts make it easy for people to dismiss you. Probably the reason no one knows who you are and why you seek out free advertising on TSB.
      Settle down and have some meatloaf.

      Delete
    13. More reasons why your information is false:

      http://dailycaller.com/2012/08/24/new-documents-reveal-obama-administration-cooking-the-books-to-achieve-record-deportation-numbers/

      Delete
    14. A poll on medical holocaust? Im sure that's a good cross section of normal Americans! Ha! Fat Baller, you have been owned over and over again and you don't even have the mental capacity to understand how or why.

      As far as the typos, that's most likely because people are typing on their phones and not proof reading because typos don't matter on a blog. We don't have the benefit of a full size keyboard in our moms basement while wearing underwear, drinking red bull and posting dribble about a subject that we know nothing about like you. You must feel so powerful.

      Delete
    15. "I am not hiding the fact that I'm Mike Gerard aka Fat Bastard."

      Then why does it say you are a female on your Google+ site?
      You attended UC Berkeley. Known for its radical left wing teachers. Yes radical meaning fringe, out of the mainstream or out of touch.
      Why the lies? Or better yet, why are you here at TSB?

      Delete
    16. It also states she is an Investigator at her Security company. Claiming to know information, "I will post the personal information of an NC doctor who took nearly $200k", and then spreading it over a public forum. I am not sure that is legal. Using your company resources for non work related projects may be cause for termination. Does Central Securities know what you are up too?

      Delete
    17. On Medical Holocaust, there are 7 posts (all copied and pasted, no original content) with a grand total of 8 comments and 3 of those were from EL! Your poll must have taken 14 years to complete! Tell me if I'm spelling this right....LOSER!

      Delete
    18. If you check my profile you will see what I do for a living.

      You will see that I graduated from a prestigious university with high honors. I learned spelling in grammar school.

      You are lying about the posts and if you read them and follow the links you will see many of them are from medical malpractice lawyers.

      You CONS are the one making all the spelling and grammatical errors. If you do a little research you will find that on average liberals have a on average 11 more IQ points than you CONS. If you look even further you will see that the blue states average far higher IQs than the red states.

      As to Central Security, it's a family business.

      I do have friends in the DOJ and if what they tell me is true certain members of the medical industry are on very thin ice.

      There is going to be a huge change in policy. In addition to stiff fines there is now going to be stiff prison sentences. So you peasant who defend the criminal corporate masters are going to get to see these people going to jail ala Ken Lay and Tom DeLay. In fact, they will be praying for Club Fed to avoid the do it justice Anonymous has in store for them.

      There is a reason for why there are disgusting and vile comments on Spine Blogger. It's because the spine industry is a vile and disgusting industry full of many vile and disgusting people.

      Anyway l"OO"sers keep visiting my blogs. There is a great article on Bigger Fatter Politics about how you boy Romney avoided the draft and then lied about it.

      Delete
    19. You are once again so slanted to the left no one but radicals like your radical Alma Mater will take you seriously. See Peter Berkowitz article "How California's Colleges Indoctrinate Students" in the WSJ 3-30-12. A much more credible source than you.
      Your comments are marginally better than the turd talk that was on here before. Why don't you investigate the sealed documents your affirmative action president is desperately hiding? B/C you are an activist, not a journalist or investigator. A BIG difference. You're NOT trying to help but are looking to destroy. It takes a great deal of energy to create something and very little to destroy it. You, like your President, spend your time destroying things and not creating anything.
      So instead of me taking the time to list your grammatical errors I leave you to review your blog hits as a reminder that leaving on the fringe is only one step away from the abyss. Can't wait for your conniption fits this November!

      Delete
    20. You need an enema.

      If Ron Paul were running I might vote for him. I am not a liberal, I am a fiscal conservative and a social liberal as are most American with the 3 digit IQ.

      Tired of Bally, you need to stop lying. If there even are sealed documents how would anyone know what is in them. You lie even further because if there were some incriminating sealed documents evidencing wrong doing why not just destroy them.

      I think you need to get on your knees and take a long puff on Rush the drugster Limbaugh's cigar.

      I would like to see this train wreck that went from medical profession to industry destroyed and the thugs who run it in jail where they belong.

      Google Romney Damon Corp or Romney Medicare fraud and see what you get.

      Why don't you get back on the SSRIs that have damaged your paranoid CON brain and sit quietly for the 99% to find you.

      BTW, Peter Berkowitz is a flake.

      I am a journalist with an agenda and that agenda is telling the truth of the money making killing machine that is the medical industry.

      Have you ever heard of a paragraph?

      Delete
    21. Angry Confused BallySeptember 3, 2012 at 12:48 PM

      What kind of investigator are you?

      "If there even are sealed documents how would anyone know what is in them. You lie even further because if there were some incriminating sealed documents evidencing wrong doing why not just destroy them."

      You have no idea what I am talking about?

      So one question. Let's hear a "fiscal conservatives..." argument on why BO is the better choice?

      BTW...Peter Berkowitz has a significantly better resume than yours.

      Delete
  45. Carolina spine and neurosurgery or did you really mean Carolina Neurosurgery and Spine ? Two different practices in NC.

    ReplyDelete
    Replies
    1. These crooks...

      http://www.csandnc.com/

      Delete
  46. $200k annually? That's it? Spinal USA surgeon/owners make more! 2012 Court records indicate at least $216,000 a year.

    Although:

    "distributions from Spinal USA have been reduced by over thirty (30%) due to pending investigations of Spinal USA and adverse publicity in the Wall Street Journal,"

    Does anyone know how much surgeons owners were making prior to the WSJ article?

    ReplyDelete
  47. You had me at Alabama, TSB. Go Gators!

    ReplyDelete
  48. Ban Bally, Ban Bally, Ban Bally. Three strikes, he's out!

    ReplyDelete
    Replies
    1. CON censorship strikes again. Looks like you CONS can't handle the truth about the seedy medical industry in which you profit slightly while the ruling class gets filthy rich.

      How does it feel to know deep down that all you will ever be is a peasant?

      Delete
  49. I vote fat bastard off of this island.

    ReplyDelete
  50. There a guy running around Florida pitching surgeons on using implants he supplys and he pays the surgeon to rtrack his outcomes. Sounds like kick-back to me. Anyone heard of these goofs?

    ReplyDelete
    Replies
    1. Don't know, but they better be careful with that. Are they posting their activities on clinicaltrials.gov?

      Delete
    2. What implant?

      Delete
    3. Whatever implant they offer the Surgeon. They then pay the Surgeon to track his outcomes. It's a scam! They are paying Surgeons.

      Delete
    4. sounds like Amendia's SOP

      Delete
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