tag:blogger.com,1999:blog-126852961571725269.post2863598918741052418..comments2024-02-24T06:25:59.743-08:00Comments on The Spine Blogger: Regulatory SmackdownMusculoskeletal Manhttp://www.blogger.com/profile/14873819014357051373noreply@blogger.comBlogger51125tag:blogger.com,1999:blog-126852961571725269.post-19264037662339943032011-08-03T09:30:17.923-07:002011-08-03T09:30:17.923-07:00Hey Patient,
I second the comments before. Defin...Hey Patient,<br /><br />I second the comments before. Definitely get a second and even third opinion, try and consult with friends locally who may be in the business or ask your primary care doc, and don't tell a surgeon what tools he or she should use. You want whatever they are most comfortable with.<br /><br />And by the way, not sure what your height is but perhaps lose some weight, especially if your surgery is being considered largely for back pain. At 38 you've got a long life to live with your back, and I'm afraid that for the most part mother nature is still much better at fixing it than surgeons are.<br /><br />And remember, recovering from back surgery can be like your dating behavior after a divorce. If you had put that much effort in beforehand, you wouldn't have gotten divorced in the first place.<br /><br />Good luck!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-85816109900688172952011-08-03T07:23:03.793-07:002011-08-03T07:23:03.793-07:00Broken screws are 95+% of the time due to a failed...Broken screws are 95+% of the time due to a failed fusion rather than inferior hardware. <br /><br />Over the years I have seen/revised broken screws from failed fusions from many manufacturers. <br /><br />Infuse certainly helped reduce the # of implant failures due to implant fatigue.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-28009259508679575812011-08-02T21:31:56.087-07:002011-08-02T21:31:56.087-07:00Geez, you sure seem to have gotten your panties in...Geez, you sure seem to have gotten your panties in a knot up your crack over that one. Relax now...<br /><br />This is TOO EASY.....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-54062114640163534112011-08-02T19:03:34.907-07:002011-08-02T19:03:34.907-07:00Yes Biomet still does. But you wouldn't ...Yes Biomet still does. But you wouldn't know that, would you? You're a little case coverer who fancies himself a rep. But the Big Corporate Product managers get your business for you by signing up Depuy and Medtronic consultancies. Here's a formula you should try. Subtract all business from any customer who has any type of corporate agreement.( Teaching, Royalties, Development, Sponsoring of Education, Fellowship, Donations to a cause, etc) If your territory is able to sustain itself than you are probably earning your pay. Otherwise, you are an overpaid case coverer and lap dance fetcher. Most Depuy and Medtronic reps are.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-91866547219742199762011-08-02T18:45:09.157-07:002011-08-02T18:45:09.157-07:00You're saying Biomet still makes screws?You're saying Biomet still makes screws?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-76602447532102471122011-08-02T17:27:51.224-07:002011-08-02T17:27:51.224-07:00Broken screws? Why do you think the products are...Broken screws? Why do you think the products are cheaper? A biomet screw is just as strong as a Depuy screw. No risk there. Do you think only Depuy and Medtronic make "strong" screws? How big is your cup of KOOLADE?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-41704877102029820522011-08-02T16:18:31.162-07:002011-08-02T16:18:31.162-07:00Risk Management at hospitals know they'll lose...Risk Management at hospitals know they'll lose far more in a broken screw litigation by using a cheaper product, than they'll save.<br /><br />On an unrelated topic, what's going on with broken screws of Globus? Is there a recall?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-9047054825348218082011-08-02T14:26:56.643-07:002011-08-02T14:26:56.643-07:007:33 If materials management had a clue they wo...7:33 If materials management had a clue they would tell Medtronic and Depuy to take a hike. They can purchase equal quality implants for much less money. Tell the docs they will gain share a portion of savings. No reason to pay Medtronic or Depuy those high screw prices.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-71046551904990666372011-08-02T12:59:43.958-07:002011-08-02T12:59:43.958-07:0010:17, maybe the balance is slightly different, bu...10:17, maybe the balance is slightly different, but the principle is true. For each patient saved from an unsafe device or drug there is at least one that died because a new device or drug is not available (just remember the story of the two cousins with melanoma: http://www.nytimes.com/2010/09/19/health/research/19trial.html?ref=targetcancer).<br /><br />Another way of looking at this is that absolutely insane amounts of money are wasted on regulatory and compliance activities with as final outcome a zero gain in lives protected or saved. It's just not the same ones that suffer or die.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-70723512269184112652011-08-02T10:17:10.448-07:002011-08-02T10:17:10.448-07:00for every metal-on-metal hip cleared that perhaps ...for every metal-on-metal hip cleared that perhaps should not have been, rest assured that there are 10 excellent devices that never made it to market due to not getting thru the obstacle course that is the FDA.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-51958108300987322982011-08-02T10:09:35.838-07:002011-08-02T10:09:35.838-07:00Patients in the US obtain access to excellent tech...Patients in the US obtain access to excellent technologies and theraputic modalites years and often decades after patients in the EU. This then makes SU comps values inflated 100-fold is they manage to get an FDA approve or even clearance. does this make any sense at all?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-85961392383967234662011-08-02T09:12:47.425-07:002011-08-02T09:12:47.425-07:00August 1, 2011 6:31 AM: Love your nonchalance rega...August 1, 2011 6:31 AM: Love your nonchalance regarding screw breakages. I hate to burst your bubble, but that's not a part of doing business either. I'm surprised your device is a failure, though. Did you misread the Synthes prints?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-44722350472358397022011-08-02T07:33:08.668-07:002011-08-02T07:33:08.668-07:006:59
Typical Medtronic BS. If you don't use o...6:59<br /><br />Typical Medtronic BS. If you don't use our implants we will charge you to use our retractor. Maybe this made sense a long time ago when Metrx was a unique product, but it's not anymore. <br /><br />The Metrx is old technology - just a system of tubes and dilators. A hospital can buy a comparable system outright for a few thousand bucks. Screw Medtronic.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-81978778120730061152011-08-02T07:21:10.731-07:002011-08-02T07:21:10.731-07:00I'm a former Nuva mgr and I can tell you that ...I'm a former Nuva mgr and I can tell you that the ABM you are speaking of is a very quality individual. He's extremely knowledgeable and a great guy. You are only throwing stones b/c you are afraid of your competition.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-56301494483877756222011-08-02T06:59:43.503-07:002011-08-02T06:59:43.503-07:00Anyone see reps in the field charging "usage ...Anyone see reps in the field charging "usage fees" for the metrx system? After the local medtronic reps lost the implant biz for a busy surgeon they decided to charge $1500-2000 per case each time surgeon uses their retractor system, in addition to charging for disposables. maybe that is normal but if so i have not seen it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-3887844035662349592011-08-02T06:35:50.523-07:002011-08-02T06:35:50.523-07:0010:26 --- Unless you're an insider (in the act...10:26 --- Unless you're an insider (in the actual surgeries) you'll never know who is among the best in your area. Don't ask us 'cuz we get paid according to how much product the Doc uses (i.e. We're biased beyond credibility.).<br /><br />Go get second and third opinions. If your Docs disagree, ask them why. <br /><br />Finally, think about taking the most conservative steps first. You can always do more, but once more is done, you cannot do less.<br /><br />"Measure twice. Cut once."Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-38095061420565859362011-08-01T23:03:32.487-07:002011-08-01T23:03:32.487-07:00A lot of MBA's in NuVa...Master of Bugger All....A lot of MBA's in NuVa...Master of Bugger All.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-8791087122403388062011-08-01T19:59:48.525-07:002011-08-01T19:59:48.525-07:007:57
Funny. I think I know the guy you're tal...7:57<br /><br />Funny. I think I know the guy you're talking about. Wasn't he a product manager or something just before joinning the field as a "manager"?<br /><br />I hear that many of the "ABMs" have little to no management experience, same w/ their Sales Directors?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-85646372232975949072011-08-01T19:57:11.686-07:002011-08-01T19:57:11.686-07:00The new nuvasive ABM in my territory has nasty sli...The new nuvasive ABM in my territory has nasty slicked-back hair like a used car salesman from the 1950's. Supposedly the guy was in marketing his entire career up until a few months ago and it shows. The surgeons I work with think he's a joke.<br /><br />Hook 'em!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-47874029097831890242011-08-01T19:53:45.728-07:002011-08-01T19:53:45.728-07:00I work for Nuvasive and strongly disagree with you...I work for Nuvasive and strongly disagree with your comments about management. I have been a spine rep for 7 years, 3 of them with Nuvasive. The comp plan is solid, the training is fantastic, and we have such unlimited access to cadaver labs/surgeon training/etc. If reps are unhappy it could be that they aren't hitting their numbers. Our quotas aren't for the weak of heart.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-18203301217445215792011-08-01T19:33:12.196-07:002011-08-01T19:33:12.196-07:007:21
Just curious, when you say local level, are ...7:21<br /><br />Just curious, when you say local level, are you referring to the Area Business Manager position or higher up? Isn't CA mostly distributors for NUVA?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-39679932103173479872011-08-01T19:22:41.964-07:002011-08-01T19:22:41.964-07:007:21, speaking of the California market. Do you kn...7:21, speaking of the California market. Do you know what has happend to the local Zimmer Spine rep from Northern California?? Or does anyone else out there know where this rep landed??Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-52996516037593402592011-08-01T19:21:05.937-07:002011-08-01T19:21:05.937-07:007:13, cause management on all levels sucks. Every ...7:13, cause management on all levels sucks. Every rep I hear from has or is ready to jump ship cause management from the local levels is horrible, especially in the Cali areas.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-84921112750048132262011-08-01T19:13:47.862-07:002011-08-01T19:13:47.862-07:00Heard there's a lot of unhappy sales people at...Heard there's a lot of unhappy sales people at Nuvasive; What gives? Great products, solid comp plan, Anyone know why there seems to be so much unrest?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-9631354748418590652011-08-01T18:12:27.015-07:002011-08-01T18:12:27.015-07:0010:46, if your costs for instrument sets are that ...10:46, if your costs for instrument sets are that high, you have already built in quite some margin or buy them at Tiffany's. And do you think building a submarine to smuggle the s... is cheap?Anonymousnoreply@blogger.com