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Industry Payments to Physicians: Confronting Conflicts of Interest


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#1 r06ue1

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Posted 14 July 2017 - 09:25 AM

Industry Payments to Physicians: Confronting Conflicts of Interest

http://www.cancerthe...article/674713/


08/2015 Initial PCR: 66.392%

12/2015 PCR: 1.573%

03/2016 PCR: 0.153%

06/2016 PCR: 0.070%

09/2016 PCR: 0.052%

12/2016 PCR: 0.036%

03/2017 PCR: 0.029%

06/2017 PCR: 0.028%

09/2017 PCR: 0.025%

12/2017 PCR: 0.018%

 

 

Taking Imatinib 400 mg


#2 scuba

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Posted 14 July 2017 - 09:49 AM

From r06ue1's link above:

"Even hematologist-oncologists' social media posts on Twitter might be associated with industry payments, according to a recent study.3

"The reason industry spends billions in payments to physicians is that these payments do, on average, influence choices in favor of the payer," Dr Fineberg said. "Patients are entitled to have the professional opinion and advice of doctors untainted by external influences." "

In my overseas travel experience, we called these kinds of payments - bribes.


Diagnosed 11 May 2011 (100% FiSH, 155% PCR)

with b2a2 BCR-ABL fusion transcript coding for the 210kDa BCR-ABL protein

 

Sprycel: 20 mg per day - taken at lights out with Quercetin and/or Magnesium Taurate

6-8 grams Curcumin C3 complex.

 

2015 PCR: < 0.01% (M.D. Anderson scale)

2016 PCR: < 0.01% (M.D. Anderson scale) 

March        2017 PCR:     0.01% (M.D. Anderson scale)

June          2017 PCR:     "undetected"

September 2017 PCR:     "undetected"


#3 Jan0080

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Posted 14 July 2017 - 11:17 AM

Pharmaceutical companies will bring lunch for a Doctor's office with the provision that they get to give a 30 minute talk highlighting the benefits of their drugs.  It is a fine line between education and improper financial incentives.


Diagnosed Dec 27, 2016 started Sprycel 100 mg Jan 7, 2017. Initial PCR 77.9 after 30 days 28.4, day 79 1.4 and day 115 0.1%. That is a 99.9% reduction! Sprycel 100 mg for 3 months, 80 mg for 1 month and now at 50 mg. Hooray for Sprycel!!! PCR June 5, 2017 0.04! Dose reduction to 40 mg 6/15/2017 due to shortness of breath. 20 mg as of June 29th. PCR .02 9/11/2017. PCR .015 IS as of 12/11/2017. Lungs substantially better. Low dose Sprycel works!

Adverse Effect - At about week 6 of Sprycel sharp muscle pain that would start at 2 AM and last for about 4 hours. This lasted about 4 weeks and went away, thank goodness.

#4 thatguy

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Posted 14 July 2017 - 01:18 PM

What is the fear or problem you all have with this? Do you think a doctor would put their reputation and/or license on the line to make some extra quick cash, or score free food? Lol. We have the Internet and need to exercise self responsibility as patients, just like in the rest of life. If someone is skeptical of their doc, or treatment, they're free to change or get a second opinion.

Ultimately if a treatment isn't working for their patient, they move them. Or if you're concerned with progress, you request it. That's why we're here on this forum right, to check, compare and balance?

It's common in business that when someone gives you their time (usually their lunch hour is all that's available) that you reward them, afterall, they'd probably enjoy being somewhere else like a normal person. A meal is therfore usually suitable and appreciated. Lol.

The dentists, oral surgeons, orthodontists, and prosthodontists that I work with, stick with products they like generally, regardless of whether there's a cheaper product (otherwise an incentive). Not only are they docs, they're prideful in their reputation and as business owners nurturing that baby. It's their legacy

If drugs are approved for treatment, they've shown efficacy, right? It's a gamble on selection to a degree, regardless. And if ALL the pharmaceutical reps are "bribing", there's really no net "incentive" between products, one from another, right?

This place gets a little too political and cynical sometimes I feel.

No offense to any posters intended with my comments, but this bill and article was put together by lobbyists and people with political interests, too.

Feel the Bern '16!
3/25/2015- Dx'ed by FISH : 85% of cells dual-fusion signals, 7% with tri-fusion signals, WBC 212,000. Started Gleevec 400mg.... Calculated .93 SOKAL

08/17/2015- 14.793 % I.S P210 (quest)
10/15/2015- 3.313 % I.S (quest)
12/23/2015- 1.891 % I.S (quest)
1/07/2016- Tasigna 300mg 2x daily
1/14/2016- 4.414 % I.S P210- City Of Hope lab, mutation negative.
1/26/2016- 1.589 % I.S (quest)
2/22/2016- 1.719 % I.S (quest)
2/29/2016- 1.133 % I.S (quest)
3/03/2016- Tasigna 400mg 2x daily.
3/29/2016- 0.663 % I.S (quest)
4/27/2016- 0.781 % I.S (quest)
5/04/2016- 0.652 % I.S.(quest)
5/24/2016- 0.501 % I.S (quest)
6/28/2016-0.534 % I.S (quest)
7/15/2016-0.881 % I.S (quest)
7/22/2016- Bosulif 500mg
7/28/2016- t315i test- Negative
8/22/2016-0.432 % I.S (quest )
11/15/2016-0.325 % I.S (quest)
2/1/2017- .0445% i.s (genoptix)
5/6/2017- .0968% i.s (genoptix)
5/12/2017- .12 % i.s (quest).
6/4/2017- .083% i.s (quest)
6/11/2017- .0295% i.s (genoptix)
8/5/2017- .0501% i.s (genoptix)
11/6/2017- .0270% i.s (genoptix)




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