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	<title>Shake Gently - advertising technology blog &#187; healthcare</title>
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	<description>add business, marketing and technology together.  shake gently.</description>
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		<title>Veramyst &#8211; it just works, but they don&#8217;t know why? Come on FDA.</title>
		<link>http://shakegently.com/2007/11/07/veramyst-it-just-works-but-they-dont-know-why-come-on-fda/</link>
		<comments>http://shakegently.com/2007/11/07/veramyst-it-just-works-but-they-dont-know-why-come-on-fda/#comments</comments>
		<pubDate>Wed, 07 Nov 2007 20:33:32 +0000</pubDate>
		<dc:creator>Dustin Jacobsen</dc:creator>
				<category><![CDATA[advertising]]></category>
		<category><![CDATA[government]]></category>
		<category><![CDATA[healthcare]]></category>

		<guid isPermaLink="false">http://shakegently.com.s24970.gridserver.com/?p=173</guid>
		<description><![CDATA[How can Veramyst get FDA approval? According to Medical News Today, on April 29, 2007, the U.S. Food and Drug Administration approved once-daily Veramyst™ (fluticasone furoate) Nasal Spray to treat seasonal and year-round allergy symptoms in adults and children two years of age and older. Veramyst will be available by prescription nationwide by late May [...]]]></description>
			<content:encoded><![CDATA[<p>How can <a href="http://www.veramyst.com" target="_blank">Veramyst</a> get FDA approval?  According to <a href="http://www.medicalnewstoday.com/articles/69279.php" target="_blank">Medical News Today</a>, on April 29, 2007, <em>the U.S. Food and Drug Administration approved once-daily Veramyst™ (fluticasone furoate) Nasal Spray to treat seasonal and year-round allergy symptoms in adults and children two years of age and older. Veramyst will be available by prescription nationwide by late May 2007.</em></p>
<p><em>In clinical trials, Veramyst relieved overall nasal symptoms of seasonal and year-round allergies, which included nasal congestion, sneezing, itchy nose and runny nose. In addition, Veramyst is the first prescription nasal steroid spray to demonstrate consistent and significant improvement in relieving overall allergic eye symptoms, which included red, itchy and watery eyes, in patients with seasonal allergies 12 years of age and older in three prospectively designed studies.</em></p>
<p><img src="http://farm3.static.flickr.com/2381/1868637918_9b161b6960_o.jpg" alt="Veramyst" /></p>
<p>No, you are not seeing things.<br />
<em>The way VERAMYST works is not entirely understood.</em></p>
<p>The screen capture is from their 30 second spot, which can be seen on YouTube below.</p>
<p>[youtube=http://www.youtube.com/watch?v=Sx4qe7KI_Ps]</p>
<p>If the way it works isn&#8217;t fully understood, how can the long term impact and side effects?  It is even listed in the story referenced above: <em>Veramyst is an intranasal corticosteroid (INS) that works throughout the allergy process to block an entire range of the chemicals in the body that are involved in inflammation that may lead to nasal allergy symptoms. However, the precise mechanism through which Veramyst affects allergy symptoms is not known.</em></p>
<p>I can tell you that&#8217;s not a gamble I&#8217;m willing to take.</p>
<p><span class="technoratitag">Technorati Tags: <a href="http://www.technorati.com/tags/Veramyst" rel="tag">Veramyst</a>, <a href="http://www.technorati.com/tags/FDA" rel="tag">FDA</a>, <a href="http://www.technorati.com/tags/pharmaceutical+research" rel="tag">pharmaceutical research</a>, <a href="http://www.technorati.com/tags/medicine" rel="tag">medicine</a>, <a href="http://www.technorati.com/tags/allergy" rel="tag">allergy</a></span> </p>
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		<title>Waiting at the doctors office&#8230; 1 hr and counting</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/</link>
		<comments>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comments</comments>
		<pubDate>Wed, 12 Sep 2007 17:48:59 +0000</pubDate>
		<dc:creator>Dustin Jacobsen</dc:creator>
				<category><![CDATA[business]]></category>
		<category><![CDATA[healthcare]]></category>

		<guid isPermaLink="false">http://shakegently.com.s24970.gridserver.com/?p=148</guid>
		<description><![CDATA[My wife is about 35 weeks pregnant, so we&#8217;ve had our fair amount of doctor visits recently. Along with doctor visits comes a large amount of time waiting&#8230;. and waiting&#8230; and waiting.. This time, I helped pass some of the time by spinning in the doctors chair. This particular appointment was in the morning, so [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://farm2.static.flickr.com/1089/1141306458_99f2675d14_m.jpg" alt="doctor medical stethoscope" /></p>
<p>My wife is about 35 weeks pregnant, so we&#8217;ve had our fair amount of doctor visits recently.</p>
<p>Along with doctor visits comes a large amount of time waiting&#8230;. and waiting&#8230; and waiting..</p>
<p>This time, I helped pass some of the time by spinning in the doctors chair.<br />
<object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/u4_2eyfInAo&#038;hl=en&#038;fs=1&#038;rel=0"></param><param name="allowFullScreen" value="true"></param><embed src="http://www.youtube.com/v/u4_2eyfInAo&#038;hl=en&#038;fs=1&#038;rel=0" type="application/x-shockwave-flash" allowfullscreen="true" width="425" height="344"></embed></object></p>
<p>This particular appointment was in the morning, so I knew that we would have to wait for a little while.  But one hr and 15 minutes?</p>
<p>I&#8217;m tempted to send the medical practice a letter and invoice for the amount of time I spent sitting around.  I know that our healthcare system isn&#8217;t in the best shape, but this seems excessive.  Keeping a bunch of pregnant women sitting around that long is a recipe for disaster.  Plus, where is the respect for the patients time? I know that they already overlap appointments, but maybe they had a lower than usual cancellation or missed appointment rate that day.</p>
<p>In the US, the Harvard Medical School and the Canadian Institute for Health Information determined that <a href="http://en.wikipedia.org/wiki/Health_care_in_the_United_States">31 percent of U.S. health care dollars</a> go to administrative overhead.</p>
<p>There are big strides being made in automating some of the processes by companies such as <a href="http://www.cerner.com/">Cerner</a>, headquartered here in Kansas City, but I think we have a way to go before we will see a reduction in overhead costs.</p>
<p>I have friends in the medical industry and I understand there is intense pressure to see as many patients as possible, and there is always insurance companies putting pressure on fees (even though insurance companies make off with a stack full of money).</p>
<p>There is also significant healthcare regulation, with it being one of the most regulated industries in the US. <a href="http://en.wikipedia.org/wiki/Health_care_in_the_United_States">A Cato Institute study suggests that this regulation provides benefits in the amount of $170 billion but costs the public up to $340 billion</a>.  That sure doesn&#8217;t sound like a positive ROI, but there needs to be a balance there.</p>
<p>There is still a sizable population in the US that is either uninsured or under-insured.  No quick solution there, either.</p>
<p>Do I have a quick solution?  Of course not, because I don&#8217;t think there is one.</p>
<p>Would I be willing to pay significantly more for better service, fees that would most likely not be covered by insurance?  Well, I feel we are paying enough, with <a href="http://en.wikipedia.org/wiki/Health_care_in_the_United_States">U.S. healthcare spending at approximately 15% of GDP</a>, the world&#8217;s highest.  I&#8217;m already paying more for a PPO vs. the HMO.</p>
<p>Would you pay more for better or expedited service? If so, how much, knowing that it would be on top of what you are already paying?</p>
<p><span class="technoratitag">Technorati Tags: <a href="http://www.technorati.com/tags/medical" rel="tag">medical</a>, <a href="http://www.technorati.com/tags/doctor" rel="tag">doctor</a>, <a href="http://www.technorati.com/tags/impatience" rel="tag">impatience</a>, <a href="http://www.technorati.com/tags/healthcare" rel="tag">healthcare</a>, <a href="http://www.technorati.com/tags/bored" rel="tag">bored</a></span> </p>
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