Violent Necessity

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  • 2011-09-17 10:17

And the coffee was terrible.

A drug rep stopped by my office for the first time today and she had everything going for her at first:

  1. She’s Asian.(1)
  2. She’s incredibly good looking.
  3. She’s showing more cleavage than a hooker.
  4. She knows the Sharon Stone leg cross (TM)

She also brought me a gift—2 lbs. of espresso beans.(2)

This was her battle to win, but she couldn’t pull it off.

In all fairness, she lost as soon as she told me her drug. After all, why would I prescribe something that is a daily injection and is 5th teir with prior-authorizations required, when there are weekly and monthly pills and a yearly infusion that’s cheaper and older?

Still, she would have failed even with a good drug.

She tried to persuade me away from the competition by saying “why use something that’s only good for 5 years” implying that the others are only good for 5 years, when in reality, the evidence is that they work for much longer than that and so you may only need to give them for 5 years to have a sustained effect for longer. At the same time, her drug can only be used for 2 years due to increased risk of cancer and immediately stops being effective.

Then she tried to show me a graph that showed her drug being a lot better, except it wasn’t showing primary endpoints, only secondary bio markers. Who cares about bio markers? Am I some moron medical student who doesn’t bother to read the legend and the axes?

Finally, she told me she “approved” off approach to managing this disease? WTF?!

GTF out of my office, bitch, and come back when you got something useful to sell.

…or a shorter skirt.

1. Yeah. I know I got a problem, but admitting it is the first step, right?

2. I’m sure that violated some law or moral code as if I care.

Where retweets are more important than science

I’ve got to stop searching Twitter for rheumatology topics. The utter bullshit being propagated in that echo chamber is infuriating.

  • 2011-09-14 21:37

“There’s been a lot written about Steve leaving Apple. I’m more concerned about Steve leaving the industry. Apple being the best player on the field is different than Apple being the player every other player wants to be. Steve inspired his competitors.”
kickingbear: Not About Steve

  • 2011-09-14 16:03

iPad app

Hey T,

I think you should look into an iPad app called Instapaper.

It allows you to save articles on websites to be read later. The purpose is if you come across something that is long and you want to read it but don’t have the time right then or want to read it on your iPad rather than the computer you’re at or your iPhone, you click on a bookmark button that saves that page to the Instapaper service, then when you log into the app later, it’s right there but stripped of all the advertisements and other formatting stuff.

I’ve used it a lot before but today discovered that at some point it was updated and has become a lot more useful. The update is that it can save pages behind logins. Before, if I was logged into a site, the service couldn’t log in and therefore couldn’t save the page. Why this is useful to me and maybe to you is if you are on a computer at the hospital and are reading an Uptodate article, you can click on the bookmark and your browser will then save that article to your iPad automatically.

It’s $5 and I love it.