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	<title>Medical products ordering &#187; Make</title>
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		<title>Hard Cases Sometimes Make Good Law</title>
		<link>http://medicalordering.com/hard-cases-sometimes-make-good-law/</link>
		<comments>http://medicalordering.com/hard-cases-sometimes-make-good-law/#comments</comments>
		<pubDate>Tue, 20 Apr 2010 14:17:47 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Medical Products]]></category>
		<category><![CDATA[healthcare products]]></category>
		<category><![CDATA[Cases]]></category>
		<category><![CDATA[Good]]></category>
		<category><![CDATA[Hard]]></category>
		<category><![CDATA[Make]]></category>
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		<guid isPermaLink="false">http://medicalordering.com/hard-cases-sometimes-make-good-law/</guid>
		<description><![CDATA[Confidentiality issues often arise in drug and device cases, usually when plaintiff lawyers want to send confidential company documents to the New York Times. But every once in a while it&#8217;s the plaintiffs who get impaled on the issue. That&#8217;s what happened in In re Viagra Products Liability Litigation, MDL No. 06-1724, slip op.(D. Minn. [...]]]></description>
			<content:encoded><![CDATA[<p>Confidentiality issues often arise in drug and device cases, usually when plaintiff lawyers want to send confidential company documents to the New York Times. But every once in a while it&#8217;s the plaintiffs who get impaled on the issue. That&#8217;s what happened in In re Viagra Products Liability Litigation, MDL No. 06-1724, slip op.(D. Minn. April 14, 2010). Pfizer had earlier been unable to knock out one of plaintiffs&#8217; general causation experts on Daubert <span id="more-556"></span> grounds because the court had been sufficiently impressed by a peer reviewed article by that expert on the issue in question (whether Viagra caused a certain vision disorder).</p>
<p> But mass torts have their ups and downs, and Pfizer followed up in a very smart way. It used discovery to obtain from the University of Alabama-Birmingham (&#8221;UAB&#8221;) the source documents underlying the article. Guess what? The article wasn&#8217;t quite as rigorous as it seemed. As we discussed here, the article had misrepresented some pretty key findings and methodologies. The expert had even labeled some subjects as &#8220;exposed&#8221; when they were, in fact, &#8220;unexposed.&#8221; Kind of important, don&#8217;t you think?</p>
<p> Last August the court found that the new information showed that the expert&#8217;s study was unreliable (to put it charitably), and that &#8220;[p]eer review and publication mean little if a study is not based on accurate underlying data.&#8221; What happened here is something that should keep journal editors up at night. In any event, so much for that expert.</p>
<p> But the study is still in the books. Pfizer had obtained the underlying materials pursuant to a protective order. While Pfizer was able to tell the journal that the underlying documents cast doubt on the article, and while the court published an opinion discussing why that was so, the only way to make those materials available to the journal was if the judge issued an order permitting disclosure. UAB opposed such disclosure. Meanwhile, the journal referred the matter to the Committee on Publication Ethics (&#8221;COPE&#8221;), an organization designed to deal with questions of scientific integrity on behalf of medical journals.</p>
<p> Pfizer argued that permitting the journal to review the data is in the interest of public health. That seems right. People (including doctors and academics, to say nothing of judges and juries) trust the peer review process. People are making potentially important decisions based on findings in medical journals. Indeed, the articles are written for precisely that purpose. If those findings are deficient, strained, distorted (or worse), the journal should have an opportunity to review the evidence and, if appropriate, amend or even retract that article &#8212; as recently happened in the case of a notorious article that purported to link a vaccine to autism.</p>
<p> Contrast that genuine public health interest with the usual bloviations from plaintiff lawyers who (a) force companies to spend millions of dollars to produce millions of pages of documents, (b) grudgingly agree to protective orders &#8212; which are perfectly reasonable and necessary given that the defendant operates in a stiffly competitive industry, and then (c) seek to dedesignate confidential documents for a litigation advantage but under the guise of public health. Not to put too fine a point on it, this plaintiff strategy is predictable and disingenuous. Whenever hundreds of employees are working on a product over many years, there are always going to be some documents that can be taken out of context and used to create misimpressions about what was intended or done. Lately, plaintiff lawyers have taken to holding press conferences so they can give their swell little take on what the documents mean. Turgid or unclear prose gets translated as &#8220;dollars over lives, blah blah blah.&#8221;</p>
<p> Meanwhile, the company is hemmed in by laws and regulations that reinforce an actual need to be circumspect, so the corporate response is bland and flaccid. It&#8217;s an unfair fight. Confidentiality becomes just another pressure point for plaintiffs, having little or nothing to do with truth, public health, or the merits of the case. The dedesignation of confidential documents in such instances is all about affecting the stock price and influencing the jury pool. And yet many courts are reflexively hostile to claims of confidentiality, so plaintiffs get to play the game.</p>
<p> In this case, things were reversed and it was a third-party &#8212; and an academic one at that &#8212; that fought disclosure. But UAB at least agreed that it would turn the documents over to COPE. Relying upon that agreement, on April 14, 2010 the court issued a three page order declining to force turnover of the documents to the journal. Even there, the court&#8217;s ruling was without prejudice. Clearly, the court was more than a little dismayed by the performance of plaintiffs&#8217; expert, and expects to see academic, as well as legal, justice done.</p>
<p> Kudos to Pfizer for pursuing the right legal strategy. It&#8217;s one that warrants emulation. We&#8217;ve seen other cases where plaintiff experts have authored peer-reviewed studies that lost all credibility when confronted by the underlying materials. (There&#8217;s a famous example from tobacco litigation where a plaintiff expert wrote an article purporting to document the effect of Joe Camel advertising on kids, but his correspondence during the write-up shed new light on both findings and motives.) Such discovery always meets lots of resistance, but, as in this case, the battle is well worth it. Pfizer&#8217;s approach resulted in the correct Daubert ruling, offered a cautionary tale to other overreaching experts, and stood up for truth and public health.</p>
<p>druganddevicelaw.blogspot.com</p>
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		<title>Does Neurontin Make You Scratch Your Head?</title>
		<link>http://medicalordering.com/does-neurontin-make-you-scratch-your-head/</link>
		<comments>http://medicalordering.com/does-neurontin-make-you-scratch-your-head/#comments</comments>
		<pubDate>Wed, 29 Jul 2009 17:54:23 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[healthcare products]]></category>
		<category><![CDATA[Does]]></category>
		<category><![CDATA[Head]]></category>
		<category><![CDATA[Make]]></category>
		<category><![CDATA[Neurontin]]></category>
		<category><![CDATA[Scratch]]></category>
		<category><![CDATA[Your]]></category>

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		<description><![CDATA[Plaintiffs say that Pfizer&#8217;s anti-epileptic drug, Neurontin, causes people to commit suicide.
We say that it makes you scratch your head.
The first Neurontin-suicide case went to trial earlier this week. It sounded like a tough case for plaintiff: The decedent, who had taken Neurontin and then committed suicide, had a history of mental health disorders and [...]]]></description>
			<content:encoded><![CDATA[<p>Plaintiffs say that Pfizer&#8217;s anti-epileptic drug, Neurontin, causes people to commit suicide.</p>
<p>We say that it makes you scratch your head.</p>
<p>The first Neurontin-suicide case went to trial earlier this week. It sounded like a tough case for plaintiff: The decedent, who had taken Neurontin and then committed suicide, had a history of mental health disorders and abusing drugs, including cocaine. (Here&#8217;s a link to a Bloomberg story <span id="more-458"></span> before the trial started.)</p>
<p>Yesterday, plaintiff &#8212; the decedent&#8217;s daughter &#8212; voluntarily dismissed the case, supposedly because an anonymous plaintiff&#8217;s lawyer had agreed to pay her $50,000. (Here&#8217;s the Wall Street Journal Law Blog reporting on that development.)</p>
<p>Huh?</p>
<p>We&#8217;re scratching our heads about two questions:</p>
<p>First, if an anonymous donor decided to give you $50,000, wouldn&#8217;t you take the $50,000 and still pursue the case against Pfizer? I mean, $50,000 is nice, but $50,000 plus a plaintiff&#8217;s verdict would be even nicer, wouldn&#8217;t it? Why drop the lawsuit?</p>
<p>Second, who would decide, out of the blue, to give $50,000 to the decedent&#8217;s daughter? Is it really just some random lawyer whose heartstrings were touched by this particular plaintiff&#8217;s case? Or perhaps it was a plaintiff&#8217;s lawyer with another upcoming Neurontin trial who feared that a defense verdict in the first case out of the blocks would hurt the settlement value of his case? Or maybe something else is going on here?</p>
<p>We don&#8217;t have a clue, but we figured we&#8217;d share our puzzlement with you.</p>
<p>druganddevicelaw.blogspot.com</p>
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		<title>Hospitals that Care Enough to Make A Difference</title>
		<link>http://medicalordering.com/hospitals-that-care-enough-to-make-a-difference/</link>
		<comments>http://medicalordering.com/hospitals-that-care-enough-to-make-a-difference/#comments</comments>
		<pubDate>Fri, 03 Apr 2009 22:25:32 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Medical Products]]></category>
		<category><![CDATA[Medical Shops]]></category>
		<category><![CDATA[healthcare products]]></category>
		<category><![CDATA[hospital equipment]]></category>
		<category><![CDATA[Care]]></category>
		<category><![CDATA[Difference]]></category>
		<category><![CDATA[Enough]]></category>
		<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Make]]></category>
		<category><![CDATA[that]]></category>

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		<description><![CDATA[One more Boston Hospital steps in to help with medical records that were slated to be destroyed.  The moving and storage company
 pleaded with the State to take the records, but they told the owner they did not have the authority or space? 
 A lot of help they were, so even the government agencies didn&#8217;t [...]]]></description>
			<content:encoded><![CDATA[<p>One more Boston Hospital steps in to help with medical records that were slated to be destroyed.  The moving and storage company<br />
 pleaded with the State to take the records, but they told the owner they did not have the authority or space? <br />
 A lot of help they were, so even the government agencies didn&#8217;t even care, so nice move on the part of the<br />
 hospital, that had to go and get a court order to step in and help<br />
 patients.  Again, nice <span id="more-196"></span> work on the part of the hospital, seeing the human side of helping other humans, something we seem to ultimately lack in so many areas of business and healthcare ethics today.  BD <br />
 is coming to the rescue of hundreds of patients whose medical records were about to be destroyed, after their family physician abruptly closed his Acton practice and left the records in legal limbo.<br />
 A Lynn storage company &#8211; hired to clean out Dr. Ronald T. Moody&#8217;s office after he was evicted in September &#8211; was scheduled to discard the records on April 8 and auction the remaining equipment. Moody, 62, who state regulators said had let his medical license lapse, ran a private practice. He was not affiliated with Emerson Hospital.<br />
 The idea of dumping hundreds of patients&#8217; files without them knowing about it had bothered Appleyard. Unable to find Moody, Appleyard contacted the state Board of Registration in Medicine and pleaded with the state to take the records. Board officials told Appleyard they didn&#8217;t have the authority, budget, or storage space to take the files.</p>
<p>ducknetweb.blogspot.com</p>
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		<title>Allergan Announces the Latisse Make a Wish Campaign</title>
		<link>http://medicalordering.com/allergan-announces-the-latisse-make-a-wish-campaign/</link>
		<comments>http://medicalordering.com/allergan-announces-the-latisse-make-a-wish-campaign/#comments</comments>
		<pubDate>Mon, 30 Mar 2009 10:41:14 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Medical Products]]></category>
		<category><![CDATA[Allergan]]></category>
		<category><![CDATA[Announces]]></category>
		<category><![CDATA[Campaign]]></category>
		<category><![CDATA[Latisse]]></category>
		<category><![CDATA[Make]]></category>
		<category><![CDATA[Wish]]></category>

		<guid isPermaLink="false">http://medicalordering.com/allergan-announces-the-latisse-make-a-wish-campaign/</guid>
		<description><![CDATA[The Make a Wish Foundation is a great charity and nice that there&#8217;s more money coming in through donations.   I watched the video with the
 announcement of the Latisse prescription drug to create longer eyelashes and it looked liked a miniature red carpet event for the Oscars, not even really looking at lashes but focused [...]]]></description>
			<content:encoded><![CDATA[<p>The Make a Wish Foundation is a great charity and nice that there&#8217;s more money coming in through donations.   I watched the video with the<br />
 announcement of the Latisse prescription drug to create longer eyelashes and it looked liked a miniature red carpet event for the Oscars, not even really looking at lashes but focused on the dresses they wore and chit chat conversations for most of the video, just somewhat different or odd. <br />
 We get <span id="more-164"></span> longer eye lashes and enroll in LashPerks, and Make a Wish benefits it appears.   Blowing on an eyelash and making a wish is the theme.  BD <br />
 &#8220;For every person who registers for our rewards program LATISSE&#8482; LashPerks, from now through December 31, 2009, Allergan will contribute an additional $5 to the Make-A-Wish Foundation, up to $500,000. Best of all, your participation will help grant the wishes of children with life-threatening medical conditions in your community.&#8221;<br />
 (IRVINE, Calif., March 27, 2009) /PRNewswire/ &#8212; Allergan, Inc. (NYSE: AGN) hosted a star-studded event last night in Hollywood to launch<br />
 , a charitable public awareness campaign designed to help make wishes come true. Actress Brooke Shields and beauty expert to the stars Anastasia Soare will lead the campaign to generate $1 million to support the Make-A-Wish Foundation, a non-profit organization dedicated to granting the wishes of children with life-threatening medical conditions.<br />
 (bimatoprost ophthalmic solution) 0.03%, the first and only science-based prescription treatment approved by the U.S. Food and Drug Administration for hypotrichosis of the eyelashes (inadequate or not enough lashes) that is used to grow eyelashes, making them longer, fuller and darker.<br />
 With the help of generous donors and nearly 25,000 volunteers, the Make-A-Wish Foundation grants a wish every 40 minutes and has granted more than 174,000 wishes in the United States since its inception. For more information about the Make-A-Wish Foundation, visit<br />
 .</p>
<p>ducknetweb.blogspot.com</p>
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