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Howard McCollister wrote:
> "fresh~horses" <fresh~horses@xxxxxxxxxxxxx> wrote in message
> news:1127368144.655966.225210@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> >
> > Howard McCollister wrote:
> >> "fresh~horses" <fresh~horses@xxxxxxxxxxxxx> wrote in message
> >> news:1127355294.463304.125120@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> >> >
> >> > Howard McCollister wrote:
> >> >> "fresh~horses" <fresh~horses@xxxxxxxxxxxxx> wrote in message
> >> >> news:1127334372.002619.148180@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> >> >> > http://www2.epocrates.com/index.html
> >> >> >
> >> >> > Check the "Honors" box on the left.
> >> >> >
> >> >>
> >> >> epocrates is generally small potatoes for honoraria, as are most of
> >> >> the
> >> >> online offers. I, and most doctors I know, get such invitations by
> >> >> email
> >> >> and
> >> >> regular mail at least a couple of times every week - fill out a survey
> >> >> by
> >> >> phone or mail and get $100. Drug companies mostly, but some equipment
> >> >> manufacturers and some marketing firms. Then, there are various other
> >> >> consulting agreements, usually involving money plus travel expenses,
> >> >> honoraria for speaking engagements....stuff like that. It's nothing
> >> >> new...been going on for many years now.
> >> >>
> >> >> HMc
> >> >
> >> >
> >> > It's nothing new been going on for years now...
> >> >
> >> > That makes it ok?
> >> >
> >>
> >> No, that doesn't make it OK. I think it's intrinsically OK, all by
> >> itself.
> >>
> >> HMc
> >
> >
> >
> > A couple questions related to a comment in your post to Harris ie)
> > "early adopters".
> >
> > What does that mean?
> >
> > And preceptorships...what does that mean?
> >
> > And when you say teach ... do you mean teach for the pharma device
> > manufacturing company? Or teach for your surgery colleageus at Cayuna?
> >
>
> Surgery these days is increasingly technology-driven. In many cases, a
> particular operation can't be done using minimally invasive techniques until
> someone invents a tool make if safer, or to make it possible at all. The
> days of being able to do modern surgery using the same tools that
> Halsted/Halstead used are long gone, as of 1989, the day that Eddie Joe
> Reddick did the first laparoscopic cholecystectomy in the US. There are all
> kinds of technologies being invented, studied, FDA-approved, and then they
> make their way into the medical market. Those companies then have to sell
> the technology to surgeons.
>
> My partners and I are committed laparoendoscopic surgeons. We tend to stay
> at the leading edge of advanced laparoendoscopic technique and as such,
> there are a number of operations we do that very few other surgeons around
> our part of the country are doing. We evaluate the technologies that are out
> there in order to find a better or safer way for us to do a particular
> operation, and in some cases we participate in the development of those
> technologies with a variety of different companies. We get paid for sharing
> our expertise with those design teams. In cases where we have greater
> experience with a particular operation than other surgeons, those surgeons
> may come to our hospital and we will teach them (preceptorship). Most of
> these companies have several other such teaching arrangements. In other
> cases, we may be invited to speakand/or teach at other such training
> courses. As I type this, I have my feet up on the balcony of a very nice
> hotel overlooking the Hollywood hills in LA. I drove up this morning from
> San Diego. Dinner at Spago tomorrow night.
>
> Bear in mind that these companies with whom we have consulting agreements
> have sought us out because we are already using their equipment - we didn't
> start using their equipment because they gave us money. As an example, we
> have a consulting agreement with one particular device company that makes
> surgical staplers, and we teach surgeons how to do advanced laparoscopic
> operations using those staplers. That same company makes an ultrasonic
> scalpel and they would dearly love for us to buy it and use it in those
> teaching courses. We don't, and use a competing company's ultrasonic scalpel
> because we think it's better. It's a sore point with the first company, and
> it creates a fair amount of friction in our relationship.
>
> HMc
I'm going to read this over, think about it carefully, and ponder on
how I can tell you why I disagree with you, in as unemotional a way as
possible. However, if I think *that* isn't possible...
...and it's been a couple days and I still haven't repsonded; send for
the Mounties.
<<sitting here with my feet up on a stool cause I have to be in flexion
to stop muscle spasms caused by the pedicle screws put in my spine
without my authorization; by a hotshot show-off who knew those screws
weren't ok'd for use in the spine at that time.>>
Butter tarts & espresso at the Farmers' Market tomorrow...
I hope you have a great weekend Howard. Truly I do.
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