Anesthesia Update

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Anonymous said:
Pricing and marketing will be what kills this drug. $100 a dose isn't going to attract many takers. I know the folks in marketing think they have developed a strategy that will demonstrate the "value" of this product and overcome the ridiculous price but at the end of the day Merck has shot themselves in the foot by overestimating how much they can gouge the hospitals for.

The data wasn't "played with". They just thoroughly screwed up the data collection and analysis portion. Which is even worse than altering data these days. I've heard of tons of companies altering data. I've never even heard of a company screwing up the data collection and analysis process. For a product that was limping along with a poor marketing strategy and 10 years of delays it has attached such a bad taste that clinicians now think there has to be something wrong with the product.

Basically it just shows how inept Merck is from top to bottom. In 25 years I've never seen a company go from a top notch, respected company to an absolute joke and one that will be fortunate to remain functional over the next few years.
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Please do us a really big favor - go to sleep
 




This is one of the funniest clown shows ever. Anesthesia has almost zero interest or need for this- and they are 50% of the market users of paralytics. Blockbuster lol. Another merck fantasy. IF the FDA even ever approves it which doesnt look good.
 




















Management told me on Tuesday that Sugammadex has now been pushed back to mid-year 2014. Why did Merck put us in this position of "scientific awareness"? We are losing credibility that will be difficult to regain if ever. How can the company promote in anesthesia ads..."Coming Soon", yet representatives are advised to keep the discussion to Zemuron and SA? Either the company can or cannot promote. We cannot have it both ways. And what is this direction to keep high and medium flags in our decks despite accessibility when we are being evaluated based on activity on those providers? I now wish I never would have stepped foot into the anesthesia world until I had a product blessed by the FDA. The previous poster was absolutely correct. Providers are questioning safety with all of these delays. No wonder hospital systems are shutting down to representatives. We are wasting their time. Speaking of wasting time. Does corporate have any idea how many hours we are spending recreating and assigning flags based on the ever-changing directives and iPAD tracking/reporting. Let me do what I am very good at....selling what is in my bag currently. We are sales representatives....lets get back to that.
 












Anonymous said:
ICU and cardio thoracic .
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Cardio thoracic surg yes but the ICU definitely not. Thats where marketing will say to go though as its completely wrong. Patients end up in the ICU AFTER they have been intubated by EMS or in the ER, both use ALOT of paralytics and thats where I would sell. Patients in the ICU are on Propofol, etc as sedation- they are not kept paralyzed. The target would be providers who routinely use paralytics and those are emergency providers and to a lesser degree some day surgery procedural stuff.
 




Anonymous said:
Cardio thoracic surg yes but the ICU definitely not. Thats where marketing will say to go though as its completely wrong. Patients end up in the ICU AFTER they have been intubated by EMS or in the ER, both use ALOT of paralytics and thats where I would sell. Patients in the ICU are on Propofol, etc as sedation- they are not kept paralyzed. The target would be providers who routinely use paralytics and those are emergency providers and to a lesser degree some day surgery procedural stuff.
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You should have sold this for a consulting fee to merck. You just gave up the golden goose. Thanks but no thanks, I think it was for sure better to be the clued in among the clueless. Although for sure the grand poobars will still muck it up for sure even with this laser line advice. For Sure.
 




Anonymous said:
You should have sold this for a consulting fee to merck. You just gave up the golden goose. Thanks but no thanks, I think it was for sure better to be the clued in among the clueless. Although for sure the grand poobars will still muck it up for sure even with this laser line advice. For Sure.
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This is clearly someone with zero anesthesia experience or experience with neuromuscular blockers. They do paralyze people in the ICU for periods of time and that is strong dollars but inconsistent dollars. For this drug to be able to reverse someone from a deep block to be able to access them would be a great advantage. The issue is when someone has been paralyzed for a while they are hard to reverse etc. Good spot but cant be your main sales dollars. Issue with Merck is the only folks with any of this experience is the Organon folks with years in this area yet they did not want to ensure those reps got some of the spots or even the managers. Good thing for them however because this drug is likely not out for many many more months and possible never. The hospital team can only "help out" for so long before bye bye birdie.
 




Anonymous said:
Bob McMahon is a sham. Always was, always will be. He came out of nowhere to be promoted to DCO with no qualifications whatsoever. His legacy is the crop of losers he hired. His true stripes were exposed. Coward.

Expect nothing from his stint in DC. He thinks he is above it all. He is an absolute zero.
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He does always have a nice tan, though!
 




as u all are already aware.....this disease awareness is simply promoting awareness of the drug before FDA approval. it is the most shameful activity that i have seen at merck in my 25 years. i have no idea given our focus on compliance and elimination of even minor variations, how people upstairs still let disease awareness happen.
now the damn allergic rhinitis reps are out there doing the same thing. just by talking about the disease...it makes the dr think about the soon to be approved products.
its outright marketing for a drug before the approval. they may not say anything directly but you dont have to in order to get your point across and merck knows it.
i havent been overly ashamed of too much at merck . this disease awareness should get a WHOLE LOT of people fired. and the drugs should not be allowed to be approved to prove a point to the company.
 




Anonymous said:
Bob McMahon is a sham. Always was, always will be. He came out of nowhere to be promoted to DCO with no qualifications whatsoever. His legacy is the crop of losers he hired. His true stripes were exposed. Coward.

Expect nothing from his stint in DC. He thinks he is above it all. He is an absolute zero.
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There is indeed a mysterious large block of time unaccounted for on his Linkedin profile........interesting.
 




Anonymous said:
This is clearly someone with zero anesthesia experience or experience with neuromuscular blockers. They do paralyze people in the ICU for periods of time and that is strong dollars but inconsistent dollars. For this drug to be able to reverse someone from a deep block to be able to access them would be a great advantage. The issue is when someone has been paralyzed for a while they are hard to reverse etc. Good spot but cant be your main sales dollars. Issue with Merck is the only folks with any of this experience is the Organon folks with years in this area yet they did not want to ensure those reps got some of the spots or even the managers. Good thing for them however because this drug is likely not out for many many more months and possible never. The hospital team can only "help out" for so long before bye bye birdie.
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Clearly no experience lol. Just did a fellowship is said area my friend...But you are a pill pusher so you know better. Carry on.
 




Anonymous said:
Clearly no experience lol. Just did a fellowship is said area my friend...But you are a pill pusher so you know better. Carry on.
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Neuromuscular blockers are not pills thanks but anyway Mr or Mrs. fellowship, higher learning person "just did a fellowship is said area" well maybe its in said area brainiac. Oh maybe a C in that class. So since your so smart, tell me what is incorrect about the ICU statement etc. Do they paralyze in the ICU? Do people that stay on paralytics for long periods have trouble reversing? Would an agent that reverses quickly therefore allowing for patient assessment by rounding physicians not be a good thing ie neurologic function, arm or leg movement--you do know thats not possible with someone paralyzed on rock or vec? Is that not going on in large institutions but not very consistent dollars in small hospitals? So tell me fellowship smart guy what is wrong with these statements that have now been put into question form for you. Oh another C in that class as well.
 




Anonymous said:
Neuromuscular blockers are not pills thanks but anyway Mr or Mrs. fellowship, higher learning person "just did a fellowship is said area" well maybe its in said area brainiac. Oh maybe a C in that class. So since your so smart, tell me what is incorrect about the ICU statement etc. Do they paralyze in the ICU? Do people that stay on paralytics for long periods have trouble reversing? Would an agent that reverses quickly therefore allowing for patient assessment by rounding physicians not be a good thing ie neurologic function, arm or leg movement--you do know thats not possible with someone paralyzed on rock or vec? Is that not going on in large institutions but not very consistent dollars in small hospitals? So tell me fellowship smart guy what is wrong with these statements that have now been put into question form for you. Oh another C in that class as well.
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I dont think the OP said that paralytics were pills. Why do we have to get so caddy and rude in our responses? I like seeing clinicians on here but why do some of us respond with such demeaning and rude statements? Why do some not like hearing from those who take care of people for a living?
 




How funny, we have seen some great free input on here and the person is attacked. Well, the comments completely agree with what I am hearing. So glad we have such stupidity here at merck and that they not only miss the obvious but attack clinicians.

And to the merck poster- remember this, a doctor is a doctor. What do they call the person last in the class from med school- DOCTOR. That would be someone smarter, classier, more educated than us. We are scumbags- yes we are. We profit off real people doing real things to save real people.
 




Anonymous said:
I dont think the OP said that paralytics were pills. Why do we have to get so caddy and rude in our responses? I like seeing clinicians on here but why do some of us respond with such demeaning and rude statements? Why do some not like hearing from those who take care of people for a living?
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wait do you really think clinicians come on here to comment. You have got to be kidding. The only people that care anything about these boards are employees and most have some axe to grind.
 




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