ISRG Stock Hammered

Just called a few recruiters this morning. I'm getting a jump on my next job search. There's no way I'm waiting until my numbers show what everyone knows...no one will grow as fast ever again. It's about Obamacare forcing cost cutting. From telling women they don't need mammograms to saying robotic surgery is not safer for most procedures, the writing is on the wall.
 






The issue is cost. For a simple total hyst, a vaginal approach is cheapest and the least invasive method of treatment. Nothing is less invasive than a vag hyst period. Lap and dV are equivalent in terms of invasiveness, but a lap hyst is cheaper. The instruments are cheaper and doing a TLH doesn't require purchasing a $2m piece of capital. If the patient looks like it's going to be a chip shot, the surgeon should start lap and the robot can be docked if needed. The problem is ISI couldn't care less about cost, so they use the guise of patient safety to leverage hospitals and surgeons into doing BSOs with the robot (part of the clinical pathway after all!), which is totally ridiculous. ISI's greed will be their undoing. If they pushed the robot for use in appropriate procedures, I guarantee we wouldn't be having this discussion (look at urology and dVLAR). However, because of their hostile sales tactics that are grounded in a greed driven culture that says the robot should be used in simple procedures like hysts and choles, societies and hospital systems are starting to push back on the exbortitant and unnecessary costs of attempting to do every procedure that way.

Well said!!!!!
 


















How's the "inside the tornado" culture feeling now?? Should we still be reading the Hardball Manefesto as our sales bible JA??? Move the Doctor or Move the Patient??? Those are the mantra within on how to sell davinci......Greed will eventually destroy all
 


















Intuitive is beyond fucked, surgeons will start pulling their cases off the robot any day now. Start looking for a job quickly, the ACOG statement has shown that the surgeons who were under the Davinci spell are getting a clue. It was only a matter of time.
 






This ACOG announcement has been a long time coming, and everybody knows it whether they admit it or not. It's been a very impressive run for the daVinci marketing machine, and robotic surgery is here to stay, but the next five years ain't gonna be like the last five. I feel bad for the reps who left solid organizations to join Intuitive over the last 6 months. It's gonna be a rough ride.


This post is SPOT ON. Robotics is here to stay... But I wouldn't touch this company and their constant micromanagement/daily conference calls with a 10 foot pole at this very moment. Marketing is unsustainable. So is growth. If FDA comes in, they are done...one product in the bag. Not what a salesmen who wants to spread risk wants to hear but the truth.
 






Just called a few recruiters this morning. I'm getting a jump on my next job search. There's no way I'm waiting until my numbers show what everyone knows...no one will grow as fast ever again. It's about Obamacare forcing cost cutting. From telling women they don't need mammograms to saying robotic surgery is not safer for most procedures, the writing is on the wall.

I am too but the recruiter says it gonna be a pay decrease anywhere I go. What are you looking at?
 












I saw all this coming and left this flaming rat ship the end of this January. Nonsense on not finding a job with equal or more $. I found better money, better culture, better management (that was not hard at all) and ultimately a place that values you as contributor. Don't believe the hype, there is life after intuitive. Do something about it and go get your life back.
 






Employees are living-off stock option gains here, it's the main advantage. if those go away there is not much left vs other companies, and then the toxic culture. 2012 stock price is flat, give that another 12 to 18 months of flat or declining stock price and the best here will leave in droves, recruiters/competitors be ready. The grade B & Cs and toxic others will stay on. Once that starts some of the big guys will leave or get fired. The key is the stock price over the next 12.
 












Get ready for a pay decrease....IF you can find a job. The market right now is flush with talent willing to work for a fraction of what they are used to making.

Then again, maybe you can get one of those Obama "Green" jobs.
 






I saw all this coming and left this flaming rat ship the end of this January. Nonsense on not finding a job with equal or more $. I found better money, better culture, better management (that was not hard at all) and ultimately a place that values you as contributor. Don't believe the hype, there is life after intuitive. Do something about it and go get your life back.

Where did you go?
 
























While all the bad press is a bit misguided and will ultimately be proven to be largely unwarranted, it will prove to have a negative effect on the business anyway. Can't be avoided. Prepare for a more difficult than expected couple of years. Whether the docs by into the negative PR or not, patient reluctance to have robotic surgery will drive the business downward.