Medtronic Spine vs Nuvasive

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I am absolutely disgusted with what I have read in these threads and have only this to say to the uneducated, spoiled, unprofessional and entitled hungry idiots who have jarred back and forth over a simple question of simple compensation.

You need to thank your lucky ass that you have a job in an economy that has lost over 30 trillion dollars of wealth since October 2008. There are people out there hanging on by a thread to keep a roof over their head and put food on the table and you idiots are posturing like a bunch of steroid induced high schoolers.

Let me give you a hint of what is possible in the future of our industry and yes I work in this industry!! I would like to see what bantering is going to take place when companies start to hold back commissions until they get paid by the hospital and I'm not talking about PO's, I'm talking about real printed checks!! The average time a hospital takes to pay by check is between 30 and 90 days so imagine doing a spine case and being paid two or three months later!! Small companies are already starting to go this route to save what capital they have left and if this crap gets any worse, or if Obama gets his wish the bigger companies may follow suit and we will all be screwed.

Shut up, be thankful you have a job and start posting some real intelligent items that mean a damn.
 






After reading this thread, I am honestly embarrassed to be a spine rep. This is what gives all devise reps a bad name. This is why the reps out there doing good work have to waste time convincing their customers they are not meat heads that are only worried about money. Bringing up the fact that someone misspelled something is a very weak put down. It's a freaking thread people, not a resume.

Medtronic is a fantastic company that has made spine surgery safer and more effective. NuVasive is a fantastic company that has made spine surgery safer and more effective.

I could say the same about a number of other spine companies out there. If you are in this business, you know that it really comes down to how good the surgeon is. A healthy argument about the lateral approach would be an excellent thread to read. We all may be smarter after reading that thread. It is funny how many unoriginal thoughts are in this thread. It's as if these two reps just came from their national sales meeting and they believe all the marketing bull they heard. It is great to have faith in your products but when it's blind faith you are a hindrance to your customer. Right now, there is plenty of money to go around and if you focus on providing the best service to your customers you will find the money tends to go in your pocket. As sales reps we all have an incentive to sell more. However, there is a patient here and even though we are not the care provider we are responsible for that patient. We can all do better but some need to step it up more than others. I have spent the last ten years trying to convince my customers that I am not like most of the reps from the thread above. Let's turn this in to a question and answer forum on the lateral approach or why to use needles over pads, not my dick is bigger than yours. The fact that someone out there actually believes that Medtronic is paying surgeons to use their products is outrageous. The DOJ is all over them. They have a 31 billion market cap and I don't think they are small minded enough to hand cash to a surgeon in a bag. A rep that says that can't really sell. They are relying on negative information in the hopes that a surgeon will believe them and they will benefit. If a rep has proof of it then I highly recommend giving it to the DOJ and making some really big money. I bet that same rep isn't telling his customers how much he/she makes. The blanket statements about NuVasive's neuromonitoring are outrageous too. NuVasive has had needles from the very beginning and if a surgeon chooses to use pads that is his/her choice. It is our job to provide the best information we can and let the customer make the decision they feel is best for the patient. Everything is about to change and in the next three to five years prices are going to drop dramatically. So if you are looking for a job right now, make sure you pick a company that is going to be around. Don't go for the quick buck. It is better to make $200,000 a year for the next ten years than it is to make $300,000 a year for the next three years and then lose your job and make $100,000 a year at another job. I would love to hear from someone that disagrees with me or even better to hear from someone that has something positive to talk about.
 






I continue to get the biggest grin and warm fuzzy feeling when I hear that NuVasive is continuing to take market share away from Medtronic Spine & Bio (SD). and to think I still work for MDT

earlier poster was correct in that MDT has got NUVA in its sights, problem is NUVA is much quicker to respond to its customers, has much more intense focus and honestly, doesn't have the distractions that MDT does with being in the sights of the FDA, bad press, etc. if NUVA was a sub-par company, then why is it continuing to take market share, and why would MDT form a sub-sales division just to target NUVA and the XLIF procedure with its DLIF? NUVA is in fact recognized as a formidable competitor to MDT, even by MDT standards and the spine & bio management teams as well.

NUVA will continue to grow and beat expectations, and will slowly drain share away from MDT, when you're at the top like MDT is, you have everything to lose, and nothing to gain. I love it!
 






I am not in the spine field anymore, but I do follow what is going on in the market. I never got why everyone thought NuVasive was so innovative? Cervical plate, pedicle screws, blah blah blah. Their minimally invasive screw system was very difficult to use compared to Sextant. again, this was 2 years ago. XLIF was just coming into the market when I left. Is it really easier to go through the Psoas muscle than than do a mini invasive retroperitoneal ALIF? I don't know, but I will bet you get better distraction from an ALIF. If a company keeps telling you they are innovative, does it really make them innovative?
 






























Anonymous said:
hahahah This is all really funny, I am a spine surgeon and just came upon this thread in a search about lateral access complications. I think I can settle all of this as a very busy lateral access advocate that uses both XLIF and DLIF approches. I hate to say it but any procedure is only as good as the surgeon. Any monitoring, either Nuvasives or MDT's is only a tool to be used by the surgeon to augment his senses. Either system has many faults, and in an in experienced or crappy surgeons hands will only cause problems.

But even funny was that complete lack of concern that most of you have for the patient! if I find that any of you are my rep, either for Medtronic or Nuvasive, I would sit you in the corner until you learned how to behave.
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Hey "doc", eat my cock!
 






to the OP...

top three spine:

Medtronic
Synthes
Depuy

None of these three are losing substantial market share to any one specific company...Nuvasive is one of several smaller companies taking market share as a whole...

For best products, most customer confidence, and innovation I would stick with one of the big 3...

and no, I am not a Medtronic rep...hope this info helps
 












Anonymous said:
Green light, Yellow, Red...how simple right?? oh my, its almost as though the company did that on purpose to make it simple for the docs. And even better, make it simple for the reps so they dont have to be practicing neuro's to run it either, being as though Nuvasive can spend a little more time slowly eating away market share. Maybe not a national status yet, but we're kicking Medtronic ass in my territory. Theres a few other players, but not medtronic. But when you cowards get your asses kicked in a certain area, you just do the bitch thing and buy them anyways. (example Kyphon) haha, oh well, I'll make the money now and if you fags try and buy us out at a ridiculous price, I got my stock ready! Make it go through the roof Medtronic!!!
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Still got your stock ready, asshole?! LOL
 












You had a guy suck your balls? That's pretty awkward dude. Not sure what you were going for there.

How about less time being a douche... and more time being a professional. You all sound like children. I'm sure you're next response will be "you suck" or "eat a dick". It's embarrassing to be in the same industry as you.
 






Anonymous said:
Still got your stock ready, asshole?! LOL
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I still got stock, but it looks like since that post, nuvasive is now closing in on number 4 and ive made a ton of money. i think you missed the point, if anybody happens to buy the company which i doubt, the stock serves ass a hedge so to speak. And when this reimbursement confusion passes, up up and away again....FAG

Im laughin to straight to the bank with this.....hahahahaha
 






I agree with previous posters that you guys are behaving like idiots with this posturing and product attacks. You are an embarrassment to our industry. The original question had to do with salary and QOL for a person interviewing for a new job. This pissing contest it degenerated to is embarrassing. I would like to apologize for my colleagues to any docs or other clinicians who may be reading this. These overgrown children are just a few bad apples.
 






I am a retired medical device headhunter, who due to a bad back had to stop helping folks like you get hot jobs, so now I turn to the people who should know the answer to the following questions. I served your needs for 29 years, so someone help me please and direct me to the right places, as I need to be pain free.

I need a double or triple lumbar fusion due to a removal of a 6x9 arthritic synovial cyst in the ligamentum flavum of L-4-5, according to Dr. Nitin Bhatia, at UCI Medical in Orange, CA, and Dr. Roger Thorne, Dir. of Orthopedics at Scripps, who already did the laminotomies, and foramanotomies due to the pressure on the bones from the cyst, and removal of the cyst in August 2009. I have a coronary artery hyper lipidemia problem, so I just had a stent in December, 2009 and am on Plavix. Consequently, I can try this summer, for procedures to identify the guilty nerves and facet joint effusion. I heard about Relievant burning with RF ablation the nerve endings that could be causing the achiness and pain down both legs, mostly left.

My dilemma is 2 fold. One which ortho/neuro surgeon, and which procedure to do, and with which manufacturer's product?. So many choices in both instances. I live in San Clemente, CA, but least invasive and best doc count to me. Does the laser even work, and if so which procedure? Should I go for the full blown cages and one year down, or is their a better way?

What is the latest, safest and most thorough technology, so I can actually recover and be the most comfortable?

Thanks in advance

Thanks in advance
 












Sorry but I got the nuvasive xlif and it jacked me up. When the doctors woke me up they asked how I felt. Pretty good except I couldn't move my frekin legs.

You people pushing this TECH making doctors think it's safe have destroyed many peoples lives.

If I ever run into one of you pushers for these companies I'm going to do to you what XLIF did to me. I think it's SICK you are pushing this crap trying to make fast money KNOWING idiot surgeons across the country are going to screw up and disable people.

YOUR tech gives FALSE sense of security for a procedure these idiot surgeons shouldn't be doing in the first place. WHY can't you go to Google Images and type in "XLIF" and find any Xrays/photos of spines that were XLIF'd?

There's a reason THATS the only XRAY Photo you won't find online showing what the end result of the procedure looks like. IT JACKED THE PATIENTS UP
 






Anonymous said:
Sorry but I got the nuvasive xlif and it jacked me up. When the doctors woke me up they asked how I felt. Pretty good except I couldn't move my frekin legs.

You people pushing this TECH making doctors think it's safe have destroyed many peoples lives.

If I ever run into one of you pushers for these companies I'm going to do to you what XLIF did to me. I think it's SICK you are pushing this crap trying to make fast money KNOWING idiot surgeons across the country are going to screw up and disable people.

YOUR tech gives FALSE sense of security for a procedure these idiot surgeons shouldn't be doing in the first place. WHY can't you go to Google Images and type in "XLIF" and find any Xrays/photos of spines that were XLIF'd?

There's a reason THATS the only XRAY Photo you won't find online showing what the end result of the procedure looks like. IT JACKED THE PATIENTS UP
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I don't work for NuVasive, but am curious to know what happened during the procedure, if you don't mind sharing.

Do you have limited mobility in your legs? Absolutely none? Do you have any images that you can share with us? Where are you located? Who was your doctor?

I appreciate your time.
 






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