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With low back pain being the number reason why millions of Americans miss work, you would think hospitals around the country would be more compass

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

ionate with people who suffer from chronic low back pain. Being a chronic pain sufferer myself who suffers from low back pain with a herniated dis

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

, I know too well how ER doctors treat patients seeking help for some kind of relief. It seems as soon as you walk in and tell them the reason you

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

here to see the doctor is for back pain, your immediately cast in a different light.

The ironic thing in today's modern times, hospitals and ER

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

octors have available, and can look up information on patients that have on record tests such as, MRI's, CT scans, or any other type of documentat

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

on to verify a diagnosis the patient is complaining of. With so many people falsely going to ER rooms complaining of back pain just to get medicat

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

ion, they should actually do a little research before they put you in that category of just seeking medication.

For instance, I waited 2 hours in

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

the waiting room, after I got back to see the ER physician, I waited in the room for an additional hour just to hear the nurse tell me I need to g

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

see my primary care physician about substance abuse. I was in shock. I could not believe they thought I was there seeking medications and not tru

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

y suffering from pain. When just recently I had two MRI's taken at this same hospital showing indeed I do suffer from herniated discs, and other b

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

ck problems as well. To add insult to injury, I received a bill the following week charging me for the visit. I wonder what did they do for me. Wh

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

at did they charge me for? The only thing they did in all reality is turn me away. So why do they charge me for turning me away in my time of need

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

Unless your in a horrible car wreck, or your wheeled in by ambulance on a stretcher, going to the ER room for pain is a waste of time and money.

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

Not only is it a waste of time and money, your humiliated by the whole ordeal. People who suffer from chronic pain are simply not believed. For wh

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

tever the reason may be, ER doctors do not want to treat people in pain. Chronic pain sufferers in America are discriminated again tremendously. E

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

eryone who suffers from pain should write their congressman or senators. Something has to be done. Seems doctors are taken the war on drugs agains

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

t the innocent, against the people who truly suffer from chronic daily pain. There is something wrong with this picture. America has the best heal

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

hcare in the world, but yet you cant get treated for something as simple as low back pain. I just pray for the millions of Americans who are in th

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

same situation they that somehow will find a compassionate doctor who truly understands pain. Seems most doctors today are more interested in wha

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

's best for them, and not the patient. Don't they still take an oath to help the sick and hurting? Sometimes I wonder.

Copyright 2006 Robert Goul

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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North Dakota massage therapy schools are often thought of as independent institutions that dedicate their curriculums exclusively to the teaching of massage therapy, and this is true; however there are also excellent massage therapy schools in North Dakota that are established as a part of local vocational and technical schools. Community colleges are a good place to look for massage therapy schools, and some four-year colleges and universities also offer massage therapy training.

Diet patterns have changed. Whole wheat has been replaced by refined white flour. And meat dishes have made way for burgers. The traditional bread has been replaced by machine- made white bread. And obese and unhealthy individuals have swapped the places of lean and fit individuals.

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