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E-Articles - Pain is Inevitable - Suffering is Optional
Yesterday was the warmest day of the year so far, with temperatures in the 80s by midafternoon. I finally tore myself away from the computer and headed out for a walk. It's still extremely lush and green here, with wildflowers including lupines, buttercups and Douglas Iris blooming in g 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 ratuitous profusion. A steady breeze kept the temperature from becoming unbearable, with the added benefit of wafting all the smells of a flower scented heaven into my nostrils. About half way through my walk, the breeze also blew some pollen into my eyes. As a contact lens wearer, pol ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug. Examples of combination products may in en and other irritants are a regular part of the "isness" that I deal with on a daily basis, especially in spring. Knowing this, I had even brought a bottle of special drops for my eyes in case my contacts started to bother me. I knelt down at the edge of a grassy field next to some 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. g cedars, but carefully placed my hat upside down and proceeded to pop my contact out. To my surprise, the breeze grabbed my contact and tossed it into the grass. Now, this grass was between six and 12 inches deep, and my immediate reaction was something quite a bit stronger than "darn. here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe There I was on my knees, one contact lost in the grass, trying to locate a tiny, nearly transparent circle of blue plastic less than a half inch in diameter. The bright sun shone like gold on the grass and the breeze waved the green shoots around in a friendly frenzy. With my contact d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations. Combination pro gone, I had to get down within 6 inches of the ground in order to see anything clearly. I was right on the edge of getting really upset with myself, as this is a new contact and would cost $50 to replace. If you really knew me, you'd know that I spent most of my life with a severe inner 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 critic, and I could feel it wanting to pounce on my apparent screw up. I chose not to engage, and quietly celebrated remembering that I had a choice in the matter. Invoking my spiritual practice of staying fully present in the moment, I took a couple of deep breaths and begin to notic 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 astonishing beauty spread out before me. Miniscule flowers the size of an ant's head grew underneath the tall grasses, miniature pink blooms serving as exclamation points for this lilliputian world. For a moment, I forgot all about my contact and just marveled at the intoxicating b nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically auty of this tiny little patch of ground. As my breathing slowed, and I became increasingly aware of every blade of grass, every grain of sand and earth, each ant and insect busily crawling around in their world, and realized what a gift losing my contact had been. I had been so focuse 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 d on my walk, on the trees and the astonishing view, that I had been paying no attention at all to the amazing spectacle at my feet. After a couple of minutes simply enjoying this extraordinary little world, I noticed the glint of my contact and picked it up. I congratulated myself on ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi y patience in my ability to see the gift of losing my contact. I gently set the contact down on the brim of my hat, which was still turned upside down in the grass. I took out my water bottle and my drops so that I could clean my contact and place it back in my eye. However, the wind ha ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it. Following aspects would a other plans. As I reached to pick up the contact, the breeze effortlessly picked up that petite piece of plastic and flipped it back in the grass. I couldn't believe it. Obviously, I had not become sufficiently present the first time I went through this process, so I had the opportuni dd to the challenges in developing combination products: Which markets to tap where the combination products can do fairly well? Which combination prod y to do so again … quiet my breathing, focus on the beauty in front of me, choose not to make myself wrong, and simply be available for the contact to show itself again. After a few more minutes of kneeling in the beauty of the day, bowing to the sacred all around me, sure enough, the c cts are meaningful and rational? Which therapeutic categories to select? Which Combinations can address unmet needs of the patients? Do combin ontact "showed up." This time I didn't let go of it, and within moments it was safely back in my eye. As I stood up and prepared to head home, I spent another moment in quiet reflection, honoring my experience and grateful that I had chosen to accept the moment as it was without creatin tions increase the patient compliance? What would be the developing cost? How to tackle the risks encountered during combination product developmen any suffering for myself. If that had been the end of the story, I would have felt it worth the telling, but opportunities for me to keep choosing not to suffer continued showing up. My contact continued bothering me all the way back, about a 45 minute walk. I did not attempt to take 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 t out and clean it again; rather, I simply stayed present, noticing that in each moment. I could choose to turn the pain into suffering … or not. My eye kept tearing, and it was difficult to keep it open through the pain. And yet, the beauty of the day called insistently through the hum ping new procedures for reviewing their safety, efficacy and quality. Professional from academic institutions, pharmaceutical industries, health care indust of innumerable bees collecting nectar from the veritable explosion of blooms. In particular, the hillsides along the road were carpeted with flowers, particularly vetch, a low green vine bursting with millions of small purple blossoms. Whole sections of hillside were blanketed in this g y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products lorious profusion, this spring riot of life. I was amazed. Sometimes my eye would clear up for a few minutes, and I was grateful. Then the pain would return, and I felt grateful that I was not creating suffering for myself in addition to feeling the pain. I was so touched by this exper . 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 ence that I felt compelled to write it down as a teaching opportunity. Pain and suffering are not one word. Pain is inevitable, suffering is optional. It is a core component of my teaching, as it is of many who use the path of inquiry to discern our true nature. Remember, in each moment elopment. They need to be wiser in analyzing the market trends and the regulatory requirements. Companies that provide selfless information through particip we have a choice. We can welcome the pain that inevitably comes with the gift of life as an opportunity to become fully present in the moment. Suffering is simply not necessary. I am grateful to life for every chance I have to explore this perspective, and to share what I learn with you 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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