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But the relationship between doctors and drug reps has never been uncomplicated, for reasons that should be obvious. Last spring a small group of first-year medical students at the University of Minnesota spoke to me about a lecture on erectile dysfunction that had just been given by a member of the urology department. Prilosec was their savior. After a few minutes the man interrupted. Doctors are often the best people to market a drug to other doctors. Simply having some of your thought leaders in attendance at a meeting is valuable, Kathleen Slattery-Moschkau explains, because they will often bring up off-label uses of a drug without having to be prompted. It seemed almost a public service. It is true that selling pharmaceuticals can be a highly lucrative job. Professional organizations made some efforts to place limits on the gifts doctors were allowed to accept. According to an internal study by Merck, reported in The Wall Street Journal , doctors who attended a lecture by another doctor subsequently wrote nearly four times more prescriptions for Vioxx than doctors who attended an event led by a rep. A newer, regimented style of selling began to replace the improvisational, more personal style of the old-school reps. Notice anything different. Carbona might help support a Little League baseball team or a bowling league.

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About 10 minutes later in walked another pharmaceutical rep, They both carried their big black bags with their drug samples, waiting for the . was due to these pHARMa whores taking their time sweet talking their Johns.

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Description: One of the most notorious examples is Fen-Phen, the diet-drug combination that has been linked to primary pulmonary hypertension and valvular heart disease. Whatever idealism they may have had about the practice of medicine is being pushed aside by the concrete realities of hustling in the new medical marketplace. Professional organizations made some efforts to place limits on the gifts doctors were allowed to accept. The rep had broken the rules. Many found themselves being called on several times a week by different reps from the same company. Instead of Bibles or hymn books, though, they carried detail bags, which were filled with journal articles, drug samples, and branded knickknacks for the office. Sometimes I think of my father as one of the last small-town, solo family doctors left in America. One rep told me he set up a putting green in a hospital and gave a putter to any doctor who made a hole-in-one. They swear no oaths, take care of no patients, and profess no high-minded ethical duties. That day she had insisted on bringing lunch to his office staff, even though Hal asked her not to. We want to hear what you think about this article. In the case of Prilosec, the function was digestion. This helps explain why it makes sense for reps to give away even small gifts.
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