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	<title>Comments on: Schering-Plough Reps: Carrie Smith Cox Must Go</title>
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	<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 22:46:11 +0000</pubDate>
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		<title>By: what about my grandma</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-118953</link>
		<dc:creator>what about my grandma</dc:creator>
		<pubDate>Tue, 29 Jan 2008 03:22:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-118953</guid>
		<description>I have worked with SP as an independent contractor in the past.  Given the level of micromanaging in the corporation, I am hard pressed to believe that the executives did not know what was potentially at risk.  The real shame here is that the field representatives for both Merck and SP truly did not know anything, and then they were blindsided by the news and forced to the front lines in the physicians offices.  Pharma companies used to be praised for executing military level strategy.  When would you ever, ever send your front line out completely naked?
This whole issue is not about the trial or the data - both of which were poorly designed and then poorly executed.  This happens.  When this happens, there are clear rules for how this should be handled.  Have we learned nothing from Vioxx?  Have we learned nothing from Seldane?  Both great drugs that should probably have remained as options (for some patients, the only option), but due to massive flubs on how data was communicated, they are no longer available.  
The biggest disservice that these companies have done is to their loyal employees and to the physicians who trust them.  You have effectively destroyed that.  But they are not the only ones to blaim. 
The level of irresponsible journalism that has happened over this trial - in the serious scientific realm of cardiovascular medicine - is deplorable.  God help us if the patients taking these medications suffer.  Everyone is rabid for lawsuits now, and we all want money.  
What is being totally lost from this whole issue is that many patients benefitted from the medication, and should continue to benefit from it, without the media and the lawyers pressuring them to question their physicians.  Since when did doctors stop having the power to practice their art and science of medicine?  Who does this now? The Media?  When did they go to medical school?  Managed Care companies?  Most of them are MBAs, not MDs.  This whole issue brings to light the fact that the whole system is broken.  And what about my grandma?  She's had fantastic LDL-C success with Vytorin.</description>
		<content:encoded><![CDATA[<p>I have worked with SP as an independent contractor in the past.  Given the level of micromanaging in the corporation, I am hard pressed to believe that the executives did not know what was potentially at risk.  The real shame here is that the field representatives for both Merck and SP truly did not know anything, and then they were blindsided by the news and forced to the front lines in the physicians offices.  Pharma companies used to be praised for executing military level strategy.  When would you ever, ever send your front line out completely naked?<br />
This whole issue is not about the trial or the data - both of which were poorly designed and then poorly executed.  This happens.  When this happens, there are clear rules for how this should be handled.  Have we learned nothing from Vioxx?  Have we learned nothing from Seldane?  Both great drugs that should probably have remained as options (for some patients, the only option), but due to massive flubs on how data was communicated, they are no longer available.<br />
The biggest disservice that these companies have done is to their loyal employees and to the physicians who trust them.  You have effectively destroyed that.  But they are not the only ones to blaim.<br />
The level of irresponsible journalism that has happened over this trial - in the serious scientific realm of cardiovascular medicine - is deplorable.  God help us if the patients taking these medications suffer.  Everyone is rabid for lawsuits now, and we all want money.<br />
What is being totally lost from this whole issue is that many patients benefitted from the medication, and should continue to benefit from it, without the media and the lawyers pressuring them to question their physicians.  Since when did doctors stop having the power to practice their art and science of medicine?  Who does this now? The Media?  When did they go to medical school?  Managed Care companies?  Most of them are MBAs, not MDs.  This whole issue brings to light the fact that the whole system is broken.  And what about my grandma?  She&#8217;s had fantastic LDL-C success with Vytorin.</p>
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		<title>By: jsekan</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-111118</link>
		<dc:creator>jsekan</dc:creator>
		<pubDate>Wed, 23 Jan 2008 20:59:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-111118</guid>
		<description>She and the PI of the enhance study need to go !</description>
		<content:encoded><![CDATA[<p>She and the PI of the enhance study need to go !</p>
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		<title>By: PRSP</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110938</link>
		<dc:creator>PRSP</dc:creator>
		<pubDate>Wed, 23 Jan 2008 17:02:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110938</guid>
		<description>Nathan and Altex,

Carrie Cox has gone through pharmaceutical companies like "Sherman through Georgia."  She has a long history of misdeeds (e.g., phen/fen at AHP, off-label HGH promotion at Pharmacia) and has managed to slither her way out of each and every one.  Why?  Because she hides behind Fred Hassan and he has repeatedly protected her and she him.  Unfortunately, at Schering-Plough we now have the worst of the worst from Pharmacia, cronies of Fred and Carrie all, who are running the company into the ground.  They're all there - Ellen Geisel, Margriet Gabriel-Regis, Sean McNicholas, C. Ron Cheeley, and Thomas Koestler.  Why? because they sold their souls long ago and are willing to take a bullet fro Fred Hassan and Carrie Cox.  You say you don't know the woman, but people who have worked for her do.  As for the Legal and Regulatory Compliance folks, they're as corrupt as the rest of them, led by Tom Sabatino and previously Brent Saunders, respectively.  They all cashed out like Carrie Cox.  As for CafePharma and BrandWeekRx, they are not only frequented by sales people, but also insiders at Schering-Plough.  Not all of it is correct, but much of it is.  Employees who have been suppressed and threatened sometimes have no place to go but these sites.  I agree with Ed that sometimes important insider information is leaked from these sites.

As for my opinion, there is absolutely, positively no question at all that Carrie Cox knew that the ENHANCE study was in deep deep trouble and was extremely likely to be negative as early as the Summer of 2006. She asked those that knew multiple times from June 2006 through April 2007 and was told exactly what was going on with the study. Even Carrie could figure the rest of it out. If the study didn't have a prayer of being positive, then there was going to be a major negative impact on Schering-Plough stock.  By the Spring of 2007, it was painfully obvious to all involved at SP that this study was a complete and utter failure.  Carrie couldn't stand it any more, personal greed took over, and she cashed in.  When she did, people all aound her knew she was taking a giant risk, but she was too bold and self-centered to look at it logically.  She banked on how difficult insider trading is to prove. 

The question is not when she knew the study was definitely negative, but did she know something about ENHANCE that the public didnâ€™t know. The answer is a resounding â€œYes!â€  Anybody even remotely connected with Zetia, Vytorin or the Cholesterol Franchise knew exactly what was going on. As for Merck or their counterparts at MSP, I don't know. The data was atrocious and there was no way of fixing it.  The study had no prayer to deliver. Carrie sold her huge bundle of stock and made millions and millions of dollars with that knowledge. If she says she didnâ€™t, sheâ€™s lying once more. It wouldnâ€™t be the first time (phen/fen, HGH) and it certainly wonâ€™t be the last.  She'll have to lie when she goes to Washington.

Carrie, previously labeled one of the Top 50 Women in Business, has been done in by her own horrible greed.  Then several others followed her lead and many of the top executives were bailing out.  Disgraceful, disgusting, yet completely true.  As for the investigation, given the heightened level of activities at Schering-Plough regarding anything related to ENHANCE, there won't be anything left when the feds arrive.  It will all be gone by the time they arrive as the files (paper and electronic) will be completely "sanitized" by then.

Then Carrie Cox will no doubt escape once more, probably no wiser and definitely more cocky!</description>
		<content:encoded><![CDATA[<p>Nathan and Altex,</p>
<p>Carrie Cox has gone through pharmaceutical companies like &#8220;Sherman through Georgia.&#8221;  She has a long history of misdeeds (e.g., phen/fen at AHP, off-label HGH promotion at Pharmacia) and has managed to slither her way out of each and every one.  Why?  Because she hides behind Fred Hassan and he has repeatedly protected her and she him.  Unfortunately, at Schering-Plough we now have the worst of the worst from Pharmacia, cronies of Fred and Carrie all, who are running the company into the ground.  They&#8217;re all there - Ellen Geisel, Margriet Gabriel-Regis, Sean McNicholas, C. Ron Cheeley, and Thomas Koestler.  Why? because they sold their souls long ago and are willing to take a bullet fro Fred Hassan and Carrie Cox.  You say you don&#8217;t know the woman, but people who have worked for her do.  As for the Legal and Regulatory Compliance folks, they&#8217;re as corrupt as the rest of them, led by Tom Sabatino and previously Brent Saunders, respectively.  They all cashed out like Carrie Cox.  As for CafePharma and BrandWeekRx, they are not only frequented by sales people, but also insiders at Schering-Plough.  Not all of it is correct, but much of it is.  Employees who have been suppressed and threatened sometimes have no place to go but these sites.  I agree with Ed that sometimes important insider information is leaked from these sites.</p>
<p>As for my opinion, there is absolutely, positively no question at all that Carrie Cox knew that the ENHANCE study was in deep deep trouble and was extremely likely to be negative as early as the Summer of 2006. She asked those that knew multiple times from June 2006 through April 2007 and was told exactly what was going on with the study. Even Carrie could figure the rest of it out. If the study didn&#8217;t have a prayer of being positive, then there was going to be a major negative impact on Schering-Plough stock.  By the Spring of 2007, it was painfully obvious to all involved at SP that this study was a complete and utter failure.  Carrie couldn&#8217;t stand it any more, personal greed took over, and she cashed in.  When she did, people all aound her knew she was taking a giant risk, but she was too bold and self-centered to look at it logically.  She banked on how difficult insider trading is to prove. </p>
<p>The question is not when she knew the study was definitely negative, but did she know something about ENHANCE that the public didnâ€™t know. The answer is a resounding â€œYes!â€  Anybody even remotely connected with Zetia, Vytorin or the Cholesterol Franchise knew exactly what was going on. As for Merck or their counterparts at MSP, I don&#8217;t know. The data was atrocious and there was no way of fixing it.  The study had no prayer to deliver. Carrie sold her huge bundle of stock and made millions and millions of dollars with that knowledge. If she says she didnâ€™t, sheâ€™s lying once more. It wouldnâ€™t be the first time (phen/fen, HGH) and it certainly wonâ€™t be the last.  She&#8217;ll have to lie when she goes to Washington.</p>
<p>Carrie, previously labeled one of the Top 50 Women in Business, has been done in by her own horrible greed.  Then several others followed her lead and many of the top executives were bailing out.  Disgraceful, disgusting, yet completely true.  As for the investigation, given the heightened level of activities at Schering-Plough regarding anything related to ENHANCE, there won&#8217;t be anything left when the feds arrive.  It will all be gone by the time they arrive as the files (paper and electronic) will be completely &#8220;sanitized&#8221; by then.</p>
<p>Then Carrie Cox will no doubt escape once more, probably no wiser and definitely more cocky!</p>
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		<title>By: DAB</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110902</link>
		<dc:creator>DAB</dc:creator>
		<pubDate>Wed, 23 Jan 2008 16:01:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110902</guid>
		<description>You should ask the former Pharmacia/Searle folks how they feel about Carrie Cox. You will see a pattern here- some people shouldn't be leading troups. But she is a FOF (friend of Fred) and his friends perform critical echoing functions for him which need to exist for him to do what he does.</description>
		<content:encoded><![CDATA[<p>You should ask the former Pharmacia/Searle folks how they feel about Carrie Cox. You will see a pattern here- some people shouldn&#8217;t be leading troups. But she is a FOF (friend of Fred) and his friends perform critical echoing functions for him which need to exist for him to do what he does.</p>
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		<title>By: NotherNathan</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110885</link>
		<dc:creator>NotherNathan</dc:creator>
		<pubDate>Wed, 23 Jan 2008 15:44:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110885</guid>
		<description>S-P has a lot on their plate.

- Congress has requested that all files/notes be submitted concerning any discussion of ENHANCE
- C. Cox investigation/inquiry into insider trading
- Sales of both Vytorin and Zetia dropping more than 10% in one week
- No announcement to the public other than newpaper ads from MRK or SGP
- The unfortunate timing of Vioxx being pulled from the market the same time Vytorin's ENHANCE was complete but not published</description>
		<content:encoded><![CDATA[<p>S-P has a lot on their plate.</p>
<p>- Congress has requested that all files/notes be submitted concerning any discussion of ENHANCE<br />
- C. Cox investigation/inquiry into insider trading<br />
- Sales of both Vytorin and Zetia dropping more than 10% in one week<br />
- No announcement to the public other than newpaper ads from MRK or SGP<br />
- The unfortunate timing of Vioxx being pulled from the market the same time Vytorin&#8217;s ENHANCE was complete but not published</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110867</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Wed, 23 Jan 2008 15:32:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110867</guid>
		<description>My guess is that the poll reflects additional concerns with Carrie Cox's leadership beyond the current insider trading issues.</description>
		<content:encoded><![CDATA[<p>My guess is that the poll reflects additional concerns with Carrie Cox&#8217;s leadership beyond the current insider trading issues.</p>
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		<title>By: Ed Silverman</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110864</link>
		<dc:creator>Ed Silverman</dc:creator>
		<pubDate>Wed, 23 Jan 2008 15:32:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110864</guid>
		<description>Hi Nathan,

At the risk of beating the proverbial dead horse, I'll try to be clearer - generally speaking, a ceo will do what he or she wants, irrespective of employee sentiment.

However, there are times - such as a crisis or a scandal - when employee sentiment can matter. Such moments can influence morale, job performance, retention or recruitment - and interfere with the ability to achieve corporate goals. A ceo who ignores employees during such episodes may be doing so at his or her own peril.

The Vytorin controversy is shaping up as one of those episodes. This is a topic of great interest and concern to Schering-Plough employees of all stripes, whether they work at the Kenilworth, NJ, headquarters or in the field. And so as I already stated in my previous comment, the survey provides a window - however imperfect - into the thinking of some of those employees. And it is for these reasons that I ran the survey - not for entertainment purposes, as you put it.

And with all due respect, I was not taking sides in the matter by choosing to run the survey. Nor did I take sides by running a question-and-answer with a financial planner who expressed skepticism with the rush to accuse SGP execs of insider trading. I attempted to offer differing points of view. That's called the bigger picture.

Hope this helps,

ed</description>
		<content:encoded><![CDATA[<p>Hi Nathan,</p>
<p>At the risk of beating the proverbial dead horse, I&#8217;ll try to be clearer - generally speaking, a ceo will do what he or she wants, irrespective of employee sentiment.</p>
<p>However, there are times - such as a crisis or a scandal - when employee sentiment can matter. Such moments can influence morale, job performance, retention or recruitment - and interfere with the ability to achieve corporate goals. A ceo who ignores employees during such episodes may be doing so at his or her own peril.</p>
<p>The Vytorin controversy is shaping up as one of those episodes. This is a topic of great interest and concern to Schering-Plough employees of all stripes, whether they work at the Kenilworth, NJ, headquarters or in the field. And so as I already stated in my previous comment, the survey provides a window - however imperfect - into the thinking of some of those employees. And it is for these reasons that I ran the survey - not for entertainment purposes, as you put it.</p>
<p>And with all due respect, I was not taking sides in the matter by choosing to run the survey. Nor did I take sides by running a question-and-answer with a financial planner who expressed skepticism with the rush to accuse SGP execs of insider trading. I attempted to offer differing points of view. That&#8217;s called the bigger picture.</p>
<p>Hope this helps,</p>
<p>ed</p>
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		<title>By: Nathan</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110820</link>
		<dc:creator>Nathan</dc:creator>
		<pubDate>Wed, 23 Jan 2008 15:16:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110820</guid>
		<description>Ed,
CNN and MSNBC do not take polls on whether or not particular defendants are guilty.  They take polls about opinions of an audience that actually matters -- the voters.  The readers at CafePharma have no say in the future of this lady, so their opinions are irrelevant.  They have little or no additional information other than that which is available to you and I.  Therefore their opinion should matter no more than anyone elseâ€™s.

My problem is that your site (Pharmalot) is primarily a NEWS website.  Most readers use your site to keep up with the happenings of the pharma industry.  You dilute your credibility and impartiality by running "entertainment" pieces (like this one) that masquerade as news.  There was nothing newsworthy about this post.   Itâ€™s something like what I would read on a Pharma version of â€œEntertainment Tonightâ€!

It's certainly your prerogative to post what you want -- but I've come to expect to read NEWS at the Pharmalot site.  This was not news (or even informed opinion), by any stretch of the imagination.</description>
		<content:encoded><![CDATA[<p>Ed,<br />
CNN and MSNBC do not take polls on whether or not particular defendants are guilty.  They take polls about opinions of an audience that actually matters &#8212; the voters.  The readers at CafePharma have no say in the future of this lady, so their opinions are irrelevant.  They have little or no additional information other than that which is available to you and I.  Therefore their opinion should matter no more than anyone elseâ€™s.</p>
<p>My problem is that your site (Pharmalot) is primarily a NEWS website.  Most readers use your site to keep up with the happenings of the pharma industry.  You dilute your credibility and impartiality by running &#8220;entertainment&#8221; pieces (like this one) that masquerade as news.  There was nothing newsworthy about this post.   Itâ€™s something like what I would read on a Pharma version of â€œEntertainment Tonightâ€!</p>
<p>It&#8217;s certainly your prerogative to post what you want &#8212; but I&#8217;ve come to expect to read NEWS at the Pharmalot site.  This was not news (or even informed opinion), by any stretch of the imagination.</p>
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		<title>By: Ed Silverman</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110818</link>
		<dc:creator>Ed Silverman</dc:creator>
		<pubDate>Wed, 23 Jan 2008 15:15:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110818</guid>
		<description>Hi Atlex,

Understood. I was actually referring to the remarks made by the financial planner in the question-and-answer interview from last Friday. I can't speak for him, but I believe the point he was trying to make was to let the appropriate government authority do its job. Hope that helps.

ed</description>
		<content:encoded><![CDATA[<p>Hi Atlex,</p>
<p>Understood. I was actually referring to the remarks made by the financial planner in the question-and-answer interview from last Friday. I can&#8217;t speak for him, but I believe the point he was trying to make was to let the appropriate government authority do its job. Hope that helps.</p>
<p>ed</p>
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		<title>By: Atlex</title>
		<link>http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110804</link>
		<dc:creator>Atlex</dc:creator>
		<pubDate>Wed, 23 Jan 2008 15:07:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/01/schering-plough-reps-carrie-smith-cox-must-go/#comment-110804</guid>
		<description>Ed, I know that we agree to disagree on use of CafePharma as a relevant sounding board.  I do want to respond to your comment about letting Congress do its job.  Congress' job is to make law and not necessarily to enforce it; that's the job of the executive branch (the FBI, the SEC, the Justice Dpt., etc.).  If Federal prosecutors believe that an investigation is warranted, so be it.  If Congress believes that the Feds are negligent, ask them to explain.  Congressional action, in this instance, smacks of politics.  There is a group of politicians who are looking to make political hay out of everything the pharma industry does, particularly if they can skew it for political gain, even when it is both legal and ethical.</description>
		<content:encoded><![CDATA[<p>Ed, I know that we agree to disagree on use of CafePharma as a relevant sounding board.  I do want to respond to your comment about letting Congress do its job.  Congress&#8217; job is to make law and not necessarily to enforce it; that&#8217;s the job of the executive branch (the FBI, the SEC, the Justice Dpt., etc.).  If Federal prosecutors believe that an investigation is warranted, so be it.  If Congress believes that the Feds are negligent, ask them to explain.  Congressional action, in this instance, smacks of politics.  There is a group of politicians who are looking to make political hay out of everything the pharma industry does, particularly if they can skew it for political gain, even when it is both legal and ethical.</p>
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