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	<title>Comments on: Consumers Want Gifts To Docs Disclosed: Survey</title>
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	<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 22:46:14 +0000</pubDate>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362737</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Sun, 22 Jun 2008 15:49:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362737</guid>
		<description>Just a word to say I appreciate how many people - myself and HC and others - first come to Phamalot thinking it is some sort of wrestling match.  But, if we are lucky (and most of us are), we learn it is a unique opportunity to learn from people who, way too often, write each other off as not possibly informed, smart, trained, mentally balanced, etc. enough to engaged in useful dialogue.

The great majority of times, we have succeeded when these prejudgments have been transcended.  As I said recently (to HC), that is the grace and uniqueness of this site.  We have had some truly amazing and useful discussions.  As far as I know, of the sort that one virtually never finds on these issues.

There are a solid core who are committed to keeping it that way, and letting new folks know that if they enter the room with guns blazing, without even knowing whether there is a war on.

Once again, onward.</description>
		<content:encoded><![CDATA[<p>Just a word to say I appreciate how many people - myself and HC and others - first come to Phamalot thinking it is some sort of wrestling match.  But, if we are lucky (and most of us are), we learn it is a unique opportunity to learn from people who, way too often, write each other off as not possibly informed, smart, trained, mentally balanced, etc. enough to engaged in useful dialogue.</p>
<p>The great majority of times, we have succeeded when these prejudgments have been transcended.  As I said recently (to HC), that is the grace and uniqueness of this site.  We have had some truly amazing and useful discussions.  As far as I know, of the sort that one virtually never finds on these issues.</p>
<p>There are a solid core who are committed to keeping it that way, and letting new folks know that if they enter the room with guns blazing, without even knowing whether there is a war on.</p>
<p>Once again, onward.</p>
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		<title>By: HorusCat</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362736</link>
		<dc:creator>HorusCat</dc:creator>
		<pubDate>Sun, 22 Jun 2008 15:39:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362736</guid>
		<description>To all,
I appreciate the kind words.  I take full responsibility for my part in adding to the rancor.  Especially when I first got on, I used very inflammatory language.  The editor in my frontal lobe only works sporadically (as my husband points out frequently) (and no, truthman, I don't think it is the Zoloft; it is the J****** gene shared by an entire family tree of blurters).  

Recently, though, I have tried to modulate my language.  In response to things posted by pg, truthman, Lisa Van S, AA and others, I have re-thought my position on the rampant use of neuroactive medications.  Hence, my recent use of words like "judicious" when advocating the employment of neuroactive drugs.  I have also repeatedly noted that I and my counterparts never promoted Zoloft for childhood depression, nor did we advocate the use of antipsychotics in children.  I did try to note that there may be instances where such use is warranted--as the mother of a special-needs child and as a person who has spent time in medical waiting rooms (both as a rep and as a mom with a kid), I have learned to be very cautious about criticizing the decisions another parent makes for his/her kids.  

What I perceived to happen was the more common ground I tried to find with the more vociferous posters here, the more assaultive their replies got.  Perhaps I need to get a thicker skin, but right now, things are very tough with my son (as we try to REDUCE the meds he is on) and anti-pharma sentiment is growing at the academic med center where I work.  I am an Eeyore by nature trying to evolve into a Tigger, because I think that Tiggers are more fun to be around and generally are happier people.  Being called brain-damaged and delusional, child-murderer, greedy and selfish doesn't enlighten me, it just effectively shuts down the argument.  It is a conservative being called "mean-spirited" or "racist" when he advances an argument--instantly you are put in the position of proving you are NOT whatever name you've been called, instead of being able to put forth reasons why you hold the position you do.

I will continue to lurk--this is the best site I've found for pharmaceutical discussion.  I value the anti-pharma leanings more than I value the pro-pharma stuff on other sites, because the only way those of us in pharma can evolve is by hearing what the other side has to say.  

As I've noted before, anyone (you too, truthman) is welcome to email me at cathorus@yahoo.com.  If it's a civil email, I will respond.  In the meantime, perhaps a breather and a chance to get things under control with my son will lead me to reengaging here in the future.  

Thanks all.

HC</description>
		<content:encoded><![CDATA[<p>To all,<br />
I appreciate the kind words.  I take full responsibility for my part in adding to the rancor.  Especially when I first got on, I used very inflammatory language.  The editor in my frontal lobe only works sporadically (as my husband points out frequently) (and no, truthman, I don&#8217;t think it is the Zoloft; it is the J****** gene shared by an entire family tree of blurters).  </p>
<p>Recently, though, I have tried to modulate my language.  In response to things posted by pg, truthman, Lisa Van S, AA and others, I have re-thought my position on the rampant use of neuroactive medications.  Hence, my recent use of words like &#8220;judicious&#8221; when advocating the employment of neuroactive drugs.  I have also repeatedly noted that I and my counterparts never promoted Zoloft for childhood depression, nor did we advocate the use of antipsychotics in children.  I did try to note that there may be instances where such use is warranted&#8211;as the mother of a special-needs child and as a person who has spent time in medical waiting rooms (both as a rep and as a mom with a kid), I have learned to be very cautious about criticizing the decisions another parent makes for his/her kids.  </p>
<p>What I perceived to happen was the more common ground I tried to find with the more vociferous posters here, the more assaultive their replies got.  Perhaps I need to get a thicker skin, but right now, things are very tough with my son (as we try to REDUCE the meds he is on) and anti-pharma sentiment is growing at the academic med center where I work.  I am an Eeyore by nature trying to evolve into a Tigger, because I think that Tiggers are more fun to be around and generally are happier people.  Being called brain-damaged and delusional, child-murderer, greedy and selfish doesn&#8217;t enlighten me, it just effectively shuts down the argument.  It is a conservative being called &#8220;mean-spirited&#8221; or &#8220;racist&#8221; when he advances an argument&#8211;instantly you are put in the position of proving you are NOT whatever name you&#8217;ve been called, instead of being able to put forth reasons why you hold the position you do.</p>
<p>I will continue to lurk&#8211;this is the best site I&#8217;ve found for pharmaceutical discussion.  I value the anti-pharma leanings more than I value the pro-pharma stuff on other sites, because the only way those of us in pharma can evolve is by hearing what the other side has to say.  </p>
<p>As I&#8217;ve noted before, anyone (you too, truthman) is welcome to email me at <a href="mailto:cathorus@yahoo.com">cathorus@yahoo.com</a>.  If it&#8217;s a civil email, I will respond.  In the meantime, perhaps a breather and a chance to get things under control with my son will lead me to reengaging here in the future.  </p>
<p>Thanks all.</p>
<p>HC</p>
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		<title>By: Ed Silverman</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362680</link>
		<dc:creator>Ed Silverman</dc:creator>
		<pubDate>Sun, 22 Jun 2008 10:30:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362680</guid>
		<description>To All,

In response to some private notes, I'd like to share a few thoughts that, hopefully, some of you will find helpful.

First, as a journalist, the one responsbility that was new to me when this site launched 18 months ago is the role of moderator. Unlike TV talk shows, such as Meet the Press, the format and medium are obviously different, so I have been feeling my way ever since.

In general, my approach has been to let grown ups act like grown ups. I have never seen the benefit in playing school marm and enforcing a vague set of rules on people as they go about having an informed discussion. Some of you may recall my analogy to the sprawling lawn party where different discussions take place simultaneously, and one is free to flit and listen and chime in when the urge strikes.

Unfortunately, the possibility exists that, at times, unnecessary language or schoolyard namecalling can take place at such gatherings, which can have the affect of throwing a wine glass at the lawn party.

To an extent, this is predictable. Pharma is a challenged industry right now and its many problems - pipelines, patents, promotion, pricing and safety - are hot button issues for our society as a whole. The discussions that take place here reflect those concerns and, I suspect, will continue for some time because the solutions do not appear to be right around the corner.

That said, I would like to encourage everyone to address others with a degree of civility. What does that mean? Speak to others in the same way you want them to speak to you. This is a gentle reminder and is not directed at any one individual. The emotions that pop up in the debates here do cut both ways.

As a journalist, I learned a long time ago the notion that it is possible to learn something from each and every other person. This forum offers one such possibility. Enjoy it.

Regards,
ed</description>
		<content:encoded><![CDATA[<p>To All,</p>
<p>In response to some private notes, I&#8217;d like to share a few thoughts that, hopefully, some of you will find helpful.</p>
<p>First, as a journalist, the one responsbility that was new to me when this site launched 18 months ago is the role of moderator. Unlike TV talk shows, such as Meet the Press, the format and medium are obviously different, so I have been feeling my way ever since.</p>
<p>In general, my approach has been to let grown ups act like grown ups. I have never seen the benefit in playing school marm and enforcing a vague set of rules on people as they go about having an informed discussion. Some of you may recall my analogy to the sprawling lawn party where different discussions take place simultaneously, and one is free to flit and listen and chime in when the urge strikes.</p>
<p>Unfortunately, the possibility exists that, at times, unnecessary language or schoolyard namecalling can take place at such gatherings, which can have the affect of throwing a wine glass at the lawn party.</p>
<p>To an extent, this is predictable. Pharma is a challenged industry right now and its many problems - pipelines, patents, promotion, pricing and safety - are hot button issues for our society as a whole. The discussions that take place here reflect those concerns and, I suspect, will continue for some time because the solutions do not appear to be right around the corner.</p>
<p>That said, I would like to encourage everyone to address others with a degree of civility. What does that mean? Speak to others in the same way you want them to speak to you. This is a gentle reminder and is not directed at any one individual. The emotions that pop up in the debates here do cut both ways.</p>
<p>As a journalist, I learned a long time ago the notion that it is possible to learn something from each and every other person. This forum offers one such possibility. Enjoy it.</p>
<p>Regards,<br />
ed</p>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362591</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Sun, 22 Jun 2008 04:57:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362591</guid>
		<description>In the usual interest of being a contrarian - I have already expressed, and mean, my regret that HC is leaving.  And I am honored to have (at least mostly) been on her list of relative good guys, despite our different perspectives.

But I will say that no one here has been above, or below, flaming and personalized attacks.  That was, frankly, my view of HC when she first arrived.  I believe this site contributed to her own sense of wider possibilities.  I suspect she gained from that, just as most of us have since gained from her.

If, now, it is curtain call I suppose I can't help but see it as a kind of full-circle.  If there have been, and continue to be, direct and personal attacks, of course, I do understand.  There are folks who visit here to whom I would not engage in discussion, and - trust me on this - they are as often on the (relative) "anti" side re: the industry as the "pro" side.   As I look up this thread, I see ad hominem attacks on several sides and fronts.

People who do this persistently can be avoided.  And direct, off-the-wall attacks (I've experienced a few) can be responded to directly.  It's hard for me to understand what is gained by ditching a whole site because of these episodes, but wudda I know?  Maybe (and I mean this) I have missed some of the more hostile responses.

So a good night to all, and I hope onward and forward as much as we are able.</description>
		<content:encoded><![CDATA[<p>In the usual interest of being a contrarian - I have already expressed, and mean, my regret that HC is leaving.  And I am honored to have (at least mostly) been on her list of relative good guys, despite our different perspectives.</p>
<p>But I will say that no one here has been above, or below, flaming and personalized attacks.  That was, frankly, my view of HC when she first arrived.  I believe this site contributed to her own sense of wider possibilities.  I suspect she gained from that, just as most of us have since gained from her.</p>
<p>If, now, it is curtain call I suppose I can&#8217;t help but see it as a kind of full-circle.  If there have been, and continue to be, direct and personal attacks, of course, I do understand.  There are folks who visit here to whom I would not engage in discussion, and - trust me on this - they are as often on the (relative) &#8220;anti&#8221; side re: the industry as the &#8220;pro&#8221; side.   As I look up this thread, I see ad hominem attacks on several sides and fronts.</p>
<p>People who do this persistently can be avoided.  And direct, off-the-wall attacks (I&#8217;ve experienced a few) can be responded to directly.  It&#8217;s hard for me to understand what is gained by ditching a whole site because of these episodes, but wudda I know?  Maybe (and I mean this) I have missed some of the more hostile responses.</p>
<p>So a good night to all, and I hope onward and forward as much as we are able.</p>
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		<title>By: Jaynesday</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362568</link>
		<dc:creator>Jaynesday</dc:creator>
		<pubDate>Sun, 22 Jun 2008 02:52:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362568</guid>
		<description>HC,
It is a shame that you have been so offended by some. How easy it is for us to use words in a mean spirited way. The power of the word can be very, very good or equally bad. It is our choice.

There are so many good things that can come from this kind of communications but obviously it has its weakness. That weakness only originates in our hearts and is often a selfish desire to elevate ourselves above others. When we do this we destroy any really meaningful communications. 
I am sure that if we met person to person we would never be so bold but in this kind of forum we can only see the letters on a screen. With anonymity sometimes we act like children, I admit, myself included; but what a loss when we cross the line and allow our emotions to destroy our connections. I remember Ed framing this forum as a lawn party. How different we would act if we came here with that mindset.
 
Sorry for being so preachy but HC you will be missed. I don’t think that I would be so interested in visiting this party if all I heard was one side of the story. I really want to understand the pharmaceutical industry and your insight has helped. 
Thanks</description>
		<content:encoded><![CDATA[<p>HC,<br />
It is a shame that you have been so offended by some. How easy it is for us to use words in a mean spirited way. The power of the word can be very, very good or equally bad. It is our choice.</p>
<p>There are so many good things that can come from this kind of communications but obviously it has its weakness. That weakness only originates in our hearts and is often a selfish desire to elevate ourselves above others. When we do this we destroy any really meaningful communications.<br />
I am sure that if we met person to person we would never be so bold but in this kind of forum we can only see the letters on a screen. With anonymity sometimes we act like children, I admit, myself included; but what a loss when we cross the line and allow our emotions to destroy our connections. I remember Ed framing this forum as a lawn party. How different we would act if we came here with that mindset.</p>
<p>Sorry for being so preachy but HC you will be missed. I don’t think that I would be so interested in visiting this party if all I heard was one side of the story. I really want to understand the pharmaceutical industry and your insight has helped.<br />
Thanks</p>
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		<title>By: HorusCat</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362566</link>
		<dc:creator>HorusCat</dc:creator>
		<pubDate>Sun, 22 Jun 2008 02:45:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362566</guid>
		<description>Nathan,
You can always email me at cathorus@yahoo.com.  I will respond to anyone who emails me in good faith.  I am thinking about starting my own blog, but not sure I am detail-oriented enough to pull it all together.  I enjoy the back-and-forth on a blog--as Dr. Sal puts it: earnest discussion and spirited debate.  I just don't ken to being called a baby-killer.  I did like Jesus Freak, I have to say, although truthman meant it as an insult.  

Anyway, I'll check back in now and then, I just won't be posting.  And maybe coming soon to a website near you...</description>
		<content:encoded><![CDATA[<p>Nathan,<br />
You can always email me at <a href="mailto:cathorus@yahoo.com">cathorus@yahoo.com</a>.  I will respond to anyone who emails me in good faith.  I am thinking about starting my own blog, but not sure I am detail-oriented enough to pull it all together.  I enjoy the back-and-forth on a blog&#8211;as Dr. Sal puts it: earnest discussion and spirited debate.  I just don&#8217;t ken to being called a baby-killer.  I did like Jesus Freak, I have to say, although truthman meant it as an insult.  </p>
<p>Anyway, I&#8217;ll check back in now and then, I just won&#8217;t be posting.  And maybe coming soon to a website near you&#8230;</p>
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		<title>By: Bob Freeman</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362563</link>
		<dc:creator>Bob Freeman</dc:creator>
		<pubDate>Sun, 22 Jun 2008 02:22:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362563</guid>
		<description>It would be a pity if you left, HC.  You will be missed.</description>
		<content:encoded><![CDATA[<p>It would be a pity if you left, HC.  You will be missed.</p>
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		<title>By: Nathan</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362551</link>
		<dc:creator>Nathan</dc:creator>
		<pubDate>Sun, 22 Jun 2008 01:24:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362551</guid>
		<description>Horus,
I've come very close to giving up on this site a few times.  But Truthman, pg, and FPME seem to know just the right words to say to get me so pissed-off that I can't help but chime in...  It's funny, but when I take breaks from this site from time-to-time, I realize that most people are not generally anti-pharma.  This site just seems to attract them somehow.  Part of it (sorry Ed) is the stories that Ed chooses to run. 

I often come away from this site completely bumed about the line of work I entered.  Partly from the conversation on this site and partly from the negative stories I have to read every single day.  (Ed, do you think you could pick one day a week as a "positive" day and only run feel-good stories about the good the pharmaceuticals accomplish? ;-&#62; Ha! That'll be the day!)

Anyway, like the others, I'm sorry to see you go - but I certainly don't blame you.  Let me know if you post on any other sites.  I enjoy reading your insites.  I get to hear pharma research perspectives all the time, but I almost never interact with people on the marketing end of the buisness.  

Best of luck.</description>
		<content:encoded><![CDATA[<p>Horus,<br />
I&#8217;ve come very close to giving up on this site a few times.  But Truthman, pg, and FPME seem to know just the right words to say to get me so pissed-off that I can&#8217;t help but chime in&#8230;  It&#8217;s funny, but when I take breaks from this site from time-to-time, I realize that most people are not generally anti-pharma.  This site just seems to attract them somehow.  Part of it (sorry Ed) is the stories that Ed chooses to run. </p>
<p>I often come away from this site completely bumed about the line of work I entered.  Partly from the conversation on this site and partly from the negative stories I have to read every single day.  (Ed, do you think you could pick one day a week as a &#8220;positive&#8221; day and only run feel-good stories about the good the pharmaceuticals accomplish? ;-&gt; Ha! That&#8217;ll be the day!)</p>
<p>Anyway, like the others, I&#8217;m sorry to see you go - but I certainly don&#8217;t blame you.  Let me know if you post on any other sites.  I enjoy reading your insites.  I get to hear pharma research perspectives all the time, but I almost never interact with people on the marketing end of the buisness.  </p>
<p>Best of luck.</p>
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		<title>By: truthman30</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362546</link>
		<dc:creator>truthman30</dc:creator>
		<pubDate>Sun, 22 Jun 2008 00:28:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362546</guid>
		<description>It is a shame that you are leaving HorusCat and contrary to what you might believe, I think it would be a shame if you were to go.. your insight  is very valuable here, and although we disagree most of the time, I do think your input is for the most part, intelligent, interesting and concise...

Also I would just like to clarify, I am and never have been anti-pharma, yes I am vocal about Paxil and the issues which come with that but I am not anti-pharma or anti-drugs. What I would like to see though is an ethical industry which puts patients before profits as I think that is in everyone's interest... 

We all need access to safe drugs and the industry should always put safety before profits and maybe if people like myself and others didn't speak out nothing would ever be done.. 

I do hope that the because of the efforts of the many voices of change one day an industry which values humanity and ethics above all else will be the "norm" for future generations...

Little ripples can become waves ..</description>
		<content:encoded><![CDATA[<p>It is a shame that you are leaving HorusCat and contrary to what you might believe, I think it would be a shame if you were to go.. your insight  is very valuable here, and although we disagree most of the time, I do think your input is for the most part, intelligent, interesting and concise&#8230;</p>
<p>Also I would just like to clarify, I am and never have been anti-pharma, yes I am vocal about Paxil and the issues which come with that but I am not anti-pharma or anti-drugs. What I would like to see though is an ethical industry which puts patients before profits as I think that is in everyone&#8217;s interest&#8230; </p>
<p>We all need access to safe drugs and the industry should always put safety before profits and maybe if people like myself and others didn&#8217;t speak out nothing would ever be done.. </p>
<p>I do hope that the because of the efforts of the many voices of change one day an industry which values humanity and ethics above all else will be the &#8220;norm&#8221; for future generations&#8230;</p>
<p>Little ripples can become waves ..</p>
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		<title>By: Dr. Sal Giorgianni</title>
		<link>http://www.pharmalot.com/2008/06/consumers-want-gifts-to-docs-disclosed-survey/#comment-362530</link>
		<dc:creator>Dr. Sal Giorgianni</dc:creator>
		<pubDate>Sat, 21 Jun 2008 22:56:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=14182#comment-362530</guid>
		<description>I believe Ms. HoursCat is used to ernest discussions and spirited debates but, as I do, I suspect that she would far prefer a modicum of civillity from all bloggers to guide these posts.

'Tiz a shame.</description>
		<content:encoded><![CDATA[<p>I believe Ms. HoursCat is used to ernest discussions and spirited debates but, as I do, I suspect that she would far prefer a modicum of civillity from all bloggers to guide these posts.</p>
<p>&#8216;Tiz a shame.</p>
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