PRA update

Today isn't the greatest day, but things could be a lot worse. Right now my left knee and my right hand/wrist are bothering me. Not enough to take pain med for, but enough to notice.

Over the past few months I've been doing well. In early summer my symptoms started to intensify, but still not too bad. I had been having trouble with my stomach and difficulty swallowing, so my doc did a repeat gastroscopy to see if I might be having a reaction from the Doxycycline I'd been taking for the PRA. Fortunately I didn't have what he was concerned about (Eosinophilic esophagitis), I had another stricture, which was dilated. After the scope I restarted the Doxy and have been doing well on it.

Since the first of August I've been taking Doxycycline 100mg twice a day on Monday, Wednesday and Friday only. This dose seems to be keeping symptoms mostly at bay without upsetting my stomach.

Over the past 2 weeks I've also been trying something different. My doc had given me Voltaren, which is an anti-inflammatory or NSAID (non-steroidal anti-inflammatory drug). Voltaren has been on the market for a long time, and according to my doc, safer than the newer NSAIDs. I'm not convinced of this....they all seem to cause problems related to heart disease. Because of this, I decided to try and get off the Voltaren and switch over to plain aspirin.

Aspirin is not felt to be a drug that leads to heart disease, in fact it's used to treat heart disease. I've also done some research and it appears that aspirin works just as well as the prescription NSAIDs. So, a couple of weeks ago I stopped my Voltaren and started taking aspirin. I'm taking the "enteric coated" aspiring, which makes it less upsetting on the stomach as it's not broken down until it hits the intestine. I also make sure to take it with food and lots of liquid to make sure it doesn't get stuck in my esophagus.

So, right now I'm taking aspirin 2-3 times a day at most and doing fairly well. I'm still having some pain, but mostly quite tolerable. I've also been using Arnica gel on my hands, and other areas as needed. It seems to be working, but doesn't last too long.

"You drink the Kool-Aid"

Ex-Drug Sales Rep Tells All

To sell their drugs, pharmaceutical companies hire former cheerleaders and ex-models to wine and dine doctors, exaggerate the drug's benefits and underplay their side-effects, a former sales rep told a Congressional committee this morning

Shahram Ahari, who spent two years selling Prozac and Zypraxa for Eli Lily, told a Senate Aging Committee chaired by Sen. Herb Kohl, D-Wisc., that his job involved "rewarding physicians with gifts and attention for their allegiance to your product and company despite what may be ethically appropriate."

Ahari claims that drug companies like hiring former cheerleaders and ex-models, as well as former athletes and members of the military, many of whom have no background in science.

"On my first day of sales class, among 21 trainees and two instructors, I was the only one with any level of college-level science education," Ahari told ABCNews.com on Tuesday.

During their five-week training class, Ahari claims that instructors teach sales tactics, including how to exceed spending limits for important clients, being generous with free samples to leverage sales, using friendships and personal gifts to foster a "quid pro quo" relationship, and how to exploit sexual tension.

"The nature of this business is gift-giving," says Ahari. He claims that he's heard stories about sales reps helping to pay the cost of a doctor's swimming pool and another doctor who was routinely taken to a nightclub where a hostess was paid to keep him company.

Drug reps develop a positive view of their drug and a negative view of the competitors, according to Ahari. "You drink the Kool-Aid. We were taught to minimize the side effects and how to use conversational ploys to minimize it or to change the topic.

According to Ahari, the benefits could be lucrative for sales reps, who tended to earn more than researchers. On top of a base salary for starting reps of $50,000, "there were four quarterly bonuses, an annual bonus, stock options, a car, 401K, great health benefits, and a $60,000 expense account."

Read the rest here.

Preaching to the choir, I know....but maybe it will bring about some changes!