Your Space - Health and Fitness

Michael Richardson, MD has some suggestions on maximizing your next doctor's visit.

•Find a primary care doctor you can t

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

alk to and start building a relationship. Make a “well visit” to get acquainted. Be sure your medical and alternative hea

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

th care providers keep your doctor up-to-date. This will help to avoid drug interactions, duplicate testing, and unnecessa

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

ry health expenditures.

•What are your top 3 concerns? Write them down in order of priority. Make sure they are understan

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

able and logical. Most doctors are very efficient in addressing multiple issues when necessary, as long as you are organiz

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

d and clear. In other words, don’t waste time piecing a story together. Save it for problem solving.

•Where does it hurt?

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

This is not the time to act heroic or shy. Tell it like it is. Be honest about your concerns.

•Listen up! Don’t move on

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

o thinking about how to ask the next question without understanding the answer to the first one.

•Do you have any problem

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

s taking specific drugs? Let the doctor know. Keep a written list of drugs and supplements that have given you problems. I

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

will save time and help prevent future adverse reactions.

•How healthy is your family? Medical problems experienced by f

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

mily members may directly affect your health risks. Keep the doctor up-to-date about new family events.

•Don’t be passive

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

. Make it easy for your doctor to contact you with test results or other health-related information. Refuse to accept “If

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

ou don’t hear from us, then everything is OK”.

•Know your insurance and what you’ll get paid. Some medical offices deal w

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

ith hundreds of insurance plans, including those that have different versions depending on the employer. Your doctor may n

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

t know what your plan covers, when referrals are required, or what you drug plan is like. Do your homework!

•Make sure yo

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

’re #1. Watch for signs that you may receive better care elsewhere such as long waits, frequent interruptions, unreturned

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

calls and differences in philosophy.

•Over 50% of all marriages end in divorce. Not all doctor relationships work out ei

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

her. If your approach to medical care, philosophy toward life, and/or style of communication are simply not compatible wit

.

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

h your doctor’s, recognize it and move on.

Dr. Richardson is the author of “Health Basics, a Doctor’s Plainspoken Advice

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

bout How Your Body Works and What to do When it Doesn’t”. It’s a goldmine of vital information on managing your well-being

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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The primary advantage to formal configuration management is a resulting project with good change management, as evidenced through changes that are properly identified, structured, linked and owned. Configuration management provides the documentation explaining why the project changes occurred, who approved the changes, and who the assigned change owner is.

Project management is the process of applying one's know-how or knowledge in overseeing and managing a project of whatever magnitude. Do not think that project management is required only by big projects. Small projects can also benefit from an effective project management.

The Feds have taken something that should be rather simple and mushroomed it into a plan that takes a zillion insurance companies to administer. It's the MedicareRx Plan. What's going on in Idaho.

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