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Pepin’s Pharmaceutical Prattle for 01-10-2005

 

Quote of the day:    The desire to take medicine is perhaps the greatest feature which distinguishes man from animals. Sir William Osler, In H. Cushing, Life of Sir William Osler (1925)

 

Joke of the day:        A Short History of Medicine:

"I have an ear ache."

2000 B.C. - "Here, eat this root."
1000 A.D. - "That root is heathen, say this prayer."
1850 A.D. - "That prayer is superstition, drink this potion."
1920 A.D. - "That potion is snake oil, swallow this pill."
1985 A.D. - "That pill is ineffective, take this FDA-approved COX-2 inhibitor."
2005 A.D. - "That COX-2 inhibitor is dangerous. Here, eat this root."

Good morning!

 Good morning ! 

 Four Squares

There are essentially four quadrants for making money. Normally each person occupies but one square.

The employee exchanges time for money. The consultant exchanges time for more money per hour but still no leverage. The business owner hires people who exchange there time for money and makes money based upon a business system. In theory the owner can expand they capacity to meet demand and make more. The investor owns the business and reaps the rewards with no input of personal time.

 

Sounds great on the surface but there are risks to each as well.  The employee’s risk lies in continuation of employment but the paycheck is assured.  The consultant’s risk lies in loosing a client or keeping one that does not pay. More risk and larger reward. The business owner is on the hook for the salaries of the hired people (whether or not they are producing more that they cost). The investor owns the most risk because the business could lose money if not effectively managed.

 While risks and rewards are linked, so too, the whole. It does not matter in which quadrant you work, you are part of the whole square. If you are not doing your work in square one then the investors in square 4 are injured. If you are in the owner- management square and make a bad decision then investors may lose and employees may be laid off. 

 While these are the ways to MAKE money there are additional ways to have the whole system deteriorate. Outside influences such as legislation, litigation, disaster (natural or man-made) can effect the whole square. For the travel industry it was 9/11. For drug companies it might be a drug recall, reimportation, or patent loss.  Whatever the outside pressure, it only makes sense for all parties to “circle the wagons” and try just that much harder. Employees should work to be more productive, management to make sound decisions based upon solid information and projections and investors to accept smaller returns for awhile, until the storm passes.

 If the business is expanding then it only makes sense for employees to be productive, managers to manage effectively and owners to enjoy profits.

 So the bottom line is two-fold:

1) If you want to shift your earnings potential then you will have to shift your risk profile.

2) Do your best in good times or bad times (it's in everyone's best interest!)

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ps. Best answer this week to the question "How are you?" was "Vital signs are stable"  ... I think this is a variation on "Every day above ground is a good one".

 

pps. Apologies to whomever came up with the original idea for the grid box. I've read so many management books that they are all starting to blur together (in a good, kind of ingrained, way).

1)  Enough news to give you a belly ache…

In the wake of the Vioxx, Celebrex, Bextra, and naproxen news I see an article claiming extensive damage to the small intestine (the part just below the stomach) due to NSAIDs. Before you get too riled up you should know that this was a very small study.  http://www.scienceblog.com/cms/node/6596/print

 2) Terminator works on drug prices without doing so illegally.

Arnold wants to lower prices WITHOUT importing Canadian Drugs …

http://www.bloomberg.com/apps/news?pid=10000103&sid=aXbwQPSrHh8s&refer=internet_drug_news_inc

 3) Time travel?

Second article provides evidence that Arnold may have come from the future because he saw this coming… Canada may stop sending drugs to the US.     Canadian ministers just might put the kybosh on cross-border sales.

 http://story.news.yahoo.com/news?tmpl=story&cid=534&ncid=534&e=3&u=/ap/20050106/ap_on_he_me/canada_internet_drugs

 4) New math may save Social Security without legislation or acute pain.

By changing the way in which the social security benefits are indexed, the pay out to beneficiaries will be less but I'd rather get a little less than get nothing at all. (PHARMWORKS projection: If a means test was also to be  applied then those who need it will get enough help and those that really don't NEED it won't take any at all. )

http://www.chron.com/cs/CDA/printstory.mpl/nation/2976442

 

 

            Call the Senior Lending Specialist I use:

Maria (Pepin) Sifuentes at 1-800-322-4025 Extn 724

msifuentes@affinity-mortgage.com

Mention the Prattle and get $100 off your closing costs.

www.affinity-mortgage.com      

  5) To Flu or not to flu….THAT is the question

Medicare will test paying for Tamiflu and Relenza through MAY of this year as a demonstration project. There is not a lot of information available on the “study” design at this point. With the “light” flu season and the confusion surrounding a drug benefit I will project that the government will see what everyone else has so far…. It is not cost effective to use these drugs. (Just my opinion…. I could be wrong!)    http://www.reutershealth.com/en/index.html

 6) Name change for anti-Alzheimer drug

J&J announced a name change for Reminyl but forgot to say what it will be changed to! (The name Reminyl was being confused with an antidiabetic drug called Amaryl and deaths/injuries were occurring)

 … I could never remember that name anyway… (May I suggest Reminda?  sort of a gangsta hip-hop memory thing! )

 http://www.fda.gov/medwatch/SAFETY/2004/reminyl_dearpharm.htm

7) Here…. Drink this red berry juice

Red wine thought to reduce risk of prostate cancer. In the process it will trigger migraine headaches in sensitive people. We’ll have to see what finally comes of this.

http://www.reutershealth.com/en/index.html

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  Have a SUPER-FANTASTIC week. Steve
  Disclaimer: "Pepin's Pharmaceutical Prattle" (AKA "The Prattle") is the property of PHARMWORKS, LLC and Steven M. Pepin, Pharm. D, BCPS. The opinions expressed are those of the bald-headed author. To start or stop any drug without the advice and supervision of your physician would be stupid. So don't do anything based upon what you read here without professional advice. To be added to or removed from the distribution list please e-mail your request to spepin@pharmworks.com . All insightful comments from readers are thoughtfully considered (the rest are callously discarded). Copyright 1998-2005 PHARMWORKS, LLC all rights reserved.

 

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