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Re: [IP] Re: (IP) Medtronic's monopoly of the pump market

 I know what you're saying, and with pump life of 4 years, they have you once
you elect to try the MM pump. They're all sunshine and roses before the
signature is on the line, then they pull out the FDA bogeyman. "We have it but
the FDA is dragging their feet! Boo hoo! They hate children and we're trying to
get this through the process."

 Animas is no better with their $99 upgrade scam they did with the Vibe
(really... has the person that names these thing ever once thought how this
could be interpreted by the 7th grade mentality, like me?). Again, sunshine and
lollipops at the sales part, and when it came time to cash it in, they made up
new details, like, "oh yeah, you'll have to send us $799, and when we get your
Ping back, we'll give you your $700 back". They were good about that and
returned it within a week, but I really didn't need to be out $700, especially
when that detail wasn't available at purchase time. I made sure that the North
America customer service manager warned the salesman that will call me in 4
months (I'm at my 4 year mark in October) to be ready for a chewing out that
will involve no yelling, but a systematic disassembly of their sales practices,
not that they'll care.

 The sales crew at Tandem isn't too impressive, either. After telling them I
want the pump that communicates with the Dexcom, but I told them I'm going to
the G5, so she put down that I will be getting the old style. Hey, Buttercup,
you tell me what the choices are, and I'll tell you what I want. I know what my
insurance covers, and I also know that a pump that doesn't have CGM
communication won't ever have it, but one that does will still communicate with
a Dexcom G4 in 4 years, plus the upgrade cost, should you go to G5 comes out of
my pocket, and you can thank Animas for my jaded view of pump companies. Plus,
the CGM prescriptions are for a year, not 4, and I don't want to wait for the
next presidential election to get out of the pump with no CGM bandwagon.

 So, as I've learned from Dr. House: People lie. And salespeople are some of the
best people in the world.

Ok, rant off now...

Sent from my iPhone

 > On May 30, 2016, at 7:41 AM, Doug T-Slim+Dex
<email @ redacted> wrote:
> The 640 was predicted on 1/15/2015 to be available in US last month ... 
> Havent seen that yet.   
> My disappointments with Minimed are wide and varied but I won't focus on the
> sales techniques to parents of young type ones here 
> Lets just focus on the budgets, the domination of the market and the lagging
> behind of technology.  The prediction is that the new MM sensors will
> finally be as accurate as Dexcom.. maybe ... in studies..  sometimes. 
> Why is the 800 lb gorilla in the market lagging behind in accuracy to the
> upstart ( Dexcom ) ?  
> All the marketing hype about the 640g and the 670g means NOTHING without an
> accurate reliable sensor.     
> But what MM is really good at is marketing.  They market stuff that doesn't
> exist to keep people from buying the competitor... Just like the Dr in the
> example below ...  The patient switches to MM to be able to take advantage
> of something that only exists in US, in Powerpoint presentations.    
> I have an idea for MM, you already own more than half the market, how about
> moving some marketing dollars to R&D ?  
> While you are at it don't lie to the parents of newly diagnosed Type1 kids.
> 8 years ago I heard MM sales people telling the parents of young kids that
> MM was the right choice because closed loop was a year away.   There was no
> more truth to it then than there is now ... 
> I wish I had recorded the conversation.  
> Memorial Day rant off ... 
> -----Original Message-----
> From: email @ redacted
> [mailto:email @ redacted] On Behalf Of Pam
> Sent: Sunday, May 29, 2016 4:45 PM
> To: email @ redacted
> Subject: [IP] Re: (IP) Medtronic's monopoly of the pump market
> I had a long discussion recently with an endo who heads up a clinical trial
> research place where I've done various CGM studies. He said that his outfit
> has done numerous studies of both Dexcom and MM CGMs and he's seen all the
> data firsthand on both. He said in the clinical trials (i.e., what the FDA
> approval is based on), that the accuracy is virtually identical, but where
> they seem to differ is in the real world of user experience. He wasn't sure
> if that's because the trials are done wearing them on the stomach whereas
> most people really wear them on the arms or legs or what.
> Anyway, the point is that the results of the trials weren't false and I'm
> sure that even in the real world the figure is way higher than 10% of users
> for Medtronic satisfaction. A lot of people probably got disillusioned with
> the old MM sensors and switched to Dexcom and haven't tried the Enlites.
> Just like I started on the Dexcom 3 ten years ago and it was so bad that I
> switched to MM.
> That experience wouldn't stop me from using Dexcom now though if I had a
> compelling reason to.
> The endo I was talking to tended to recommend Dexcom because of the
> difference in user experience (I was telling him how I've worn MM sensors
> for 9 years and been happy with them). However, in the next breath he was
> telling another patient who uses a Dexcom to wait a year on getting a new
> pump because the upcoming Minimed system - the 640G with the Enlite 3
> sensors - that continually automatically tweaks the basals based on the
> sensor readings is supposed to be stupendous. He's seen the results of those
> studies, and, more importantly said that a group of participants in that
> trial liked it so much that they petitioned the FDA (unbeknownst to
> Medtronic) and got approval to keep the devices after the trial ended.
> The great thing about competition is that all the pump and CGM makers are
> always improving their products. Even though I use MM, I'm extremely happy
> that Dexcom exists because that's forced MM to drastically improve and vice
> versa.
> That's why I hope that no single company ends up having a monopoly on any
> given product.
> Pam
> Sent from my iPad
>>> On May 29, 2016, at 12:17 PM, insulin-pumpers-digest
>> <email @ redacted> wrote:
>> However my understanding is (if someone can find me a source) that the
> Medtronic
>> sensors work well for around 10% of the users. The Dexcom success rate 
>> is far
>> higher and probably in the 90's. However it's easy to imagine Medtronic
> putting
>> together some STATISTICS showing how safe they are.
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