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  • Main Subject - The Vanishing Mail

    Am I Just Being Paranoid Or Are The Robots Out To Get Me?

    It all started in the early part of the twenty-first century.

    In the early days of email we were thrilled with its speed and reliability, far superior to "snail mail" but there's always somebody who ha
    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
    s to go and spoil things for everyone else. In the case of email it was the purveyors of the namesake of a certain pork-based substance. They became such a nuisance that large teams of robots had to be employed to keep them under control.

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

    Examples of combination products may in
    smarter, the robots had to become smarter still. At first, everybody agreed that stringent measures must be taken to defeat the porkers. Ever hear the phrase "throwing the baby out with the bath water" or "the cure is worse than the disease"?

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

    pam merchants multiplied over and over. Eventually, the only way of controlling them was for every email user to have his or her own robot to filter their mail. I did not want a robot filtering my mail but I didn't have much choice: nobody was allowed an ema
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    il account without a robot to monitor its use.

    Every time I log into my email, I pause and listen for the faint metallic scraping and a slight pneumatic wheeze as the robot wakes and prepares to filter my mail. No matter how quiet I am, he always knows and is
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    instantly awake and alert, ready to do his job. I did not request robotic help, don't want it, don't need it but the robot is here to stay.

    I think my robot is like the paranoid android in The Hitchhiker's Guide To The Galaxy: slow moving and depressive, so
    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
    I call him Marvin (not to his face, of course). I don't suppose my Marvin feels that censoring my mail is a suitable occupation for a robot of his caliber, any more that his namesake thought attending the car park at the end of the universe was a great career
    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
    for a robot with a brain the size of a planet. On my part, I am sure that I am old enough to take full responsibility for my own correspondence. There is no need for Marvin to wear out his circuits on my account but it appears that we are stuck with each othe
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    r for the duration.

    The extent of Marvin's power first caught my attention when a regular newsletter which I enjoyed failed to arrive. Delivery just stopped altogether.

    I asked my email provider if there was a problem with this particular mail and they said
    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
    there was nothing wrong with my mailbox, it must be a problem with the sender. I asked the sender why delivery had stopped and they said it hadn't, it must be a problem with my mailbox. I gave up and just resubscribed myself to the newsletter. Every time del
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ivery stopped after that I wondered what else I might be missing in the way of interesting mail.

    It was shortly after this that it became apparent to me that Marvin has a bad attitude. Now I can sympathise with him because I know how it feels to be stuck in a
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    boring job while the brain cells shrivel. That doesn't mean I think he should behave badly, he should do the job to the best of his ability (even if it is beneath him) and not make mischief.

    Everyone seems to believe that the robots keep changing the rules i
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    n an effort to keep ahead of the porkers but I don't believe that. I think they keep changing the rules mostly out of boredom but, in Marvin's case, I sense a certain underlying malevolence. This surfaced recently when I sent an email to a friend I had not he
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ard from for a while. My mail bounced back with a message to the effect that spam would not be delivered. How dare they, Spam indeed! From that day on, every mail I tried to send bounced straight back at me.

    Angrily, I contacted the email company support de
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    sk to complain. They helpfully told me that this problem was nothing to do with them, I must have used forbidden words in my emails and that was why they bounced. The forbidden words included "friend", "free", "you", "internet", "remove". The list of forbid
    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
    den words is long and growing longer by the day, it is difficult to make up proper sentences without using the forbidden words, soon our only way of emailing will be by inventing a new language.

    My problem now is that I cannot get email through to my friends a
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    nd they cannot get email to me. Too late I realised that we neglected to exchange phone numbers: there seemed no point when email was so quick and easy. Now I can't send email, can't receive email, the robot has isolated me.

    Only one way left to break out of
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    quarantine and it's a long time since I sat with pen and paper to write letters. I won't use the word processor as I am convinced Marvin will recognise it as a means of communication but I don't think he will know what the pen is for and I doubt he'll be susp
    .

    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
    icious if I take some envelopes with me next time I go out. A glorified email filter is hardly likely to know the purpose of a mailbox which is not of the virtual variety.

    I hear Marvin stir even though I have not switched on my computer, he seems to have the
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    ability to read my mind. There is a faint clanking sound, the smell of ozone, an electrical crackle in the air. His hand on my shoulder is heavy and cold, the steel joints creak as his fingers tighten. I don't think I will be going out to post any letters.


    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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