Hope Is A One Way Street

hopeI woke up crying today.

It used to be that I could alleviate some of the pain by staying still…but today, the exact opposite seems to hold true.

It hurts to sit down. It hurts to stand up. It hurts to lay down.  Pressing my forearms down on a tabletop, placing all of my weight on my right leg, and dangling my left leg does seem to provide a little bit of relief. (What this position could be called, I have no clue!)

Earlier today, I wasn’t even able to walk the few meters from my bedroom to my bathroom. I had to resort to peeing in a jar.

A few hours later, I eventually did make it to the bathroom, and into nice, hot bathtub…but I struggled to get back out. I was not able to towel dry myself, so I had to ask for help. Part of me still tried to get dressed on my own, but I quickly realized how futile the situation was. My husband asked if I needed help, and I accepted without skipping a beat.

I wish there was something that could magically take away all this pain. (I even found myself thinking that I would forever give up my ability to move and walk, if it meant a final end to all the pain.)  But I’m not going to sell myself short. I’m not going to wait around wishing for what “might” happen. I’m going to continue to figure out what works. I’ve already found a little rhythm that seems to be helping at the moment. Stand for a minute or two. Walk for a minute or two. Sit down for a minute or two. Lean against desk for a minute or two.

I’m going to accept my current limitations. I’m going to accept the presence of all of this pain. I’m going to do what I need to do in order to get through this.

But I’m not going to lose hope.

Stay tuned…for the next adventure of Rheumatoid Arthritis Guy!

17 Comments

Perpetual Exclusivity

Biologics CostA year and a half ago, during the great “health care reform” debate, I was startled by a little-discussed provision in the proposed legislation that was going to grant an extended period of exclusivity (i.e. protection from generic competition) to biotech firms. According to what I was reading in the press, the aim of these new laws was twofold: 1. ensure that the companies continue to innovate by ensuring that they are able to recoup their considerable research & development costs, and 2. protect consumers from the “inherent” unsafety of generic biologics.

I decided to do my own research in order to gain a more thorough understanding of what was really going on. I read the actual text of different versions of the proposed legislation. I looked at studies on the safety of brand-name versus generic drugs. I found and figured out how to interpret the financial reports of the major biotech companies. I queried donors/donations to certain members of Congress, and so on. Granted, this wasn’t my field of expertise (I have my BA in Architecture from Columbia and MA in Architecture from Harvard), but it was what I considered to be a pretty thorough review of numerous primary sources of information. The results can be read here: The Battle Over Biologics.

And while anything remotely related to this topic was causing heated political discussion (if it could even be called that) at the time, I was still shocked by the quantity and the content of many of the comments that I received here on this blog, in response to my post. I was accused of advocating for an increase in the number of drug-related deaths.  I was called a communist, a socialist, and everything in between. I was told I had no clue of business requirements and new product development (I guess I should have included all of my “credentials”, including the fact that I have more than 10 years experience working in new product development for high tech companies in Silicon Valley). I “had no clue” what I was talking about. I didn’t know this…I didn’t know that…and the attacks went on and on.

What I did know was that I had just done countless hours of research, this was my blog, and I was not going to engage with or respond to these particular individuals. I never did publish any of these comments.

There is one more thing that I actually did know: that there are ways of easily determining where certain comments come from.

An [unnamed] law firm in Washington, D.C., located on K Street (lobbyist, anyone?), which specializes in the protection of intellectual property and patents. The throw-away personal email address didn’t include a full name, but it did include enough information to determine exactly which one of the members of this law firm actually wrote the comment (nothing nefarious…just a quick review of said company’s website was all it took). Do I really need to say that this individual’s main clients were the same bio-tech firms that gained to profit so much from the proposed legislation?

Dear [unnamed] lawyer, I don’t think you were playing fair. You didn’t identify your real role in this debate, you just pretended to be a casual reader of Rheumatoid Arthritis Guy. Your firm probably receives huge amounts of money to lobby for your side, and have access to all types of press and media. Please allow those of us–who suffer directly from your decisions–to have our own little place, here on this blog, to discuss the issues amongst ourselves.

But it gets even better. Another individual, who said that I had blood on my hands because I was advocating for generic biologics, was actually the Director of Quality Control for a major [unnamed] biotech company. A few more clicks on the web (once again, nothing nefarious) reveal that this company had recently been accused by government agencies of producing its (brand name, mind you) drugs in production facilities in China…production facilities that lacked standard inspections and basic levels of quality control. Oh, and the worst part? All of the above was discovered only after the deaths of numerous patients. The reason for their deaths? Consumption of the tainted drugs that were produced and sold by this company. A few more clicks, and I was able to download a scanned copy of the company’s response to the government investigation…it even including the signature of the above-mentioned director of quality control.

Dear [unnamed] director of quality control, I’ll keep it simple: pot calling the kettle black!

So why, months (almost years) later, am I once again writing about this topic, and finally sharing what happened when I last wrote about biologics legislation? The biotech companies won. They got their 12 year exclusivity period. (Some had even hoped for as many as 14 years.) It’s because if they once again get their way, they are going to get something even “better”: a perpetual period of exclusivity.

Take a look at the following snippet that appeared in today’s Wall Street Journal Health Blog:

Biologics Brouhaha: A bipartisan group of senators is asking the FDA to interpret a provision of the health-care overhaul law in a way that would favor brand-name drug makers over companies hoping to make close copies of existing biologic drugs, the WSJ reports. The provision in question grants makers of biologics 12 years of market exclusivity; the letter, signed by Sens. Orrin Hatch, Kay Hagan and others, says the 12-year-clock should be reset if the original maker alters the drug to make it safer or more effective.

Their cover is blown. It’s not about recouping investment costs. It’s not about protecting consumer safety.

It’s about altering the drug before time runs out, and resetting the clock. Alter. Reset. Alter. Reset. It’s about preventing generic alternatives from ever coming to market. It’s about guaranteeing that the prices of these medicines continue to rise.

It’s about greed.

A lot of people who take biologics tell me that they would never use a generic alternative, even if it were less expensive. I respect their decision. I do not take biologics for my rheumatoid arthritis, but if I ever do, I would like to be able to make my own decision. I would like to be able to choose between a brand name option and a generic option.

Call me a socialist, call me an idealist, call me an advocate of death…it doesn’t really matter. What does matter is improving the the health of all of us who live with chronic and debilitating diseases. What does matter is ensuring that these drugs become more accessible and more affordable not just now, but also in the future.

It’s saddens me to see that we continue to head down the wrong path.

Stay tuned…for the next adventure of Rheumatoid Arthritis Guy!

Updated:

Jeff Levin-Scherz from Managing Healthcare Costs:

“These Senators are asking the FDA to make a decision that would be very good indeed for the biopharmas – but would increase the future cost of health care. This kind of decision would likely also diminish innovation, as firms tasked their scientists to protect expiring patents, rather than to develop novel treatments.”

9 Comments

Little Improvements

Little ImprovementsToday is only a few hours old, but already I’ve noticed a lot of little improvements!

I woke up at 8:00 a.m., as opposed to my usual time this past week of 11:00 a.m.

Instead of having my breakfast served to me, I cooked the food and brewed the coffee.

When I sat down to take my bath, my left knee actually opened up enough to press down against the bottom of tub. Only this morning did I realize how much of an indicator of my physical well-being this actually is.

While standing in front of the bathroom mirror (just yesterday I had to sit down as I groomed myself), I realized that I had a full head of hair. (After my hair started falling out again a couple of months ago due to my medicines, I shaved it and kept it shaved up until a few weeks ago.) I slapped on some hair gel, which has been sitting on the shelf untouched for months.

And as the photo above shows, I’m wearing blue jeans instead of warm-ups. This means that I’m actually leaving the house today! We’re “only” going out for lunch and then coming back home…but still, after days of bed rest, this is a biggie!

What little improvements will the rest of my day bring?

Stay tuned…for the next adventure of Rheumatoid Arthritis Guy!

8 Comments