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Biotech / Medical : SCIO Scios Inc.

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Aug 19 5:00 PM EST

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To: Miljenko Zuanic who wrote (1368)	5/28/2001 5:50:53 PM
From: Robert Cohen	Read Replies (2) of 1477

To suggest that I or any Emergency Physician would choose a therapeutic agent based on some economic benefit to either the physician or to the hospital is absurd. For example, in the treatment of acute myocardial infarction (heart attack)the decision to use thrombolytic therapy is based ONLY on the indications for its use not on the ability of the patient to pay or the type of insurance coverage. In my 20+ years of practice I have never been approached by hospital administrators or another physician to alter my treatment based on economic issues. NTG is in fact safe and effective and cheap. Whether Scios's new drug will become the standard of care in the treatment of pulmonary edema will not only depend on the results of the double blind study but also how well it is marketed. Finally, all of the press releases indicate that IV NTG is the standard of care. I repeat that I rarely am forced to use IV NTG in this setting. Robert

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