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Posted on Mar 10, 2024, 9:10 am
#11

Quote from: Marie_Bard on March 09, 2024, 09:43:00 AMIt is clear that there are problems with Pmax and Paley seems to speak more like a company spokesperson, explaining without really explaining anything. Imo, this withdrawal seems to be unplanned and ominous. You do not just launch a new product without having a plan about its production and supply for the following months; And how can you claim problems in supply when the demand is known to you from before (pmax was alaways meant to be available ony to Paley a few others at this phase; it's not like there was a tsunami of orders that the production could not handle and crushed!). I think we should just wait longer and be cautious until we are sure that a new implant is safely tested and available.

Agree. Anyone who works in business knows that with controlled supply you don’t just suddenly run into “supply issues” or are able to predict them. If they saw supply issues coming they would’ve pointed it out right before its release. Or they could say that it was an initial batch and further ones would take a while to arrive. Very strange as surgeries were already booked, no one would do this if they knew that supply was short.

It’s just disappointing that the most respected LL surgeon turned out to do this, it does not damage his medical knowledge but it does put his honesty and patient safety into question. If one is ok about possibly lying about this, what else has been covered up?

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Posted on Mar 10, 2024, 9:13 am
#12

Quote from: CLLvet on March 09, 2024, 03:02:17 PMIf I am not mistaken, Paley invented Precice.

Does that mean he receives royalties (from Precice and now Precice Max) every time a nail is sold?

I have a lot of respect for him also. Think he is a great surgeon and a pioneer with regard to limb lengthening. But that sort of financial motivation could lead to bias (we are all human, after all). 

And yes, this sudden supply shortage immediately after this new hyped-up product roles out is "strange" to say the least. Plus the fact that there seems to be a lot of controversy on whether the nail is fully weight-bearing or not. Paley says it is, but FDA has stated that it needs more testing.

It is very likely that royalties are involved hence the position of speaking like a spokesperson rather than a surgeon when it comes to Precise nails. The bias is pretty disappointing as patients may struggle to make an informed decision. The FDA report may indicate that this nail didn’t have enough testing. This theory is supported by this sudden “supply shortage”.

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Posted on Mar 20, 2024, 10:24 pm
#13

Someone's nails were defective and didn't lengthen.

Nothing bad happened, nails got replaced for the guy

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