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  • Advice Pool - Gender Incompatibility (Humor)

    What makes two people incompatible? How do you recognize the elements of incompatibility?

    Many lucky relationships take off like a rocket and, in spite of occasional ups and downs, last a lifetime. However, a great number of relationships don't fare so well. Why? What makes two people incompatible? H
    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
    ow do you recognize the elements of incompatibility? And how do you avoid getting entangled in a no-win situation?

    These and other such crucial questions will not be answered in this article. Mainly, because of space problems. Secondly, because I haven't the faintest idea what the answers are. If I d
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    d, I'd buy a big couch, a good clock, and bill clients by the nanoseconds.

    But analyzing a few case histories may at least help shed some light on the matter. After that, who knows, the answers may be just around the corner.

    One case worth recounting is Bernie's. (Bernie was not his real name. His p
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    rents never told him his real name.) Bernie went out with this girl for four months before realizing that the only thing he had in common with her was a Maytag repairman. In the end, he said the relationship taught him that when a "spin cycle" begins to look more like a "slow rinse" it's time to hang
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    t up to dry. Now he's going out with someone more compatible, and he's bubbling with joy.

    Then, there was this married couple who, although both were sports buffs, was incompatible because, ironically, they had something else in common -- both had to have the last word. Watching them argue was like w
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    tching a baseball game go into eighty-seven innings. Hardly a day passed that the "game" was "rained out." One heated argument resulted in the tossing of all their china ware at each other -- they referred to it as "The World Series." Actually, in a strange sort of way, they seemed to enjoy their shou
    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
    ting and carrying on. But the marriage almost ended in divorce when she got laryngitis. Their marriage counselor recommended a live-in umpire. Eventually, they learned to adjust to their problem -- now, before every argument, they sing The Star-Spangled Banner.

    Another couple got divorced for religio
    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
    s reasons -- she worshipped money, he had none.

    To assist in the analysis of the problems of incompatibility, I decided to enlist the help of an old friend, a world-renowned psychologist, a genius without equal, a legend on her own couch, a master of treacherous love affairs, Dr. Tootsie Krestheimer.
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    (Her mentor is the noted sexologist Dr. Ruthy Westheimer with the heavy German accent.) It is reported that in her entire career no couple who came to her for counseling ever got divorced before their therapy bills were paid up. If that's not a phenomenal feat, I don't know what is.

    My visit with Dr.
    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
    Krestheimer began with a direct question: "What can you tell me about incompatibility?"

    "Vell, I tell you saamsing," she responded in her heavy Chinese-Bulgarian accent, "faanny you shoood esk about incompaataabeelity. Just lest veek vee did an experiment on dis saabject vit a particle accelerator. Y
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    u know vat is dis a particle accelerator?" I said, "Physicists use that. Aren't you a psychologist?" Impatiently, she replied, "I dabble in everysing! Jaast enswer ze qvestion!" I said, "Yes. It's an apparatus physicists use to accelerate subatomic particles to high velocities to determine what other
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    particles or energy will be released upon collision." She said, "Very good. You maast hev vone at home." I said, "I have two -- one in the kitchen, one in the bedroom." She continued, "Zo, instead of subatomic particles, vee pud in a male und a female rat vit contrasting personalities, und vee acceler
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    ted zem to sree [3] times ze speed zat zey voood normally run to get a piece of cheese." I interrupted, "What do you call contrasting personalities in rats?" She said, "Vone eats aap ze whole cheese aaz soon aaz you give it to heem, und ze ozer vone bakes ah shtrudel vit it." I said, "I see. Those are
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    definitely contrasting personalities."

    She went on: "After a few minutes, I und my rat specialist heard ze female rat sqveeking. Ze specialist tells me she vas saying, 'I'm not enjoying zis trip! Zis vasn't my idea. Zis is ze lest trip I'm taking vit you. Ven vee get beck, I vant to speak to my lawye
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    ." Dr. Krestheimer slammed down hard on her desk and exclaimed, "Zo, zere you hev it! Ze proof is in ze shtrudel!" I said, "You mean, pudding." She said, "Please, dun't mix aap my experiments." I asked, "So what does this prove?" She said, "It proooves zat ven two people are incompaateeble, vone mate
    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
    hoood not pressure ze ozer vone to go on a trip if he or she does not vant to go."

    Not quite grasping how she arrived at this conclusion, I demanded, "A rat squeaking in an a particle accelerator? How does this prove anything?" Angrily, she shouted, "Eenaaf of zis! Get out of my office! Vat do you kn
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    ow about rats?! You dun't even know how to bake ah shtrudel! In ze time I vasted vit you I coood hev made eenaaf maaney to buy a brend new couch und sree more condos! Out!"

    Only several hours after leaving Dr. Krestheimer's office did I realize the implications of her experiment. Reading between the
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    ines, I deduced that incompatibility is not necessarily irreversible -- two people with vastly different temperaments can learn to adjust to one another's idiosyncrasies. With this new awareness, I set out to explore relationships which I had previously considered unsuitable.

    I am now going out with
    .

    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
    girl who is seven inches taller than me, speaks only Slovak, and doesn't go out on a third date unless you open a joint account and write her into your will. How do we get along on a date? Well, I keep my right two tires slightly deflated so at least in the car we appear to be the same height. But tr
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    ing to have an intimate, heart-to-heart talk through an interpreter is not easy. And then, trying to find a movie which I like, and she likes, and the interpreter likes, and her lawyer likes, does put somewhat of a strain on the relationship. But when you get group discounts wherever you go, who cares


    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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