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	<title>
	Comments on: &#8220;Dodgeball&#8221; at Merck	</title>
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	<link>https://www.overlawyered.com/2005/11/dodgeball-at-merck/</link>
	<description>Chronicling the high cost of our legal system</description>
	<lastBuildDate>Sun, 13 Nov 2005 12:03:22 +0000</lastBuildDate>
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	<item>
		<title>
		By: Ted		</title>
		<link>https://www.overlawyered.com/2005/11/dodgeball-at-merck/comment-page-1/#comment-1532</link>

		<dc:creator><![CDATA[Ted]]></dc:creator>
		<pubDate>Sun, 13 Nov 2005 12:03:22 +0000</pubDate>
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					<description><![CDATA[You state this like it&#039;s a proven lie, when it&#039;s nothing of the sort.  E.g., T.R. Hegi, et al., &quot;Effect of rofecoxib on platelet aggregation and blood loss in gynaecological and breast surgery compared with diclofenac&quot;, Br J Anaesth 2004; 92: 523–31.  I suspect the studies you&#039;re referring to are those that commend COX-2 inhibitors as an alternative to NSAIDs, because, unlike NSAIDs, the COX-2s don&#039;t inhibit platelet aggregation, which would be an undesirable side effect in post-operative settings.

In any event, Mark Lanier aren&#039;t using the &quot;Dodgeball&quot; document because it took a reasonable position in training lay Merck representatives the appropriate soundbites for responding to questions, but because it&#039;s titled &quot;Dodgeball.&quot;
]]></description>
			<content:encoded><![CDATA[<p>You state this like it&#8217;s a proven lie, when it&#8217;s nothing of the sort.  E.g., T.R. Hegi, et al., &#8220;Effect of rofecoxib on platelet aggregation and blood loss in gynaecological and breast surgery compared with diclofenac&#8221;, Br J Anaesth 2004; 92: 523–31.  I suspect the studies you&#8217;re referring to are those that commend COX-2 inhibitors as an alternative to NSAIDs, because, unlike NSAIDs, the COX-2s don&#8217;t inhibit platelet aggregation, which would be an undesirable side effect in post-operative settings.</p>
<p>In any event, Mark Lanier aren&#8217;t using the &#8220;Dodgeball&#8221; document because it took a reasonable position in training lay Merck representatives the appropriate soundbites for responding to questions, but because it&#8217;s titled &#8220;Dodgeball.&#8221;</p>
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		<title>
		By: David Vander Ploeg		</title>
		<link>https://www.overlawyered.com/2005/11/dodgeball-at-merck/comment-page-1/#comment-1531</link>

		<dc:creator><![CDATA[David Vander Ploeg]]></dc:creator>
		<pubDate>Thu, 10 Nov 2005 18:08:25 +0000</pubDate>
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					<description><![CDATA[When PointofLaw read the Dodgeball pamphlet, did he know the pharmacological effects of Cox-2&#039;s on platelet aggregation? Starting in the mid 90’s, multiple studies show that Cox-2’s cause platelet aggregation.  Keeping this in mind, I present the following Dodgeball excerpt:
&quot;Question: If the physician is concerned about a potential increase in the risk for MI, how would you respond?
Answer: Doctor, once daily VIOXX has no effect on platelet aggregation.&quot;

]]></description>
			<content:encoded><![CDATA[<p>When PointofLaw read the Dodgeball pamphlet, did he know the pharmacological effects of Cox-2&#8217;s on platelet aggregation? Starting in the mid 90’s, multiple studies show that Cox-2’s cause platelet aggregation.  Keeping this in mind, I present the following Dodgeball excerpt:<br />
&#8220;Question: If the physician is concerned about a potential increase in the risk for MI, how would you respond?<br />
Answer: Doctor, once daily VIOXX has no effect on platelet aggregation.&#8221;</p>
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