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05/26/22 © ePharmaMonitor 2008 1 i am looking for information on lymph nodes under arm pits i had a tumor in my lymph node last year had radiation and was told it went away 2 months later it started growing back 3 months later had a pet scan and my doctor said my blood work was good it is about 3 or 4 inches hard and it is turning purple i have to wait a month to see my doctor cause he's on vacation i think they are making me wait is cause i dont have health insurance and have to wait till a certain doctor gives his time for people who dont have insurance it keeps me up at night worrying and it hurts and sometimes it feels like it is getting pinched please if anyone has any information please let me know i called the hosipital i am going to and i get no where i even got hung up in one department I developed neuropathy in my hands and feet. I take neurotin 4x a day, 300 mg. The neuropathy has leveled off, but has not improved. Has anyone's neuropathy improved to the point that medication is not needed? Anne -- I stopped Taxol in Nov. 2005. I still have neuropathy and other symptoms which include severe fatigue. I initially took Neurotin but it was not effective. I take Lyrica 150 mg. bid. It has lessened the pain and numbness in my toes but not completely. I also have balance issues. Recently my falls have caused injuries (down stairs and backwards off of a ladder). I am doing PT. I am frustrated because I am unable to work due to the fatigue and I want to get on with my life. I know that this is not good news for you. I recently read that 18% of the women who had neuropathy more than two years out could expect it to continue. On the other hand 78% is a large group and you could be in that one. Good luck. Anne, I have had neuropathy for several years. I take Neurontin, 1,800 mgs a day for something else; but it didn't help the neuropathy. What did help the neuropathy was taking low doses of Cymbalta, which is technically an anti-depressant. However, I only take 20 or 30 mgs at night; and it completely stops the neuropathy. I tried to stop taking it once; but the neuropathy was back in about 2 days. So, I stay on it. SOCIAL MEDIA: Listen, Everyone is Talking About You Webinar: August 20 th , 2008

E Pharma Monitor 2008 Social Media Listen, Everyone Is Talking About You (Tin180 Com)

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Page 1: E Pharma Monitor 2008   Social Media   Listen, Everyone Is Talking About You (Tin180 Com)

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i am looking for information on lymph nodes under arm pits i had a tumor in my lymph node last year had radiation and was told it went away 2 months later it started growing back 3 months later had a pet scan and my doctor said my blood work was good it is about 3 or 4 inches hard and it is turning purple i have to wait a month to see my doctor cause he's on vacation i think they are making me wait is cause i dont have health insurance and have to wait till a certain doctor gives his time for people who dont have insurance it keeps me up at night worrying and it hurts and sometimes it feels like it is getting pinched please if anyone has any information please let me know i called the hosipital i am going to and i get no where i even got hung up in one department

I developed neuropathy in my hands and feet. I take neurotin 4x a day, 300 mg. The neuropathy has leveled off, but has not improved. Has anyone's neuropathy improved to the point that medication is not needed?

Anne -- I stopped Taxol in Nov. 2005. I still have neuropathy and other symptoms which include severe fatigue. I initially took Neurotin but it was not effective. I take Lyrica 150 mg. bid. It has lessened the pain and numbness in my toes but not completely. I also have balance issues. Recently my falls have caused injuries (down stairs and backwards off of a ladder). I am doing PT. I am frustrated because I am unable to work due to the fatigue and I want to get on with my life. I know that this is not good news for you. I recently read that 18% of the women who had neuropathy more than two years out could expect it to continue. On the other hand 78% is a large group and you could be in that one. Good luck.

Anne, I have had neuropathy for several years. I take Neurontin, 1,800 mgs a day for something else; but it didn't help the neuropathy. What did help the neuropathy was taking low doses of Cymbalta, which is technically an anti-depressant. However, I only take 20 or 30 mgs at night; and it completely stops the neuropathy. I tried to stop taking it once; but the neuropathy was back in about 2 days. So, I stay on it.

I now take cymbalta for the peripheral neuropathy in the morning and then at 5 pm and 9 pm I take a 300 mgs of neurotin. In the interim, they cymbalta worked great, blocking the nerve pain. My doctor increased it to a second dose about 7 pm and eliminated the neurotin.

SOCIAL MEDIA: Listen, Everyone is Talking About YouWebinar: August 20th, 2008

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Blogs

WikisForums

Podcasts

Video Sharing

Social Networks

Permission Based Marketing

Pharma

Consumer(Patient)

HCP(Physician, Nurses)

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Source: iCrossing – How America Searches Health and Wellness January 2008

34%

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Online applications,platforms and media which

drive interaction, collaborationand the sharing of content and

personal perspectives

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ProfessionalOne third of online physicians use blogs, professional networks, forums, and message boards to connect with other physicians.

Patients &Consumers

20 million people use messageboards, communities, and blogs for health information today.

“Participate“

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Learn. Acquire Skills. Research. Share. Educate.

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Social media and multiple “value points”

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This year we reached a possible tipping point,with trust in “a person like me” surpassing evenacademics and doctors in most countries

Edelman 2006 Trust Barometer

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In light of their empowering social dynamics and volunteer economics, we suspect that patient-led online groups may prove to be a considerably more promising and sustainable health-care resource than professionally moderated therapy groups. ”

Dr. Dan Hoch, Board-certified epilepsy specialist,Department of Neurology at Massachusetts General Hospital

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Regulatory, Legal, Payers, Associations… and so on.

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Who? How? Why?

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Less control

More complicated

More dangerous

OLD NEW

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Percentage of all physicians go online for professional purposes

60%

97%

Online Physicians Reporting they Use or Are Interested in Using Online Physician Communities

60%US online consumers researching health-related topics online

33%US online consumers who have used at least one form of Social Computing for healthcare related purposes within the past 12 months

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All marketing will become interactive.”“ Forrester Report, US Interactive Marketing Forecast, 2007 To 2012, October 10, 2007

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To succeed in 2007, brand communications must not only be transparent, but offer some additional value before the audience will even tune in.”

“Hayes Roth, Chief Marketing OfficerLandor Associates

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Clinical &Detached

EmotionallyDirect & Honest

One Way Communication

Two Way Dialogue

Forums &Community

Product & DiseaseInformation

Condition Tools& Resources

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Clinical &Detached

EmotionallyDirect & Honest

One Way Communication

Two Way Dialogue

Forums &Community

Product & DiseaseInformation

Condition Tools& Resources

Health Specialists

Quality of Life

Disease Focus

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Extended caregiver and support networks

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kwazykelli

Feb 2008 April 2008 June 2008

25, 992

36, 163

46,755

19, 17822, 167

24, 397

August 2008

26, 365

56,126

Where are your COLs and POLs?

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Relinking the conversion chains.

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Listen. Observe. Engage.

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Therapeutic AreaOpportunity.

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Infertility treatment (clinic)Monitoring and ContentStrategy Optimization

Patient Content Rankingand Ratings

Extension of Core BrandValues Via Patient Exchange

Cautious = Limited Value

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I’m a…

Creator

Critic

Collector

Joiner

Spectator

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Cost Risk LevelDepth of

FeedbackPolicyEffort

Social Media Activity

Social Monitoring drivinge-content strategy

Targeted Social andCollaboration Pilot

Integrated Social and Community Experience

ConversionImpact

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eStrategy

CustomerPersonas

OrganizationalBuy-in / Policy

MeasurementPlan

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Thank you. Open forum for questions.