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Post by pablopicasso on Mar 31, 2014 15:36:41 GMT -5
For all you Labrat Vets who have been to many clinics, can you guys list the places that use or don't use the IVs on days where they have pharmakinetics(the days that have multiple bloods draws)? For clinics that usually don't, can you request for one so you don't have to get track marks?
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Post by David Grey on Mar 31, 2014 19:02:21 GMT -5
For all you Labrat Vets who have been to many clinics, can you guys list the places that use or don't use the IVs on days where they have pharmakinetics(the days that have multiple bloods draws)? For clinics that usually don't, can you request for one so you don't have to get track marks? Not very many clinics use the heplocks. The only one that I've been to that does on a routine basis is ICON in San Antonio. Most other clinics will only use one if the doctor determines that's the only way you'll make it through the day.
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mike
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Posts: 334
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Post by mike on Mar 31, 2014 21:58:39 GMT -5
It can often depend on the sponsor also; the heplocks can mess up the blood samples and the sponsor may forbid them.
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Post by respect on Apr 30, 2014 20:53:19 GMT -5
Havard and the creme DE la creme of hospitals for example John Hopkins hospital all insist on using catethers for studies. I would more trust these institutions than some research facility who BS subjects about quality of blood samples from an IV. What is bigger risk to a study is incompetent staff. It's to be noted that universities and hospitals have better trained personnel such as RNs. In some states a RN or Doctor has to place the IV and/or monitor the use of IV. That said. A research site can offer a drug maker a discount by just straight sticking the subject rather than taking the more human route like the Havards and John Hopkins of today. A tech makes 9 an hour verses an RN at 30+ an hour. The drug will make them billions how dear you insist on $5 IV. JUST WHO DO YOU THINK YOU ARE!
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Post by ac on May 1, 2014 7:29:09 GMT -5
Havard and the creme DE la creme of hospitals for example John Hopkins hospital all insist on using catethers for studies. I would more trust these institutions than some research facility who BS subjects about quality of blood samples from an IV. What is bigger risk to a study is incompetent staff. It's to be noted that universities and hospitals have better trained personnel such as RNs. In some states a RN or Doctor has to place the IV and/or monitor the use of IV. That said. A research site can offer a drug maker a discount by just straight sticking the subject rather than taking the more human route like the Havards and John Hopkins of today. A tech makes 9 an hour verses an RN at 30+ an hour. The drug will make them billions how dear you insist on $5 IV. JUST WHO DO YOU THINK YOU ARE! I've learned that just because they make 3X the money doesn't make RNs any better at blood draws. The worst blood draws i've ever had were from a RN at Covance Evansville. The techs were better.
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Post by respect on May 1, 2014 12:02:10 GMT -5
AC that's the point of placing IV so that your not the object of numerous bad venipuncture.
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mike
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Posts: 334
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Post by mike on May 1, 2014 12:41:20 GMT -5
It is unclear to me why a clinic and/or the study sponsor would "BS" about a heplock possibly damaging the sample, why would they do this? What's in it for them? Every staff person I have dealt with greatly prefers using a catheter/heplock if they are allowed to, it makes life easier for them as well as for us, the participants. The only other reason they would not want to use a heplock is if they are sadists. It's common knowledge that catheters cause more hemolysis: "Direct venipuncture with straight needles is less likely to cause hemolysis than blood collection through intravenous catheters" www.ena.org/practice-research/Practice/Documents/HemolysisEPR.pdfIn the several states that I have done studies, I have never seen a requirement for an RN or doctor to place or monitor a catheter, but even if there is such a requirement in some states, so what? Any clinic could handle this in light of how much easier a catheter is to use. There is no plot or conspiracy to torture us with straight sticks.
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Post by pablopicasso on May 1, 2014 23:14:43 GMT -5
It is unclear to me why a clinic and/or the study sponsor would "BS" about a heplock possibly damaging the sample, why would they do this? What's in it for them? Every staff person I have dealt with greatly prefers using a catheter/heplock if they are allowed to, it makes life easier for them as well as for us, the participants. The only other reason they would not want to use a heplock is if they are sadists. It's common knowledge that catheters cause more hemolysis: "Direct venipuncture with straight needles is less likely to cause hemolysis than blood collection through intravenous catheters" www.ena.org/practice-research/Practice/Documents/HemolysisEPR.pdfIn the several states that I have done studies, I have never seen a requirement for an RN or doctor to place or monitor a catheter, but even if there is such a requirement in some states, so what? Any clinic could handle this in light of how much easier a catheter is to use. There is no plot or conspiracy to torture us with straight sticks. Couldn't have said it better.
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Post by respect on May 3, 2014 6:05:56 GMT -5
Havard one of the most respected institution internationally and well noted for it's phase 2 and 3 trials have ued to reliably get their data using IVs. It is even more critical that the data be accurate in these sick patients with the risk of complications. Often time the actual researchers and doctors who produce the protocol may be in attendance at the said institution when the trials take place. They don't say the sponsor wants this done as if they are drones. They are actually the decision makers. I think I would much more trust the judgment of experts that our government would call if there is a crisis.
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mike
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Posts: 334
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Post by mike on May 3, 2014 14:45:47 GMT -5
I would be very interested to know where in the world you are getting your information about "Havard". And I would also mention that about 90% or more of the information and interest on this site is regarding phase 1 studies, not phase 2 or 3.
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Post by respect on May 3, 2014 20:19:00 GMT -5
6173075200 and while u call the havard research institute please be sure to tell us of any phase 1 studies they have available. After screening be sure to tell us how they intend to reliably get the sample pks.
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mike
Moderator
Posts: 334
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Post by mike on May 3, 2014 20:41:38 GMT -5
Is English your second language?
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Post by respect on May 3, 2014 20:50:41 GMT -5
Does it matter whether im asian, white or latino?
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