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Morning Brew July 05, 2023

Healthcare Brew

Happy Wednesday! We hope you’ve recovered from overindulging in hot dogs and parade candy, if you partook yesterday. The hospital employees out there are probably even busier than usual today, as more than 45,000 people on average visit emergency rooms on both July 4 and 5 due to holiday-related injuries. On behalf of those ER patients, we thank healthcare workers for their service.

In today’s edition:

Danco in the dark

Med rep

—Kristine White, Maia Anderson

ABORTION

Demystifying Danco

Image of mifepristone Anna Moneymaker/Getty Images

A high-profile lawsuit targeting one of the two drugs used for medication abortion in the US threw Mifeprex (and the company behind it) into the national spotlight. But little is publicly known about Danco Laboratories, even 20+ years after it started to sell mifepristone tablets.

Unlike most drug companies, Danco—which is not publicly traded and employs fewer than 25 people—does not list its executives, investors, or even the address of its headquarters. Instead, it offers a New York City PO Box for its location (though some have previously described the office as being in “midtown” Manhattan).

Even federal documents surrounding the FDA’s 2000 approval of Mifeprex have reportedly been redacted to omit information on company employees and locations.

That secrecy, a Danco spokesperson said, is intentional.

Danco spokesperson Abby Long told Healthcare Brew that the decision to not share the company’s address publicly boils down to safety.

“There’s been concern on both the part of the company as well as the groups that we work with—our distributor and the manufacturers and so on and so forth—in terms of having their information out there publicly, and potential for being exposed to harassment or even violence to an extent,” she said. “The history of that kind of reaction to those who are doing anything to provide abortion care services is certainly well documented.”

Danco, which joins GenBioPro Inc as one of two companies that sells mifepristone in the US, has faced some pushback and threats “over the course of time,” Long said. But the lack of publicly available details about the company has likely helped shield it from in-person incidents.

Keep reading here.—SY

Do you work in healthcare or have information about the industry that we should know? Email Kristine at [email protected]. For completely confidential conversations, ask Kristine for her number on Signal.

     

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STAFFING

Time for my close up

A sad nurse plays with a blown up glove. ABC via Giphy

Healthcare Brew enjoys a good medical TV show, whether it be a classic like Grey’s Anatomy or a more recent hit like New Amsterdam. Since we’re not exactly medical professionals (though we like to think we’re a notch above Dr. Google), we figured we’d ask people who actually work in the medical field about the way they’re portrayed on TV. Do they find it fun to point out the inaccuracies? Or are the depictions so inaccurate that they’re offensive?

As it turns out, the answers vary a lot by title.

The nurses we asked generally expressed unhappiness with the way their profession is portrayed on TV.

“I feel that shows like Grey’s Anatomy portray nurses as ‘less than,’” Diana Sorber, a community nurse at Rush Health in Chicago, told Healthcare Brew. “It is almost a disrespect for the doctors to be confused as nurses. They also take credit for the tasks nurses and other healthcare staff do, providing an inaccurate presentation of all healthcare staff.”

Terry Gallagher, an advanced practice nurse at Rush, agreed with Sorber’s sentiment.

“I’ll never forget watching the 2005 episode of Grey’s Anatomy when, the first time a registered nurse had a storyline, it was because she gave two surgeons syphilis. I wasn’t even in nursing school yet and I was appalled by how the nursing profession was portrayed in a show I loved. I stopped watching shortly after,” she said.

Julian Carranza, nurse manager for the adult emergency department at Novant Health Presbyterian Medical Center in Charlotte, North Carolina, told Healthcare Brew: “I feel sometimes the impact nurses have in real life is undermined in TV shows.”

The physicians we asked, on the other hand, didn’t seem as bothered by their portrayal in TV shows.

Keep reading here.—MA

Do you work in healthcare or have information about the industry that we should know? Email Maia at [email protected]. For completely confidential conversations, ask Maia for her number on Signal.

     

VITAL SIGNS

A laptop tracking vital signs is placed on rolling medical equipment. Francis Scialabba

Today’s top healthcare reads.

Stat: Since the Supreme Court overturned its landmark Roe v. Wade decision, 25 million childbearing-aged women now live in states where access to abortion has been restricted or outlawed. (Associated Press)

Quote: “People can burn out in this work. They can stop doing things that are more emotionally difficult for them…being able to catch that and pull them out of it is a difficult thing.”—Brad Pendergraft, chief clinical officer for Protocall Services, on how AI could help counselors who work crisis support lines (Stat News)

Read: An analysis of IRS records found several questionable biotech and healthcare stock trades. (ProPublica)

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Written by Kristine White and Maia Anderson

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