Strikes, Just-In-Time, Shelf-Life ...... - Advanced Prostate...

Advanced Prostate Cancer

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Strikes, Just-In-Time, Shelf-Life ... And PCa Meds ... And Regime Interruption

JohnInTheMiddle profile image
9 Replies

With all the news lately about transportation and logistics strikes, we can read about supply chain risk associated with drugs, in our case drugs for a prostate cancer therapy regime.

It is known that major healthcare purchasing organizations and hospital consortia have committees on this topic. As do governments. But it's not something that we as patients think about a lot.

One of my drugs probably comes from India and I don't know where my injectable is coming from. I have no idea as to whether my hospital pharmacy has stocks or not. Or if it's all just just-in-time. And what the shelf life of some of these things are.

There are so many things to think about in terms of managing one's cancer regime, finances and work, relations with spouse and family, not to mention exercise and one's own stability. And now this too ...

We have built a society that is very fragile, to my mind anyway. Astonishingly amazing drugs. But based on business-as-usual in terms of supply. And now that US East Coast ports are all closed, hospital and pharmacy supply chain managers are no doubt freaking out.

And no one's saying very much either. Everything's fine - until it's time for renewal and "oh, sorry". You've now joined a BAT experiment. Let's see what happens if you miss a month.

We aren't there yet. But I thought I'd just bring it up. It's a good idea to end a note like this with something positive that one could do. I'm not sure what that would be.

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JohnInTheMiddle
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9 Replies
mrscruffy profile image
mrscruffy

I understand your concern but I try not to worry about things that are not in my control. Took a long time to get this way but the cancer pushed me into this mind set of not worrying about things

Huzzah1 profile image
Huzzah1

As our drugs are small and weigh anything, I would assume they are coming in via air.

JohnInTheMiddle profile image
JohnInTheMiddle

Here is an interesting article from 2021, lead researcher from Wellesley College. Very interesting read. Just scanned though.

The geography of prescription pharmaceuticals supplied to the USA: levels, trends, and implications

ncbi.nlm.nih.gov/pmc/articl...

JohnInTheMiddle profile image
JohnInTheMiddle

And it's not only logistics. There are quality issues too. I have looked into the manufacturer of one of my major meds from South Asia, and while they have had some inspection issues, they seem to be okay.

Here's a interesting article from Nikkei AISA from March 2024:

India pharma quality lapses force U.S. to look to China for lifesaving drugs

asia.nikkei.com/Spotlight/S...

j-o-h-n profile image
j-o-h-n

Time to call out the Scabs.....

Good Luck, Good Health and Good Humor.

j-o-h-n

JohnInTheMiddle profile image
JohnInTheMiddle in reply toj-o-h-n

Why not add the Pinkertons too?! 🤯 On the other hand, the mail and our drugs must get through! Dang. Maybe a division of labor on a world scale for things like cancer drugs is a bad idea. Just sayin'.

j-o-h-n profile image
j-o-h-n

The Anti-Pinkerton Act is contained within 5 U.S.C. 3108. = Kaput

U.N. World Health Organization = Rip Off

NATO =Big joke

Peace Corps = Members sexual violence

Bring back Marlon Brando and "On the waterfront".

Good Luck, Good Health and Good Humor.

j-o-h-n

JohnInTheMiddle profile image
JohnInTheMiddle in reply toj-o-h-n

Yikes! Not sure I understand all the references ... Peace Corps? 😳

Seasid profile image
Seasid

Castration?

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