By Kris Hundley  
    In Print: Sunday, August 30, 2009

    There are lots of reasons why your doctor might switch your prescription to a Lilly drug.

    One of them might be found in a new online database that lists how much Eli Lilly & Co. paid physicians for their
    expertise during the first quarter of 2009.

    For the first time, Floridians can see if their doctors juggled patient appointments with speaking gigs for the maker
    of popular drugs like Cymbalta, Zyprexa and Cialis.

    Drug companies spend billions on marketing to doctors because it works: Targeted doctors prescribe more of the
    company's products.

    Lilly was forced to disclose its physician pay data, which it calls a "faculty registry," as part of a $1.4-billion
    settlement with the federal government earlier this year.

    Lilly spread $22-million among 3,400 health care providers nationwide during the first three months of the year.

    In the Tampa Bay area alone, the company spent more than $350,000 on about four dozen doctors. And that's just
    one drug maker's expenditures. Though others have promised to follow suit and disclose their physician
    compensation numbers, none have yet done so.

    Pay to sway

    According to Pharmedout.org, a group that tracks drug industry marketing, pharmaceutical companies will spend
    as much as $100,000 a year on a physician considered to be particularly influential. Most favored are specialists
    like psychiatrists, cardiologists and internists, who are apt to prescribe a brand-name drug that the family physician
    will simply renew, rather than switch to a cheaper generic.

    The drug maker's payoff for each dollar paid to physicians: More than $12 in additional prescription sales,
    according to Pharm Exec, an industry publication.

Lilly's top earner in the Tampa Bay area was Dr. Maria-Carmen Wilson, a neurologist who is director of Tampa General Hospital's Headache & Pain
Center, and a professor at USF College of Medicine. She also is director of USF's headache medicine fellowship program, co-director of the division of
pain medicine and associate director of both the neurology residency program and pain medicine fellowship program. Her annual salary from USF is
$195,410.95.

Despite her busy schedule at the university, Wilson found time to moonlight for Lilly, which paid her $54,400 in the first quarter. That put Wilson, 53,
among the company's most highly compensated doctors nationwide. In Florida, Wilson ranked second only to Miami internist Dr. Manuel Suarez-
Barcelo, who received $65,100 from Lilly.

The most frequent assignment for Lilly's paid physician-representatives: Talk to fellow doctors about the drug maker's products over dinners and
"lunch-and-learns." Despite the informal, conversational nature of these peer-to-peer sessions, the physician-speakers are supposed to strictly adhere
to a company-approved script. "The speaker's presentation is carefully regulated and provided by Lilly alone," the company says in its online registry.

Nationwide, Lilly paid doctors for an average of six speaking engagements during the first quarter, at an average of $1,000 per activity. The company
says compensation varied based on the expertise of the speaker.

In the Tampa Bay area, the lowest payment was $600, which went to a Clearwater nurse for a couple of patient education sessions. Reimbursement for
chatting over a meal with fellow doctors varied widely. Dr. Mark Cavitt, a psychiatrist on staff at All Children's Hospital in St. Petersburg, received $4,800
for a single speaking engagement; Dr. Amado Suarez, a psychiatrist in private practice in Brandon, gave three talks for the same amount. Neither
psychiatrist returned calls seeking comment.

A salary boost

Wilson, the Tampa neurologist, made her extra money speaking to colleagues 27 times during the quarter, or more than twice a week, at about $2,000
an appearance. She told Health News Florida, an online news service, that the topic of her talks was Lilly's Cymbalta, an anti depressant approved for
fibromyalgia and peripheral neuropathy in diabetics.

Wilson did not return calls requesting comment.

Although Wilson is required by USF to get prior approval for all outside activities, she did not report her Lilly work until earlier this month. Wilson
reported that she sometimes gave three talks — at breakfast, lunch and dinner — each day over a two-day meeting. All engagements were during
evening hours or while on annual leave, she said.

Wilson told Health News Florida she reached Lilly's annual cap on payments of $75,000 a year in May, boosting her university salary by about 38
percent.

It's not the first time Wilson has neglected to keep USF informed of her extracurricular work. A story in the St. Petersburg Times in April noted that
Wilson failed to tell the university of free trips she took to Scotland in 2002 and Spain in 2004 on behalf of drug maker AstraZeneca.

Wilson told HealthNews Florida that her activities with drug companies promote USF. However, she said she would forego the outside work if the
university asked.

"But then the university doesn't get known and we don't get invited to do clinical trials," Wilson said. "We would also lose good faculty," who supplement
their pay with drug company work.

Dr. John Curran, associate vice president for academic and faculty affairs at USF College of Medicine, said he approved Wilson's Lilly activities
retroactively last week.

"She is meeting her other duties and assignments including patient care and teaching," he said.

But Curran, a USF physician and faculty member for more than 30 years, questions whether the benefits of such speaking engagements outweigh
potential for a conflict of interest.

"The benefits to USF are very limited, other than marketing the physician as an expert, which can build referrals," he said. "But I have some concern
that the amount of activity and compensation can indeed influence the physician's judgment, despite the physician not believing that's the case. The
public has serious concerns as to whether this is influencing the physician's use of high-priced drugs, particularly in neurology and cardiology."

The only other paid USF faculty member among Lilly's most highly compensated speakers was Dr. Brian Keefe. Keefe is an assistant professor and
residency training director in the Department of Psychiatry and medical director of USF Psychiatric Services at Tampa General.

He received $15,300 from Lilly in the first quarter; his annual salary from USF is $189,282.98.

(Keefe, like Wilson, are state employees, so their salaries are public information.)

Keefe told USF officials he was unaware the Lilly work had to be reported to USF since it was done on vacation time, but said he would comply with the
requirement.

USF's Curran said, "It's a slow process to change a culture, to go from hiding things to making them transparent. But it creates peer pressure when it's
readily accessible information."

Other universities are starting to take a harder line on faculty's participation in speakers' bureaus. Doctors affiliated with Stanford and Harvard are
prohibited from being paid speakers for drug companies. At Duke University's medical school, the practice is discouraged and limited to four days a
month.

The side effects

Lilly touted its new online database as "one more step toward increasing transparency." It announced its intentions to voluntarily disclose the
information in September. The federal settlement five months later, over the off-label marketing of Lilly's popular antipsychotic Zyprexa, made the move
mandatory.

Several states, including Minnesota and Vermont, require drug companies to disclose physician gifts valued at as little as $25. Sen. Charles Grassley,
meanwhile, has proposed a federal law which would make drug makers' payments to doctors public to patients.

Lilly said its speakers "serve as a credible voice in bringing information to their peers." But Dr. Adriane Fugh-Berman of Georgetown University said the
impact is often biggest on the speaker, who ends up prescribing more of the sponsor's drugs than any of the attendees.

"In these cases where you have a small group of physicians in a nice restaurant, it's just an excuse for the drug company to give the doctor $1,000,"
said Fugh-Berman. She heads the Pharmedout.org project ,which advocates unbiased drug education for physicians. "We had one drug company
insider tell us they go after doctors who are a little insecure because they'd be really grateful for the friendship and the opportunity to become a
speaker."

Wilson, a native of Spain who has written a book in Spanish on headaches, said in April that her prescribing habits were not influenced by drug makers'
marketing efforts.

"My prescribing never changes because once a month a drug rep brings in a tray of sandwiches," she said, referring to a tactic drug sales reps use to
snag precious time with physicians. "Whether a drug is appropriate or not for a patient is for me to say."

Times researcher Caryn Baird contributed to this report. Kris Hundley can be reached at khundley@sptimes.com or (727)892-2996.

Fast facts
The money trail
The following Tampa Bay area physicians were paid more than $15,000 by Eli Lilly & Co. in the first quarter of 2009. None of the doctors returned
phone calls or e-mails seeking comment.
$54,400  Dr. Maria Carmen Wilson, Tampa    (Neurologist)
$31,000  Dr. Robert Levin, Dunedin  (Internal Medicine)
$30,775  Dr. Hardeep Singh, Tampa  (Psychiatrist)
$30,300  Dr. Eric Kaplan, Lutz     (Psychiatrist)
$22,637.50  Dr. Lucila Ramiro, Tampa  (Internal Medicine)
$20,400  Dr. Kenneth Pages, Tampa  (Psychiatrist)
$15,300  Dr. Brian Keefe, Tampa  (Psychiatrist)
"Fox, Douglas Kennedy, Lilly pays $1.42 billion in Zyprexa suit".
Who do you know that is an artist?
Have them promoted here!  No charge!
Post a link to my site to help me help you!.

St. Petersburg Times
Drug makers willing to pay to get doctor's approval
Header background, nice red and black, executive texture mohagany
CARLWATTSARTIST.COM
Art By Carl
Facing Numerous Seroquel Lawsuits, Drugmaker AstraZenca Releases Documents
Page created 8/28/09
Header background, nice red and black, executive texture mohagany
Bookmark and Share
CARLWATTSARTIST.COM
Launch viral advertising campaigns on Twitter with Magpie!
13
45
67
89
12
34
56
78
91
23
45
67
89
12
34
56
78
91
23
45
67
89
12
34
56
78
91
23
45
67
89
Picture of Carl Watts founder of CarlWattsArtist.com for the promotion of art, artists and ideas
7/5/09 Carl Watts, Nutrition Response Testing Certified,  Nutritionist, Artist, Designer, Problem Solver, Author, Publisher, Philosopher, PO Box 285, Tujunga, CA 91043,
personalized poems,personalized poetry,business poems,business poetry,poetry for industry,poems for your business,poems for your
industry,help,problem_solver,cause,Poems,Poetry,Writing,Stories,Art,response,testing,health,freedom,total,designer,promoter,author,consultant,author,writer,have a
poem written,poems for gifts,Extraordinary Poetry from Ordinary People,poetry For people from all walks of
life,ghost,freedom,free,promotion,twitter,plaxo,liberty,rights,human rights,big pharma,anti-drugs writer,alerts,advocate,freedom,ability,help,communication,assistance
psychicatry's prescription for violence
DvD Making a Killing the Untold Story of Psychotropic Druggings
Every day, 4700 kids smoke pot for the first time.. Will your kid be next?
logo for Alliance for Natural Health
Zap the IRS-Let Freedom Ring! Support the Fair Tax
World Institute of Natural Health Sciences logo
Carl and Mary Watts Personalized Poetry
Proud member of the Read the Bills Act Coalition
If you like what's
here, PLEASE
SHARE with other
by posting on your
favorite sites:
Bookmark and Share
I endorse the following for common sense answers to the problems of life:
HELP SAVE the WORLD    Personalized Poetry    Updates/Announcements     Handyman Services

Scientology     Celebrity Centre     Dianetics      Nutrition Response TestingSM     SaveTheInternet.com  
Twitter     Aquaponics     Dr Mercola.com health & current event Freedom Fighter  

Applied Scholastics Academy San Marcos  Work Pain Free  Delphi Academy     TipsForSuccess.Org    Success Tutoring    DownsizeDC  
Criminon criminal rehabilitation, restoring self-respect   Artists For A Better World    Youth For Human Rights International   Friends of Narconon   
Bridge Publications Inc   SAGETM CLUB   Foundation for a Drug Free World  Americans for Prosperity
World Institute of Natural Health Sciences    Free Personality Test    Creed of the Church of Scientology

Home  Galaxy Link Information Service  Personalized Poetry for You  About Us/History  The Plan   Updates   Stories by Carl   Link to Carl's Art Pages  
Links to Other Artists    Clocks    Art Pieces     Box Collection     Tray and Coaster Collection     Cutting Boards     Household Items     Picture Frames  
Photos    Stakebed Collection   Mitchafied Metal Art   Mitchafied Creations   WSI   International Bench   Guest Register   Services   Poems by Carl   
Watts Specialties, General Contractor   The Affinity Exchange    Art Day    Calif Arts Advocates     Success Stories    Comments On the Times  Links to
FDA, FTC, etc Crimes   Storage   CommLine Page   My Philosophy  Thomas Jefferson   Twitter

DownsizeDC.org   Citizens Against Government Waste   Americans for Prosperity   Roll Call Congress.org    Earth Organization   Citizens for Health   Alliance for Natural Health
Organic Consumers Assoc   American Assoc for Health Freedom   American Wellness Coalition protecting our Rights to vitamins   Natural Solutions Foundation  FreedomWorks
Restore the Republic   EndTheFed USA   FreedomWorks   Brasscheck TV   Dr Mercola.com health & current event freedom fighter   Natural News   World Institute of Natural Health Sciences
Free Press   Youth For Human Rights International   Citizens Commission on Human Rights (CCHR)   SaveTheInternet.Com    Electronic Frontier Foundation    FairTax Nation
Honor in Office Putting Integrity and Honor back into Politics!     Farm-to-Consumer Legal Defense Fund      PoliticalWatchdog.com
All content, graphic design, artwork and layout are copyright © 2006-2009  by Carl Watts/CarlWattsArtist.com unless otherwise noted. All rights reserved. Rev 7/31/09
Aquaponics USA logo sustainable food source
Earn money with Scour!
This file is not intended to be viewed directly using a web browser. To create a viewable file, use the Preview in Browser or Publish to Yahoo Web Hosting commands from within Yahoo SiteBuilder.