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  "documentTitle": "Nevro Corp. (NVRO)",
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  "authorName": "Kir Kahlon",
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  "presentationDate": "2021-01-07 00:00:00",
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      "text": "Nevro’s response to its explants crisis appears to be marked by denial, cover-up, retaliation, and patient/doc manipulation",
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      "text": "8. Nevro's response to its explants crisis appears to be marked by denial, cover-up, retaliation, and patient/doc manipulation. Numerous KOL's confirmed similar experiences. A second characterized Nevro's conduct as falsifying patient outcomes and potentially illegal. A third described reps using “leading questions” as “patient manipulation” and catching reps who were telling patients what to say. He indicated that reps are “very very incentivized” to push patients into an implant. Aside from the entire high frequency premise being a flop, we believe that a key driver of Nevro's explants crisis is patients being bulldozed into devices that never worked for them during the trial phase.",
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      "text": "“Leading questions are one area of patient manipulation. I've caught reps specifically telling patients what they have to say. It's an incentive-based thing for reps. Reps are very very incentivized to want the permanent implant and they'll tell patients what to say. The rep will ask, what's your pain relief? A patient comes in and their pain is an eight, and after the trial implant the patients says well now it's a five. The rep says, “If you want this device you'll have to say you have 50% pain relief, and you want the device right?” And the patient says, “Well I guess so, I mean, I guess it helped me a little bit.” – High volume implanter and KOL",
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      "text": "Our question: So what specifically have you seen Nevro reps do that crosses the line into illegality? “Falsify outcomes. A lot of times patients won't report back to the doctor about how the stimulator trial went. They talk to the rep, and the rep says, \"Oh my gosh, I talked to the patient who's at home now, enjoying their trial. The patient is getting 90% relief.\" So, they falsify the actual outcome from the patient and they persuade the patient irrespective of the patient's opinion. I've heard it. The rep will say, \"Isn't this great? Aren't you doing well?\" You can hear the back and forth and that that's not what the patient said. There are a lot of unethical things.” – High volume implanter and KOL",
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      "text": "Falsify outcomes. A lot of times patients won't report back to the doctor about how the stimulator trial went. They talk to the rep, and the rep says, \"Oh my gosh, I talked to the patient who's at home now, enjoying their trial. The patient is getting 90% relief.\" So, they falsify the actual outcome from the patient and they persuade the patient irrespective of the patient's opinion. I've heard it. The rep will say, \"Isn't this great? Aren't you doing well?\" You can hear the back and forth and that that's not what the patient said. There are a lot of unethical things. — High volume implanter and KOL",
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      "text": "Source: Consultation calls with experts",
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      "text": "Scorpion Capital | Nevro (NYSE: NVRO)",
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