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  "documentTitle": "Nevro Corp. (NVRO)",
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  "authorName": "Kir Kahlon",
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  "notes": "The slide uses a Q&A format to highlight the discrepancy between appropriate clinical use and the company's sales practices.",
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      "text": "Nevro is pushing stimulators onto patients who simply aren’t appropriate candidates.",
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      "text": "A second former Nevro territory manager, also part of the launch team as one of the company’s earliest reps and a long-tenured rep in the SCS field, echoed these comments and added that Nevro is pushing stimulators onto patients who simply aren’t appropriate candidates. He expressed dismay toward Nevro’s conduct and stated that stimulators will never work for the patients the company’s physicians are selecting.",
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      "text": "Question: So it sounds like that's the target market - last line patients, but it's so chronic and nothing has worked, so what's the point of a stimulator? Is that the point you're getting at?",
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      "text": "That is exactly what I'm getting at. Of 10 patients coming into the doctor's office, I would say 3-4 have neuropathic pain that does very well with a stimulator. Patients 5,6,7, are questionable... And the other three or four, they don't know what to do with them, and a last resort is the stimulator...",
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      "text": "A lot of patients that you see in the spinal cord stimulator market are patients that have had three, four, five surgeries... Is a stimulator appropriate for that patient? Possibly. You can come to your own conclusion on how I painted that picture.",
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      "text": "The indications that are approved for spinal cord stimulation are chronic pain of the trunk and limbs. You can't treat mechanical pain with a spinal cord stimulator... A stimulator is not going to help that patient.",
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      "text": "That is exactly what I'm getting at. Of 10 patients coming into the doctor's office, I would say 3-4 have neuropathic pain that does very well with a stimulator. Patients 5,6,7, are questionable. They are multi-surgical, with no more surgery available, on medications and a challenge for long-term success. And the other three or four, they don't know exactly what to do with them, and a last resort is the stimulator, and that's somebody that had the discectomy, the laminectomy, the fusion, the adjacent level fusion, the revision of the fusion, and now they've had 3, 4, 5, or 6 surgeries, and then they show up at the pain doctor. — Former Nevro territory manager",
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      "kind": "title",
      "text": "9. Nevro’s current predicament – a one-tick pony stuck in a ditch – and drivers of its ongoing growth collapse",
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