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  "notes": "The slide uses direct quotes to highlight a discrepancy between the purported clinical value of the device and the actual operational use case.",
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      "text": "The surgeon flatly stated that the main rationale is stacking and scheduling transplants as they only have one operating room – “we’ve had three livers on OCS at the same time”; “you can do that case at your leisure and you can stack cases”; “even take a break for dinner in between.”",
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      "text": "Surgeons have become creative in finding excuses to jam payors for $100,000 to $400,000 per TransMedics case, even coming up with self-serving studies that purport to show that errors are higher if they have to operate at night.",
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      "text": "What has become more and more normal... you can do that case at your leisure and you can stack cases... you can just kind of do them one after the other... and you can just take a break for dinner in between.",
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      "text": "We just can use a lot of organs that we were afraid to use before; whether TransMedics makes all the difference or whether it just gives us courage is another good question.",
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      "text": "“What has become more and more normal, and even more dramatic than what I predicted - once surgeons and teams and anesthesiologists get a taste of a liver that is placed on machine perfusion and you can do that case at your leisure and you can stack cases - we’ve had situations where we’ve had three livers on OCS at the same time and you can just kind of do them one after the other after the other and even take a break for dinner in between, that has really changed the way we approach it. Whether it’s consciously or subconsciously, you can find a reason to put it on the machine so that you don’t have to do it in the middle of the night...I would say the biggest thing is that you can schedule cases when you want them, and if you have a busy program, it’s easier for everybody if you can do that case when you want to do it. And that has become an increasing indication for putting a liver on the device.” — Transplant surgeon",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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