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  "documentTitle": "Inspire Medical Systems, Inc. (INSP)",
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  "authorName": "Wolfpack Research",
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  "sourceTypeLabel": "Short seller",
  "presentationDate": "2020-04-22 00:00:00",
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  "notes": "Uses patient anecdotes (Patient A, Patient B) and CEO quote to expose a contradiction between marketing and clinical reality.",
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      "kind": "callout",
      "text": "Inspire, by its own admission, purposely avoids talking about implants and surgery because they know these are deterrents to potential patients.",
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      "text": "10 Days Post-op:",
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      "kind": "paragraph",
      "text": "In its promotions, Inspire downplays the terrifying side-effects and high adverse event rates of its surgery by referring to its device as a minimally-invasive solution.",
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      "kind": "paragraph",
      "text": "Patient A believes that Inspire's device never would have worked for her and that if she had been warned of the potential side-effects, she never would have had the device installed at all.",
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      "kind": "paragraph",
      "text": "However, the Inspire surgical manual tells the surgeon to make three cuts of 2.5 inches each. One on the jaw, one on the collarbone, and another on the ribs. The device then goes into a \"pocket\" which is \"scooped out\" of the chest by the surgeon.",
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      "kind": "paragraph",
      "text": "Patient A told us about three serious adverse events she experienced. Another Inspire patient we spoke to, who we'll refer to as \"Patient B,\" was nearly 80 when she had the device implanted.",
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      "kind": "quote",
      "text": "And so, here's the new brand, keep it really simple, no mask, no hose, just sleep. We don't talk about implant, we don't talk about surgery, we talk about a therapy that will -- you'll use every night in your -- procedure, and... so, here's two commercials that we ran.",
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      "text": "\"And so, here's the new brand, keep it really simple, no mask, no hose, just sleep. We don't talk about implant, we don't talk about surgery, we talk about a therapy that will -- you'll use every night in your -- procedure, and... so, here's two commercials that we ran.\" — CEO Tim Herbert, SVB Leerlink Global Healthcare Conference, February 26, 2020",
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      "kind": "source-note",
      "text": "9 Conference Presentation Transcript – SVB Leerlink, 2/26/2020 via Bloomberg LP",
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      "kind": "title",
      "text": "1. Inspire's Solution is Worse Than the Problem:",
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