Has this happened to you? My not so friendly but dutiful primary doctor did my injections every 14 days for several years here on Long Island. New York may be a blue state but Nassau County is still very far from being a place for transfriendly health care-well, except for young trans kids; doctors clearly see treating them as more pc. I can't bear to self-inject, and when my primary abruptly retired and gave no referrals, and with no obliging doctor, NP, RN or friends, I've had to rely on my endo for the shots ever since. But as he has no RNs or other assistants beyond an office staff, and makes monthly flights to supervise a long-term government study in the Pacific islands and Japan, I've got to find another way.

After hours of searching, I found more than 17 pharma firms whose marketing literature has them poised to release autoinjector pens for high viscosity meds in the near future. None of them suggested that a street date release would happen this year. But the more I searched the more encouraged I was by the technology behind these pens. Cambridge Consultants, a worldwide engineering company, seems to be in the final stages of perfecting its Piona Progesterone injector before leasing it to a manufacturer (s).

https://www.cambridgeconsultants.com/news/pr/release/109/en  And note from the literature where they seem to hint that the Piona injector can also be used for high viscosity meds other than progesterone-as if they also have trans patients in mind. And check out these videos. 
https://www.youtube.com/watch?v=9sBiuFf8__s&feature=player_detailpage#t=42s


WOW, EVEN BETTER: Googling [needle free autoinjector high viscosity ] at least two firms are working to perfect them.
http://www.drug-dev.com/Main/Back-Issues/SPECIAL-FEATURE-Injectable-Drug-Delivery-Key-Trend-1173.aspx

https://www.portalinstruments.com/

http://www.drug-dev.com/Main/Back-Issues/NEEDLEFREE-INJECTION-Portal-PRIME-A-Digitally-Cont-1328.aspx   

http://www.crossject.com/needle-free-technology/
 
And a phone chat with a rep from Portal Instruments said that they expect to launch within two years. https://www.portalinstruments.com/

http://www.drug-dev.com/Main/Back-Issues/NEEDLEFREE-INJECTION-Portal-PRIME-A-Digitally-Cont-1328.aspx   

Owing to their sophisticated design, these needle-free high viscosity injectors will likely be expensive, and may only be partially covered by most insurance plans, if at all. Still, they will probably be affordable, and as they certainly will be reusable, they will prove very cost-effective, saving patients on co-pays and needless hours wasted in doctor's waiting rooms merely for routine injections.

So by 2020, quick, easy, low discomfort, and low cost self-injection for high viscosity meds may be on track to become the norm. Finally, some good news this year!

Born , raised and lived on LI for 40 years. It's got to be better than AZ.


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I can't say I've had a problem self injecting... the auto injections scare the crap out of me, like hit a bone or something... I will stick with manual injections. But cool find!

Quote from: Gertrude on August 27, 2017, 09:12:54 PM
Born , raised and lived on LI for 40 years. It's got to be better than AZ.

AZ? As in Arizona? Who's comparing it to Long Island? I've never even been to the former. If only I could visit the West Coast and Canada; massive fear of flying.

Quote from: Harley Quinn on August 27, 2017, 10:16:10 PM
I can't say I've had a problem self injecting... the auto injections scare the crap out of me, like hit a bone or something... I will stick with manual injections. But cool find!

Unfortunately for me, I am psychologically or otherwise unable to inject myself. Happily, I'm a whole lot more comfortable with the thought of using a handheld precision instrument to do so automatically. As for your concerns about such a device hitting a bone, with upwards of 17 pharma companies planning to issue these injectors, I strongly doubt that absent from their R&D goals are safely
concerns along these lines. Indeed, at least two of the engineering white papers I've read mention "the comfort factor" as key among features successful marketing of any such self delivery device.

What's even more encouraging is that at least Portal Instruments and Oval Medical are serious about marketing a needle-free injector for high viscosity meds within the next two years.

Finally! Something to look forward to in these hard times No more office visits and co-pays for routine injections. But then it certainly looks like we can expect some amazing breakthroughs to become almost commonplace within the next two years, particularly thanks to the power stem cell technology.
https://www.forbes.com/sites/jboyd/2016/07/13/stem-cells-to-make-hair-today-gone-tomorrow-a-thing-of-the-past/#255986a65c04
http://news.mit.edu/2017/drug-treatment-combat-hearing-loss-0221
https://news.harvard.edu/gazette/story/2017/03/replacing-damaged-hair-cells-may-help-treat-hearing-loss/

I am still new to this forum, but I have read the rather extensive list dos & don'ts. I know that I'm not supposed to ask people about their personal medical treatments, meds and the like, so I won't.
   
But would pming be okay? Gertrude? Harley Quinn? If yes, how is this done?
Do I simply click on your name to access the dialog box?

Quote from: z38 on September 17, 2017, 04:24:28 PM
AZ? As in Arizona? Who's comparing it to Long Island? I've never even been to the former. If only I could visit the West Coast and Canada; massive fear of flying.

I was. I've had experience with both and lived in Iowa too. LI should be a lot better than most places and that's my point.


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Quote from: Gertrude on September 17, 2017, 08:35:05 PMI was. I've had experience with both and lived in Iowa too. LI should be a lot better than most places and that's my point.

Not to get off topic but how do you find housing and taxes comfortably affordable on LI?

This afternoon I will be putting a payment down on a co-op in eastern Nassau. But that was anything but my first choice as detached housing prices and school taxes in Nassau are insanely huge. Like all other finite resources, over population drives up the cost of housing, education, energy and property tax discrimination against child free people has turned a once bucolically splendid county into another heavily trafficked, over developed borough of NYC.

You say that LI "should be a lot better than most other places". Why should it be, and how would you define "better"? If you mean more transfriendly, things are slowly changing https://patch.com/new-york/plainview/plainview-hospital-recognized-leader-lgbt-equality-0 and https://www.northwell.edu/find-care/services-we-offer/lgbt/clinical-services But as a former patient of Northwell's endo services I had big problems with their insistence of "100" max post op estrogen levels. ymmv.   

Quote from: Gertrude on September 17, 2017, 08:35:05 PM
I was. I've had experience with both and lived in Iowa too. LI should be a lot better than most places and that's my point.

Another off topic comment:

I have been to both Arizona and Long Island and both places have their own unique charm. I liked them both.

Quote from: z38 on March 09, 2018, 02:30:04 AM
Not to get off topic but how do you find housing and taxes comfortably affordable on LI?

This afternoon I will be putting a payment down on a co-op in eastern Nassau. But that was anything but my first choice as detached housing prices and school taxes in Nassau are insanely huge. Like all other finite resources, over population drives up the cost of housing, education, energy and property tax discrimination against child free people has turned a once bucolically splendid county into another heavily trafficked, over developed borough of NYC.

You say that LI "should be a lot better than most other places". Why should it be, and how would you define "better"? If you mean more transfriendly, things are slowly changing https://patch.com/new-york/plainview/plainview-hospital-recognized-leader-lgbt-equality-0 and https://www.northwell.edu/find-care/services-we-offer/lgbt/clinical-services But as a former patient of Northwell's endo services I had big problems with their insistence of "100" max post op estrogen levels. ymmv.

Not housing and taxes, but the availability of services, social groups and better acceptance. AZ isn't Tennessee, Georgia or Mississippi, but it isn't CA or NY either. There are no state protections for Trans folks and even though where I work there is, because it's part of the state, our healthcare doesn't cover anything beyond hormones. The conservatives in government won't budge on it and we're trying to get them to...Lots of mormons and evangelicals here, but a lot of independents too, that are usually more libertarian in their thinking, which is why we can have doug doucey and janet napolotano as governors. It's a mish mash. My hope is that the populace goes in a more liberal direction. That said, The last part of the continental US I haven't seen is western Oregon and Washington state. I could see myself ending up there in retirement. I hate the heat here in the summer.

Quote from: Dani on March 09, 2018, 06:01:34 AM
Another off topic comment:

I have been to both Arizona and Long Island and both places have their own unique charm. I liked them both.

I do too, but I can't afford to go back to NY to live. Real Estate has gone up a lot in the intervening years and the cost of living just isn't worth it for me. Iowa was the best in terms of what you get for your money, schools, infrastructure, but they are the most uptight in a passive way. It's like, why can't you be like us. An undertow of conformity. Lots of folks in the closet there. Not like the deep south conformity, but a kinder, gentler version. That said, no matter where I go, I'm still a NYer.