Free Transfer Document - District Court of California - California

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DOWNEY BRAND LLP MICHAEL J. THOMAS (Bar No. 172326) APARNA RAJAGOPAL-DURBIN (Bar No. 218519) 555 Capitol Mall, Tenth Floor Sacramento, CA 95814-4686 Telephone: (916) 444-1000 Facsimile: (916) 444-2100 E-mail: [email protected] E-mail: [email protected] Attorneys for Plaintiff Nutrishare, Inc. UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA

Nutrishare, Inc., a California corporation, Plaintiff, v. BioRx, LLC, an Ohio Limited Liability Company, Defendant.

Case No. 2:08-CV-01252-WBS-EFB
DECLARATION OF RODNEY OKAMOTO IN SUPPORT OF MOTION FOR PRELIMINARY INJUNCTION Date: Time: Dept: August 4, 2008 2:00 p.m. Courtroom 5

I, RODNEY OKAMOTO, hereby declare as follows: 1. I am an individual residing in Galt, California. I make this declaration of my own

personal knowledge, and if called to testify, could and would testify consistent with the facts stated herein. The Nutrishare History 2. I am the President and co-founder of Nutrishare, Inc. (hereinafter "Nutrishare").

In 1991, my colleague Dr. Tom Diamantidis and I founded Nutrishare, a company dedicated exclusively to providing TPN-related products and services to long-term TPN consumers in their homes. The Nutrishare business model was originally developed to fill a need for improvement in Home TPN care for long-term consumers that was not being met by then-existing health care providers. At that time, there was a glut of home infusion pharmacies that provided a range of 1
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products, including intravenous antibiotics, chemotherapy, pain management, enteral (tube feeding) nutrition, and parenteral nutrition. These pharmacies often simply shipped and delivered products to their patients and were forced to distribute their scant clinical resources over the numerous types of home infusion therapies that they believed they had to offer to remain competitive in their marketplace. Dr. Diamantidis and I believed that these pharmacies largely ignored Home TPN patients because they appeared to be more stable than more acute patients. We believed that these customers were, in reality, in need of more attention in areas that would improve the quality of life for them and their family member caregivers. 3. In 1991, we launched the business with a combination of cornerstone principles

and an untested hypothetical Home TPN service model, which includes the following: a. Specializing exclusively in Home TPN therapy, something that no other home infusion pharmacy had committed to doing; b. Using overnight delivery services to deliver Home TPN supplies, including infusion pumps, special intravenous catheters, and a sterile form of intravenous liquid nutrients, to Home TPN consumers nationwide, which was also a unique concept at the time; c. Based on input from Home TPN consumers and caregivers, providing our customers with the freedom to choose the equipment and supplies they were most comfortable with instead of having to choose from a `formulary' of items determined by the company; d. Providing our customers with education on Home TPN through web and CDbased guides, a secure on-line forum (where they can discuss various aspects of Home TPN and share their knowledge), experiences, and plans for better outcomes, newsletters, and presentations at events nationwide, including the Oley Foundation Conference; e. Hiring Board-certified clinicians, including nurses, pharmacists, and dieticians, who work closely with our customers' primary care physicians and/or gastroenterologists, monitor the clinical progress of our customers, and routinely 2
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offer clinical suggestions to the physician and the consumer, as appropriate; f. Partnering up with local infusion pharmacies and nursing agencies to provide professional services for our TPN customers to augment Nutrishare's basic pharmacy delivery system; and g. Continuing to engage in the research and development of state-of-the-art technology in Home TPN. Seventeen years after Nutrishare first set out to improve the lives of the Home

TPN consumer, we have accomplished significant milestones, including the following: a. Our client base has nearly doubled in the last ten years; b. We now have, in our employ, several of the nation's top Board certified Nutrition support pharmacists as part of our "primary care team," in support of our consumers; c. We have established relationships with medical professionals and institutions nationwide, who consistently refer their patients to Nutrishare; d. We have consistently sponsored the Oley Foundation, a national foundation supporting education and networking for Home TPN consumers, for the last fifteen years (in fact, we are currently the top "Platinum level" sponsor of the Oley Foundation and have been one of the Oley Foundations top sponsors since 1993); e. We have published dozens of articles and made several presentations at American Society of Parenteral and Enteral Nutrition (ASPEN) and European Society of Parenteral and Enteral Nutrition (ESPEN) conferences, several of which have advanced the state of the art in Home TPN therapy and many of which have been honored at ASPEN; f. Dr. Diamantidis and I developed and patented a special Home TPN bag designed to improve the quality of the product used by the patients; g. Our team has led pioneering research in, for example: developing a new Home TPN infusion pump designed by Home TPN consumers, using chlorhexidine/alcohol as a topical antiseptic in lieu of the conventional povidone 3
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iodine, identifying ways to reduce the potential of blood backing up into the catheter, and identifying new chemicals that could reduce the risk of catheter infections; h. We now have a reputation in the industry and amongst the clinical leaders in the field of Home TPN as the "superior Home TPN pharmacy service" in the country, which can be verified by physicians, nurses and dietitians who work for competitors as well as clinicians who are routinely "teaching faculty" at the ASPEN, ESPEN, and the AGA (American Gastroenterology Association); We have established a track record with our customers demonstrating the quality of our service, and hundreds of our Home TPN consumers can confirm that Nutrishare has improved their quality of life and in some cases, has saved their lives; Consumer surveys tabulated in articles published by Nutrishare illustrate that Nutrishare's consumers experience fewer central catheter complications than customers of other pharmacy services; k. The Oley Foundation also conducted Home TPN satisfaction surveys in 1994 and 1995, which demonstrated that Nutrishare's customers, as compared to the customers of other providers, were significantly more satisfied with their Home TPN pharmacy service; We were honored by the Assembly of the State of California as a "Hero in Healthcare" for the way we saved the life of one of our consumers by virtue of our centralized, national Home TPN specialty infrastructure; m. We played a key role in ensuring that the Accreditation Commission for Health Care (ACHC) stayed afloat so that it could serve as an alternative to the Joint Commission on the Accreditation of Healthcare Organization (JCAHO) for home infusion providers seeking accreditation; n. We continue to be accredited by ACHC today; and o. We remain the only "platinum" corporate supporter of the ACHC and the only 4
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company that the ACHC has ever recognized as "Specialists" in Home TPN care. The "Nutrishare" Mark In order to preserve and protect the goodwill and brand recognition associated

with the "Nutrishare" mark, Nutrishare hired attorneys and spent a considerable amount of funds obtaining trademark registrations for its distinctive mark. The word mark "Nutrishare" was first registered as a trademark by the U.S. Patent and Trademark Office ("USPTO") on October 19, 1993 (Registration No. 1799840) in the category of health care services, and more particularly, providing TPN pharmaceutical solutions, supplies and equipment to TPN patients at their home. On September 3, 2002, Nutrishare obtained a registration of the "Nutrishare" word mark in the category of retail pharmacy and mail order services in the field of TPN pharmaceutical solutions, supplies and equipment for TPN patients at their home (Registration No. 2615200). Attached hereto as Exhibit A is a true and correct copy of our Certificate of Registration for "Nutrishare." 6. We first used the "Nutrishare" mark in 1991, years prior to its registration. The

mark has always been displayed either in standard characters or in conjunction with a logo depicting "Nutrishare" in block letters preceded by the stylized image of a bag and IV catheter. Almost all of Nutrishare's goods prominently bear the "Nutrishare" mark. 7. Nutrishare's marketing is conducted by word-of-mouth, through referrals by its

physician colleagues and TPN consumers, through a publicly available web-site located at www.nutrishare.com, through newsletters and other special educational materials, and by its attendance at Home TPN conferences and events throughout the country, including the Oley Foundation Conference. In each medium and each venue, the "Nutrishare" mark is displayed prominently. 8. On Nutrishare's web-site, individuals can request information from Nutrishare on

its products and services, view an on-line infomercial regarding Nutrishare, take on-line tutorials in TPN best practices, join and participate in a secure on-line TPN discussion board, consult with Nutrishare's clinician "team," read Nutrishare's newsletter, and join the "Nutrishare family." Through a "members only" secured login, Nutrishare's customers also can order TPN supplies directly on-line and access special educational material and family photos of members. True and 5
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correct copies of screen shots from relevant portions of Nutrishare's web-site are attached hereto as Exhibit B. 9. Nutrishare has invested millions of dollars over the past seventeen years to

establish its corporate identity and is held in high esteem amongst Home TPN consumers as well as clinicians throughout the country. For the past twelve years, Nutrishare has donated to the Oley Foundation at the highest "Platinum" level or the second to highest level. When you add the Oley annual contributions to Nutrishare's support of other Oley programs, Nutrishare has donated over half a million dollars to the Oley Foundation to date. Last year, Nutrishare, together with the Oley Foundation, established the Nutrishare Research Prize, designed to recognize and encourage clinical research that will improve the quality of life for Home TPN consumers and their families. Nutrishare has also published advertisements in more than 100 issues of the Oley Foundation's bi-monthly newsletter, LifelineLetter, since 1993. At each Oley Foundation Conference, Nutrishare strategically and prominently displays the "Nutrishare" mark and products and services bearing the "Nutrishare" mark. 10. Nutrishare has not only spent significant funds on advertising and promoting the

"Nutrishare" mark, but the owners and employees of Nutrishare have spent countless hours promoting Nutrishare. The exact cost of this time and effort may potentially amount to millions of dollars, but is not readily calculable. Nevertheless, the opportunity cost of the owners and employees of Nutrishare is substantial, and must be taken into consideration. 11. As a result of Nutrishare's considerable investment of time and money, the

"Nutrishare" mark has developed distinctive meaning to consumers. By virtue of Nutrishare's advertising and sales, together with customer acceptance and recognition, the "Nutrishare" mark identifies Nutrishare's products and services only, and distinguishes them from products and services provided by others. The "Nutrishare" mark has thus become and is a valuable asset symbolizing Nutrishare, its quality products and services, and its goodwill. In short, the "Nutrishare" mark has come to indicate to consumers a meaning of quality in Home TPN care originating with Nutrishare.

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BioRx and the "NutriThrive" Marks On information and belief, BioRx, LLC is based in Cincinnati, Ohio. BioRx's

web-site, www.BioRx.net, states that BioRx is a national provider and distributor of certain specialty pharmaceuticals, related supplies, as well as clinical and reimbursement support services., and provides: (1) in-home hemophilia care; (2) in-home Immunoglobulin G services; (3) in-office enteral and parental nutrition; and (4) in-home enteral and parenteral nutrition. Enteral nutrition, as opposed to parenteral nutrition, is the practice of feeding individuals through a tube placed in the nose, the stomach, or the small intestine. True and correct copies of screen shots from relevant portions of BioRx's web-site are attached hereto as Exhibit C. 13. At last year's Oley Foundation Conference in June, 2007, BioRx made its debut.

A representative of BioRx announced that BioRx was establishing a new division called "NutriThrive" to provide in-home enteral nutrition and in-Home TPN products and services. The representative indicated that NutriThrive was in the nascent stages of its existence, had not yet established a web-site, and did not yet have a single customer. In conjunction with NutriThrive's announcement, BioRx (using the NutriThrive name) sponsored the Oley Foundation at the donor level immediately below the Platinum level. Attached hereto as Exhibit D is a true and correct copy of the March/April 2008 issue of LifelineLetter, in which NutriThrive is listed as a "Golden Medallion Partner" of the Oley Foundation. On information and belief, NutriThrive is not registered as an entity with the Ohio Secretary of State. At the time, I was not aware of the exact nature of NutriThrive's business, the territory in which it intended to provide its products and services, or the extent to which NutriThrive intended to compete with Nutrishare. It is now clear to me that NutriThrive provides the same products and services (although of inferior quality) as Nutrishare. 14. After the 2007 Oley Foundation Conference, BioRx began advertising its

NutriThrive products and services in the Oley Foundation's bi-monthly LifelineLetter newsletter, which is the most widely circulated Home TPN newsletter and Nutrishare's primary marketing vehicle for its print advertising. NutriThrive's advertisements adopt substantially verbatim the language in Nutrishare's advertisements. For example, Nutrishare created a series of ads 7
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featuring customer testimonials accompanied by the customer's photograph. In the NovemberDecember 2007 issue of LifelineLetter, NutriThrive also featured a photograph and a customer testimonial featuring one of Nutrishare's former customers. In another advertisement, Nutrishare states that it is dedicated to improving "clinical outcomes" and "the quality of life" of Home TPN consumers. In the July-August 2007 issue of LifelineLetter, NutriThrive's advertisement likewise states that NutriThrive's goals are "positive clinical outcomes" and "to improve the qualify of life for the home nutrition support patient." True and correct copies of Nutrishare's and NutriThrive's similar advertisements are attached hereto as Exhibit E. 15. According to BioRx's web-site, the NutriThrive division was not officially

launched until November 18, 2007. Since then, BioRx has created a web-site for NutriThrive, www.nutrithrive.com, which can be accessed independently or through BioRx's web-site, www.biorx.net. NutriThrive's web-site functions almost identically to Nutrishare's web-site. Through NutriThrive's web-site, persons can request information on NutriThrive's products and services, participate in a secure on-line TPN discussion board, consult with NutriThrive's clinician "team" and "consumer advocates" (former or current TPN consumers who act as liaisons), and join the "NutriThrive family." The only functional difference appears to be that NutriThrive does not have links to newsletters, and its on-line educational services are still "under construction." True and correct copies of screen shots from relevant portions of NutriThrive's web-site are attached hereto as Exhibit F. 16. Within the past six months, NutriThrive has begun encroaching on Nutrishare's

sales territory, and actually has solicited Nutrishare's customers and physician colleagues. We became seriously concerned when medical professionals actually became confused about the relationship between the two companies. For example, approximately two months ago, my colleague Dr. Rick Ferris, Dr. Diamantidis, and I met with a pharmacist named Tim from Sullivan's Pharmacy in Boston, who indicated that the names "Nutrishare" and "NutriThrive" could cause confusion among his pharmacists and that he would have to explain the difference to them. This was the first time we heard that Sullivan's Pharmacy was working with NutriThrive. 17. In April, 2008, we discovered that BioRx obtained Notices of Allowance from the 8
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USPTO on a trademark and a servicemark for "NutriThrive." True and correct copies of the Notices of Allowance for NutriThrive's marks are attached hereto as Exhibit G. 18. Nutrishare also has learned that BioRx hired Donna Noble, the mother of one of

Nutrishare's former and now deceased customers to act as a "Consumer Advocate" for NutriThrive, and that BioRx has also retained Ellen Seiz, one of Nutrishare's former customers, to act as a NutriThrive spokesperson. 19. We are also concerned about NutriThrive misrepresenting to consumers and to

the public that it is accredited by the ACHC. As part of their start-up mailer package, NutriThrive has sent at least one home TPN consumer (who is located in California) a business card indicating that NutriThrive is accredited by the ACHC. Presumably, all of NutriThrive's current and potential costumers receive the same start-up package containing the business card. NutriThrive has also verbally represented to at least one home TPN consumer and one ACHC board member that it is accredited by the ACHC (and not the JCAHO). Although BioRx may be accredited by the ACHC, NutriThrive is not. 20. We are further concerned regarding the quality of NutriThrive's products and

services. NutriThrive does not currently have Board certified nutrition support pharmacists managing the day to day care of its patients and does not have a comparable breadth and years of experience in caring for Home TPN consumers that Nutrishare does; from staffing, to research to technology development and education programs. NutriThrive also appears not to currently offer education on the state-of-the-art in Home TPN. 21. Until last year, Nutrishare was the only company in the nation that focused

exclusively on providing Home TPN products and services (while there are dozens of generalist home infusion pharmacies that provide Home TPN products and services, they only do so as one of several other offerings). The ACHC actually recognized Nutrishare as the ONLY home care pharmacy organization certified as "specialists in Home TPN therapy." And until NutriThrive's establishment, no existing TPN provider other than Nutrishare used the "Nutri" prefix to designate its offerings. Now, there are two companies ­ Nutrishare and BioRx's NutriThrive division ­ that focus on in-Home TPN products and services. 9
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What's New!
New Board Certified Pharmacists
-June 2, 2008

Blog Update: Craig's Café
-August 16, 2007

CEC 2007 Wrap Up
-August 7, 2007

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Sea

Welcome
Blogs.nutrishare.com delivers several new topics per month relating to the Home Infusion Consumer. Do you have a question, or comment? Join the Nutrishare Community and have it answered by the experts.

Front Page News
Comments Many home TPN consumers are preparing to travel to San Diego next week for the annual Oley Foundation meeting (www.oley.org). Others 29 Views are planning summer vacations to beaches, camping, and...
06-19-2008, 5:47 PM by Marianne to Marianne's Corner

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Travel Tips

Comments Many different types of end caps or adapters are available for home TPN consumers to use on the hub (open) end of their central venous 52 Views access device. There are needleless, dead end, injection ports, and split septum system caps. All connectors and caps...
05-30-2008, 3:41 PM by Marianne to Marianne's Corner

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Cap Change

Comments The proportion of the several hundred different species of bacteria that comprise the intestinal flora is different from one individual to another. 139 Views The specific mix of the trillions of microorganisms that compose an individual's intestinal flora is established...
05-15-2008, 4:39 PM by admin to Craig's Cafe

3

PROBIOTICS ­ ARE THEY FOR YOU?

Comments

0

Flushing Webinar

On April 15 the Infusion Nurse's Society (INS) sponsored an on-line 138 Views Webinar entitled "Current Guidelines for Flushing Vascular Access Devices." This was a live presentation by Lynn Hadaway M.Ed., RN, BC, CRNI. Lynn is a well known expert in infusion...

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04-27-2008, 1:45 PM by Marianne to Marianne's Corner

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Comments Total parenteral nutrition (TPN) has been identified as a risk factor for catheter related blood stream infection (CRBSI). Central venous access 317 Views devices (CVAD) used to administer TPN provide a direct pathway for pathogens to enter the blood stream either...
04-04-2008, 1:41 PM by Marianne to Marianne's Corner
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The Nutrishare Home TPN Research Prize
-August 1, 2007

Reid Nishikawa, Pharm.D., BCNSP, FCSHP named ASPEN Distinguished Nutrition Support Pharmacist of the Year.
-July 24, 2007

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Printable Version

Newsletters
11-07 08-06 01-06 7-25-05

Home TPN patients who use specialty providers, Greg Killmeier, Pharm.D. BCNSP and have fewer complications. Ian Robertson, Pharm.D. BCNSP receive their credentials as Board Recently, Nutrishare sent a survey to home TPN Certified Nutrition Support patients asking them if their home care provider was a Pharmacists. TPN specialty provider. When the results were reviewed those Home TPN consumers who used Nutrition Support Pharmacists address the specialty providers said they received more clinical care of patients who receive specialized information from their pharmacists and had a lower rate nutrition support, including parenteral and enteral nutriof total complications than those who used a general tion. The nutrition support pharmacist has responsibility provider. This paper will be presented in December at for promoting maintenance and/or restoration of optimal the Midyear Clinical Meeting of the American Society nutritional status, designing and modifyof Healthsystem Pharmacists in Las Vegas. ing treatment according to the needs of the patient. The nutrition support pharmacist has responsibility for direct Patients from specialty home care providers feel pharmacists have a greater knowledge of nutrition patient care and often functions as a support issues than pharmacists from a general home member of a multidisciplinary nutrition care provider. support team. Those who are granted certification in this specialty may use the John K. Siepler, Pharm.D., BCNSP, FCCP; Rod designation "Board Certified Nutrition Support Okamoto, RPh, Tom Diamantidis, Pharm.D.; Reid A. Pharmacist" and the initials "BCNSP," as long as Nishikawa, Pharm.D., BCNSP. Nutrishare, Inc. Elk certification is valid. Grove, CA. Both Greg and Ian passed an exam that is designed to evaluate a pharmacist's knowledge and skill in nutrition support. There are less than 500 others worldwide who are board certified in nutrition support. Join us in congratulating both in their significant accomplishment.

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Case 3:08-cv-01493-JM-BLM
Patients on home parenteral nutrition (HPN) receive their HPN from home care providers which are pharmacies that prepare and dispense intravenous products. Most of these providers dispense a variety of products in addition to HPN including antibiotics, intravenous fluids, and respiratory medications. Thus, these providers can be considered general home care providers. Some providers specialize in specific areas such as respiratory therapy, hospice, pediatrics or HPN. These providers can be considered specialty home care providers. One way these specialty providers can make a difference in patient care would be to reduce the frequency of HPN associated complications. We sent a survey to HPN patients asking them to tell us if their home care provider specialized in HPN. In addition they were asked to tell us their opinion of the clinical information they received from their pharmacists and the number of HPN associated complications such as catheter infections, and catheter replacements occurring a one year period.

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Nutrishare friends and family,

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We can't believe all that has happened in 2007, from the Disney Cruise / Home TPN Education Conference in May, to the founding of the `Platinum Level' of Oley Foundation support in July, followed up by the announcement of the Nutrishare / Oley Foundation Research Prize competition designed to stimulate research in the area of Home TPN. Meanwhile, we continue to produce our own research and product development, notably the new NuBox shipping system which is being rolled out as we speak. This, after an extensive pilot-testing project (thank you brave participants for your critical input). Feel free to call us if you think of anything that could improve the care that you receive.

We believe this suggests that patients of home care providers who specialize in HPN have fewer Rod Okamoto and Tom Diamantidis complications than those who are using a general home care provider. It should be stated here that several of the HPN consumers who listed their HPN provider was a specialty provider did not use Nutrishare as their provider. There have been other reports of specialty providers (in areas other than HPN), having a lower complication rate than general providers, so this concept is likely not new. Despite this, we feel more work is needed in this area. Nutrishare will continue to strive to reduce the HPN associated complications in our consumers. This paper will be presented at the ASHP mid year clinical meeting in Las Vegas in December, 2007.

Click here to get the full Newsletter with additional content. Requires adobe acrobat reader and will open in a new window.
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Consumer Benefits - Testimonials They genuinely care about their patients as people. They are extremely reliable and have been known to bend over backwards to listen to the consumer and do everything possible to enhance the consumer's quality of life. TF-San Pedro, CA Nutrishare sets the standard for home infusion therapy and the total care of HPN patients. EP-Spokane, WA Using TPN can be both frightening and isolating. By being thorough, knowledgeable and the best at what they do, and by offering educational and social opportunities, Nutrishare has taken away both the fears and the sense of isolation. They help make it possible for me to be who I am and do the things I love. What a great gift from the Nutrishare Family. MC-Beaverton, OR Nutrishare allows me to live a normal life without worrying about everyday TPN issues. They are truly a family. JG-Watertown, CT Nutrishare means a lot to my mom and me. I came to them in need and very sick. They have helped play a part in keeping me healthy and fulfilling my dreams. CG-Boerne, TX Nutrishare has been a complete oasis for those of us nutritionally challenged. I have had many providers in the past but Nutrishare outshines them all by far. I don't think I could ask more from a provider even if I had personally designed it myself. JW-Richardson, TX Nutrishare never ceases to amaze me in their caring and support. I can't say enough about them. They are truly like family. MD-Leominster, MA I believe Nutrishare has been an outstanding company in terms of attending to the needs of its patients. They are actually involved in educating patients on recent developments in nutrition support and make considerable efforts to improve the quality of their lifestyles. MH-Charleston, MA could not praise enough how superb all the services of Nutrishare are. The comfort and peace of mind they give me is invaluable. The kindness and caring of their staff is unique and help is quickly responded to when needed. Their professional expertise is the top of the line. SK-Santa Monica, CA Nutrishare addresses every issue that affects us consumers, both medically and emotionally. They are the best. MS-Coarsgold, CA Nutrishare is just fantastic. They go out of the way to make sure things are right for you. You are part of a family and they take care of their Family. There is no equal to Nutrishare. RG-Elyria, OH

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Founders Rod Okamoto, RPH.
Nutrishare President

Rod served as Nutrition Support Pharmacist at the UC Davis prior to founding one of the first home TPN pharmacies in the country, MAPS Pharmacy, in 1979. MAPS was acquired by Delmed, Inc which later became part of NMC Homecare. He served as the General Manager for NMC Homecare's Sacramento branch until 1991, when together with Tom Diamantidis, decided to form a consumer-based TPN organization named Nutrishare.

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Tom Diamantidis, Pharm. D.
Nutrishare Vice President

Tom completed a Nutrition Support residency at Mercer University prior to joining Community Alimentation as their clinical pharmacy specialist in 1982. Community Alimentation became a part of NMC Homecare with Tom assuming the role of General Manager of NMC's Chatsworth, California branch, NMC's largest branch at the time. Tom and Rod Okamoto formed Nutrishare in 1991 in hopes of improving the lives of the Home TPN consumer.

Testimonials

Clinicians Mike Hester, Pharm. D.
Nutrishare Projects Manager

Home TPN pharmacy experience since 1984. Served as Director of Pharmacy for Critical Care America in Alameda, California Co-Owner of Home Nutritional Systems, Oakland, CA

"There is always a secure feeling knowing I'm getting outstanding service."

Tutorials Greg Killmeier, Pharm. D., BCNSP
Nutrishare Operations Manager, Louisville, Ky

Graduate of the University of Kentucky. Former Clinical Pharmacist at the University of Louisville Hospital in Louisville, Kentucky

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Richard Leong, Pharm. D., BCNSP
Nutrishare Operations Manager, Elk Grove, Ca

Home TPN pharmacy experience since 1994. Served as Director of Pharmacy for OPTIONCARE, Sacramento, California.

Tammy McDowell, Pharm. D.
Nutrishare Clinical Specialist

Graduate of the University of Kentucky Former Director of Infusion Services at D&R Pharmacare in Louisville, KY

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Marianne Opilla, RN, CNSN
Clinical Care & Research Specialist

Graduate of Virginia Commonwealth University School of Nursing. Board Certified Nutrition Support Nurse 1992, Nutrition Support Nurse at Medical College of Virginia 1989-2005.

Reid Nishikawa, Pharm. D., BCNSP, FCSHP
Nutrishare Director of Research and coordinator, Clinical Services

Formerly nutrition support pharmacist at the UC Davis Medical Center, Reid has published more than 20 papers in nutrition support and infectious disease. Reid also served on the transplant team and the University of Chicago. Reid has lectured throughout the country for ASPEN and the OLEY Foundation on a variety of TPN-related subjects.

Craig Petersen, RD, CNSD
Nutrishare Nutritionist

Craig has served as a pediatric/adult nutrition support specialist at the UC Davis Medical Center since 1982. Craig has lectured throughout the country to clinicians and TPN consumers including ASPEN and OLEY Foundation conferences. Craig is also involved in several professional organizations and has coauthored numerous scientific papers and professional practice guidelines, relating to nutrition support.

Ian Robertson, M.S., Pharm.D., BCNSP
Nutrishare Clinical Specialist

Ian completed his B.S. and M.S. in the Department of Food Science and Technology at U.C. Davis. After working in the brewing industry for 4 years, he enrolled in the School of Pharmacy at U.C. San Francisco. During his final year there, he developed his interest in home care and completed clinical clerkships at Nutrishare and Optioncare. Upon earning his Pharm.D. in 1996, he accepted a clinical position at Optioncare where he specialized in TPN and pain management. Ian returned to Nutrishare in February 2006 as a Clinical Specialist. John Siepler, Pharm. D., BCNSP, FCSHP, FCCP
Nutrishare Research Specialist and Clinical Professor, UCSF School of Pharmacy

UCSF School of Pharmacy: Pharm.D. 1974 Clinical Residency, UCSF:1975 California Society of Health-system Pharmacists: Pharmacist of the Year 2004 California Society of Health-system Pharmacists: Fellow Northern California Society of Health-system Pharmacists: Pharmacist of the Year 2003 American College of Clinical Pharmacy: Fellow Board Certified Nutrition Support Pharmacist 1997 Formerly UC Davis Medical Center nutrition support pharmacist. John has published more than 100 papers and 25 book chapters on a wide array of subjects including nutrition support and gastroenterology.
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Clinical Research Advancements in the clinical management of disease states almost always originate from basic or clinical research. It is the constant awareness of this relationship which reinforces the importance of ongoing research. Nutrishare is committed to conducting and evaluating ongoing research related to long-term TPN therapy. Through research, many questions may be answered. Our intent is to utilize research that we do as well as other studies to improve the level of clinical care for consumers. Our goal is to utilize research to provide consumers with the latest advancements in clinical medicine and ultimately result in improving your health and quality of life. Below, please find a listing of the research that Nutrishare staff members have presented at national and international meetings. It is organized by year, with the scientific meeting and location of that meeting listed along with the title of the presentation and the authors who conducted the research. In addition, chapters in textbooks and papers published in scientific journals that have been written by Nutrishare staff members are also listed. If there are any questions about any of these items, please don't hesitate to contact one of the Nutrishare clinical staff at 1-800-HOME TPN. 2008 Siepler JK, Lam K, Diamantidis T, Nishikawa RA, Okamoto R. Abnormalities of bilirubin, alkaline phosphatase, Aspartine aminotransferase, and Alanine aminotransferase in chronic home parenteral nutrition patients: correlation with patient and clinical characteristics. JPEN.
NR155

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Testimonials

John K. Siepler, Pharm.D., Tom Diamantidis, Pharm.D., Reid A. Nishikawa, Pharm.D., Rod Okamoto, RPh. Are consumer surveys accurate data collection tools? A.S.P.E.N. Nutrition Week, Chicago.
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"There is always a secure feeling knowing I'm getting outstanding service."

John K. Siepler, Pharm.D., Ken Lam RPh, Tom Diamantidis, Pharm.D., Reid A. Nishikawa, Pharm.D., Rod Okamoto, RPh. Are abnormal liver function tests in chronic home parenteral nutrition patients associated with intravenous fat emulsion packaging? A.S.P.E.N. Nutrition Week, Chicago.
NR153

Tutorials

John K. Siepler, Pharm.D., Tom Diamantidis, Pharm.D., Reid Nishikawa, Pharm.D., Rod Okamoto, RPh. Does a change of infusion provider affect the complication rate and perception of health in chronic home parenteral nutrition patients? A.S.P.E.N. Nutrition Week, Chicago.
NR152

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Marianne Opilla, RN BSN CNSN, John Siepler, PharmD BCNSP FCCP, Thomas Diamantidis, PharmD, Rodney Okamoto, RPh, Reid Nishikawa, PharmD BCNSP FCSHP Self Administered Alteplase in a Home Total Parenteral Nutrition Population A.S.P.E.N. Nutrition Week, Chicago.
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2007 Killmeier G, Siepler, JK, Diamantidis T, Okamoto R.

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Killmeier G, Siepler, JK, Diamantidis T, Okamoto R. Analysis of bacterial contamination of home parenteral nutrition solutions after 28 days storage under room temperature and refrigeration. In Press: Nutrition in Clinical Practice.
NR148

Siepler JK, Okamoto R, Diamantidis T, Nishikawa R. Incidence of complications associated with chronic home parenteral nutrition is higher in patients who have motility disorders JPEN
NR147

Opilla M, Siepler JK, Nishikawa RA, Diamantidis T, Okamoto R, Kirby D. Reduction of catheter related blood stream infections using ethanol locks in patients receiving home parenteral Nutrition JPEN
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Siepler JK, Opilla M, Nishikawa RA, Diamantidis T, Okamoto R, Exit site infections are more common in patients with ostomies. JPEN
NR145

Robertson I, Siepler JK, Opilla M, Nishikawa RA, Diamantidis T, Okamoto R. Do neutral flow needleless catheter connectors have a reduced rate of catheter changes in chronic home parenteral nutrition patients? JPEN
NR144

Siepler JK, Opilla M. Nishikawa RA, Diamantidis T, Okamoto R. Reduction of catheter related blood stream infections using ethanol locks in patients receiving home parenteral Nutrition Pharmacotherapy
NR143

Nishikawa RA, Siepler JK, , Diamantidis T, Okamoto R Osteonecrosis of the jaw in home parenteral nutrition patients on intravenous pamidronate. Pharmacotherapy
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Siepler JK, Nishikawa RA, Diamantidis T, Okamoto R. Use of acid suppression does not affect bone mineral density in chronic home Parenteral Nutrition patients. Clinical Nutrition
NR141

Siepler JK, Nishikawa RA, Diamantidis T, Okamoto R. Inflammatory bowel disease patients on home parenteral nutrition with metabolic bone disease have a poorer response to intravenous pamidronate. Clinical Nutrition Week
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2006 Killmeier G, Siepler JK, Diamantidis T, Nishikawa RA, Okamoto R. Lack of correlation of metabolic bone disease and estimated Al dosage for chronic home parenteral nutrition patients JPEN 2006;30:S20.
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Siepler JK, Killmeier G, Diamantidis T, Nishikawa R, Okamoto R. Testing of parenteral nutrition solutions: Validation of freedom from microbial contamination after 28 days storage. N t Cli P t 2006 21 221

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Siepler JK, Opilla M, Nishikawa RA, Kirby D, Diamantidis T, Okamoto R. Reduction of catheter related bloodstream infections using ethanol locks in patients receiving chronic home parenteral nutrition. Clinical Nutrition (in press)
NR137

Siepler JK, Nishikawa RA, Diamantidis T, Okamoto R. Complications are increased in chronic home parenteral nutrition patients with crohn's disease receiving monoclonal antibody treatment. Clinical Nutrition (in press)
NR136

Nishikawa RA, Siepler JK, Diamantidis T, Sasaki F, Okamoto R. Osteonecrosis of the Jaw in chronic home parenteral nutrition patients receiving pamidronate. Clinical Nutrition (in press)
NR135

2005 Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Okamoto, Rod Quality of life in home parenteral nutrition patients Abstract: Pharmacotherapy, In press ACCP Spring Research and Education Forum 2005 Myrtle Beach, SC
NR128

Siepler, John K; Nishikawa, Reid A; Kumpf, Vanessa; Diamantidis, Tom; Petersen, Craig; Okamoto, Rod; Totty, Darren Thrombocytopenia in chronic home parenteral nutrition patients Abstract: Nutr Clin Pract 2005; 20:132. A.S.P.E.N. Clinical Nutrition Week 2005 Orlando, FL
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Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Petersen, Craig; Okamoto, Rod Infectious complications in patients receiving home parenteral nutrition are associated with blood glucose control Abstract: JPEN 2005; 29:S38. A.S.P.E.N. Nutrition Week 2005 Orlando, FL
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2004 Siepler, John K; Petersen, Craig; Nishikawa, Reid A; Diamantidis, Tom; Okamoto, Rod Complications in chronic home parenteral nutrition patients is increased in patients whose actual weight is below desired weight Abstract: Nutrition in Clinical Practice 2004; 19:82 A.S.P.E.N. Nutrition Week 2004: American Society for Parenteral and Enteral Nutrition
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Kumpf, Vanessa; Okamoto, Rod; Diamantidis, Tom Long-term use of chlorhexidine for skin antisepsis in home parenteral nutrition patients Abstract: Nutrition in Clinical Practice 2004; 19:73. A.S.P.E.N. Nutrition Week 2004: American Society for Parenteral and Enteral Nutrition
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Kumpf, Vanessa Decrease in infectious complications in a pediatric home parenteral nutrition patient: impact of clinical interventions Abstract: Nutrition in Clinical Practice 2004; 19:83. A.S.P.E.N. Nutrition Week 2004: American Society for Parenteral and Enteral Nutrition

American Society for Parenteral and Enteral Nutrition
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Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Petersen, Craig; Okamoto, Rod Infectious complications in patients receiving home parenteral nutrition are associated with blood glucose control Abstract: Clinical Nutrition 2004; 23:1487 ESPEN 2004 Annual Meeting of the European Society for Parenteral and Enteral Nutrition
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Siepler, John K: Nishikawa, Reid A; Siepler, SE; Diamantidis, Tom; Okamoto, Rod Intravenous pamidronate successfully reverses diminished bone mineral density in Home TPN patients Abstract: Gastroenterology. 2004 April Annual Meeting of the American Gastroenterological Association. DDW 2004
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Ryder, Marcia; Nishikawa, Reid A; Liu, YL; Kite, P; Engler, M; Leung, J Efficacy of tetra sodium EDTA: A novel antimicrobial agent superior to ciprofloxacin in Coagulasenegative Staphylococcus and Pseudomonas aeruginosa biofilm bacteria ICAAC 2004 Washington DC
NR98B

Ryder, Marcia; Nishikawa, Reid; Liu YL; Engler M; Leung J Electroporation: Pulsed electrical fields produce rapid reduction of Coagulase-negative Staphylococcus biofilm bacteria when used alone or in combination with antibiotics ICAAC 2004 Washington DC
NR98C

2003 Siepler, John K; Avante, Clare Quality of life in patients receiving chronic home parenteral nutrition (HPN) is not affected by incidence of HPN associated complications Abstract: JPEN 2003; 27(1): S32. A.S.P.E.N. Nutrition Week 2003: American Society for Parenteral and Enteral Nutrition
NR97

Nishikawa, Reid A; Siepler, SE; Siepler, John K; Diamantidis, Tom; Okamoto, Rod Intravenous pamidronate improves bone mineral density in home parenteral nutrition patients. Abstract: Clinical Nutrition. 2003; 22:S88. ESPEN 2003 Annual Meeting of the European Society for Parenteral and Enteral Nutrition
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Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Okamoto, Rod Home parenteral nutrition in patients using specialized home care providers without complications have a higher quality of life than those using a general home care provider. Abstract: Clinical Nutrition. Aug 2003; 22:S89. ESPEN, 2003 Annual Meeting of the European Society for Parenteral and Enteral Nutrition
NR96

Ryder, Marcia; Nishikawa, Reid A; Liu, YL; Kite, P; Engler, M; Leung, J Efficacy of tetra sodium EDTA: A novel antimicrobial agent superior to ciprofloxacin in Coagulasenegative Staphylococcus and Pseudomonas aeruginosa biofilm bacteria American Society of Microbiology (ASM) Conferences, Biofilms 2003, Victoria, British Columbia
NR98

Ryder, Marcia; Nishikawa, Reid A; Liu, YL; Engler, M; Leung, J Electroporation: pulsed electrical fields produce rapid reduction of Coagulase negative

Electroporation: pulsed electrical fields produce rapid reduction of7-3 Case 3:08-cv-01493-JM-BLM Document Coagulase-negative Filed 06/24/2008 Staphylococcus biofilm bacteria when used alone or in combination with antibiotics American Society of Microbiology (ASM) Conferences, Biofilms 2003, Victoria, British Columbia
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2002 Siepler, John K; Okamoto, Rod; Diamantidis, Tom; Nishikawa, Reid A Quality of life analysis in patients with chronic intestinal pseudobstruction on home parenteral nutrition Abstract: Clinical Nutrition. October 2002. ESPEN, 2002 Annual Meeting of the European Society for Parenteral and Enteral Nutrition
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Siepler, John K; Totty, Darren E; Okamoto, Rod; Diamantidis, Tom; Nishikawa, Reid A Reformulated parenteral multivitamins in long-term parenteral nutrition patients: impact on therapeutic anticoagulation American Society for Health-System Pharmacists (ASHP) Mid-Year Clinical Meeting, 2002.
NR105

Hester, Mike L; Okamoto, Rod; Diamantidis, Tom Efficacy of low dose tPA in occluded catheters in long term TPN patients American Society for Health-System Pharmacists (ASHP) Mid-Year Clinical Meeting, 2002.
NR100

2001 Nishikawa, Reid A; Siepler, John K; Diamantidis, Tom; Okamoto, Rod Elevated manganese levels in long-term home parenteral nutrition patients is not predicted by dose Abstract: JPEN 2001; 25:S7. American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Clinical Congress, 2001.
NR103

Siepler, John K; Okamoto, Rod; Diamantidis, Tom; Nishikawa, Reid A; Totty, Darren E; Hester, Michael L Monthly urokinase (URO) in long-term home TPN (HPN) patients reduces the incidence of hospital admissions Abstract: JPEN. 2001; 25:S7. American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Clinical Congress, 2001.
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Siepler, John K; Petersen, Craig; Okamoto, Rod; Diamantidis, Tom; Nishikawa, Reid A Ability of patients with short bowel syndrome (SBS) to wean of home parenteral nutrition (HPN ) after an intestinal rehabilitation program (BRP) is related to remaining bowel length. Abstract: Clinical Nutrition. Sept 2001 ESPEN, 2001. Annual Meeting of the European Society for Parenteral and Enteral Nutrition
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2000 Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Petersen, Craig; Okamoto, Rod Pediatric patients on home parenteral nutrition (HPN) wean off hpn (WHPN) easier than adults Abstract: Clinical Nutrition. Sept 2000. ESPEN, 2000. Annual Meeting of the European Society for Parenteral and Enteral Nutrition
NR102

Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Okamoto, Rod Attendance at a bowel rehabilitation program is not associated with an increased ability to wean from parenteral nutrition in patients with short bowel syndrome after bowel resection Abstract: Gastroenterology 2000; 118:A1097. Annual meeting of the American Gastroenterology Association (DDW), 2000.
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Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Peterson, Craig; Okamoto, Rod Relationship of gastrointestinal (GI) anatomy and ability to wean off of parenteral Nutrition (HPN) in patients with short bowel syndrome (SBS) following multiple bowel resection (MBR)

patients with short bowel syndrome (SBS) following multiple bowel resection (MBR) Case 3:08-cv-01493-JM-BLM Document 7-3 Filed 06/24/2008 Abstract: JPEN 2000; 24:S26 A.S.P.E.N. Clinical Congress, 2000 American Society for Parenteral and Enteral Nutrition
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1999 Siepler, John K; Nishikawa, Reid A; Hester, Mike; et al. Routine urokinase reduces catheter complications in patients on chronic home parenteral nutrition Abstract: Gastroenterology. April 1999. Annual meeting of the American Gastroenterology Association (DDW), 1999.
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1997 Siepler, John K; Petersen, Craig; Okamoto, Rod; Diamantidis, Tom; Nishikawa, Reid A An analysis of home TPN related hospital admissions: comparison of specialized and general home care providers ASHP Annual Meeting, 1997. American Society for Health-System Pharmacists
NR99

Textbook Chapters: Textbook chapter: Chessman K; Kumpf, Vanessa; Assessment of nutrition status and nutrition requirements. In: Pharmacotherapy: A pathophysiologic approach DiPiro JT, ed. 6th ed. Appleton & Lange; publication pending.
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Textbook chapter: Kumpf, Vanessa; Chessman, K. Enteral Nutrition In: Pharmacotherapy: A pathophysiologic approach DiPiro JT, ed 6th ed. Appleton & Lange; publication pending.
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Textbook chapter: Martindale RG, Shikora SA, Nishikawa, Reid A; Siepler, John K; The metabolic response to stress and alterations in nutrient metabolism In: Nutritional considerations in the intensive care unit. Shakoura, S; Martindale, RG, editors Kendal-Hunt, Bethesda, MD: 2003; pp 11-21
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Textbook chapter: Kumpf, Vanessa; Gervasio J Pharmacotherapeutics In: The science and practice of nutrition support: A case-based core curriculum Gottschlich M, ed. A.S.P.E.N., Inc Silver Spring: 2001; pp 287-299.
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Textbook chapter: Seipler, John K and Phinney, SP TPN in the diabetic patient In: Nutrition Support: Theory and Therapeutics, Shakoura S and Blackburn, GL editors Chapman and Hall. New York, NY, 1997, pp 321-335
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Journal Articles: Journal article: Mirtallo J; Canada T; Johnson D; Kumpf, Vanessa; Petersen, Craig; Sacks G; Seres D, Guenter P. Safe practices for parenteral nutrition. JPEN 2004; 28(6 suppl): S39-S70.
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Journal article: Kumpf, Vanessa Update on parenteral iron therapy. Nutrition in Clinical Practice 2003; 18:318-326.
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Journal article: Siepler, John K; Nishikawa, Reid A; Diamantidis, Tom; Okamoto, Rod Asymptomatic hypermanganesemia in long-term home parenteral nutrition patients. Nutrition in Clinical Practice 2003; 18:370-373.
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Journal article: Kumpf, Vanessa Implementation of safe practices for parenteral nutrition formulations. Am J Health-Syst Pharm 1999; 56:815-817.
NR107

Journal article: Kumpf, Vanessa Current guidelines for the use of parenteral nutrition. Home Health Care Consultant 1999; 6:20-25.
NR114

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Links Nutrishare Blogs American Gastroenterological Association (public section) Oley Foundation Scleroderma Foundation About Kids-GI Disorders Crohn's and Colitis Foundation North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition United Ostomy Association National Eosinophilic Enteritis Disease Foundation Testimonials Check Out The Nurishare Story!

"I feel very fortunate to have Nutrishare in my life."

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My Nutrishare Access Device Care Center Login Please log in with your email address to view the online training program. This should be the email address you used when you filled out the order form.

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Louisville Ky. Office Testimonials

10519 E. Stockton Bl #110 Elk Grove Ca. 95624 800-HOME-TPN (466-3876) Pharmacy Fax (888) 626-3344 Office Fax (916) 685-5588

11020 Plantside Dr. Louisville Ky. 40299 (800) HOME-TPN (466-3876) Pharmacy Fax 800-530-0853

To request additional information about Nutrishare services please use the email form or call 1-800-HOME-TPN select and ask to speak to a pharmacist.

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y g ,g g g really appreciate BioRx because of its people like you and Matt and a few others that I've had the fortune of meeting and/or talking to. You guys are doing a great job." - Juanita F.

"Just wanted to write in saying that I am very pleased with the service I receive from BioRx. We have been with BioRx for about two years now. They have always gone out of their way to get the

Recent News
About the Heparin Recalls BioRx Offers Vivaglobin® to Patients with Primary Immune Deficiency Disorders Biorx Pledges Long-Term Financial Commitment to the Oley Foundation to Help Individuals Requiring Home Intravenous Nutrition and Tube Feeding.

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BioRx is a national provider and distributor of certain specialty pharmaceuticals, related supplies, as well as clinical and reimbursement support services. Currently BioRx has four product offerings: 1) In-home hemophilia care, or the provision of hemophilia clotting factors and highly customized support services, 2) in-home IgG, 3) in-office infusion suite management services, primarily targeted at neurology and immunology practices, and 4) improving life on nutrition support. Our hemophilia services are hallmarked by close community and patient involvement, highly customized supply management, and intense customer service. One of our primary missions is to promote patient independence and disease education in order to empower patients and their families. We expect to invest highly in the markets in which we participate. Our in-office infusion suite programs are customized to each practice. We offer a menu of services in order to complement each practice's strengths and weaknesses. Our model strives to prepare the practice from multiple angles: clinical, operational, and financial. BioRx offers contracting models that effectively align our financial incentives with those of our customers. Our In-home IgG program is built on sound clinical management, side effect prevention, product selection, and risk management. Additionally, BioRx offers comprehensive insurance work-ups, authorizations, and billing on behalf of our patients. Primary Immune Diseases Autoimmune Diseases

10828 Kenwood Rd Cincinnati, OH 45242 Toll Free: 866-442-4679

Improving life on nutrition support.

BioRx is licensed to provide products and services in most states. Call us at 866-44-BIORX to inquire as to service availability in your area.
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2007 BioRx Scholarship Winners
Cincinnati, Ohio (January 21, 2008) BioRx, a specialty pharmacy, and Hemophilia of North Carolina announce the winners of the 2007 BioRx Educational Scholarships. The scholarships are funded by BioRx through an educational grant, which is administered by Hemophilia of NC, a chapter of the National Hemophilia Foundation. Read the rest of this entry »

BioRx Offers Vivaglobin® to Patients with Primary Immune Deficiency Disorders
10828 Kenwood Rd Cincinnati, OH 45242 Toll Free: 866-442-4679
PIDD Brochure Cincinnati, Ohio (October 18, 2007) -BioRx, a specialty pharmaceutical company, announces the availability of Vivaglobin® (immune globulin subcutaneous [human]), an immunoglobulin (ig) replacement therapy for treating patients with primary immune deficiency disorder (PIDD). PIDD is a group of usually-genetic disorders that compromise the immune system, leaving people vulnerable to recurrent, life-threatening infections. An estimated 50,000 Americans have PIDD. Read the rest of this entry »

Biorx Pledges Long-Term Financial Commitment to the Oley Foundation to Help Individuals Requiring Home Intravenous Nutrition and Tube Feeding.
BioRx Creates FULL CIRCLETM program to support the Oley Foundation CINCINNATI, Ohio (November 7, 2007) - BioRx, one of the nation's fastest growing providers of specialty pharmaceuticals, announces the creation of a new program to help individuals requiring home intravenous nutrition and tube feeding. Their program, called Full CircleTM, has been established to provide financial support to the Oley Foundation, a nonprofit organization based at Albany Medical Center In New York, which is dedicated to enhancing the lives of those who require home infused (parenteral) and tube feeding (enteral). The Foundation offers programs that educate members about the therapy that sustains them, provides outreach and networking opportunities that remove isolation and create a sense of normalcy - motivating members to play an active role in decisions being made the Foundation. Read the rest of this entry »

BioRx Offers Free 2008 Kids Hemophilia Calendar

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Cincinnati, Ohio (October 31, 2007) - BioRx, a specialty pharmaceutical company, announces the availability of a free 2008 calendar to the hemophilia community. The annual Kids Hemophilia Calendar features artwork from children who either have a bleeding disorder or have a sibling or parent with a bleeding disorder. To produce the calendar, BioRx sponsored a contest requiring entrants in three different age categories to submit artwork relating to their experiences in living with hemophilia. The company received more than 70 entries, which were judged on artistic merit and relevance to hemophilia. All contestants receive a prize and a copy of the calendar. Winning artwork is published in the calendar.

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Read the rest of this entry »

BioRx 2009 Kids Hemophilia Calendar Contest
CINCINNATI, Ohio (October 31, 2007) - BioRx, a specialty pharmaceutical company, announces the 2009 Kids Hemophilia Calendar for children who either have a bleeding disorder or have a sibling or parent with a bleeding disorder. Submit a drawing, sketch, or painting depicting some aspect of life with hemophilia. The best from each age group will be included in the calendar. Every entrant will receive a prize and a copy of the calendar. The best entries will have their art featured in the calendar. Read the rest of this entry »

Bayer HealthCare and BioRx Introduce Educational Children's Book About Hemophilia
Cincinnati, Ohio (October 11, 2007) - Bayer HealthCare and BioRx, a specialty pharmaceutical company, announce the availability of I AM NATE, a new children's book about hemophilia. Written by Chris Perretti Barnes, the mother of a young boy with hemophilia A, the book is the second in a series of books intended to educate children about hemophilia. Read the rest of this entry »

Biorx Pledges Long-Term Financial Commitment to Patients With Primary Immunodeficiency Diseases and the Immune Deficiency Foundation
CINCINNATI, Ohio (June 15, 2007) - BioRx, one of the nation's fastest growing providers of specialty pharmaceuticals, announces the creation of a new program to help patients with primary immunodeficiency diseases (PIDD). Their program, called Full CircleTM, has been

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established to provide financial support to the Immune Deficiency Foundation (IDF), the national patient organization with the mission to improve the diagnosis and treatment of patients with primary immune deficiency diseases through research, education and advocacy.As the first "Sponsor" of IDF's new Home Healthcare and Specialty Pharmacy Sponsorship program, BioRx has committed to making a base level contribution to the IDF annually. Read the rest of this entry »

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Main Offices and Distribution Center 10828 Kenwood Rd Cincinnati, OH 45242 Administrative Office 200 West Lexington Ave. Suite 203 High Point, NC 27262 Satellite Pharmacy 3821 71st Street Suite C Urbandale, IA 50322 Remittance Address (payment Address) BioRx PO Box 1477 Florence, KY 41022 Additional dispensing locations in other states. BioRx also maintains billing offices in Pittsburgh, PA. Hours of Operation:

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MArch/April 2008

LifelineLetter
Living with home parenteral and/or enteral nutrition (HPEN)

What's Inside:
Tube Talk Page 3 HomePEN Flix Page 3 Equipment/Supplies Page 3 Welcome to the Forum Page 3 My First Conference Page 4 Darla, Our Newest RC Page 5 Nominate Someone! Page 5 Meet Tim Weaver Page 6 20 Years of Support Page 8 IBD Book Review Page 9 Auction Items Needed Page 12 Orphan Drug Meeting Page 12 Oley 25 Years Ago Page 12 Tysabri Update Page 12 Don't Let Us Lose You Page 13 Great Resource Manual Page 13 Contributor News Pages 14­15 Toll-free Networking Page 16

The Scoop on Heparin
Lisa Crosby Metzger vials but were later expanded to include single-dose Over the last few months, there have been several vials and heparin flush products. As of late March, the recalls of heparin due to adverse events associated recalls included: with the product. Several hundred adverse events-- ·BaxterHealthcare--alllotsanddosesofheparinsofrom nausea and headac