Latest / Podcasts By Donna Jodhan / Remarkable World Commentary Episode #86: Interview with Pam Cusick, Senior Vice President, Driving Growth, Outreach & Patient Voice Integration, Rare Patient Voice
Transcript
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- 1:21Podcast Commentator: Greetings, Donna J. Jodhan, LLB, ACSP and MBA invites you to listen to
- 1:29her biweekly podcast, Remarkable World Commentary.
- 1:33Here, Donna shares some of her innermost thoughts,
- 1:36insights, perspectives, and more with her listeners.
- 1:40Donna focuses on topics that directly affect the future of kids,
- 1:44especially kids with disabilities.
- 1:47Donna is a blind advocate, author, sight loss coach,
- 1:51dinner mystery producer, writer, entrepreneur,
- 1:54law graduate, and podcast commentator.
- 1:58She has decades of lived experiences, knowledge,
- 2:02skills and expertise in access, technology and information.
- 2:07As someone who has been internationally recognized for her work and roles,
- 2:11she just wants to make things better than possible.
- 2:15Donna J. Jodhan, LLB, ACSP, MBA: Hello everybody, and welcome to another episode of Remarkable World Commentary.
- 2:23I'm Donna J. Jodhan, a lifelong disability advocate and one who sees the world mainly
- 2:31through sound, touch and stubborn optimism.
- 2:35I am a law graduate and accessibility consultant,
- 2:39an author, lifelong barrier buster who also happens to be blind.
- 2:46You may know me from a few headline moments, as in November of 2010,
- 2:52I won the landmark charter case that forced the Canadian government to make its websites
- 2:58accessible to every Canadian.
- 3:02Not just to cited ones.
- 3:05And in July of 2019, I co-led the Accessible Canada Act with more than two dozen
- 3:13disability groups to turn equal access into federal law.
- 3:19And most recently, on June the 3rd, 2022, I was extremely humbled by Her Late
- 3:27Majesty's Platinum Jubilee Award for tireless commitment to removing barriers.
- 3:35When I'm not in a courtroom or in a committee room or in a pottery studio,
- 3:42you'll find me coaching kids with vision loss,
- 3:46producing audio mysteries, or helping tech companies to make their
- 3:51gadgets talk back in plain language.
- 3:55Everything I do circles one goal, and this goal is to turn accessibility from
- 4:04an afterthought into every day practice.
- 4:09I invite you to think of this show as our shared workbench,
- 4:13where policy meets lived experience and lived experience sparks fresh ideas.
- 4:21Now, before we jump into today's conversation,
- 4:25let me shine a quick spotlight on today's guest,
- 4:30a change maker whose work is every bit as remarkable as the world that we are trying to
- 4:37build. I am pleased and privileged to welcome Pam Cusick to the Remarkable World Commentary
- 4:44podcast. Welcome, Pam.
- 4:47Pam Cusick: Thank you so much for having me, Donna.
- 4:49Donna J. Jodhan, LLB, ACSP, MBA: It's my pleasure. So, Pam, you have spent more than 30 years
- 4:57helping organizations to listen carefully, act responsibility,
- 5:04act responsibly, and inform decisions.
- 5:09Before we get into the details of what you do today,
- 5:14I would really love for our listeners to hear your story.
- 5:19What drew you to into health care research in the first place,
- 5:25and what has kept you passionate about it for three decades?
- 5:33Pam Cusick: So I can go back to my first job.
- 5:36I worked for a social science research organization.
- 5:40And the, the project that I was first hired for was to,
- 5:45it was for the FDA and it was to improve screening for blood donors.
- 5:52And so I spent months and months in blood collection sites doing administering surveys
- 5:59and then doing the analysis.
- 6:01And what was really remarkable about that was we found that answering the way you asked the
- 6:08screening questions of people really made a difference in whether they answered honestly.
- 6:15So at the time, there were kind of indirect questions that were asked around risk factors
- 6:21for HIV and then more direct questions.
- 6:25And that's what we were testing.
- 6:27And we found that there was a statistically significant difference where people would
- 6:34self-identify and ask for their blood not to be used for for transfusions because they
- 6:41felt they had a risk factor, but they didn't want to say it,
- 6:44they didn't want to say it during the interview. So that was just like a pivotal
- 6:50moment where I really saw the impact of what I was doing,
- 6:54really from end to end.
- 6:56And it it kind of kept up the whole time.
- 6:59You know, from, from then until now, I've worked on so many interesting projects
- 7:04around healthcare and disease areas on advertising for public health issues and
- 7:13things like that. And it, it really is it really makes you feel good
- 7:20when you feel, when you can see that you have made a difference and that the work you're
- 7:25doing is changing lives.
- 7:27And so that's what's kept me with it.
- 7:30Donna J. Jodhan, LLB, ACSP, MBA: Just a quick question offline.
- 7:33I once went to give or to donate blood and I was told that I couldn't do that because I
- 7:41had a cornea transplant.
- 7:43And they said that because it's a foreign body in within my system,
- 7:47I couldn't give blood.
- 7:49Is this true?
- 7:50Pam Cusick: I actually don't know.
- 7:52I know that the different criteria are added at different times,
- 7:57so it may be if you have had a transplant you are not able to give.
- 8:02I know certain being exposed to certain conditions being in certain countries,
- 8:09there are all sorts of, of things that might seem arbitrary but are
- 8:13actually, you know, impact the safety of the blood supply.
- 8:17So it could be that somehow having had a, a cornea transplant impacts the,
- 8:24you know, I guess the, the potential for transfusions and someone
- 8:29else, I really don't know that part of it.
- 8:31Donna J. Jodhan, LLB, ACSP, MBA: Oh, okay. Okay. You are the senior vice president,
- 8:36that rare patient voice.
- 8:39And this is a company that connects patients and caregivers with researchers who need
- 8:47their perspectives. For those listeners who may not be familiar with how healthcare
- 8:55market research works, can you walk us through what our patient
- 9:02voice actually does and why it matters so much to the patient community?
- 9:10Pam Cusick: Of course. So we're patient voice.
- 9:13We connect people with all kinds of opportunities to share their lived experience
- 9:19with different medical conditions.
- 9:21So there are pharmaceutical companies, medical device companies that are looking for
- 9:29patient insight about a product or service that they either are thinking of developing
- 9:34or something that they have already developed and they need input on,
- 9:38or maybe it's already on the market and they're looking for how to advertise it.
- 9:43It really spans the whole whole Lifespan of of drug development and device development
- 9:50where patient voices are needed.
- 9:52Now, if you go back to the really the 1990s there,
- 9:59that's when the direct to consumer advertising was approved.
- 10:03So in a lot of countries, you can't advertise directly to consumers
- 10:07with for blood, for blood, sorry for for different drugs.
- 10:11But here, of course we can.
- 10:14But it wasn't allowed prior to that.
- 10:16And what the most common thing to do would be to,
- 10:19was to ask doctors what they thought patients thought.
- 10:22So instead of going to the source pharmaceutical companies and researchers
- 10:29would go to the doctor and say, well, do you think a patient would take this
- 10:33drug if it had these side effects?
- 10:35And the doctor would say, sure.
- 10:37Well, because, you know, if it if it cured this,
- 10:40then they would certainly do that.
- 10:41But then you ask the patient, the patient would say something entirely
- 10:44different. So it, you know, came to a point where patients were,
- 10:49you know, no longer wanted to be in the background and they had the opportunity to
- 10:53share their voices. So we have built a community of over 200,000 patients and
- 10:59caregivers who we connect with, with these opportunities to be in a focus
- 11:04group or do an interview or complete a survey where they're sharing about their experience
- 11:11or, or commenting on a medical device or a program that's out there in the world and
- 11:18helping to make that better.
- 11:20And the reason it's so important is that patients are the experts on their conditions.
- 11:25They live with those medical conditions day in,
- 11:29day out, 24 over seven, and they really know more about their life
- 11:35lived with that medical condition than anybody else.
- 11:38So asking a doctor is great.
- 11:40It only gives you part of the picture though.
- 11:42So here when we are, and when we allow patients to share their experience and share
- 11:48their voice. You create better products.
- 11:51You create better services that serve those people who actually need them.
- 11:57Donna J. Jodhan, LLB, ACSP, MBA: So really, it's all about teamwork between the researchers,
- 12:01the doctors, and the patients, right?
- 12:03Pam Cusick: Absolutely. Yes, definitely.
- 12:05Donna J. Jodhan, LLB, ACSP, MBA: And what is some or what are some of the most you know,
- 12:12what do patients come?
- 12:14What do patients find most important at the top of the list when it comes to research?
- 12:20Pam Cusick: Well, you know, they the comments we get back from patients are often that they feel so
- 12:29valued and they feel like it's almost therapeutic.
- 12:33They've been able to share this, you know, this lived experience with someone
- 12:37who really understands their condition and understands,
- 12:41you know, the, the, the treatment area.
- 12:44So when they talk about maybe the side effects or they talk about,
- 12:49you know, how their mobility issues, for example,
- 12:52they're talking to someone who really has done some deep research and understands their
- 12:58condition and now is eliciting kind of more granular detail from those patients.
- 13:04And they really feel like they're, they're being heard and they feel like
- 13:08they're valued for their time and their experience.
- 13:12Speaking of valuing them for their time and their experience, we also pay them for their
- 13:16time, which I did not mention.
- 13:17They earn $120 an hour for participating in this research.
- 13:23Which, you know, I think is a, you know, a nice amount for spending,
- 13:29spending an hour with someone, but more importantly,
- 13:32they really want to be able to make a difference.
- 13:35They want to help other people who might be diagnosed with that condition later on.
- 13:40Perhaps that person could skip a step and, and be you know,
- 13:46maybe avoid some pitfalls that they did a lot of in rare disease,
- 13:50especially people are often can take them ten years to be diagnosed and before that they're
- 13:56diagnosed with 7 or 8 other things.
- 13:58So for patients who are, you know, living today with a particular
- 14:03condition, if they can help others to kind of not be misdiagnosed,
- 14:08that's also very important to them.
- 14:11Donna J. Jodhan, LLB, ACSP, MBA: You do much work with blindness related research.
- 14:16Pam Cusick: We do have have projects that are related to blindness,
- 14:22vision loss, other glaucoma, things like that.
- 14:28So there, if there are people working on a product or a program for people with
- 14:37blindness, then we will likely get requests to connect people who are blind or who have
- 14:42vision loss with those projects.
- 14:46Donna J. Jodhan, LLB, ACSP, MBA: At the end of this interview, I'd just like to mention my story and see
- 14:50whether, you know there is any possibility for some sort of teamwork with you,
- 14:58but let's let's move on.
- 15:00Pam Cusick: Absolutely.
- 15:01Donna J. Jodhan, LLB, ACSP, MBA: Thank you. Rare Patient Voice has built a panel of more than 200 000 patients
- 15:10and caregivers caregivers across more than 1500 diseases in nine countries.
- 15:20That is an extraordinary number.
- 15:25How does your team go about finding and reaching patients,
- 15:30especially those living with rare conditions,
- 15:34who may feel invisible in the broader health care system.
- 15:42Pam Cusick: So we meet the patients really where they are.
- 15:46And by that, I mean we go to a lot of patient events.
- 15:50So we might go to a National Hemophilia Foundation conference or a national sickle
- 15:58cell conference. And we exhibit there.
- 16:02We set up a booth and people can come and talk to us and we'll explain what kinds of
- 16:06research they might be involved in.
- 16:08And if they're interested, they can then sign up with us.
- 16:12Some of these events are more focused around rare disease.
- 16:16Some of them are more common conditions.
- 16:19But we try to go to a wide variety of, of events so that we can meet as many people
- 16:25as we can to, or, and invite them to join us.
- 16:28The other way that we meet people is through connecting with them through what we would
- 16:34call referral partners.
- 16:35A lot of organizations would call it an affiliate program,
- 16:39where those people are kind of like ambassadors for us.
- 16:43And they may have a community, a regional community of,
- 16:48of patients with the one particular condition,
- 16:52right? And they will can reach out to their community.
- 16:55And if people sign up to participate in research,
- 16:58we then donate money back to their organization to help to help defray their
- 17:05costs or support them.
- 17:06So some of those are individuals.
- 17:09Some of those are organizations.
- 17:12But it's, it's been a nice, a nice way to meet and connect with people.
- 17:17We now have over 6000 referral partners all around the world who help us to connect with
- 17:24patients and connect with family caregivers and bring them into our community.
- 17:29So we can offer them opportunities to participate in research.
- 17:34Donna J. Jodhan, LLB, ACSP, MBA: Any affiliates with Canada?
- 17:36Pam Cusick: We do. We have we actually have a community of patients in Canada.
- 17:42I, I would have to look up the number, but it,
- 17:44it could be somewhere around 20,000 or so patients and family caregivers in Canada
- 17:49right now.
- 17:50Donna J. Jodhan, LLB, ACSP, MBA: Oh, terrific. One of the things I find so compelling about rare patient voices is that
- 18:00it was built on relationships rather than technology.
- 18:06One conference at a time, one walk at a time,
- 18:11one advocacy partnership at a time.
- 18:14And as someone who oversees everything from business development to patient advocacy to
- 18:23marketing, how do you maintain that personal community first approach as the company
- 18:32scales to a global leveller.
- 18:36Pam Cusick: So I think, you know, the the key really is to,
- 18:40you know, go to these events to interact with the patients.
- 18:46You know, that's the, the first thing we, we try to do and,
- 18:49and keep our, you know, our foot in the door.
- 18:51So we are actually talking to patients and not too far away from that.
- 18:56The other thing is we are constantly interacting with them through our patient
- 19:02advocacy team, through our our research team that,
- 19:07that connects them with we call it field operations.
- 19:10So they are the ones who are connecting them with the researchers.
- 19:13And they will be emailing with the, with the patients and with the caregivers
- 19:18and, and answering questions and sometimes getting on the phone with them.
- 19:22So I think staying available to people when they have questions,
- 19:28when they want, you know, they need support.
- 19:31Our patient advocacy team is very, very active on social media.
- 19:35So they interact with our community on Facebook and with threads and all these
- 19:44things. I don't know about Instagram and tick tock,
- 19:46tick tock.
- 19:47Donna J. Jodhan, LLB, ACSP, MBA: Tick tock, tick tock.
- 19:48Pam Cusick: Yeah, exactly. All of these different platforms where they're meeting the patients
- 19:53in our community and they're, they're highlighting,
- 19:56I think every other week, maybe it is, they'll highlight a,
- 19:59or maybe it's weekly, a weekly warrior and tell about that person's
- 20:03story on our social media.
- 20:05So people, other people in the community can see that they're not alone there.
- 20:10There are people like them out there in the world, and particularly in rare conditions,
- 20:15you know, it can be very isolating and lonely.
- 20:18So when you can connect with other people who you see,
- 20:22oh, they have the condition that I have, or they have a similar condition to what I
- 20:26have. I think it just makes you feel a little bit less lonely and,
- 20:31and I I think that also helps them to enjoy and really trust our,
- 20:37our community and our organization because we're trying to connect deeply with them.
- 20:45Donna J. Jodhan, LLB, ACSP, MBA: Boy, this resonates so much with me because when I talk to you after we finish online
- 20:51here I'll tell you my little story.
- 20:54Pam Cusick: So okay.
- 20:56Donna J. Jodhan, LLB, ACSP, MBA: Thank you. So your company has paid more than $8 million directly to patients and
- 21:06caregivers since it was founded in 2013.
- 21:11That number sure tells a very powerful story on its own,
- 21:17but I would love to hear what that means from the human side.
- 21:22What do patients and caregivers tell you about what it feels like to be compensated
- 21:31for sharing their experiences.
- 21:34And what does that compensation represent?
- 21:38Beyond the dollar amount.
- 21:41Pam Cusick: So I think I'll answer the second part first.
- 21:44So beyond the dollar amount it represents that patients are being valued by the by
- 21:52industry. So by pharmaceutical companies, by agencies that are creating products and
- 21:59services for them, by medical device companies.
- 22:03They are valuing the patient and their insight that they have something important to
- 22:08bring to the table. So I think that's the beyond the actual dollar amount.
- 22:13It's really a, a bigger, a bigger thing that we are,
- 22:17we are now valuing these people who are the people that we are serving,
- 22:22right? You know, if you're developing a product for somebody with a,
- 22:26in a particular treatment area, those are your your customers.
- 22:30But, you know, again, as I mentioned before,
- 22:32previously, no one was asking them about it.
- 22:34So I think it does represent this a, a shift to really valuing those people and
- 22:42their insights. You know, in terms of what they feel,
- 22:46you know, what the patients and caregivers tell us it's,
- 22:50you know, feeling like they're finally heard you know,
- 22:54the, the isolating part of having a medical condition which,
- 22:59you know, I hear often is that people, they don't always want to keep telling their,
- 23:05their family members about their struggles, about their pain,
- 23:09about their challenges, because they feel like they're burdening
- 23:13their family. And you know, and, and family members want to support
- 23:18their, the patients in their lives.
- 23:20And that is, that is true.
- 23:21But I can understand why they, you know, sometimes they don't want to
- 23:25continue to share, you know, the daily pain or the daily struggles with
- 23:30just getting out of bed.
- 23:32And so they keep it all inside.
- 23:34But then when they have the opportunity to share it with a researcher,
- 23:39it's like the floodgates open.
- 23:41This is somebody who without, you know, judgment,
- 23:45without, you know, them, the patient having to feel like they're
- 23:49burdening anybody. This is a person who's saying, tell me all the things.
- 23:53Tell me everything that happens during the day.
- 23:55Tell me all of your struggles, all of your pain,
- 23:58all of you know the good things and the bad things and so on.
- 24:01And it's, it is just a therapeutic experience in some cases where they feel like they can
- 24:08maybe share things that they've not shared with family members because they don't want
- 24:13to worry them. And so I think it's, you know,
- 24:16it serves two purposes.
- 24:18It, it, their insights do improve products and improve services.
- 24:22And that's for sure. But to the individual, I think it provides a higher value.
- 24:29It's that internal feeling that you are you are valued and that you are being heard.
- 24:35And I think that's really important.
- 24:39Donna J. Jodhan, LLB, ACSP, MBA: You know, I've had a lot of these feelings throughout my own life and I can certainly
- 24:45resonate with what you're saying.
- 24:46You know, like you feel extremely lonely when you don't want to burden your family members
- 24:52with, with certain, you know, feelings or, you know,
- 24:56and you're afraid to tell them because you don't want to overstay your welcome with,
- 25:01with their listening ear.
- 25:03They want to help you, but you are afraid to tell them.
- 25:06So it really does help if, if you know, like someone like myself,
- 25:10if I were able to talk to a researcher and say,
- 25:13hey, this is what I'm feeling, this is what has happened,
- 25:17whatever, whatever. So I certainly can resonate with what you're saying,
- 25:21you know?
- 25:22Pam Cusick: Yeah, I think it's, it's you wouldn't be surprised,
- 25:26you know, because you just explained that to me.
- 25:28But I think that, you know, it is it is interesting to me when we are at
- 25:34an at an event and people are coming up for the first time and learning about what we are
- 25:39and what we do at rare.
- 25:40Patient voice and they'll X I'll explain.
- 25:43You know, how they can provide in, you know,
- 25:45their insights and, and their experience.
- 25:48And oftentimes they'll say, well, why would anybody want to hear from me?
- 25:51You know, I'm not an expert.
- 25:52And I'll say, but you but you are, you know,
- 25:55more about the challenges that you, you experience.
- 25:59And quite honestly, as you just said, you know,
- 26:01you, you don't want to wear out the, the welcome or,
- 26:04you know, or burden your family member with that.
- 26:08So when you can do that through research, I think it is another,
- 26:13you know, it it's, it's helpful on so many levels.
- 26:18Donna J. Jodhan, LLB, ACSP, MBA: Now rare patient voice recruits for a wide range of study types.
- 26:26Okay. Anything from television, anything from telephone interviews and focus
- 26:32groups to clinical trial matching and real world evidence studies for a patient or
- 26:42caregiver listening right now who might be interested in sharing their experience.
- 26:49Someone like me, can you explain how they would sign up and what they can expect from
- 26:57the process?
- 26:58Pam Cusick: Of course. So the easiest thing to do if we don't meet you at an event the easiest thing
- 27:05to do is to go to our website, which is rare patient.com.
- 27:10And there you'll find several places where it says sign up here.
- 27:17And so there's a little video that, that you can listen to that talks about the
- 27:22sign up process, but basically you go click that link and it will X you can add in the
- 27:28information. So your name, your address, your medical condition or
- 27:33conditions. Some basic information medical, if you take any,
- 27:38any particular medications and then click that you agree to participate in research and
- 27:47then or be participate, click the, I think it says that you agree to
- 27:51be invited to participate in research because we're not just sending you to a study without
- 27:56your permission. So the next step is our team will go through and make sure all of the the
- 28:02information is, is correct.
- 28:04The, you know, medications are spelled right and so on.
- 28:07And, and that, you know, then it goes into a,
- 28:10basically like a database where when we have a study that is for the conditions that you
- 28:17have, have put in there, we will then you'll get an email from our
- 28:22project management team inviting you to participate in that study.
- 28:27So in the invitation, there will be information such as the type of
- 28:32study, is it an interview or a focus group or a survey.
- 28:36How long is it? Is it in person or is it online?
- 28:40And then of course, you know what the compensation is for participating in that
- 28:45study. And people that you don't ever have to participate in a study,
- 28:50you might get an get an invitation and it maybe it's for an interview and it's on a day
- 28:56that just doesn't work for you.
- 28:57Well, you don't have to participate in that.
- 29:00But next time you'll get an invitation and it might be for a two hour focus group,
- 29:04and it's on a day that's convenient and you can go ahead and participate.
- 29:09The, the project managers will connect you with if it's a,
- 29:14if it is a, a focus group, an interview, whoever the researcher is who's
- 29:18doing that work? If it's a survey, the link will be sent to you,
- 29:24right? Right after you qualify for that study.
- 29:27And then once the research is completed, our team will then send over the compensation
- 29:35to you. So we compensate by we pay by check in the US where most of the world doesn't use
- 29:41cheques. But we do that, you know, initially.
- 29:45And then we can also pay through direct deposit into a bank.
- 29:50And in, in Europe we pay by through like a gift card,
- 29:55a visa gift card or something like that.
- 29:57So there are a variety of ways to do that, but it's a very simple sign up process where
- 30:03we're only asking for a little bit of information.
- 30:06And then once there's a study that that you are eligible for,
- 30:11you will get a link to another, the screener that will kind of qualify you
- 30:15for that research and then you can participate.
- 30:19Donna J. Jodhan, LLB, ACSP, MBA: This is so fascinating.
- 30:21Pam Cusick: I'm so glad.
- 30:22Donna J. Jodhan, LLB, ACSP, MBA: No, I mean, I've always shied away from you know,
- 30:27trying to contact anyone to try and help me figure out what can be done for me,
- 30:32because I've been told that my my particular story is rare,
- 30:38but listening to you, I don't know what to say.
- 30:44I'm just very, very fascinated by this.
- 30:46All that, you know, in most cases you have you know what I'm talking about here in
- 30:54Canada patients are not listened to most of the time or a lot of the time.
- 31:00And, you know, in my case, I am vision impaired.
- 31:04You go to a doctor, he says, well, you're blind,
- 31:06you're blind, you know, like there's nothing to be done for you.
- 31:10And that's the end of that.
- 31:11And I'm saying, oh my God, I'm here for a reason.
- 31:14On earth, there must be something that can be done.
- 31:18You know, like. Or at least let's look into it.
- 31:21Pam Cusick: Yeah. Right. Well, there, there might be different studies that are
- 31:25available there. They're advocacy groups here in the,
- 31:30here in Baltimore. There's a an advocacy group for the blind.
- 31:35There's a Canadian Council of the blind and.
- 31:38Right. You know, I don't know what kinds of, of support and services that they offer,
- 31:42but, you know, there are so many products and services being worked on all the time.
- 31:49You know, even if it is, maybe it's not a cure,
- 31:53right? Maybe it's, it's a support it, maybe it's a,
- 31:58an accommodation that, that you can help to improve.
- 32:01There are lots of ways that you can participate in research,
- 32:05usability research in particular for you know,
- 32:10for blindness is very, very important.
- 32:13You know, with, with screen readers, you know,
- 32:16being a tool that people use quite often, you know,
- 32:18they don't always work with certain websites and so on.
- 32:23And so those, you know, being able to improve those tools is really
- 32:27important. And there's always research going on.
- 32:30So there may well be a, you know, a place for you to share your voice
- 32:34and your experience and help to, you know, make things better for you and for
- 32:38other people who are blind.
- 32:43Donna J. Jodhan, LLB, ACSP, MBA: Definitely. Rare patient voice was recently acquired by.
- 32:50Let me make sure I under.
- 32:51I pronounce this Konoval.
- 32:54Pam Cusick: Yes.
- 32:54Donna J. Jodhan, LLB, ACSP, MBA: Konoval a tech, a technology first health care intelligence company backed by
- 33:03Frazier Healthcare Partners.
- 33:06And this is a major milestone.
- 33:10What does that acquisition mean for the patient and the caregivers who are already
- 33:18part of the rare patient voice community.
- 33:22And how will it expand the company's ability to amplify their voices?
- 33:30Pam Cusick: It is very exciting. I think it's, you know,
- 33:34we are we are very fortunate to be connected with this,
- 33:39with this novo because they offer kind of complementary services to what we offer.
- 33:46So we have a patient community.
- 33:48They have a health care provider community.
- 33:50They also have research tools and programming and data analytics that our clients can use.
- 33:57So what this means for our patients and caregivers is that there will be many more
- 34:03opportunities for them to participate in research and share their voices and be
- 34:09compensated for their time.
- 34:10So I think for, for our community.
- 34:13It's a real win. Because we are able to expand what we can offer and be able to give
- 34:20them more opportunities to share their voice.
- 34:23So I'm very excited about that.
- 34:25I think for, you know, for many years, you know,
- 34:29we've had clients who have come to us looking to do often research is they'll be part with,
- 34:35with healthcare providers and patients.
- 34:39And we could only provide that one part.
- 34:41So some of those projects we might have lost because a client might want to only go to one
- 34:49source to recruit both patients and healthcare providers.
- 34:52But now our patients will have the more opportunities because we can offer a lot more
- 34:59to our clients. And I'm super excited about that.
- 35:02Donna J. Jodhan, LLB, ACSP, MBA: You sure sound excited.
- 35:04I'm sounding I am thinking excitement myself.
- 35:08Pam Cusick: That's good. I love that.
- 35:10Donna J. Jodhan, LLB, ACSP, MBA: And as the clock starts to wind down, I want to ask you this question.
- 35:15As someone who is blind and who has spent my career fighting to remove barriers,
- 35:23I am always interested in understanding how different communities experience systemic
- 35:31obstacles. When rare disease patients participate in your studies and share their
- 35:40stories with their researchers.
- 35:43What kind of barriers do they most often describe,
- 35:48and how does their participation help break those barriers down?
- 35:56Pam Cusick: So that's that's an interesting question.
- 35:58There are sometimes we hear from patients about their,
- 36:03their experiences participating where they are,
- 36:08they have difficulty accessing the perhaps a survey online or perhaps a screening
- 36:17screening survey online.
- 36:19And so the what we have the opportunity to do then is to educate our partners and our
- 36:28clients about how they can make things more accessible for our patient community
- 36:34sometimes might be let's say it's a Zoom interview.
- 36:39And at some point, I think it was Zoom, one of those platforms didn't have closed
- 36:47captioning. This was some some years ago.
- 36:50And and that was a real barrier for people who needed to,
- 36:56you know, who could maybe hear, hear well and needed to see the captions so
- 37:02they could answer the questions.
- 37:03So there, those types of barriers there.
- 37:06What I can say is, so from our end, we are not we're not doing the research,
- 37:11we're not creating the research tools.
- 37:13But when we hear from patients, we do like to go back to our clients and
- 37:19share with them what those barriers were so that in future studies,
- 37:25they can avoid those, those pitfalls.
- 37:27And I think that that's an ongoing conversation in the research industry.
- 37:32How do we make accommodations for people so that everyone gets to participate?
- 37:39A great example is you know, there are, there are a lot of medical
- 37:43conditions that are just exhausting to, you know,
- 37:47just to, to answer ten questions.
- 37:50So tiring. Right? And, you know, and because you have to
- 37:54concentrate, I know from my son has hearing loss and processing and,
- 38:00and kind of hearing something and then having to process it and then spitting out an
- 38:04answer. It takes extra time.
- 38:07And so, you know, there are things that as a research industry,
- 38:11we can recommend, for example, you know, some surveys have what they call a
- 38:16time out. Like if it takes too long to answer something,
- 38:20they kick you out of the survey.
- 38:22Well, if we're. Working with.
- 38:24Somebody who might need extra time, let's not do that kind of a thing.
- 38:28Or if, if you want somebody with, you know, vision loss to complete a survey,
- 38:36let's make sure that the screen reader works and things like that.
- 38:39So those are some barriers that we have heard about.
- 38:43The other thing that I would say is, you know,
- 38:46for people with, with certain medical conditions traveling to a site,
- 38:52so an on site, whether it's a clinical trial or to a facility where they need to,
- 38:58you know, go to do an in-person interview, for example,
- 39:02could be incredibly difficult.
- 39:04Yes. You know, navigating from your home, you know,
- 39:09on public transportation or in a car or whatever it is,
- 39:12you know, to a particular space to then have to navigate into that space,
- 39:18spend time there and then come home is, is a little bit too much for people.
- 39:24And so what, what might happen is that you are excluding a part of your,
- 39:29your consumer or your, your patient population because you haven't
- 39:33made the research accessible to them.
- 39:36So that's another thing as an industry, we're trying to work on,
- 39:40you know, balancing that, you know, yes, maybe you want to do some of
- 39:43that research in person, but can we offer people the opportunity to do
- 39:47it remotely, you know, if it suits them better,
- 39:52because we want to make sure that we are including all voices,
- 39:55not just the ones who can can get there.
- 39:59So hopefully I answered your question.
- 40:01Donna J. Jodhan, LLB, ACSP, MBA: You did. And as the clock comes telling me that it's coming up on time.
- 40:07I have any final thoughts from you before we go offline?
- 40:12Pam Cusick: You know, I, I think I would say that everybody has the opportunity to share their
- 40:19voice. We might not always know how to do it,
- 40:22but it's so valuable to participate in research.
- 40:26It's so important to making products and services better.
- 40:31And I think the, the more we can spread the word that,
- 40:35you know, we want to hear from patients, we want to hear their lived experience,
- 40:39the better the world is going to be for the patients coming after them.
- 40:44So I would just encourage people to consider participating in research because it will not
- 40:50only help, again, develop better products and services,
- 40:54but also it will probably be a good thing for you sharing your experience.
- 41:00So that that's my final book.
- 41:04Donna J. Jodhan, LLB, ACSP, MBA: So for Aaron, who helps me with my podcast, we're going to end the recording here because
- 41:10I'd like to talk to Pam about my own story, but I want to thank you for this interview,
- 41:18and we'll end the recording here.
- 41:21And if you don't mind.
- 41:23Oh, that's my timer. You don't mind?
- 41:25I'd like to share something with you.
- 41:27Pam Cusick: Sure. Of course.
- 41:28Donna J. Jodhan, LLB, ACSP, MBA: So, Pam, I was born eight hours after my twin brother,
- 41:34but my mom and dad did not know that another one was on its way.
- 41:38So when they were told that another one, another baby,
- 41:41was coming, they were taken aback.
- 41:45And finally, as soon as I was born, mom took one look at my at me and she said,
- 41:51something's wrong with this child's eyes.
- 41:53She is vision impaired or whatever, she said.
- 41:57And she was right. Now the thing is, and I'll try to shorten this the story as
- 42:01much as I can. I was born with very little vision,
- 42:05and Mom and dad tried to get me the best opportunity to try and improve that vision.
- 42:12But it did not come until I was a teenager and I had my first cornea transplant.
- 42:17What is most unique about this transplant is that when I realized that I had obtained new
- 42:26vision, wonderful vision, vision that was beyond my belief,
- 42:32I entered into a world where I had difficulty containing myself because I was able to read
- 42:41and write without having seen before.
- 42:45I was able to identify a car, a bus, colors,
- 42:50colors most of all. But what will always resonate with me was one morning when my mom
- 42:57was putting the eye drops into my eye.
- 43:00I looked up and I saw her face and I realized,
- 43:05hey, wait a second, this is mom.
- 43:07And then there was dad standing next to her, and I looked at him and I said,
- 43:12wait a second here. I'm looking at faces.
- 43:16Pam Cusick: Wow.
- 43:17Donna J. Jodhan, LLB, ACSP, MBA: Right. And then I didn't say anything to them,
- 43:21but I rushed to the washroom and looked in the mirror and I thought,
- 43:24oh shoot. I looked just like mom.
- 43:29Right. And I didn't say a word.
- 43:31I started to cry to myself.
- 43:33They never knew anything about this.
- 43:36And this is how it continued.
- 43:38For several years, my whole world was turned into a different direction and.
- 43:44But then I lost it all in 2004 to a really bad retina detachment.
- 43:51But I'm sitting here saying, with all the research and all the
- 43:57development, there has been in in trying to restore sight to people and everything like
- 44:03that. Where can I go and who can I talk to with regard to any possibility of a product,
- 44:12a gadget, or something that I can use or could be implanted in into my brain so that I
- 44:21would have some restoration of vision?
- 44:25Is there anything that you can part with to tell me where can I go?
- 44:33What can I do? Who can I talk to?
- 44:35Pam Cusick: Gosh. Oh, I can, I will try to find out for you off the top of my head,
- 44:40I'm just scrolling through this document that I have here that,
- 44:44that shows me whenever we've had a request for a blind study that focused on blindness,
- 44:51because it might, it might help me figure out a,
- 44:54a client who would be looking for this.
- 44:56A lot of our clients are not the actual research.
- 45:00Sorry, not the actual pharmaceutical company.
- 45:02Sometimes they are, but a lot of times they are.
- 45:06They are research companies doing work on behalf of those companies.
- 45:11But I'm sure I can find, you know, some, some information about how,
- 45:17who is working in this area.
- 45:20I would think that some of the I don't know if you're connected to that one group that I
- 45:25had mentioned in Canada, but there are other organizations.
- 45:32Hold on, let me go back up one.
- 45:35There are other organizations that at least here in the US that maybe you could tap into
- 45:41and, and find out from their websites.
- 45:43Have you, have you connected with the Canadian Council for the blind?
- 45:47Donna J. Jodhan, LLB, ACSP, MBA: I am very familiar with them, but I don't think that they would be able to
- 45:51help me because I think the research, the research person or whoever I'm looking
- 45:56for is someone who has been involved in site restoration or,
- 46:04you know, artificial. I don't know how to put it,
- 46:07but any. And I know that research has been done into,
- 46:12you know, into site restoration, into implants that can help.
- 46:17I mean, I've, I've read about it in, in, you know,
- 46:20taking place in Japan or Europe and even in the States.
- 46:24Where can I go at least give myself one more chance?
- 46:27At least share the story.
- 46:29At least help others who probably are in a similar situation than to me.
- 46:37Pam Cusick: Yeah. I mean, there has to be a somebody, somebody always working on something.
- 46:42So let's see, I'm one technology company here.
- 46:50I have one more here. I can look at P three technology.
- 46:55Let me see this dot I oh.
- 47:01Break down barriers. So this is another another organization that,
- 47:07that works with people who have a variety of disabilities,
- 47:10but they have done some research on blindness.
- 47:14Let me do this. Let me do a little bit of, of research in our database to figure out,
- 47:20you know, if I can narrow it down to a company that might be working on something
- 47:27specifically related to what you're talking about.
- 47:30So restoring vision or some sort of a tool or device or something like that.
- 47:37And I will email you back with that information.
- 47:40Donna J. Jodhan, LLB, ACSP, MBA: Much appreciated. I'd be really grateful.
- 47:43Pam Cusick: I would be happy to do that.
- 47:45Donna. Okay. I think it sounds to me so one thing I will say you are welcome if you are
- 47:52interested to join our patient community.
- 47:57And if, if you are interested, so, so one, you could do that as an
- 48:03individual and join our community and you know,
- 48:06participate in research, which is great.
- 48:08And I think, you know, that that would be a great opportunity for
- 48:10you. You can also work with us as a referral partner if you are interested in sharing,
- 48:19like so that other people join rare patient voice.
- 48:21But what I'm thinking of is we have that weekly warrior on that I was mentioning on
- 48:31our, the shared on Facebook and Instagram and maybe even TikTok.
- 48:35I don't know about that one. But, but where you would have the opportunity to
- 48:40share your story, you know, where you, you grew up with limited sight,
- 48:47got your sight back, lost your sight again.
- 48:49Yeah. You know, to share with others and to hear your story,
- 48:54and that you've been successful, that you have a law degree and have,
- 48:59you know, worked on all of these cases.
- 49:01It's people often feel very disenfranchised when they have a particular disability or,
- 49:09or medical condition and hearing that someone else has,
- 49:16you know, found a way to be successful is often very motivating.
- 49:19So you don't have to say yes now, but it might say yes.
- 49:25Donna J. Jodhan, LLB, ACSP, MBA: No. I think it's important for people to remain motivated and positive.
- 49:31Like don't think because of what has happened,
- 49:34there is no hope or oh my gosh, you know, I don't know what to do.
- 49:37I would love, love, love to share my story.
- 49:41Pam Cusick: So I think the I, I think you in order to do that,
- 49:47you either have to be a member of the rare patient voice community.
- 49:50I don't think you have to be a referral partner,
- 49:52but I think you have to have signed up with us.
- 49:54I can ask our team, though, and figure out what what the process is,
- 49:58but I will. I think I have your email, don't I directly in this email?
- 50:03Yeah, so I will. Is it the outlook one or the gmail one or the Sterling Creations one?
- 50:09Donna J. Jodhan, LLB, ACSP, MBA: The sterling creations one.
- 50:11Pam Cusick: Okay, so what I'm going to do is have one of my people from our patient advocacy team
- 50:18reach out to you and maybe they can help you.
- 50:24Because I just wish I knew the answer.
- 50:25I think it's that you have to be in our patient community in order to be one of our
- 50:30weekly warriors. And all you would need to do with that is to sign up online.
- 50:36Donna J. Jodhan, LLB, ACSP, MBA: Okay, terrific.
- 50:38Pam Cusick: I will have someone contact you about that.
- 50:42So that's our patient advocacy team.
- 50:44And then separately, I'm going to do a little bit of research on my own to see if I can
- 50:49find anyone doing that kind of research, and I will get back to you.
- 50:53Donna J. Jodhan, LLB, ACSP, MBA: I appreciate it, and I am so excited about this particular podcast interview because I
- 51:00learned a lot. I learned a lot.
- 51:03Pam Cusick: That's fantastic.
- 51:04Donna J. Jodhan, LLB, ACSP, MBA: Yeah, no, I've learned a lot and it's a very different type of interview.
- 51:09So thank you very, very much for agreeing to be my guest.
- 51:14And I look forward to working with you in some way,
- 51:17shape or form.
- 51:18Pam Cusick: That would be fantastic.
- 51:19Thank you so much, Donna.
- 51:21It was a great opportunity and I look forward to chatting with you again soon.
- 51:24Donna J. Jodhan, LLB, ACSP, MBA: Yeah. Thank you Pam, thank you very much.
- 51:27Pam Cusick: Take care.
- 51:27Donna J. Jodhan, LLB, ACSP, MBA: Bye bye. Take care now. Bye bye.
- 51:32Podcast Commentator: Donna wants to hear from you and invites you to write to her at DonnaJodhan@gmail.com.
- 51:38Until next time.