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Imagine a world where everyone spoke their truth.

If that stirs up an, “Oh my Gosh, I couldn’t do that!” feeling or a belief that the world would be full of rude people, read on. It’s because of repressed words that need to be said that there is so much confusion and resentment in our world. Even with the short term gains and society’s applause, many people would like to give up pretending in exchange for the freedom that comes with being real. People’s honesty allows them to enjoy deeper relationships and contribute more to society. Most of us know that, but after years of conditioning, how do we break free of old patterns?

I spent the first thirty-five years of my life holding back my true thoughts. I developed a jaw disorder, wrinkles and a lot of pent up frustration until I finally found a way out. A whole new world opened up for me. I felt so much joy I decided to share the process with others. I began facilitatin

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

g seminars and found a common theme; the majority of participants had struggles with expressing their true thoughts in the moment.

Many of them confessed that they responded with what they thought others wanted to hear just to keep the peace, be accepted or gain an edge in some way. But, saying one thing and meaning another left them feeling unaligned. For example, when someone asked them to lunch, they’d respond with an automatic “Sure!” only later to be frustrated because they really didn’t want to go. We’ve been brought up to say the right things in order to be accepted. There’s nothing wrong with being polite but when we lose our natural flow we have a tendency to be more like a robot than our true selves. Wouldn’t it be easier and clearer if we just spoke from our heart? Wouldn’t it be refreshing to quiet all the chattering voices in our mind and just speak with our true voice? Ralph Waldo Emerson said, “To be you

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

self in a world that is constantly trying to make you something else is the greatest accomplishment.”

It takes a lot of courage to communicate honestly. Our voice emerges literally from within our body revealing our inner-most world. And, living in a world filled with judgment can be a difficult place in which to open up. Most of us have been protecting ourselves from the scrutiny of others for a very long time. We’ve compensated by fibbing, hedging, or exaggerating in some way. We may get short term approval from others, but every time we do it, it costs us a little in our own self-respect. Once we tap into self-love and knowing our own values, it becomes easier to say what we truly want to say the first time around. It takes a lot less effort to speak from the heart and is backed with a lot more power.

The mind has a way of calculating for self-advantage. For example, if I say it like this, he’ll approve of me. If I

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

say it like that, I’ll get what I want. Speaking from the heart without filtering it first actually gives us energy. There’s a sense of freedom in being compassionately honest and direct with others. People will tune in when they sense you’re speaking your truth. Just make sure it’s your truth, not what you think the other person’s truth should be. There’s a big difference between telling people how you feel and telling them how they should feel. For example, saying “I feel frustrated that you didn’t call” is much different than saying, “You should call when you say you will.”

Yes, they’re both honest, but the big difference is that one is acknowledging how we feel and the other one is accusing someone. When we’re real for others, we open the door for them to be real with us. We’re entering an age where it’s vital to connect with others. It will take nothing less than honesty, courage and compassion for it to happen.

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

The infamous growing pains may come as you experiment with the process.

Tell the most supportive people in your life what you’re doing; that you’re practicing thinking on your feet and saying what you want, in the moment. Tell them it’s important for you to be honest and ask them to be patient with you. The discomfort of the growing pains will soon be forgotten as you reach your new level of freedom. Stay with it and keep practicing. It’s helpful to re-read this information after you’ve pracced the steps (listed on page 5) to reinforce your learning and notice where you are making progress.

To get the full benefit from this process you must practice it and experience it in your life. If you just understand it intellectually without the practice, you won’t get the results you’re looking for. It takes commitment and practice.

With any communication, intention is the place to start. Ask yourself how you will feel when yo

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

express your goals, concerns and ideas clearly to others. Your authentic voice wants to be heard. Take some time to visualize what your world will look like. Will your breathing be easier? Will you feel more connected and alive? How does it feel to have the satisfaction of knowing you were true to yourself by saying what you wanted to say?

Before we communicate with others we must first communicate with ourselves. That is, asking ourselves who we are at our core and what we stand for. Taking too much advice from others, we can lose touch with our true nature. I remember a time when I altered who I was depending on the situation. There was a professional me who spoke in a certain way with my business associates. There was a fun-loving, clever me who would speak in another way with my friends. There was a dependent me who would speak in a way with my significant other. The list went on and on. It was exhausting. The

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

words and voices were all for them. It got to the point where I had completely lost my own voice. How about you? How many voices do you have in your closet? As you’re exploring, tune into the voice that speaks for you.

In the movie Runaway Bride, Julia Roberts keeps leaving her grooms at the alter. Richard Gere enters her life and notices she changes her choice of eggs depending on the man she’s with. With Brian, she liked them scrambled with salt, pepper and dill, with George, she liked them fried, with Gill, she liked them poached, and with Bob, it was a garden omelet, egg whites only. Of course it was how each one of her fianc?s liked his eggs that determined what she wanted. It wasn’t until she really tasted them for herself that she knew her favorite was eggs benedict. When we take time to look for the answers inside rather than outside, we speak with a sense of ease and knowingness. Only then can we share our th

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

ughts and ideas clearly; not what they want to hear but what we truly want to say. Bill Cosby said, “I don’t know the meaning of success, but the meaning of the word failure means trying to please everyone else”.

The characteristic of all truly powerful communicators is that they are honest. Most of us believe we are honest, but with a closer look get more discerning. My guess is that we have all lied. I know I have. Looking back on it, it was mostly done out of the need for approval or out of fear. I’ve said yes when I really wanted to say no. Telling myself I’d stop eating chocolate and then eating it the next day is a lie to myself. Have you ever set a new year’s resolution that you didn’t keep? My purpose in asking these questions is not to give you a free ticket for a guilt trip. It’s simply to point out that we’re much stronger people when we’re honest. Integrity means a sense of wholeness and there’s strength

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

in that. In the book Your Body Doesn’t Lie, author and medical doctor John Diamond proves through kinesiology that we test stronger when we’re honest. We’re relaxed and the voice isn’t ‘uptight.’ There’s a sense of effortlessness when our words match our actions. We’re congruent, we feel it and others feel it. Little white lies, even when we think they will help someone actually weaken us. They also build walls, sometimes with the people we love the most. Is honest dialogue easy? Not always. In the beginning it can be very difficult. The good news is; it gets easier as we practice and make it a part of our everyday lives.

Laying the Foundation

Take some time to explore what’s true for you. I invite you to take whatever time you need to be lovingly honest with yourself. You’ll begin to understand where you want to make adjustments in your life and in your speaking habits. These questions may be the most important

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

uestions you’ll ever ask yourself.

1.) Am I the same person wherever I go?

2.) Am I at peace with my interactions with others?

3.) With which people and situations am I less than honest? (Not only with what I say, but with what I don’t say.)

The next step to laying a foundation is knowing your values. Write down the three values that are most important to you.

My Top Three Values

1.) __________________________

2.) __________________________

3.) __________________________

Do these values show up in the way you communicate? If you’re brave you’ll ask a family member or close friend to give you feedback as well. Are you walking your talk? Are there any missed opportunities for demonstrating more of your values? For example, if you wrote “family” as your top value and you don’t have a specific, quality time set aside for them, something’s amiss. If you wrote “health” and you’re eating unhealthy foods, well…you get

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

he idea.

You’ll find that once you’re clear on who you are and what you stand for, it’s much easier to think on your feet and communicate with ease. Without this essential foundation and knowledge, it’s easier to be someone you’re not. Listening to one person’s ideas sound good, so we go along with them. Then someone else comes along with an idea and it sounds good; we go along with them. There we are like a rudderless ship in the sea of confusion. Socrates wisely stated, “Know thyself.” When we know ourselves and our values, we are free to say what we want with anyone at anytime.

Now, let’s explore how to think on your feet and answer questions in the moment. Have you ever noticed it’s much easier to answer a question with the perfect response when you’re not under pressure? What if we could use a 5-step process allowing us to respond in a way we feel really good about…the first time around? We can leave that situatio

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

n saying, “Yes! That’s exactly what I wanted to say.” You’ll find this 5-step process can save you time, reduce your stress level and increase your self-confidence.

How to Say What You Want in the Moment:

1.) Listen to the question 2.) Breathe 3.) Repeat the question 4.) Respond honestly 5.) Know when to stop

1.) Listen to the Question

The first step is to listen to the question. It sounds pretty simple, doesn’t it? And yet, so many of us formulate the answer to a question we haven’t even heard yet. We wonder why we feel disconnected. You’ve probably seen this at networking events or in your personal interactions. When one person asks a question and the other person is way off in left field with an answer to something else. It can be caused by a number of things; lack of focused attention, lack of interest, or too much emphasis on responding with the right thing. The more we try to say the right thing, the more

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

e say the wrong thing. When I first joined Toastmasters International I was especially nervous when it came to the extemporaneous speaking portion of the meeting. It was one minute of sheer terror. One person asks a question and you answer it, on the spot, in front of the group. I was more than a little afraid. I had no public speaking experience; my knees were shaking and my heart was beating triple time. Everyone is asked a question relating to the theme of the evening such as like latest technology, favorite movies, great philosophers, etc. As everyone else had their turn, I searched my memory banks, trying to remember anything that I had ever experienced regarding that topic. It was like I was in another dimension. I realized there were other people in the room, I could hear some talking but couldn’t really hear the words. Mostly I was in my own head. Have you ever experienced this over-preparation? When it came

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

time for my question, I randomly pulled out one of the 15 stories I’d been rehearsing in my head related to that topic and tried to connect it with the question. People looked at me with a puzzled look and kind of a half smile. They applauded me ever so politely. This method of mine went on for months until finally I’d had enough. I gave up trying to have the perfect answer. I decided I was just going to stay in the present moment…what a concept! I’d listen to the other people when they were speaking. I told myself I would not prepare but just stay in the present moment and do the five step technique. When it was my turn I experienced such incredible freedom! Wow…it was so much easier. I felt such a deep connection between the questioner, the audience and me. The applause was so much stronger. I felt, “Yes, that’s exactly what I wanted to say.” Listening to the question may sound simple, but it’s the first step to

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

ruly powerful dialogue.

2.) Pause

The second step is to pause. Pause long enough to take a breath from your diaphragm. It doesn’t have to be a lengthy pause, but it does have to be a pause. Silence is where the thinking begins. Anything else is purely reactionary. Psychologists tell us that most people respond to a question with what they think we want to hear. If you ask them a second time, they’ll tell you what they truly feel. The irony is we think people will listen to us if we have an answer right away. Check it out for yourself. The reactionary type aren’t listened to nearly as much as the ones who have given it some thought. Two to five seconds. That’s all it takes. Not long. But long enough to let people know you’re being proactive rather than reactive.

Take a drink of water or do something to give yourself a moment to gather your thoughts. And yes, there may be those of you saying, if I took a minute to

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

breathe, they wouldn’t wait for my answer. Well, that tells you something, doesn’t it? A recent study indicated that 80% of the questions are really statements in disguise. If people really want your answer, they’ll be ok with you taking a breath before you respond.

3.) Repeat the Question

Now we come to step number three; repeat the question. When someone asks you a question that requires contemplation, repeat the question back to them. This serves two purposes. First, it helps you have clarity about the question. Second, it gives you time to think about the question and actually ask yourself about it. Once you try this yourself, you’ll get a feel for it. People in my seminars who have done this step say their answer changes from what they would have said to what they really feel after they’ve repeated the question. Keep in mind, you won’t use this technique for every single question. For example, if I ask you wha

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

t time it is, you won’t say, “So, you’re asking me what time it is”. You only use this technique for the contemplative questions! If I ask you how you feel about your communication skills or a similar question, it would be appropriate to repeat the question back to the person. For example, “So you’re asking me how I feel about my communication skills.” This gives you the time to feel into it and answer with your honest answer.

4.) Respond Honestly

That takes us right into step number four which is to respond honestly. We’ve all been around people, haven’t we, who give the zippy one liners, the clowns who are always trying to get a laugh, the intellectual type who give us a long and profound answer for a simple question. We’ve been around the sarcastic type and the cutesy type, but the ones who get people to really listen are the ones who respond honestly, from their heart. When I was training a group of people in Kenne

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

ick, WA, a woman named Linda came to the front of the room to practice the 5-step process. I asked what she liked best about her job. She answered immediately without taking a breath or repeating the question. Almost as if on automatic, she replied, “What I really like about my job are the people. I’m a people person.” The audience members shook their heads back and forth as if they didn’t believe her. I asked Linda if she’d like to try it again, only this time, to do all 5 steps of the process to include breathing, pausing and responding honestly. She said, “Sure, let’s try it again.” This time I slowly and deliberately asked her, “Linda, what do you like best about your job?” She looked at me, repeated the question, took a long, deep breath and responded with, “You know…I really don’t like my job at all.” Everyone in the room started laughing. But, it was an epiphany for Linda. For the rest of the day, she had a

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

far away look in her eyes as if it were the first time she had ever truly communicated with herself about this topic. Gazing out the window, it felt like she was saying to herself, “I can’t believe I’ve been at this job that I hate for the last 17 years!” We have to communicate with ourselves first before we can think on our feet and answer in the moment. And by repeating the question, it gives us an opportunity to do just that. There is a scarcity of honest communication in our world today. When you are the one who is honest, you can be assured that people will be listening to you. I’ve seen this happen in my own life and with people in my seminars. When someone answers honestly, people pay attention. The ironic thing is, when there is a pause, and people answer honestly, they command rapt attention. Try it for yourself.

5.) Know when to Stop!

Step number 5 is to stop. This may sound about as simple as step number

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

1, listen to the question, yet, it can be difficult for many people. A good point to remember is to leave them wanting more. Stop, before they stop listening to you. I’ve heard people give brilliant answers to questions only to diminish everything they’ve said by talking too much. The ironic thing is we imagine people will listen to us more if we talk longer. The opposite is true.

Use this when people ask you contemplative questions. Prove to yourself that this five step process works. Use the gradient approach. Start with the caring people in your life and work up to the more challenging ones later.

Deepening our communication skills is a never ending process. It’s like doing a dance throughout life as we interact with new people and see things from different viewpoints. I wish you all the success you can imagine. Just remember you’re doing yourself and the world a service when you communicate honestly and directly

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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