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Erent areas of the country, and those of us who had IC often order AZD3759 worked from home. The ICA staff had numerous responsibilities: responding to phone calls and answering the mail (literally thousands of letters and calls in the course of a year); working with NIDDK on biannual co-sponsored national conferences, both scientific and patient-oriented; working with The Centers For Disease Control; congressional lobbying; running the annual ICA pilot research program; working with the media; arranging for regional patient conferences; fundraising; grant writing; working with pharmaceutical companies; keeping an updated physician registry; running weekly staff meetings, writing quarterly newsletters for both patients and physicians; attending the AUA and other related annual meetings plus dozens upon dozens of other tasks. Given the severity of the pain, few were as motivated or as effective as were the staff, board members and volunteers with IC (and several without IC) in gaining a voice in the scientific and political community. Conclusions With talent, perseverance, determination and a great staff, the ICA, grew into an extraordinarily successfulorganization. It was an uphill battle, but the ICA put IC `on the map’. Patients learned from each other, reached out to urologists and other specialists, and increased awareness among these physicians. We developed a superb ICA Medical Advisory Board, insisted on epidemiological studies, began a pilot research program of our own, and worked closely with both Congress and NIDDK. Our history may provide a useful blueprint for the development of future medical nonprofit organizations. Acknowledgements A tremendous thanks to Professor Gayle Greene, Scripps College, who assisted with this paper, and to Charlene Rex for her final edits. An additional thanks to the Executive Director of the ICA, Lee Claassen, for continuing to expand the scope and vision of the ICA, and finally, a special thanks to Nina de Fels, whose chance interview with a NYC public relations firm ultimately led to the first ICA appearance on ABC’s Good Morning America in 1985. That interview `jumpstarted’ our organization. Dedication: This paper is dedicated to the many outstanding ICA staff, board members, volunteers, medical advisory board members, and to the many IC patients and urologists and other specialists worldwide, both past and present, who have worked with the ICA over many years. It is also dedicated to the millions of patients with IC/BPS who have endured an immeasurable amount of suffering, and to those who, unable to endure such immense suffering, found suicide as the only way out. And finally, this paper is also dedicated to Daniel Brookoff, M.D., (now deceased) who was one of the finest, most compassionate and extraordinary physicians I have ever known. Footnote Conflicts of Interest: The author has no conflicts of interest to declare.
Review ArticleNovel research approaches for interstitial cystitis/bladder pain syndrome: thinking beyond the bladderChris Mullins, Tamara Bavendam, Ziya Kirkali, John W. KusekNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA Contributions: (I) GW0742 site Conception and design: All Authors; (II) Administrative support: NIDDK, NIH; (III) Provision of study materials or patients: None; (IV) Collection and assembly of data: None; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approv.Erent areas of the country, and those of us who had IC often worked from home. The ICA staff had numerous responsibilities: responding to phone calls and answering the mail (literally thousands of letters and calls in the course of a year); working with NIDDK on biannual co-sponsored national conferences, both scientific and patient-oriented; working with The Centers For Disease Control; congressional lobbying; running the annual ICA pilot research program; working with the media; arranging for regional patient conferences; fundraising; grant writing; working with pharmaceutical companies; keeping an updated physician registry; running weekly staff meetings, writing quarterly newsletters for both patients and physicians; attending the AUA and other related annual meetings plus dozens upon dozens of other tasks. Given the severity of the pain, few were as motivated or as effective as were the staff, board members and volunteers with IC (and several without IC) in gaining a voice in the scientific and political community. Conclusions With talent, perseverance, determination and a great staff, the ICA, grew into an extraordinarily successfulorganization. It was an uphill battle, but the ICA put IC `on the map’. Patients learned from each other, reached out to urologists and other specialists, and increased awareness among these physicians. We developed a superb ICA Medical Advisory Board, insisted on epidemiological studies, began a pilot research program of our own, and worked closely with both Congress and NIDDK. Our history may provide a useful blueprint for the development of future medical nonprofit organizations. Acknowledgements A tremendous thanks to Professor Gayle Greene, Scripps College, who assisted with this paper, and to Charlene Rex for her final edits. An additional thanks to the Executive Director of the ICA, Lee Claassen, for continuing to expand the scope and vision of the ICA, and finally, a special thanks to Nina de Fels, whose chance interview with a NYC public relations firm ultimately led to the first ICA appearance on ABC’s Good Morning America in 1985. That interview `jumpstarted’ our organization. Dedication: This paper is dedicated to the many outstanding ICA staff, board members, volunteers, medical advisory board members, and to the many IC patients and urologists and other specialists worldwide, both past and present, who have worked with the ICA over many years. It is also dedicated to the millions of patients with IC/BPS who have endured an immeasurable amount of suffering, and to those who, unable to endure such immense suffering, found suicide as the only way out. And finally, this paper is also dedicated to Daniel Brookoff, M.D., (now deceased) who was one of the finest, most compassionate and extraordinary physicians I have ever known. Footnote Conflicts of Interest: The author has no conflicts of interest to declare.
Review ArticleNovel research approaches for interstitial cystitis/bladder pain syndrome: thinking beyond the bladderChris Mullins, Tamara Bavendam, Ziya Kirkali, John W. KusekNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA Contributions: (I) Conception and design: All Authors; (II) Administrative support: NIDDK, NIH; (III) Provision of study materials or patients: None; (IV) Collection and assembly of data: None; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approv.

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