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Old 01-07-2008, 12:44 PM   #1
fauxgypsy
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Join Date: Apr 2007
Location: Mississippi
Posts: 600
rebates for doctors precribing Neulasta, etc.

http://members.forbes.com/forbes/2006/1030/126.html

I don't know if this particular article has been posted here or not. I went through months of chemo without ever having been given Neulasta. My counts dropped but I did fine. I am on Medicaid. My thought here is for you to question the doctors. If you have good insurance, I have to wonder if you get it even if you don't need it. Other women on the same regimen were given Neulasta from the beginning, before their counts dropped. If the doctor benefits substantially from giving you a particular medicine, isn't that a conflict of interest?

You ( or your insurance company):

are billed for your doctor's visit
are billed for the chemotherapy

and then the doctors make a huge profit and get rebates from the pharmaceutical companies. I have no problem with doctors having a high standard of living, and I know that many of them are caring and committed but I am not comfortable that my standard of care is so influenced by the contributions of pharmaceutical companies.

Leslie
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In the world of destiny, there are no statistics.
Jan. 26- mammogram and ultrasound- suspicious lump
Mid-February- lumpectomy, infiltrating ductal carcinoma ~4.5 cm and a 1 cm DCIS, did not get clear margins, did not check lymph nodes
ER+/PR+, her2 +++, nuclear grade 3 of 3
February 20-PET scan showed something on liver. No biopsy.
March- Started carboplatin, herceptin, taxol on a four week cycle
May 3- Pet scan, with intent to do a biopsy, found nothing, liver or breast- no biopsy because there is nothing to biopsy
June 21- new onc, very concerned that there had been no biopsy,
June 18th-CAT scan, bone scan-negative
August 7th - Brain MRI-negative
August 9th- mastectomy, all pathology negative
January 2008 still NED! New oncologist -herceptin for full year after chemo- until July, and tamoxifen---negative scans since May '07
July 2008-Finished Herceptin!
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Old 01-07-2008, 07:18 PM   #2
dhealey
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Join Date: Jun 2007
Location: moved to Lancaster, Pa in June, 2010
Posts: 576
I was one of those who recieved the neulasta and the anarsap. Neither drug really helped my counts. My white count was always down to .6 until the day before chemo then it would only rise to 3. Same with the hgb it would get down to 6 even with the injection. Now I wonder what the point of getting these meds since they didn't really help and now the anarsap is getting such a bad rap. I believe the cancer center got a kick back from the drug company. The neulasta was $6,000 per shot and the anarsap was $3,000 per shot, my insurance would pay half of each. Somebody had to be making money on this somewhere.
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Debbie in North Carolina
Diag 10/2006-high grade invasive ductal carcinoma- mastectomy L breast
2.5 cm tumor ER/PR pos-Her2+++
4 rounds A/C, 4 rounds Taxol
Herceptin every 3 weeks until Jan. 2008
6/18/07 prophylatic mastectomy R breast
8/2007 started aromasin/stopped arimidex (side effects)
12/07 stopped aromasin due to side effects (now what?)
Finished herceptin 1/8/08
started tamoxifen for 2 years then will switch to femera
allergic to tamoxifen started femera 4/2008
June 20, 2008 portacath removed
Learnig to live life to the fullest!
Stopped Femera due to side effects
July 28, 2008 start trial for breast cancer vaccine
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