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You've got some good advice already, but I think the doc needs to go to bat. Sometimes just a little push is more than enough. She can't take the first line because it is damaging her liver. The insurance company needs to know it will cost them more money to fix her liver down the line that it would just to give her the second line drug (believe me). the doc should have social workers looking in to this along with the insurance staff. This is really not something your friend should be stressing over. My doc would just give me the treatment and let the rest of the staff get the approval. Do you know which drugs are under consideration?? Maybe I can find some info from my leukemia doc??
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Maryann
Stage IV Inflammatory BC 1/00
Mod Rad Mastectomy 24nod/5+
Adriomycin Cytoxin Taxol
Tamoxifen 4 1/2 yrs
Radiation - 32 x
Metastatic BC lung/liver 10/04
thorocentesis 2x - pleurodesis
Herceptin Taxatiere Carbo
Femera/Lupron
BC NED 4/05
chemo induced Acute Myeloid Leukemia 5/06
Induction/consolidation chemo
bone marrow transplant - 11/3/06
Severe Host vs Graft Disease of liver
BC mets to lung 11/07
Fasoladex Herceptin Zometa Xeloda
GVHD/Iron overload to liver
Avascular Necrosis/morphine pump 10/10
metastatic brain tumor
steriotactic radiosurgery
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Hybrid Mode
