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Matthew L. Martin

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Jan 2, 2010, 7:10:49 PM1/2/10
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... WTF!

My wife's oncologist was very concerned when I told her about the
directions on the $3,500 per shot injectable she had prescribed. The
directions say to pull back on the presser and, should blood enter the
syringe, throw the syringe away, get a new one and try another injection
site.

She explained that if that were to happen we could go to DFCI and get
the injection, but the insurance likely wouldn't pay for it. DFCI
charges $10,000 dollars per syringe for that drug ...

Or ...

She suggested trying another injection site with the same syringe.
Perhaps trying to eject the blood, first.

I would have done that without instructions from a doctor, but I feel
much better about it, now.

Or am I the insane one?

Matthew

--
I have two and 1/2 granddaughters:

Alex will find a way to silently get from where she is to where she
wants to be.
Anna will make an Anna sized hole between where she is to where she
wants to be.

Bruce

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Jan 2, 2010, 7:44:33 PM1/2/10
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Matthew L. Martin wrote:
> .... WTF!

>
> My wife's oncologist was very concerned when I told her about the
> directions on the $3,500 per shot injectable she had prescribed. The
> directions say to pull back on the presser and, should blood enter the
> syringe, throw the syringe away, get a new one and try another
> injection site.
>
> She explained that if that were to happen we could go to DFCI and get
> the injection, but the insurance likely wouldn't pay for it. DFCI
> charges $10,000 dollars per syringe for that drug ...
>
> Or ...
>
> She suggested trying another injection site with the same syringe.
> Perhaps trying to eject the blood, first.
>
> I would have done that without instructions from a doctor, but I feel
> much better about it, now.
>
> Or am I the insane one?
>
> Matthew
>
You did suffer a head injury, right? It might be best to leave it to
the Dr.

Rob

Dr. HotSalt

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Jan 2, 2010, 7:45:05 PM1/2/10
to
On Jan 2, 4:10 pm, "Matthew L. Martin" <noth...@notnow.never> wrote:
> ... WTF!
>
> My wife's oncologist was very concerned when I told her about the
> directions on the $3,500 per shot injectable she had prescribed. The
> directions say to pull back on the presser and, should blood enter the
> syringe, throw the syringe away, get a new one and try another injection
> site.

Right, subcutaneous.

> She explained that if that were to happen we could go to DFCI and get
> the injection, but the insurance likely wouldn't pay for it. DFCI
> charges $10,000 dollars per syringe for that drug ...

Well, suppose DFCI's (whoever actually sticks people) pulled back
the pressor and got blood; would they discard it and retry? Who pays
for that?

> Or ...
>
> She suggested trying another injection site with the same syringe.
> Perhaps trying to eject the blood, first.

"Do or do not; there is no try".

> I would have done that without instructions from a doctor, but I feel
> much better about it, now.

M'kay.

> Or am I the insane one?

No reason to assume there's any correlation positive OR negative.


Dr. HotSalt

Nicko

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Jan 2, 2010, 8:20:54 PM1/2/10
to
On Jan 2, 6:10 pm, "Matthew L. Martin" <noth...@notnow.never> wrote:
> ... WTF!
>
> My wife's oncologist was very concerned when I told her about the
> directions on the $3,500 per shot injectable she had prescribed. The
> directions say to pull back on the presser and, should blood enter the
> syringe, throw the syringe away, get a new one and try another injection
> site.
>
> She explained that if that were to happen we could go to DFCI and get
> the injection, but the insurance likely wouldn't pay for it. DFCI
> charges $10,000 dollars per syringe for that drug ...
>
> Or ...
>
> She suggested trying another injection site with the same syringe.
> Perhaps trying to eject the blood, first.
>
> I would have done that without instructions from a doctor, but I feel
> much better about it, now.
>
> Or am I the insane one?

You're getting there.

If you aspirate blood with an IM injecttion, simply pull the syringe
out a bit and aspirate again. I can almost guarantee that you won't
aspirate blood the second time, but if you do, try another site. As
long as it's done quickly, you and she will be okay.

Likewise for a SC injection, but I don't think that is what you are
doing here.

Probably.

I know all about aspiration of blood from experience on myself, so
consider the source.

But, regardless of that nonsense:

If you are paying so much money for a single injection, I think that
the price would include injection by a paid professional. What is
going on here?

Or are you buying the stuff on eBay? From a veterinary web site?
WTF?!

I really don't understand what's going on here, but it is pissing me
off.

Who the fuck is this oncologist who somehow cannot perform the
injection or refer you to someone who can? And where does she live/
work? Because I have a beef with this person. I have a HUGE beef
with this person, and you should, too.

Matthew L. Martin

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Jan 2, 2010, 10:38:40 PM1/2/10
to

Dank, is that you?

Matthew L. Martin

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Jan 2, 2010, 10:44:58 PM1/2/10
to

Sorry, Nicko. The Dr. would be more than happy for us to have the
injection done at DFCI, but the insurance company won't pay for the drug
unless it is provided by a mail order pharmacy. Given that the window of
efficacy is from 24 to 48 hours after the administration of chemo, we
have limited options.

The oncologist isn't the one setting up the flaming hoops for us to jump
through. Given the cost of the drug and the fact that chemo will be
halted if it isn't administered, I will do what I have to do.

If you care to assign blame for this situation, assign it to the
insurance company.

Jared

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Jan 3, 2010, 12:07:11 AM1/3/10
to
On Jan 2, 7:10 pm, "Matthew L. Martin" <noth...@notnow.never> wrote:
> ... WTF!
>
> My wife's oncologist was very concerned when I told her about the
> directions on the $3,500 per shot injectable she had prescribed. The
> directions say to pull back on the presser and, should blood enter the
> syringe, throw the syringe away, get a new one and try another injection
> site.

I just today got the info for the prescription plan on the new
insurance we're being forced to switch to.

Previously we'd been able to get 90-day supplies of drugs at the local
CVS, but now the new insurance company is insisting that we go back to
doing mail order.

Matthew L. Martin

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Jan 3, 2010, 8:49:07 AM1/3/10
to

If your drugs are on their list of generics, you can get them for $9.99
for a 90 day supply and your insurance company will never know:

<http://www.cvs.com/CVSApp/promoContent/promoLandingTemplate.jsp?promoLandingId=1046>

Walmart and Hannaford markets have similar programs. They all charge a
small annual fee.

Mark

unread,
Jan 3, 2010, 10:47:35 AM1/3/10
to
On Jan 2, 7:10 pm, "Matthew L. Martin" <noth...@notnow.never> wrote:

> My wife's oncologist was very concerned when I told her about the
> directions on the $3,500 per shot injectable she had prescribed.

> DFCI charges $10,000 dollars per syringe for that drug ...

I knew there was going to be a price increase somewhere
in this institutionalized cluster fuck. The only next step in
ludicriousness could be that the injections cause cancer,
tehn finally...someone sues you for complaining.

---
Mark

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