See? there you go. Someone who obviously needed the stuff and tolerated it well. As I said before I only had one significant drop in anc and only got one dose. I felt some shoulder pain that I hadn't had before, but that resolved. The new hip pain does not seem to be joint pain, and started well after the Neulasta treatment. I just wonder how many people get this very expensive and not entirely benign drug unnecessarily. We're all scratching our heads over ways to cut health care costs, and it would seem not using drugs that cost thousands of dollars unless we need them would be a good start. A much better idea than denying needed treatment to boatloads of people because of some silly criteria. Like not paying for hearing aids for deaf children (never covered and costs about the same as one dose of Neulasta) But, that's not the issue here. It's Neulasta. Good drug if you need it. Not always needed. Not always harmless. Maybe we can save some health care dollars and some risks and side effects by checking anc's and only using it when there's an actual drop. And Please, Please, Please, when whoever ends up making the healthcare reform decision, give the doctors a little wiggle room! If somebody's counts are a shade above the cut-off, but something else, like their job, puts them at risk, let their docs, not the payors, make the decision. When payors decide what docs can treat, it's a conflict of interest. They'll TELL you they don't decide what can be treated, they only decide what they'll pay for, but get real, at what some of this stuff costs, if it's not covered, it's out of reach.
That's not to say everyone who got the drug shouldn't have. I'm just saying it's possible it may be overused in some cases. Obviously some patients DO drop their counts and docs some docs want to be cautious about preventing a serious drop. Some my hover close enough to the edge to make their docs nervous. I won't second guess anyone's individual doc's decision. As a general trend, however, I think this may be one think that could be rethought.
Dx Stage IIIC CC 3/10/06
Folfox 4/06 - 10/06
Avastin 4/06 - 4/07
Healthcare is a right, not a privilege.