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  • AnneW
    AnneW Member Posts: 4,050
    edited November 2008

    Annie,

    Write a letter to Gary stating that you're firing him from your case. You can explain in detail, or just say you are unhappy with your care and will be getting it elsewhere. They cannot refuse to send your records to another doctor. And if he's smart, there will be not a word uttered to any other provider about you.

    For grins, put a cc to your lawyer (you don't have to go through with actually cc'ing).

    A letter like this will serve as a notice to leave you alone. That his office is no longer responsible for you. He's feeling guilty. He should. Let him wallow in it.

    But a letter from you in your records releasing him from further employment is a good thing.

    Have a good turkey day,

    Anne

  • femme
    femme Member Posts: 262
    edited November 2008

    Dear Annie,

    It is a bit strange that Gary (the FORMER BS) is pursuing you for an office visit.  However, my husband (who is part of the medical community) and I still feel that Gary is nervous and is trying to do some fine tuning, vis a vis your case. He does not know what you're thinking regarding litigation, nor does he have a good feeling about your discussions about his treatment, with others in the medical community.  He'd like to feel you out and try to do some damage control. He's obviously not pleased with the direction that your case took, and he wants to be sure that he has his bases covered (as much as is possible.)  Perhaps there was talk of his protocol causing side effects that you got...who knows what his fears are. And of course you know that it is very hard to get funding for clinical trials. It certainly makes him appear a concerned, compassionate healer if he's available and monitoring your case even after you have left his trial.I may be wrong, maybe he is just a nice guy who wants to metaphorically hold your hand during an office visit, but that is what I think.

    I am available on either the 4th or 5th of January in Paris.  I will emal you off-line and we will exchange contact info.  Oh my god, just 2 girls who want to have fun in The City of Light.  Let's invite our main men also, d'accord?

    Happy Thanksgiving to all of us; boobless and/or reconstructed, happy or sad, BUT BEAUTIFUL BECAUSE WE ARE FIGHTING THE GOOD FIGHT AND ARE ENNOBLED WITH COMPASSION AND KINDNESS BECAUSE OF THIS.

    femme 

  • jdash
    jdash Member Posts: 754
    edited November 2008

    annie

    this doctor is definetly trying to cover his ass and his nurse knows it too which is why she was panicking-  he must think you have filed a malpractice suit against him  just ignore him

    dont even take the calls anymore  there is no reason you should be harrassed by his office

    you need to just think about yourself and getting well-  i am so angry that they are doing this to you  its just not fair    i would tell his office that if they continue with this harrassment then you will have an attorney contact them    that will shut them up

    BIG HUGS AND WISHING YOU A WONDERFUL THANKSGIVING 

  • NancyD
    NancyD Member Posts: 3,562
    edited November 2008

    I'm inclined to agree with AnneW and femme that a letter to the BS, formally removing him from your case, is in order. It could be done with a phone call, too, but you don't seem to want to have any first person interaction with his office, so a letter is fine.

    I still see my BS, but on an ever-lengthening basis: one-month, next will be three months, and I'm sure there will be a follow-up six months after that. He's just checking to see that my incisions are healed and aren't forming scars in a way that is painful. In the Spring, he'll remove my port when my onc gives the OK. 

    If, for some reason I decided not to continue with him, I would let his office know, and ask that my records be transferred to a new surgeon. I think that's standard protocol within the medical community. It happens all the time with companies changing insurance underwriters and patients having to find doctors that accept the new plan. Granted, that's a more benign reason, but it ends up being the same thing.

  • otter
    otter Member Posts: 6,099
    edited November 2008

    Annie, my first reaction to your post was that you should simply ignore your BS's attempt to re-establish contact with you.  If you didn't set up that appt, and you didn't confirm it, then you were under no obligation to be there.  For all he knew, you were on an extended cruise and really were unavailable.

    But, AnneW's advice (reinforced by femme and Nancy) is probably the best.  A short, typewritten note declaring that you no longer wish to be under his care and have moved on to another provider, should suffice.   I don't think you need to volunteer your reasons for the switch.  His office may try to find out, but that would be for CYA and risk management purposes, and IMHO that's their problem, not yours.  Let them grovel.

    I'll confess that I did the same thing you're doing, twice.  I was notified of appointments I had not requested and had not confirmed, for "follow-up", "continuing care," or lab work I was never told would be necessary; so I just ignored them.  In both cases the new appts came long after I had stopped seeing those doctors and had moved on to more capable providers.  Neither situation affected my future care or professional relationships with other doctors.  OTOH, just this past week I realized that one of those jerks has a lab result I'd like to discuss with my onco, so now I need to contact his clinic (but hopefully not him, personally).

    Still, I do wish I had sent a short note to each of those jerks, telling them that I didn't intend to see them anymore.  If they wanted to know why, at least I'd be able to think they cared enough to ask.

    Hugs, Annie...

    otter 

  • Sassa
    Sassa Member Posts: 1,588
    edited November 2008

    There is a possibility that although you are off the trial, the protocol calls for follow up visits to obtain information on any long term  problems that may show up or any  long term benefits of the shorten dosing regime.

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited December 2008

    Thanks, Sassa. Yes, but one is free to opt out of a trial anytime one wishes to do so, and since I'm no longer on protocol, I see no reason to continue to see a person who has caused me such distress and anguish. So, it's out with the BS. Now, if the other members of the team want to do follow-up, that's fine with me. Just not the BS.

    Love to all,

    Annie

  • sdavis
    sdavis Member Posts: 96
    edited December 2008

    hope your holiday was special Annie.

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited December 2008

    Annie,

    Sorry for you sucky news...

    I'm on Ixempra low dose with lose dose Xeloda. These are not to bad.  My fatigue is becoming more manageable and I have not lost all my hair. So far only a little thinner than before. My neuropathy so far is manageable and I was Stage II neuropathy when I started.  The key is low dose three weeks on and one off. Anymore than that and it will knock you on your tail.

    Ixempra has worked very well from some of the ladies.  I hope it is the golden ring for you.

    Flalady

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited December 2008

    Dear FlaLady,

    Good to hear your testimony about Ixempra. Another drug my oncologist discussed with me this morning is Doxil. Have you tried that yet? He says it's showing incredible promise in the treatment of metastatic disease -- it appears in trials to be the best yet for getting liver and bone mets to NED. Lots of exciting things are going on right now -- we have reason to be hopeful.

    Love,

    Annie

  • otter
    otter Member Posts: 6,099
    edited December 2008

    Annie, you should read about Doxil.  It's Adriamycin (doxorubicin) in disguise.  (It is literally doxorubicin incorporated into tiny fat globules called "liposomes".)

    Here's some info from the manufacturer:  http://www.doxil.com/learn_doxil/about_doxil.jsp

    How much Adriamycin have you already had?

    otter 

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited December 2008

    Hi Otter,

    Thanks for the info. I've only had about 50% of the rubicins that I can take, so whether its epirubicin or Doxil (oncologist hasn't decided yet), I've got some choices.

    Today I have renewed hope. Hope is the fuel that keeps us going.

    Love,

    Annie

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited December 2008

    Annie,

    I was told hold on Doxil because I only have skin mets at this time.  I would think twice about doing a chemo in liposomes.  I have already done a chemo that was like this.  It was the one that destroyed my nerve endings in just four monthly treatments.I think my next option will be Navelbine.  A couple other triple negs are using it for mets right now.  I'm watching to see how it goes.  This is a chemo that is usually used in the treatment of lung cancer.

    Flalady

  • VickiG
    VickiG Member Posts: 536
    edited December 2008

    FlaLady I hate to jinx myself by typing it, but so far so GREAT w/ Navelbine for me.  I had to miss tx last wk due to low counts, and I was sooooo disappointed because it's actually working for me, unlike Taxol or Ixempra/Xeloda.  I am taking Avastin w/ it and am very optimistic ~ my pelvic node has shrunken considerably and my skin mets have lost their lumps and are actually fading... it's pretty exciting!!!  Next wk I have CT & bone scans... not sure why no PET this time, but I'm hoping my lung mets have also faded away to nothing.  I have pretty much decided to hold off on the stem cell transplant since the Navelbine is working... not sure I can justify stopping a tx that is working to do something extreme that might or might not do anything for me.

    Edited to add Tarceva is also an option for TNs who are HER1+, so that's a possibility for the future as well... still not sure if I'm HER1+ or not, but supposedly 80% of TNs are.

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited December 2008

    Great news Vicki!  I'm so glad for you.  Let this be your best Christmas gift ever. I wondering how long did you do Ixempra/Xeloda before moving to Navelbine?  Mine looks maybe a "little" better but not a lot of response yet.  I only just completed my 2nd month... Don't worry about missing a treatment. If it is God's will for you to beat this disease he can cover you through these weeks.  Just do what you can to keep up the good work.    I did research on Tarceva last year and don't remember what I read. I will go back and look at my notes.

    I'm going to do a little happy dance just for you Vicki.

    PS I have to ask what is your puppies name.  I have a Katie Bug the best dog ever. She a pound rescue.

    Flalady

  • VickiG
    VickiG Member Posts: 536
    edited December 2008

    I did 3 mos and had nothing but progression... we kept waiting for response since median time to response is 8-12 wks or something like that.  If you are actually showing response I think that's a great sign ~ I never saw ANY improvement, only progression.

    I have 2 doggies ~ Daisy is the black & tan one and Violet is the yellow lab mix.  Both of mine are rescue dogs, too and it's Violet who is my hero ~ the day we adopted her she got into poison ivy & jumped on me, and I ended up w/ hives all over my chest/abdomen.  When I was slathering Benadryl on the hives I found my lump... she is my hero!

  • ibcspouse
    ibcspouse Member Posts: 613
    edited December 2008

    Cam just put on navelbine, two weeks on, one week off.  Still lost on all this, after 7 weeks of no treatment, her tm's dropped from high normal to mid normal ranges, still no apparent tumor anywhere but will have new PET/CT and brain scan in six weeks. 

    VickiG what SE's should she expect.  Ixempra/Xeloda was SE's from hell. 

  • VickiG
    VickiG Member Posts: 536
    edited December 2008

    ibcspouse, I started Navelbine 3 wks on, 1 off.  Neuropathy continued, so I thought it was leftover from the Ixempra/Xeloda, but after a while realized that it's from the Navelbine.  I've started taking B6 & I do think it's helping.  My biggest pblm is my blood counts have taken a hit ~ my onc isn't convinced it's specific to the Navelbine; more likely because I've had so much chemo overall.  I am also on Avastin every other wk, so we just switched my Navelbine to every other wk as well, hoping to give my WBC a chance to recover between txs & possibly minimize neuropathy.  I have a CT tomorrow so I will also have labs done to see what my counts look like ~ if they are low will have Neupogen, but hopefully am ok.  Bone scan Tue so will hopefully find out that all this bone pain is simply chemo related, not mets.  I am so hopeful, though ~ my skin mets are looking better every day so I am hoping it's working everywhere... I hate this disease.

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