My oncologist went BANKRUPT!
I got a message this morning from my infusion nurse saying that they would have to reschedule my Herceptin infusion for next week. I was like, "What?!" They can't just do that...........the Herceptin is a particular dose since I get it every two weeks. I can't just SKIP a week just like that! So I called her back and asked what was going on........she said last Friday the place CLOSED! They went out of business!
And even though the nurses are there they can't infuse the patients since there isn't a single doctor there today. Unbelievable!
There were warnings...........they had to move from a very nice location to another more crowded space and I knew they were under some kind of financial oversight - but they were hiring new doctors in this practice left and right and no one ever said a word that this might happen!
My infusion nurse is an angel - she said she'll call me tomorrow or Wed. if the doctor is there so I can come in and get my Herceptin. In the meantime, I've already made an appointment with another oncologist who works in the same big practice as my PCP, ob/gyn and dermatologist. Hopefully I can transition to him and pick up my infusions without skipping a week. This will be my THIRD oncologist since I started last year..........actually I'm looking at it as a blessing in disguise........as much as I loved the infusion nurse, I wasn't really all that happy with the oncologist - he's nice enough, just not much of a talker - you have to pull information out of him. I'm tired of that - even though my tx ends next month, I'll still need an oncologist for the next 4 years while I'm on Arimidex..........so I'm keeping my fingers crossed that the THIRD onc will be a a better communicator.
So - now I have to go copy all my reports all over again and mail them out.............the paperwork (and bills!) with this disease is ENDLESS...........sigh.............
Comments
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Swim..remember third time's a charm!.....Hugs!.....Lucy
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How disappointing and tiresome to have to go through this. Hugs & peaceful thoughts to you.
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Hi Swimangel,
I'm sorry you are having to pick up the pieces and run with them so suddenly. Thank goodness you have enough connections and experience to make the change. How truly awful it must be for those patients who are just starting to grasp the fact that they have cancer, or those with mets, or those who have just had recurrence.... !! Was it a large health care corporation or a small office? I guess there were good reasons why the doc wasn't feeling very chatty.... !
Best wishes to you,
AlaskaAngel
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Kind of speaks to the theory that doctors are just raking it in hand over fist. Many barely make ends meet, between the overhead, the insurance costs, covering treatments for people who can't afford it, etc.
Don't worry too much about the Herceptin. It's not like chemo ... Herceptin stays in your system a long time ... weeks. I wouldn't worry about delaying one week, but I wouldn't want to skip 2 weeks.
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That really stinks! I am sorry.
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Thank you for your support - and even though I'm definitely inconvenienced, I'm more worried about some of the people I've met there, in particular a lovely woman who was being treated for ovarian cancer which had spread - and also another women who has to get infusions three times a week for a liver and blood disorder (not cancer). These women, and other patients, can't skip any infusions at all - I wonder if they can just show up in the ER, bags of medicine in their hands?
Here's what I've learned through the grape-vine - my oncologist had serious financial problems due to infighting with an old partner. Way back in the good 'ol days of huge Medicaid reimbursements, they expanded their business to three sites - recruited a lot of other doctors - created their own group practice and hired an outside company to handle their billing. Then when Medicaid cut back on their reimbursements other insurance companies followed along. Then one partner sued the other - then the billing company sued for non-payment, etc etc........just bad business decisions - which I think were originally fueled by greed. The greedy doctor left my oncologist high and dry (my oncologist really is a lovely man - even though he's too quiet for my satisfaction)......and his business went downhill after that. I heard he had to file Chapter 11 just to pay all the lawsuits. Mind you - none of these lawsuits were brought against him by a patient! Lesson learned - doctors should practice medicine - and leave the big business antics to financial people (but don't trust them..........look what happened to Wall Street! Every day I read about yet another crook who absconded with millions of dollars!)
So thanks again for all the reassurances - especially concerning the lifespan of Herceptin.......I feel calmer too after swimming. While swimming my laps, I remembered that there's a study out showing that 9 months of Herceptin is just as effective as 12 months.....so I'm not going to sweat about missing a week. I'll call the nurse again tomorrow - maybe she can give me the other women's phone numbers so we can stay in touch. I'll miss them!
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This isn't as uncommon as you think. Since oncologists have to pay upfront for expensive chemo drugs and then bill insurance companies (who sometimes don't reimburse, especially if a drug is considered "experimental") it's hard for them to keep their cash flow, unless they are in large groups. Anyway, that's what happened to my onc -- who had a small practice and recently left the profession! Now there's only one large practice where I live, so I go there with a new doc. Luckily, I'm a few years out of treatment and hoping to stay that way -- but I've read articles about oncologists in general having financial struggles.
It sounds like your doc had a different issue, but this sucks! Maybe as part of health care reform, this will improve. I can't even imagine what it would be like to deal with this in the midst of treatment. Ugh.
Love
Annaanne
Stage 3a, dx 5/05
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Some good news! I was able to get my herceptin tx today! The nurse said the doctor was there today because of a meeting at 2:30 with the new medical group they're joining......so I decided to leave work early and get the infusion while I could. After talking to my nurse (who is an angel, did I already say that?) then speaking to the oncologist - they both reassured me that the practice wasn't moving and that he'd have more time now to spend on his patients now that all the legal problems are over. Also it helped that I heard other patients say they were staying.......so I told them I'd stay with them. It so much closer to my house - and I am just not in the mood to have to transfer my records and meet yet again another doctor and nursing staff. So pray that his office stays open until the end of April at least when I'll be finished my Herceptin!
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Whew! That sounds good!
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WOW! What an ordeal! Atleast there's a happy ending
! You're on the home stretch now!
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Thanks Ann & Liz.........I feel so much calmer now!
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