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  • Ashlyn
    Ashlyn Member Posts: 141
    edited January 2018

    hi Vilma

    Who is your provider? I was able to get coverage with GWL after my MO filled out the forms and contacted Pfizer for partial pay. Pfizer picks up a portion that GWL won't pay through their compassionate assistance program. This was back in July for me that I was able to access it.

    There is also a trial for a similar drug called Ribociclib (Kisqali) that you could ask your MO about getting into if you don't get Ibrance covered. This was the drug I would have been put on if I didn't get Ibrance covered.

    Best of luck.

    Ash

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited January 2018

    Vilma I am on Ibrance and was lucky our insurance covers mine. I am not sure what GWL stands for in Ashlyn's post but from what I know about the Ibrance process is that Pfizer wants people on Ibrance and there seem to be a number of ways to that you can get coverage. Did you have a three way conversation with Pfizer and your insurance company?

    I would not have wanted to be on a trial that is 50/50 (Ibrance/placebo) at this point. What does your oncologist say? I am crossing fingers for you. If you have no luck (or even so) I am on a Facebook group for Canadians with metastatic cancer. Let me know if you want an invite.

    Ashlyn, how many cycles have you been on? I start cycle 6 tomorrow night.

    Much as I hate to say this, I am grateful that there are some of us on this BC/BC thread that are in this mets boat together.

    Marian

  • Ashlyn
    Ashlyn Member Posts: 141
    edited January 2018

    GWL: Great West Life - Pfizer did all the organizing for me once my oncologist filled out the paperwork. I hope you find a way Vilma! In the meantime, will you start Letrozole

    Marian: I was under the impression that Ribo was into PHASE II trials. Does that not mean that you're guaranteed the drug?

    I'm in the middle of cycle 3 right now. How are you doing on Ibrance Marian? I have yet to scan since I started. End of this month. Nervous.

    I've been mostly hanging out over on the Ibrance board since I started in October. Managing but chronic low counts and lately GI issues giving me grief. I've been getting Grastofil (like neupogen) to get me through.



  • Vilma65
    Vilma65 Member Posts: 111
    edited January 2018

    Hi Ashlyn and Maryelizabeth, Pfizer rep said that they will help me to appeal, I haven't had the change to talk with my MO yet about what are her thoughts due to the weekend, just received the info on Friday, so looking forward to Monday to see if I can start moving things along

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited January 2018

    Ashlyn, I don't know anything about Ribo trials or phases so you are ahead of me on that. I only know that I don't want to on any trials. If I had wanted Faslodex free for instance, I could have got it from Victoria BCCA but I am lucky that my insurance pays for both my Ibrance and Faslodex.

    Vilma, keep us posted and I suspect all will go well.

    Marian

  • Vilma65
    Vilma65 Member Posts: 111
    edited January 2018

    Thanks, I hope so. I'm getting a bit discouraged since I just was told that the extended won't cover the denosumab either. I did get a call from the victory program and they offered to cover up to 50%, but that will still mean 300$ from my pocket each month that I'm reluctant to spend since I will provably have to reduce my work and I'm a single mom living in very expensive Vancouver

  • mandytam87
    mandytam87 Member Posts: 3
    edited January 2018

    Hi lovelies!

    My mother is a 3-time breast cancer survivor and her lymphedema (swelling of the arm) has gotten a lot worse the last year (it will swell up instantly by bending down to tie her shoelace). Has anyone had any success in completing the LVA surgery (lymph node transfer surgery) in Canada or Asia?

  • Ashlyn
    Ashlyn Member Posts: 141
    edited January 2018

    Vilma: from Rethink Breast Cancer's Facebook today...

    "IBRANCE ANNOUNCEMENT📢📣

    Yesterday we received the news that Ibrance is one step closer to being publicly funded in Canada. The negotiations at PCPA were completed and we are waiting for provinces to sign the letter of intent to fund the drug!"

    Hope this means you and everyone else who has been waiting will get it fast!

  • Vilma65
    Vilma65 Member Posts: 111
    edited January 2018

    Wow, thanks that is great news!!

  • Fembot
    Fembot Member Posts: 86
    edited January 2018

    Hi mandytam87,

    I didn't know LVA (lymph node transfer) was possible. That's good to know. You might try doing a search on this site using the search term LVA to see if anyone's talked about it.

    Is your mom getting help for the lymphedema from a physical therapist?

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited January 2018

    There has been much discussion about Ibrance this past week due to a brave woman who got it "public." Dr. Moore at BCCA spoke on a radio (I think) program and it is still in review and at the end he did say 2-3 months possibly.

  • Raeleanne76
    Raeleanne76 Member Posts: 12
    edited January 2018

    My name is Deana and I am 41. I live in New Westminster but work downtown Vancouver. Had my first ever screening mammogram on December 19, a call back for a diagnostic mammogram on Jan 4 (which didn't surprise me, had been told previously that I have lumpy breasts). GP called me the next day to advise I need biopsy on a 3mmx5mmx7mm "spot". I was so shocked I didn't ask any of the questions I should have so I don't know the birads or anything. Met with a surgeon 3 days later and had a core needle biopsy a week after that. The surgeon said they would "get that thing" out of me but needed the biopsy to determine staging and to determine if they are taking out lymph.

    Now I am sitting here waiting for the pathology report which I am supposed to hear about by Wednesday. (biopsy was at Burnaby hospital).

    I am not sure what questions I should be asking. I am wondering if anyone has advice on what to expect etc. I guess.

  • Raeleanne76
    Raeleanne76 Member Posts: 12
    edited January 2018

    Oddly enough just received a call from the surgeon's office. They have scheduled my appointment for 2 weeks from now, Feb 2. That feels like a long time to wait for the answers! But it also seems to me that if it was BC that they would get me in to be seen sooner???? Anyone have experience with that?

  • moth
    moth Member Posts: 4,800
    edited January 2018

    Reaelanne, how is your relationship with your GP? The GP will have copies of the results already as well so you could get them there if they have fast appointments. I didn't see the surgeon until after the core biopsy but even my post op pathology results (about margins etc) my GP communicated those to me asap. In fact, she called me right away to tell me the margins were clear etc so I would know as soon as possible.

    I'm near you btw, near Lougheed Mall :)

  • Fembot
    Fembot Member Posts: 86
    edited January 2018

    Raeleanne76, As moth says, you're GP should have a copy of the pathology report. And maybe you can call the surgeon and ask to be put on a cancellation list. Then you have a chance of getting in earlier if something opens up sooner.

    Best, from Coq

  • Fembot
    Fembot Member Posts: 86
    edited January 2018

    To all West Coast Vancouver women,

    Have you had nipple tattoos that look real? Can you recommend a local artist? I live near Coquitlam IKEA, but anywhere in the lower mainland is fine.

    Do you know if it's covered by Medical?

    Thank you

  • moth
    moth Member Posts: 4,800
    edited January 2018

    Fembot, I have never seen the work IRL but there are three 3D nipple artists in the Lower Mainland listed here: https://www.nippletattoos.com/artists

    I found out about these totally by accident when someone I know was thinking about getting microblading at Shauna Magrath's salon (beautyink.ca)

  • Fembot
    Fembot Member Posts: 86
    edited January 2018

    Thanks moth! There's a lot of discussion re nipples spread around several boards, not all in one place. I'm wondering if I should start a topic called 'All things nipple'. Maybe try to aggregate in one spot...hm

  • Raeleanne76
    Raeleanne76 Member Posts: 12
    edited January 2018

    thanks Fembot and Moth. I will call my GP in the morning. I’ve already called the surgeons office to ask to be out on a cancellation list and to let them know I’m willing to hear results over the phone. Thanks for the idea about the GP

  • Wendy3
    Wendy3 Member Posts: 1,012
    edited January 2018

    Vilma huge discussion on a thread on Facebook MBC advocacy group and they are also fighting for this. I myself haven’t done Ibrance but I was approved through my insurance. The creepy thing is I’m getting calls from some nurse in Toronto emails etc on when I wil be starting it. Really hard sell its time the pharmaceutical industry was brought to task and the BC government needs to cover it period. I think it will be covered very soon but hey what do I know😊 let’s hope

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited January 2018

    Wendy, I would not call it creepy if you have been approved. It is her job. Probably the same woman who called me in August and helped me through the process of finding out if I was covered and helped me with a conference call with our insurer. I am not apologizing for Pfizer and their employees so don't get me wrong. I am paying attention to what these wonderful young women are doing to help themselves~~one has US insurance but she has helped to make this front and center.

    I do believe it will soon be covered.

    Mandytam,I hope you have found info on the transfer~~I and a brief read awhile back and since your mom has such severe LE this might be a god chose. Mine is called severe but it is nothing like what you describe. It is such a difficult thing and I can only assume that she is getting treatment, wearing a sleeve, etc.? I only saw an RMT expert last week for the first time and feel so inadequately educated Something as simple as washing our sleeves every night for instance makes a difference as the mesh clogs up with body oil, sweat and so on. My concern for many is the cost. RMT'sare not covered by my insurance but I can afford it~~with all the other costs for those with only MSP all I can say is that I hope your mom can access all she needs.

    Roseanne, I had to wait 7 weeks for my lumpectomy after core biopsy~~summer got in the way for holidays throughout the system. Christmas is usually the same. The waiting game as I call it, is the worst. Hoping you get in sooner. Pathology results often take 3 weeks. May I suggest you check other threads for basic answers as often there are really good answers on the process.

    It is so good to see all of you here helping each other. For quite a while, it was very quiet. My heart goes out to each and every one of you, having been there 5+ years ago and on through the years.

    Ah, almost forgot about the 3D nipples. Ossa has them and those of us who have seen them can tell you they look so real we all wanted (and did) to touch them I know someone else to who had hers done near Campbell River. My PS suggested "Steve the Breadman" in Squamish. Vinny is famous in the US. Google him and you can see some great work.

    Marian

  • runor
    runor Member Posts: 1,798
    edited January 2018

    Does anyone know if breast reduction after lumpectomy and rads is covered by medical? I did several Google searches nad cannot find a definitve answer. I see that reconstruction is covered, but no mention of after cancer reduction.

  • wrenn
    wrenn Member Posts: 2,707
    edited January 2018

    I always understood breast reductions were covered for medical reasons...like sore back etc so you would think the GP could come up with a medical reason following cancer. Sorry I am not more useful. :-)

  • runor
    runor Member Posts: 1,798
    edited January 2018

    I have not spoken to my GP about it. I have changed doctors mid-stream with all this and me and new doc have not really has a good sit down, meet and greet. Need to. Will see what I find out them. But I find people on this forum often are as informed about what's available, or not, as the doctors are!

  • wrenn
    wrenn Member Posts: 2,707
    edited January 2018

    This forum is not very busy but surely someone will come along with good information.

    I wonder if BC people know that if they don't have a GP or don't like them they can see a nurse practitioner at the Cancer Agency. I love mine. She is amazing at covering all the bases and they are at Broadway and Willow so very convenient for many of us.

    I hope you get some clarification soon Runor.

  • Fembot
    Fembot Member Posts: 86
    edited January 2018

    runor, I don't know what's covered. If you're in BC you can try searching here http://www.bccancer.bc.ca/our-services/patient-guide/fair-pharmacare

  • moth
    moth Member Posts: 4,800
    edited January 2018

    runor, I think it might be covered but needs pre-approval

    (I think lumpectomies are technically called partial mastectomies in the fee guide)

    "Reduction Mammoplasty

    • Reduction Mammoplasty is a benefit for female patients only, where there is significant associated symptomatology such as intertrigo, neck or back pain or shoulder grooving. Ptosis and/or size are not sufficient grounds for MSP coverage of reduction mammoplasty. Mastopexy is not normally covered by MSP.

    • Unilateral reduction mammoplasty may be a benefit of MSP if there is gross disproportion present, or in association with approved unilateral augmentation mammoplasty or post mastectomy reconstruction of the contralateral breast.

    • MSP authorization is required. "


    https://www.doctorsofbc.ca/sites/default/files/pub...

  • runor
    runor Member Posts: 1,798
    edited January 2018

    Hmmm. Well even if they don't approve me because of the cancer surgery (and radiation changes too), I have lifetime monster grooves in my shoulders from my bras. They are permanent. No one can deny that these boobs are too big! Well, one of them sure is. Thanks ladies.

  • Wendy3
    Wendy3 Member Posts: 1,012
    edited January 2018

    My daughter had a breast reduction at 19 it was covered. My sister had implants after her surgery and it was also covered by BC medical.

    The Pfizer calls were every other day for about three weeks it felt like stalking . Along with a ton of emails I ended up having to phone there and complain. It was all about the money as far as I was concerned. I will try and hold out on the Ibrance until it’spaid for

  • AnxietyGirl85
    AnxietyGirl85 Member Posts: 74
    edited January 2018

    Hello fellow west coasters!!

    I've already made my own thread for this, but it was suggested that I try asking here, too.

    I'm in Vancouver and being treated at the main BC Cancer location. I'm scheduled to start chemo in two weeks, and I want to use cold caps to keep my hair, but I can't seem to get a straight answer on if I'm allowed to use them.

    The oncologist was a jerk about it when I asked him and turned me down flat, said cooling caps are banned, my surgeon had told me that scalp cooling is available here and the nurse wasn't sure but didn't think it would be a problem. Three different health care professionals in the cancer system, three different answers.

    My question for you is, is anyone here in Vancouver currently using cold caps, or has anyone used them here recently?? How did you go about doing it, who did you contact to make it happen, and what kind of cold caps did you use??

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