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NEED ADVICE ASAP!!!

Forums General Melanoma Community NEED ADVICE ASAP!!!

  • Post
    cep3700
    Participant

      Hi everyone, 

      My mother is undergoing WBR for multiple brain mets, and should be going on zelboraf soon. She also has extensive metastatic melanoma in her abdomen, spleen, lungs, and ovaries. We are in Baton Rouge LA, and trying to get to MD Anderson asap. We havent been getting the care that we need here, everything is taking forever, the radiation machine keeps breaking, which causes my mother to miss her scheduled appointments, and also we were supposed to receive the zelboraf last week and still havent received it and no one will return our calls. We keep getting the run around, and my mother will not last long with this type of care! 

      We have been in touch with md anderson, but the woman that was assinged as our contact person forgot to add us to the list, and keeps messing up the paper work. we sent her biopsy results two weeks ago and she still hasnt updated the records, which still say "waiting for biopsy". 

      Do you think that we should just take my mother to MD Anderson this week and wait for an appt? would it help that we are there in person? Could they finish the WBR there? (she has 5 days left) Does it normally take a long time for the zelboraf to come in? 

      Thanks for all of your support, I read the messages everyday, and I have followed a lot of your cases and learned a lot of information from all of you! Thank you!!!

      -Colleen 

    Viewing 11 reply threads
    • Replies
        UrsulaZ
        Participant

          Colleen — 

          I don't know what to tell you about going in person.

          I just wanted to express my total dismay that you're having to cope with red tape & error & waiting, when the stakes are so high. I am glad your mother has you. (imagine if no one were there to advocate?) 

          I hope things start coming together, and soon. 

           

          UrsulaZ
          Participant

            Colleen — 

            I don't know what to tell you about going in person.

            I just wanted to express my total dismay that you're having to cope with red tape & error & waiting, when the stakes are so high. I am glad your mother has you. (imagine if no one were there to advocate?) 

            I hope things start coming together, and soon. 

             

            UrsulaZ
            Participant

              Colleen — 

              I don't know what to tell you about going in person.

              I just wanted to express my total dismay that you're having to cope with red tape & error & waiting, when the stakes are so high. I am glad your mother has you. (imagine if no one were there to advocate?) 

              I hope things start coming together, and soon. 

               

              POW
              Participant

                I think that the most important issue is to get your mother's radiation treatments done properly and on time. Many private radiology conters and hospitals, especially "community" or "regional" hospitals (as opposed to teaching hospitals) are reluctant to lose potential income so they don't refer their patients to other, more appropriate, facilities. I would start bugging your mother's oncologist several times a day– actually go camp out in his/her waiting room if necessary– until they get your mother scheduled to complete her treatments at another radiation therapy location. If her therapy has been canceled more than once, I would not be satisfied with "everything will be OK from here on out". I would not trust her current radiation therapy center. I wouild insist on her going to a better, more reliable, radiation therapy center. It's "squeaking wheel" time!

                As for the Zelboraf, my brother didn't start taking Zelboraf until after he had completed his WBR treatments so I don't think that this delay will be critical. However,  you do want her to be able to start it as soon as possible. Your corner drug store does not keep Zelboraf in stock; it is supplied by one of a number of "specialty pharmacies". The Genentech web site has a page about patient access to the drug at http://www.genentech-access.com/zelboraf/hcp/see-how-we-can-help/our-services/product-distribution or you can call their help line at (888) 249-4918. See what you can do to track down which company is supposed to be dispensing this drug and what is causing the delay.

                I would not enourage you to just go to MD Anderson in hopes of getting an appointment. Scheduling delays are usually the result of medical records not being sent or being sent to the wrong department. The best thing you can do is to find out what records or images or information MD Anderson still needs. Then, once again, physically go to the provider in Baton Rouge who has the originals, get copies, and FedEx them to the RIGHT person at MD Anderson. You couldn't do that if you were already in Houston.

                As you can see, being a patient advocate can be a stressful and time-consuming labor of love. You will have to assert yourself and make a pest of yourself all the while trying to remain patient and pleasant when you speak with people. This is probably not your normal or natural mode of handling things, but it looks like it's going to be necessar in this case. Your mother is very fortunate to have you in her corner.

                POW
                Participant

                  I think that the most important issue is to get your mother's radiation treatments done properly and on time. Many private radiology conters and hospitals, especially "community" or "regional" hospitals (as opposed to teaching hospitals) are reluctant to lose potential income so they don't refer their patients to other, more appropriate, facilities. I would start bugging your mother's oncologist several times a day– actually go camp out in his/her waiting room if necessary– until they get your mother scheduled to complete her treatments at another radiation therapy location. If her therapy has been canceled more than once, I would not be satisfied with "everything will be OK from here on out". I would not trust her current radiation therapy center. I wouild insist on her going to a better, more reliable, radiation therapy center. It's "squeaking wheel" time!

                  As for the Zelboraf, my brother didn't start taking Zelboraf until after he had completed his WBR treatments so I don't think that this delay will be critical. However,  you do want her to be able to start it as soon as possible. Your corner drug store does not keep Zelboraf in stock; it is supplied by one of a number of "specialty pharmacies". The Genentech web site has a page about patient access to the drug at http://www.genentech-access.com/zelboraf/hcp/see-how-we-can-help/our-services/product-distribution or you can call their help line at (888) 249-4918. See what you can do to track down which company is supposed to be dispensing this drug and what is causing the delay.

                  I would not enourage you to just go to MD Anderson in hopes of getting an appointment. Scheduling delays are usually the result of medical records not being sent or being sent to the wrong department. The best thing you can do is to find out what records or images or information MD Anderson still needs. Then, once again, physically go to the provider in Baton Rouge who has the originals, get copies, and FedEx them to the RIGHT person at MD Anderson. You couldn't do that if you were already in Houston.

                  As you can see, being a patient advocate can be a stressful and time-consuming labor of love. You will have to assert yourself and make a pest of yourself all the while trying to remain patient and pleasant when you speak with people. This is probably not your normal or natural mode of handling things, but it looks like it's going to be necessar in this case. Your mother is very fortunate to have you in her corner.

                  POW
                  Participant

                    I think that the most important issue is to get your mother's radiation treatments done properly and on time. Many private radiology conters and hospitals, especially "community" or "regional" hospitals (as opposed to teaching hospitals) are reluctant to lose potential income so they don't refer their patients to other, more appropriate, facilities. I would start bugging your mother's oncologist several times a day– actually go camp out in his/her waiting room if necessary– until they get your mother scheduled to complete her treatments at another radiation therapy location. If her therapy has been canceled more than once, I would not be satisfied with "everything will be OK from here on out". I would not trust her current radiation therapy center. I wouild insist on her going to a better, more reliable, radiation therapy center. It's "squeaking wheel" time!

                    As for the Zelboraf, my brother didn't start taking Zelboraf until after he had completed his WBR treatments so I don't think that this delay will be critical. However,  you do want her to be able to start it as soon as possible. Your corner drug store does not keep Zelboraf in stock; it is supplied by one of a number of "specialty pharmacies". The Genentech web site has a page about patient access to the drug at http://www.genentech-access.com/zelboraf/hcp/see-how-we-can-help/our-services/product-distribution or you can call their help line at (888) 249-4918. See what you can do to track down which company is supposed to be dispensing this drug and what is causing the delay.

                    I would not enourage you to just go to MD Anderson in hopes of getting an appointment. Scheduling delays are usually the result of medical records not being sent or being sent to the wrong department. The best thing you can do is to find out what records or images or information MD Anderson still needs. Then, once again, physically go to the provider in Baton Rouge who has the originals, get copies, and FedEx them to the RIGHT person at MD Anderson. You couldn't do that if you were already in Houston.

                    As you can see, being a patient advocate can be a stressful and time-consuming labor of love. You will have to assert yourself and make a pest of yourself all the while trying to remain patient and pleasant when you speak with people. This is probably not your normal or natural mode of handling things, but it looks like it's going to be necessar in this case. Your mother is very fortunate to have you in her corner.

                    awillett1991
                    Participant

                      I was treated at MDA  for awhile and I'd say it will not help you to physically be there. Maybe you can request another contact person. They will only make an onc appt once they have received everything which is probably going to be 2 weeks or so out from then.

                      Also maybe you can find out if the Zelboraf is being held up with the insurance approval or the Dr office. Mine came in a few days.  So many times I have felt like things were taking way too long, cancer is very frustrating, so many things are out of our hands.  

                      I hope this helps. 

                      Amy

                      awillett1991
                      Participant

                        I was treated at MDA  for awhile and I'd say it will not help you to physically be there. Maybe you can request another contact person. They will only make an onc appt once they have received everything which is probably going to be 2 weeks or so out from then.

                        Also maybe you can find out if the Zelboraf is being held up with the insurance approval or the Dr office. Mine came in a few days.  So many times I have felt like things were taking way too long, cancer is very frustrating, so many things are out of our hands.  

                        I hope this helps. 

                        Amy

                        awillett1991
                        Participant

                          I was treated at MDA  for awhile and I'd say it will not help you to physically be there. Maybe you can request another contact person. They will only make an onc appt once they have received everything which is probably going to be 2 weeks or so out from then.

                          Also maybe you can find out if the Zelboraf is being held up with the insurance approval or the Dr office. Mine came in a few days.  So many times I have felt like things were taking way too long, cancer is very frustrating, so many things are out of our hands.  

                          I hope this helps. 

                          Amy

                          cep3700
                          Participant

                            Thank you all so much! I really appreciate hearing others perspectives on what to do, expecially people who have been in similar situations. All of these red tape and technical situations were driving me crazy, but I was starting to feel like maybe this is just how things were going to go. After reading your advice I am going to definitely make a nuisance of myself with the hospitals, drs, insurance etc. !!!

                            Thank you all so much for your encouragement and advice, it really helps. I really appreciate you all taking the time to reply and looking up info for us. I  will post updates on the progress. 

                            THANK YOU!

                             

                            cep3700
                            Participant

                              Thank you all so much! I really appreciate hearing others perspectives on what to do, expecially people who have been in similar situations. All of these red tape and technical situations were driving me crazy, but I was starting to feel like maybe this is just how things were going to go. After reading your advice I am going to definitely make a nuisance of myself with the hospitals, drs, insurance etc. !!!

                              Thank you all so much for your encouragement and advice, it really helps. I really appreciate you all taking the time to reply and looking up info for us. I  will post updates on the progress. 

                              THANK YOU!

                               

                              cep3700
                              Participant

                                Thank you all so much! I really appreciate hearing others perspectives on what to do, expecially people who have been in similar situations. All of these red tape and technical situations were driving me crazy, but I was starting to feel like maybe this is just how things were going to go. After reading your advice I am going to definitely make a nuisance of myself with the hospitals, drs, insurance etc. !!!

                                Thank you all so much for your encouragement and advice, it really helps. I really appreciate you all taking the time to reply and looking up info for us. I  will post updates on the progress. 

                                THANK YOU!

                                 

                            Viewing 11 reply threads
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