how can i get doctor to prescribe tarceva for inoperable lung cancer with secondary brain cancer has recieved one chemo session for lung then 5 radiotherapy for brain...help??????
4 rounds of chemo of taxotere and cisplatin seem to have not worked as now he has mets in his liver, bones and adrenal glands. His doctor is aftraid that Tarceva is not recommended to someone with mets to the bone. That is not what I read. Can you please let me know if Tarceva is for him and whether that can hep stop or slow down the disease?
Thanks.
since then the diesies showed improvment and shrinkage in tumor. . HE has been under maintance treatment with Tarceva since 2009 upto now. the previous PET-CT ON JULY 2011 WAS NEGATIVE AND CONCLUSION was that no evidence of residual hypermetabolic disease seen in lung.. but the recent CT showed smal new lesion 1,8 *2 cm. in comparison to previous.and his new PET -CT in TURKEY hospital FN shows new FDG(+)SUV max:5) pulmonary nodule in the lower lobe of the lung.
If the node is positive for cancer metastases, this may imply disease progression in spite of Tarceva intake. Tarceva may have to be replaced with another more effective chemotherapy drug. Radiation therapy to shrink the node and relieve the swelling may also have to be done. Consult with your oncologist as soon as possible so you can be properly assessed.
Thanks for your response. To clarify: his treatment was adjunctive. At the time they saw no sign of cancer outside the lung. Now, however, after 4 rounds of chemotherapy the disease seems to have spread during treatment with taxotere and cisplatin: it's now in the liver, bones and adrenal glands. His original tumor was EGFR positive that is why Tarceva came up as a viable second step.
m doing research as quickly as I can to help she and her husband make an informed decision about what to do...if anything. The local drs are recommending 4 weeks of full brain radiation followed by tarceva. Prior to the finding the mets, they were planning 6 weeks of radiation to the right lung in combination with etoposide and cisplatin.
I'd appreciate any feedback. My thanks in advance to all responses....
She has done very well with chemo and radiation until recently. She was started on Tarceva about 3 weeks ago. Recently, she has been experiencing a lot of confusion. I cannot find anywhere that this is a side effect of Tarceva (it is the only drug she is on at this time). Is it possible that she has a brain metastases? If not, what are the likely causes.
My husband was diagnosed with a Pancoast tumor on his lung. He went thru chemo/ radiation and finally had surgery to remove the tumor. It was successful. He had more chemo for precaution. After one year, the cancer came back into his Adrenal Gland. It is also in his Lymph Nodes. They put him on Tarceva( a pill he took everyday) And after 6-7 weeks, he had tests done which showed it didn't do anything.. the tumor has grown. They said there is no other options..
At the time of the procedure it messured 1.3 cm at the time of being placed on Tarceva the measurment 1.9 cm with in three wks after surgery in April.
Placed on Tarceva the first of May and No incress in growth...Doctors say Stable Remission...Now I have been told that I have a Mass on the back side of my thyroid gland on the left side. We have tried ultra sound guided needle biopsy...didn't work.
Now the docs say they want to try a Core Biopsy?
He has been through several chemo and radiation treatments and is now starting on Tarceva. It has been a long road so far and he has his good days and bad days. I don't think there's any way even the doctors can tell us how much time they have left specifically. His doctor said it could be a year, 5 or even 10, but of course we are all hoping and praying for at least 20 more with him.
I have medicare in California I will enroll in it next month,I have liver transplant with hcv and cirrhosis ,I need to find out how medicare and if medicare pay for sovaldi and olysio.
This is random i know. So i faxed over my new adress and stuff for medicare and its been literally almost a month since and still waiting for approval and i was just wondering if im not sure if i have it yet that i can just go into the hospital in the outpatient section for treatment because im literally almost 4 months preg and still have not seen a doc. even for an ultrasound for christ sake.... can somebody tell me how i can get immediate care?
It has already spread to the spine, both lungs and the lymph system. Doctors triede Tarceva for 3 weeks but her body had a very bad reaction. For the spine they did radiotherapy. But since she was diagnose 3 months ago she has lost aalmost her voice. she is using oxygen for the major part of the day but doctors don't wan't to talk about time. no more medes will be given and she was reffer to hospice....
Hi, My 69 year old Dad has stage 4 Lung nsc cancer that he has been battling for over 2 years with good results from first Tarceva, then Chemo and prior to that radiation to mets to his brain. He is an otherwise healthy, robust, nonsmoking person. Last month he started experiencing problems walking, nausea and headaches. He was referred to a Neurologist who recommended a Shunt to help regulate the fluid in his brain. It has been a nightmare ever since.
Oh my God! Thank you Lord for letting me hear from someone with darn near my situation!
I had lower left lobectomy May 29, 2009. Stage 1A BAC (nodule 1.3 cm)...no chemo (there seems to be only one that "might" work, Tarceva) and no radiation (what will they burn out? the lobe's gone already).
90 % "chance" of making 5 years is what they tell me. Mucho NO info on BAC. Only bad prognosis.
I have already survived breast cancer (BRCA 2 Mutation) for 6 YEARS!
I will be on my last of 12-week treatment, with maybe traces still detected when I turn 65 and have to use Medicare. Coverage is great until then. The the medicare sales people know of no company that accepts Solivar since they are going by last year's sheet. Does anyone know where any updating is being done to reflect Solivar in their policy?
Can i be denied for florida medicare because i live with my boyfriend on the app it asked for all his info job $ what he owns I put tht only I am applying but they still wanted all his info I'm really nervous because I'm 5 weeks pregnant and really need health coverage
I am not on medicare yet since I still work. I have a part A card but have not applied for part B or part C etc, since I use my work health insurance. Later this year I plan to retire. I could get laid off before then so I am trying to get things in order. For those on medicare or not do you have any advice should treatment become necessary in the future?
do you know why your medicare is on hold? they have to tell you
if you nneed ER services, most hospitals cannot turn you away, if the need for service is there, regardless of ability to pay.
give them $5 a month when the bill comes in...........thats what i do with my medicare excess......
Medicare Part D covers drugs. Not the supplement plan. The supplement covers the 20% the Medicare doesn't pay (Hospital, doctors, labs, etc) that is now paid for by Medicaid.
You need both a Medicare supplement (if you don't want to pay the 20% for hospital and doctor's costs). Plus a Part D drug plan.
What Part D plan is available to you is based on where you live. You should research what Part D plans are available and then get a copy of their latest formulary.
If you have Medicare and Medicaid, you will usually get your drugs covered by the Medicare prescription drug benefit (Part D) and the Extra Help program. Extra Help is the federal program that pays for most of the costs of Medicare drug coverage if you meet the eligibility requirements. In some limited cases, Medicaid may cover drugs that Medicare does not cover.
As long as you have Medicare Part D your drugs will be covered.
Call Medicare if you have questions.
He started Tarceva this January but it seems it did not work as the cancer spread to brain…. 9 mets were identified in the initial MRI 2 weeks ago but the subsequent MRI right before yesterday’s gamma knife procedure (which removed 7 mets) evidenced numerous other tiny/small tumors spread all over the brain….He has been in relatively good condition (eating well, no weight loss) until these new mets emerged (which affected his walking and reading ability)….
In lung cancer, there are assays for quantitative testing of epidermal growth factor receptors (EGFR), which confers sensitivity to some drugs used in lung cancer like Iressa or Tarceva. The cost of testing can range from a few hundred dollars (e.g. ER/ PR assays) to around 3800 dollars for the Oncotype DX test.
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