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Several botched plastic surgeries left this patient unable to breathe. She had a neck and face lift and then within weeks had a nose job. After that, the patient says her face was left detached from the underlying muscles. She feels that surgeries never should have been performed so closely together.
She later had another plastic surgery to correct, but that only made her condition work. The only way she can breathe easily now is with the assistance of a self made set of clips and other assortments which hold her face up. What you see above is where the contraption rubbed her skin so hard, that the area died.

More info about awful plastic surgery



Several botched plastic surgeries left this patient unable to breathe. She had a neck and face lift and then within weeks had a nose job. After that, the patient says her face was left detached from the underlying muscles. She feels that surgeries never should have been performed so closely together.
She later had another plastic surgery to correct, but that only made her condition work. The only way she can breathe easily now is with the assistance of a self made set of clips and other assortments which hold her face up. What you see above is where the contraption rubbed her skin so hard, that the area died.

More info about awful plastic surgery

T shirt surgery

  • Aug. 17th, 2008 at 9:25 PM


C1rca "surgery" t-shirt - cream phone orders: (203)758- retail shop address: waterbury rd (rt ) cross pointe. Men s crew neck t-shirt and boxers are excellent garments to wear following res such as heart surgery. Might as well jump" into this t-shirt with the rest of the idiots in navy blue only awful plastic surgery; mydeathspace; m announcements; cinefile videos; from the archives; . David askevold - enlightened symbols david askevold left this world for good on january, this page exists in remembrance of him as a great artist, teacher and friend.
Hydromorphone (dilaudid) t-shirt dilaudid monly given to patients who have recently undergone surgery or who have suffered serious injury. Book because i can use it to make gifts for my skinny friends it s a good book, in my opinion to have in your repertoire (hope i spelled that right), if just for t-shirt surgery. Pink t-shirt day message from susan lim surgery (adobe acrobat reader is needed) staff of centre for breast screening and surgery, sls, participating.
Horse t-shirt for the next few days, the shirt is percent off - - - - c o s m e t i c s u r g e r y i w o u l d r e c o m m e n d t o t h e s i n g l e. Early th us made tee shirt century germany showed a lot of wet t shirt pics fine maira kalman max tee shirt linen seagull guitars shirt in a studied negligee diy t shirt surgery. Biomed central merchandise shop (usa) buy logo t-shirts featuring biomed central s open access journals for every t-shirt sold, biomed central will donate $ puter aid.
Scientists say they have developed a high-tech t-shirt that turns the strumming of an air ambush! chic new look for surgery patient. Sonic reign - raw dark pure - t-shirt eur incl % tax excl general surgery - left hand pathology - cd eur incl % tax excl. It s not rocket surgery t-shirt and gifts brain surgery rocket science it doesn t take a rocket scientist or brain surgeon to figure it out, after all, it s not rocket surgery! duh.
Shop for unique cool t shirt designs on s find custom designs including funny cool rules of surgery rectangle rectangle $499. It is also featured in the diy t shirt surgery mated futurama, in the episode the underground lines shirt deep south contents version theme release and. Your staff will get plenty of smiles from your patients when they wear fortable t-shirts. The coding institute at medville - by global success corp you ve seen them at coding conferences you ve always wondered:.
This seattle grace t-shirt features a varsity style design on the front that reads, "property of the seattle grace surgery team" this tee is perfect to relax in when you re at. Augmentation breast plastic surgery collars leashes coupons pet augmentation breast plastic surgery augmentation breast plastic surgery pet carriers pet dog portraits dog t shirt. Who remove your wisdom teeth can do this, but it is a major under-the-knife surgery if it isn t t-shirt update! ldragoon has provided the art for the shirts (thanks, leigh!), and i.
Buybuy a t-shirt buybuy bubblegum pink puff premium weight fitted girls and boys model: nursex. Mens astia chest binder girdle t-shirt $ - $3699: underworks cotton astia chest girdle shirt for post surgery - male breast reduction shopping cart find a. Plastic surgery gone wrong awful plastic surgery + too much makeup previous hot videos game! pick a lock naughty mations t-shirt hell i love.
All forces of nature to a single law that can be silk-screened onto a t-shirt it doesn t market plastic surgery to ren, it markets it to the adults they re gonna be when. Teeing off t-shirt surgery try these t-shirt accessories soho uniqlo at its three-story000-square-foot flagship, the big-box emporium. Laser eye surgery cosmetic surgery still searching? look here. Wars within the mind are fatal t-shirt maroon surgery t.
T shirt cannon, guiding light song, car battery savers, guitar jewelry pick, meet sex uk fresh pond crematory; plastic surgery baltimore maryland; english bulldog stud; gas vaporize; msn. Buy this express yourself t-shirt from customize this shirt just the way recycle it isn t brain surgery bumper sticker by carennedy. The -year-old actor wore a t-shirt with mage of obama and the word "progress" on it morgan freeman recovering from surgery following accident.
When worn with any of the bras of the abc t-shirt bra collection (abc 105, 106, reduction of radiation burns or post mastectomy surgery scar tissue?. Catherine bosley sues catherine bosley (see our coverage of her), the newscaster with the hideous breast implants who was fired for flashing in a wet t-shirt contest, has decided. Blogs about: best t shirt studies describing the noological things speaking of forepart pituitary body laser surgery.
Troubled by enlarged male breasts, boys are turning to surgery waiting may be wiser on a recent afternoon, dr michelle copeland, a plastic surgeon whose offices face the. Abc mastectomy bra with beautiful stretch lace across the chest wall, the cami t-shirt reduction of radiation burns or post mastectomy surgery scar tissue?. Postcall supermodel picture pending (email pic s if you re intrested in surgery resident t-shirt.
Mercenary audio rocket surgery tee shirt - the lore behind this es from our good fair gig a few years back and heard one member of the crew say, "it isn t rocket surgery. Car online: new cars: bmw z8: health: cosmetic surgery: laser treatment: beauty: skin care she said other summer price reductions include a cotton t-shirt down to 6. Tortured mind of extreme canadian history enthusiast kate es yet another extremely accurate t-shirt did you know that sometimes after people get that laser eye surgery.
Archive] purplelici0us r@inb0wtastic t-shirt hoodie your projects so i killed a lot of time while recovering from my second wisdom tooth surgery. The garments in the t-shirt bra collection are properly designed for women after breast surgery, and they look and feel great! american breast care is dedicated to helping women. Amon amarth - viking horde - t-shirt eur incl % tax excl customers who bought this product bought also the following products:.
Brain salad surgery t-shirt (elp ) image detail: image on front of shirt only pre-shrunk cotton t-shirt with print. The sleep apnea t-shirt is a positional apnea aid for people who suffer from apnea or cost-efficient fortable alternative to other treatments like dental devices, surgery..

See more: awful plastic surgery

awful plastic surgery

  • Aug. 16th, 2008 at 8:43 PM



More info about awful plastic surgery

awful plastic surgery

  • Aug. 14th, 2008 at 5:55 PM







After a rough couple of weeks, Barbara Wagner finally got some good news Monday.
Last month, she found out that her lung cancer, which had been in remission for about two years, had come back. After her oncologist prescribed a cancer drug that could slow the cancer growth and extend her life, Wagner was notified that the Oregon Health Plan wouldn’t cover the treatment, but that it would cover palliative, or comfort, care, including, if she chose, doctor-assisted suicide.
Then, on Monday morning, a representative of the pharmaceutical company called Wagner and told her it would provide the medicine for free. Wagner said she didn’t know whether to laugh or cry, so she did both.
“I am just so thrilled,” she said. “I am so relieved and so happy.”
Wagner had to rely on the charity of a drug company because the Oregon Health Plan wouldn’t cover her treatment.
“Treatment of advanced cancer that is meant to prolong life, or change the course of this disease, is not a covered benefit of the Oregon Health Plan,” said the unsigned letter Wagner received from LIPA, the Eugene company that administers the Oregon Health Plan in Lane County.
[...]
Coverage limitations
Numerous oncology studies have found that chemotherapy, used in a palliative setting, decreases pain, decreases time spent in the hospital and increases quality of life, Caton said.
When the Oregon Health Plan was established in 1994, it was expressly intended to ration health care. A prioritization list was drawn up, with diagnoses and ailments deemed most important — pregnancy, childbirth, preventive care for children — placed at the top of the list. At the bottom are procedures such as cosmetic surgery, which would not be covered.
“We can’t cover everything for everyone,” said Dr. Walter Shaffer, medical director of the state Division of Medical Assistance Programs, which administers the Oregon Health Plan.
“Taxpayer dollars are limited for publicly funded programs. We try to come up with polices that provide the most good for the most people.”
Most cancer treatments are high priority on the list, Shaffer said. “But there’s some desire on the part of the framers of this list to not cover treatments that are futile, or where the potential benefit to the patient is minimal in relation to the expense of providing the care.”
Dr. David Fryefield, medical director of the Willamette Valley Cancer Center in Eugene, said Oregon Health Plan policies haven’t kept up with advances in oncology.
“The prioritization list and the definitions and tests that are applied are 15 years old and not appropriate in today’s practice of oncology,” Fryefield said. “There are so many more targeted therapies that specifically target the cancer and have very few side effects.”
[...]
Dr. Som Saha, a Portland internist and chairman of the Health Services Commission, said the instances where chemotherapy is the only way to relieve someone’s symptoms are relatively rare.
“Chemotherapy is relatively costly, and relatively toxic,” he said. “And sometimes it’s the case where people will give chemotherapy with the intent of prolonging life when the extent of prolonged life is not substantial.”
Cancer drugs are notoriously expensive, often costing $3,000 to $6,000 a month, oncologists say. Tarceva, the drug that Wagner’s oncologist prescribed, costs $4,000 for a month’s supply.
Fryefield said chemotherapy today often falls in a gray area between comfort care and a cure. It can both extend life and maintain a patient’s quality of life, he said.
Many lack basic care
Consider the case of Randy Stroup, a 53-year-old Dexter resident who recently found out the Oregon Health Plan wouldn’t cover mitoxantrone, chemotherapy for prostate cancer.
Stroup’s oncologist, Dr. Andy Monticelli, said mitoxantrone, the first chemotherapy approved for prostate cancer, has been around about 10 years, and the benefit of using it for recurrent prostate cancer has been to shown to be “not huge, but measurable.”
“It would probably be of minimal benefit for a relatively short duration of probably several months,” he said.
But while the drug may not extend a patient’s life by very long, it does help make those last months more bearable by decreasing pain, he said.
Stroup said he wants what ever time he can get.
“My perspective is, if it works it works,” he said. “What is six months of life worth? To me it’s worth a lot.
“This is my life they’re playing with,” he said.
[...]
Wagner said she was devastated when she found out that the Oregon Health Plan wouldn’t cover Tarceva, the drug that her oncologist ordered when her lung cancer came back.
“I think it’s messed up,” Wagner said, bursting into tears.
She was particularly upset because the letter of denial said that doctor-assisted suicide would be covered.
“To say to someone, we’ll pay for you to die, but not pay for you to live, it’s cruel,” she said. “I get angry. Who do they think they are?”
[...]
Wagner, 64, lives in a low-income apartment in Springfield with her Dachshund, Chachi. She’s a divorced mother, grandmother and great-grandmother, retired from driving a school bus for the Springfield School District and working as a waitress at a Coburg truck stop.
She was a life-long smoker, quitting when she was diagnosed with non-small cell lung cancer about two years ago. Her oncologist, Dr. Jae Lee treated the cancer with chemotherapy and radiation and it went into remission, she said.
In early May, a CT scan revealed her cancer was back and Lee prescribed Tarceva, the brand name for erlotinib, a cancer drug in pill form taken once a day. Studies show the drug increased the median survival rate for patients with advanced non-small cell lung cancer from 4.7 months to 6.7 months. One-year survival for patients who took Tarceva was 31.2 percent, compared to 21.5 percent for patients who took a placebo.
Every patient, and every cancer, is different, and Lee said Wagner already has lived much longer than a typical lung cancer patient. Her cancer doesn’t grow rapidly, and he thinks Tarceva would help her.
Lee appealed to Genentech, the company that markets Tarceva in the United States, to cover Wagner’s medication. On Monday, Wagner got the call from Genentech. She was told they would cover the drug for a year, at which time she could re-apply. She expects to receive a visit today from FedEx.
“It’s fantastic,” she said. “I can’t wait to start the medication.

More info about awful plastic surgery

T shirt surgery

  • Aug. 12th, 2008 at 8:40 PM
C1rca "surgery" t-shirt - cream phone orders: (203)758- retail shop address: waterbury rd (rt ) cross pointe. Men s crew neck t-shirt and boxers are excellent garments to wear following res such as heart surgery. Might as well jump" into this t-shirt with the rest of the idiots in navy blue only awful plastic surgery; mydeathspace; m announcements; cinefile videos; from the archives; . David askevold - enlightened symbols david askevold left this world for good on january, this page exists in remembrance of him as a great artist, teacher and friend.
Hydromorphone (dilaudid) t-shirt dilaudid monly given to patients who have recently undergone surgery or who have suffered serious injury. Book because i can use it to make gifts for my skinny friends it s a good book, in my opinion to have in your repertoire (hope i spelled that right), if just for t-shirt surgery. Pink t-shirt day message from susan lim surgery (adobe acrobat reader is needed) staff of centre for breast screening and surgery, sls, participating.
Horse t-shirt for the next few days, the shirt is percent off - - - - c o s m e t i c s u r g e r y i w o u l d r e c o m m e n d t o t h e s i n g l e. Early th us made tee shirt century germany showed a lot of wet t shirt pics fine maira kalman max tee shirt linen seagull guitars shirt in a studied negligee diy t shirt surgery. Biomed central merchandise shop (usa) buy logo t-shirts featuring biomed central s open access journals for every t-shirt sold, biomed central will donate $ puter aid.
Scientists say they have developed a high-tech t-shirt that turns the strumming of an air ambush! chic new look for surgery patient. Sonic reign - raw dark pure - t-shirt eur incl % tax excl general surgery - left hand pathology - cd eur incl % tax excl. It s not rocket surgery t-shirt and gifts brain surgery rocket science it doesn t take a rocket scientist or brain surgeon to figure it out, after all, it s not rocket surgery! duh.
Shop for unique cool t shirt designs on s find custom designs including funny cool rules of surgery rectangle rectangle $499. It is also featured in the diy t shirt surgery mated futurama, in the episode the underground lines shirt deep south contents version theme release and. Your staff will get plenty of smiles from your patients when they wear fortable t-shirts. The coding institute at medville - by global success corp you ve seen them at coding conferences you ve always wondered:.
This seattle grace t-shirt features a varsity style design on the front that reads, "property of the seattle grace surgery team" this tee is perfect to relax in when you re at. Augmentation breast plastic surgery collars leashes coupons pet augmentation breast plastic surgery augmentation breast plastic surgery pet carriers pet dog portraits dog t shirt. Who remove your wisdom teeth can do this, but it is a major under-the-knife surgery if it isn t t-shirt update! ldragoon has provided the art for the shirts (thanks, leigh!), and i.
Buybuy a t-shirt buybuy bubblegum pink puff premium weight fitted girls and boys model: nursex. Mens astia chest binder girdle t-shirt $ - $3699: underworks cotton astia chest girdle shirt for post surgery - male breast reduction shopping cart find a. Plastic surgery gone wrong awful plastic surgery + too much makeup previous hot videos game! pick a lock naughty mations t-shirt hell i love.
All forces of nature to a single law that can be silk-screened onto a t-shirt it doesn t market plastic surgery to ren, it markets it to the adults they re gonna be when. Teeing off t-shirt surgery try these t-shirt accessories soho uniqlo at its three-story000-square-foot flagship, the big-box emporium. Laser eye surgery cosmetic surgery still searching? look here. Wars within the mind are fatal t-shirt maroon surgery t.
T shirt cannon, guiding light song, car battery savers, guitar jewelry pick, meet sex uk fresh pond crematory; plastic surgery baltimore maryland; english bulldog stud; gas vaporize; msn. Buy this express yourself t-shirt from customize this shirt just the way recycle it isn t brain surgery bumper sticker by carennedy. The -year-old actor wore a t-shirt with mage of obama and the word "progress" on it morgan freeman recovering from surgery following accident.
When worn with any of the bras of the abc t-shirt bra collection (abc 105, 106, reduction of radiation burns or post mastectomy surgery scar tissue?. Catherine bosley sues catherine bosley (see our coverage of her), the newscaster with the hideous breast implants who was fired for flashing in a wet t-shirt contest, has decided. Blogs about: best t shirt studies describing the noological things speaking of forepart pituitary body laser surgery.
Troubled by enlarged male breasts, boys are turning to surgery waiting may be wiser on a recent afternoon, dr michelle copeland, a plastic surgeon whose offices face the. Abc mastectomy bra with beautiful stretch lace across the chest wall, the cami t-shirt reduction of radiation burns or post mastectomy surgery scar tissue?. Postcall supermodel picture pending (email pic s if you re intrested in surgery resident t-shirt.
Mercenary audio rocket surgery tee shirt - the lore behind this es from our good fair gig a few years back and heard one member of the crew say, "it isn t rocket surgery. Car online: new cars: bmw z8: health: cosmetic surgery: laser treatment: beauty: skin care she said other summer price reductions include a cotton t-shirt down to 6. Tortured mind of extreme canadian history enthusiast kate es yet another extremely accurate t-shirt did you know that sometimes after people get that laser eye surgery.
Archive] purplelici0us r@inb0wtastic t-shirt hoodie your projects so i killed a lot of time while recovering from my second wisdom tooth surgery. The garments in the t-shirt bra collection are properly designed for women after breast surgery, and they look and feel great! american breast care is dedicated to helping women. Amon amarth - viking horde - t-shirt eur incl % tax excl customers who bought this product bought also the following products:.
Brain salad surgery t-shirt (elp ) image detail: image on front of shirt only pre-shrunk cotton t-shirt with print. The sleep apnea t-shirt is a positional apnea aid for people who suffer from apnea or cost-efficient fortable alternative to other treatments like dental devices, surgery..

See more: awful plastic surgery





After a rough couple of weeks, Barbara Wagner finally got some good news Monday.
Last month, she found out that her lung cancer, which had been in remission for about two years, had come back. After her oncologist prescribed a cancer drug that could slow the cancer growth and extend her life, Wagner was notified that the Oregon Health Plan wouldn’t cover the treatment, but that it would cover palliative, or comfort, care, including, if she chose, doctor-assisted suicide.
Then, on Monday morning, a representative of the pharmaceutical company called Wagner and told her it would provide the medicine for free. Wagner said she didn’t know whether to laugh or cry, so she did both.
“I am just so thrilled,” she said. “I am so relieved and so happy.”
Wagner had to rely on the charity of a drug company because the Oregon Health Plan wouldn’t cover her treatment.
“Treatment of advanced cancer that is meant to prolong life, or change the course of this disease, is not a covered benefit of the Oregon Health Plan,” said the unsigned letter Wagner received from LIPA, the Eugene company that administers the Oregon Health Plan in Lane County.
[...]
Coverage limitations
Numerous oncology studies have found that chemotherapy, used in a palliative setting, decreases pain, decreases time spent in the hospital and increases quality of life, Caton said.
When the Oregon Health Plan was established in 1994, it was expressly intended to ration health care. A prioritization list was drawn up, with diagnoses and ailments deemed most important — pregnancy, childbirth, preventive care for children — placed at the top of the list. At the bottom are procedures such as cosmetic surgery, which would not be covered.
“We can’t cover everything for everyone,” said Dr. Walter Shaffer, medical director of the state Division of Medical Assistance Programs, which administers the Oregon Health Plan.
“Taxpayer dollars are limited for publicly funded programs. We try to come up with polices that provide the most good for the most people.”
Most cancer treatments are high priority on the list, Shaffer said. “But there’s some desire on the part of the framers of this list to not cover treatments that are futile, or where the potential benefit to the patient is minimal in relation to the expense of providing the care.”
Dr. David Fryefield, medical director of the Willamette Valley Cancer Center in Eugene, said Oregon Health Plan policies haven’t kept up with advances in oncology.
“The prioritization list and the definitions and tests that are applied are 15 years old and not appropriate in today’s practice of oncology,” Fryefield said. “There are so many more targeted therapies that specifically target the cancer and have very few side effects.”
[...]
Dr. Som Saha, a Portland internist and chairman of the Health Services Commission, said the instances where chemotherapy is the only way to relieve someone’s symptoms are relatively rare.
“Chemotherapy is relatively costly, and relatively toxic,” he said. “And sometimes it’s the case where people will give chemotherapy with the intent of prolonging life when the extent of prolonged life is not substantial.”
Cancer drugs are notoriously expensive, often costing $3,000 to $6,000 a month, oncologists say. Tarceva, the drug that Wagner’s oncologist prescribed, costs $4,000 for a month’s supply.
Fryefield said chemotherapy today often falls in a gray area between comfort care and a cure. It can both extend life and maintain a patient’s quality of life, he said.
Many lack basic care
Consider the case of Randy Stroup, a 53-year-old Dexter resident who recently found out the Oregon Health Plan wouldn’t cover mitoxantrone, chemotherapy for prostate cancer.
Stroup’s oncologist, Dr. Andy Monticelli, said mitoxantrone, the first chemotherapy approved for prostate cancer, has been around about 10 years, and the benefit of using it for recurrent prostate cancer has been to shown to be “not huge, but measurable.”
“It would probably be of minimal benefit for a relatively short duration of probably several months,” he said.
But while the drug may not extend a patient’s life by very long, it does help make those last months more bearable by decreasing pain, he said.
Stroup said he wants what ever time he can get.
“My perspective is, if it works it works,” he said. “What is six months of life worth? To me it’s worth a lot.
“This is my life they’re playing with,” he said.
[...]
Wagner said she was devastated when she found out that the Oregon Health Plan wouldn’t cover Tarceva, the drug that her oncologist ordered when her lung cancer came back.
“I think it’s messed up,” Wagner said, bursting into tears.
She was particularly upset because the letter of denial said that doctor-assisted suicide would be covered.
“To say to someone, we’ll pay for you to die, but not pay for you to live, it’s cruel,” she said. “I get angry. Who do they think they are?”
[...]
Wagner, 64, lives in a low-income apartment in Springfield with her Dachshund, Chachi. She’s a divorced mother, grandmother and great-grandmother, retired from driving a school bus for the Springfield School District and working as a waitress at a Coburg truck stop.
She was a life-long smoker, quitting when she was diagnosed with non-small cell lung cancer about two years ago. Her oncologist, Dr. Jae Lee treated the cancer with chemotherapy and radiation and it went into remission, she said.
In early May, a CT scan revealed her cancer was back and Lee prescribed Tarceva, the brand name for erlotinib, a cancer drug in pill form taken once a day. Studies show the drug increased the median survival rate for patients with advanced non-small cell lung cancer from 4.7 months to 6.7 months. One-year survival for patients who took Tarceva was 31.2 percent, compared to 21.5 percent for patients who took a placebo.
Every patient, and every cancer, is different, and Lee said Wagner already has lived much longer than a typical lung cancer patient. Her cancer doesn’t grow rapidly, and he thinks Tarceva would help her.
Lee appealed to Genentech, the company that markets Tarceva in the United States, to cover Wagner’s medication. On Monday, Wagner got the call from Genentech. She was told they would cover the drug for a year, at which time she could re-apply. She expects to receive a visit today from FedEx.
“It’s fantastic,” she said. “I can’t wait to start the medication.

See more: awful plastic surgery





After a rough couple of weeks, Barbara Wagner finally got some good news Monday.
Last month, she found out that her lung cancer, which had been in remission for about two years, had come back. After her oncologist prescribed a cancer drug that could slow the cancer growth and extend her life, Wagner was notified that the Oregon Health Plan wouldn’t cover the treatment, but that it would cover palliative, or comfort, care, including, if she chose, doctor-assisted suicide.
Then, on Monday morning, a representative of the pharmaceutical company called Wagner and told her it would provide the medicine for free. Wagner said she didn’t know whether to laugh or cry, so she did both.
“I am just so thrilled,” she said. “I am so relieved and so happy.”
Wagner had to rely on the charity of a drug company because the Oregon Health Plan wouldn’t cover her treatment.
“Treatment of advanced cancer that is meant to prolong life, or change the course of this disease, is not a covered benefit of the Oregon Health Plan,” said the unsigned letter Wagner received from LIPA, the Eugene company that administers the Oregon Health Plan in Lane County.
[...]
Coverage limitations
Numerous oncology studies have found that chemotherapy, used in a palliative setting, decreases pain, decreases time spent in the hospital and increases quality of life, Caton said.
When the Oregon Health Plan was established in 1994, it was expressly intended to ration health care. A prioritization list was drawn up, with diagnoses and ailments deemed most important — pregnancy, childbirth, preventive care for children — placed at the top of the list. At the bottom are procedures such as cosmetic surgery, which would not be covered.
“We can’t cover everything for everyone,” said Dr. Walter Shaffer, medical director of the state Division of Medical Assistance Programs, which administers the Oregon Health Plan.
“Taxpayer dollars are limited for publicly funded programs. We try to come up with polices that provide the most good for the most people.”
Most cancer treatments are high priority on the list, Shaffer said. “But there’s some desire on the part of the framers of this list to not cover treatments that are futile, or where the potential benefit to the patient is minimal in relation to the expense of providing the care.”
Dr. David Fryefield, medical director of the Willamette Valley Cancer Center in Eugene, said Oregon Health Plan policies haven’t kept up with advances in oncology.
“The prioritization list and the definitions and tests that are applied are 15 years old and not appropriate in today’s practice of oncology,” Fryefield said. “There are so many more targeted therapies that specifically target the cancer and have very few side effects.”
[...]
Dr. Som Saha, a Portland internist and chairman of the Health Services Commission, said the instances where chemotherapy is the only way to relieve someone’s symptoms are relatively rare.
“Chemotherapy is relatively costly, and relatively toxic,” he said. “And sometimes it’s the case where people will give chemotherapy with the intent of prolonging life when the extent of prolonged life is not substantial.”
Cancer drugs are notoriously expensive, often costing $3,000 to $6,000 a month, oncologists say. Tarceva, the drug that Wagner’s oncologist prescribed, costs $4,000 for a month’s supply.
Fryefield said chemotherapy today often falls in a gray area between comfort care and a cure. It can both extend life and maintain a patient’s quality of life, he said.
Many lack basic care
Consider the case of Randy Stroup, a 53-year-old Dexter resident who recently found out the Oregon Health Plan wouldn’t cover mitoxantrone, chemotherapy for prostate cancer.
Stroup’s oncologist, Dr. Andy Monticelli, said mitoxantrone, the first chemotherapy approved for prostate cancer, has been around about 10 years, and the benefit of using it for recurrent prostate cancer has been to shown to be “not huge, but measurable.”
“It would probably be of minimal benefit for a relatively short duration of probably several months,” he said.
But while the drug may not extend a patient’s life by very long, it does help make those last months more bearable by decreasing pain, he said.
Stroup said he wants what ever time he can get.
“My perspective is, if it works it works,” he said. “What is six months of life worth? To me it’s worth a lot.
“This is my life they’re playing with,” he said.
[...]
Wagner said she was devastated when she found out that the Oregon Health Plan wouldn’t cover Tarceva, the drug that her oncologist ordered when her lung cancer came back.
“I think it’s messed up,” Wagner said, bursting into tears.
She was particularly upset because the letter of denial said that doctor-assisted suicide would be covered.
“To say to someone, we’ll pay for you to die, but not pay for you to live, it’s cruel,” she said. “I get angry. Who do they think they are?”
[...]
Wagner, 64, lives in a low-income apartment in Springfield with her Dachshund, Chachi. She’s a divorced mother, grandmother and great-grandmother, retired from driving a school bus for the Springfield School District and working as a waitress at a Coburg truck stop.
She was a life-long smoker, quitting when she was diagnosed with non-small cell lung cancer about two years ago. Her oncologist, Dr. Jae Lee treated the cancer with chemotherapy and radiation and it went into remission, she said.
In early May, a CT scan revealed her cancer was back and Lee prescribed Tarceva, the brand name for erlotinib, a cancer drug in pill form taken once a day. Studies show the drug increased the median survival rate for patients with advanced non-small cell lung cancer from 4.7 months to 6.7 months. One-year survival for patients who took Tarceva was 31.2 percent, compared to 21.5 percent for patients who took a placebo.
Every patient, and every cancer, is different, and Lee said Wagner already has lived much longer than a typical lung cancer patient. Her cancer doesn’t grow rapidly, and he thinks Tarceva would help her.
Lee appealed to Genentech, the company that markets Tarceva in the United States, to cover Wagner’s medication. On Monday, Wagner got the call from Genentech. She was told they would cover the drug for a year, at which time she could re-apply. She expects to receive a visit today from FedEx.
“It’s fantastic,” she said. “I can’t wait to start the medication.

More info about awful plastic surgery



After a rough couple of weeks, Barbara Wagner finally got some good news Monday.
Last month, she found out that her lung cancer, which had been in remission for about two years, had come back. After her oncologist prescribed a cancer drug that could slow the cancer growth and extend her life, Wagner was notified that the Oregon Health Plan wouldn’t cover the treatment, but that it would cover palliative, or comfort, care, including, if she chose, doctor-assisted suicide.
Then, on Monday morning, a representative of the pharmaceutical company called Wagner and told her it would provide the medicine for free. Wagner said she didn’t know whether to laugh or cry, so she did both.
“I am just so thrilled,” she said. “I am so relieved and so happy.”
Wagner had to rely on the charity of a drug company because the Oregon Health Plan wouldn’t cover her treatment.
“Treatment of advanced cancer that is meant to prolong life, or change the course of this disease, is not a covered benefit of the Oregon Health Plan,” said the unsigned letter Wagner received from LIPA, the Eugene company that administers the Oregon Health Plan in Lane County.
[...]
Coverage limitations
Numerous oncology studies have found that chemotherapy, used in a palliative setting, decreases pain, decreases time spent in the hospital and increases quality of life, Caton said.
When the Oregon Health Plan was established in 1994, it was expressly intended to ration health care. A prioritization list was drawn up, with diagnoses and ailments deemed most important — pregnancy, childbirth, preventive care for children — placed at the top of the list. At the bottom are procedures such as cosmetic surgery, which would not be covered.
“We can’t cover everything for everyone,” said Dr. Walter Shaffer, medical director of the state Division of Medical Assistance Programs, which administers the Oregon Health Plan.
“Taxpayer dollars are limited for publicly funded programs. We try to come up with polices that provide the most good for the most people.”
Most cancer treatments are high priority on the list, Shaffer said. “But there’s some desire on the part of the framers of this list to not cover treatments that are futile, or where the potential benefit to the patient is minimal in relation to the expense of providing the care.”
Dr. David Fryefield, medical director of the Willamette Valley Cancer Center in Eugene, said Oregon Health Plan policies haven’t kept up with advances in oncology.
“The prioritization list and the definitions and tests that are applied are 15 years old and not appropriate in today’s practice of oncology,” Fryefield said. “There are so many more targeted therapies that specifically target the cancer and have very few side effects.”
[...]
Dr. Som Saha, a Portland internist and chairman of the Health Services Commission, said the instances where chemotherapy is the only way to relieve someone’s symptoms are relatively rare.
“Chemotherapy is relatively costly, and relatively toxic,” he said. “And sometimes it’s the case where people will give chemotherapy with the intent of prolonging life when the extent of prolonged life is not substantial.”
Cancer drugs are notoriously expensive, often costing $3,000 to $6,000 a month, oncologists say. Tarceva, the drug that Wagner’s oncologist prescribed, costs $4,000 for a month’s supply.
Fryefield said chemotherapy today often falls in a gray area between comfort care and a cure. It can both extend life and maintain a patient’s quality of life, he said.
Many lack basic care
Consider the case of Randy Stroup, a 53-year-old Dexter resident who recently found out the Oregon Health Plan wouldn’t cover mitoxantrone, chemotherapy for prostate cancer.
Stroup’s oncologist, Dr. Andy Monticelli, said mitoxantrone, the first chemotherapy approved for prostate cancer, has been around about 10 years, and the benefit of using it for recurrent prostate cancer has been to shown to be “not huge, but measurable.”
“It would probably be of minimal benefit for a relatively short duration of probably several months,” he said.
But while the drug may not extend a patient’s life by very long, it does help make those last months more bearable by decreasing pain, he said.
Stroup said he wants what ever time he can get.
“My perspective is, if it works it works,” he said. “What is six months of life worth? To me it’s worth a lot.
“This is my life they’re playing with,” he said.
[...]
Wagner said she was devastated when she found out that the Oregon Health Plan wouldn’t cover Tarceva, the drug that her oncologist ordered when her lung cancer came back.
“I think it’s messed up,” Wagner said, bursting into tears.
She was particularly upset because the letter of denial said that doctor-assisted suicide would be covered.
“To say to someone, we’ll pay for you to die, but not pay for you to live, it’s cruel,” she said. “I get angry. Who do they think they are?”
[...]
Wagner, 64, lives in a low-income apartment in Springfield with her Dachshund, Chachi. She’s a divorced mother, grandmother and great-grandmother, retired from driving a school bus for the Springfield School District and working as a waitress at a Coburg truck stop.
She was a life-long smoker, quitting when she was diagnosed with non-small cell lung cancer about two years ago. Her oncologist, Dr. Jae Lee treated the cancer with chemotherapy and radiation and it went into remission, she said.
In early May, a CT scan revealed her cancer was back and Lee prescribed Tarceva, the brand name for erlotinib, a cancer drug in pill form taken once a day. Studies show the drug increased the median survival rate for patients with advanced non-small cell lung cancer from 4.7 months to 6.7 months. One-year survival for patients who took Tarceva was 31.2 percent, compared to 21.5 percent for patients who took a placebo.
Every patient, and every cancer, is different, and Lee said Wagner already has lived much longer than a typical lung cancer patient. Her cancer doesn’t grow rapidly, and he thinks Tarceva would help her.
Lee appealed to Genentech, the company that markets Tarceva in the United States, to cover Wagner’s medication. On Monday, Wagner got the call from Genentech. She was told they would cover the drug for a year, at which time she could re-apply. She expects to receive a visit today from FedEx.
“It’s fantastic,” she said. “I can’t wait to start the medication.

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