Re: home injection (xolair)

March 7, 2007

My Dr.'s office told me from the beginning that I

would not be allowed to self-inject because of the

risks involved. He showed me a couple of articles from

a medical journal about some patients who had had the

reactions and just wanted to be on the safe side. This

was before the article that has been mentioned on here

lately. I haven't been back yet since the new warning

has been issued. Before I just had to wait 20 minutes.

Not sure if there will be a new policy issued as far

as waiting times.

Jeannie

--- joannnana <joannnana@...> wrote:

> Hi everyone this is Jo Ann

>

> I would like to know how many of you guys are still

> allowed to receive

> home injection? How may of you where told by your

> providers you are no

> longer allowed to self adminster the drug. I wonder

> for those insurance

> companies that only pay for the drug if the patient

> self inject, I

> wonder if they know will say you will have to go in

> to your doctors

> office to receive your treatments. If so how long do

> you have to wait

> in their office.Just a few questions that came to

> mind.

>

> thank guys

> Jo Ann

>

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March 8, 2007

Hi Jo Ann - interesting you should ask. I have to go to a hospital to get the

injections (3) because that seems to be the way it has to be done to have

Medicare cover it. Given its cost, I don't imagine any of the Plan D insurance

carriers cover it inasmuch as the Plan D carriers have the option to not approve

or exclude various drugs, and none of the carriers cover all drugs. Now that

I'm a regular, I can get in and out in a little less than an hour. Hopefully,

as I become even more of a regular, I'll be able to call ahead before I leave

home (it's half an hour to get to hosp.) and they'll mix the stuff while I'm on

the way, enabling me to get in and out in maybe 20 minutes. One good thing

about the hosp. is the Outpatient Services Unit where the shots are given. I

just walk in, sit down in one of a row of big recliners, each with its own TV,

and get attended to right away. As soon as I get the shots, I can get up and

walk out.

Terry

----- Original Message -----

From: joannnana

Sent: Tuesday, March 06, 2007 10:53 PM

Subject: [ ] home injection (xolair)

Hi everyone this is Jo Ann

I would like to know how many of you guys are still allowed to receive

home injection? How may of you where told by your providers you are no

longer allowed to self adminster the drug. I wonder for those insurance

companies that only pay for the drug if the patient self inject, I

wonder if they know will say you will have to go in to your doctors

office to receive your treatments. If so how long do you have to wait

in their office.Just a few questions that came to mind.

thank guys

Jo Ann

March 12, 2007

I was also able to walk out after getting the shot. However, this

morning I received a call from my allergists office telling me that I

had to purchase an EPI pen and remain in the office for 2 hours after

getting the shot. Apparently, there has been enough persons having

anaphylactic reactions that it prompted a call or email to all the

medical offices. I have been receiving the shot for more than a year

now with no problems. Plus, when I asked them to pay for my time off

from work the office offered me the opportunity to sign a waiver to

absolve the office of any liability related to these problems if they

occur.

Is there anyone out there that can give me advice on signing a waiver of

this type?

Steve Zimmerman

Have a Good Day

785-296-6947

-----Original Message-----

From: [mailto: ]

On Behalf Of Terry

Sent: Thursday, March 08, 2007 12:48 AM

Subject: Re: [ ] home injection (xolair)

Hi Jo Ann - interesting you should ask. I have to go to a hospital to

get the injections (3) because that seems to be the way it has to be

done to have Medicare cover it. Given its cost, I don't imagine any of

the Plan D insurance carriers cover it inasmuch as the Plan D carriers

have the option to not approve or exclude various drugs, and none of the

carriers cover all drugs. Now that I'm a regular, I can get in and out

in a little less than an hour. Hopefully, as I become even more of a

regular, I'll be able to call ahead before I leave home (it's half an

hour to get to hosp.) and they'll mix the stuff while I'm on the way,

enabling me to get in and out in maybe 20 minutes. One good thing about

the hosp. is the Outpatient Services Unit where the shots are given. I

just walk in, sit down in one of a row of big recliners, each with its

own TV, and get attended to right away. As soon as I get the shots, I

can get up and walk out.

Terry

----- Original Message -----

From: joannnana

Sent: Tuesday, March 06, 2007 10:53 PM

Subject: [ ] home injection (xolair)

Hi everyone this is Jo Ann

I would like to know how many of you guys are still allowed to receive

home injection? How may of you where told by your providers you are no

longer allowed to self adminster the drug. I wonder for those

insurance

companies that only pay for the drug if the patient self inject, I

wonder if they know will say you will have to go in to your doctors

office to receive your treatments. If so how long do you have to wait

in their office.Just a few questions that came to mind.

thank guys

Jo Ann

March 13, 2007

That kind of waiver would release the doctor's office from liability

if you had a bad outcome, like anaphylaxis (fatal or not) away from

the office and an ER. In practical terms, that means neither you nor

your family could file a lawsuit against them.

If you review my posts from the last 3-4 days, you see why the

doctor's requirements have changed. It is not to protect the doctor,

it is to protect your life in the event of an unpredictable serious

reaction.

Fran

--- In , " Steve Zimmerman " <steve@...>

wrote:

>

> I was also able to walk out after getting the shot. However, this

> morning I received a call from my allergists office telling me that

I

> had to purchase an EPI pen and remain in the office for 2 hours

after

> getting the shot. Apparently, there has been enough persons having

> anaphylactic reactions that it prompted a call or email to all the

> medical offices. I have been receiving the shot for more than a

year

> now with no problems. Plus, when I asked them to pay for my time

off

> from work the office offered me the opportunity to sign a waiver to

> absolve the office of any liability related to these problems if

they

> occur.

>

> Is there anyone out there that can give me advice on signing a

waiver of

> this type?

>

> Steve Zimmerman

> Have a Good Day

> 785-296-6947

>

> -----Original Message-----

> From:

[mailto: ]

> On Behalf Of Terry

> Sent: Thursday, March 08, 2007 12:48 AM

>

> Subject: Re: [ ] home injection (xolair)

>

> Hi Jo Ann - interesting you should ask. I have to go to a hospital

to

> get the injections (3) because that seems to be the way it has to be

> done to have Medicare cover it. Given its cost, I don't imagine

any of

> the Plan D insurance carriers cover it inasmuch as the Plan D

carriers

> have the option to not approve or exclude various drugs, and none

of the

> carriers cover all drugs. Now that I'm a regular, I can get in and

out

> in a little less than an hour. Hopefully, as I become even more of

a

> regular, I'll be able to call ahead before I leave home (it's half

an

> hour to get to hosp.) and they'll mix the stuff while I'm on the

way,

> enabling me to get in and out in maybe 20 minutes. One good thing

about

> the hosp. is the Outpatient Services Unit where the shots are

given. I

> just walk in, sit down in one of a row of big recliners, each with

its

> own TV, and get attended to right away. As soon as I get the

shots, I

> can get up and walk out.

>

> Terry

>

> ----- Original Message -----

> From: joannnana

>

> Sent: Tuesday, March 06, 2007 10:53 PM

> Subject: [ ] home injection (xolair)

>

> Hi everyone this is Jo Ann

>

> I would like to know how many of you guys are still allowed to

receive

> home injection? How may of you where told by your providers you

are no

> longer allowed to self adminster the drug. I wonder for those

> insurance

> companies that only pay for the drug if the patient self inject, I

> wonder if they know will say you will have to go in to your

doctors

> office to receive your treatments. If so how long do you have to

wait

> in their office.Just a few questions that came to mind.

>

> thank guys

> Jo Ann

>

March 13, 2007

I work at a law office. Without seeing the waiver, I'm guessing you

waive all your rights to sue the doctor's office, regardless of

whether or not any reaction you have is related to the Xolair or

not. For example, if an inexperienced nurse gives you the shot in

the wrong location and that's why you have a problem, you've waived

their liability for that too.

Y'all know I'm not getting on the anaphylaxis band wagon. HOWEVER,

it's a pretty good idea for each of us to have an epi-pen, even if we

don't take Xolair b/c we are all SO allergic. Further, the four of

us taking it at home, even without the anaphlaxis warning, ought to

take standard precautions - don't shoot up alone, have someone around

for at least 2 hours afterwards, etc.

Addy

Group co-owner

reminding all to discuss any changes to your treatment plan with your

doctor

--- In , " Steve Zimmerman " <steve@...>

wrote:

>

> I was also able to walk out after getting the shot. However, this

> morning I received a call from my allergists office telling me that

I

> had to purchase an EPI pen and remain in the office for 2 hours

after

> getting the shot. Apparently, there has been enough persons having

> anaphylactic reactions that it prompted a call or email to all the

> medical offices. I have been receiving the shot for more than a

year

> now with no problems. Plus, when I asked them to pay for my time

off

> from work the office offered me the opportunity to sign a waiver to

> absolve the office of any liability related to these problems if

they

> occur.

>

> Is there anyone out there that can give me advice on signing a

waiver of

> this type?

>

> Steve Zimmerman

> Have a Good Day

> 785-296-6947

>

> -----Original Message-----

> From:

[mailto: ]

> On Behalf Of Terry

> Sent: Thursday, March 08, 2007 12:48 AM

>

> Subject: Re: [ ] home injection (xolair)

>

> Hi Jo Ann - interesting you should ask. I have to go to a hospital

to

> get the injections (3) because that seems to be the way it has to be

> done to have Medicare cover it. Given its cost, I don't imagine

any of

> the Plan D insurance carriers cover it inasmuch as the Plan D

carriers

> have the option to not approve or exclude various drugs, and none

of the

> carriers cover all drugs. Now that I'm a regular, I can get in and

out

> in a little less than an hour. Hopefully, as I become even more of

a

> regular, I'll be able to call ahead before I leave home (it's half

an

> hour to get to hosp.) and they'll mix the stuff while I'm on the

way,

> enabling me to get in and out in maybe 20 minutes. One good thing

about

> the hosp. is the Outpatient Services Unit where the shots are

given. I

> just walk in, sit down in one of a row of big recliners, each with

its

> own TV, and get attended to right away. As soon as I get the

shots, I

> can get up and walk out.

>

> Terry

>

> ----- Original Message -----

> From: joannnana

>

> Sent: Tuesday, March 06, 2007 10:53 PM

> Subject: [ ] home injection (xolair)

>

> Hi everyone this is Jo Ann

>

> I would like to know how many of you guys are still allowed to

receive

> home injection? How may of you where told by your providers you

are no

> longer allowed to self adminster the drug. I wonder for those

> insurance

> companies that only pay for the drug if the patient self inject, I

> wonder if they know will say you will have to go in to your

doctors

> office to receive your treatments. If so how long do you have to

wait

> in their office.Just a few questions that came to mind.

>

> thank guys

> Jo Ann

>

March 13, 2007

The EPI pen is not the concern. I am willing to get the pen and keep it

handy just in case I need it.

The issue is that my boss is becoming a little concerned about the time

off I have been taking because of medical appointments. I am afraid if

I end up having to take off a half a day every other week plus all the

other time I take off for other medical issues and school meetings he

will soon take issue about me be being gone from the office.

I really don't want to stir up the pot if I don't have to.

Steve Zimmerman

Have a Good Day

785-296-6947

-----Original Message-----

From: [mailto: ]

On Behalf Of pyle456

Sent: Tuesday, March 13, 2007 6:02 AM

Subject: [ ] Re: home injection (xolair)

I work at a law office. Without seeing the waiver, I'm guessing you

waive all your rights to sue the doctor's office, regardless of whether

or not any reaction you have is related to the Xolair or not. For

example, if an inexperienced nurse gives you the shot in the wrong

location and that's why you have a problem, you've waived their

liability for that too.

Y'all know I'm not getting on the anaphylaxis band wagon. HOWEVER, it's

a pretty good idea for each of us to have an epi-pen, even if we don't

take Xolair b/c we are all SO allergic. Further, the four of us taking

it at home, even without the anaphlaxis warning, ought to take standard

precautions - don't shoot up alone, have someone around for at least 2

hours afterwards, etc.

Addy

Group co-owner

reminding all to discuss any changes to your treatment plan with your

doctor

--- In , " Steve Zimmerman " <steve@...>

wrote:

>

> I was also able to walk out after getting the shot. However, this

> morning I received a call from my allergists office telling me that

I

> had to purchase an EPI pen and remain in the office for 2 hours

after

> getting the shot. Apparently, there has been enough persons having

> anaphylactic reactions that it prompted a call or email to all the

> medical offices. I have been receiving the shot for more than a

year

> now with no problems. Plus, when I asked them to pay for my time

off

> from work the office offered me the opportunity to sign a waiver to

> absolve the office of any liability related to these problems if

they

> occur.

>

> Is there anyone out there that can give me advice on signing a

waiver of

> this type?

>

> Steve Zimmerman

> Have a Good Day

> 785-296-6947

>

> -----Original Message-----

> From:

[mailto: ]

> On Behalf Of Terry

> Sent: Thursday, March 08, 2007 12:48 AM

>

> Subject: Re: [ ] home injection (xolair)

>

> Hi Jo Ann - interesting you should ask. I have to go to a hospital

to

> get the injections (3) because that seems to be the way it has to be

> done to have Medicare cover it. Given its cost, I don't imagine

any of

> the Plan D insurance carriers cover it inasmuch as the Plan D

carriers

> have the option to not approve or exclude various drugs, and none

of the

> carriers cover all drugs. Now that I'm a regular, I can get in and

out

> in a little less than an hour. Hopefully, as I become even more of

a

> regular, I'll be able to call ahead before I leave home (it's half

an

> hour to get to hosp.) and they'll mix the stuff while I'm on the

way,

> enabling me to get in and out in maybe 20 minutes. One good thing

about

> the hosp. is the Outpatient Services Unit where the shots are

given. I

> just walk in, sit down in one of a row of big recliners, each with

its

> own TV, and get attended to right away. As soon as I get the

shots, I

> can get up and walk out.

>

> Terry

>

> ----- Original Message -----

> From: joannnana

>

> Sent: Tuesday, March 06, 2007 10:53 PM

> Subject: [ ] home injection (xolair)

>

> Hi everyone this is Jo Ann

>

> I would like to know how many of you guys are still allowed to

receive

> home injection? How may of you where told by your providers you

are no

> longer allowed to self adminster the drug. I wonder for those

> insurance

> companies that only pay for the drug if the patient self inject, I

> wonder if they know will say you will have to go in to your

doctors

> office to receive your treatments. If so how long do you have to

wait

> in their office.Just a few questions that came to mind.

>

> thank guys

> Jo Ann

>

March 13, 2007

I am not an attorney nor do I know the particular laws of your state.

I have been advised over the years by attorneys, (and hospital staff

by the way), that you can not give up your right to sue for something

that has not happened yet, no matter what waiver you sign. Just like

the " binding arbitration " some hospitals have you sign prior to a

procedure. The hospitals admitted that 80% of patients believe the

documents to be binding and act accordingly, the rest the hospital

deals with, (saves them a ton of money). In the past I was advised to

sign, not say anything, and if something happens you can still deal

with it if it is egregious enough. You can always get 15 min of free

advise from an attorney in your area.

The new recommendation is stay in the waiting room for 2 hours, with

a caveat that anaphylaxis can happen up to 24 hours or longer. Under

those " guidelines " we should be sequestered in the waiting room for

at least 24 hours or stop using Xolair altogether . Sounds to me like

the FDA is trying to switch all the blame/responsibility to the Dr.,

and this does not surprise me.

On Mar 13, 2007, at 10:40 AM, Steve Zimmerman wrote:

> The EPI pen is not the concern. I am willing to get the pen and

> keep it

> handy just in case I need it.

>

> The issue is that my boss is becoming a little concerned about the

> time

> off I have been taking because of medical appointments. I am afraid if

> I end up having to take off a half a day every other week plus all the

> other time I take off for other medical issues and school meetings he

> will soon take issue about me be being gone from the office.

>

> I really don't want to stir up the pot if I don't have to.

>

> Steve Zimmerman

> Have a Good Day

> 785-296-6947

>

> -----Original Message-----

> From:

> [mailto: ]

> On Behalf Of pyle456

> Sent: Tuesday, March 13, 2007 6:02 AM

>

> Subject: [ ] Re: home injection (xolair)

>

> I work at a law office. Without seeing the waiver, I'm guessing you

> waive all your rights to sue the doctor's office, regardless of

> whether

> or not any reaction you have is related to the Xolair or not. For

> example, if an inexperienced nurse gives you the shot in the wrong

> location and that's why you have a problem, you've waived their

> liability for that too.

>

> Y'all know I'm not getting on the anaphylaxis band wagon. HOWEVER,

> it's

> a pretty good idea for each of us to have an epi-pen, even if we don't

> take Xolair b/c we are all SO allergic. Further, the four of us taking

> it at home, even without the anaphlaxis warning, ought to take

> standard

> precautions - don't shoot up alone, have someone around for at least 2

> hours afterwards, etc.

>

> Addy

> Group co-owner

> reminding all to discuss any changes to your treatment plan with your

> doctor

>

> >

> > I was also able to walk out after getting the shot. However, this

> > morning I received a call from my allergists office telling me that

> I

> > had to purchase an EPI pen and remain in the office for 2 hours

> after

> > getting the shot. Apparently, there has been enough persons having

> > anaphylactic reactions that it prompted a call or email to all the

> > medical offices. I have been receiving the shot for more than a

> year

> > now with no problems. Plus, when I asked them to pay for my time

> off

> > from work the office offered me the opportunity to sign a waiver to

> > absolve the office of any liability related to these problems if

> they

> > occur.

> >

> > Is there anyone out there that can give me advice on signing a

> waiver of

> > this type?

> >

> > Steve Zimmerman

> > Have a Good Day

> > 785-296-6947

> >

> > -----Original Message-----

> > From:

> [mailto: ]

> > On Behalf Of Terry

> > Sent: Thursday, March 08, 2007 12:48 AM

> >

> > Subject: Re: [ ] home injection (xolair)

> >

> > Hi Jo Ann - interesting you should ask. I have to go to a hospital

> to

> > get the injections (3) because that seems to be the way it has to be

> > done to have Medicare cover it. Given its cost, I don't imagine

> any of

> > the Plan D insurance carriers cover it inasmuch as the Plan D

> carriers

> > have the option to not approve or exclude various drugs, and none

> of the

> > carriers cover all drugs. Now that I'm a regular, I can get in and

> out

> > in a little less than an hour. Hopefully, as I become even more of

> a

> > regular, I'll be able to call ahead before I leave home (it's half

> an

> > hour to get to hosp.) and they'll mix the stuff while I'm on the

> way,

> > enabling me to get in and out in maybe 20 minutes. One good thing

> about

> > the hosp. is the Outpatient Services Unit where the shots are

> given. I

> > just walk in, sit down in one of a row of big recliners, each with

> its

> > own TV, and get attended to right away. As soon as I get the

> shots, I

> > can get up and walk out.

> >

> > Terry

> >

> > ----- Original Message -----

> > From: joannnana

> >

> > Sent: Tuesday, March 06, 2007 10:53 PM

> > Subject: [ ] home injection (xolair)

> >

> > Hi everyone this is Jo Ann

> >

> > I would like to know how many of you guys are still allowed to

> receive

> > home injection? How may of you where told by your providers you

> are no

> > longer allowed to self adminster the drug. I wonder for those

> > insurance

> > companies that only pay for the drug if the patient self inject, I

> > wonder if they know will say you will have to go in to your

> doctors

> > office to receive your treatments. If so how long do you have to

> wait

> > in their office.Just a few questions that came to mind.

> >

> > thank guys

> > Jo Ann

> >

March 14, 2007

My understanding of disclaimers of this sort is they don't hold up in court.

For one thing, they have to prove you read the conditions you signed or

initialed. Case in point, we readily initial and sign a raft of papers when we

go through admitting at a hosp. Can you imagine the backups if people ever took

the time to read all that crap? Just having you sign something that says the

doc is not responsible no matter how badly he screws up does not cut it. If he

screws up, he's liable.

Terry

----- Original Message -----

From: Carpenter

Sent: Tuesday, March 13, 2007 2:25 PM

Subject: Re: [ ] Re: home injection (xolair)