How long after Chemotherapy should I get Neupogen/Neulasta?

[nycsass]

I had my first chemo 9/10/08 and have not gone in to the doc to get my booster. I have been ill...too ill to travel. I wonder if he should have given it to me as to self-administer one of my friends docs  did for them, especially since I am a RN. Please let me know if I am tolerate to get this booster and if I can relax about this situation as I am having insurance issues.

[katarina777]

PS:  They did not allow me to take my own Neulasta, and I am an RN as well, plus I take insulin injections. I think it's because the stuff costs a Fortune, like $6000.00 a shot.
(That is what they charged but my insurance paid them less as preferred providers)

[katarina777]

I always got the Neulasta shot 24 hours after chemo.

[nycsass]

Hi japdip,

Thanks for your kind thoughts. I saw my surgeon yesterday  at my request, because my post-op breast turned really red last week,  one day after my  first chemo.  She told me a red  post-op breast after chemo happens sometimes. She informed me that I can wait for my next chemo which may be three  more weeks. My new Oncologist’s  appointment  is 10/7/08, with a  request  from me to  be called if anyone cancels.
In her opinion I should hold off  all Neupogen/Neulasta injections until my next  MD appointment…I  did offer to give my own Neupogen.
She is filing a continuance of service with Medicare to place my port. I hope they let her after the awful  experience I had  with  my give  me your co-pay plus more money; this chemo costs me too much and Medicare doesn't pay me enough doc. Arrgh…
Again thanks for  your kind thoughts:)

[japdip]

This is one that your Oncologist would have to answer. There are norms or routines but each case is so different that it should be decided on an individual basis. If you can't make it there then why not call and see what can be arranged to accomodate your specific situation since you are a nurse. I'm sorry you're having a rough time with it all.  Kindest regards ....