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Re: metho vs. surgury

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Bec:

Thanks for all that info on your experience with metho. I knew that there

were certain scenarios where metho was not an option, but not having had

that option myself, it is not something I have researched in depth. I

appreciate your sharing the info you had based on your experience.

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At 05:00 PM 3/1/00 -0800, you wrote:

>>From what I remember, metho isn't an option in all ep's, even if they

>have not yet ruptured. (Like others have mentioned, I know it is not an

>option if they have even begun to rupture.) The criteria differ from

>MD to MD, but mine told me that my betaHCG needed to be below 1,500,

>the size of the 'hemosalpinx' (pg tissue, blood etc. occluding the

>tube) below 1.5 cm and 'hemodynamically stable' (not bleeding heavily).

My doc offered metho as his perferred choice, even though my starting beta

was over 8,000 and jumped to 9,900 four days after the first injection. I

fit all the other criteria for being a good metho candidate; no pain, no

bleeding and most likely tissue under 1.5 cm (it was hard to measure on the

u/s). He figured my beta was so high because my body had made a pseudo sac

and was developing a placenta.

For those wondering why they weren't offered metho, could be that you

either didn't fit the criteria or your doc wasn't familiar with or

comfortable with that line of treatment. In researching treatment options,

I found by far that most practitioners still do surgery and metho is

considered new or experimental; the FDA hasn't approved metho's use for

treating eps yet. When I got my first prescript filled at the clinic's

pharmacy, the pharmacist was totally freaked out and started quizzing me

about why I needed the metho if I wasn't a cancer or arthritis patient.

Luckily his supervisor intervened, before I had to explain the whole thing.

I am so grateful for the metho. Even though I needed a repeat injection

and got terribly sick from it, I didn't have surgery and prelim results

show my tube to be in good shape. Its also soooo much of a less expensive

treatment (under $50 for the meds) compared to thousands for surgery. When

its possible to use the metho, its great its there. I have a lot of

gratitude for how cancer research is now being applied to other medical

conditions.

***************************

& Jani

mailto:newmoon@...

moms to Rowan, born 6/26/98 (20 months old)

three spirit babies:

Cassidy, m/c 8/99, was due April 20, 2000

Mandy, m/c 10/99, was due June 15, 2000

Keegan, ectopic pregnancy, 1/00, was due Sept. 9, 2000

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:

What business was it of the pharmacist's what you were taking or why? As

long as you have a valid prescription, it is none of their business in my

opinion! I am glad the supervisor intervened for you.

My mother tells a story on this subject...she was picking up a prescription

of BCP's for me one time and the pharmacist started saying all this stuff to

her ( " I know these are not for YOU " blah blah blah). She told him it wasn't

any of his business if she was 95 and taking BCP's as long as she had a

valid prescription. She then asked to see his supervisor and complained and

they fired the guy.

I hate people why think they have to know everyone's business and comment on

it.

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In a message dated 3/2/2000 10:22:28 AM Eastern Standard Time,

newmoon@... writes:

<< the FDA hasn't approved metho's use for

treating eps yet. >>

Just wanted to add something to the conversation about Metho. In 9/96 when I

had my first EP, I had surgery. My OB/GYN said there was a new

" experimental " drug therapy for EP's but he wasn't sure he was totally

comfortable with it. Then with my 2nd EP in 10/98, my new OB/GYN (we moved)

suggested metho and actually told me how well many of his patients had

responded to it. So, I did it. I had metho for EP #2 and EP #3 and it was

SSSOOOO much easier on me. Luckily, I only had to have one injecton both

times.

Take Care,

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In a message dated 3/1/00 6:29:33 PM Central Standard Time,

@... writes:

<< Did you rupture? It is not an option if the tube has already ruptured. I

did not have that option because my tube was literally blown apart and I

needed surgery to save my life. >>

,

It was starting to bleed out.

Angel

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Angel:

That's why metho was not an option then. If there is bleeding, you are too

far gone to risk taking the time for the metho to work. It is not a fast

acting drug, so to speak.

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