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Stonepounder

(4,033 posts)
Fri Feb 1, 2019, 05:04 PM Feb 2019

I'm 70 years old. (Updated 2/1/2019) [View all]

I posted earlier about trying to figure out why I have been getting short of breath. X-Rays and MRI showed scarring of the lungs, but none of the blood tests gave a definitive answer, so I had to go in for a lung biopsy. (Not a whole lot of fun. Four days in the hospital.)

Turns out that there is only one place in the US that actually looks at the lung tissue and figures out what's going on. Takes a couple of weeks to get the results back. So, finally, I went in to see my pulmonologist on Wednesday. Conclusion: IPF - Idiopathic pulmonary fibrosis. So, what you ask is IPF. I means that you are developing scaring on your lungs and they don't have a freaking idea why. (Idiopathic is a big word that means "We don't know".) But the average life expectancy for me is 3-5 years. Maybe.

Up until the last couple of years there was nothing that could be done. The scarring is irreversible and there were no medications. However, things are looking a little (and I emphasize the word little). There is a new drug on the market (new as in only a couple of years old) that seems to have the ability to slow down the scaring process. Goody.

Minor problem. IPF is one of those 'orphan diseases' so, lots of research for meds, not many folks buying. Result: medicine is EXPENSIVE. Like, would you believe $95,000/yr? WTF! Who the hell can afford $95,000 a year??

But, I love my doctor! 1. When I saw him on Wednesday he had already talked to my insurance company and had gotten them to approve the med. So, my co-pay would only be $3,000 a month. 2. He had also called the vendor (this is not something you pick up at your local pharmacy) and they called today. They have a program that helps with the co-pay. So, first they check the easy discount. I qualified. Dropped the co-pay to only $2,000 a month. Still completely impossible for me to pay. So they checked the second tier plan. I qualified for that as well.

Now here's the part that totally blew me away. The second tier plan picks up where the first tier ends. Believe it or not, tier 2 pays for EVERYTHING! No co-pay at all. (Note: I'll believe it when I get the meds and no bill.) But, we will certainly give it a try! Note, there is no cure and I will never get any better, but the meds are supposed to significantly slow down the scaring, so hopefully I won't get worse, or at least the progression of scaring will slow down.

We will see what happens, but I am feeling a little more optimistic.

29 replies = new reply since forum marked as read
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I'm 70 years old. (Updated 2/1/2019) [View all] Stonepounder Feb 2019 OP
Wishing you good luck nykym Feb 2019 #1
I'm keeping my fingers crossed. Stonepounder Feb 2019 #6
I will second the wish for lots of good luck and many more years! GeoWilliam750 Feb 2019 #22
Best of luck to you, my dear Stonepounder! CaliforniaPeggy Feb 2019 #2
I'm really doing my best. Thanks! Stonepounder Feb 2019 #7
All of this gradual good news means.. you will be fine.. Why else all the good news??? pangaia Feb 2019 #3
I really like the way you think! Stonepounder Feb 2019 #8
In July 2012 I was diagnosed with difuse large B-Cell lymphoma. pangaia Feb 2019 #10
My brother was diagnosed with an aggressive Non Hogkins Lymphoma Freddie Feb 2019 #28
Wonderful to hear. pangaia Feb 2019 #29
Good luck pal. woofless Feb 2019 #4
Thanks, woofless. And best back at ya! Stonepounder Feb 2019 #5
All the best to you Stonepounder. As woofless said, this justhanginon Feb 2019 #9
send me the name of them med privately samnsara Feb 2019 #11
Goodness is raining down on you - from $95K/year to $0 - way to go! Much luck to you. iluvtennis Feb 2019 #12
Best of luck to you, Stonepounder. My uncle had IPF-- no idea at all where it came from. Hekate Feb 2019 #13
Stay positive, Stonepounder! pazzyanne Feb 2019 #14
Good to hear! I'm hoping that meds can keep up with my progression, Stonepounder Feb 2019 #16
FYI, my rheumatologist is from India! pazzyanne Feb 2019 #19
Glad your prospects are good, your doctor stepped up, and you've been cared about. ancianita Feb 2019 #15
That must be so scary. I'm glad the money issues aren't making it worse -- thank goodness pnwmom Feb 2019 #17
I am glad there is some reason for you to hope. murielm99 Feb 2019 #18
Best of luck. Thanks for sharing this also JDC Feb 2019 #20
Wishing you all the best. Great if you end up with medicine and no copay. sinkingfeeling Feb 2019 #21
You are a positive role model. A persistent steel lady. Duppers Feb 2019 #23
Goodness, never even thought to look at it that way. Stonepounder Feb 2019 #26
Big whoops. My apoligies, sir. Duppers Feb 2019 #27
If I could make some suggestions... Sloumeau Feb 2019 #24
Thanks for the info. Stonepounder Feb 2019 #25
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