Cis/Carbo shortage

[Radonc 2013]

Trying to get a feel for how bad the Cisplatin/Carboplatin shortage is for different practice settings/regions. Here in a small metro, community hospital setting, the med oncs just started referring new patients out that need Cis/Carbo 1st line for curative treatment to an academic center nearby. I'm going to guess the larger systems have more leverage to obtain more stable supply? How is everybody else doing?

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[medgator]

Hearing same thing locally. Med onc thinks the bigger players esp at larger academic centers may be less affected but this definitely is sounding like a national problem and it's not just affecting chemo.

https://www.npr.org/sections/health-shots/2023/05/15/1176220138/families-scramble-to-find-growth-hormone-drug-as-shortage-drags-on

 

[Ray D. Ayshun]

Shortage locally too. Sounds like oxaliplatin not affected. Also, 5 fu shortage, but xeloda okay.

 

[RadOncDoc21]

If no more chemo, does that make us the “oncologist” now?

 

[thecarbonionangle]

Must be a location thing. In my area, med oncs cannot keep up hanging the bags and then getting the bag!

 

[elementaryschooleconomics]

 

[taserlaser]

stolen from the SBRT memes Twitter some time ago I think

 

[Fpg1245]

View attachment 372305

Haha well it’s better than RT alone haha

 

[elementaryschooleconomics]

Haha well it’s better than RT alone haha

 

[Radonc 2013]

Makes me wonder if this is just a temporary blip or something that we will be dealing with on and off long term due to systematic changes in investments in drug manufacturing.

 

[ramsesthenice]

Hearing same thing locally. Med onc thinks the bigger players esp at larger academic centers may be less affected but this definitely is sounding like a national problem and it's not just affecting chemo.

https://www.npr.org/sections/health-shots/2023/05/15/1176220138/families-scramble-to-find-growth-hormone-drug-as-shortage-drags-on

I’m at a good sized academic center and it’s crushing us. I’ve been too preoccupied to look into it deeply but it’s mind blowing to me that we could have a shortage on such fundamental drugs. Where the big academic centers differ…industry partners will give us IO for everything. It’s practically in our water. No chemo? That’s ok, pembro is “probably” better anyway.

 

[sirspamalot]

Immunorep be like:

But visualize with 1000 dollar billz yo.

 

[Fpg1245]

Immunorep be like:

But visualize with 1000 dollar billz yo.

Do rad onc. It’s a roll of quarters.

 

[medgator]

Do rad onc. It’s a roll of quarters.

Soon to be the nickel slots/$5 blackjack at Fremont Street

 

[thecarbonionangle]

Do rad onc. It’s a roll of quarters.

Not even, it is those cheap pink foiled covered coins with cheap chinese “chocolate”

 

[sirspamalot]

Not even, it is those cheap pink foiled covered coins with cheap chinese “chocolate”

Wooden nickels I say.. (old person cough)

 

[Fpg1245]

Wooden nickels I say.. (old person cough)

Pocket lint

 

[RadOncDoc21]

Pocket lint

Belly button lint

 

[Fpg1245]

Belly button lint

Medicare is proposing crack lint for next year I heard. Bundled Ofcourse