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Re: Methotrexate From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Mon Apr 30 11:12:43 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Methotrexate" Previous message: art fougner, md: "Re: Abortion? ... here we go again! Sheesh! -->ConLaw now!" In reply to: art fougner, md: "Re: Methotrexate" Next in thread: Joanne Bulley, MD: "Re: Methotrexate" Reply: Joanne Bulley, MD: "Re: Methotrexate" Actually, I was apparently wrong. It is not a cost issue as I am told both are very inexpensive. It is a handling issue with the injectable needing special training to both make the dose and administer the dose. Glen -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art fougner, md Sent: Monday, April 30, 2007 1:15 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Methotrexate Glenn what exactly is the difference in cost? Art At Mon, 30 Apr 2007, Dr Eberhard Lisse wrote: > >Glen, > >that's exactly my point, if he stocks two courses, and orders as soon >as one is used, no matter how much it costs, the savings will not be >that much. > >I doubt it's worth his effort (and I have a bit of a clue, from one of >my former lifes :-)-O) > >el > >on 4/30/07 10:49 AM Elrod, Darryl G Maj 48 MDOS/SGOBO said the following: >> I suppose its that he still has to manage a budget. Mind you, its >> millions of dollars, but its still a budget. I think, honestly, >> what he is looking at is that we rarely use methotrexate injections >> here. I think we see maybe 2-3 ectopics per month and half are >> taken to surgery. I presume, although I am completely unencumbered >> by data, that the oral is cheaper and has a longer shelf life making >> it easier to stockpile for that 1/month use. >> >> None of us felt comfortable switching without some protocol that >> showed equal effects. With the IM shot, there was always the >> thought that you could see the patient get the medication. There >> was no worry that it would not be tolerated or not taken. >> >> Glen -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: R. Daniel Braun: "Re: Methotrexate" Previous message: art fougner, md: "Re: Abortion? ... here we go again! Sheesh! -->ConLaw now!" In reply to: art fougner, md: "Re: Methotrexate" Next in thread: Joanne Bulley, MD: "Re: Methotrexate" Reply: Joanne Bulley, MD: "Re: Methotrexate"

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