Rebecca Shatsky, MD Profile picture
Nov 19, 2022 5 tweets 4 min read Read on X
I got into a screaming match with a jerk oncologist who sold out by working for insurance companies to deny claims today. My whole office stopped and stared. But then they clapped after they realized why I was yelling. @premera is denying my patient’s Keytruda for her #TNBC
I asked the oncologist on the line why he was doing what he was doing and he had no answer. I then asked him if this was really the hill he wanted to die on, denying potentially life saving therapy for a young women with bad breast cancer. Again no answer. #MedTwitter #bcsm
He started with some nonsense about how the data wasn’t yet clear if patients really need adjuvant Keytruda and that if I had wanted adjuvant Keytuda she shouldn’t have been treated on the I-SPY2 trial in the neoadjuvant setting😡🤬. This man is not a breast oncologist.
@premera is hurting my patient by denying her this medicine and delaying her care. It’s gross and it’s wrong. I told the man on the phone he would hear from me again as I would be escalating this claim and demand another review of this case. #bcsm #MedTwitter
@premera picked the wrong oncologist to mess with today. I will not be letting this go. This denial. Will. Not. Stand. An insurance company should not get to tell me how to practice medicine when Phase III RCT data and @NCCN + @ASCO guideline support my decision! #bcsm

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More from @Dr_RShatsky

Jul 4, 2022
#4thofjuly2022 A 🧵. I come from a military family. My father wanted to go to medical school, but his parents were Yiddish speaking USSR immigrants who came to Ellis Island. He couldn’t afford to go.
So when he was 18 he enlisted. He was a child prodigy and graduated from high school at 14 and college at 18. He loved the #ARMY . It has always been a great source of pride for him.
He stayed in the #Army and did neurosurgery residency at Walter Reed. We moved to The Presido in San Francisco when it was still a military base and lived there.
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