I am officially back on 400mg of Gleevec.  My ONC and I had been discussing 
and researching the newer TKI's since July.  The last month, I have been 
trying to get approved for Bosutinib approved thru the VA.  My ONC and I 
thought the VA ONC had it on order, but when I went for my appointment The 
VA pharmacist had disapproved it.  He would approve Gleevec.  His reasoning 
was t hat I had had a good response for 4+ years.  My 6+ years off TKI's 
should allow me another long success period.  For those know or use the VA, 
my status is classified as a duel patient.  I am only eligible for 
prescriptions, but the Cancer Meds have to be prescribed by a VA doctor.  
Of course, I am disappointed but the reality is that when I started the 
vacation My ONC and I had discussed the probably of doing this.  But since 
they have 3 new TKI's and one of those looked like it would have less side 
effects we opted to change course.

Richard H. 

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