Ellen Matloff is a certified genetic counselor and the president and CEO of My Gene Counsel a company that specializes in scalable, updating, digital genetic counseling information and notifications. Matloff has been a writer for Forbes.
when given by pill – can be toxic or fatal to a small percentage of people who carry a genetic change in a gene called2-3% will die of a treatment-related fatality if they take one of these medicationsthat makes a chemical that helps our bodies break down and get rid of these drugs after our body uses them. This process helps prevent the patient from developing toxic or fatal side effects from this chemo. But,in this gene that causes a partial deficiency of DPD.
o Pharmacists and certified genetic counselors who specialize in this area can help. But, remarkably, these graduate-trained health care professionals are not recognized as ‘healthcare providers’ by Medicare and Medicaid, and therefore many other insurance companies. Without this recognition by our federal government, it is difficult for these providers to get reimbursed for their services. Therefore, they are not utilized in patient care as often as they could and should be.
But many health systems don’t use these tools, or the tools are not easily and readily available in electronic medical records , or pharmacy tools. One pharmacist described that he had to build his own tools for his health system in Epic, and it took an entire year. Those tools will help only his health system and will require updating as the field changes.
5-FU Capecitabine Cancer Genetics DPYD Pharmacogenetics Fluorouracil PGX Genetic Testing
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