@5333 I also live in a rural area and so some of my choices are limited. I got to Green Bay, WI (3 hours by car) for some of my care however my cancer care was set up at Mayo Clinic in Rochester, MN where I continue to go.

I agree with some of the other members who have suggested that you should consider going to a larger medical center. Laramie, Wyoming is just about 2 hours away from Denver. If you were my relative then I'd be strongly suggesting you go to Denver for speciality care. Quite frankly I don't even get an MRI or CT scan at my local hospital because the radiology services are contracted outside of the area by our for-profit hospital system. So, I don't trust the radiologist's reports. I do trust the radiology reports I see at Mayo Clinic.

You are already scheduled for the bone scan. Depending on what that shows, if you decide on getting additional care please ask your GP to locate a medical practice in Denver where you can be referred. The University of Colorado is an NCI (National Cancer Institute) designed comprehensive cancer care center.

University of Colorado Cancer Care Center:

-- https://www.cancer.gov/research/infrastructure/cancer-centers/find/ucolorado

Will you please come back and let me know the results of the bone scan?