This discussion is helpful to me as a caregiver to a dear friend who has just be diagnosed with a neuroendocrine tumor in the rectum that has spread to the liver and lungs. She found out about the cancer after going to urgent care for what she thought was a cracked rib. It was very painful but I guess that was good because going to urgent care led to a diagnosis. She was hospitalized after being sent to the emergency room and after the doctor saw the results of the CT scan. That was on April 16 so it's day 12 in the hospital and doctors are still trying to get her pain under control so she can go home on oral pain meds. The palliative nurse was in twice today because she is trying different combinations and strengths of pain medicine. If the pain can be managed, my friend will go home and then can begin work with the oncology team to develop a treatment plan. Thanks for any helpful suggestions.