@hopeful33250 , Thank you for the reply. I have seen a net specialist at moffitt cancer center and they wanted me to try prrt, i havent yet but am looking into it. I have had pnet for 7 years now and at first it wasnt bad but about a year and a half ago it started to get real bad as far as pain is concerned. i am on a pain regiment yet at times the pain just walks thru it. i was with hospise and am being released because they say i will live more than 6 months....i'm not dying fast enough.... I have to find a pallitive care dr. and no one will write for me so i have to go 3 hours to my old PC dr. I am with the VA and they want to write motrin. I have about 45 tumors in my liver, in my lympnodes that run up my spine on the inside, on the stalk of my kidney and new ones in my lungs. my last scan showed that it is moving and growing and new tumors are showing up. in 2000 i had 2 pitutary adinomas which caused them to take out the p gland then 7 back surgeries ( 6 ,lumbar and 1 cervicle), now this. I don't see much pain assocated with nets in others why is it that i have such debiliating pain?? its just aweful. my oncologist said its the tumors running into nerves. my pain is accross my upper abs, even with sturnum from outside left pec and accross to the right side of right pec and over liver, then it will move to my back even with my abs and the pain goes accross from one side to the other. my sister is pushing the pain pump and the dr. said it wouldn,t cover all the areas, so why change from oral were i,m getting some repreve. i am looking into the PRRT, i see others have done it and some a few times, is it worth it? I don,t know which way to turn. I have to find another pallitive care dr. because hospice has put me on a high dose of opiates and the withdrawls would be aweful. any ideas, i have no one to talk to about this, just suggestions would be nice. thank you for reading my book,lol. but truly i thank you. the net desiese has brought us together and i feel like i can count on those who are going through the same, they understand so any suggestions would be greatly appreated. Anthony