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This is a challenging subject. My wife like you has her specialist Oncologist at Mayo and a local oncologist where we live. We consider Mayo to be the lead for disease strategy and our local oncologist, one who executes the strategy on a daily/monthly basis labs, Octreotide, Afinitor prescriptions), etc.
Luckily, they work well together. Our local providers practice is a Mayo Network Partner so that may make a difference. We also haven’t run into any ‘controversial’ issues like yours.
In your case, I may ask to arrange a three way conference call with them with you acting as the moderator asking them to develop a strategy that will work in your best interest. A live phone call with all on the line may make a difference. Too many people hide behind emails and messaging.
Just my two cents.
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Thanks for your suggestion. My local doctor is in a different network and I can understand the complications. I have a difficult time reaching either by phone, but will start asking for their suggestions to accomplish a 3-way convo. I certainly can’t answer her (rhetoric ?) question or form any scientific conclusion. I am uncomfortable “translating” info between them, even though I take notes. My primary seems to have welcomed the 2nd’s suggestions in the past, but not some much this week. She also seemed rushed during our meeting this week. That was unusual and unsettling to me, but may not have had anything to do with me...I can’t imagine what it takes to treat cancer patients.