NET symptoms despite follow-up lab work ok

Posted by pippa05 @pippa05, Jul 3, 2023

Has anyone experienced NET symptoms ie diarrhea, morning vomiting, nausea, headaches while lab work is all within normal range? I had net in ileum diagnosed 8/2021 which was removed by endoscopy. My lab work was fine and CT scan fine a week prior to finding NET. Every 6 mos my oncologist says "your lab work is fine" to which I reply "I wish I felt as good as my lab results" and his response is "see you in 6 mos." I had my one year endoscopy in 2022, which was fine and this year's is scheduled in Sept. I know I am lucky when I read what all of you are suffering thru. My company is allowing me to work from home because I am too sick to commute, I need immediate access to bathroom. I am not complaining, but I am curious as to whether or not anyone is experiencing the same thing? I take anti anxiety medicine because my anxiety has GI side effects, my primary doctor just increased the dosage. I've seen an assortment of doctors to determine if anything other than NET is going on, my nutrition is very good but symptoms are getting worse.
I keep all of you in my prayers, God bless.

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@terlato

I tried getting an appointment with the Mayo Clinic. They don’t take my Medicare plan. I was told they don’t take Medicare at all and do not take cash paying patients. So you have to have a great insurance they can use for all consultations and test. I wish they would post that on their site!

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Correct. Mayo doesn’t take any Medicare Advantage plans, however, they take original Medicare and Medicare supplement plans. All of my husband’s care has been covered by Medicare

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@terlato

I tried getting an appointment with the Mayo Clinic. They don’t take my Medicare plan. I was told they don’t take Medicare at all and do not take cash paying patients. So you have to have a great insurance they can use for all consultations and test. I wish they would post that on their site!

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@terlato, Sorry to hear that you're having these frustrations in addition to dealing with the disease.
I went to Mayo in Phoenix in 2021 for PRRT and was initially told something along the same lines you heard. However, Medicare and Tricare for Life paid everything. On Mayo's website under "Frequently asked questions", it's very clear that all their programs are Medicare approved. They recently sent out a letter concerning some Advantage plans are not approved.
My experience could not have been better, so I would encourage you to talk to someone else at whatever location you would want to go to. And look this information up on their website so you can use that should you need to.
Good luck.

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@terlato

I tried getting an appointment with the Mayo Clinic. They don’t take my Medicare plan. I was told they don’t take Medicare at all and do not take cash paying patients. So you have to have a great insurance they can use for all consultations and test. I wish they would post that on their site!

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Sorry to hear about your experience. I know Mayo is not included in some (maybe many) advantage plan networks but they absolutely do take Medicare. All my costs have been covered by Medicare and my traditional supplemental medicare plan. Insurers need to be more honest about how few specialty providers are included in their advantage plans!

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@kjstein

Have you considered Mayo in Phoenix? There is a terrific NET specialist there (Dr. Sonbol) and linked into the whole Mayo Net team. I commute there for my NET scans, care plan any specialized treatments not available locally ( which has been excellent), and coordinate the Mayo Net expertise and leadership with a local oncologist for routine care locally. It all works and is so worth the 7 hour drive!

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I tried getting an appointment with the Mayo Clinic. They don’t take my Medicare plan. I was told they don’t take Medicare at all and do not take cash paying patients. So you have to have a great insurance they can use for all consultations and test. I wish they would post that on their site!

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I am so happy for you, you have no idea how encouraging it is to hear from a patient that has good results and an incredible medical team. My Dana Farber oncologist also treats neuroendcrine patients. He encourages me to continue my research using Mayo Clinic resources as well as others - I'm not second guessing him, but it enables me to understand what is going on with this cancer and enables me to ask some relevant questions during our appointments. He has said right from the beginning this is a treatable cancer with many varied options if my cancer spreads. Yes some of these treatments are brutal, but in the field of cancer, there are always new treatments & medicines. God bless your medical team, and God bless you for what you are enduring. There is always hope.

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@tomrennie

Dr. Sonbol and his team saved my life. So, I am biased. By the time that I finally got to him, I was in pretty bad shape. Looking back, I didn't really realize it. I was on CAPTEM for 12 months and now just the Cap part for three months. I have put on 50 pounds after losing 120. My primary in my pancreas was 8x6cm. It is now 3x2cm. My liver lesions, too many to count, are practically gone. I am in maintenance mode now. I live an hour away from Mayo Phoenix. I usually drive there in the morning for my bloodwork and scans, then drive home. My wife and I will have a video meeting with Dr. Sonbol, or a member of his team, later that afternoon to review the results and plan our next treatment steps. It took a little while to work out the logistics, but this is now working for all of us. Here is the best part of Dr. Sonbol and his team: We trust them. They are great people that happen to be amazing medical professionals. They are NET experts, so we don't have to be. I can just be a patient. I do what they tell me to do. I can find examples on line to contradict everything that my care team tells me. I make it a choice not to. I am not a doctor nor a medical professional. They are. I can just be a patient.

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My husband also sees Dr. Sonbal and we couldn't agree more! He was also on CapTem for 14 months with very good results and was just taken off the temodar; now just on maintenance with the cap. I'm curious - have you had a scan yet after being on just capecitabine? We were wondering how well that works on its own. I'm so glad you've done well!

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@lindabees

I don’t know the answer to that

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Dr. Sonbol and his team saved my life. So, I am biased. By the time that I finally got to him, I was in pretty bad shape. Looking back, I didn't really realize it. I was on CAPTEM for 12 months and now just the Cap part for three months. I have put on 50 pounds after losing 120. My primary in my pancreas was 8x6cm. It is now 3x2cm. My liver lesions, too many to count, are practically gone. I am in maintenance mode now. I live an hour away from Mayo Phoenix. I usually drive there in the morning for my bloodwork and scans, then drive home. My wife and I will have a video meeting with Dr. Sonbol, or a member of his team, later that afternoon to review the results and plan our next treatment steps. It took a little while to work out the logistics, but this is now working for all of us. Here is the best part of Dr. Sonbol and his team: We trust them. They are great people that happen to be amazing medical professionals. They are NET experts, so we don't have to be. I can just be a patient. I do what they tell me to do. I can find examples on line to contradict everything that my care team tells me. I make it a choice not to. I am not a doctor nor a medical professional. They are. I can just be a patient.

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@tomrennie

Can you sign up for a video conference with Dr. Thor?

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I don’t know the answer to that

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@terlato

I totally know how he and you feel. At least you are there to confirm it. My symptoms have been happening sin 2011! I live alone and that's why the doctor's don't believe me because no one has witnessed it happening to me. We are not crazy! Just that they are not knowledgable about neuroendocrine tumors. Just keep going until you find the right doctor that will listen and help. Very frustrating, but eventually there will be one smart doctor that will give you the answers and help. Try your best to find a Neuroendocrine doctor where you live. Unfortunately, there aren't any in Las Vegas! If all else fails, when he is in horrific pain, go to the ER. Then they will take it seriously and do bloodwork and scans right away. Maybe you will get some answeres. My best to you both and trust me I know how he feels. Please keep us informed. Happy Holidays and may the new year bring you peace especially with your health.

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Have you considered Mayo in Phoenix? There is a terrific NET specialist there (Dr. Sonbol) and linked into the whole Mayo Net team. I commute there for my NET scans, care plan any specialized treatments not available locally ( which has been excellent), and coordinate the Mayo Net expertise and leadership with a local oncologist for routine care locally. It all works and is so worth the 7 hour drive!

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@tinerobison

We were hoping see him instead saw Dr. vege, now we’re discouraged we don’t want to go back there!

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Can you sign up for a video conference with Dr. Thor?

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