@joelars You don't need an oncologist to order the annual low dose CT scans that are now on the same list of routine screening for people between 55-80 who currently smoke or quit within the last 15 years as colonoscopies are for people over age 50. And, when mine starting abnormal my doc ordered them more frequently and then turned me over to a specialist when it got to that point. One thing that I've concluded is that the more incompetent the practice the more skeptical the recipient becomes. I second what Merry says about looking elsewhere. You should be able to look through American Cancer Society's recommendations . Or, I've found that US New seems to publish good reports. Until it affected me I never realized how poor most of the hospitals in my area were. A neighbor with breast cancer went from one very local hospital who I wouldn't trust with most things to a place in a nearby state who always advertises in our area and passed away not long after. When I was diagnosed and saw in that report how poorly that place was rated compared to one very good one not far away it infuriated me that their advertising would so easily mislead that woman and her family. In our case, we decided that since we had the ability to drive 7 1/2 to Mayo we chose it. And, I have found that no one has the doom and gloom you are experiencing because the doctors do keep track of why you're there and spend quality time going through things together. Of course, wherever you go people are human but in my opinion, yours is a repeating pattern in people's comments when they'd been to places not specializing in lung cancer.