Neuroendocrine Cancer UK
Neuroendocrine Cancer UK
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Lung Surgery - why it's performed, what to expect and tips for recovery
Qualified Physiotherapist, Lindsay Charlesworth delivers her presentation on lung surgery. This presentation took place in December 2023 as part of a Neuroendocrine Cancer UK Online 'Webi-Natter'.
This presentation covers the benefit of lung (thoracic) surgery for cancer, what is involved in surgery and what patients can expect afterwards including insight into breathing exercises.
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📢 Share this video with others who might benefit from this information.
For more resources and support, visit our website www.neuroendocrinecancer.org.uk
Resources from video:
ua-cam.com/video/XvorhwGZGm8/v-deo.html - Active Cycle of Breathing Technique (ACBT)
www.acprc.org.uk/guidance-resources/patient-information/ - Patient information from A Professional Network of the Chartered Society of Physiotherapy ACPRC
www.nhs.uk/conditions/nhs-fitness-studio/ - Fitness studio exercise videos from NHS
www.nhs.uk/better-health/get-active/ - Help and advice on how to become more active
Переглядів: 108

Відео

Diet & Nutrition - Neuroendocrine Neoplasms
Переглядів 1532 місяці тому
Registered Dietician, Yasmin Chotai de Lima delivers her presentation on diet and nutrition for those living with neuroendocrine cancer. This presentation took place in June 2024 as part of a Neuroendocrine Cancer UK Online 'Webi-Natter'. The presentation covers the importance of good nutrition and exercise when living with neuroendocrine cancer, information on vitamin deficiencies and the mana...
SIRT Therapy for Neuroendocrine Tumours
Переглядів 1312 місяці тому
This video provides an in-depth exploration of the recent NICE recommendation for SIRT Therapy for neuroendocrine tumours, recorded during our Webi-Natter event on May 30th. Leading experts and patient advocates discuss the implications of this ground-breaking development for patients and the broader medical community. Our panel included: Professor Rohini Sharma Dr. Raj Srirajaskanthan Patient ...
Daily Dip 4 Dave and Neuroendocrine Cancer UK - Launch Video
Переглядів 3272 місяці тому
Since October 2023, Ruth has taken on a remarkable challenge: a daily dip in the cold sea, every single day, in honour of her husband, Dave, who was diagnosed with neuroendocrine cancer. Ruth’s journey has been nothing short of incredible-dipping through stormy weather, freezing temperatures, and relentless waves-all to raise awareness and funds for Neuroendocrine Cancer UK. It’s been tough, bo...
Treatment Decision Making - Neuroendocrine Cancer
Переглядів 3043 місяці тому
Advanced Nurse Practitioner, Mike Tadman delivers his presentation on the challenges of treatment decision-making for those living with neuroendocrine cancer. This presentation took place in July 2024 as part of a Neuroendocrine Cancer UK Online 'Webi-Natter'. Throughout the presentation, Mike provides an insight into the decision-making process between healthcare professional and patient and f...
Living with a life-limiting illness: Dr Elle Reed, Maggie's | Neuroendocrine Cancer UK
Переглядів 3055 місяців тому
In this Webi-Natter recorded in May 2024, Dr Elle Reed describes how we respond both emotionally and physically to living with cancer, what our 'tricky' minds mean, self-care and self-advocacy while living with cancer and she finishes the presentation with a guided visualisation.
Neuroendocrine Cancer: Progress, AI, and How it all Began with Professor Martyn Caplin
Переглядів 6005 місяців тому
In this episode of the Not Just NE Cancer podcast, Professor Martyn Caplin chats with Neuroendocrine Cancer UK's CEO, Cathy Bouvier about the development of care and overall understanding of neuroendocrine cancer. They discuss how AI could assist with earlier diagnosis, how Martyn first became interested in the field of neuroendocrine cancer, the development of multidisciplinary teams and clini...
Rare diseases and Clinical Trials, RareCan - Not Just NE Cancer Podcast
Переглядів 896 місяців тому
Delve into the complexities of clinical trials within the rare disease landscape in this podcast episode. Explore first-hand the journey of a patient participating in a pharmaceutical trial and gain valuable insights into initiating conversations about accessing clinical trials. Discover the significance of patient registries and the genesis of the RareCan organisation, dedicated to supporting ...
Neuroendocrine Cancer, Endocrinology and Hormones
Переглядів 4897 місяців тому
November 2023 Webi-Natter Join Dr. Christine May, an endocrinologist from Oxford, as she discusses the complexities of Neuroendocrine Cancer, Endocrinology, and Hormones in this presentation recorded at our November 2023 Webi-Natter. Dr. May begins by explaining the fundamentals of hormones, their functions, and the pivotal role they play in our bodies. Throughout the presentation, Dr. May shed...
Multidisciplinary Team Meetings (MDTs) in Cancer Care
Переглядів 3297 місяців тому
Join Christina Nuttall and Dr. Melissa Frizziero from The Christie Hospital as they demystify Multidisciplinary Team Meetings (MDTs) in cancer care, specifically neuroendocrine cancer care. In this enlightening presentation, they clarify what an MDT is, who comprises the team, the topics covered, including treatment options, and provide a detailed case study.
Exploring Sex and Cancer: Neuroendocrine Cancer UK
Переглядів 1387 місяців тому
In this insightful session, Sexuality Expert Sarah tackles the nuanced topic of Sex and Cancer at the March 2024 Neuroendocrine Cancer UK Webi-Natter. Sarah discusses the physical impacts of cancer on sexuality, addresses relational dynamics, and offers practical interventions.
Surgery For Pancreatic Neuroendocrine Tumours (NETs)
Переглядів 51511 місяців тому
In this insightful session, Pancreatic Surgeon, Zahir Soonawalla, shared valuable insights during our Natter Support Group meeting. His presentation focused on pancreatic neuroendocrine tumours (NETs) and the surgical approaches for managing them. The session was recorded on 21.02.23. 🔗 Learn more about pancreatic neuroendocrine cancer by visiting our website: www.neuroendocrinecancer.org.uk/ne...
Neuroendocrine Cancer UK 2023 Live Q&A Highlights
Переглядів 63611 місяців тому
Welcome to the highlights of the Neuroendocrine Cancer UK 2023 Virtual Conference Live Q&A session! This engaging discussion brought together a panel of experts to address your questions and concerns about neuroendocrine cancer. Panelists: - Dr. Alia Munir, Consultant Physician at Sheffield Teaching Hospitals NHS Foundation Trust. - Dr. David Bartlett, Retired GP and Neuroendocrine Cancer Patie...
Reproductive Health, Menopause and Hypogonadism in Neuroendocrine Cancer
Переглядів 13311 місяців тому
In this insightful video, Consultant Endocrinologist Dr. Alia Munir, from Sheffield Teaching Hospitals NHS Foundation Trust, delves into the intricacies of Reproductive Health, Menopause, and Hypogonadism in Neuroendocrine Cancer. Dr. Munir explores key aspects, including definitions of these conditions and the current guidelines available. The presentation also sheds light on how neuroendocrin...
Diabetes Mellitus and Neuroendocrine Cancer
Переглядів 39411 місяців тому
In this video, Dr. Alia Munir from Sheffield Teaching Hospitals NHS Foundation Trust explores the intricate relationship between Diabetes Mellitus and Neuroendocrine Cancer. Dr. Munir provides an overview, examining the existing guidelines, and recent trials, and even shares exclusive unpublished data. Delve into the nuanced understanding of this intersection and gain insights into future direc...
Neuroendocrine Cancer Research - The Patients' Perspective
Переглядів 18011 місяців тому
Neuroendocrine Cancer Research - The Patients' Perspective
Navigating the Uncertainty of Neuroendocrine Cancer: Insights and Coping Mechanisms
Переглядів 49011 місяців тому
Navigating the Uncertainty of Neuroendocrine Cancer: Insights and Coping Mechanisms
The Doctor's Experience of Living with Neuroendocrine Cancer
Переглядів 88711 місяців тому
The Doctor's Experience of Living with Neuroendocrine Cancer
Theranostics PRRT, Radioligand Therapy in Neuroendocrine Cancer
Переглядів 34211 місяців тому
Theranostics PRRT, Radioligand Therapy in Neuroendocrine Cancer
Surgery for Small Intestinal Neuroendocrine Tumours
Переглядів 66111 місяців тому
Surgery for Small Intestinal Neuroendocrine Tumours
Neuroendocrine Cancer - Follow Up, What it Means for You
Переглядів 29711 місяців тому
Neuroendocrine Cancer - Follow Up, What it Means for You
Neuroendocrine Cancer UK - World Neuroendocrine Cancer Day 2023
Переглядів 1,4 тис.Рік тому
Neuroendocrine Cancer UK - World Neuroendocrine Cancer Day 2023
Dr Raj Srirajaskanthan - Q&A Session - Gastrointestinal Symptoms
Переглядів 331Рік тому
Dr Raj Srirajaskanthan - Q&A Session - Gastrointestinal Symptoms
Dr John Ayuk - Q&A Session - Hormones
Переглядів 403Рік тому
Dr John Ayuk - Q&A Session - Hormones
Professor Nick Reed - Q&A Session - High Grade Neuroendocrine Cancer
Переглядів 979Рік тому
Professor Nick Reed - Q&A Session - High Grade Neuroendocrine Cancer
Professor Maralyn Druce - Q&A Session - Contraception, Fertility & Menopause
Переглядів 92Рік тому
Professor Maralyn Druce - Q&A Session - Contraception, Fertility & Menopause
Dr Debashis Sarker - Q&A Session - An Oncologist answers your questions
Переглядів 549Рік тому
Dr Debashis Sarker - Q&A Session - An Oncologist answers your questions
Samuel Ford - Q&A Session - Gastrointestinal Surgery
Переглядів 186Рік тому
Samuel Ford - Q&A Session - Gastrointestinal Surgery
Carcinoid Crisis - Explained
Переглядів 355Рік тому
Carcinoid Crisis - Explained
About us - Neuroendocrine Cancer UK
Переглядів 122Рік тому
About us - Neuroendocrine Cancer UK

КОМЕНТАРІ

  • @sarahmcquillan2190
    @sarahmcquillan2190 2 дні тому

    Very helpful, thank you

  • @masoncnc
    @masoncnc 18 днів тому

    Sounds like misinformation since lots of carnivores survive without carb. (I'm currently eating a muffin lol)

  • @lisaharding6087
    @lisaharding6087 29 днів тому

    This gives me no hope. Wished I hadn't watched this

  • @ameliatirone2315
    @ameliatirone2315 Місяць тому

    Well done and very clear presentation. Thank you.

  • @geetharamlall2219
    @geetharamlall2219 2 місяці тому

    Well explained

  • @2Kokoleka
    @2Kokoleka 2 місяці тому

    Thank you for the information 🌺🌺🌺

  • @paulalaurie7935
    @paulalaurie7935 2 місяці тому

    My husband has just been diagnosed with neuroendocrine cancer in August 2024. We had never heard of it! Thank you for what you are doing, I am a Brit now living in New Zealand but worked for many years in the NHS. ❤

    • @neuroendocrinecanceruk
      @neuroendocrinecanceruk 2 місяці тому

      Thank you for your lovely comment Paula - we are trying to get as many people around the world to take on a cold water challenge on October the 12th - we'd be thrilled if you could get involved too and share your photo or video from New Zealand!! :O - Here's the link if you can join us in raising awareness of neuroendocrine cancer: register.enthuse.com/ps/event/DailyDip4Dave

  • @geetharamlall2219
    @geetharamlall2219 2 місяці тому

    Informative thanks

  • @geetharamlall2219
    @geetharamlall2219 2 місяці тому

    Very informative well explained hopeful will ascites get better

  • @bethmcdonald7763
    @bethmcdonald7763 2 місяці тому

    Thank you so much for taking the time to understand this process I and many others are going through. I'm still in the process of getting two more scans of my pancreas and gallbladder. Pain has been on and off and listening to you helps me try to understand myself. Bringing peace after acknowledging this is real and there are reasons for the pain and go where the drs are suggesting when I decide its for my best interest. I will look forward to seeing more of you in the future. Thank you so much. Beth

  • @geetharamlall2219
    @geetharamlall2219 2 місяці тому

    Very informative did you have ascites

  • @josephbreatheos
    @josephbreatheos 2 місяці тому

    Please do your own research. This video is not helpful, wrong on so many occassions and completely uninspiring with no helpful takeaways.

  • @khaliddurrani6432
    @khaliddurrani6432 2 місяці тому

    It should not be called radio-embolization as there’s no embolization, the arterial supply remaining intact.

  • @mid-centurymoderngirl8271
    @mid-centurymoderngirl8271 2 місяці тому

    I think you are wrong. Petscans use Glucose as it goes straight to cancer sites. So how do you explain this? Certainly avoiding all the processed junk food would be beneficial to the body.

  • @geetharamlall2219
    @geetharamlall2219 3 місяці тому

    Very informative thanks

  • @TuncayYildirim-rp7vq
    @TuncayYildirim-rp7vq 3 місяці тому

    MIB 1 staining shows positivity in less than 2% of cells says on my report. So does this mean Ki-67 is less than 2%? Thanks

  • @sharlasmith2264
    @sharlasmith2264 3 місяці тому

    Thank you so much.

  • @paulalaurie7935
    @paulalaurie7935 3 місяці тому

    My husband has just had an operation to remove the primary neuroendocrine tumour from his mesentrey plus a few tiny ones. He was lucky enough to not need a colostomy bag as surgeons managed to join his bowel back. I have researched a lot of YT Videos about this condition but the problem is my husband does not want to know or discuss or chat about any of this. I feel that I am alone and he is merrily doing his own thing. Hopefully, when we go back to the hospital for his first outpatient appointment and the plan of action, we will find out if there is any support in New Zealand 🇳🇿

    • @neuroendocrinecanceruk
      @neuroendocrinecanceruk 2 місяці тому

      Hi, thank you for sharing your experience. It sounds like you're going through a challenging time, especially since your husband isn't ready to talk about the diagnosis or treatment. It can feel very isolating, but you're not alone. When you visit the hospital for his first outpatient appointment, hopefully, there will be more information about support available. In the meantime, here’s a link to the World NET Community Directory - incalliance.org/world-net-community-directory/ where you can find support groups in New Zealand. We're here if you need anything. Take care, Neuroendocrine Cancer UK Team

  • @ericmacey1026
    @ericmacey1026 3 місяці тому

    Hi Ronny, thank you for your talk in a non technical way. I have been living with NET's for 10yrs or more. The primary in the small intestines, secondary in my Liver. 2 yrs down the line I had open Heart surgery to replace a Tricuspid valve which the NET's damaged, and a few years after that my Liver was resected to remove tumours that had enlarged not sure how much Liver was removed but it did grow again. Every 28 days an octreotide injection in the buttocks and yearly CT & MRi scans to check its progress up until this year 2024 they have pick up other Net's in Lymph nodes which has resulted in a Gallium - GA68 DOT PETCT scan in a London Hospital and perhaps having PRRT treatment in the future this is still in the discussion stage. Regards Eric Macey

    • @neuroendocrinecanceruk
      @neuroendocrinecanceruk 2 місяці тому

      Hi Eric, thank you for sharing your experience. It sounds like you've been through a lot, especially with the heart surgery and liver resection, but it's encouraging to hear about your ongoing treatments and scans. PRRT can be a valuable option for many, and it’s good to know it's being considered for you. If you have any questions about PRRT or your ongoing care, feel free to reach out to us. We’re here to support you through every step of your pathway. www.neuroendocrinecancer.org.uk Neuroendocrine Cancer UK Team

  • @paulalaurie7935
    @paulalaurie7935 3 місяці тому

    Doing a lot of research as my husband has just been diagnosed with an neuroendocrine tumour in the mesentrey. This was diagnosed after an emergency CT Scan with contrast after he was admitted to hospital in severe pain with vomiting. They operated on him a week later and took 1.9 of his small bowel out plus his appendix. His bowel was successfully joined back together so no colostomy bag needed. He has been home one week and he is waiting for his Outpatient Appointment to hear the results from the Pathology Lab and what the plan of action is moving forward. He had had sporadic pain in his gut over the last 3 years which his GP said was colic. No investigations were ever done. He is 78.

    • @neuroendocrinecanceruk
      @neuroendocrinecanceruk 2 місяці тому

      We're sorry to hear about your husband's recent diagnosis, but it's good to know he's recovering from surgery. It must be a stressful time waiting for results and a treatment plan. While waiting for the pathology results, you might want to check out our resources on neuroendocrine tumours (NETs) to help you prepare for your next steps. We have information on understanding neuroendocrine cancer, potential treatment options, and the questions you may want to ask during the outpatient appointment. www.neuroendocrinecancer.org.uk

  • @zacharycat603
    @zacharycat603 3 місяці тому

    US NET patient here. My most difficult pain right now is getting billed every day for treatment and threatened with collection. Hard to say what will run out first, time or money :(

  • @JaniceEllis-g5e
    @JaniceEllis-g5e 4 місяці тому

    Excellent words!

  • @zacharycat603
    @zacharycat603 4 місяці тому

    I have a Grade 3 NET which they started treating with chemo and and now are using PRRT. So I had one session of PRRT, three more scheduled and then I wonder what, back to chemo? Too much radiation would be bad but the chemo is pretty awful.

  • @theconfessionsof_a
    @theconfessionsof_a 5 місяців тому

    This is ever so helpful.

  • @williamgannaway8183
    @williamgannaway8183 5 місяців тому

    I lost my dad to this very illness two years ago. His symptoms began as supposed bloating and indigestion. The doctor initially said he was allergic to peanuts, so dad took those, with a heavy heart, out of his diet. The symptoms didn't subside, however, and gradually became worse with bouts of sudden vomiting and diarrhoea. He was eventually diagnosed with NET, with the mass being wrapped around the main artery in his stomach. He was advised to adjust his diet, but, being a type 1 diabetic, that was easier said than done. Before COVID, he took part, as he always did, in the London to Brighton bike ride in 2019, despite fluid on his lung, which appeared to be a manifestation of the illness. I'm glad that this illness is becoming more widely known. Well done to David for telling his story. It takes a lot of bravery and fortitude to live with such an illness.

    • @neuroendocrinecanceruk
      @neuroendocrinecanceruk 5 місяців тому

      Thank you for sharing your story. We're very sorry for your loss. It sounds like your dad was a strong and determined person, and his experience highlights the importance of awareness and early diagnosis of NETs. If you need any support or someone to talk to, please don't hesitate to reach out to us.

  • @monicark2030
    @monicark2030 5 місяців тому

    My NET was discovered in my stomach, and is very differentiated, along with a autoimmune atrophic gastritis, my case was discussed between pathologists and my gastroenterologists, preventative going to the Oncology and seven more ambulatories... B12, Folic acid, Vitamin D3. What made me lose my patience, was the professor saying oh we see it every day! No! One patient among 100.000, now one in 6.000 is already diagnosed as rare. Also my grandfather, uncle and my mother had cancer, my mom had adeno carcinoma. My Oncologist said there's no chemo or radio for it, only surgery and then... possibly sessions or chemo.

    • @neuroendocrinecanceruk
      @neuroendocrinecanceruk 5 місяців тому

      We're sorry to hear about your frustrations with your diagnosis and the way it was communicated to you. It's understandable to feel upset when the rarity and seriousness of your disease are not fully acknowledged. If you need more support or information, please visit our website, or get in touch.

    • @neuroendocrinecanceruk
      @neuroendocrinecanceruk 5 місяців тому

      www.neuroendocrinecancer.org.uk

    • @monicark2030
      @monicark2030 5 місяців тому

      @@neuroendocrinecanceruk Thank you for your response 🙏🏻🌷have a blessed weekend

  • @justusU
    @justusU 5 місяців тому

    Sure would be nice to have that service here in the US.

  • @theconfessionsof_a
    @theconfessionsof_a 5 місяців тому

    Thank you for this, it’s very helpful.

  • @blessingegho5981
    @blessingegho5981 6 місяців тому

    Can you please discuss breast NET. It's rare but no info on it. A friend has recently been diagnosed with this

    • @dawnroberts5945
      @dawnroberts5945 5 місяців тому

      I have breast NET too, it would be nice to have more info

    • @blessingegho5981
      @blessingegho5981 5 місяців тому

      @@dawnroberts5945 hope things go well🙏🏾

  • @ryanwdavies1
    @ryanwdavies1 6 місяців тому

    so helpful thank you :)

  • @ryanwdavies1
    @ryanwdavies1 6 місяців тому

    so helpful thank you

  • @theconfessionsof_a
    @theconfessionsof_a 6 місяців тому

    Excellent, many thanks for this, very informative. Alan Motyer Lowndes (primary in Pancreas)

  • @theconfessionsof_a
    @theconfessionsof_a 6 місяців тому

    Thank you for this xx

  • @theconfessionsof_a
    @theconfessionsof_a 6 місяців тому

    This is complex, but extremely helpful, thank you. Alan Motyer Lowndes

  • @AmjadAli-vd1jm
    @AmjadAli-vd1jm 7 місяців тому

    I have been diagnosed with NET in 2018 in liver but still my primary source of tumour is unknown . First I went through duedonal perforation and after one month I have been diagnosed with net of liver but still primary source is is unknown . Can u please guide me what should I do to find it

  • @ryanwdavies1
    @ryanwdavies1 7 місяців тому

    ❤ was your lung nodule a granuloma?

  • @ryanwdavies1
    @ryanwdavies1 7 місяців тому

    ❤ so helpful

  • @marinasaif2306
    @marinasaif2306 8 місяців тому

    EXCELLENT LECTURE ..THANK YOU

  • @alanbrown1563
    @alanbrown1563 8 місяців тому

    I had my surgery on the 26th and i'm back home feeling well trying to build my strength back up I have to go back and see my surgeon on the 5/4/24 to his clinic they said they removed the some of my small intestine and part of my large intestine I'm not sure about any lymph nodes I'll ask him when I see him I had an infection in the wound but its ok now the only trouble i have is my stools are loose to watery its ok to live with I suppose and I hope its ok when I go back to work they found a benign nodule left lung base and small lymph nodes right external iliac/groin which may be reactive what ever that means but I'll find out when i see him I dont know if I'll nee anymore treatment like chemotherapy or anything. thanks for all your support and your information it's really appreciated.

  • @tfuller46
    @tfuller46 8 місяців тому

    How are you all doing now we have just started 2024

  • @marinasaif2306
    @marinasaif2306 9 місяців тому

    EXCELLENT LECTURE ..THANK YOU

  • @ruthtaylor1083
    @ruthtaylor1083 9 місяців тому

    Thank you for this informative talk

  • @ruthtaylor1083
    @ruthtaylor1083 9 місяців тому

    Thank you for the interesting talk. I like you had a neuroendocrinal tumour in the small intestine that needed surgery. Will you be surprised if I tell you that to get the diagnosis I saw my family doctor once. He sent me to a specialist. She said she would run all possible tests . I was given.my diagnosis on 7th November and operated on 14th November. Wonderful! Amazing! How is that possible you ask? I don' t live in the U.K.

  • @LR-dl7mw
    @LR-dl7mw 9 місяців тому

    Thank you. This was very informative.

  • @Walkwithwalter1378
    @Walkwithwalter1378 9 місяців тому

    I wonder if it’s possible for the NET in the small bowel to be so small as to not show up on Dotate pet scan but the suspicious nodular area to show up on cat scan with contrast? Or could something prevent the uptake of the gallium prior to scan and prevent the lighting up of the tumor?

  • @BrendaC-fj3yx
    @BrendaC-fj3yx 9 місяців тому

    Well, watching how the puddles of sweat just dried up within 48 hours was so satisfying, I used what I read about the other day. Although it actually took about 72 hours for my sweating to normalize, I went ahead and go'ogled the latest by Cynthia Yulesin and I don’t have to change clothes 2 times a day.

  • @DCGreenZone
    @DCGreenZone 9 місяців тому

    >>Undetectable levels of Prostate Specific Antigen (PSA) have been reported from the first patient with metastatic castrate-resistant prostate cancer (mCRPC) to ever receive two cycles of Clarity’s 67Cu-SAR-bisPSMA at the 8GBq dose level. PSA is a marker of tumour burden, clinical response to treatment and an indicator of the recurrence of disease for prostate cancer.<<

  • @kathygillman5450
    @kathygillman5450 9 місяців тому

    The UK is miles ahead of neuroendocrine cancer. I too am matastic colon primarynto.liver and lymph node. But I'm US so little research has been done

  • @kathygillman5450
    @kathygillman5450 9 місяців тому

    Does anyone suffer from uncontrollable diahrea? I am ready to quit

  • @donsmith4044
    @donsmith4044 9 місяців тому

    Deja vu! I'm a retired physician who had diarrheal symptoms as a registrar, had a colonoscopy and told I had IBS. That went on for years, in the days before body CT, MRI and so on. Despite that I managed to get through Commando training aided by imodium or codeine. I had another colonoscpy in Canada when I was working there doing my MD thesis. Again, normal findings, but on the table I had a severe sweating episode while they wrestled yo get round the hepatic flexure. Knowing what I know now that was a carcinoid crisis. What was the BP? No idea. No one took it, but 60/? I would guess. And so it went on, I lived with IBS jntil the flushing arrived, along with abdo pain due to Superior Mesenteric Vein thrombosis. Urinary 5HIAA was unimpressive but as I was getting no where I like you went private, but at the Mayo Clinic in Rochester MN. Diagnosis, Carcinoid as I thought but which no one else believed as I had no major liver secondaries. On return home I had an octrescan than was positive and then an excision node biopsy. Carcinoid, but very low mitotic rate. I had the diagnosis for 21 years now. The primary is in the coeliac plexus surrounded by a mass of fibrosis which compromised the clockwork - SMV, ..Thankfully the SMA is OK. I've had three fractions of PRRT with Lu177 and as I'm syndromic again I'll be having two more very soon. Did I ever see my clinical kingfisher in practice? Yes! Sometimes it was getting very close to home, but in a DGH I was the best equipped to deal with the urgencies and refer them. In fact, among my cases were two medical colleagues who had carcinoid detected and removed at appendicectomy; one was my houseman for a while as well. There is plenty more I could tell you but I'll save that for another day. Best of luck with your carcinoid. Don