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Living Better With Neuroendocrine Cancer: Understanding Palliative Care.

June 1, 2026

By Anne Dabbs, 
NCAN TN Support Group Leader, NET Patient

The longer I live with my Neuroendocrine Cancer diagnosis, the clearer my desire for a Palliative Care team becomes.

Palliative Care and Hospice Care are two very different forms of support, though they are often misunderstood and mistakenly used interchangeably.

Hospice care is specifically designed for individuals nearing the end of life. Disease-directed treatments are typically stopped, and the focus shifts toward comfort, symptom management, and quality of life.

Palliative Care, however, is intended for people living with serious or chronic illnesses at any stage of their medical journey. Cancer, especially NET cancer, is a prime example of a condition that may benefit from palliative care. Unlike hospice, palliative care can occur alongside treatments intended to manage, stabilize, or even cure disease.

A Palliative Care team helps both patients and families navigate the physical, emotional, and practical challenges of chronic illness while working to improve quality of life.

That team may include a palliative care physician, nurse, or nurse practitioner who helps coordinate care, manage symptoms and medications, and provide patient education. Depending on a patient’s needs, specialists such as dietitians, nutritionists, speech therapists, physical therapists, or occupational therapists may also become part of the team. Pharmacists can assist with balancing medications while monitoring for side effects and drug interactions.

Case managers and care coordinators are also invaluable members of a palliative care team. Social workers may help patients and families navigate counseling services, community resources, insurance concerns, financial issues, or discharge planning after lengthy hospital stays. These professionals often become an important bridge between patients and the accessibility of their physicians.

The idea of a Palliative Care team serving almost as an administrative assistant for my NET cancer and multiple comorbidities is incredibly appealing.

Help managing mail-order prescriptions, coordinating scans and tests, tracking appointments, and reducing the endless time spent on hold with medical offices would dramatically improve my quality of life. Imagine having a dedicated professional available to discuss the realities of living with chronic illness and work collaboratively toward practical solutions.

More hospitals and healthcare systems are beginning to embrace the value of palliative care for chronically ill patients, but many patients still need to initiate the conversation themselves.

Unfortunately, palliative care continues to carry misconceptions because people often confuse it with hospice care. Some physicians may also hesitate to introduce the topic for fear of alarming patients.

Your medical facility likely has a Patient Advocacy Office that can help connect you with local palliative care resources. While online research can be helpful, taking the time to investigate local programs and services may provide the best results. Many insurance plans, including Medicare, offer some coverage for palliative care services, though coverage should always be part of your research.

A Palliative Care team helps manage the business of living with chronic illness so you have more time and energy to focus on the business of living.

At NCAN, we also want to be part of your NET cancer team and help you live the best life possible while living with NET cancer. Remember, We are Here. (For you.)

 

Disclaimer: NCAN blog posts are the opinions of its writers and are not intended as a replacement for medical advice. Please consult your Health Care Providers for individual concerns.

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The Reality of Scanxiety And Ways To Manage It.

May 1, 2026

By Anne Dabbs, 
NCAN TN Support Group Leader, NET Patient

Attending multiple NCAN regional conferences offers attendees the ability to stay informed about current developments in research and treatments. Repeat attendees frequently share how previously learned basic nets information becomes clearer and more relevant to their understanding each time they hear the specialists tell the facts in slightly different verbiage than before.

In this same spirit, this month’s NETS TALK is a repeat from June 2022. The topic?: Scan anxiety. Three separate conversations with NET friends in recent weeks prompted me to share these helpful hints once again as a refresher course for some and new encouragement for others. We hope you find the notes helpful!

Also, Don’t forget that our next regional NCAN conference will be Saturday, June 6, 2026 in New Orleans. Details, and Registration information  for this upcoming event can be found HERE. And always remember, We’re HERE. (For you.)


The Reality of Scanxiety And Ways To Manage It.

“Take My Breath Away”
“Every Breath You Take”
“The Air that I Breathe “

These were 3 of the songs which played through my headphones during my recent MRI scans.

Scanxiety is a relatively common buzz word in our Neuroendocrine social media sites. Is it real? Is it silly? How do I deal with it?

Scanxiety Can Be Divided Into Two Camps:
Those who are anxious about the results of the scans and those who are anxious about the actual scan itself. Both are valid concerns and both can be managed.

For those who fear the results, educating yourself about the needs for the scan and the possible outcomes can help manage anxiety. Good communication with your medical team is paramount and can lead to a confidence in their willingness and ability to guide you on your NETs journey, whatever results the scan may bring.
Trusting that they are always working in your best interest can lead to a sense of peace.

For patients who struggle with the scans themselves, the cause of angst and the solutions can be quite varied.

A CT scan for many is simply a matter of inconvenience. The dreaded Contrast drink before hand, the waiting, or the multiple images that might be needed, are typically not cause for great angst, just a seemingly major time drain.

A recent advent of several Radio-tracer scans are a source of protocol unfamiliar for many NETs patients. These uncertainties can be alleviated by a phone call to the facility and a short conversation with the nuclear medicine technicians. The scans themselves are fairly quick and typically uneventful.

MRI scans, however, can be a monumental source of anxiety for many patients. Claustrophobia is real and often times, not pretty.

 

If You Struggle With Claustrophobia Here Are 5 Tips That Can Help:

1) Educate Yourself.

Call the radiology department to ask which type of MRI machine has been reserved for your scan. Ask about the availability of an open MRI machine or a Wide Bore MRI machine. Policies on being sedated may vary between facilities so make sure you know those options and arrive prepared.

An Open MRI machine is not a narrow tube and should not cause any claustrophobic emotions. A Wide Bore Machine is still a closed tube, but it’s opening diameter is approximately 70cm as opposed to the 50-60 cm diameter of a regular machine. 10cm is a huge difference in my claustrophobic mind!

The technicians are typically happy to answer any questions (even the dumb sounding ones) to help reduce your anxiety; it makes their job easier once you arrive.

 

2) Dress Comfortably and Don’t Be Rushed the Day of Your Scan.
Follow all dietary restrictions (they will vary between facilities) and plan a reward afterward.

 

3) Once You Are on the TABLE, Get Comfortable.

Let the technicians position you with pillows and wedges as needed. Ask that your arms be “swaddled” next to your body (or over your head) so that you can relax slightly without fear of brushing up against the tube walls. Ask for folded sheets to be placed under your arms to help keep them cushioned. Close you eyes BEFORE the table begins to move. Keep them closed the entire time, period. You can also ask for a small cloth to be placed over your eyes, if you prefer. Remember to breath through your nose, not your mouth.

 

4) Listen to Music.

Hopefully your facility has provided headphones with your musical choices to help muffle the loud noises. To distract yourself, count the songs. A typical radio selection lasts 4 minutes. Keep track on your right hand of the number of songs and use the left hand fingers to track the sets of five. This will allow you to track the length of time passed somewhat accurately without asking “are we done yet?” every 5 minutes.

 

5) Thank Your Technicians.
Genuinely and often. An attitude of gratitude goes a long way for the patient and the technicians. Your good experience is dependent upon their job performance.

If our goal is to live well with Neuroendocrine Cancer, we must accept the necessity and inevitably of scans and tests. This is an opportunity for a NETs patient to be a team player with their medical advisors. Increasingly, our Neuroendocrine specialists are relying on scans more than lab work to diagnose and manage this disease. If we expect them to perform their best for us, we must be willing and able to give them our best efforts as well.

We hope you will visit the NCAN Glossary to familiarize yourself with the variety of scans and their purpose or better yet, join us at an upcoming NCAN Patient Conference. Other Resources and Links for managing the emotional challenges are available as well. Remember, we are a phone call away and we are here to help.

 

Find out more about how YOU can help the NET Community.

 

Disclaimer: NCAN blog posts are the opinions of its writers and are not intended as a replacement for medical advice. Please consult your Health Care Providers for individual concerns.

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