Over the years I've read posts here about having a major cancer center give treatment direction to a local cancer center or oncology practice. How do you do that logistically? Is it a common enough practice that everyone just goes along with it? I have started seeing a second oncologist - a GI cancer specialist - at a major cancer center. For the moment, I'm in a holding pattern, a wait-and-watch mode. If the cancer become active, some thinking outside the box will likely be required because I've developed resistance to all the "standard" treatments that will work with my genetics. Receiving treatment at the major cancer center may not be financially feasible for me because of insurance complications. I don't want to be an alarmist but I want to be prepared if the worst happens. How do I convince the major cancer center oncologist to agree to lead the team without providing the actual treatment, and how do I convince the local hospital/oncologist to provide treatment (infusions, radiology) but not direction? I guess I'm expecting push-back. It becomes more complicated (at least to me) because the major cancer center and the local cancer center are actually both "local".
Thanks in advance for any help.