NETS

3 wishes for NET Cancer Day 2026

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When I was first diagnosed with neuroendocrine (NET) cancer in 2013, it was considered a rare disease. That’s no longer the case. As the fastest growing class of cancer worldwide, it’s no longer rare, but sadly, it’s still not well known and it’s often overlooked.

As a patient, an advocate, and a support group leader, I have 3 wishes on this World NET Cancer Day.

Neuroendocrine cancer is an uncommon disease with common symptoms. Many health care professionals have never seen a case and know little or nothing about it. In order to achieve early, correct diagnosis for every patient, I wish that every primary care physician knew and understood the symptoms of this complex disease. When they are presented with stomach pain, it makes sense for them to suspect gastritis (inflammation of the stomach lining), but we also need them to wonder if it could be neuroendocrine cancer. When the stomach pain is accompanied by severe diarrhea, irritable bowel syndrome is a definite possibility, but we also need the doctor to be aware that it could be NET cancer. When a woman complains of facial flushing, rather than simply assuming that it’s due to menopause, we need her doctor to ask himself if it could be NETS. Depending on the location of the primary tumour, other symptoms may include nausea and vomiting, rapid heartbeat, anxiety, skin rash, shortness of breath or wheezing, lack of appetite, unexplained weight loss and/or lack of energy. I wish that every health care professional knew this.

When reporting on individuals with NET cancer, I wish that the news media would get it right. I wish they knew what NETS is NOT. That would help a lot in increasing awareness of this disease. Neuroendocrine tumours are cancers that start in neuroendocrine cells, hormone producing cells found in many locations throughout the body. This cancer can develop in almost any organ but it most commonly occurs in the gastrointestinal tract, pancreas, or lungs. It very often metastasizes to the liver. Here’s the part that people often misunderstand and that the news almost always gets wrong… a NET in the colon is NOT colon cancer, a NET in the lung is NOT lung cancer, a NET in the pancreas is NOT pancreatic cancer, a NET in the liver is NOT liver cancer. In spite of what was reported, Steve Jobs and Aretha Franklin did NOT die of pancreatic cancer. They both died of neuroendocrine cancer.

Thirdly, I wish that patients across Canada and around the world had equal access to diagnostics, treatment, and support. I’m fortunate to live two and a half hours away from one of Canada’s leading cancer care centres which has a multi-disciplinary team dedicated to providing comprehensive and up-to-date NET cancer care. Many, even within my own country, are not so fortunate.

And now, on a personal note, I’ll share a NET cancer wish that came true for me recently. A little over two and a half years ago, I had a radioembolization to destroy a neuroendocrine tumour on my liver. Almost a year ago, I had an ablation to burn off another one. Ever since the embolization, I’ve been going for a CT scan every three months. I wondered if that would ever change. The results of the last couple of scans looked really good though, so at my last follow-up appointment I asked my oncologist if he thought I’d ever be able to go longer between scans. I suggested maybe four or five months. He looked at the radiologist’s report again and said, let’s do six this time! That was definitely a wish come true! I don’t have another CT scan until March and right now that feels almost like a holiday!

Zebra stripes for NET cancer awareness

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It’s been awhile since I’ve written much about fashion, but having done my seasonal wardrobe switch in mid October, having been fairly ruthless about getting rid of things that should no longer be taking up closet space, having done some reorganizing of said closet and drawers, and having done a wee bit of shopping, I’ve discovered a renewed interest in fashion blogging! I don’t know how long it will last, but I do have a few new ideas to share with you.

Today, I’m going to show you my most recent purchase and tell you why I bought it.

I needed another sleeveless top like I needed a hole in my head, especially at this time of year with winter’s intense cold just around the corner, but when I saw this one in our local consignment store, I knew it was meant for me.

Why?

Because November is Neuroendocrine Cancer Awareness Month and the zebra is our symbol. Medical students are often taught “when hearing hoofbeats, think of horses, not zebras.” Neuroendocrine tumours (NETS) are very difficult to diagnose. The symptoms are usually vague and similar to more common health problems. Many primary care physicians have never encountered a NETS patient so when they’re presented with symptoms like stomach pain, wheezing, diarrhea, or facial flushing they naturally think of more common causes. They think of “horses”, but neuroendocrine cancer is a “zebra”.

There’s actually a great debate in neuroendocrine cancer circles over the use of the zebra as our symbol. Some, including the world’s best known and most highly revered patient advocate, think it’s an infantile gimmick that trivializes the grave nature of our disease and that it’s actually detrimental as an awareness tool. Others of us disagree feeling that we need to take advantage of every available opportunity to draw attention to our cause and if that includes zebra stripes, so be it.

I don’t actually wear zebra stripes very often because they’re usually black and white, colours that don’t flatter my complexion. Worn near my face, they leave me looking sickly which isn’t a good look for anyone and definitely not how I want to be seen. My new top works because the cream and brown offset the harshness of the black which also has a fine gold sparkle in it that doesn’t show in the photos.

Although a sleeveless top might not be the best choice for a Canadian winter, it makes a good layering piece under a jacket or a cardigan. Here I’m wearing it with my 10-year-old Shirttail Cardigan from cabi, a workhorse in my wardrobe that still looks as good as the day I bought it.

Another cancerversary & another health update

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I think 13 must be my lucky number today!

Zebra-striped number 13 standing in a grassy savanna

Today it’s been 13 years since I was told that I had stage 4 colon cancer. Thankfully, what sounded like a death sentence at that moment turned out to be stage 4 neuroendocrine cancer (NETS) that originated in my intestinal system. That’s a completely different diagnosis and one that usually has a much better prognosis. It’s incurable, but it’s treatable and so far the various treatments that I’ve had as well as the injections that hubby gives me every 28 days have been keeping it successfully under control.

The fact that I’ve survived this long and that I’m what a fellow NET patient recently referred to as a “healthy sick person” actually has very little to do with luck. Ultimately, God has my health in His hands, but He has chosen to place me in the care of a large team of amazing medical professionals. I am monitored at least every 3 to 4 months and sometimes more often depending on what’s going on.

The most recent blood tests results that I’ve seen all look okay. A few of them are flagged as abnormal, but not alarmingly so. I’ll have my next CT scan on Monday and I’m leaving on another short term missions trip the following day! Even if something nasty and unexpected shows up on the scan, I know this slow-growing cancer well enough by now to know that a couple of weeks away won’t make a difference. After all, I’d probably had it for 10 years by the time it was discovered and even then my diagnosis was delayed by 6 months when the doctors who saw it on an ultrasound and a CT scan that I had while teaching in China didn’t know what they were looking at.

I also attribute my survival and my well-being to all the research that has been done and continues to be done into the cause, treatment, and hopefully someday a cure for this particular cancer. That’s why I’m still walking or hiking at least 5 days a week as part of our annual Hoofing It fundraiser for NET cancer research. Unfortunately, it isn’t going as well as in previous years. So far, I’ve only raised $350 of my $1300 goal ($100 for each of the years that I’ve been fighting this disease) and overall, we’re less than one-third of the way to our $60 000 goal. If you would like to help, please click here to visit my fundraising page. Every dollar helps and every cent goes to research.

HOOFING IT again!

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Once again, HOOFING IT, the annual CNETS (Canadian Neuroendocrine Tumour Society) fundraiser for NET cancer research, is up and running. Between June 1st and September 30th, 2026, the Canadian neuroendocrine cancer community will be working together to raise $60,000 to fund research grants! I wasn’t actually planning on participating this year as I really hate asking the same people for money again and again, but then I read about the recipients of last year’s grants and I was reminded just how important this campaign is. Without the research that led to the various treatments that I’ve received over the past 13 years since I was diagnosed with NETs, I probably wouldn’t be here today!

Once the shock of being diagnosed with a little known and poorly understood cancer, for which there is no cure, wore off, it became important to me to do what I could to raise awareness of the disease and to advocate for more research and greater access to improved diagnostics and treatment. I also believe that no one should have to fight cancer alone. That’s why I co-lead the Alberta NET patient support group and why I’m once again HOOFING IT to help raise funds for NET cancer research! 

 

In addition to raising money to fund much-needed research, the HOOFING IT campaign also encourages participants to be physically active. There is a component to the program that allows us to track a wide range of activities and to earn points for them. Some patients aren’t well enough to engage in physical activity though, so that part of HOOFING IT is entirely optional. Personally, I’m not concerned with tracking my activity or earning points. My goal is to walk or hike at least 5 days a week until the end of September and to raise a minimum of $1300, $100 for each year that I’ve been fighting this cancer.

That’s where you come in! If you’re able, I’m hoping that I can persuade you to visit my fundraising page and make a donation. Charitable donation receipts will be issued for all donations of $20 or more, but no amount is too small! Every cent that is received will be directed to neuroendocrine cancer research. We need to know what causes this disease. We need better diagnostics, more effective treatments, and ultimately, we need to find a cure!

Brave or resilient?

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As a cancer patient, I’ve often been told that I’m brave. I know that people mean well, but that descriptor has never sat very well with me. To me, brave is the firefighter who enters a burning building to save lives or the person who jumps into deep water to rescue someone in danger of drowning. Bravery is defined as the mental strength to face danger, fear, or difficulty. It’s often impulsive or heroic. That doesn’t describe me or my thirteen year journey with neuroendocrine cancer.

Recently, a person whose opinion I value highly told me, “You’re so resilient!” and that word rang true to me. Resilience is a long-term process best described as the ability to endure, adapt, and survive adversity and recover from difficult experiences.

Those who know me well know that I’m a self-professed word nerd. Words matter to me. For more than a decade, the word stable, as in “no evidence of new or progressive disease” which was the final line on my latest CT scan report, has been a favourite word of mine. Now resilient has become another favourite!

So, how does a person build resilience? Becoming resilient is a lifelong process, not a one-time event. Life is rarely easy for anyone. Most of us experience a variety of difficult and upsetting events and circumstances over our lifetimes and I’m certainly no exception. Long before I was diagnosed with cancer, I endured a series of other tragedies and traumas, including the loss of a preschool daughter to leukemia. In each case, I chose to keep putting one foot in front of the other and living life to the fullest extent possible. That wasn’t easy, it wasn’t brave, and I couldn’t have done it alone, but it did help prepare me for life with an incurable cancer. I learned to accept circumstances that I couldn’t change and I also learned to depend on the God who loves me and who promised to take care of me.

In 2 Corinthians 4:8–9, the apostle Paul, who suffered many hardships, wrote “We are hard pressed on every side, but not crushed; perplexed, but not in despair; persecuted, but not abandoned; struck down, but not destroyed.” That’s resilience!

Saying yes to the unexpected

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From time to time over the years, I have experienced the joy that comes from saying yes to the unexpected. While it’s easy to stay within what’s predictable and familiar, saying yes often requires us to step out of our comfort zone and stretches us as a person.

In mid December, I received an email from the president of CNETS (the Canadian Neuroendocrine Tumour Society) asking me if I would be interested in sharing my patient story at a pharmaceutical company gathering in Kananaskis on January 20th. While I seldom give an immediate response to an unexpected request, preferring to give myself time to think about it first, I knew right away that this was something I wanted to do. Since there was nothing on our calendar to prevent me from saying yes and since we could also combine it with a weekend visit with our daughter’s family on the way, I sent off a quick reply saying yes to this unexpected opportunity. I will admit that the location in the beautiful Rocky Mountains of southwest Alberta was an added incentive!

The event was held in the Black Diamond Club, an exclusive “hotel within a hotel” at the Pomeroy Kananaskis Mountain Lodge, and we were provided with one night’s luxury accommodation there. Here’s the beautiful view from the window of our room early Tuesday morning.

The group that I would be speaking to on Tuesday was made up of approximately 20 individuals from across the country plus a member of the company’s legal counsel from the US. We were invited to have dinner with them on Monday evening and by the time we’d spent a couple of very relaxing hours over a delicious meal together, I felt so comfortable with them that any nervousness I might have felt about sharing my story had completely evaporated. They have an unwritten rule that when they assemble in person they don’t discuss politics or religion, probably very wise considering the state of the world that we live in today. Instead, conversation around the table ranged from families to food to travel and a variety of other topics. After dinner, hubby and I relaxed in the outdoor hot tub before retiring for the night.

The following morning my story was very well received. As the producers of a generic version of a medication that is commonly used by neuroendocrine patients, they wanted to hear about my journey to diagnosis, my treatments, and what it has been like living with NETS (neuroendocrine cancer), as well as what tools or support services might be helpful to the NETS community. I was impressed by the fact that  they were very interested in learning about the disease from the patient’s perspective. There were audible gasps and even a few tears, but also moments of laughter as they hung on every word. My half hour talk was followed by a question and answer period during which they asked some very insightful questions and expressed their appreciation for all that I shared.

Once again, saying yes to the unexpected was a very rewarding experience and one that I’d be happy to repeat. When we take a chance and step into the unknown, we have the opportunity to make new connections, discover new strengths, and open ourselves up to unexpected rewards. I believe in embracing life and living it to the fullest, so I hope to have more opportunities to say yes to the unexpected!

The great zebra debate

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There’s a great debate in neuroendocrine cancer circles over the use of the zebra as our symbol. At one extreme are patients, usually women, who show up at meetings and conferences decked out from head to toe in zebra stripes and who refer to one another as fellow zebras. On the other side of the debate, the world’s best known and most highly revered patient advocate is so opposed to the idea that he doesn’t allow anything zebra on his social media sites. He thinks that it’s an infantile gimmick that trivializes the grave nature of our disease and that it’s actually detrimental as an awareness tool.

So, how did the zebra become our symbol in the first place? In North America, medical students are taught “when hearing hoofbeats, think of horses, not zebras.” Neuroendocrine tumours (NETS) are very difficult to diagnose. The symptoms are usually vague and similar to more common health problems. Many family doctors have never encountered a NETS patient so when they’re presented with symptoms like stomach pain and diarrhea, they naturally think of things like Irritable Bowel Syndrome, Crohn’s Disease or lactose intolerance. They think of “horses”, not “zebras”.

When it comes to the great zebra debate, I stand somewhere in the middle. I think we need to take advantage of every available opportunity to draw attention to our cause and if that includes zebra stripes, I’m fine with that. After all, branding works. For example, the pink ribbon and the colour itself have become highly recognized symbols of breast cancer. While you’ll never see me wearing zebra stripes from head to toe, partly because I think it looks silly and partly because I don’t look good in black and white, I do have a zebra striped top in cream and brown and on occasion, wearing it has led to a conversation about my cancer.

Although within weeks of learning that I had neuroendocrine cancer, I wrote a blog post entitled I’m a zebra!, I’ve now joined the ranks of those who cringe at being called that. Referring to ourselves as zebras makes it sound like we’re part of an exclusive club or a cult! Zebra refers to a diagnosis, not a person. While I have NET cancer, I am not my disease.

In my advocacy role and as a support group leader, I work with patients on both sides of the great zebra debate. I would really like to know your opinion. Do you think that symbols like the zebra and the striped ribbon can be effective in spreading awareness of a disease? Or do you think that they’re silly and make light of an important topic? Please leave a comment and let me know.

And, in closing, although it has very little to do with today’s topic, I can’t resist sharing the cover of the January 15, 1926 issue of Vogue magazine!

NET Cancer Day 2025

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Once again, today is NET Cancer Day. November 10th is a day set aside to increase awareness of neuroendocrine cancer and to promote improved diagnostics, treatments, care, and research, but for those of us who live with the disease, every day is NET Cancer Day.

Here are a few alarming facts that point out why a day like today is vital:

  • Over 90% of all NET patients are incorrectly diagnosed and initially treated for the wrong disease!
  • The average time from onset of symptoms to correct diagnosis often exceeds 5 years!
  • Over 50% of NET patients are already at stage 3 or 4 when diagnosed!
  • Many primary care physicians are unfamiliar with NETS and some still falsely believe that it isn’t even cancer!

These are just some of the reasons that I have become involved in patient advocacy over the past couple of years. Once considered a rare disease, NETS has become the fastest growing class of cancer worldwide. Although the reasons for this aren’t fully understood, it’s likely due to increasing awareness and better diagnostics.

In addition to my role as a member of the CNETS (Canadian Neuroendocrine Tumour Society) Advocacy Advisory Board, I’ve become actively involved in trying to improve the patient experience in a number of other ways. I had the opportunity to participate as a patient representative in an Ipsen project to design an injection toolkit to make the experience easier for patients who are newly prescribed the medication that I receive every 28 days. Ipsen is the pharmaceutical company that produces the drug.

Also, if you’ve been reading my blog you know that I participated in this summer’s CNETS “Hoofing It” fundraiser. With the generous support of many, including some of you who read the blog, we managed to raise over $40,000 for NET cancer research here in Canada. An additional bonus for me was the fact that the “hoofing it” that I committed to as part of this initiative got me out walking almost every day. Now that the campaign is over and the weather has turned cold, daily walking has become a habit and I’ve dusted off the treadmill in the basement so that I can keep it up over the winter!

Another big opportunity came my way earlier this year when I was asked to co-lead the CNETS Alberta patient support group that meets online once a month. This really was a big step for me as I’d never been part of a support group before! Every month I hear stories from patients who were initially misdiagnosed, who feel confused or unheard, whose symptoms have been minimized or dismissed as all in their head, who feel lost trying to navigate the health care system, or who don’t know how to advocate for themselves. More than ever, I’ve come to realize how badly we need to continue raising awareness and promoting better diagnostics, treatments, care, and research. One day a year just isn’t enough!

And now, on a more personal note, you may remember that in my 12 year cancerversary post at the end of August, I mentioned the latest tumour on my liver. A week from today, on November 17th, I’ll be having a CT guided ablation to destroy it. A needle-like probe will be inserted through my abdomen and into the tumour where it will deliver microwave energy to kill the cancer. This is done as a day procedure, but I’ll be required to stay in the city overnight in case of complications. I’m not sure what the recovery will entail, but hopefully I’ll be back on the treadmill before long!

 

My 12 year cancerversary!

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Yesterday was my 12th cancerversary. Twelve years have passed since I heard those dreadful words, “It’s cancer and it has already spread.” At the time, that sounded like a death sentence, but two weeks later we learned that I have neuroendocrine cancer (NETS) which, while not curable, can be treated and usually grows more slowly than most other cancers.

One of the things that I learned early on was how important it is for patients to advocate for themselves. Last Friday proved that point. When I saw my oncologist in mid July to discuss the results of my latest CT scan which showed that a small tumour on my liver had started to grow, he referred me back to the interventional radiology specialist who did my radioembolization in March of last year. He expected that I would hear something within a couple of weeks, but when we returned from our recent trip, more than a month had passed and I’d heard nothing. On Friday morning, I called and left a message asking for confirmation that the referral had been received and, if possible, an update on what was happening. In less than half an hour, I had an appointment to see the doctor during her noon hour on Monday! I can’t help wondering how long I would have had to wait if I hadn’t called.

We actually had to wait quite awhile to see the doctor on Monday because she was tied up in a procedure that took much longer than expected. When we finally got in, she did an ultrasound and wasn’t able to find the tumour. Unfortunately, that doesn’t mean that it isn’t there. It simply means that it’s in a location that isn’t easy to see. After discussing the fact that the tumour is quite small and that I don’t have any symptoms, we decided on a tentative treatment plan, but we aren’t actually going to do anything until after my next CT scan on September 26. This battle is really a balancing act. We don’t want to treat too soon because that can limit what we might be able to do in the future, but we also don’t want to wait too long and let the tumour get too large.

After twelve years of living with this, I’ve become much more comfortable with waiting. Rather than worrying about what might or might not be happening inside me or about what the future might hold, I’m simply going to go on living my best life right now!

Image: Surya Ali Zaidan

If you would like to help, I’m still fundraising for neuroendocrine cancer research. Click here to visit my fundraising page. Although I’m nearing my $1200 goal ($100 for each of the 12 years that I’ve been fighting this disease) the campaign is still far short of what we need to fund research grants for the coming year. We could really use your help!

No one fights cancer alone

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My cancer is on the move again and so am I. It’s been 5 years since I last participated in the annual CNETS (Canadian Neuroendocrine Tumour Society) Hoofing It fundraiser and I’m late to the party this year, but I’ve decided to get involved again.

It’s been 12 years since I was diagnosed with stage 4 neuroendocrine cancer (NETs). Once the shock of learning that I had a cancer that I’d never heard of and that I’d be living with it for the rest of my life wore off, it became important to me to do what I could to help raise awareness of this little known disease and to support fundraising efforts for research, better treatments, and patient support. If it wasn’t for the research that organizations like CNETS fund, I probably wouldn’t be here today, so this is definitely something that’s very close to my heart!

I don’t think I’ve mentioned it on the blog before, but several months ago I became co-lead of the CNETS Alberta Patient Support Group that meets online once a month. Every month I hear from patients and caregivers whose lives have been turned upside down by this disease. Some are newly diagnosed and looking for answers. Others have been battling this for longer than I have and some are ready to give up hope.

After 16 months of stability following the radioembolization treatment that I had in March of last year, my cancer is growing again. Another tumour on my liver has started to increase in size and I’m waiting to find out how we’re going to treat it. At this point, my other tumours continue to remain stable and the cancer hasn’t spread to any new locations, but this is definitely beginning to feel a bit like a game of Whack-a-Mole! We haven’t exhausted all the possible treatment options yet, but this new development has reminded me how important it is that research into new treatments continues to move forward.

In past Hoofing It fundraisers, participants kept track of how many kilometres they walked, hiked, biked, or paddled, but not all patients are physically capable of doing those things. This year points are being assigned for a wider variety of physical activities. I’m not concerned about earning points though. My goal is simply to walk or hike at least 5 days a week until the end of September & to raise a minimum of $1200.

The walking part is easy. I was already doing that before we went to Europe, but since arriving home last month, I’ve been a bit lazy. Hopefully participating in this endeavour will provide the motivation I need to keep moving.

The $1200 is where you come in! As my new t-shirt says, no one fights cancer alone. I’m hoping that I can persuade you to visit my fundraising page here and make a donation. No amount is too small! Every cent received by CNETS during this campaign will go directly to neuroendocrine cancer research. We need to know what causes this disease, we need more and better treatments, and we need to find a cure!