Pam Moffit, 5-year stage IV lung cancer survivor
“It’s all been up to me. I have six different doctors right now, but no one directs me from point A to point B.”

Pam Moffitt is a 5-year survivor of stage IV non-small cell lung cancer from Sioux City, Iowa. In the fall of 2003, Pam visited Mayo Clinic after suffering through another sinus infection. Several tests confirmed that what was thought to be pneumonia turned out to be an 8 cm tumor – the size of a large lemon – on her left lung.
Pam immediately underwent mediastinal surgery to remove lymph nodes in her chest and beneath her breast bone. After the surgery, Pam endured an additional thoracic surgery, 32 consecutive rounds of radiation, three consecutive rounds of chemotherapy, and numerous tests and procedures. In all, Pam was in active treatment for about nine months.
Upon completing the grueling treatment regimen, Pam continued on with her life as a survivor – but like so many survivors, she didn’t have any kind of care plan. She hadn’t received a written summary of her treatments and wasn’t sure what to expect post-treatment. Thanks to the encouragement of a good friend who was also an oncology nurse, she knew to ask her doctors specific questions about post-treatment procedures. She was also advised to get copies of every written document she could: appointment cards, medical bills, lab test and scan results. Pam took it upon herself to chronicle her treatment by filing all of the documents into a photo album journal.
Regardless of Pam’s efforts to create her own piece by piece treatment summary, she was unaware of the extent of post-treatment health issues she would soon encounter. Pam was surprised to find she was anxious and depressed, so she began taking anti-depression medication. She also experienced problems with her thyroid function as a result of the radiation, and she continues to experience left arm pain where one of her cysts was removed.
Pam’s story demonstrates the value of exercising self-advocacy to do the research and speak up about one’s treatment. “I knew to ask for tests that I thought were important,” she says. But coordination between the doctors from Mayo Clinic and her local hometown cancer center has been difficult. “It’s all been up to me. I have six different doctors right now, but no one directs me from point A to point B.”
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