Sugergy 12/2017, haven't had bloodwork since & they won't let me

Or, as you said, go to an urgent care clinic, and get them to requisition the test.

Standard of care for breast cancer does not automatically include blood work, they can do it if they choose but many many don't. They do it if you are on chemo, but if they are just monitoring you, there's really no reason for them to check a panel of anything unless a symptom pops up. No one has drawn blood on me and I was diagnosed in 2016. Well, no, my primary care did and urgent care did for non cancer related things. But yeah, oncology and surgery are really only going to monitor for recurrence. I honestly don't think lack of blood work means the oncologist isn't any good. I was surprised by it myself, then looked up standard of care and saw that she was well within official guidelines.

Another thing to consider is that if a doctor orders a test, they are then responsible for treating it (or sending you on to someone else). An oncologist (or surgeon) isn't going to be too keen on ordering a nutrition panel that they aren't equipped to handle. I work with doctors and see this all the time. A specialist would rather you see primary care for things like that. Urgent care probably wouldn't want to do that either...it's not really their thing.

So I would recommend if you want routine blood work, go find a primary care doctor. Routine is what they do best. And since you don't have an oncologist, probably having a primary care that you trust would be a good idea.

I'm in the US. My primary care doctor orders blood work as part of my annual physical. This year, I think she did add liver enzymes. I asked her about calcium, cancer markers, etc. and she said there wasn't anything additional she would recommend at this point. My doctor orders them after the appointment, and then sends me an email to let me know if all is normal or if there's anything else to look into. My breast surgeon, who I think also has experience with hematology, does not recommend any different blood work for me - just the mammogram and MRI every year. The MO also did not recommend any additional blood work.

blah333, I don't blame you for being irritated that your PCP does not seem to be taking your health seriously. Cancer or not. "Only DCIS" or not. I think you should be able to see a PCP who will take care of your overall "non-cancer" health, preferably one who will listen to you! I hope you can find that person. I had "only DCIS" too (that phrase really rankles after a double mastectomy), but like you, I'm trying to do what I can to avoid a recurrence, or if it happens, to find it as early as possible. Plus, after this, I'm determined to address any other issues I may have. Please keep us posted.

blah: is there a Planned Parenthood in your area, where you could get that checked out? That sounds concerning and I would feel upset being ignored if I were in your place.