I got a second opinion and this doctor recommends the same treatment.
What this doctor did differently is that he explained procedure using graphics and why this or that had been. He showed me and answered that What ifs? He ended with telling me that there have been people with multiple carcinoids in their bodies and they do not seek treatment and live long lives.
I chose to not get surgery and no chemo or radiation. He agreed to monitor this and my GI doctor also jumped on board. Let's see what it looks like next year and in five years