Nerve tissue involvement is inevitable. My margins were clear also, and if they are really clear, as in my case, then no subsequent growth occurred at the surgery site. The side effects from Gem/Abraxane are not bad except for the fact that I lost my hair and eyelashes and eyebrows, but I see that as a small swap to pay for being able to live a few more months or years in this life. Some nausea, but just stick to foods that are easy on your digestion the day of finishing your chemo treatment (soups, yogurt, protein shakes, etc). Some tiredness so just take it easy for a couple of days, but after that be sure to walk a bit to keep up your stamina. Drinks lots of water after each treatment to flush the toxins out of system and to keep dehydrated as constipation isn’t fun, other than that immerse yourself in fun activities or even a bucket list and enjoy life!