Hello mchris327. I am sorry to hear and is understandable to be overwhelmed. I am a 10 year survivor and was fortunate to get good care right away. Sure there are challenges being in a small town so you will need to get some referrals. PanCan ( Pancreatic Cancer Action Network is a wonderful resource so maybe contact them. I am sorry you are dealing with this but there is hope. My best to you in your journey!