@gilley
Welcome to the forum and sorry to hear about diagnosis of your sister- in-law. Depending which pancreatic center of excellence you are going to it can take time initially to get started. I live in Southern California and was a stage 2 at diagnosis where tumor was approximately 2.7 cm with 1 lymph node affected. I was able to receive surgery. I took the lead and scheduled my CT, PET, and ERCP biopsy) within 2 weeks of my ultrasound which showed the tumor. I was assigned a surgeon and had my surgery a week after my testing was completed. Atypical from most cancer patients, I wasn’t assigned an oncologist until after I got out of the hospital after my surgery and complications which was at least 1 month after my surgery. I didn’t know enough at the time to even ask for an oncologist from day 1. Please state city and state where relative is getting treatment and others on this site can recommend additional places where care could be considered. Chemo might be the next step. Best wishes on this journey and so kind of you to be concerned about your sister in law.