A second opinion with a Pancretic specialist is always the best course of action if she was considering surgery, Dr. Douglas Evans at Freter’s in Wisconsin is the best pancreas surgeon in the United States. He does second opinions for free on Zoom. This certainly needs to be considered, you said the liver function Was off, but you didn’t say metastasis that needs to be considered if you have metastasized or meeting your wife that probably take surgery out of the question.