Similar situation. Diagnosed in April and told we could have treatment a few miles from home. An Anecdotal lesson is to keep in mind the MRI equipment at DF is far superior to that of a local hospital. I expect the same is true of CT scans. Unfortunately, we did not realize that the 10 rounds of Folfirinox was ineffective until the DF pathology report came back after the DF Whipple.
Perhaps we would have been able to switch treatment months sooner If DF was in charge. Unfortunately, we had an overly optimistic local oncologist who guessed at shadows with the CT scanner radiologist—neither were pancreatic specialists. Local oncologist suggested my husband was NED! Too cavalier to read pathology report showing out of 31 lymph nodes were involved. Spouse is back in Boston for weekly treatment for another 6 months.