Hello Beth. Thanks so much for responding to my post. A bit more about my experience.

First time around, I began treatment November 2019 to April 2020, through a global pandemic! I had to close my practice and basically had to quarantine the entire time. So much loss.
Chemo meds for PC , (which I could not tolerate and ultimately and did not complete) were Fluorouracil, Oxaliplatin, Irinotecan on chemo days and 48 hour pump with Fluorouracil. SBRT radiation for pancreas and the new lung cancer that showed up.

I did have genetic testing and results showed a defective ATM gene which is a marker for breast cancer (which I've had twice), thyroid, lung and PC. All of which I have had. It's also a marker for liver cancer, which I've managed to avoid so far. The genetic testing was very helpful in understanding the why, but was equally devastating as I looked forward to the future.

I get it when people speak about quality of life. This has felt like a sucker punch.

The chemo meds now are Gemcitobine, and Abraxane. Although side affects are not as intense, they are nonetheless dibilitating.

I've decided to discontinue chemotherapy and will meet with my oncologist tomorrow to explore next steps.

The relief I feel is liberating. My husband supports me 100% and, at the same time, feels incredibly sad.

My next challenge will be sharing this decision with family and friends. We don't have children. I'll probably need some advice as to how to approach them with this.

Thanks for listening and I wish you all the best Beth. With gratitude, Breki.