Update!
I am now post liver resection and pronounced NED! After the pancreadectomy the tumor board projected I had a window to resect the liver based on the success of the Y90 and quick recovery from pancreadectomy so I went for it.
Having a team that believes in you, being as healthy as you can be, and understanding the treatment will be a process-may be key factors in living a good life. Remember that stage IV is just a label. If you come into this healthy, there can be options.