As a stage 4 survivor I emphasize with all who have this challenge and especially those who are close to the patients. Everyone in my immediate family died from various cancers, and I have experienced five types thus far, and there is suspicious activity in my lungs. Some of the chemo meds have been cardio toxic. But, I am here and living a good and active life at age 81. If I may offer my "secrets"..... I start every day by giving thanks for another day of opportunity. I am blessed with a great medical team. I pushed myself to get in good physical condition prior to Whipple (Feb 2022). I continue to exercise every day. I follow the optimum diet for pancreatic. I play an active role in my treatment. I'm on chemo for possibly the rest of my life. I stay hydrated (difficult to do!) Crazy perhaps, but I talk to my body. I refuse to give up. Because of all the advances in cancer treatment I know if I can "hang on" for another 4 years there will be an actual cure!