Welcome @burta3. You will also be interested in this recent discussion to which I have moved your question. Click the link to read previous posts as well as the helpful posts you have received thus far
- Where is best place to go for second opinion for stage 4 pancreatic?
https://connect.mayoclinic.org/discussion/where-is-best-place-to-go-for-second-opinion-for-stage-4-pancreatic/
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I agree with @wjk, that your location and your mother's ability and desire to travel are important considerations when choosing a center of excellence for pancreatic cancer. In Canada, you have several premier options like the Princess Margaret Cancer Centre in Toronto, Tom Baker Cancer Centre in Calgary, BC Cancer Agency in Vancouver, etc. I'm tagging a few fellow Canadian members like @naomicanada @waiting84 @krfinlayson @nunz12 to share their experiences with getting care.

As you can expect, I recommend Mayo Clinic should you wish to consider care in the US.
The Mayo Clinic Comprehensive Cancer Center has held its National Cancer Institute (NCI) cancer center designation since 1973. All 3 campuses in Arizona, Florida and Minnesota are ranked among the Best Hospitals for cancer by U.S. News & World Report.

- Pancreatic Cancer Care at Mayo Clinic https://www.mayoclinic.org/diseases-conditions/pancreatic-cancer/care-at-mayo-clinic/mac-20355431

You can call Mayo Clinic to talk to an appointment coordinator to learn more about seeking care. To get started: http://mayocl.in/1mtmR63

And to address your other question: YES, there is hope. I'm sure you are reeling from this news and have many questions. I look forward to helping you get answers from others who have walked this path before you. Keep asking questions. 🙂