I agree that Dr. Del-Castillo looks highly experienced. I have not had any treatment like this; I do not qualify for surgery or any type of radiation, so chemo's my thing, which means please take what I'm saying with a grain of salt. I think of all the things you've mentioned, it's your statement that "Then they want to stop chemo for 3 months to see if I have any spread of the cancer. If no spread they will schedule my surgery." I do see that you amended that timeline in a later post, so it sounds like you might be off treatment altogether for seven weeks, if I'm figuring correctly. Either way, that treatment gap would scare me. Pancan is extremely virulent, and it wouldn't take much to give it the opportunity to spread silently while you're waiting to see whether it spreads. Does your MD plan to track progress during those months--for example, with CT scans, CA 19-9 tests, etc.? Will he change course if those assessments show the disease is progressing? Also, do you have information on blood vessel involvement? Your main tumor is in the body of the pancreas, which is where mine is. Mine has wrapped around some blood vessels, which makes surgery impossible. I just wondered what your situation was.