Pancreatic Cancer Group: Introduce yourself and connect with others

Welcome to the Pancreatic Cancer group on Mayo Clinic Connect.
This is a welcoming, safe place where you can meet people living with pancreatic cancer or caring for someone with pancreatic cancer. Let’s learn from each other and share stories about living well with cancer, coping with the challenges and offering tips.

I’m Colleen, and I’m the moderator of this group, and Community Director of Connect. Chances are you’ll to be greeted by fellow members and volunteer patient Mentors, when you post to this group. Learn more about Moderators and Volunteer Mentors on Connect.

We look forward to welcoming you and introducing you to other members. Feel free to browse the topics or start a new one.

Pull up a chair. Let's start with introductions.

When were you diagnosed with pancreatic cancer? What treatments have you had? How are you doing?

Interested in more discussions like this? Go to the Pancreatic Cancer Support Group.

Profile picture for jimcaskowski @jimcaskowski

@cjcurtis
My husband just finished 5 rounds of the same chemo.
It's been rough. No nausea but extreme fatigue, general overall pain and terrible mouth sores. Hey was hospitalized twice with neutropenia.
PET scan schedule in 9 days to see how successful it's been.

Is your husband for 3 infusions/month for 3 months?

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@jimcaskowski My husband is receiving infusions 2 weeks on/1week off. It was initially to be 3 weeks in a row, but he had such a terrible time recovering from the first dose that his oncologist relaxed the schedule a bit. I’m not sure how long (how many cycles) are planned. I seem to recall a 12-week time frame being mentioned early on. Of course the treatment plan is always subject to change. I’m sorry your husband has had to be hospitalized. Sometimes it seems the cure is worse than the disease! My husband also has mouth sores—actually an area of bone poking through the gums. Dentist couldn’t explain it and thinks it could be related to the cancer. This happened before chemo began. This cancer causes so much damage. I wish you and your husband the best. Thanks for sharing your experience with me.

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Profile picture for jimcaskowski @jimcaskowski

@tomrennie
He's had 5 rounds of abraxane & Gemzar & has been experiencing joint pain, fatigue and the worst part are his terrible mouth sores. He's in a lot of pain & has lost almost 20 pounds, These past few days, he sleeps all day & won't eat saying it's too difficult.
He's scheduled for Whipple 5/21 & I'm concerned because I don't think he's emotionally or physically ready for this.
We will see his surgeon tomorrow to reevaluate and ask more questions.
If anyone can suggest questions we should bring up, I'd appreciate the input.

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@jimcaskowski https://www.mayoclinic.org/tests-procedures/chemotherapy/expert-answers/magic-mouthwash/faq-20058071
That link leads to something called "Magic Mouthwash" and it was the only thing that gave me any relief from bad mouth sores. It'll have to come from a compounding pharmacy. There's a good chance the Abraxane will give him increasingly bad neuropathy in his feet, lower legs and fingertips. Look up cold therapy booties and mittens that can be used before his next infusion to help prevent the neuropathy. I tolerated Folfirinox pretty well, but Gemcitabine/Abraxance was rough as a cob to tolerate in my case. Good luck.

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Profile picture for cjcurtis @cjcurtis

@tomrennie I forgot to answer that his chemo “cocktail “ is Gemcitabine and Abraxane. Anyone else had success with this combination, or any comments on what we can expect? My husband has experienced extreme fatigue and nausea thus far, and after infusion no. 3, we are seeing hair loss.

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@cjcurtis I was diagnosed with stage 4 non-operable due to mets to lungs. That was in 2022 @ 72. I was given 11 months with treatment. I am still here thanks to gemcitabine & Abraxane. Started with 2 weeks on 1 off and then changed to every other week. I had a 4-month break at the beginning of 2024 and am now on another. In total I have had 85 chemo treatments with Gemczar/Abraxane. Lost my hair after the second treatment; gained 35 pounds (now down 20 while on "break"). For nausea I followed the directions for the first 2 or 3 treatments which was generic Zofran alternating with generic Compazine. Now I use a Zofran maybe once a month 🙂 My most challenging difficulties have been the neuropathy, swelling of legs especially, then last fall blood clots. October thru December were brutal with extreme fatigue, heightened emotions and felt like I went through "chemo withdrawal" from January 2026 til about mid-February, then I had an energy boost & am back to "normal" except for pancreatic cancer & my CA19-9 is doubling the last 2 months hitting 1529.8 in April. Will get PET scan this week to see what is happening. Hair is growing back 🙂 (did not need it to start on my legs! 🙂 first)!

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Profile picture for 56pan @56pan

@jimcaskowski https://www.mayoclinic.org/tests-procedures/chemotherapy/expert-answers/magic-mouthwash/faq-20058071
That link leads to something called "Magic Mouthwash" and it was the only thing that gave me any relief from bad mouth sores. It'll have to come from a compounding pharmacy. There's a good chance the Abraxane will give him increasingly bad neuropathy in his feet, lower legs and fingertips. Look up cold therapy booties and mittens that can be used before his next infusion to help prevent the neuropathy. I tolerated Folfirinox pretty well, but Gemcitabine/Abraxance was rough as a cob to tolerate in my case. Good luck.

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@56pan Thanks for the Magic Mouthwash suggestion. I forgot about it. My mouth sores can be a problem.

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Profile picture for 199 @199

@cjcurtis I was diagnosed with stage 4 non-operable due to mets to lungs. That was in 2022 @ 72. I was given 11 months with treatment. I am still here thanks to gemcitabine & Abraxane. Started with 2 weeks on 1 off and then changed to every other week. I had a 4-month break at the beginning of 2024 and am now on another. In total I have had 85 chemo treatments with Gemczar/Abraxane. Lost my hair after the second treatment; gained 35 pounds (now down 20 while on "break"). For nausea I followed the directions for the first 2 or 3 treatments which was generic Zofran alternating with generic Compazine. Now I use a Zofran maybe once a month 🙂 My most challenging difficulties have been the neuropathy, swelling of legs especially, then last fall blood clots. October thru December were brutal with extreme fatigue, heightened emotions and felt like I went through "chemo withdrawal" from January 2026 til about mid-February, then I had an energy boost & am back to "normal" except for pancreatic cancer & my CA19-9 is doubling the last 2 months hitting 1529.8 in April. Will get PET scan this week to see what is happening. Hair is growing back 🙂 (did not need it to start on my legs! 🙂 first)!

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@199 Good luck with your PET scan this week. I had a hospital testing day yesterday. Nothing too alarming, but need to do another tour of ologist appointments. At times, I feel like a quarterback directing all of the moving players of the care team. But, they are keeping me alive as comfortably as possible. Anyone else ever feel this way?

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Profile picture for cjcurtis @cjcurtis

@tomrennie My husband was diagnosed in March 2026 (after months of tests and scopes,etc. that were inconclusive) with pancreatic adenocarcinoma with spread to adjacent lymph nodes. He also has an obstructing mass in his duodenum which required placement of a stent. He began chemo in the hospital a month ago, and has just completed his third infusion. We are hoping the tumors can be shrunk enough to allow surgery, but at this point it’s doubtful. We are anxious for results of the first scan to check progress. But that’s still a ways off.

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@cjcurtis @jimcaskowski It can be really difficult plugging along with challenging treatment, when you don't know if it is working. We all wish there was a magic pill to make the cancer go away without any pain. Unfortunately, I don't know of one. Personally, I a very thankful for the folks here. Some have been at this a shockingly long period of time. I am amazed at how they continue to fight though so many challenges. You will hear little tricks of the trade that they have learned from their treatment experiences that hopefully help. How are things for you folks today?

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Profile picture for jimcaskowski @jimcaskowski

@tomrennie
He's had 5 rounds of abraxane & Gemzar & has been experiencing joint pain, fatigue and the worst part are his terrible mouth sores. He's in a lot of pain & has lost almost 20 pounds, These past few days, he sleeps all day & won't eat saying it's too difficult.
He's scheduled for Whipple 5/21 & I'm concerned because I don't think he's emotionally or physically ready for this.
We will see his surgeon tomorrow to reevaluate and ask more questions.
If anyone can suggest questions we should bring up, I'd appreciate the input.

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@jimcaskowski Please let us know how the visit with the surgeon goes?

REPLY
Profile picture for 199 @199

@cjcurtis I was diagnosed with stage 4 non-operable due to mets to lungs. That was in 2022 @ 72. I was given 11 months with treatment. I am still here thanks to gemcitabine & Abraxane. Started with 2 weeks on 1 off and then changed to every other week. I had a 4-month break at the beginning of 2024 and am now on another. In total I have had 85 chemo treatments with Gemczar/Abraxane. Lost my hair after the second treatment; gained 35 pounds (now down 20 while on "break"). For nausea I followed the directions for the first 2 or 3 treatments which was generic Zofran alternating with generic Compazine. Now I use a Zofran maybe once a month 🙂 My most challenging difficulties have been the neuropathy, swelling of legs especially, then last fall blood clots. October thru December were brutal with extreme fatigue, heightened emotions and felt like I went through "chemo withdrawal" from January 2026 til about mid-February, then I had an energy boost & am back to "normal" except for pancreatic cancer & my CA19-9 is doubling the last 2 months hitting 1529.8 in April. Will get PET scan this week to see what is happening. Hair is growing back 🙂 (did not need it to start on my legs! 🙂 first)!

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@199 I am very encouraged to read about your success with Gemcitabine and Abraxane. I am trying to calculate how long it took for you to receive 85 treatments with your schedule. Certainly a few years. But you have most certainly defied your doctor's initial predictions and have hung in there through many ups and downs. My husband is having his 4th infusion tomorrow, but has already lost a great deal of weight. I'm concerned that this may slow his progress in chemotherapy or halt it altogether, since he looks almost skeletal to me. He is eating as much as he can stomach, but nothing seems to "stick." Did you ever face that challenge with weight loss? Perhaps it is not as huge an issue as I fear. I will be asking his oncologist what she thinks.

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Profile picture for Turkey, Volunteer Mentor @tomrennie

@199 Good luck with your PET scan this week. I had a hospital testing day yesterday. Nothing too alarming, but need to do another tour of ologist appointments. At times, I feel like a quarterback directing all of the moving players of the care team. But, they are keeping me alive as comfortably as possible. Anyone else ever feel this way?

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@tomrennie I know how you feel like you are directing the care team players. I am a retired nurse & I wonder how some people without any medical background handle this! Even with a "nurse navigator" there are times I feel like I am the one finding articles for the "team", questioning my med regime and the tests ordered. I questioned why the side effects are not stressed more with drugs; why changing to a Fentanyl patch entailed me searching for how long it took to start working & how to treat the pain in the meantime; why did I need to suggest a PET scan to see what is going on with my doubling CA19-9; why do they not want to also do the CT? Those two go hand in hand like apples & oranges are both fruit but not the same. PET shows activity and CT shows structural changes. It is tiring trying to keep alive!

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Profile picture for cjcurtis @cjcurtis

@199 I am very encouraged to read about your success with Gemcitabine and Abraxane. I am trying to calculate how long it took for you to receive 85 treatments with your schedule. Certainly a few years. But you have most certainly defied your doctor's initial predictions and have hung in there through many ups and downs. My husband is having his 4th infusion tomorrow, but has already lost a great deal of weight. I'm concerned that this may slow his progress in chemotherapy or halt it altogether, since he looks almost skeletal to me. He is eating as much as he can stomach, but nothing seems to "stick." Did you ever face that challenge with weight loss? Perhaps it is not as huge an issue as I fear. I will be asking his oncologist what she thinks.

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@cjcurtis I started chemo with gemcitabine & Abraxane July 22, 2022 & stopped for this break December 18, 2025, with another break of 4 months in the middle, so 41 then 44 treatments. I have to say my problem has never been weight loss, rather I gained weight! My cancer was detected in the tail, so I am not sure if that has any bearing on the weight issue. Small frequent meals work best. Since my husband cooks, I try to eat as much as I could but lately, I have been telling him to slow down on the portions. When I look back at photos of what a plate looked like in 2022 and now there is a big difference in the amount on the plate. I have been using "St. Claire Tummy Soothers" (from them directly or Amazon). I don't know if these herbs are the help but I will not give them up! They have been a staple for me since 2022!

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