Hi My 78 year old friend has cancer of the pancreas . Treated with laser surgery , then chemo , most recently radiation. A week ago she developed a distended abdomen it appears to be ascities and that the CA has spread to the liver. She went for paracentiesis today. Her oncologist gieves her no info, no prognosis however she has been given a diet designed to kill her even if she did not have cancer. How can I help her find MD with more holistic approach? MB RN
Hi, Before going to discuss your case I want to comment on another important issue.  Cancer sometime can be cured and if it is not in a stage where cure is possible then quality of life is the major issue which should be given prime importance. Cancer of pancreas unfortunately has grave prognosis unless detected very early. As you mentioned, your patient has developed as cities and liver metastasis. This signifies very advanced stage. It is not clear to me what chemotherapy was used to treat her disease but at present probably there is very little options left for radical treatment. Best way to treat her condition conservatively. I can not give positive words regarding her prognosis, I am sorry for that. At present, it is better for you to consult a palliative care specialist who can ad Chat Doctor.  Take care of your friend.