Conversation: The conversation between human and AI assistant.
[|Human|] wifes got stage 4 pancrectic cancer and it has spread question she has been on genzar since april tumor has shrunk in all areas.wife eats good and her weight is stable now she has no energy at all , gets the dry heaves and has aches and pains which don t require HD pain killers. blood looks good WC a little elvated treatments are 3 on one off what is going on .Thanks YYYY@YYYY
[|AI|]  Hi Brown, Thanks for posting your query. At this stage the first approach would be to treat the symptoms and keep the patient comfortable and pain free. Pancreatic cancer in that stage is too serious a disease to be managed at home. Raised TLC may be related to accompanying pancreatitis component, if she also has fever then there may be an infection also. You should review to an oncologist and see if antineoplastic can be given or if antibiotics are required. She will require some investigations and a physical examination before anything about treatment can be decided. I will be available for your follow-up queries.  Chat Doctor.