Conversation: The conversation between human and AI assistant.
[|Human|] 71 year old patient was diagnosed with pancreatic cancer . Had the Whipple procedure. After 6 months, the cancer spread to nearby lymph nodes. Is experiencing severe chills and shaking about once a week. Doctors said another operation is not an option. Doctors have taken patient off of all medications except Creon??? To take before eating. Are these chills normal?
[|AI|]  Hi your relative is at present might be suffering from nodal recurrence after a primary treatment. If there is no distant metastasis and if his general condition is better than he may be treated with either chemotherapy or radiotherapy or both. Surgery is not an option. His chills and shaking may be because of secondary infection. Kindly check his blood counts, and he needs a medical oncologist or physician consultation for the treatment of sepsis and reduced immunity.