So Worried

 David in Thailand in 2012 (from his Facebook page).

The past few days have been a blur... an emotional roller coaster. I feel helpless. I feel spent. I feel a terrible sadness.

On Monday my mother told me she had been speaking with her sister (my aunt Betty) from Long Island. She said that Betty told her that my cousin David (in San Francisco) had cancer and had his pancreas removed. I e-mailed him that day and he told me that indeed he had cancer, but that they hadn't removed his pancreas.

The next day my mother told me she had spoken with her younger sister, Angela, who lives in France. She told my mom that David had stage 4 pancreatic cancer. Unbeknownst to my mother I knew that was ultra serious.

I did a little research online and found that pancreatic cancer is hard to diagnose. Sometimes it isn't discovered until it's too late after the cancer has spread to other organs. Jaundice (yellowing of the skin) can be an outward sign as well as weight loss, loss of appetite and pain in the upper abdomen and back.

Here are some facts I found about stage 4 pancreatic cancer:

Pancreatic cancer is often diagnosed at a late stage because it tends not to show symptoms early on. Stage 4 pancreatic cancer means the cancer has spread to other organs, typically the liver or the lungs. You can’t cure the cancer at this point, but you still have treatment options.

In stage 4, the most advanced stage, cancer has spread beyond the pancreas and into distant locations in the body. Advanced-stage cancers spread beyond the primary tumor location to nearby tissues, blood vessels, nerves, and other organs. This process is known as metastasis.

Pancreatic cancer is the fourth most common cause of cancer death. The median survival rate for stage 4 pancreatic cancer is between two and six months. Though the disease cannot be cured at this stage, treatment may improve your quality of life.

David said he would be starting chemotherapy soon. As well, he's looking into alternative treatment options.

I'm so worried. How could this happen?