For Canadians looking for help, Revelstoke is a small mountain town with a small community hospital. This kind of cancer needs to be looked after at a large centre with a well respected HPB department – ones that I have heard of would be Vancouver, Calgary, Toronto, etc. – and unlikely to be found in small town BC/Canada (no offense to Lainy, who has long provided many informative and inspirational postings). I was basically written off by my own small town hospital upon diagnosis, fortunately had a referral from another dr. to Vancouver General Hospital and a wonderful, experienced surgeon.