Doctor David Imagawa is an extraordinary surgeon. He operated on my father, 75yo. My beloved father had an incidental finding of pancreatic IPMN, which was apparently growing and had to be removed. The operation (Whipple Surgery) took more or less 10 very long hours. I can’t tell you how difficult it was to wait with fear of losing him. When Dr. Imagawa came out of the surgery room, he looked exhausted and no very happy. He told us, it would take a miracle for my father to remain after 10 days, as there were complications he ran across. Well, my father survived the dreadful recovery stage and in the meantime the pathology report come back; first stage adenocarcinoma limited, which the doctor had thoroughly removed. To cut the long story short, my father was hospitalized for approximately 3 weeks, and aside from the superb nurses, caseworkers, residents, and fellows that he has on his team, he would daily check on my father, and with the little amount of communication that he has, his character uplifted and motivated my dad to overcome the recovery barriers one after another. Yes, Dr. Imagawa is very conservative and reserved, no, he will not communicate the way you might want, but he is absolutely SUPERB! He is gentle, respectful, kind, and very supportive of his patients. He is a remarkable surgeon. My beloved father, my hero, my teacher, passed away a several months after the surgery, not because of the surgery, which was magnificent, not because of the recovery, which took 2 months, but because of PULMONARY TOXICITY to GEMCITABINE ( chemotherapy medication). Although, this side effect is extremely rare, there are cases that have been reported. If you are undergoing chemotherapy with Gemcitabine, whether you have high temperature or not, make sure you LOG your temperature in the mornings, afternoons, and especially ***EVENINGS***. If you notice high temperatures 99.6 above, be concerned, you might be affected and the oncologist must become aware, although it’s rare. My father experienced high temperatures 99.6, 98.8 after his first infusion, he was misdiagnosed for pneumonia, he was given antibiotics, the fever went away, they continued with the second infusion, and the third as scheduled. After the third infusion, my father’s lungs were reacting and not working properly, his fever was 100.8F, he didn’t complain of symptoms, I discovered it because I took his vital signs. They still could not pinpoint the problem, because all the culture tests were resulting Negative. They suspected this, once he entered the ICU. If my father would not have reacted to Gemcitabine, I am certain, by January of 2018, as we had planned, he would be in dear Dr. Imagawa’s office, squeezing him with all his love for everything he did. Dr. Imagawa is amongst the top surgeons of USA who performs the most complicated Whipple surgeries. November, is PANCREATIC CANCER AWARENESS MONTH. I love you dad and I will always live with the dreadful agony of losing you so soon.