I guess that you could say it's a palliative team. The oncologist who directed my high dose radiation treatment told me that the treatment was to stop the gross hematuria I was having, which it has, and that it might slow tumor growth, but it was not a cure but palliative treatment. The other oncologist who is directing the 18 treatments of Keytruda infusion also said that the immunotherapy is not designed to cure but to control the cancer so that I can live a normal life; he is quite clear it is palliative. But so far I am holding my own and enjoying my life with minimal side effects. I am also being monitored by a urologist who is pleased with my current health, although he is clear that surgery is the gold standard of treatment.