@joe6000 I'm terribly afraid that is a decision he'll regret. Is he showing signs of depression, because that surrender sounds to me like it's born out of that. My cancer was different, squamous, about 1/3 of the way down. But mine was more advanced - Stage III+. (I forget the rest, but the "+" was because of a "suspicious" distant lymph node, which turned out to be nothing, so really just III.) It also was completely confined to the esophagus. It sounds like he has an excellent shot at a complete cure. I had 5.5 weeks of radiation - one of IMRT, because their proton machine was backed up owing to a down period of maintenance, and 4.5 weeks of proton. I had 3 weeks of chemo before having a bad reaction to one of the drugs. My esophagus and lymph nodes are, as far as they can tell, cancer-free now. I do have a tiny spot which fluoresces under PET far over in my left lung, which they do not believe is cancer. Nevertheless, it dictates more frequent PETs and monitoring. I don't regret one moment of my treatment. From age, I have comorbidities also. I have left hip replacement scheduled for 12/16, my 86th birthday, for example. (Indirectly the way my cancer was discovered.) I know that Hospice's guidelines are much more lenient than they used to be (formerly 6 month to probable termination), but I'm frankly surprised it was offered in his case. He will not feel "pretty well" towards the end. My ex-wife passed from adeno in exactly your dad's spot and it was pretty bad towards the end. I think you should at least urge him to see a therapist. In my case, my "hometown" oncologist, also a close friend, looked me in the eye and said "Earle, you can whip this!" Those words have stuck with me, because he's not the type to blow smoke. It may be that all your dad needs is a third party delivering a similar declaration to him. Don't give this up yet!