@sipka Sorry to hear about your husband's situation and the sudden news. We had a similar experience this summer and took us a while to get over it and accept the fact that my husband has stage 4 with metastasis being asymptomatic. With your situation similar to ours, they may do a chemotreatment cycle first (4 rounds once every 3 weeks) and in between those cycles put him on SBRT radiation if those spots are good targets for radiation. For back pain, oxycodone for 5 days helped him and he could then stop taking them. Hope they give him something to help with pain. Lung cancer is so tricky since lungs feel no pain and they are hard to detect till metastatic sometimes, unfortunately for us. Hang in there!