@jeanadair123 You're in a tough spot, having to decide for your husband.

I suspect many oncologists would recommend purely-palliative treatment for an 86 year old man with dementia and a history of multiple spinal fractures, but every case is different, and it's great that he's tolerating active treatment well so far.

Just remember in the end that it's your and your husband's wishes that matter at this stage. It's always ok to decline active treatment and focus on quality of life if (and ONLY if) that's what you both want.

Best wishes, and remember to make sure that someone's caring for the caregiver, too. You have a lot of weight on your shoulders, and need to be able to set it down sometimes. ❤️