@tomrennie well there was 2 paths open to him. Immunotherapy which in his condition could cause no symptoms or could cause inflammation of lungs, kidneys, heart and liver causing hepatitis. Treatment could extend his life by days or months possibly a year but it could shorten it if he gets inflammation in the wrong place, or he could choose pallative/hospice care. With all the could be and might we chose pallative hospice care. Which doctor also nsaid could extend his life by treatingnthe symptoms as they arise. We both decided this was what we were most comfortable with. It will be a progressive decline with treatable symptoms, no hospitals to treat random infections, just peaceful days at home doing what he wants if he wants . He chose quality of life over the possibility of more quality with no guarantee it would even give him that