amy,

I am sorry anyone is going through this. I note my sister's story in another thread.

So, apparently, the degradation can be gradual. My sister lived alone, and even after determination of inoperability at Mayo, returned home to restart chemo - weaker and weaker, then reaction to second restart cycle, then falling, unable to walk, then hospital, then care facility ... comfortable, but now waiting for next step in what seems to be decline. If she recovers sufficiently, she may try and buy more time with chemo. She could decide to forego further chemo, or the oncologist could refuse based on her condition. She has significant ascites, as well. If she continues to decline, she would need hospice care. We don't really know.