Thank you for asking. We met with the oncologist - first meeting since being turned down for surgery by the surgeon. He will begin immunotherapy next week. I think what happened is we were in the gray area of not "belonging" to either the surgeon or the oncologist. Once we approved the treatment, he was promised whatever he needed for pain. He was asked what the maximum of pain meds he used on a bad day, and was given a prescription for Oxycodone (the only thing that works) to cover all days being bad days. That was an immense relief and has allowed him to get back to his daily life without being terrified of untreatable pain. I am going to keep the palliative care idea in mind in case he needs it later.