Thanks for your thoughtful response David. We have met with the RO and MO and my mom feels she has all the information she needs from the doctors to make her decision. She was a hospice chaplain at a cancer center until she retired - the same month as her diagnosis. I guess I'm looking for the loved one of someone who chose not to go through with radiation/chemo for oral cancer and learn how they managed through the end in hospice and what types of care became necessary and how long from the time of surgery until they died. I know this is a somewhat grim search on a site that lends itself to real fighters who I admire a great deal - and if my mom were younger, she'd likely have joined you -- but, it's the reality for us right now and I have to believe there's another family out there who has made this same decision.