Thanks for the responses. As of now my mother is scheduled to see her ENT regarding any issues that would be involved from that end during surgery to remove a lobe from her right lung. She too, is leaning towards not doing anything. She dreads another trache and feeding tube and she is not as strong as she was when she had the first two surgeries. She is also convinced that more surgery will cause her to be unable to care for herself and end up in a nursing home. And most important is the dread that she will go through all this again only to be told that cancer has turned up somewhere else. It is a difficult situation and it is hard to have the conversation as you mentioned. We shall see.