Haven't been here for awhile. Sorry to say we've been on a downward trajectory with my husband, Dave, and any shared experiences or advice very welcome. His 2 lung mets after an RCP in 2009 and rounds of Cisplatin/Gemzar and Carboplatin/Gemzar chemo were growing slowly, but a new tumor between his lungs suddenly became aggressive and was blocking his esophagus, so he started wide-area radiation treatments on his thorax. After 3 or 4 sessions starting in Jan, he was completely unable to swallow anything, even a teaspoon of water, so we ended up in the emergency room and after a week-end of stabilizing the situation, they inserted a stent, which solved the immediate problem, but was followed by a precipitous decline. Dave did finish the series of radiation treatments, but now we are set up with home nursing and hospice care. Not sure what we are facing when, but the combination of the 'disease progressing', the pain and anti-nausea meds he needs to take, complications from both the stent and the cataclysmic hiccups it seemed to cause, and several compression fractures in his spine plus involvement in his pelvis, probably cancer related, looks pretty hopeless. Totally exhausted. Can't begin to describe the sleepless nights and suffering. On sick leave from my job at the moment to care for Dave at home as long as I can. Please, please, let's do anything and everything to make some progress in the treatment of this awful disease.