Our new palliative case worker came today for our first visit and it went very well. She respected my wishes and explained everything in a very positive manner and I asked her to explain the feeding tube option pros and cons. He has indicated he does not want one. It will not improve the quality of life just extend it for more suffering. She was very good and I did interject with a few comments as well. I am quite pleased with her and think that things will go rather well. We now have all our ducks in a row without too much upset for Jim. He listened and answered when he could. He has a bit of a sore on his butt so she is getting a nurse involved right away for this. We are now registered in the hospice and palliative units in our area. Not many changes happening here at this time but he has had quite a few good days in a row so hopefully this is not leading to a downturn again which is the normal after a few good days.