Thank you for your quick replies. This is the first place I have found where someone else knows what our family is going through. She is already feeling a lot of pain in her back, chest, and arms. They are doing another biopsy on her neck Fri. to check for more growth. I know the coughing up of blood is part of the cancer but it didn't start until about a week ago. What I don't understand is how quickly it seems to be spreading. There was a large growth in the original tumor over a span of 10 days. I understand and support her decisions but I am having such a hard time with this. She is my best friend and I don't know how to deal with this LC and how to help her. I feel helpless.