First of all, let me say thank you to all of you for making yourselves available for support. This is the first time I've ever joined an online forum of any kind. My name is Butch and my 83 yr old (non smoking) mother was diagnosed in March with stage IV NSCLC, metastatic to her chest lymph nodes and liver. The most recent CT scan shows no significant change to the lung or lymph nodes, but dramatic growth in her liver. Her Oncologist has recommended Gemzar as treatment. However, Mom's initial response (which we will respect) is no treatment at all. Since finding all of this out, I've become the most determined insomniac searching the web for answers at all hours of the night. Would anyone like to comment or make suggestions on what path to follow next? I've read quite a bit about Avastin, but haven't had the opportunity to discuss it with her Doctor yet. Any comments about it's benefits or drawbacks would be greatly appreciated. Mom's next follow-up is in 1 week, wherein she is expected to decide whether or not she wants to pursue treatment. Thank you again for your help and support.