Went to the Cancer Institute again this morning.  No real hope,  even if I chose to take the chemo/radiotherapy route.  Too many co-mobidities for that to have any real effect.
I am now being offered palliative care.  Someone will be in contact with me on a regular basis - perhaps even daily.
My at home care has also been upgraded.  I will have someone here 3 hours a week to help me shower, and so on,  and also clean my house and care for my garden.
Meals were delivered to me for the next 3 days,  just in case I wasn't able to prepare and cook for myself, though I am still able to do that.
The cost is minimal.
I still feel OK.
It is just the problem of my family really understanding that I won't be around for a long time.  They  think that the cancer can be "cured" if I undergo all the treatments available.  They don't understand that the cancer I have is aggressive and the least like to respond.