As I've mentioned in earlier posts, my mother has some sort of undiagnosed blood disease, probably leukemia or a precursor to it. She has been feeling progressively worse over the last few months as her white blood cell count has steadily climbed. She has no energy, no appetite, nausea, extreme weakness. We went to her primary doctor on Friday and my mother again refused to have a bone marrow biopsy to diagnose the problem, admitting that she doesn't want to know the diagnosis. She just wants to live as well as she can while she can. She insists that she wouldn't seek treatment no matter what the diagnosis is, but I'm not sure that's entirely true. At least some types of leukemia can be treated with a pill form of chemo, and if that's what she has, maybe she'd at least try the treatment to see if it improves her symptoms if not offering a cure. I accept that that's her choice to make, but my sister and I would really like to know what we're dealing with here so we know what to expect in the foreseeable future. We would like to be able to plan for Mom's needs and our own availability, as well as whether to seek involvement from other family members. Plus, my understanding is that hospice won't provide services without an actual diagnosis (or prognosis, anyway). Mom's doctor did mention hospice as something to think about, but I don't see how we get there from here. Has anybody been in this situation or have any light to shed on this issue?