In October of 2014, John went in for knee replacement surgery and shortly after it was discovered that he had bladder cancer. After several rounds of chemo and treatment he had his bladder removed in July of 2015 but it was found that the cancer had spread outside of the bladder. After 4 more rounds of chemo he was declared cancer free in February of this year. During this time, he was still having some pain and was very fatigued. In June, he went back in to the doctor for a scan and it was discovered that the cancer had metastasized to his pelvic bone and that it was terminal. To help with pain relief and to shrink the tumor, 20 rounds of radiation was ordered. This made him even more weak and fatigued. Upon completion of radiation he was given the option of more chemo or immunotherapy. He chose immunotherapy as chemo was very hard on him. In September, after two treatments, the side effects were making him very ill and fatigued. At this time he decided to stop all treatments choosing quality over quantity of life. In his words, "I want to spend my last days smiling". He has remained at home with his wife, Judy, and is receiving hospice services.