The place: Beth Israel Hospital in Manhattan.
The diagnosis: fast-growing, small-cell lung cancer.
The patient: Paula Faber, unrepentant, life-long smoker.
The choice: treat it aggressively to extend life, but probably not cure the disease, or manage the pain and focus on the quality of life.
It was September 2012 and it was Paula Faber's third cancer in a decade, but she did not hesitate.
"She was going to fight it every inch of the way," says her husband Ron Faber.