no win, certainly, no choice?

My brother's driving over to the coast from New Orleans; the doctor is vacillating, very hesitant to operate on Dad's cecal volvulus (twisted bowel). He will die of the condition if left alone (most probably die). So when William first gets in the car it is with the notion that they will operate on Dad this evening. The operation will leave a long scar and may leave him with a colostomy bag if not leave him dead. Dad's been sleeping all afternoon and is not in pain. The doc says that he can guarantee to keep him out of pain if they don't operate. Now Will's driving trying to make the decision to operate or not, he's got one hour, about he time he has left to drive to Ocean Springs Hospital. I see Dad not waking up.