I am not a doctor, but I have a very hard time believing that he couldn't have radiation therapy. Even if the target was right beneath the defibrillator generator in the shoulder, they can remove the generator, a very simple procedure, hook the leads up to an external defibrillator unit and perform the radiation therapy. The unit can be reinstalled after. Expensive but very possible. More than likely they will just shield the unit in another way, and do what needs to be done.