Let me start off by saying that most of what you will read about small cell lung cancer is not good. I've found very little positive news. It was explained to me that the treatments are meant to extend life but not cure anything. I lost a brother-in-law (early 30s) to it last October and my dad (66) exactly 6 months to the day later.
That sounds so gloom and doom, I know. It was sickening going through this.
But, I will say, there are always exceptions to the rules and that's what you have to work for. With my dad,we had an okay oncologist and a wonderful radiologist and pulminologist who were really fighting with us.
My one regret is that we didn't try different places. There was a place, Anderson MD in Texas, that is supposed to be "state of the art" that we knew about but didn't seek out until it was too late.
And I know why. Dad didn't really want to go that far away (we are in Indiana) unless we had too and the first couple of months seemed to be going in our favor.........then a setback.......then "let's wait and see", then another set back......etc. etc. etc.
Even if things are going okay, please keep your alternatives open. I contacted the American Cancer Society who sent me info for clinical trials in our area. Some of them you can't do if you've already started chemo. Both our pulminologist and radiologist say that attitude is a large part of it, so I would encourage you to not share all of the really bad stuff you read with your brother.
My brother-in-law fought his battle for just at a year and my dad for only about 5 months. My brother-in-law started trying herbs and alternative therapy (evidently there's a chiropractor in Florida who is connected with this and people are swearing by her) which did help his pain, but I think he started with it too late.
Be agressive, ask questions, if you're not comfortable, move on to the next doctor, and most importantly, say everything you're ever wanted to say to him.