I am so sorry to hear about your sad news relating to your brother. I know exactly what you are going through right now as my aunt was just diagnosed with bile duct and pancreas cancer just recently. Even though there is no cure for that cancer, there is still hope to give your brother longer time to live and still be comfortable. ALways seek a second opinion, because in my experience with this the first doctor my aunt saw gave her no hope and basically tolde her all she could do is chemo and that she had 6 mos to 2 years to lve. My family was not happy with that news and went to Roswell Cancer Center in Buffalo New York (it's about 3.5-4 hours from Toronto. There we got better news. They have been consucting studies and research on this particular cancer and are about to introduce a treatment into the market pretty soon here that will give patients with this cancer longer to live and comfort in those additional years. My aunt will be starting it this week. It consists of radiation, chemo, meds and I'm not too sure what else, but they have had several cases of people living a few years longer while on this treatment. Please consider. It may be the only hope your family has to your brother living longer and still be in comfort.