NCjk53 - thanks. The situation is complicated by family (something I'm SURE nobody on this forum has had to deal with!). My brother and I were both pretty devout Christians, but have gone over to agnosticism for a variety of reasons. He's married to a very devout Christian, a fact which has always confused the rest of us, and there are some siblings that are still Christians. =)
It becomes complicated because half of the family is being comforted because he'll wind up in Heaven with other family members that have passed. The other half is comforted because when he passes, he'll finally be free of pain and just vanish. There's an opportunity for us to come together there, because Heaven or Oblivion, you're free from pain.
Thanks for the suggestion of hospice. I haven't elaborated because I got side-tracked with the whole religion discussion.
Stage IV lung cancer - initial chemo and radio, and Tarceva (which can really do wonders for some lung cancer patients). His treatment seemed to be holding the worst at bay, but new PET scans show the cancer just going to town on his body. However, it's tumors in non-dangerous places.
His wife has been talking to her pastor (another reason I bristle about religion), who suggested they call the family together to see him soon, because he's on his way out. The facts from the doctor are less clear - yeah, his bones are starting to get some tumors, but those won't kill him. Currently all my info is via his wife, who is understandably FREAKING OUT.
I'm very fortunate to have a friend that works in hospice. Always awkward to bring an acquaintance in to your own personal horror, but she does it for a living. She's visited with my bro and his wife, and I think my bro will take advantage of her counsel. One thing that surprised me is that, even though she's a kid (sorry, I'm a curmudgeon. She's gone through college and worked in hospice for a few years), she could see that the palliatives his doctor is giving him are pretty stupid. He's on Methadone right now, but she immediately saw that there are better drugs that do actually kill the pain and leave you clear-headed. So yes, we do have hospice care queued up.
Bah. It sucks. I guess we all know we're gonna die. Folks with cancer just know the date with a bit more accuracy.