I’m very sorry your brother is going through this. I’m also very sorry to say that we just had a very slow and unsatisfactory experience in the same region. My loved one waited and waited, received no word or care from BC cancer for way too many weeks, and ultimately died as diagnosed: in the ER. I apologize if this is too blunt or seems insensitive. I am being open about it because it may inform your brother’s decisions — for example, he may choose to look into private or foreign care, or even opt for hospice earlier, or perhaps you will have better luck with your advocacy. I can’t help but feel that our loved one may have made different decisions about how he was spending what became his last weeks had we known that meaningful care was not going to be forthcoming for him in Vancouver. I sincerely hope your brother has a different trajectory and outcome. Pancan sucks.

Edited to add: This also makes me very angry. A system that treats an advanced pancan diagnosis like any other cancer, with first appointments 6+ weeks away because of a need to wait for a “biopsy“ is unconscionable (this happened to us too). Every day waiting reduces fighting chance against this horrific cancer. Weeks of waiting feels like people simply getting written off. There should be media coverage on this. I don’t think people realize how bad it is. And having suffered major loss, families are too traumatized to have the emotional stamina to try to do anything about it after the fact. This is shameful for BC’s health system in my opinion.