Conversation: The conversation between human and AI assistant.
[|Human|] My brother has stage 4 esophagus cancer that has spread to lymph nodes bones etc. he now has blocked bile ducts and his bilirubin is at 14 and has been there for at least a week. He is getting worse every day,is not eating much.I think his liver is failing.He will not get better I know,but I hope he does not suffer this way for long. What can we expect to happen from this point on?
[|AI|]  Best supportive case is the only answer as bone metastasis is stage 4 and, the best supportive care means relieve of pain of bone spread and relieve of jaundice. For bone pain, patient can be prescribed radiation therapy of short course followed by routine NSAID Pain killer and Morphing tablets by registered Oncologist, and for relieve of raised bilirubin because of obstructed bile duct by palliative 5FU based chemotherapy after radiotherapy treatment provided general condition permits it. But in real sense its dismal disease we can only give symptomatic relief not any else except minimal 2-3 month survival with good quality of life.