<s>[INST] i have a friend who has stage 4 colon cancer spread to liver and lung he has survived about 5 years his bowel keeps on getting twisted and he vomits because of it they know have found a hole in the stomach he has a baghe is back at sloan kettering conscious in a good mood but has a morphine drip is this the final stage of life for him [/INST] Hi and welcome to Chat Doctor, thank you for your query. It seems like this is terminal stage of malignant disease, unfortunately. I suppose that he is not a candidate for surgical procedure anymore, and he is probably too weak for chemotherapy so the treatment is palliative, and it is hard to predict his life expectancy. It is most important now to fight against pain a dinfections and give him emotional support. Wish you good health. Regards </s>