2) While I'd never criticise somebody own decision to avoid opiates (long term use gives you epic constipation), this preachy "opiates are evil thing" that's floating around (see every comments section everywhere) is bullshit that needs to stop.

Well-prescribed palliatively-applied opioids (in concert with other drugs) are great for palliative care. That doesn't change just because a few dipshit doctors hand out oxy for chronic backpain, or that drug companies have inappropriately marketed fentanyl, or that people die from opiate abuse because they try to self-dose using help on forums.

The fact here is this guy has an extremely finite amount of life left. People don't get better from stage 4 pancreatic cancer.

So again, props to anybody who can manage their pain through alternative mechanisms, but don't be part of the witch-hunt scaring people in pain off the good stuff.