Feeling of helplessness

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My brother I suffering with multiple myeloma, I feel so helpless and wish there was more I could do to help. We live at opposite ends of the country and most of my most recent updates are by phone or texts. He always puts on a brave face (always has done) whenever I visit or speak to him but he is having real issues with pain (his wife tells me). He currently goes to hospital weekly for treatment and seems to be handling that okay but within a couple of days is in agony again. Not sure he is being honest enough with doctors as he stonewall refuses to go back in to hospital, I think it might be best option short term to get controlled pain relief and expert help on hand 24/7 to get him on even keel. Any advice greatly appreciated.