Sad and sorry to hear. I hope the rest of his ride doesn't suck too badly.
I have to say, though, as someone who smoked for decades myself, he made it quite a ways. If he's been smoking steadily for 65 years or more, that's some real physical resilience. My Dad is 80 and quit smoking at about 60, he got smoking-related cancer @ 70 but beat it so far. He's physically wrecked from it, however.
I wish him and you the best, you sound like a good brother.