James Davies
@jamesdavies84.bsky.social
Palliative Medicine is my work, but I like growing things, reading things, watching things and sometimes I might post something. Sto imparando l'italiano, lentamente 🇮🇹
Reposted by James Davies
The Health and Social Care Committee’s evaluation of palliative care in England was published yesterday.
It’s hugely important, not least in the context of the assisted dying bill.
It’s had almost no media coverage.
committees.parliament.uk/publications...
It’s hugely important, not least in the context of the assisted dying bill.
It’s had almost no media coverage.
committees.parliament.uk/publications...
November 29, 2025 at 8:52 AM
The Health and Social Care Committee’s evaluation of palliative care in England was published yesterday.
It’s hugely important, not least in the context of the assisted dying bill.
It’s had almost no media coverage.
committees.parliament.uk/publications...
It’s hugely important, not least in the context of the assisted dying bill.
It’s had almost no media coverage.
committees.parliament.uk/publications...
Reposted by James Davies
Science teachers! I hope most of you will be familiar with this already, but if not, this is absolutely worth a few minutes of your time, especially if you teach Biology:
Look out for this later #histSTM
(And on Franklin, about whom lots of myths are circulating today, read this: www.nature.com/articles/d41...)
(And on Franklin, about whom lots of myths are circulating today, read this: www.nature.com/articles/d41...)
November 8, 2025 at 7:10 AM
Science teachers! I hope most of you will be familiar with this already, but if not, this is absolutely worth a few minutes of your time, especially if you teach Biology:
Reposted by James Davies
Read up and down this thread: trans people have been treated abominably by the state and are now in an impossible position to
As it's still valid, presumably if I don't keep following it, I am also breaking the law and subject to arrest.
The law of the land simultaneously requires me to be both a man and a woman and if I do either then I am breaking the law and subject to arrest. (11/13)
The law of the land simultaneously requires me to be both a man and a woman and if I do either then I am breaking the law and subject to arrest. (11/13)
August 31, 2025 at 8:52 AM
Read up and down this thread: trans people have been treated abominably by the state and are now in an impossible position to
Reposted by James Davies
Really useful paper. Traditional dosing strategies (200mg IM loading, followed by 800-1200mg/day) don't reflect its half-life. Typical loading doses of around 600mg may not need any follow-on regular dose (or a very-much-less than 800mg/day dose if used)
Did you know, that the half life of phenobarbitone is an average of 4 days?! The way we use it in palliative care needs to be proportionate, specialist-led, and congruent with known pharmacokinetics. @bmj.com Supportive and Palliative Care has more: spcare.bmj.com/content/earl... #palliativecare
Novel staggered loading of phenobarbitone for refractory seizures and agitation at the end of life
Background Seizures and agitation are distressing symptoms commonly encountered at the end of life and may require treatment with phenobarbitone when standard therapies fail. Current phenobarbitone do...
spcare.bmj.com
August 20, 2025 at 6:01 PM
Really useful paper. Traditional dosing strategies (200mg IM loading, followed by 800-1200mg/day) don't reflect its half-life. Typical loading doses of around 600mg may not need any follow-on regular dose (or a very-much-less than 800mg/day dose if used)
Reposted by James Davies
We are pleased to announce that Dr Catriona Mayland has been granted a highly competitive @nihr.bsky.social Advanced Fellowship award to study 'unheard voices' in #EndOfLife care
Her research comes at a pivotal moment amid ongoing national conversations about assisted dying.
Her research comes at a pivotal moment amid ongoing national conversations about assisted dying.
July 23, 2025 at 9:38 AM
We are pleased to announce that Dr Catriona Mayland has been granted a highly competitive @nihr.bsky.social Advanced Fellowship award to study 'unheard voices' in #EndOfLife care
Her research comes at a pivotal moment amid ongoing national conversations about assisted dying.
Her research comes at a pivotal moment amid ongoing national conversations about assisted dying.
Reposted by James Davies
In the interest of balance, everyone who read the Observer article about The Salt Path should probably read this. www.raynorwinn.co.uk
Raynor Winn
www.raynorwinn.co.uk
July 9, 2025 at 8:07 PM
In the interest of balance, everyone who read the Observer article about The Salt Path should probably read this. www.raynorwinn.co.uk
Reposted by James Davies
One thing is certain: whatever happens, I will post “play stupid games, win stupid prizes”, because a lot of people have played stupid games, and someone is going to win a stupid prize.
Last 48 hours before the assisted dying bill and the pro side feeling very confident. There will be a major push from both tomorrow to engage the last few genuinely undecideds. Those against the bill think there is still a chance, even in the chamber itself. Expect more abstentions too.
June 18, 2025 at 5:03 PM
One thing is certain: whatever happens, I will post “play stupid games, win stupid prizes”, because a lot of people have played stupid games, and someone is going to win a stupid prize.
Reposted by James Davies
Presenting our groups posters @ EAPC2025 on #mesothelioma & #HeadAndNeckCancer research @eapcvzw.bsky.social @sheilapayne1.bsky.social
May 30, 2025 at 2:53 PM
Presenting our groups posters @ EAPC2025 on #mesothelioma & #HeadAndNeckCancer research @eapcvzw.bsky.social @sheilapayne1.bsky.social
Reposted by James Davies
At the point you’re taking four years why not use that time to do it via a citizens assembly or a judicial inquiry, instead of basically having all the disadvantages of rushed legislation and all the disadvantages of a slow, considered process?
March 25, 2025 at 6:30 PM
At the point you’re taking four years why not use that time to do it via a citizens assembly or a judicial inquiry, instead of basically having all the disadvantages of rushed legislation and all the disadvantages of a slow, considered process?
Reposted by James Davies
Freddie Mercury didn't go into the studio and nail the vocals for "The Show Must Go On" in one take while dying of AIDS for you to despair and give up now. Take the time you need, but then get up and get back out there.
The show must go on.
The show must go on.
February 28, 2025 at 9:26 PM
Freddie Mercury didn't go into the studio and nail the vocals for "The Show Must Go On" in one take while dying of AIDS for you to despair and give up now. Take the time you need, but then get up and get back out there.
The show must go on.
The show must go on.
Reposted by James Davies
granted I am not your mother, but I feel like my timeline every morning is now a lot of you getting angry about the Today Programme, and may I suggest to you - merely suggest! - simply not listening to the Today Programme
February 26, 2025 at 9:13 AM
granted I am not your mother, but I feel like my timeline every morning is now a lot of you getting angry about the Today Programme, and may I suggest to you - merely suggest! - simply not listening to the Today Programme
Top conference for good chai
January 31, 2025 at 6:18 AM
Top conference for good chai
Reposted by James Davies
The European mind cannot understand this
Blue Cross Blue Shield in Connecticut, New York and Missouri has declared it will no longer pay for anesthesia for the full length of some surgeries.
It the procedure goes over a certain time, anesthesia will not be covered for the duration.
www.asahq.org/about-asa/ne...
It the procedure goes over a certain time, anesthesia will not be covered for the duration.
www.asahq.org/about-asa/ne...
Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures
In an unprecedented move, Anthem Blue Cross Blue Shield plans representing Connecticut, New York and Missouri have unilaterally declared it will no longer pay for anesthesia care if the surgery or pro...
www.asahq.org
December 4, 2024 at 9:07 PM
The European mind cannot understand this
One thing I’m wondering, are we talking about nationalising the hospices? I wouldn’t be against it! But is that what hospices really definitely want?
My direct appeal to @rthonwesstreeting.bsky.social
& Keir_Starmer in the light of yesterday's vote on AD.
If they sincerely care about dying people, surely now they will publicly & urgently commit to properly funding our threadbare, neglected palliative care?
www.theguardian.com/society/2024...
& Keir_Starmer in the light of yesterday's vote on AD.
If they sincerely care about dying people, surely now they will publicly & urgently commit to properly funding our threadbare, neglected palliative care?
www.theguardian.com/society/2024...
Good palliative care can alleviate the pain of dying – this bill means Labour must fund it | Rachel Clarke
Making dying easier is not the solution when NHS, social and palliative care are simply not there for patients
www.theguardian.com
November 30, 2024 at 11:31 AM
One thing I’m wondering, are we talking about nationalising the hospices? I wouldn’t be against it! But is that what hospices really definitely want?
Reposted by James Davies
A list of bands in order of efficacy:
3. Placebo
2. The Cure
1. Prevention
3. Placebo
2. The Cure
1. Prevention
November 22, 2024 at 12:05 PM
A list of bands in order of efficacy:
3. Placebo
2. The Cure
1. Prevention
3. Placebo
2. The Cure
1. Prevention
Reposted by James Davies
When I will respond to your email
November 20, 2024 at 6:38 PM
When I will respond to your email
Reposted by James Davies
Hospital teams rarely share information about patients' limited life expectancy with GPs, even though GPs find this very helpful in planning patient care.
Research by Lucy Pocock & @lucyselman.bsky.social
et al. published in @bjgp.bsky.social & covered in
Pulse:
pulsetoday.co.uk/news/clinica...
Research by Lucy Pocock & @lucyselman.bsky.social
et al. published in @bjgp.bsky.social & covered in
Pulse:
pulsetoday.co.uk/news/clinica...
Hospitals rarely provide information to GPs about poor prognosis, research shows
Information about poor prognosis is rarely communicated from hospitals despite this being vital information for GPs, a study has found.
pulsetoday.co.uk
November 19, 2024 at 5:59 PM
Hospital teams rarely share information about patients' limited life expectancy with GPs, even though GPs find this very helpful in planning patient care.
Research by Lucy Pocock & @lucyselman.bsky.social
et al. published in @bjgp.bsky.social & covered in
Pulse:
pulsetoday.co.uk/news/clinica...
Research by Lucy Pocock & @lucyselman.bsky.social
et al. published in @bjgp.bsky.social & covered in
Pulse:
pulsetoday.co.uk/news/clinica...
Reposted by James Davies
I feel like we all just picked Bluesky and didn’t even give MILF Messenger a chance
November 17, 2024 at 5:41 PM
I feel like we all just picked Bluesky and didn’t even give MILF Messenger a chance
I’ve missed Alan. 💙📚
November 17, 2024 at 10:46 AM
I’ve missed Alan. 💙📚
Reposted by James Davies
Here's the thing about trans people and echo chambers: We don't have 'em. We're all experts on the anti-trans side, their arguments, their petty bigotries.
The same is not true in reverse.
The same is not true in reverse.
“It’s important not to have this place be an echo chamber” is something that sounds correct but falls apart when you realize it actually means pretending arguments done in bad faith are genuine. It’s the “I’m just asking questions” of social media
November 16, 2024 at 3:53 PM
Here's the thing about trans people and echo chambers: We don't have 'em. We're all experts on the anti-trans side, their arguments, their petty bigotries.
The same is not true in reverse.
The same is not true in reverse.
Reposted by James Davies
it's totally overthinking it to say people are leaving en masse for any reason other than that the UX has gone to shit, Musk's antics are just an endless series of nudge events
November 16, 2024 at 11:04 AM
it's totally overthinking it to say people are leaving en masse for any reason other than that the UX has gone to shit, Musk's antics are just an endless series of nudge events
Reposted by James Davies
Should you avoid IV iron in an iron deficient pt who was recently transfused?
Many fear iron overload, as 1U RBC transfusion contains ~200mg iron (primarily within RBCs). Is this a problem?
1/X #medsky #ansky #emimcc #hemesky #irondeficiency
Many fear iron overload, as 1U RBC transfusion contains ~200mg iron (primarily within RBCs). Is this a problem?
1/X #medsky #ansky #emimcc #hemesky #irondeficiency
November 15, 2024 at 9:32 PM
Should you avoid IV iron in an iron deficient pt who was recently transfused?
Many fear iron overload, as 1U RBC transfusion contains ~200mg iron (primarily within RBCs). Is this a problem?
1/X #medsky #ansky #emimcc #hemesky #irondeficiency
Many fear iron overload, as 1U RBC transfusion contains ~200mg iron (primarily within RBCs). Is this a problem?
1/X #medsky #ansky #emimcc #hemesky #irondeficiency
Reposted by James Davies
Morphine/oxycodone dose equivalence: this systematic review is an excellent summary of the relevant studies. I've had lots of emails about this topic since the British National Formulary updated their guidance.
link.springer.com/article/10.1...
link.springer.com/article/10.1...
Opioid analgesic dose and route conversion ratio studies: a scoping review to inform an eDelphi guideline - Supportive Care in Cancer
Background Clinicians regularly prescribe opioids to manage acute and chronic cancer pain, frequently to address acute postoperative pain, and occasionally to manage chronic non-cancer pain. Clinical ...
link.springer.com
November 15, 2024 at 3:12 PM
Morphine/oxycodone dose equivalence: this systematic review is an excellent summary of the relevant studies. I've had lots of emails about this topic since the British National Formulary updated their guidance.
link.springer.com/article/10.1...
link.springer.com/article/10.1...