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Benjamin Thomas

@andiyar.bsky.social

Palliative medicine physician in regional Australia. Humour, social, existential, pharmacology. Clinical trials, delirium, quality of dying. On threads and mastodon in case as well

386 Followers  |  246 Following  |  16 Posts  |  Joined: 21.09.2023  |  2.2189

Latest posts by andiyar.bsky.social on Bluesky

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Dexmedetomidine versus Midazolam for End-of-Life Sedation: The DREAMS Non-Blinded Randomized Clinical Trial End-of-life distress and delirium are common in palliative care inpatients, often requiring sedatives that diminish interaction. Current practices rely on clinical experience rather than evidence.

Our RCT into dexmedetomidine versus midazolam for proportional sedation at EOL is now online at JPSM! If you were at @eapcvzw.bsky.social last year you might have seen the interim results. Paper is finally done! Hope you enjoy :)
doi.org/10.1016/j.jp...
#palliativecare

12.08.2025 22:50 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
A digital ad truck with a "Save The Wheel of Time" campaign display, featuring characters Elayne, Egwene, and Nynaeve, driving near the waterfront under the Sydney Harbour Bridge on a sunny day. The Sydney skyline and water are visible in the background

A digital ad truck with a "Save The Wheel of Time" campaign display, featuring characters Elayne, Egwene, and Nynaeve, driving near the waterfront under the Sydney Harbour Bridge on a sunny day. The Sydney skyline and water are visible in the background

A digital ad truck showing the "Save The Wheel of Time" campaign with a silhouette of Rand al'Thor carrying Moiraine out of Rhuidean driving beneath the Sydney Harbour Bridge. The water and Sydney skyline are in the background, with scattered clouds and bright daylight.

A digital ad truck showing the "Save The Wheel of Time" campaign with a silhouette of Rand al'Thor carrying Moiraine out of Rhuidean driving beneath the Sydney Harbour Bridge. The water and Sydney skyline are in the background, with scattered clouds and bright daylight.

"Save The Wheel of Time" digital ad under the iconic Sydney Harbour Bridge πŸ’›

#TheWheelOfTime #SaveWOT

28.06.2025 04:11 β€” πŸ‘ 97    πŸ” 21    πŸ’¬ 0    πŸ“Œ 1

No thank you for your generosity and the wonder to brought to the thing we love. Hopefully it's not goodbye forever - please tell Rafe from a book reader since the early 90s, he made a beautiful thing and he should be proud <3

24.05.2025 00:01 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Thank you, Australia.

03.05.2025 12:38 β€” πŸ‘ 1767    πŸ” 258    πŸ’¬ 166    πŸ“Œ 49

Enjoyed this one a lot. Cheers Alastair and Rory.

21.04.2025 00:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Thanks Rick, as a NSW public specialist, appreciate your take and your words. Very well put together.

13.04.2025 09:12 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Would be interested!

26.03.2025 10:31 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

If our experience is anything to go by- the boards don't tend to say no

17.03.2025 11:35 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

I watched it twice in Australia!

13.02.2025 10:31 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Read our latest issue in full ➑️ tinyurl.com/2rz7b357

bsky.app/profile/thel...

10.02.2025 11:31 β€” πŸ‘ 149    πŸ” 65    πŸ’¬ 4    πŸ“Œ 3
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1/ Day 16 of Pharmacy Advent: Let’s talk hyponatremiaβ€”seeing it more frequently in ED. Why is hypokalemia risk factor for Na overcorrection & risk of ODS? We’ll briefly review recent SRMA on slow vs fast Na correction too. Here we go, let’s dive in!πŸ‘‡ #medsky #pharmsky #EMsky #HMsky #nursesky #emimcc

16.12.2024 22:41 β€” πŸ‘ 19    πŸ” 11    πŸ’¬ 2    πŸ“Œ 1
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Private doctors offered 'crisis rates' amid NSW psychiatrists exodus With almost 200 of the 295 psychiatrists working across the NSW's public health sector set to leave due to pay disputes, the state's government has offered temporary, high-paid contracts for private workers to fill the gaps.

Private doctors offered 'crisis rates' amid NSW psychiatrists exodus: https://www.abc.net.au/news/2024-12-23/private-doctors-crisis-rates-nsw-public-psychiatrists/104758242

23.12.2024 06:10 β€” πŸ‘ 0    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

πŸ“Œ

15.12.2024 07:51 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Canada’s #MAiD program may be at the extreme end of the #assisteddying slippery slope, but this article in the @bmj.com is exactly why some of us are so fearful of the Bill currently going through parliament. #disability

04.12.2024 21:48 β€” πŸ‘ 23    πŸ” 10    πŸ’¬ 0    πŸ“Œ 0

Any chance of us foreigners being able to pay shipping to get the zine? Looks too good to miss

03.12.2024 20:00 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

That said, super nice to be feeling close to the finish line for this one.

28.11.2024 09:30 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Nice to be up to the point in a manuscript where supervisor/co-authors have provided significant feedback and are happy and look forward to a polished version in a few weeks... which is lovely, except for future me who gets to hit "accept changes" and wield the axe! #phd #pallmed #dexmedetomidine

28.11.2024 09:29 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Sage Journals: Discover world-class research Subscription and open access journals from Sage, the world's leading independent academic publisher.

This paper re palliation in advanced heart failure caught my eye. In particular, table 6 summarises the potential symptom benefits both of continuing and of stopping (4th column) each class of heart failure medicine

doi.org/10.1177/1049...

28.11.2024 07:43 β€” πŸ‘ 9    πŸ” 7    πŸ’¬ 1    πŸ“Œ 0

@pippab.bsky.social hi Pip :)

22.11.2024 02:54 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

πŸ“Œ

16.11.2024 00:47 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

πŸ“Œ

15.11.2024 07:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Another one I've use subcut is cefepime, with good clinical response albeit no testing data.

13.11.2024 11:39 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

So I might give this place a proper crack now so many #hpm folks are moving over to #MedSky. Hello all :)

12.11.2024 08:32 β€” πŸ‘ 10    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

@andiyar is following 20 prominent accounts