Dr Alison B's Avatar

Dr Alison B

@aliblipcdoc.bsky.social

Palliative/Supportive care physician. Pain med, rural hlth, renal supportive care. Safety of Drs & med students. Prioritise kindness, compassion & integrity. ID doc hubby. Views own. RT≠agreement. Live in rural NSW.

331 Followers  |  140 Following  |  65 Posts  |  Joined: 11.11.2024  |  1.7739

Latest posts by aliblipcdoc.bsky.social on Bluesky

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Automatic systems unlawfully cancelled 964 jobseekers' payments, watchdog finds Almost a thousand jobseekers had their income support payments unlawfully terminated over two years, the federal watchdog has found, cautioning the breach likely had a "profound if not catastrophic" i...

This is diabolical

Automatic systems unlawfully cancelled 964 jobseekers' payments in two years, watchdog finds www.abc.net.au/news/2025-08...

05.08.2025 21:24 — 👍 24    🔁 15    💬 0    📌 1
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The top 1% now owns more than $54 trillion in wealth.

That’s 468 times more than the bottom 50%.

One man — Elon Musk — owns more than the bottom half COMBINED.

This is what I mean when I talk about oligarchy.

05.08.2025 21:45 — 👍 2109    🔁 673    💬 93    📌 55
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Adams et al. have developed a morphine milligram equivalent (MME) calculator to standardize MME calculations across pain research studies, addressing a critical barrier to effective research synthesis and meta-analysis. Learn more in #PAIN bit.ly/4lYbkdd

06.08.2025 12:00 — 👍 1    🔁 1    💬 0    📌 0

As I walk across the harbour bridge today on the #marchforhumanity I can’t help but think about the countries where marching is a life endangering experience- let’s not take our rights for granted

03.08.2025 04:30 — 👍 122    🔁 13    💬 4    📌 1
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Who causes the chaos? Plus, are conspiracy theories normalised now?

AND! Every report should include the detail that Palestine Action Group offered to delay the protest by a few weeks to work with NSW Police on safety concerns.

NSW Police did not take this offer and took them to court anyway.

#auspol

zeefeed.beehiiv.com/p/sydney-har...

03.08.2025 01:09 — 👍 36    🔁 18    💬 2    📌 0
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Proportional Sedation for Persistent Agitated Delirium in Palliative Care: A Randomized Clinical Trial - PubMed Clinicaltrials.gov Identifier: NCT03743649.

For agitation refractory to haloperidol, the addition or rotation to lorazepam is superior to increasing haloperidol or placebo.

pubmed.ncbi.nlm.nih.gov/40742738/

01.08.2025 10:48 — 👍 0    🔁 1    💬 0    📌 0
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Proportional Sedation for Persistent Agitated Delirium in Palliative Care This randomized clinical trial compares the effects of scheduled haloperidol, lorazepam, haloperidol plus lorazepam, and placebo on agitated delirium in patients with advanced cancer in the palliative...

jamanetwork.com/journals/jam...

01.08.2025 10:24 — 👍 1    🔁 0    💬 0    📌 0
Post image 31.07.2025 08:35 — 👍 0    🔁 0    💬 0    📌 0
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First unscheduled hospitalization in advanced cancer as a prognostic indicator of poor survival and trigger for palliative care referral - PubMed In patients with advanced cancer, the first unscheduled hospitalization may serve as a prognostic indicator of poor survival and a potential trigger for palliative care referral.

A first unscheduled admission should lead to universal pall care referral among pts with cancer

pubmed.ncbi.nlm.nih.gov/40715739/

29.07.2025 11:11 — 👍 0    🔁 2    💬 0    📌 0

Superb reporting but is a really tough read.

28.07.2025 08:46 — 👍 25    🔁 7    💬 1    📌 1
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Scheduled and Breakthrough Opioid Use for Cancer Pain in an Inpatient Setting at a Tertiary Cancer Hospital - PubMed <span><b>Background</b>: Our aim was to examine the frequency and prescription pattern of breakthrough (BTO) and scheduled (SCH) opioids and their ratio (BTO/SCH ratio) of use, prior to and after refe...

Before the pall care consult, inpatients have more pain and receive less opioid dose. Early inpatient referral is important to reduce pain and suffering

pubmed.ncbi.nlm.nih.gov/38534934/

28.07.2025 10:46 — 👍 0    🔁 1    💬 0    📌 0
Screenshot of Twitter post from 

Kurt Mahlburg
@k_mahlburg

With the text:
An Aussie doctor has been found guilty of professional misconduct.

Not for harming patients.

But for posting Christian views, including memes & satire from 
@TheBabylonBee, on social media.

Yes, that can now cost you your medical licence in Australia.

Meet Dr Jereth Kok.

The post is appended with a picture of the (ex) doctor and a sample masthead from the Babylon Bee that pokes fun at gender diversity.

Screenshot of Twitter post from Kurt Mahlburg @k_mahlburg With the text: An Aussie doctor has been found guilty of professional misconduct. Not for harming patients. But for posting Christian views, including memes & satire from @TheBabylonBee, on social media. Yes, that can now cost you your medical licence in Australia. Meet Dr Jereth Kok. The post is appended with a picture of the (ex) doctor and a sample masthead from the Babylon Bee that pokes fun at gender diversity.

The faux rage about Jereth Kok hasn't yet arrived here from X. But to be clear, calling colleagues 'baby killers', opining that COVID vaccines are made from murdered babies and endorsing the gassing of 'inferior races' means he's been struck off for unprofessionalism, not because he's 'Christian'.

28.07.2025 13:03 — 👍 14    🔁 6    💬 2    📌 0
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Balancing weight and muscle loss in GLP1 receptor agonist therapy - Nature Reviews Endocrinology Rapid weight loss with GLP1 receptor agonists can come at the cost of skeletal muscle, potentially undermining metabolic and functional outcomes. This Comment highlights emerging evidence and advocate...

Preserving muscle mass is a key concern w/ GLP-1 drug treatment. Many ways to help achieve that are being explored, beyond exercise & diet, including myostatin inhibitors, SARMs (selective androgen receptor modulators), and via activin type II receptor pathway (ActRII) www.nature.com/articles/s41...

28.07.2025 19:36 — 👍 81    🔁 9    💬 3    📌 1
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‘A huge human cost’: Labor criticised over delays to aged care reforms as waitlist grows Senate votes to establish inquiry after aged care minister rejects calls to bring forward additional 20,000 home care packages

It is completely unacceptable that the Albanese govt is refusing to release desperately needed Home Care packages with 87,000 people on the waitlist.

Thank you to the Coalition, Greens & other xbench colleagues for supporting this inquiry.
www.theguardian.com/australia-ne...

28.07.2025 21:05 — 👍 82    🔁 18    💬 1    📌 0
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Despite $22bn promise, Adani has paid zero corporate tax in Australia and experts think it won’t ever pay a cent Adani’s Australian assets regularly report annual losses despite strong revenue, in part due to big related-party payments

Why on earth do successive 🇦🇺 govts keep allowing giant multinational companies to reap super profits from the sale of our resources without paying tax?? 🤯

This $$ should be supporting Australians in health, housing, education etc.
www.theguardian.com/australia-ne...

28.07.2025 21:02 — 👍 234    🔁 98    💬 27    📌 6
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Marion Scrymgour makes history as first Aboriginal MP to preside from the Speaker's Chair in federal parliament The Member for Lingiari, Marion Scrymgour, became the first Aboriginal person to preside over Australia's House of Representatives from the Speaker's Chair on Monday.

The Member for Lingiari, Marion Scrymgour, became the first Aboriginal person to preside over Australia's House of Representatives from the Speaker's Chair on Monday.

28.07.2025 05:45 — 👍 6    🔁 5    💬 0    📌 0
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How good is it to live in an Australia where a foreign nation is deliberately starving an entire country of people and a South African born white woman is paid from Australian's taxes to defend the foreign-nation-that-starves-people and is also directed by our govt to tell us to shut up about it?

29.07.2025 01:36 — 👍 989    🔁 396    💬 73    📌 16
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Loss of mitochondrial membrane potential (ΔΨm) in leucocytes as post-COVID-19 sequelae Abstract. The mitochondrial membrane potential (ΔΨm) is a parameter often used to determine mitochondrial function; therefore, it can be used to determine

I highly recommend reading this article.

So much we are yet to appreciate about the effects of Cøvid on mitochondria...

💥💥 Cluster-fuck 💥💥

academic.oup.com/jleukbio/art...

27.07.2025 10:49 — 👍 102    🔁 39    💬 12    📌 4

This would be a phenomenal role for the right person.

27.07.2025 07:27 — 👍 2    🔁 1    💬 0    📌 0
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Ethics and Academic Discourse, Scientific Integrity, Uncertainty, and Disinformation in Medicine: An American College of Physicians Position Paper - PubMed Respect for the scientific process and a diversity of views; open discourse and debate based on principles of ethics, best available evidence, and scientific inquiry and integrity; and an understandin...

Endorsing health related conspiracy theories is an ethical violation for physicians

pubmed.ncbi.nlm.nih.gov/39074368/

26.07.2025 15:38 — 👍 1    🔁 1    💬 0    📌 0

Yes, but I see a lot of tachyphylaxis & hyperalgaesia with fentanyl so try & not use it for too long.

27.07.2025 08:10 — 👍 0    🔁 0    💬 0    📌 0

I’m not an activist, but as someone who reports on people who are, I see some activists sneering at people who are late to a cause they’ve fought hard for. Surely the point of activism is pitching to the centre to make change? Not alienating or mocking those whose minds you surely wanted to change?

26.07.2025 22:53 — 👍 711    🔁 106    💬 83    📌 40
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💊 Neurotransmitters on drugs: How alcohol, medications & other substances affect the CNS Every action in the brain - whether catching a ball, calming a panic attack, or waking from anaesthesia - starts at the synapse . In physiol...

Many substances - from prescription medications to recreational drugs - affect the brain. They dial neurotransmitter signalling up or down, leading to effects that are therapeutic, recreational, harmful, or all three.
tinyurl.com/58jxvycf
Click to learn more !

#Medschool #Medstudent #Medsky

27.07.2025 05:15 — 👍 2    🔁 1    💬 0    📌 0
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Medicinal cannabis for symptom control in advanced cancer: a double-blind, placebo-controlled, randomised clinical trial of 1:1 tetrahydrocannabinol and cannabidiol - Supportive Care in Cancer Purpose Patients with cancer commonly access cannabis hoping to relieve their symptoms. This study assessed whether a 1:1 10 mg/ml THC:CBD combination oil could improve total symptom burden in patient...

link.springer.com/article/10.1...

26.07.2025 01:57 — 👍 0    🔁 0    💬 0    📌 0
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'That's why I wanted him to go on dialysis' - a qualitative inductive thematic analysis of older patients' and their family members' perspectives on kidney failure treatment decision-making - PubMed Family members appear to have significant influence on older patients' kidney failure treatment decisions, which can occur outside the shared decision-making support offered to patients. The inextrica...

pubmed.ncbi.nlm.nih.gov/40634848/

25.07.2025 10:19 — 👍 0    🔁 0    💬 0    📌 0
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Sussan Ley is absolutely leaning into support for Israel's ongoing genocide. She's just put out a media release attacking Albanese for failing to "place any blame on Hamas".

25.07.2025 03:32 — 👍 162    🔁 43    💬 42    📌 10
Screenshot of 9 News online poll asking 'Will you buy beef imported from the US?' Results so far- Yes 100 responses (6%), No 1529 responses (94%).

Screenshot of 9 News online poll asking 'Will you buy beef imported from the US?' Results so far- Yes 100 responses (6%), No 1529 responses (94%).

US beef price is up >10% over the past year (tariffs and climate change working out really well for them) 😬 so it's hardly surprising Aussies aren't keen on paying more $$$ for lower quality beef. Especially when the CDC has also been gutted. 'Mad cow disease'? Not for me thanks. 😵‍💫👎

25.07.2025 06:31 — 👍 19    🔁 5    💬 1    📌 0

☠️ Dead people don't shop
☠️ Sick people cannot work

Insurance has known since 2020, this is unaffordable.

They've baked it in.

Politicians don't care. They have ample reserves 🤬🤬

jim.kglmeridian.com/view/journal...

25.07.2025 08:32 — 👍 72    🔁 15    💬 3    📌 0
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One Nation Senators turn their back on First Nations people by refusing to respect Welcome to Country, and there's zero consequences.

But speak out for starving Palestinians and that results in punishment?

What kind of Parliament is this?

23.07.2025 08:08 — 👍 260    🔁 86    💬 17    📌 3
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Below is the Penny Wong I respected - the Penny Wong who called out injustice.

Today she rolled over, and chose silence in the face of genocide.

Has she become what she once derided?

23.07.2025 08:38 — 👍 82    🔁 18    💬 14    📌 1

@aliblipcdoc is following 20 prominent accounts