{"id":1781,"date":"2022-12-12T09:00:59","date_gmt":"2022-12-12T09:00:59","guid":{"rendered":"https:\/\/blogs.bmj.com\/spcare\/?p=1781"},"modified":"2022-12-12T10:49:41","modified_gmt":"2022-12-12T10:49:41","slug":"the-palliative-times-special-festive-edition","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/spcare\/2022\/12\/12\/the-palliative-times-special-festive-edition\/","title":{"rendered":"The Palliative Times Special Festive Edition."},"content":{"rendered":"<p><em>By Dr Joseph Hawkins, Consultant in Palliative Medicine, Clinical lead for End of Life Care, Ashford and St Peter\u2019s NHS Foundation Trust. Twitter: @JoeHawk75825077<\/em><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/files\/2022\/12\/unnamed.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1813\" src=\"https:\/\/blogs.bmj.com\/spcare\/files\/2022\/12\/unnamed-225x300.jpg\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/spcare\/files\/2022\/12\/unnamed-225x300.jpg 225w, https:\/\/blogs.bmj.com\/spcare\/files\/2022\/12\/unnamed-768x1024.jpg 768w, https:\/\/blogs.bmj.com\/spcare\/files\/2022\/12\/unnamed-640x853.jpg 640w, https:\/\/blogs.bmj.com\/spcare\/files\/2022\/12\/unnamed.jpg 960w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><strong>93 year old celebrates third resurrection.<\/strong><br \/>\nDoris (93), recently celebrated with all 24 of her next of kin after a week of not eating and drinking. \u2018They keep saying I\u2019m going to die, but really it\u2019s just like having a very good nap\u2019 said Golden Gran Doris.<br \/>\n\u2018We think she\u2019s doing it for the attention\u2019 said her daughter, Daisy (75). \u2018We\u2019ve had 3 Christmases this year alone\u2019, she added.<\/p>\n<p><strong>Record breaking Palliative MDT.<\/strong><br \/>\n\u20183 days in, we knew it would be a long one\u2019, stated Prof. Softly-Softly. \u2018However, we only paused once to bake some fresh carrot cake\u2026most importantly we made a plan to re-unite Doris with her beloved goldfish \u201cMr Fluffy\u201d and learned the origin of everyone with an interesting name\u2019.<\/p>\n<p>Sadly we understand that 2 patients and a much loved family dog died before the MDT was completed.<\/p>\n<p><strong>Academic publishes piece.<\/strong><br \/>\nOur roving reporter caught up with Professor Softly-Softly (55) to discuss his seminal article on the numbers behind the numbers. \u2018Tell me Prof- how is this going to benefit patients moving forward?\u2019<br \/>\n\u2018Well, you see it\u2019s really incredible how we took the numbers that were there before and we made some new ones then wrote them down in tables and lastly, I\u2019m particularly pleased with how this worked out- graphs.\u2019 responded the Professor.<\/p>\n<p>\u2018Fascinating, Professor-so what can we expect to see in terms of real world benefits?\u2019<br \/>\nThe Professor responded: \u2018I\u2019m unsure if you understand the point of publication, aren\u2019t numbers enough for you?\u2019<\/p>\n<p>Unfortunately the Professor had to go to lead an MDT, cutting short our interview but we look forward to further exciting discussions in the future.<\/p>\n<p><strong>To palliate or not to palliate.<\/strong><br \/>\n<em>Guest writer Dr. John Fishing has sent the following harrowing story.<\/em><br \/>\nIt was a genuinely nice morning on the ward when my consultant saw the patient.<\/p>\n<p>The patient that he\u2019d decided to palliate.<\/p>\n<p>We could all tell that this was an unwell man and the patient looked poorly too.<br \/>\nUnfortunately the patient\u2019s son stated that palliation wasn\u2019t on the cards-all therapies must be engaged to save his fathers life from terminal cancer, heart failure, kidney disease and on-going haemorrhage. This was a man just 107 years young, a fledging in life\u2019s journey, stated his son-too young to die.<br \/>\nWe all knew we had no choice but to continue the IV Taz-o-fruse-dexamic acid. Surely a Christmas miracle was due?<br \/>\nBut then! A wind of change swept in to the ward as the patient\u2019s daughter boldly stated: \u2018You wouldn\u2019t treat a dog like this\u2019. We agreed but we were at a loss as to how veterinarian affairs might be worked in to the plan. With two such oppositional views what could we do?<\/p>\n<p>When our heads were at their lowest, our eyes closed in silent despair\u2026in walked the palliative care CNS. Truly we were saved.<br \/>\n\u2018The patient\u2019s died\u2019 she said.<br \/>\nAnd we were released from our torment of indecision.<\/p>\n<p><span style=\"text-decoration: underline\"><strong>Thought of the week:<\/strong><\/span> dark humour shines a light in the shadows.<\/p>\n<p><strong>Also by this author:<\/strong><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/2022\/08\/01\/welcome-to-the-department-of-rebrands\/\"><span style=\"font-size: 1rem\">Welcome to the department of rebrands.<\/span><\/a><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/2022\/09\/22\/welcome-back-to-the-department-of-rebrands\/\">Welcome back to the department of rebrands<\/a><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/2021\/12\/15\/how-to-tell-if-your-patient-is-dying\/\">How To Tell if Your Patient is Dying.<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Dr Joseph Hawkins, Consultant in Palliative Medicine, Clinical lead for End of Life Care, Ashford and St Peter\u2019s NHS Foundation Trust. Twitter: @JoeHawk75825077 93 year old celebrates third resurrection. Doris (93), recently celebrated with all 24 of her next of kin after a week of not eating and drinking. \u2018They keep saying I\u2019m going [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/spcare\/2022\/12\/12\/the-palliative-times-special-festive-edition\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":467,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1149],"tags":[],"class_list":["post-1781","post","type-post","status-publish","format-standard","hentry","category-feature"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/1781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/users\/467"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/comments?post=1781"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/1781\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/media?parent=1781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/categories?post=1781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/tags?post=1781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}