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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Mike Stone‏ @MikeStone2_EoL Jan 12
      Replying to @billdossett @mancunianmedic and

      1/n Not if you were informed of the risks, and you consented. If the drug promptly killed you, and it was known before administration that it would, that would amount to assisted suicide. If the situation is 'if we do it, you might die sooner' and you say 'fine - do it' then that

      2 replies 0 retweets 0 likes
    2. Mike Stone‏ @MikeStone2_EoL Jan 12
      Replying to @billdossett @mancunianmedic and

      As I've said - it is only assisted suicide, if it is suicide. If I wanted a drug for suicide, I would want it to kill me within minutes. If I want a drug for pain relief, and taking it means I die in 10 days and not 15 days, that isn't 'suicide'.

      2 replies 0 retweets 0 likes
    3. Mike Stone‏ @MikeStone2_EoL Jan 12
      Replying to @billdossett @mancunianmedic and

      Well, 24-48 hours compared to 48 - 96 hours: exactly the same argument, about 'patient accepts the risk to gain the relief'.

      2 replies 0 retweets 0 likes
    4. Mike Stone‏ @MikeStone2_EoL Jan 12
      Replying to @billdossett @mancunianmedic and

      It doesn't matter whether we are talking weeks, days or hours: if the shortening of life is a side-effect of the treatments objective, and there is uncertainty about how much shortening will actually take place, then that isn't 'assisted suicide'.

      1 reply 0 retweets 1 like
    5. Mike Stone‏ @MikeStone2_EoL Jan 12
      Replying to @billdossett @mancunianmedic and

      I had a friend whose final week of life was spent 'delirious and screaming out in pain'. My feeling is that there were not enough 'drugs used'.

      3 replies 1 retweet 0 likes
      John Clarke‏ @C7RKY Jan 12
      Replying to @billdossett @MikeStone2_EoL and

      Are they not just saying that Midazolam wasn't up to the task of providing the pain relief necessary to offset the effects of the other drugs though? Or are you saying there are further drugs in common too?

      3:54 AM - 12 Jan 2018
      • 1 Like
      • drjonesaa
      3 replies 0 retweets 1 like
        1. New conversation
        2. John Clarke‏ @C7RKY Jan 12
          Replying to @billdossett @MikeStone2_EoL and

          You'll have to forgive me - I'm asking because I'm not as close to this as you are. Does EOLC involve any of those drugs you mention outside of Midazolam?

          2 replies 0 retweets 1 like
        3. Tweet unavailable
        4. John Clarke‏ @C7RKY Jan 12
          Replying to @billdossett @MikeStone2_EoL and

          Thanks Wayne. I'm going to have to do some more homework on this. It's a case of when, not if I'm going to need to know this.

          2 replies 0 retweets 1 like
        5. Mike Stone‏ @MikeStone2_EoL Jan 12
          Replying to @C7RKY @billdossett and

          1/2 Clearly drugs should be 'titrated against pain'. So you start with a low dose. The issue, for known end-of-life, hinges on whether you stop titrating against pain because the increased dose necessary to remove the pain might also shorten life: in my view the increased dose

          1 reply 1 retweet 2 likes
        6. Mike Stone‏ @MikeStone2_EoL Jan 12
          Replying to @MikeStone2_EoL @C7RKY and

          2/2 necessary to remove the patient's pain, is still legally okay PROVIDED the patient has requested the administration of the drug and has given informed consent.

          1 reply 1 retweet 2 likes
        7. Tweet unavailable
        8. drjonesaa‏ @drjonesaa Jan 12
          Replying to @billdossett @MikeStone2_EoL and

          depends on the condition, but with the right care...only 7% cannot be helped by modern pain management. The issue with the LCP is people deliberately put to death when they could have lived pain-free lives but cost the state a pension. c @ang__johnson @ashkarmstrong @briangukc

          1 reply 1 retweet 2 likes
        9. 3 more replies
        1. John Clarke‏ @C7RKY Jan 12
          Replying to @billdossett @MikeStone2_EoL and

          Have you got anything to show me on the 3.5mg / 2 doses figures too please? You seem to be quoting from something there.

          2 replies 0 retweets 1 like
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        1. New conversation
        2. Christine Papalabropoulos‏ @tinavikki85 Jan 12
          Replying to @billdossett @C7RKY and

          How do you read this ?pic.twitter.com/sXspNpFkVX

          4 replies 2 retweets 2 likes
        3. Tweet unavailable
        4. Christine Papalabropoulos‏ @tinavikki85 Jan 12
          Replying to @billdossett @C7RKY and

          This is part of our PHSO report, yes it was written up incorrectly by a very well respected Consultant at Basildon Hospital. The staff nurse was very diligent, I’m questioning the dose - 10mg ?

          1 reply 1 retweet 1 like
        5. Mike Stone‏ @MikeStone2_EoL Jan 12
          Replying to @tinavikki85 @billdossett and

          I'm not a clinician, so I can't comment on 'the dose' - beyond, pointing out that sometimes doses can legitimately be higher for terminal-and-close-to-death patients, than would normally be considered acceptable for patients expected to recover to health.

          3 replies 0 retweets 2 likes
        6. Tweet unavailable
        7. Mike Stone‏ @MikeStone2_EoL Jan 12
          Replying to @billdossett @tinavikki85 and

          I've got to go offline now, until tomorrow - not sure we are going to agree on this one! I HATED 'LCP as a recipe which patients were 'fitted into''. I'm not convinced that lots of HCPs were 'deliberately murdering people' - but I do think lots of HCPs were very poor 'at EoL'.

          2 replies 0 retweets 2 likes
        8. Chris Humpage‏ @EngleTheBruce Jan 12
          Replying to @MikeStone2_EoL @billdossett and

          My mom was placed on the LCP with NO terminal illnes. This was on the basis that she supposedly had a huge inoperable tumour described in great detail. Turns out the tumour was non existent. She survived 5 days of the LCP yet was still refused treatment afterwards. Murder.

          4 replies 7 retweets 8 likes
        9. 3 more replies

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