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Perioperative Palliative Care by Dr Ramachenderan

This is a quick shout out to my good friend, fellow GP Anaesthetist and all round nice chap – Dr Johnathon Ramechederan. He has co-authored this great article in the Journal of Pain and Symptom Management with fellow Albany doctor Kirsten Auret.  It is about how we treat patients with surgical needs towards the end […]

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Case 0003 – Beyond opiates in Chronic pain

63 yo man with advanced oesophageal cancer, diagnosed 18 months ago.  Now has extensive liver mets, retroperitoneal tumour and fungating open tumour in lower abdomen. Presents to ED Saturday morning with intractable visceral-sounding pain – “not responding to his usual pain tablets”.  So what is he taking for this pain : 2 x 80 mg OxyContin […]