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.
Reposted by Dr Alison B
I think "the need to recognise dying" is over-emphasised
For me, it's "needing to hear patients and families when they recognise deterioration and are asking for symptom focused care"
(As well as hearing the opposite, when frail people want active escalation; palliation should never be imposed)
For me, it's "needing to hear patients and families when they recognise deterioration and are asking for symptom focused care"
(As well as hearing the opposite, when frail people want active escalation; palliation should never be imposed)
November 14, 2025 at 9:03 PM
I think "the need to recognise dying" is over-emphasised
For me, it's "needing to hear patients and families when they recognise deterioration and are asking for symptom focused care"
(As well as hearing the opposite, when frail people want active escalation; palliation should never be imposed)
For me, it's "needing to hear patients and families when they recognise deterioration and are asking for symptom focused care"
(As well as hearing the opposite, when frail people want active escalation; palliation should never be imposed)
Reposted by Dr Alison B
Other SC ABx with ph/kin data include: ceftriaxone, ertepenan, meropenam and teicoplanin
SC metronidazole, ceftazidime, pip-taz are all well tolerated
If you're new to SC ABx, this is an excellent review article
pubmed.ncbi.nlm.nih.gov/32674952/
SC metronidazole, ceftazidime, pip-taz are all well tolerated
If you're new to SC ABx, this is an excellent review article
pubmed.ncbi.nlm.nih.gov/32674952/
Subcutaneous Antibiotic Therapy: The Why, How, Which Drugs and When - PubMed
SC administration of antibiotics may be useful in various settings such as in hospitalized patients and among those in long-term care facilities or being cared for at home. However, further clinical studies are needed to assess the pharmacokinetic/pharmacodynamic properties, as well as the risks and …
pubmed.ncbi.nlm.nih.gov
November 15, 2025 at 5:13 PM
Other SC ABx with ph/kin data include: ceftriaxone, ertepenan, meropenam and teicoplanin
SC metronidazole, ceftazidime, pip-taz are all well tolerated
If you're new to SC ABx, this is an excellent review article
pubmed.ncbi.nlm.nih.gov/32674952/
SC metronidazole, ceftazidime, pip-taz are all well tolerated
If you're new to SC ABx, this is an excellent review article
pubmed.ncbi.nlm.nih.gov/32674952/
Reposted by Dr Alison B
Really useful summary; thanks
What I'd add is: consider SC B12 replacement. I don't have easy access to MMA, so offer a trial of treatment if fatigued with a B12<350.
Nothing works every time. But can be spectacular: eg
From housebound to going on a holiday
From bedbound to going out for lunch
What I'd add is: consider SC B12 replacement. I don't have easy access to MMA, so offer a trial of treatment if fatigued with a B12<350.
Nothing works every time. But can be spectacular: eg
From housebound to going on a holiday
From bedbound to going out for lunch
November 23, 2025 at 7:45 AM
Really useful summary; thanks
What I'd add is: consider SC B12 replacement. I don't have easy access to MMA, so offer a trial of treatment if fatigued with a B12<350.
Nothing works every time. But can be spectacular: eg
From housebound to going on a holiday
From bedbound to going out for lunch
What I'd add is: consider SC B12 replacement. I don't have easy access to MMA, so offer a trial of treatment if fatigued with a B12<350.
Nothing works every time. But can be spectacular: eg
From housebound to going on a holiday
From bedbound to going out for lunch