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Benjamin Thomas

@andiyar.bsky.social

390 followers 250 following 16 posts

Palliative medicine physician in regional Australia. Humour, social, existential, pharmacology. Clinical trials, delirium, quality of dying. On threads and mastodon in case as well

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Benjamin Thomas @andiyar.bsky.social · Aug 12

Our RCT into dexmedetomidine versus midazolam for proportional sedation at EOL is now online at JPSM! If you were at @eapcvzw.bsky.social last year you might have seen the interim results. Paper is finally done! Hope you enjoy :)
doi.org/10.1016/j.jp...
#palliativecare

Dexmedetomidine versus Midazolam for End-of-Life Sedation: The DREAMS Non-Blinded Randomized Clinical Trial

End-of-life distress and delirium are common in palliative care inpatients, often requiring sedatives that diminish interaction. Current practices rely on clinical experience rather than evidence.

www.jpsmjournal.com

Benjamin Thomas @andiyar.bsky.social · Aug 12

Dexmedetomidine versus Midazolam for End-of-Life Sedation: The DREAMS Non-Blinded Randomized Clinical Trial

End-of-life distress and delirium are common in palliative care inpatients, often requiring sedatives that diminish interaction. Current practices rely on clinical experience rather than evidence.

www.jpsmjournal.com

Reposted by Benjamin Thomas

WotSeries ❤️📖📺🤞 @wotseries.com · Jun 28

"Save The Wheel of Time" digital ad under the iconic Sydney Harbour Bridge 💛

#TheWheelOfTime #SaveWOT

A digital ad truck with a "Save The Wheel of Time" campaign display, featuring characters Elayne, Egwene, and Nynaeve, driving near the waterfront under the Sydney Harbour Bridge on a sunny day. The Sydney skyline and water are visible in the background

A digital ad truck showing the "Save The Wheel of Time" campaign with a silhouette of Rand al'Thor carrying Moiraine out of Rhuidean driving beneath the Sydney Harbour Bridge. The water and Sydney skyline are in the background, with scattered clouds and bright daylight.

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Benjamin Thomas @andiyar.bsky.social · May 24

No thank you for your generosity and the wonder to brought to the thing we love. Hopefully it's not goodbye forever - please tell Rafe from a book reader since the early 90s, he made a beautiful thing and he should be proud <3

Reposted by Benjamin Thomas

Anthony Albanese @albomp.bsky.social · May 3

Thank you, Australia.

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Benjamin Thomas @andiyar.bsky.social · Apr 21

Enjoyed this one a lot. Cheers Alastair and Rory.

Benjamin Thomas @andiyar.bsky.social · Apr 13

Thanks Rick, as a NSW public specialist, appreciate your take and your words. Very well put together.

Benjamin Thomas @andiyar.bsky.social · Mar 26

Would be interested!

Benjamin Thomas @andiyar.bsky.social · Mar 17

If our experience is anything to go by- the boards don't tend to say no

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Benjamin Thomas @andiyar.bsky.social · Feb 13

I watched it twice in Australia!

Reposted by Benjamin Thomas

The Lancet @thelancet.com · Feb 10

Read our latest issue in full ➡️ tinyurl.com/2rz7b357

bsky.app/profile/thel...

Cover of The Lancet Feb 8, 2025 issue. Quote on cover reads: "Health institutions may be hesitant to criticise the new administration publicly, but this timidity is a mistake. Trump's actions must be called out for the damage they are doing."

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Reposted by Benjamin Thomas

Anthony Lau, PharmD BCPS @alaurx.bsky.social · Dec 16

1/ Day 16 of Pharmacy Advent: Let’s talk hyponatremia—seeing it more frequently in ED. Why is hypokalemia risk factor for Na overcorrection & risk of ODS? We’ll briefly review recent SRMA on slow vs fast Na correction too. Here we go, let’s dive in!👇 #medsky #pharmsky #EMsky #HMsky #nursesky #emimcc

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Reposted by Benjamin Thomas

ABC News (Unofficial) @abc-news.bsky.social · Dec 23

Private doctors offered 'crisis rates' amid NSW psychiatrists exodus: https://www.abc.net.au/news/2024-12-23/private-doctors-crisis-rates-nsw-public-psychiatrists/104758242

Private doctors offered 'crisis rates' amid NSW psychiatrists exodus

With almost 200 of the 295 psychiatrists working across the NSW's public health sector set to leave due to pay disputes, the state's government has offered temporary, high-paid contracts for private workers to fill the gaps.

www.abc.net.au

Benjamin Thomas @andiyar.bsky.social · Dec 15

📌

Reposted by Benjamin Thomas

Gwen @gwenglens.bsky.social · Dec 4

Canada’s #MAiD program may be at the extreme end of the #assisteddying slippery slope, but this article in the @bmj.com is exactly why some of us are so fearful of the Bill currently going through parliament. #disability

Kelly @broadwaybabyto.bsky.social · Dec 4

“I now view euthanasia and assisted suicide as introducing a new risk to my patients: the risk of wrongful, premature death”

Excellent blog from a family doctor in Canada who primarily serves marginalized communities. She outlines multiple examples of death via MAiD that were questionable (at best)

Discrimination-driven deaths – Analysing Ontario Coroner Reports on Euthanasia and Assisted Suicide – BMJ Supportive & Palliative Care

blogs.bmj.com

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Benjamin Thomas @andiyar.bsky.social · Dec 3

Any chance of us foreigners being able to pay shipping to get the zine? Looks too good to miss

Benjamin Thomas @andiyar.bsky.social · Nov 28

That said, super nice to be feeling close to the finish line for this one.

Benjamin Thomas @andiyar.bsky.social · Nov 28

Nice to be up to the point in a manuscript where supervisor/co-authors have provided significant feedback and are happy and look forward to a polished version in a few weeks... which is lovely, except for future me who gets to hit "accept changes" and wield the axe! #phd #pallmed #dexmedetomidine

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Reposted by Benjamin Thomas

Paul Howard @paulhoward.bsky.social · Nov 28

This paper re palliation in advanced heart failure caught my eye. In particular, table 6 summarises the potential symptom benefits both of continuing and of stopping (4th column) each class of heart failure medicine

doi.org/10.1177/1049...

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

doi.org

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Benjamin Thomas @andiyar.bsky.social · Nov 22

@pippab.bsky.social hi Pip :)

Benjamin Thomas @andiyar.bsky.social · Nov 16

📌

Benjamin Thomas @andiyar.bsky.social · Nov 15

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Benjamin Thomas @andiyar.bsky.social · Nov 13

Another one I've use subcut is cefepime, with good clinical response albeit no testing data.

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Benjamin Thomas @andiyar.bsky.social · Nov 12

So I might give this place a proper crack now so many #hpm folks are moving over to #MedSky. Hello all :)