Wednesday 25 July 2018

son John, palliative care nursing consultant expert, visiting dying unconscious Mum in hospital. She looks comfortable. No cancer, no obvious cause for organ failure. The only certain thing was that she was really 'actively' dying at about 80. Something in the sensorium of the brain went wrong and maybe bled. Who knows? She had a good palliative care physician. I asked him 'What's in the Driver? Morphine 120, Midazolam 20, methadone 10, metoclorpramide 30. You still use the old sub-cut drivers...the Nikkis are better." I suggested "morphine amount sounds right for the visceral pain, the methadone can help with any bone pain at the axon gate, the midazolam is good for retrograde amnesia, but the metoclorpramide is unnecessary and could bring extra pyramidical issues, better just take it out and add a tad of haloperidol 5 to cloud the sensorium for the rough bit of the journey". Love you Mum. Thank you for my life. I am honoured to be your son.


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