Jamie Mayers

Palliative Medicine consultant.
I mostly waffle about palliative care and post pictures of my dog.
Still want to be a rockstar.
She/Her.

[Jamie Mayers @JamieMayers89]

@Miriamcolleran2 @Existential_Doc Liquid docusate 🤢

[Jamie Mayers @JamieMayers89]

This is a really interesting point! May be less relevant in Palliative Medicine as many of our patients do have swallowing problems - but how often do we just mindlessly switch to liquids without considering things such as cost, volume, or environmental impact? 🤔

[Jamie Mayers @JamieMayers89]

@matt_corbishley Happy birthday! Hope you had a lovely day! X

[Jamie Mayers @JamieMayers89]

Here we go! Feels like the first day of school 😅 I can't wait to meet the team and get started on my new adventure at @Ashgate_Hospice! Wish me luck! 🤞❤️

[Jamie Mayers @JamieMayers89]

An interesting thread... I recall lots of conversations about this amongst colleagues, so it's interesting to see these views laid out eloquently!

[F. Perry Wilson, MD MSCE @fperrywilson]

Does it seem like your hospital patients are getting more... complicated? They are!
🧵

[Jamie Mayers @JamieMayers89]

@HughMaynard @MagicAtMusicals @Theliamholmes It's a great start to the day! I'm sure your riffing will be much nicer than mine haha. Have a good one!

[Jamie Mayers @JamieMayers89]

Lovely to hear @HughMaynard on @MagicAtMusicals this morning! Apparently a good scream-riff in the car was just what I needed in order to face another day in the sh*tshow that is the NHS! #BuiDoi #MissSaigon #LovelyHugh 😊

[Jamie Mayers @JamieMayers89]

This! You can be both a leader and a human!

[Professor Chris Whitty @CMO_England]

Improving quality of later life sometimes means less medical intervention not more. This should be the patient's informed decision.

Older people and their families need to have realistic conversations with their doctors including about levels of intervention they want. (5/5)

[Jamie Mayers @JamieMayers89]

@hannah_bailey20 @UHDBTrust @hospitalcharity Wow! What an amazing amount raised for the unit!! Well done team! 👏 ❤️

[Jamie Mayers @JamieMayers89]

@RoshanaMN Well done for taking on that role! I often find this is my main task as I've become more senior! It's true though - out in the wild most of us are useless, and all we can really do is make sure the person is safe and calm, and wait til someone with equipment comes along!😅

[Jamie Mayers @JamieMayers89]

@davidiscool4803 @KellyMayers89 we would be SO GOOD at this...

[Kelsie Snow @kelsieswrites]

5 yrs ago today I had a moderate stroke from a vertebral artery tear caused by a chiropractic neck adjustment. After 6 days in hospital, I couldn’t drive for a month and needed a walker and cane. I’m grateful each day for my recovery. Don’t let anyone touch your neck friends. ❤️

[Jamie Mayers @JamieMayers89]

Very much so! The amount of HCPs I've worked with (often coming to us for a visit) who say "I didn't expect it to be so... intense..." 🤷‍♀️
Palliative care is definitely changing! Some excellent analogies in this thread!

[Joe Hawkins @JoeHawk75825077]

Palliative care is often viewed as a country road, pleasant views, slow pace, many unexpected turns.
In my experience it’s a motorway-different speeds, frequent exits and entrances and very, very busy with every size and shape of vehicle.
#PalliativeCare @drkathrynmannix

[Jamie Mayers @JamieMayers89]

@HartlandJoseph This and the lack of pockets!! I NEED POCKETS DAMMIT! (Looking AWESOME by the way)

[Jamie Mayers @JamieMayers89]

@matt_corbishley @BAfromAshgate @Ashgate_Hospice Many congratulations! Very well deserved! 👏

[Jamie Mayers @JamieMayers89]

@pharmacopallia @Existential_Doc I also had a similar case this week - I tend to explain that "The fact that the medicines you used to be fine with are now affecting you like this shows me that your body is changing..." and then we can discuss why - usually that the patient is deteriorating from their disease.

[Jamie Mayers @JamieMayers89]

@DonnaWakefield_ @BMJ_SPCare @edubru @ElizabethPrsic This is really interesting (I haven't got round to reading mine yet!) We had a talk on fatigue management at @CoursesAdvanced and paroxetine wasn't mentioned I don't think. I shall look forward to reading more!!

[Jamie Mayers @JamieMayers89]

This!! Very much a phrase that people pick up and don't really think about what they actually mean when they use it. Like "acopia" 🤮
Also, a 'historian' is a person who studies and writes about history. Therefore, it is not the PATIENT who is the poor historian... 👀

[Dr Dean @DeanEggitt]

There's no such thing as a patient who is a "poor historian".

It's not the patient's job to be an expert on the history of their condition. It's the job of the healthcare professional to elicit information that creates an accurate representation of the medical history.