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Definitions and Discoveries – by Derek Doyle

Published on: Author: David Clark Leave a comment

I am old enough to be called “one of the pioneers of palliative care” but serious amnesia has not yet set in (so far as I remember)! I can recall much from those pioneering days, including the hours spent trying to devise comprehensive definitions so that, as we told each other “people will come to… Continue reading

‘Total pain’: the work of Cicely Saunders and the maturing of a concept

Published on: Author: David Clark 21 Comments

A striking feature of Cicely Saunders’ early work was its articulation of the relationship between physical and mental suffering. This reached full expression with the concept of ‘total pain’, which was taken to include physical symptoms, mental distress, social problems and emotional difficulties.  The idea was launched on the world exactly 50 years ago, in… Continue reading

Understanding in our global village: looking beyond myopia – by Richard Powell

Published on: Author: guwebteam 1 Comment

Hailing from a Dylan Thomas-like diminutive, unassuming, “ugly, lovely” former coal mining village in South Wales, UK –  whose inhabitants routinely greet friends and strangers alike with a warm, embracing “Morning!” couched in a melodious Welsh lilt – I could be more readily forgiven for small-town parochialism than any meaningful participation in a global dialogue.… Continue reading

Discovering palliative care in Kerala by Athira Unni

Published on: Author: David Clark 4 Comments

Read this great account from a student who spent time this summer in the Institute of Palliative Medicine, Kerala. Huge thanks to Athira Unni for allowing us to post this piece from her own blog, which can be found at: http://chocolateandink.wordpress.com/2014/08/05/monsoon-ipm-discovering-palliative-care-2/ And thanks to Suresh Kumar for making the introduction.   This summer I met… Continue reading

The Brompton Cocktail: 19th century origins to 20th century demise – by David Clark

Published on: Author: David Clark 20 Comments

Modern day pain specialists continue to be fascinated by the actions and interactions of particular drugs in specific combinations.   As the art and science of such work progresses it is worth reminding ourselves of practices and assumptions that prevailed in the not too distant past – and how quickly these could change. In this respect,… Continue reading

A salute to Derek Doyle – by David Clark

Published on: Author: David Clark 8 Comments
Derek Doyle 9 July 2014

I am delighted to report that Dr Derek Doyle  received the award of Honorary Doctor of Science from the University of Glasgow at a graduation ceremony on our Dumfries Campus, on 9 July. The award was made by the University Chancellor, Professor Sir Kenneth Calman. It was a special moment for the two of them,… Continue reading

Palliative medicine as a specialty

Published on: Author: David Clark 4 Comments

A new report has just appeared from the excellent Atlantes team at the University of Navarra in Spain. It sets out a detailed description of the development in Europe of palliative medicine as a field of specialisation. This is a challenging issue to study, in a context where modes of accreditation, licensing and associated procedural… Continue reading