David Currow
speaker
250 appearances
1 recordings
1 series
first heard Jan 2020
last heard Jan 2020
David Currow’s voice in public audio — every appearance, attributed to the second.
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Appearances
Well, every breath you take by the police has to be today's song request, really, doesn't
Look, I think breathlessness has been a Cinderella topic for a long time.
And, you know, if we wind the clock back 40 years, when someone came in with cancer and said, I've got pain, their clinician said, well, of course you do.
You've got cancer.
And unfortunately, we still do exactly the same when someone comes in and says, I'm breathless.
People shrug their shoulders and go, well, you've got chronic obstructive pulmonary disease.
What do you expect?
Rather than saying, how do we deal with the symptom, particularly of chronic breathlessness, breathlessness that is unremitting?
And so that's what I've been working on with a team really right around the world over the last few years.
So as you point out, you know, we have a responsibility to make sure that the reversible things are reversed and, you know, that
paper by Deb Dudgeon 20 years ago suggests that we shouldn't assume that everyone else has looked for the reversible causes.
The non-pharmacological therapies are crucial.
And really, as you move to pharmacological therapies, we have statements from the American College of Physicians, the American College of Chest Physicians, the Canadian Thoracic Society,
the European Respiratory Society, suggesting that opioids have a role.
And I think this is somewhat different to the other studies that you cited a little earlier, Eric, in that there is a body of work out there already.
There are meta-analyses that have been around for 20 years.
And we need to take this study in that context.
By contrast,
You know, if we take the oxygen study, there really was nothing else that had been done of that magnitude in the palliative care population.
And so this study needs to be taken in that context.
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