Oncology and Palliative Medicine Physician in Jamaica - dedicated to improved opioid access, palliative care and excellence in doctor/patient communication

Joined October 2011
Photos and videos
Dingle Spence retweeted
The overwhelming burden of serious health-related suffering (SHS) in the world is placed on LMICs. 🔴Our latest paper in The @LancetGH provides new SHS estimates that delve into how this burden developed from 1990 to 2021.📊 thelancet.com/journals/langl… @BillyRosaPhD @harreolao @IAHPC @TecdeMonterrey @taniaxpastrana @julia_downing @srconnor @mia_umiami @SylvesterCancer @TheLancet @theNCI @EdinburghUni @taniaxpastrana @JosephRFriedman @dingleja @ntizimira @lizgrant360 @mrraj47 @jfclearywisc @renu_nargund @tomateloapecho @AfsanBhadelia @LukasRadbruch @KeithNHumphreys @UCLAHealth
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So proud of you Chadane!
I would like to thank each person who has provided support and invaluable mentorship throughout my professional journey. I look forward to positively impacting lives by being present for patients/families navigating serious illness. #FellowMatch #Match2025 #HPM #PallOnc #SuppOnc
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Dingle Spence retweeted
🏳️‍🌈Our @PLOSONE paper analyzes 102 @TheLancet Commission reports for #LGBTQIA inclusion➡️To advance #HealthEquity, we must critically examine existing policies to do better in the future. 🔗:journals.plos.org/plosone/ar… @KaileyRoberts22 @DonnaWakefield_ @DEBraybrook @RHardingCSI
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Dingle Spence retweeted
Replying to @dingleja
@dingleja: Your influence on my professional journey fills me with gratitude, and I am continuously inspired by the passion you ignited within me from witnessing your work. I’ll always remember your teachings on person-centered care during serious illnesses #HPM #pallonc #supponc
Replying to @CThompson_MD
Congratulations Chadane! So proud of you 👏🏽
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Dingle Spence retweeted
6 Jun 2024
Sit down, lean forward, and listen…
Question for the palliative care community ➡️➡️What advice would you give new doctors for providing palliative care/ caring for patients with life limiting conditions? The @APMJuniors are putting together top tips and we'd love to learn from everyone's wisdom! 🧠 #MedTwitter

ALT Learning Learning In Progress GIF

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Dingle Spence retweeted
15 May 2024
“Morphine is now considered an essential medicine and is distributed for free in public hospitals, hospices, and faith-based facilities,”. “The old practice, where it was locked away .. [is past…]Nurses can also prescribe.” thenewhumanitarian.org/news-… (@newhumanitarian)
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Dingle Spence retweeted
🌟Our @JPSMjournal paper describes in-depth the evolution of the serious health-related suffering measurement methodology used in @TheLancet #PalliativeCare Commission & our current, iterative applications🚨So excited to see this out in the world🌎 jpsmjournal.com/article/S088… 📙📗📘
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Dingle Spence retweeted
Case 1 discussion 🧵
Replying to @Existential_Doc
1. “The morphine really helped my pain but I stopped it as it made me feel really nauseous” How do opioids cause nausea? Is it a persistent side-effect? What would you advise for this lady who found opioid helped her cancer pain?

ALT Christine Ebersole Reaction GIF by CBS

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Dingle Spence retweeted
🚨A HUGE honor to serve on the writing committee for @TheLancet #BreastCancer Commission. On April 16, join authors, special guests & @TheLancet editors for the launch of this new Commission aimed at reducing the burden of #BreastCancer. Register at: eventbrite.co.uk/e/lancet-br…
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Dingle Spence retweeted
‘Patient Is Otherwise Healthy’ | JCO Oncology Practice: must read for palliative care clinicians, although we may not have the staffing or bandwidth it didn't mean that the consult was not appropriate ascopubs.org/doi/10.1200/OP.…
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Dingle Spence retweeted
Delighted to be a part of the 2024 Palliative Congress hosted by the Association for Palliative Medicine of Great Britain and Ireland (APM). Registrations open: lnkd.in/gitQmmKx
Opening Plenary Mind the Gap – Perspectives and reflections from Palliative Care in the Global South Speaker: Smriti Rana @SmritiRana0702 #PCC2024 🎟️Book your place pccongress.org.uk/registrati…
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Dingle Spence retweeted
28 Jan 2024
“Wear gratitude like a cloak, and it will feed every corner of your life” Rumi (1207- 1273) ❤️🙏🏾😊🇦🇺👍🏽
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Dingle Spence retweeted
Endorse The Morphine Manifesto 2023: A global call to improve safe access to immediate release Oral Morphine We call on individuals,organisations & institutions to endorse this Manifesto. Join us! Endorse now: palliumindia.org/manifesto Please RT @IAHPC @SmritiRana0702 @kpettus
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Dingle Spence retweeted
30 Nov 2023
Access to palliative medicine in armed conflict: a basic right and an urgent need aericle was published in the Lancet on 29 November 2023. Prof Julia Downing ICPCN Chief Executive is one of the contributors. Find more information here ow.ly/ahUJ50QcOzL
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The grateful leper and the miracle of morphine globalpalliative.care/2023/1… via @kpettus

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Dingle Spence retweeted
🚨🇲🇾🌏An honor to contribute to this paper led by Dr. Malar Segarmurthy➡️Mapping access to & availability of #PalliativeCare in Malaysia helps us see the urban-rural divides & need for decentralized services in our goal to achieve #UHC & the #SDGs. 🔗:journals.sagepub.com/doi/10.…
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Dingle Spence retweeted
17 Nov 2023
We were delighted to present Dr Margaret Dingle Spence with her CCRP Living Legacy Award at our CCRP Board Meeting on Tuesday. Dr Spence was abroad when we had our event last month. Fr left Directors Warren McDonald, Dr Spence, Pat Reid-Waugh & Vilma Mc Donald. 👏🏽👏🏽👏🏽
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Giving thanks!
17 Nov 2023
We were delighted to present Dr Margaret Dingle Spence with her CCRP Living Legacy Award at our CCRP Board Meeting on Tuesday. Dr Spence was abroad when we had our event last month. Fr left Directors Warren McDonald, Dr Spence, Pat Reid-Waugh & Vilma Mc Donald. 👏🏽👏🏽👏🏽
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