The photo collage below, from 1982, shows Derek Doyle teaching several of us medical students about how pain can be effectively controlled in a terminally ill patient in Edinburg, Scotland. This patient received a bedside nerve block, then very high-dose diamorphine (heroin) subcutaneously via a syringe driver pump in addition to "high touch" hospice care. I was deeply impressed.
I later imported nearly 50 of these pumps and taught hundreds of physicians, nurses, and pharmacists how to use them (and how to do "high-touch" care) in Houston, Texas, at the hospice at the Texas Medical Center. Later, as executive vice-president of the American Academy of Hospice and Palliative Medicine, I did my best to spread the skill and caring I learned from hospice teams.
In the process, Liliana De Lima and I crossed paths many times. One of the best things about hospice and palliative care is the enduring friendships! I continue to deeply appreciate her work and the work of all the other IAHPC staff and volunteers in spreading palliative care expertise and caring worldwide.
— Porter Storey, MD, FACP, FAAHPM
Biographical notes: Dr. Storey’s specialty training in hospice and palliative medicine began in 1982 at the University of Edinburgh, Scotland, and at St. Luke’s Nursing Home, Sheffield, England. In 1985 he completed the British Council Course on Management of Advanced Cancer at St. Christopher’s Hospice in London, England, where he was trained by Dame Cicely Saunders. He served as medical director for the Hospice at the Texas Medical Center until 2000, when he was appointed associate professor of medicine at Baylor College of Medicine and cofounded its interdisciplinary palliative care consultation service at St. Luke’s Episcopal Hospital in Houston. In 2004, he moved to Colorado to do hospital and clinic consults in palliative care for the Colorado Permanente Medical Group. He retired in 2015.
To learn more about the American Academy of Hospice and Palliative and St. Christopher’s Hospice, visit the IAHPC Global Directory of Palliative Care Institutions and Organizations.