Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP
@LessIsMoreMed
I research/educate/make policy/practice with this: Patient goals + thoughtful use of evidence = appropriate care, sustainable health systems, and joy in work.
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Time for some blue sky thinking Come #MEDTwitter, #quaternaryprevention #deprescribing #choosingwisely #surdiagnostic #planetaryhealth folks, let’s make social media useful again! @ChooseWiselyCA @SlowMedicine @PreventingODx @jamoulle @courtghoward bsky.app/profile/drotte…
Sick notes are a burden—we’re fighting to change that! We’re pushing for legislation to limit sick note requirements. Until then, our updated 2025 sick note template with @BCCollegeFamilyPhysicians is here to help: bcfamilydocs.ca/sick-of-sick-n… #BCHealth #BCFamilyDoctors
Two papers. On the left, a non-randomized, non-crossover study showing that a one-off sauna exposure significantly decreased arterial stiffness, with implications on cardiovascular health. On the right, a randomized, crossover (more robust) study, showing no benefits on…
It’s very tempting to think that a positive screening test ‘saved a life’. But the only way we know about a mortality reduction for a population is via controlled trials. And even then we can’t predict well for individuals. Meantime, the worse a test is, the more/
What do a rhinoceros, a puffer fish, and a snail 🐌 have in common? They are all in my #fmf2024 talk about how to treat prolonged (and acute) cough 😷! Room 118-120 at 13:30 today!! @CFPC_e @FamilyMedForum #urti #coldandflu #cough
Help me find my #surdiagnostic #overdiagnosis #choosingwisely @QuatPrev #sustainability etc people again! Any "good" social media platforms for this? @rwittmer3 @vmontori @DeeMangin @medmyths @DrDavidWarriner @drjohnm @hhask @MedicineSlow @AKECassels @KariTikkinen @RealisticMed
💪 powercalc.ca 💪has now been updated. What's new? we added an option for non-inferiority trials. The tool is free to use and the lead programmer is @emil_hs. Rumour has it if you use power calc daily your muscles actually get bigger💪🤣 @pash22
Hey @DeprescribeNet @deprescribing @BCPharmacists @UBCmedicine @TRECResearch @SinaiGeriatrics @GeriSoc @geri_doc @GeriRxfiles check it out!!! This will be very practical !!!
Nov 6 noon: #deprescribing enthusiasts, especially @pharmacists This webinar (using #tramadol example) will help empower you to do drugectomies in your #longtermcare facility, with applications for clinic + community too! #polypharmacy @bc_pharmacy @deprescribing @SeniorCareRx
Today's Lancet climate and health report presents 56 indicators of health and climate change across FIVE domains. (Download the report for free from the Lancet website). Here is a thread of some of the key findings. #Lancetclimate24 (1)
Watchful waiting for depression using depathologization, advice and sh... sciencedirect.com/science/articl… Not an RCT but calls for one. Suggests that non medication approach may be enough for non-suicidal depression. #mentalhealth #depression #choosingwisely
Compared to placebo, #testosterone may increase lean body mass by ~1.6kg in older men but has no consistent, meaningful impact on sexual function, strength, fatigue, or cognition. #andropause #lessismore #choosingwisely cfpclearn.ca/tfp376/
Sedative use in BC 2012-21: tale as old as time ↘️ BZD/Z drug use offset by ↗️low dose trazodone, quetiapine use ⚠️Traz and QTP = known harms and ??? benefit for insomnia ❓need to stop only focusing our #deprescribing efforts on BZDs and Z drugs 👉 rdcu.be/dXfAR
❤️Thanks to @VI_Library (and my parents who physically go and pick up all my Holds!) our home is like this too. Always a pile of new reading for my kids to discover
Elmo is here to listen. Elmo loves you, Mr. Andrew Garfield! ❤️ #EmotionalWellBeing
Cognitive errors and distortions are common in the ICU Here are the 6 most cognitive errors I see in the ICU (and how to avoid them) A 🧵 #medtwitter #FOAMed #cognitivebias
We did another thing!
🆕 TI publication: Changes in Sedative Use in BC, Canada (2012-2021) link.springer.com/article/10.100… 👉🏽Continued ↘️ in sedative prescribing 👉🏽replacement of BZDs/Z 💊 with trazodone & quetiapine still exposes pts to serious harm 👉🏽Non-pharm approaches remain first-line tx for insomnia
Nov 6 noon: #deprescribing enthusiasts, especially @pharmacists This webinar (using #tramadol example) will help empower you to do drugectomies in your #longtermcare facility, with applications for clinic + community too! #polypharmacy @bc_pharmacy @deprescribing @SeniorCareRx
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