Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP

I research/educate/make policy/practice with this: Patient goals + thoughtful use of evidence = appropriate care, sustainable health systems, and joy in work.

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

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

https://t.co/nSOKS1NVSn

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

@HMChochinov
What is the best term for fractured personhood where they are not suicidal but still completely fractured?

PS come over to Blue Sky social media!!! It’s better over there :)

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

@UBCPalliative Come on over to BlueSky! Medtwitter reborn :)

[Nick Tiller, Ph.D. @NBTiller]

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 arterial stiffness or blood flow. Note the colossal difference in Altmetric score and media attention.

The media favors sensational but flawed studies over rigorous ones, distorting public understanding. #science #media

[Margaret McCartney @mgtmccartney]

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/

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

@Helijet Is the fog in vancouver preventing any departures?

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

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

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

Going to try @bluesky
see you there? https://t.co/nSOKS1No2P

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

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

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

@AntibioticDoc @DrRitaMc What was the policy that related to opioid restriction? - I’m not finding it on Google, i must have missed that

[Michael Fralick @FralickMike]

💪 https://t.co/F6PUdOgS4o 💪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

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

Hey @DeprescribeNet @deprescribing @BCPharmacists @UBCmedicine @TRECResearch @SinaiGeriatrics @GeriSoc @geri_doc @GeriRxfiles check it out!!!

This will be very practical !!!

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

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

[Anthony Costello @globalhlthtwit]

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)

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

Watchful waiting for depression using depathologization, advice and sh... https://t.co/rMlVZ534Mr

Not an RCT but calls for one. Suggests that non medication approach may be enough for non-suicidal depression. #mentalhealth #depression #choosingwisely

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

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 https://t.co/PLjkm2eNTs

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

❤️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

[Infinite Books @infinitebooks]

C.S. Lewis on the joy of reading as a child

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

@PrTwain “Less is more” spam emails 😂

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

I'm not a prolific academic but my name/email is on a few papers. Every day #predatoryjourals & fake conferences (Global Geology?) invite me

If ever there was a best use for #AI surely it would be a filter that makes these stupid emails GO AWAY! #medtwitter #AcademicTwitter HALP

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

@PrTwain I started blocking the email address and making filters based on words like “esteemed” and “cordially” to put them into a “look later” folder. That was marginally successful so now I’m Blocking the domain. I think that is more effective

[Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP @LessIsMoreMed]

I did look for a solution. Of course I started on PubMed! I found one interesting study: https://t.co/41RYmPHrzM

For now I use my email client (Spark) to block domains. Who is writing the #AI script to reject/obliterate these predatory 'academic' scammers?