Michele Dearden

General Internist with interest in Perioperative Medicine. A fan of all things mountains & ocean. Opinions & sarcasm are my own.

[Marc Carrier @MarcCarrier1]

🎉 Congratulations to Dr. @sudeeppappur and the entire #EPCATIII team!

A true highlight of #ISTH2026 in Paris: a Late-Breaking Abstract with simultaneous publication in @NEJM.

Practice-changing results showing that aspirin alone after total hip or knee arthroplasty was noninferior to an initial 5-day course of rivaroxaban followed by aspirin for preventing symptomatic VTE, with no clinically meaningful difference in bleeding.

https://t.co/RDvM6MQ2xZ
@ThrombosisCan @canvector @isth

[Kaitlin Stockton @mdmama_]

London doctor seeks $2.5M, alleges disability accommodations denied | London Free Press https://t.co/0I0it0ATLq

[Michele Dearden @micheledearden]

This is amazing.

[Oatsdoc, MD @oatsdoc]

When your patient with hypertension is an engineer and you ask them to bring a blood pressure log to their next appointment 😅

(Shared with permission)

[Kaitlin Stockton @mdmama_]

Genuine question: why not require medical travel insurance for tourist entry into Canada? Medical dine-and-dash costing B.C. hospitals millions https://t.co/tie0Vqgoc1

[Jordan Abbott MD @JordanAbbottMD]

Physicians are not burned out because medicine is hard.

Medicine has always been hard. That is not new.

We are burned out because the things making it harder have nothing to do with medicine.

Fix the system. Keep the physicians.

[Dr Anna Kindy @DrKindyMLA]

What is happening with Island Health is a perfect example of a top down approach without input from the frontlines to deal with the crisis of "unattached patients" in hospitals because of staffing issues.
Unattached patients are admitted patients kept in the ER departments because of inadequate number of doctors, including hospitalists, to follow these patients on the ward of the hospital.
The doctors following these admitted patient on the ward are called MRP (most responsible physician)

Many doctors at Island Health have been advocating for months to be able to continue with an innovative solution they had come up with to address this issue of unattached patients.
This solution was not only collaborative, but good for nurses, doctors and patients.
It allowed for better recruitment and retention of the frontlines.

Rather than collaboration, the Minister of Health and Island Health chose a top down approach.
They will now be forcing doctors, on an involuntary basis, to take the MRP role. This not only impacts physician autonomy but puts patient safety at risk.

This decision by the minister and Island Health will ultimately drive more doctors and nurses out of BC, the last thing needed to address this health crisis.

[Michele Dearden @micheledearden]

This.

[Keith Siau @drkeithsiau]

You are replaceable at work, but you are NOT replaceable at home. A beautiful and poignant reflection that applies to all clinicians.

[Daily Hive Vancouver @DailyHiveVan]

B.C. doctors losing millions of hours to paperwork 📋 🧑‍⚕️
https://t.co/CpJaeEfCdT

[Michele Dearden @micheledearden]

Well written, Ross.

“Inaction feels safe because its consequences are invisible. That does not make it harmless.”

[Ross Prager @ross_prager]

https://t.co/1RiF6qGFQG

[tree-leaves-blue @treeleavesblue1]

Noah Wyle has an important public service announcement - from JKL tonight

[North Shore News @NorthShoreNews]

Italian restaurant opens in former Raven Pub location in Deep Cove https://t.co/FmzHeaWpBS

[Journal of Hepatology @JHepatology]

🆕CPG in press❕

EASL Clinical Practice Guidelines on extrahepatic abdominal surgery in patients with cirrhosis and advanced chronic liver disease

Find it here👉https://t.co/3WdekUSd8L

@EASLnews
@EASLedu

[Marc Carrier @MarcCarrier1]

Prof. @isabellemahe1 presents API-CAT at #ACC2025, published in @NEJM Extended anticoagulation with reduced-dose apixaban is noninferior to full-dose for preventing recurrent VTE, with less clinically relevant bleeding 🩸in patients with cancer.
https://t.co/vmDS2Ap7Uk

[Michele Dearden @micheledearden]

@saccohsidi Did you order a pair of chelsea boots that never arrived? I’m visiting my family in UK and they think they received them accidentally. DM me and I can connect you.

[Marc Carrier @MarcCarrier1]

@ASH_hematology Late Breaking Abstract:
Should patients receive extended duration anticoagulation with reduced or full dose DOAC for the secondary prevention of recurrent VTE - The RENOVE RCT presented by @FCouturaud
Reduced dose DOAC was not non inferior to full dose ((5-year cumulative incidence 2.2% vs 1.8%, P=0.23 for noninferiority) but lower risk of clinically relevant bleeding (9.9 vs 15.2%)! 🩸
Risk benefit seems to favor reduced dosing for most patients #ASH24

[Michele Dearden @micheledearden]

@GIMOttawa @sam_halman Congratulations!!

[Dr. Glaucomflecken @DGlaucomflecken]

Maybe it’s because of my cardiac arrest, but I don’t understand why patients get upset when I say their symptoms are due to aging. 95% of what I diagnose is because we get old. I always bring it up as delicately as possible, but like do you know how lucky you are? I see patients in their 80s and think, “man I hope I get there one day.” So many things in this world can kill you. You’ve beaten the odds. Honestly, congratulations, you’re old.

[Michele Dearden @micheledearden]

Thank you @mjquon for bravely sharing your story and advocating for the 3-10% of Canadian physicians with disabilities.

[Ottawa Citizen @OttawaCitizen]

How being a patient helped turn an Ottawa physician into an advocate for doctors with disabilities https://t.co/wCkYmb4JLt

[The Royal College @Royal_College]

Michael Quon, MD, FRCPC says we need a cultural shift to include physicians and learners with disabilities. Learn about his efforts to enhance inclusion and ensure these individuals can flourish in the medical space: https://t.co/3UlvOJOr8Y @mjquon @GIMOttawa @CAPD_ca #MedEd

[Michele Dearden @micheledearden]

@GIMOttawa Congratulations! Absolute legend and 🐐 of physical exam. A honour to have been one of his trainees. His fountain pen 🖋️ and index finger typing will be etched in my memory.