I research/educate/make policy/practice with this: Patient goals + thoughtful use of evidence = appropriate care, sustainable health systems, and joy in work.
www.drotte.ca
Joined December 2013
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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.bsky…
Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP retweeted
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
Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP retweeted
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
Going to try @bluesky
see you there? bsky.app/profile/drotte.bsky…
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 retweeted
💪 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
ALT Nov 6th webinar at noon highlight the processes and learnings from a pharmacist-led tramadol deprescribing project in long term care facilities
Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP retweeted
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/ar…
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/
❤️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
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
I did look for a solution. Of course I started on PubMed! I found one interesting study: pmc.ncbi.nlm.nih.gov/article…
For now I use my email client (Spark) to block domains. Who is writing the #AI script to reject/obliterate these predatory 'academic' scammers?
Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP retweeted
Elmo is here to listen. Elmo loves you, Mr. Andrew Garfield! ❤️ #EmotionalWellBeing
Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP retweeted
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…
👉🏽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
ALT Nov 6th webinar at noon highlight the processes and learnings from a pharmacist-led tramadol deprescribing project in long term care facilities
We did a thing!
@GregCarney @DavidPatrickMD @Drug_Evidence Pragmatic randomised trial assessing impact of peer comparison + therapeutic recommendations, including repetition, on antibiotic prescribing patterns of FPs in BC for uncomplicated lower UTIs qualitysafety.bmj.com/conten…
Dr Jessica Otte, CCFP, FCFP🇨🇦 - palliative/FP retweeted
🆕For people with high #bloodpressure (BP) & chronic renal disease, evidence does NOT support lower than standard BP targets🚨
Our @CochraneLibrary systematic review looks at evidence from 6 trials involving 7,348 participants: tinyurl.com/BP-targets-renal
#SystematicReview
