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…

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

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

Lack of regulation on for-profit genetic data stewardship: one of the reasons @DoctorsOfBC developed policy about direct to consumer marketing of genetic testing. I know, “told you so” won’t protect patient privacy. This never should have been allowed to happen!

Urine testing to r/o infxn: more harm than good cfp.ca/content/70/9/551 Your mantra may be "don't treat asymptomatic bacteriuria" & "not every $@%# delirium is a UTI!" but it is often a challenge convincing others. This @CFPJournal article has some helpful scripts for this!

Oct 19 virtual/in person! Polypharm, (es)citalopram, CHF Rx, treating cough, rational labs ordering, exercise, pain scores +more! REGISTER: ubccpd.ca/learn/learning-act… @SCDoFP @SRPCanada @RuralRemoteDFP @kootenaysdoc @drcadesky @DrRitaMc @GoldisMitra @DeprescribeNet @deprescribing

Oct 19 virtual or in person! Polypharm, es- vs citalopram, CHF Rx, treating cough, rational labs ordering, exercise, pain scores + more! REGISTER: ubccpd.ca/learn/learning-act… @bc_pharmacy @UBCDoM @ResidentDocsBC @ResidentDoctors * learners: @ me if $hardship and want to attend

You may know about #tramadol pharmacology = 🤪 But do you know why one of the most abused #opioids is not regulated internationally? @chriscaurla dove deep: dw.com/en/opioids-old-high-n… @Drug_Evidence @DavidJuurlink @DrGolfShirt @srrezaie @First10EM @ToxAndHound @picardonhealth

Pharmacists in non-dispensing positions could prescribe but I guess apparent access to health care > COI in the minds of our leaders. Dangerous path. Good intentions.

I recognized the title …. Same as a great book I read in an undergraduate class on Darwinian Medicine. Very interesting to think about why we choke or why depression exists….