Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱
@drotte.medsky.social
Palliative care/family doc in Nanaimo, BC. Clinical Associate Prof, UBC Medicine
Focus: the intersection of Palliative Care + sustainability. Was @lessismoremedicine.❤️quaternary prevention, preventing overdiagnosis, goal-concordant EBM, choosing wisely.
Focus: the intersection of Palliative Care + sustainability. Was @lessismoremedicine.❤️quaternary prevention, preventing overdiagnosis, goal-concordant EBM, choosing wisely.
another TI @drug-evidence.bsky.social + collaborators publication:
It is possible to reduce the unnecessary over-use of TSH and related #thyroid tests!!! But it can be a challenge!
(DM me to ask how I know!)
qualitysafety.bmj.com/content/qhc/...
#choosingwisely #overtesting
It is possible to reduce the unnecessary over-use of TSH and related #thyroid tests!!! But it can be a challenge!
(DM me to ask how I know!)
qualitysafety.bmj.com/content/qhc/...
#choosingwisely #overtesting
October 7, 2025 at 12:07 AM
another TI @drug-evidence.bsky.social + collaborators publication:
It is possible to reduce the unnecessary over-use of TSH and related #thyroid tests!!! But it can be a challenge!
(DM me to ask how I know!)
qualitysafety.bmj.com/content/qhc/...
#choosingwisely #overtesting
It is possible to reduce the unnecessary over-use of TSH and related #thyroid tests!!! But it can be a challenge!
(DM me to ask how I know!)
qualitysafety.bmj.com/content/qhc/...
#choosingwisely #overtesting
Our @drug-evidence.bsky.social team has worked so hard on Portraits www.ti.ubc.ca/portrait/ and we have RCT evidence that it improves prescribing patterns.
How excited, grateful, & proud we feel to be recognized by @ubcmedicine.bsky.social for our innovation in #CME
www.med.ubc.ca/news/faculty...
How excited, grateful, & proud we feel to be recognized by @ubcmedicine.bsky.social for our innovation in #CME
www.med.ubc.ca/news/faculty...
September 15, 2025 at 7:11 PM
Our @drug-evidence.bsky.social team has worked so hard on Portraits www.ti.ubc.ca/portrait/ and we have RCT evidence that it improves prescribing patterns.
How excited, grateful, & proud we feel to be recognized by @ubcmedicine.bsky.social for our innovation in #CME
www.med.ubc.ca/news/faculty...
How excited, grateful, & proud we feel to be recognized by @ubcmedicine.bsky.social for our innovation in #CME
www.med.ubc.ca/news/faculty...
🎆It's here!!!!! 🎆
10+ TEN years in the making!!!
Choosing Wisely BC!
We are the LAST but not LEAST province/territory.
healthqualitybc.ca/choosing-wis...
I'm so so so happy!
@healthqualitybc.ca @choosingwiselyca.bsky.social #lessismore #quaternaryprevention #choosingwisely
10+ TEN years in the making!!!
Choosing Wisely BC!
We are the LAST but not LEAST province/territory.
healthqualitybc.ca/choosing-wis...
I'm so so so happy!
@healthqualitybc.ca @choosingwiselyca.bsky.social #lessismore #quaternaryprevention #choosingwisely
July 31, 2025 at 2:13 AM
🎆It's here!!!!! 🎆
10+ TEN years in the making!!!
Choosing Wisely BC!
We are the LAST but not LEAST province/territory.
healthqualitybc.ca/choosing-wis...
I'm so so so happy!
@healthqualitybc.ca @choosingwiselyca.bsky.social #lessismore #quaternaryprevention #choosingwisely
10+ TEN years in the making!!!
Choosing Wisely BC!
We are the LAST but not LEAST province/territory.
healthqualitybc.ca/choosing-wis...
I'm so so so happy!
@healthqualitybc.ca @choosingwiselyca.bsky.social #lessismore #quaternaryprevention #choosingwisely
Don't eat THIS.
Opened up the mozzarella and it was the same shade of violet as PUBS (purple urine bag syndrome). Had to wonder: "What in the fresh !$%#^* got in there?!"
No it isn't a UTI. It's pseudomonas fluorescens!
www.pagepressjournals.org/ijfs/article...
#medsky #purpleurine #purplecheese
Opened up the mozzarella and it was the same shade of violet as PUBS (purple urine bag syndrome). Had to wonder: "What in the fresh !$%#^* got in there?!"
No it isn't a UTI. It's pseudomonas fluorescens!
www.pagepressjournals.org/ijfs/article...
#medsky #purpleurine #purplecheese
June 28, 2025 at 7:52 PM
Don't eat THIS.
Opened up the mozzarella and it was the same shade of violet as PUBS (purple urine bag syndrome). Had to wonder: "What in the fresh !$%#^* got in there?!"
No it isn't a UTI. It's pseudomonas fluorescens!
www.pagepressjournals.org/ijfs/article...
#medsky #purpleurine #purplecheese
Opened up the mozzarella and it was the same shade of violet as PUBS (purple urine bag syndrome). Had to wonder: "What in the fresh !$%#^* got in there?!"
No it isn't a UTI. It's pseudomonas fluorescens!
www.pagepressjournals.org/ijfs/article...
#medsky #purpleurine #purplecheese
Well, it happened folks:
I received a “mild update.” ‼️
And they also request that I submit my manuscript, even if it’s by accident.
How should I proceed?!
PS is this low rent AI or a maltreated ESL laborer generating these emails?!
#scamjournals #academia #medacademia #predatorypublishing
I received a “mild update.” ‼️
And they also request that I submit my manuscript, even if it’s by accident.
How should I proceed?!
PS is this low rent AI or a maltreated ESL laborer generating these emails?!
#scamjournals #academia #medacademia #predatorypublishing
June 26, 2025 at 2:16 PM
Well, it happened folks:
I received a “mild update.” ‼️
And they also request that I submit my manuscript, even if it’s by accident.
How should I proceed?!
PS is this low rent AI or a maltreated ESL laborer generating these emails?!
#scamjournals #academia #medacademia #predatorypublishing
I received a “mild update.” ‼️
And they also request that I submit my manuscript, even if it’s by accident.
How should I proceed?!
PS is this low rent AI or a maltreated ESL laborer generating these emails?!
#scamjournals #academia #medacademia #predatorypublishing
Dr Mohamad Hamadeh identified unique tensions for Muslim #palliativecare pts #ALPM
- truth telling is valued but so is protecting loved ones, especially elders from painful news as a kindness and sign of respect
CONT'D
- truth telling is valued but so is protecting loved ones, especially elders from painful news as a kindness and sign of respect
CONT'D
June 5, 2025 at 7:16 PM
Dr Mohamad Hamadeh identified unique tensions for Muslim #palliativecare pts #ALPM
- truth telling is valued but so is protecting loved ones, especially elders from painful news as a kindness and sign of respect
CONT'D
- truth telling is valued but so is protecting loved ones, especially elders from painful news as a kindness and sign of respect
CONT'D
Superb #ALPM2025 by @drjrubenstein.bsky.social about "PR" in #palliativecare
TAKE AWAY: Palliative care doesn't need to change what we're called or what we do; we should help our non-pall peers understand our awesomeness
Watch his Fire Department & other vids: www.jaredrubensteinmd.com/videos
TAKE AWAY: Palliative care doesn't need to change what we're called or what we do; we should help our non-pall peers understand our awesomeness
Watch his Fire Department & other vids: www.jaredrubensteinmd.com/videos
June 5, 2025 at 6:38 PM
Superb #ALPM2025 by @drjrubenstein.bsky.social about "PR" in #palliativecare
TAKE AWAY: Palliative care doesn't need to change what we're called or what we do; we should help our non-pall peers understand our awesomeness
Watch his Fire Department & other vids: www.jaredrubensteinmd.com/videos
TAKE AWAY: Palliative care doesn't need to change what we're called or what we do; we should help our non-pall peers understand our awesomeness
Watch his Fire Department & other vids: www.jaredrubensteinmd.com/videos
bcmj.org/articles/ant...
It's all in the title: Antibiotic treatment durations are not based on scientific reasoning; they stem from an artificially created number system #AMR @drug-evidence.bsky.social #antibiotics #lessismore @choosingwiselyca.bsky.social
It's all in the title: Antibiotic treatment durations are not based on scientific reasoning; they stem from an artificially created number system #AMR @drug-evidence.bsky.social #antibiotics #lessismore @choosingwiselyca.bsky.social
June 2, 2025 at 7:07 PM
bcmj.org/articles/ant...
It's all in the title: Antibiotic treatment durations are not based on scientific reasoning; they stem from an artificially created number system #AMR @drug-evidence.bsky.social #antibiotics #lessismore @choosingwiselyca.bsky.social
It's all in the title: Antibiotic treatment durations are not based on scientific reasoning; they stem from an artificially created number system #AMR @drug-evidence.bsky.social #antibiotics #lessismore @choosingwiselyca.bsky.social
Myth that IV #antibiotics ＞ PO is powerful. Yet, evidence:
🤜PO = IV efficacy almost always (prob'ly not in sepsis)🫸PO =🥇line for stable pts
👌IV: best if can't take PO or infxn has no effective PO Tx
PO: ⬆️ pt exprnc, ⬇️ 🏥 resources, ⬇️🌎 impact
www.ti.ubc.ca/2025/05/20/1... @drug-evidence.bsky.social
🤜PO = IV efficacy almost always (prob'ly not in sepsis)🫸PO =🥇line for stable pts
👌IV: best if can't take PO or infxn has no effective PO Tx
PO: ⬆️ pt exprnc, ⬇️ 🏥 resources, ⬇️🌎 impact
www.ti.ubc.ca/2025/05/20/1... @drug-evidence.bsky.social
May 20, 2025 at 10:53 PM
Myth that IV #antibiotics ＞ PO is powerful. Yet, evidence:
🤜PO = IV efficacy almost always (prob'ly not in sepsis)🫸PO =🥇line for stable pts
👌IV: best if can't take PO or infxn has no effective PO Tx
PO: ⬆️ pt exprnc, ⬇️ 🏥 resources, ⬇️🌎 impact
www.ti.ubc.ca/2025/05/20/1... @drug-evidence.bsky.social
🤜PO = IV efficacy almost always (prob'ly not in sepsis)🫸PO =🥇line for stable pts
👌IV: best if can't take PO or infxn has no effective PO Tx
PO: ⬆️ pt exprnc, ⬇️ 🏥 resources, ⬇️🌎 impact
www.ti.ubc.ca/2025/05/20/1... @drug-evidence.bsky.social
OMG not Jinxy!!! She’s innocent!*
*except for killing birds and frogs and snakes and mice. But we did get her a special collar to cut down on the birds.
**and yes she is sleeping in a sombrero
*except for killing birds and frogs and snakes and mice. But we did get her a special collar to cut down on the birds.
**and yes she is sleeping in a sombrero
March 29, 2025 at 3:48 AM
OMG not Jinxy!!! She’s innocent!*
*except for killing birds and frogs and snakes and mice. But we did get her a special collar to cut down on the birds.
**and yes she is sleeping in a sombrero
*except for killing birds and frogs and snakes and mice. But we did get her a special collar to cut down on the birds.
**and yes she is sleeping in a sombrero
Wow Hassan Natalie, esteemed editor, you caught me.
Yes Hassan Natalie, I am intentionally not responding.
It goes on to say: "respond within 24 hours to end it smoothly" 😳
#WTF does THAT mean?
I mean I do work well under pressure of deadline, but ...
#predatoryjournals #aretheworst #academia
Yes Hassan Natalie, I am intentionally not responding.
It goes on to say: "respond within 24 hours to end it smoothly" 😳
#WTF does THAT mean?
I mean I do work well under pressure of deadline, but ...
#predatoryjournals #aretheworst #academia
March 29, 2025 at 2:30 AM
Wow Hassan Natalie, esteemed editor, you caught me.
Yes Hassan Natalie, I am intentionally not responding.
It goes on to say: "respond within 24 hours to end it smoothly" 😳
#WTF does THAT mean?
I mean I do work well under pressure of deadline, but ...
#predatoryjournals #aretheworst #academia
Yes Hassan Natalie, I am intentionally not responding.
It goes on to say: "respond within 24 hours to end it smoothly" 😳
#WTF does THAT mean?
I mean I do work well under pressure of deadline, but ...
#predatoryjournals #aretheworst #academia
At #qf25 @kimchspr.bsky.social speaks to the idea that we have all the data we need and we just need to use it! #qualityimprovement
March 12, 2025 at 8:24 PM
At #qf25 @kimchspr.bsky.social speaks to the idea that we have all the data we need and we just need to use it! #qualityimprovement
“Patients need to know that you care before they care what you know!”
#improv #improve
A pearl from a #qf25 workshop by www.improvforworkandwellness.com referencing a bit of a UBC Sauder school of business course for physicians.
#improv #improve
A pearl from a #qf25 workshop by www.improvforworkandwellness.com referencing a bit of a UBC Sauder school of business course for physicians.
March 12, 2025 at 6:40 PM
“Patients need to know that you care before they care what you know!”
#improv #improve
A pearl from a #qf25 workshop by www.improvforworkandwellness.com referencing a bit of a UBC Sauder school of business course for physicians.
#improv #improve
A pearl from a #qf25 workshop by www.improvforworkandwellness.com referencing a bit of a UBC Sauder school of business course for physicians.
Dr K Vanhaecht started as a nurse, became a researcher, a patient. He is now leading ambitious quality improvement of whole health systems in Belgium.
It’s inspirational at #qf25 in Vancouver. But seems a luxury when we don’t have enough beds, doctors, nurses, etc for patients.
Www.flaqum.org #qi
It’s inspirational at #qf25 in Vancouver. But seems a luxury when we don’t have enough beds, doctors, nurses, etc for patients.
Www.flaqum.org #qi
March 12, 2025 at 4:01 PM
Dr K Vanhaecht started as a nurse, became a researcher, a patient. He is now leading ambitious quality improvement of whole health systems in Belgium.
It’s inspirational at #qf25 in Vancouver. But seems a luxury when we don’t have enough beds, doctors, nurses, etc for patients.
Www.flaqum.org #qi
It’s inspirational at #qf25 in Vancouver. But seems a luxury when we don’t have enough beds, doctors, nurses, etc for patients.
Www.flaqum.org #qi
Thanks @joshgreggain.bsky.social for my new colorful pin! it’s a good Royal College study aid for me: #PalliativeCare is an integral part of @who.int sustainabile development goal 3: Good Health & Well-Being
These goals run countercurrent to fascism. My #liberty coin + #antifa pin: in good company
These goals run countercurrent to fascism. My #liberty coin + #antifa pin: in good company
March 8, 2025 at 12:31 AM
Thanks @joshgreggain.bsky.social for my new colorful pin! it’s a good Royal College study aid for me: #PalliativeCare is an integral part of @who.int sustainabile development goal 3: Good Health & Well-Being
These goals run countercurrent to fascism. My #liberty coin + #antifa pin: in good company
These goals run countercurrent to fascism. My #liberty coin + #antifa pin: in good company
Reducing the environmental burden of unnecessary investigations www.cfp.ca/content/71/2...
Better care for patients can also be better for the planet!
More is often not better!!!
#sustainability #climatechange
Better care for patients can also be better for the planet!
More is often not better!!!
#sustainability #climatechange
February 19, 2025 at 7:13 PM
Reducing the environmental burden of unnecessary investigations www.cfp.ca/content/71/2...
Better care for patients can also be better for the planet!
More is often not better!!!
#sustainability #climatechange
Better care for patients can also be better for the planet!
More is often not better!!!
#sustainability #climatechange
Having hard conversations: Advance care planning, serious illness conversations, & goals of care discussions with oncology patients
www.cfp.ca/content/71/2...
This paper addresses some challenges navigating from ACP to get to goal-concordant care, improved QoL
#palliative #goalsofcare #ACP
www.cfp.ca/content/71/2...
This paper addresses some challenges navigating from ACP to get to goal-concordant care, improved QoL
#palliative #goalsofcare #ACP
February 19, 2025 at 7:06 PM
Having hard conversations: Advance care planning, serious illness conversations, & goals of care discussions with oncology patients
www.cfp.ca/content/71/2...
This paper addresses some challenges navigating from ACP to get to goal-concordant care, improved QoL
#palliative #goalsofcare #ACP
www.cfp.ca/content/71/2...
This paper addresses some challenges navigating from ACP to get to goal-concordant care, improved QoL
#palliative #goalsofcare #ACP
Yes I read and made notes on 2.6% of this textbook today.
Just 1315 pages to go! And 75 hours of online cme modules. Plus reviewing my notes. And memorizing stuff.
My exam is in 199 days.
I haven’t done a big exam in 14years.
😬 yikes
#palliativecare #royalcollege @oxfordunipress.bsky.social
Just 1315 pages to go! And 75 hours of online cme modules. Plus reviewing my notes. And memorizing stuff.
My exam is in 199 days.
I haven’t done a big exam in 14years.
😬 yikes
#palliativecare #royalcollege @oxfordunipress.bsky.social
February 7, 2025 at 11:43 PM
Yes I read and made notes on 2.6% of this textbook today.
Just 1315 pages to go! And 75 hours of online cme modules. Plus reviewing my notes. And memorizing stuff.
My exam is in 199 days.
I haven’t done a big exam in 14years.
😬 yikes
#palliativecare #royalcollege @oxfordunipress.bsky.social
Just 1315 pages to go! And 75 hours of online cme modules. Plus reviewing my notes. And memorizing stuff.
My exam is in 199 days.
I haven’t done a big exam in 14years.
😬 yikes
#palliativecare #royalcollege @oxfordunipress.bsky.social
As a "respected researcher in the field of [my] research work" I am so excited to be contacted by your _journal_ (in bold!). 🤮
Email filters keep most of this !%)*!@ out of my inbox but I can't help but read the trashed ones anyway.
#scam #predatoryjournals #someoneforgottopopulatethefields
Email filters keep most of this !%)*!@ out of my inbox but I can't help but read the trashed ones anyway.
#scam #predatoryjournals #someoneforgottopopulatethefields
February 7, 2025 at 3:51 AM
As a "respected researcher in the field of [my] research work" I am so excited to be contacted by your _journal_ (in bold!). 🤮
Email filters keep most of this !%)*!@ out of my inbox but I can't help but read the trashed ones anyway.
#scam #predatoryjournals #someoneforgottopopulatethefields
Email filters keep most of this !%)*!@ out of my inbox but I can't help but read the trashed ones anyway.
#scam #predatoryjournals #someoneforgottopopulatethefields
Beautifully written observational study concludes #EHR s:
- prioritize institutional needs
- enforce centrality of market principles
- 🔼 medical experts--> admin bureaucrats
- 🔼 patients w personal narrative --> digital entities w standardized Dx/Tx/goals
🤮
pmc.ncbi.nlm.nih.gov/articles/PMC...
- prioritize institutional needs
- enforce centrality of market principles
- 🔼 medical experts--> admin bureaucrats
- 🔼 patients w personal narrative --> digital entities w standardized Dx/Tx/goals
🤮
pmc.ncbi.nlm.nih.gov/articles/PMC...
December 13, 2024 at 8:58 PM
Beautifully written observational study concludes #EHR s:
- prioritize institutional needs
- enforce centrality of market principles
- 🔼 medical experts--> admin bureaucrats
- 🔼 patients w personal narrative --> digital entities w standardized Dx/Tx/goals
🤮
pmc.ncbi.nlm.nih.gov/articles/PMC...
- prioritize institutional needs
- enforce centrality of market principles
- 🔼 medical experts--> admin bureaucrats
- 🔼 patients w personal narrative --> digital entities w standardized Dx/Tx/goals
🤮
pmc.ncbi.nlm.nih.gov/articles/PMC...
Mood.
December 12, 2024 at 11:40 PM
Mood.
The Gilded Age of Medicine Is Here - The New Yorker. From @newyorker.com
Does it constantly feel like medical professionalism - and care of the patient - is under threat? Yes, in a for-profit healthcare system @cdndrsformedicare.bsky.social
Does it constantly feel like medical professionalism - and care of the patient - is under threat? Yes, in a for-profit healthcare system @cdndrsformedicare.bsky.social
December 12, 2024 at 4:34 PM
The Gilded Age of Medicine Is Here - The New Yorker. From @newyorker.com
Does it constantly feel like medical professionalism - and care of the patient - is under threat? Yes, in a for-profit healthcare system @cdndrsformedicare.bsky.social
Does it constantly feel like medical professionalism - and care of the patient - is under threat? Yes, in a for-profit healthcare system @cdndrsformedicare.bsky.social
Yay! After Danish POET trial, practice changed. Hospital stays shorted, patients did well:
www.sciencedirect.com/science/arti...
Ok Canada, time to reduce the durations of IV antibiotics for infective endocarditis!!
#antimicrobialstewardship #antibiotics #AMR #infectiousdisease #choosingwisely
www.sciencedirect.com/science/arti...
Ok Canada, time to reduce the durations of IV antibiotics for infective endocarditis!!
#antimicrobialstewardship #antibiotics #AMR #infectiousdisease #choosingwisely
December 11, 2024 at 9:45 PM
Yay! After Danish POET trial, practice changed. Hospital stays shorted, patients did well:
www.sciencedirect.com/science/arti...
Ok Canada, time to reduce the durations of IV antibiotics for infective endocarditis!!
#antimicrobialstewardship #antibiotics #AMR #infectiousdisease #choosingwisely
www.sciencedirect.com/science/arti...
Ok Canada, time to reduce the durations of IV antibiotics for infective endocarditis!!
#antimicrobialstewardship #antibiotics #AMR #infectiousdisease #choosingwisely
elegant little RCT for thirst in #palliativecare #pallmed
ice chips + mint > ice chips for thirst!
of course you can't blind this but who cares, people felt better!
www.jpsmjournal.com/article/S088...
ice chips + mint > ice chips for thirst!
of course you can't blind this but who cares, people felt better!
www.jpsmjournal.com/article/S088...
December 11, 2024 at 9:35 PM
elegant little RCT for thirst in #palliativecare #pallmed
ice chips + mint > ice chips for thirst!
of course you can't blind this but who cares, people felt better!
www.jpsmjournal.com/article/S088...
ice chips + mint > ice chips for thirst!
of course you can't blind this but who cares, people felt better!
www.jpsmjournal.com/article/S088...
Overconsumption of health care = unsustainable; this is uneconomic growth
#planetaryhealth #overuse #overdiagnosis #surdiagnostic
www.sciencedirect.com/science/arti...
#planetaryhealth #overuse #overdiagnosis #surdiagnostic
www.sciencedirect.com/science/arti...
December 11, 2024 at 9:09 PM
Overconsumption of health care = unsustainable; this is uneconomic growth
#planetaryhealth #overuse #overdiagnosis #surdiagnostic
www.sciencedirect.com/science/arti...
#planetaryhealth #overuse #overdiagnosis #surdiagnostic
www.sciencedirect.com/science/arti...