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….

REGISTER NOW: UBC Therapeutics Initiative Best Evidence Conference Sat Oct 19 (18th pre-) ubccpd.ca/learn/learning-act… @DeeMangin on polypharmacy and primary care, @drjohnm on CHF drugs, (es)citalopram, HTN myths, rational lab testing, exercise vs drugs, treating subacute cough ++

Just signed up for this great way to introduce my kids to culture, geography, and charitable giving + make a small impact! With Paddington's Postcards, set up a $25+ monthly donation to @UNICEFCanada; they'll deliver your monthly gift for up to 12 months secure.unicef.ca/page/126646…

For those of us who preach "lots of infections don't usually need antibiotics, at least not right away, like URTI, bronchitis, sinusitis, AOM, conjunctivitis... but diverticulitis? Yah, definitely treat that sh*t!!!" Well🚽that idea cfpclearn.ca/tfp370/ #AMR #practicechanger

Did you know there is a BPMH interview guide? 1 pager ismpcanada.ca/wp-content/upl… via @GeriMedRisk Run, don't walk! cc @Drug_Evidence @BCPharmacists @ubcpharmacy @islandhealth @BC_pharmacy #polypharmacy #BPMH #pharmacy

The @cantaskforce has a tough role. It is obvious from this explanation of their process that they prioritize evidence and thoughtfulness above vested interests. I wish all guideline orgs could do the same. Saying “no” takes courage, even when you know it’s the right thing.

Thanks to @CWIMorg @cwimgather I’m a little parenting-star-struck. Joanna Faber is at #cwim2024 teaching us skills for our patients and our kids! Thanks to her and @howtotalker, and the late Adele Faber, for the tools they have given struggling parents worldwide!

I used to travel a lot, not much since becoming a mom. Dad is holding the fort for a few days while I go to a conf ✈️ The overhead announcement just said “forthosecustomerstrugglingwithsmallchildren, please proceed to the gate to board now.” That agent is a mom 😝 #struggling