“While you are on chemotherapy …” Myths: - Avoid large social gatherings - Wash clothes w body fluids STAT - Use a separate toilet - Avoid all EtOH - Avoid certain foods, coffee --> lack evidence, cause harm academic.oup.com/jnci/article... great article from @csoncol.bsky.social #oncology

This is a huge challenge for patients. Proprietary parts for their means of mobility and very few vendors, lots of rules about who can fix them, etc and it means many simply can’t be mobile. That is not ok!

As it turns out, escitalopram is just a marketing parachute for citalopram. Oops! /undoes escitalopram Rxs that could have just been cheaper and equalky safe/effectivr citalopram… 😬👀

🧵 TI Annual Course - REGISTER NOW! ti.ubc.ca/annual-cours... 1/ Featuring expert speakers including the TI's Dr. Jessica Otte @drotte.medsky.social "Drugs and edema: A not so ‘swell’ effect" #DrugEvidence25 #CME #MedEd #BetterPrescribing

this makes no sense. Clearly investing in exercise and social programs for vulnerable elders would be a much better use of resources.

Check it: - low cost ($49 for students/etc, $99 for MDs by Oct 31st) - virtual - we dissect the evidence so you don't have to - free of financial COIs (no industry funding), - full of practice changing pearls and no BS Please join us in your pyjamas from home Nov 28/29. #cme #ebm #familymed

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

One + of covid-era delays: learned Rx like rituximab for MS in lower/less frequent doses are still effective = lower cost & easier for patient! Opposite, nefarious: drug companies pushing higher doses of #cancer drugs than are needed, just for profit 🤮💰 #cancercapitalism #palliativecare #pallmed

@cfpjournal.bsky.social ah! you do have a Bluesky account! Couldn't find it the other day, sorry about that, would have @'d you otherwise :)

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...

Took a few years... but we got it done and in print thanks to @cfpc-cmfc.bsky.social's CFP. Tramadol (with or without acetaminophen) efficacy and harm: Systematic review and meta-analysis. www.cfp.ca/content/71/9... #tramadol #pain #palliativecare #opioids

I also have questions!

oh #academictwitter where you at?! When you get the abstract accepted but it says "you can do it as a poster" x 2 in my case. But... no..... I really need to TALK to youuuuuuuuu #academic #conference #palliative #ohwell

Toronto-area MDs and pharmacists: Join us for Therapeutics Day 2025 - Relevant topics - Great speakers (but also me) - You will be fed - You will get CE credits Register here: tinyurl.com/mr447y5n

🎆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

Just wait. The comments after the post will confirm this post's truth.

a reasonably accessible explanation of overdiagnosis and why it matters in cancer screening: iai.tv/articles/50-...

If it’s on purpose, that’s just good legacy planning 😉

This is how to have difficult conversations with vaccine sceptics

The sheer volume of harmful & exploitive BS? Study finds 81% of cancer cures touted by TikTok videos are fake medicalxpress.com/news/2024-11... From study: "...draw on a conspiratorial worldview to present various miracle cures..." "...the app provides accessible avenues for monetization..."

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

#Disability tax credits are critical for some Canadians. But applying for them can cost thousands. Experts raise alarm that DTC companies are bilking applicants, by @thatemfagan.bsky.social www.cbc.ca/news/canada/... via @cbcnews.ca

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

Autism remains both under and over diagnosed RFKJ remains one of a handful of current leaders who will no doubt make the health status worse for all autistic people and probably all Americans.

Palliative care seeks neither to shorten or lengthen life but in a study of lung cancer patients on chemo, those randomized to palliative care lived 2.7 months longer on average, had better quality of life, and had fewer invasive/costly treatments near end of life pubmed.ncbi.nlm.nih.gov/20818875/

I had to look up the 3.5% thing to understand this www.bbc.com/future/artic...

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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

#PalliativeCare pals, I am planning my trip to speak at #EndWell2025. LA is a far from home, so I want to make the most of being there. To whom should I reach out? Who are our palliative pals over there? Advise me so I can learn from them & offer my support to them. Join us: bit.ly/EndWellTix

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

@shelaghor.bsky.social guess I can't DM you haha! In case you missed it, we did a handout on the PO vs IV antibiotics topic: www.ti.ubc.ca/wordpress/wp...

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

The more you know! Hart was a pioneering physician in so many ways. Countless lives were saved because of his work; I wonder what else he could have accomplished, were he surrounded by acceptance!?

Yes, we can #deprescribe in long term care t.co/WUixHyYmYo Cluster randomized RCT we ran with MedSafer in New Brunswick

I have def said some of these things to caregivers 😳: learning now the importance to pair it with helpful action. Yes, some ppl need ‘permission’ to handover some of the tasks - a dear friend, nurse, OT, MD can support/empower (not “tell”) them to do so. www.familycaregiversbc.ca can help too!

Thanks to @torontopearson.bsky.social’s sponsorship, Give A Mile was able to grant Tabatha the flight she so desperately needed. She made it to Victoria, ready to stand by her father, to offer love, support, and comfort when it mattered most. giveamile.org/flight-stori... #Charity #EndOfLife

Looking for Canadian Women in Medicine #cwim #cwim2025 ?

Multiple wildfires are burning out of control in Canada. #Climatechange made the early-season heatwave driving them 5x more likely. Watch my interview with @vancolour.bsky.social @cheknews.ca about why people still deeply care about #climateaction here: www.youtube.com/watch?v=jt_6...

Oh! It’s me! #cough #cme

Part of the LifeLabs strike @bcgeu.bsky.social has been drawing attention to this in BC. Affects care, and also working conditions, adversely. We know this. So why do we keep selling “public healthcare”?

no surprise, this is just like MRI of the spine: - people with symptoms often have normal MRI - people with no symptoms often have abnormal MRI

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

SR: emergency department initiatives to improve med. safety in older adults. Interprofessional teams (pharmacist-led med reviews, geriatrician teleconsultations), clinician education and decision-support tools contribute to increased #deprescribing & reduce PIM use: jamanetwork.com/journals/jam...

HONEST ABE REACHES OUT 😂 Next to Trump's 50-foot banner at the Department of Agriculture, 3 more banners appeared, connecting a banner of Abraham Lincoln to Trump's

Top studies of 2024 for #primarycare www.cfp.ca/content/71/5... Bottom line: #Screening for depression or respiratory dz did not change patient-important outcomes and were resource intensive. While interventions can improve guideline adherence, pt outcomes were unchanged and a few worsened.

Thanking the universe I live in Canada 🇨🇦 This is all because old white male fucking asshats can feel righteous: Picture the family mourning the loss of their daughter, having to watch her suffer and trying to explain to her young son that mommy’s body is alive but she isn’t….

Also (most obvious) … Theresa Tam would never have said that BS, in that way!

Do you have experience with long waitlists to see a speech-language pathologist in BC? We'd like to hear from families who’ve experienced challenges accessing SLP services for children — whether it’s due to high demand, location or other obstacles. Email [email protected] to set up an interview.

Biases and debiasing in policy decision‐making - Schippers - European Journal of Clinical Investigation - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1... #biases #publicpolicy

I like her motto "think outside the box." I hope she can apply this to healthcare, urgently. More is not always better.... AND there are also lots of health interventions we need more of!