iiinova — where your digital self keeps evolving

Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 07/10/2025

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 15/09/2025

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...

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 31/07/2025

🎆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

announcement form HQBC about Appropriate Care / Choosing Wisely hub in British Columbia

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 28/06/2025

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

a container of fresh mozzarella that turned purple!

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 26/06/2025

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

A threatening nonsensical email from a scam or predatory journal

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 05/06/2025

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 05/06/2025

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

palliative care is the fire department, not the fire:

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 02/06/2025

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 20/05/2025

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

Person on IV antibiotics is stuck in the hospital. Another, with the same infection (leg cellulitis) is leaving with oral antibiotics

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 29/03/2025

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

Cat falling asleep while hunting in the garden

White and grey cat gratuitously posed with belly exposed on colourful blankets

Cat with colourful bird-deterring collar sleeping in a sombrero. Yes, you read that correctly.

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 29/03/2025

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

a predatory fake journal emailing me and threatening me into "doing them a favour" to fill a gap for their paper

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 12/03/2025

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

Dr Kim McGrail debating at Quality Forum 25

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 12/03/2025

“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.

A quality forum workshop about the improv mindset and using stories in leadership. Picture shows some notes and a speaker in the background with slides that say “foster connection”

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 12/03/2025

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

Dr Kris Vanhaecht speaks at the Quality Forum in Vancouver, BC about improving whole health systems in Belgium.

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 08/03/2025

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

Jessica Otte with American liberty coin necklace, antifascist pin, and WHO sustainable development goals pin, after teaching UBC enhanced skills residents about critical appraisal of medical evidence.

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 19/02/2025

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 19/02/2025

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 07/02/2025

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 07/02/2025

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 13/12/2024

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...

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 12/12/2024

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 11/12/2024

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

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 11/12/2024

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...

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 11/12/2024

Overconsumption of health care = unsustainable; this is uneconomic growth #planetaryhealth #overuse #overdiagnosis #surdiagnostic www.sciencedirect.com/science/arti...

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 02/12/2024

George Orwell wants me to publish. Our health care system is in a dystopian state but I don’t have any engineering papers relating to addictions to offer. And he already knows “some are more equal to others,” so what could I add? #predatoryjournals #scam #medsky #orwellian #1984 #animalfarm

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 22/11/2024

How does a garbage can become Type A? And to whom do you report if you think it may be misclassified? The sticker is not perfectly applied. Water drop mar the lid. If fully applying itself, the lid would open automatically. #typeA /signed, a fellow Type A who sometimes *feels* like garbage 😂

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 18/11/2024

Slowly dipping my toes into research. First substantial offering: bmjopen.bmj.com/content/14/3... We interviewed 12 experts in British Columbia to explore why patients get unnecessary & harmful things, and what helps to avoid this #choosingwisely #quaternaryprevention #lessismore #sensiblemedicine

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 15/11/2024

Cleaning up the garden on a rainy day… and along came a rainbow Maybe 2025 will be better than we all expect?

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Dr Jessica Otte, 🇨🇦 MD, CCFP, FCFP 🩺🌍🌱 @drotte.medsky.social · 09/11/2024

I’m at #fmf2024 learning about anxiety in older adults. No surprise… non pharma options are #1. Dr Anthony Yeong highlights guidance from ccsmh.ca/areas-of-foc... #gerimed #anxiety

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