More is not always better. This patient clearly explains why and how patients can/should say “hey, could I take fewer medications?” Sometimes a prescriber just needs a nudge to reconsider how adding more and more pills is not the only answer to help people feel well again.

CADeN | ReCAD@caden-recad.bsky.social · 7mo ago

🎥 NEW TESTIMONIAL: Rose-Angèle’s Story After taking up to 30 meds a day and still feeling unwell, Rose-Angèle found the confidence to ask her healthcare professionals about deprescribing, and began her slow journey towards a better quality of life. 🔗 tinyurl.com/877z86ez

www.cbc.ca/player/play/... A balanced piece on #chroniclyme from @cbcnews.ca The symptoms are real. The tests, diagnosis, and treatments… unfortunately are usually full of snake oil.

Why do so many celebrities have Lyme disease?

Celebrity claims are fuelling confusion about the risks of Lyme disease. For The National, CBC’s senior health reporter Christine Birak investigates what’s really behind the boom in high-profile cases...

cbc.ca

“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

“While you are on chemotherapy …”: common recommendations that lack evidence and may cause harm

Abstract. Patients on chemotherapy often use multiple resources to obtain information on wide-ranging issues, including prognosis, treatments, diet, exerci

academic.oup.com

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!

Tod Maffin 🇨🇦@todmaffin.com · 10mo ago

Imagine the driver's seat in your car needs to be fixed, and you're waiting for the dealer to get a new one. It's going to be months. Now imagine you have to stay in bed 24/7 until the new seat arrives. This is life for many #wheelchair users in BC. ✅ READ: b.link/wheelchair

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.

Swapnil Hiremath 🍁🇨🇦@hswapnil.medsky.social · 10mo ago

“It does not stop people from getting worse, but the disease is slowed.” (Lesions seem better without clinically significant effects) Lencanemab aka Leqembi gets approved in Canada www.ctvnews.ca/health/artic...

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

Therapeutics Initiative (TI)@drug-evidence.bsky.social · 11mo ago

🧵REGISTRATION NOW OPEN! 1/ Bringing #BestEvidence to Clinicians, our TI annual course, tackles common + new drug therapy issues from an evidence-based perspective & is designed to inform physicians, NPs, pharmacists, students, & residents Register now ti.ubc.ca/annual-cours... #DrugEvidence25

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

Pharma Is Pushing $200,000 Cancer Drugs When Cheaper Doses May Work

Doctors are experimenting with using lower doses of blockbuster cancer drugs. It could help hundreds of thousands of lives — if pharmaceutical companies would allow it.

bloomberg.com

Common Sense Oncology@csoncol.bsky.social · 11mo ago

Bloomberg released an article highlighting efforts to reduce cancer drug doses while preserving outcomes & making treatments more affordable & accessible globally. Read more: tinyurl.com/93n5xxvk #CommonSenseOncology #CancerCare

@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

Tramadol (with or without acetaminophen) efficacy and harm

Objective To evaluate the efficacy and safety of tramadol (with or without acetaminophen) in adult pain management compared with nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and acetaminoph...

cfp.ca

I also have questions!

NanaimoNewsNOW@nanaimonewsnow.bsky.social · last yr.

Mid-Island MLAs were questioned regarding when the Nanaimo hospital will get a new patient tower and cardiac catheterization lab, promises made by Premier David Eby during last year's election campaign. #Nanaimo nanaimonewsnow.com/2025/08/22/p...

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

a man and two women are standing next to each other in a room .

ALT: a man and two women are standing next to each other in a room .

media.tenor.com

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-...

We are overcounting cancer cases by vast amounts | H. Gilbert Welch

iai.tv

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

ashley fairbanks@ziibiing.com · last yr.

realizing that if you knew you were dying you could use the “send later” option on messages to haunt someone from beyond the grave

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..."

Study finds 81% of cancer cures touted by TikTok videos are fake

As many as 81% of cancer cures touted by content creators on TikTok are fake, according to new research from City St George's, University of London.

medicalxpress.com

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

Disability tax credits are critical for some Canadians. But applying for them can cost thousands | CBC News

As Canada launches its new disability benefit payments in July, medical and disability experts are raising alarms over barriers to obtaining the main eligibility requirement, the disability tax credit...

cbc.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.

Alt CDC (they/them)@altcdc.altgov.info · last yr.

This people, THIS!!! We've heard RFKJ spew on about increasing rates of childhood autism and how the cause MUST BE vaccines or toxins. But he failed to acknowledge or investigate the simplest answer: we expanded the definition of autism, leading to more diagnoses. www.nytimes.com/2025/06/23/o...

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/

Early palliative care for patients with metastatic non-small-cell lung cancer - PubMed

Among patients with metastatic non-small-cell lung cancer, early palliative care led to significant improvements in both quality of life and mood. As compared with patients receiving standard care, pa...

pubmed.ncbi.nlm.nih.gov

no brain, only alison@alisonborealis.bsky.social · last yr.

What is common knowledge in your field, but shocks outsiders? In general, it takes about 1000 years to form 1cm of new soil.

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

The '3.5% rule': How a small minority can change the world

Nonviolent protests are twice as likely to succeed as armed conflicts – and those engaging a threshold of 3.5% of the population have never failed to bring about change.

bbc.com

Alt National Park Service@altnps.bsky.social · last yr.

Over 4.8 million and counting and many events haven’t even kicked off yet. We’re aiming for over 10 million today to hit the 3.5% rule. The crowds are massive and still growing. We are so proud of all of you. Huge shoutout to Texas you showed up!

🍿

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