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I’m a Family Doctor who also does Emergency Medicine and the occasional MedEvac in Nunavut; I also do Hospitalist work on Vancouver Island. I completed my M.D.  in 2009 at The University of British Columbia (UBC), in Vancouver, BC, Canada and my residency in Family Practice in Nanaimo, BC, also with UBC.

Main academic interests: Hospital Medicine, Rural and Remote Medicine, International Health, Public Health/Bioethics, Healthcare IT/Web 2.0, and small-town Emergency care.

Fun stuff: Ice hockey, skiing/snowboarding, travel, cooking with stuff from local markets, movies of all sorts, music (industrial, electronic, old jazz).

A home (tent!) visit on a remote reserve in the Interior of BC

A home (tent!) visit on a remote reserve in the Interior of BC

With the Himalayan Health Exchange Crew at 17800ft

With the Himalayan Health Exchange Crew at 17800ft, at the Chang-La pass

16 Comments leave one →
  1. March 24, 2009 8:39 am

    I love your site. Keep it up !

  2. August 4, 2009 5:20 am


    This is Armine Hareyan writing from I visited your blog and liked your content.

    Would you be interested to send us a guest post on any of the issues related to the topics that you cover in your blog. We will publish it in our site

    In return with each guest blog we will give one link in the author’s biline back to your blog. We only ask that the guest post ( we prefer it be a news coverage, sources can be Google News, CNN, MSNBC, Yahoo News, BBC and others) be a unique story and not be published in your blog.

    Please let me know if you may have any questions about

    If you want to consult the topic with me first that’s perfectly fine as well.

    Many thanks

    Best regards
    Armine Hareyan

  3. August 4, 2009 7:24 am

    HarperCollins is proud to introduce DIRECT RED, an eloquent and piercing account of a young woman’s surgical education. We think that you might enjoy this book as someone in the medical field, and we would love the opportunity to share it with you and your readers.

    “Concise, literate, truthful . . . moving. . . . As well-written and sensitive an account . . . of the glories and miseries of the practice of medicine as you are likely ever to read.”
    — Anthony Daniels, Literary Review (London)

    Surgeons have long been known for their allergy to doubt, an unsurprising trait in professionals who must play God, routinely risking someone else’s life in order to do their job. But in this poignant account of her surgical training, Gabriel Weston, a member of Britain’s Royal College of Surgeons, reveals the humanity beneath the veneer of invincibility. Interweaving her own story with those of her patients, Weston evokes both the humor and the heartbreak that come of medicine’s daily confrontation with the ultimate unknowability of the human body. With prose that never flinches from the raw, graphic realities of a surgeon’s day, Weston confronts life, death, and the unique difficulties of being a female surgeon in a heavily male-dominated profession.

    Please let me know if you would be interested in receiving a review copy of DIRECT RED by Gabriel Weston.
    Thank you,

    Julie Daurio
    HarperCollins Publishers

  4. January 5, 2010 3:46 pm

    In your interests you mention HealthCare IT. When you have a chance please browse through our site and even through the software is geared towards specialists we currently have 1 family practice physician in Maple Ridge (the largest family practice in BC affiliated with UBC). If you find it of interest please do not hesitate to contact me at the email provided.


  5. Jeannette permalink
    November 13, 2010 2:15 pm

    Oh my goodness, I had one of those green plush flu bugs! I think in the end, my dog ate it. Obviously with my best interest at heart!

    A friend gave it to me years ago, what are the other ones? Can you still buy them?

    • November 13, 2010 11:42 pm

      Haha not very long-lasting as dog toys I bet!

      They are called Giant Plush Microbes

      Don’t know if the person who gave them to me got them direct from that website or where exactly.

    • November 13, 2010 11:46 pm

      Oh and they all came together as a bunch – I think there’s common cold, shigella, yersinia, e coli, etc. Mixed bacteria and viruses. The bunch of STI microbes is probably the goofiest/grossest.

  6. March 3, 2011 7:45 am

    Hey Jessica—great blog!

    Will you let your friends get colon cancer? Watch their back(sides)!

    Six percent of Americans will get colon cancer—it’s our #2 cancer killer (Really, number two? A coincidence? I think not!)

    Studies tell us that UP TO A THIRD of your friends and loved ones don’t get the recommended colonoscopy because they’re afraid or embarrassed. Then they get colon cancer. That’s gotta change. And now you can help us do something about it.

    In honor of March’s Colon Cancer Awareness Month (Slogan: “Be Aware of Your Derriere”) we’ve posted a fun digestive ditty to You Tube—you can reach it at

    Enjoy the video, then forward this email to your friends and relatives so that they can join in the fanny fun!


    Pat Raymond MD
    Aka the divine Ms. Butt Meddler

    PS- if you want an unusual ringtone or just love to listen to bowel ballads, you can download the song from iTunes!

    • March 6, 2011 12:27 am

      thanks Pat

      Appreciate the message and the campaign. I’m not sure it applies to Canadian practice; patients certainly can’t self-refer for colonoscopies and in Canada (BC anyway), we only do screening colonscopies on those with positive family histories or colon-CA predisposing conditions like IBD – the rest are diagnostic (iron-def anemia NYD, change in stool pattern, etc). Every patient of mine gets an annual fecal occult blood x 3 screen once they turn 50, in accordance with our current provincial guidelines.

      Few of my friends are Americans, or even in the age group that would be at risk for colon CA. However, I agree that we need to help relieve the stigma of discussing colon cancer.


  7. Andrea Kreitz permalink
    April 18, 2011 10:14 pm

    Hello Dr. Otte,

    I came across your blog when I was googling Canadian Military Physicians. I read your posting on it from 2009 and am interested to hear why you didn’t decide to join after completing residency. I’m just finishing up Medical School at the UofA and will be heading to GP AB for Rural Family Residency. I’ve been considering the military since first year and still am on the fence but the idea keeps coming back to me. I would love to have some of your current insight on this. Thanks,

    Andrea Kreitz

    • April 18, 2011 10:59 pm

      Hi Andrea

      tough one. thanks for reading and for this question. I hadn’t really reflected on this lately. But basically:

      a few things about life outside the military looked better:
      – the pay can be much better than I thought
      – I love hospital work and have no guarantee of this in the military
      – I didn’t anticipate the degree of freedom in making my own schedule [locum here and there, go where I want, when I want, take time off, when I want]
      – my interests grew toward geriatrics and chronic disease

      and a few things about life inside the military looked worse:
      – they didn’t pull out of overseas engagements as planned
      – I saw the Esquimalt and Comox bases and wasn’t entirely excited about these
      – the pathology of young healthy men (alcoholism, PTSD, occupational health, musculoskeletal) became less appealing

      Overall, it comes down to retaining the freedom to do what I want to each day. The military cannot offer me this.


  8. Andrea Kreitz permalink
    April 19, 2011 2:18 pm

    Hello Jessica,

    Thanks for your reply. I’ve really enjoyed reading your blogs and have found them very inspirational. For now I’m going to hold off on the decision until after residency is done but it still sounds pretty appealing… the adventure…even if other aspects are not. Do you know how possible it is to do moonlighting while in the military? The website makes it seem like anything is possible and often if it sounds too good to be true it is😉

    Anyways thanks for the insight and keep up the great blogging!


  9. June 17, 2011 1:52 pm

    just discovered this blog, will add it to my subscription list. keep up the good work

  10. Sue permalink
    October 4, 2012 5:24 pm

    Hi! I’m Sue, and I’m from SlimKicker, a diet/fitness app and website. I saw your blog yesterday and it captured my interest!

    I’m contacting you b/c we’re about to release a fitness tracker (similar to FitBit) early next year, and are looking for bloggers who would be interested in getting 1 for free to review when it is out (negative or positive).

    Would you be interested in doing this? You can email me at: sue (at) slimkicker (com) with ‘Review’ in the email heading if you are.

    In case you don’t know, our website SlimKicker basically turns your diet/fitness goals into a level up game. The tracker will work with the website, and allow people to track calories burned and number of steps they walk automatically. The more they exercise, the more points they rack up! That’s basically how it will work.

    Anyway, hope to hear back either way…

    – Sue
    P.S. You can choose not to display this comment as this is more of a private comment:)

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