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Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
Tweet reach mcip11
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  • 1. TweetReach for #mcip11 Reached 20,622 people via 404 tweets Searching maximum tweets permitted by Twitter Tweet Types Exposure: 331,319 Impressions Each pie slice shows how many people saw how many tweets Impressions Contributed byAlisynGayle: RT @PalliativeMed_j: RT @renee_berry: RT @TheRedElm: The 48 TwitterersNeuroscience of Mindfulness by David Rock http://ow.ly/44TOs #mcip11 cc renee_berry 140,458@BradHStuart #wisdom2conf brimcmike 47,960Wed, 02 Mar 2011 02:58:25 +0000 PracticalWisdom 36,322 ctsinclair 19,514AlisynGayle: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John emacartney 18,885Liebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing jodyms 11,574immune system westr 9,100Tue, 01 Mar 2011 07:49:50 +0000 PaloAltoMedical 9,008 nhdd 5,053fbfukushima: RT @PalliativeMed_j: RT @Pallimed: "Pain Can Kill" article from Pallimed 4,5161991 John Liebeskind http://ow.ly/44TB2 #mcip11 #hpm talks about pain Kaviraj2 3,678suppressing immune system enochchoi 3,431Mon, 28 Feb 2011 22:59:04 +0000 suzanakm 2,640 carlaaxt 2,430aeolc: RT @renee_berry: we must move the focus of care out of the hospital & CAPCpalliative 2,035in to the community so people dont have to be patients @BradHStuart #hpm DianeEMeier 1,452#hcr #mcip11 millspeninsula 1,380Mon, 28 Feb 2011 21:09:03 +0000 AlisynGayle 1,376 hcsmSV 1,117enochchoi: RT @emacartney: @carlaaxt: #mcip11 is an #hpm event at napernurse 1,090@paloaltomedical 2day w/ Sutter VNA & Hospice & @millspeninsula also DrDignity 782presenting http://ow.ly/440By richland51 758Mon, 28 Feb 2011 05:51:48 +0000 hollyby 710 visiting_nurse 692dspacl: RT @nhdd: Doris Hawks JD talks about how advance directives comalliwrites 532can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11 LVADone 484Sun, 27 Feb 2011 19:52:42 +0000 brigid22 452 ewidera 417dspacl: RT @nhdd: "care is always provided, intervention can be refused" erigentry 400Doris Hawks JD #HaveTheTalk #hpm #mcip11 SanBrunoCal 322Sun, 27 Feb 2011 19:52:14 +0000 drpippa 316 dspacl 314Kaviraj2: RT @nhdd: "when you listen, really listen not just with your ears, peds_id_doc 312watch your own body & be @ the same side of the table" @BradHStuart klxmedia 301#mcip11... Nurse2103 280Sun, 27 Feb 2011 18:18:19 +0000 LisaDMorgan 222 s_eller 208renee_berry: RT @nhdd: "care is always provided, intervention can be refused" GetPalliative 189Doris Hawks JD #HaveTheTalk #hpm #mcip11 dmteachey1 188Sun, 27 Feb 2011 17:52:44 +0000 PalMedConnect 147
  • 2. jen_c_taylor 82renee_berry: RT @nhdd: Doris Hawks JD talks about how advance directives doctatum 70can’t be a substitute for discussion of preferences #HaveTheTalk #mcip11 DoctorGirardi 36Sun, 27 Feb 2011 17:52:19 +0000 Kaffeedog 28 ellenklem 24renee_berry: RT @nhdd: "when you listen, really listen not just with your ears, fbfukushima 22watch your own body & be @ the same side of the table" @BradHStuart Cure_MTM 9#mcip11... aeolc 3Sun, 27 Feb 2011 17:51:23 +0000renee_berry: RT @Pallimed: RT @NHDD: if your patient brings in an advancedirective, review it Doris Hawks JD #HaveTheTalk #hpm #mcip11Sun, 27 Feb 2011 17:48:30 +0000suzanakm: RT @renee_berry: we must move the focus of care out of thehospital & in to the community so people dont have to be patients@BradHStuart #hpm #hcr #mcip11Sun, 27 Feb 2011 07:40:54 +0000suzanakm: RT @renee_berry: Only 37% of MDs give frank prognosticationdisclosure even when a patient requested a survival estimate Tapper MD#hpm #epatient #mcip11Sun, 27 Feb 2011 07:36:17 +0000fbfukushima: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 JohnLiebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressingimmune systemSun, 27 Feb 2011 05:13:06 +0000napernurse: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 JohnLiebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressingimmune systemSun, 27 Feb 2011 02:06:01 +0000suzanakm: RT @renee_berry: our bodies evolve the pain pathway to surviveBrennan MD #hpm #mcip11 -example of neuroplasticitySun, 27 Feb 2011 01:55:48 +0000suzanakm: RT @renee_berry: Bishop MD on @DianeEMeier s advocacy w/#hcr #mcip11Sun, 27 Feb 2011 01:54:04 +0000westr: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 JohnLiebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressingimmune systemSun, 27 Feb 2011 01:36:49 +0000brimcmike: RT @Pallimed: "Pain Can Kill" article from 1991 John Liebeskindhttp://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immunesystemSun, 27 Feb 2011 00:43:36 +0000DianeEMeier: RT @hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 JohnLiebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressingimmune systemSun, 27 Feb 2011 00:14:09 +0000hollyby: RT @Pallimed: "Pain Can Kill" article - 1991 John Liebeskindhttp://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immunesystemSun, 27 Feb 2011 00:02:48 +0000
  • 3. klxmedia: RT @renee_berry: "when you cant cure, healing is all you have"@BradHStuart #hospice #hpm #mcip11Sat, 26 Feb 2011 23:00:05 +0000jen_c_taylor: Thanks @renee_berry for your #tsweet coverage of #mcip11::: RT"start the discussions early" - @BradHStuart #HaveTheTalkSat, 26 Feb 2011 22:58:40 +0000LVADone: RT @nhdd: everybody is selective in what they tell you DorisHawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 22:35:19 +0000LVADone: RT @Pallimed: "Pain Can Kill" article from 1991 John Liebeskindhttp://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressing immunesystemSat, 26 Feb 2011 22:34:54 +0000CAPCpalliative: RT @nhdd: "when you listen, really listen not just with yourears, watch your own body & be @ the same side of the table" @BradHStuart#mcip11...Sat, 26 Feb 2011 22:34:00 +0000CAPCpalliative: RT @renee_berry: we must move the focus of care out of thehospital & in to the community so people dont have to be patients@BradHStuart #hpm #hcr #mcip11Sat, 26 Feb 2011 22:33:01 +0000CAPCpalliative: RT @ctsinclair: RT @NHDD: when the patient loosescapacity (as decided by the MD), you are not required to neuro-psychevaluation Doris Hawks JD #mcip11Sat, 26 Feb 2011 22:31:05 +0000CAPCpalliative: RT @Pallimed: RT @NHDD: if your patient brings in anadvance directive, review it Doris Hawks JD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 22:29:49 +0000CAPCpalliative: RT @GetPalliative: RT @renee_berry "were in an era nowwhere people realize we need to care for advance illness management" -@BradHStuart #mcip11 #palliativeSat, 26 Feb 2011 22:29:21 +0000LisaDMorgan: RT @renee_berry: Only 37% of MDs give frank prognosticationdisclosure even when a patient requested a survival estimate Tapper MD#hpm #epatient #mcip11Sat, 26 Feb 2011 21:51:11 +0000LisaDMorgan: RT @GetPalliative: RT @renee_berry "were in an era nowwhere people realize we need to care for advance illness management" -@BradHStuart #mcip11 #palliativeSat, 26 Feb 2011 21:48:39 +0000LisaDMorgan: RT @Pallimed: "Pain Can Kill" article from 1991 JohnLiebeskind http://bit.ly/fmT2CC #mcip11 #hpm talks about pain suppressingimmune systemSat, 26 Feb 2011 21:48:25 +0000millspeninsula: Thank you to everyone who participated in the #mcip11 livesession today on twitter. Your #hpm sharing was amazing & very muchappreciated!Sat, 26 Feb 2011 20:56:29 +0000PaloAltoMedical: Thank you, all! This concludes the live #mcip11 session, but
  • 4. hopefully these amazing conversations will continue on throughout the week!:)Sat, 26 Feb 2011 20:54:26 +0000PracticalWisdom: Best Practice:RT @Pallimed: RT @NHDD: if your patientbrings in an advance directive, review it Doris Hawks JD #HaveTheTalk #hpm#mcip11Sat, 26 Feb 2011 20:19:05 +0000Pallimed: RT @NHDD: if your patient brings in an advance directive, review itDoris Hawks JD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 20:18:01 +0000brimcmike: RT @renee_berry: breathtaking to hear each panelist discuss theirpersonal stories w/advance care planning & their families #mcip11Sat, 26 Feb 2011 20:15:06 +0000brimcmike: RT @renee_berry: yay they took it! (though not skilled enoughtweeter to put these stories into 140characters) #mcip11Sat, 26 Feb 2011 20:14:36 +0000brimcmike: RT @renee_berry: fingers crossed the panel takes my question... toall of them, please speak to your experience in completing your advancedirective #mcip11Sat, 26 Feb 2011 20:14:20 +0000brimcmike: RT @renee_berry: (clinicians) work with the ethics committee &palliative care teams, let them help you Hawks JD #mcip11Sat, 26 Feb 2011 20:14:10 +0000brimcmike: RT @renee_berry: make sure that the agent knows that they havebeen selected Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 20:13:55 +0000brimcmike: RT @renee_berry: we owe it to our patients to be clear Bishop MD#mcip11Sat, 26 Feb 2011 20:13:48 +0000brimcmike: RT @renee_berry: focus on informed medical decision makingTapper MD #HaveTheTalk #mcip11Sat, 26 Feb 2011 20:13:42 +0000brimcmike: RT @renee_berry: "start the discussions early" - @BradHStuart#HaveTheTalk #mcip11Sat, 26 Feb 2011 20:13:29 +0000brimcmike: RT @renee_berry: " @DianeEMeier is really a champion of#palliative care" - @BradHStuart #mcip11Sat, 26 Feb 2011 20:13:21 +0000emacartney: RT @renee_berry: breathtaking to hear each panelist discuss theirpersonal stories w/advance care planning & their families #mcip11Sat, 26 Feb 2011 20:13:18 +0000brimcmike: RT @renee_berry: "we are about clarifying goals" Morris MD MPH#HaveTheTalk #mcip11Sat, 26 Feb 2011 20:13:12 +0000PracticalWisdom: @renee_berry: Didnt expect you to get a magichttp://bit.ly/eUrUNY. Ask them to tell their story in 140? #mcip11Sat, 26 Feb 2011 20:10:59 +0000
  • 5. renee_berry: @PracticalWisdom they are, but ill have to blog it, trying to figureout how to do these kinds of stories in 140 sorry to tease! #mcip11Sat, 26 Feb 2011 20:07:22 +0000PracticalWisdom: Do they share w/Pts?RT @renee_berry: breathtaking 2 hearpanelist discuss personal stories w/advance care planning/their families#mcip11Sat, 26 Feb 2011 20:06:21 +0000renee_berry: breathtaking to hear each panelist discuss their personal storiesw/advance care planning & their families #mcip11Sat, 26 Feb 2011 20:04:47 +0000comalliwrites: RT @renee_berry: RT @TheRedElm: The Neuroscience ofMindfulness by David Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart#wisdom2confSat, 26 Feb 2011 20:03:44 +0000brimcmike: RT @renee_berry: "you must talk with people about what they want& it almost always is staying out of the hospital" @BradHStuart #HaveTheTalk#hpm #mcip11Sat, 26 Feb 2011 20:03:18 +0000PracticalWisdom: @renee_berry Fingers Crossed your question will be taken.Wonder if we might get a surprise? #mcip11Sat, 26 Feb 2011 20:02:25 +0000renee_berry: yay they took it! (though not skilled enough tweeter to put thesestories into 140characters) #mcip11Sat, 26 Feb 2011 20:02:03 +0000renee_berry: fingers crossed the panel takes my question... to all of them,please speak to your experience in completing your advance directive #mcip11Sat, 26 Feb 2011 20:00:26 +0000PracticalWisdom: RT @renee_berry: (clinicians) work with the ethicscommittee & palliative care teams, let them help you Hawks JD #mcip11Sat, 26 Feb 2011 19:58:03 +0000renee_berry: (clinicians) work with the ethics committee & palliative careteams, let them help you Hawks JD #mcip11Sat, 26 Feb 2011 19:55:35 +0000emacartney: RT @renee_berry: focus on informed medical decision making -Tapper MD #HaveTheTalk (spkg at #mcip11)Sat, 26 Feb 2011 19:53:52 +0000brigid22: RT @renee_berry: make sure that the agent knows that they havebeen selected Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:53:51 +0000renee_berry: make sure that the agent knows that they have been selectedHawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:53:20 +0000emacartney: RT @renee_berry: "start the discussions early" - @BradHStuart#HaveTheTalk #mcip11Sat, 26 Feb 2011 19:53:14 +0000renee_berry: we owe it to our patients to be clear Bishop MD #mcip11Sat, 26 Feb 2011 19:52:23 +0000
  • 6. renee_berry: focus on informed medical decision making Tapper MD#HaveTheTalk #mcip11Sat, 26 Feb 2011 19:50:08 +0000renee_berry: RT @nhdd: "Legal forms hard to understand & do not provideuseful guidance" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:49:34 +0000renee_berry: "start the discussions early" - @BradHStuart #HaveTheTalk#mcip11Sat, 26 Feb 2011 19:48:57 +0000Kaffeedog: RT @nhdd: "Legal forms hard to understand & do not provide usefulguidance" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:48:52 +0000renee_berry: " @DianeEMeier is really a champion of #palliative care" -@BradHStuart #mcip11Sat, 26 Feb 2011 19:48:08 +0000renee_berry: "we are about clarifying goals" Morris MD MPH #HaveTheTalk#mcip11Sat, 26 Feb 2011 19:47:07 +0000renee_berry: "you must talk with people about what they want & it almostalways is staying out of the hospital" @BradHStuart #HaveTheTalk #hpm#mcip11Sat, 26 Feb 2011 19:45:55 +0000brimcmike: RT @renee_berry: "discuss goals of care early on" Aggarwal MD#HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:44:27 +0000brimcmike: RT @renee_berry: We need to tell our story... What was it like to doyour advance directive? Our stories effect public policy, dont wait for others#mcip11Sat, 26 Feb 2011 19:44:15 +0000brimcmike: RT @renee_berry: Bishop MD discussing @AAHPM Public Policymeeting from last week #hpm #mcip11Sat, 26 Feb 2011 19:44:09 +0000brimcmike: RT @renee_berry: Roundtable Discussion w/ Experts Tapper MD,@BradHStuart Brennan MD, Morris, MD MPH, Hawks JD, Bishop MD,Aggarwal MD #mcip11Sat, 26 Feb 2011 19:43:55 +0000brigid22: RT @renee_berry: "discuss goals of care early on" Aggarwal MD#HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:43:28 +0000renee_berry: "discuss goals of care early on" Aggarwal MD #HaveTheTalk#hpm #mcip11Sat, 26 Feb 2011 19:41:47 +0000renee_berry: We need to tell our story... What was it like to do your advancedirective? Our stories effect public policy, dont wait for others #mcip11Sat, 26 Feb 2011 19:40:59 +0000renee_berry: something I didnt hear that I am weighing raising my hand abouthealth policy question & advance care planning #mcip11
  • 7. Sat, 26 Feb 2011 19:40:10 +0000renee_berry: Bishop MD discussing @DianeEMeier s advocacy w/healthpolicy #mcip11Sat, 26 Feb 2011 19:37:13 +0000renee_berry: Bishop MD discussing @AAHPM Public Policy meeting from lastweek #hpm #mcip11Sat, 26 Feb 2011 19:36:09 +0000renee_berry: Roundtable Discussion w/ Experts Tapper MD, @BradHStuartBrennan MD, Morris, MD MPH, Hawks JD, Bishop MD, Aggarwal MD #mcip11Sat, 26 Feb 2011 19:35:41 +0000brimcmike: RT @nhdd: "who should have a POLST? People with chronicprogressive illnesses, serious health condition, medically frail" Doris Hawks JD#mcip11Sat, 26 Feb 2011 19:30:55 +0000brimcmike: RT @nhdd: everyone who is 18+ should have an advancedirective, not every one needs a POLST Doris Hawks JD #HaveTheTalk#mcip11Sat, 26 Feb 2011 19:30:38 +0000brimcmike: RT @nhdd: advance directives can help docs convert patient goalsinto a POLST forms Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:30:20 +0000brimcmike: RT @nhdd: if your patient brings in an advance directive, review itDoris Hawks JD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:30:12 +0000brimcmike: RT @nhdd: Doris Hawks JD talks about how advance directivescan’t be a substitute for discussion of preferences #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:30:06 +0000brimcmike: RT @nhdd: cant eliminate the ambivalence of what its like to doyour own Doris Hawks JD #HaveTheTalk Early... Lets start w/ourselves#mcip11Sat, 26 Feb 2011 19:29:53 +0000brimcmike: RT @nhdd: "people change their minds" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:29:42 +0000brimcmike: RT @nhdd: "Legal forms hard to understand & do not provide usefulguidance" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:29:37 +0000brimcmike: RT @nhdd: "Most people dont do an AHCD" Doris Hawks JD#mcip11Sat, 26 Feb 2011 19:29:24 +0000brimcmike: RT @nhdd: "What is POLST? Physician Orders for Life SustainingTreatment" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:29:09 +0000brimcmike: RT @nhdd: "care is always provided, intervention can be refused"Doris Hawks JD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:29:02 +0000brimcmike: RT @nhdd: an oral directive can be given by a person who has
  • 8. capacity Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:28:56 +0000brimcmike: RT @Pallimed: RT @NHDD: it isnt ok if the patient disagrees withyou to then decide that the patient does now lack capacity Doris Hawks JD#hpm #mcip11Sat, 26 Feb 2011 19:28:44 +0000brimcmike: RT @ctsinclair: RT @NHDD: when the patient looses capacity (asdecided by the MD), you are not required to neuro-psych evaluation DorisHawks JD #mcip11Sat, 26 Feb 2011 19:28:27 +0000brimcmike: RT @nhdd: it can be done on a napkin Doris Hawks JD#HaveTheTalk #mcip11Sat, 26 Feb 2011 19:28:17 +0000brimcmike: RT @nhdd: "help the surrogate make the decision best for thepatient" Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:28:06 +0000nhdd: "who should have a POLST? People with chronic progressive illnesses,serious health condition, medically frail" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:25:09 +0000nhdd: "who should have a POLST? People with chronic progressive illnesses,serious health condition, medically frail" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:25:09 +0000nhdd: everyone who is 18+ should have an advance directive, not every oneneeds a POLST Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:23:25 +0000s_eller: Busy day on Twitter: @salmaansana & #compassion4care,@holisticnurses & #nyc4women, @renee_berry & #mcip11, @r… (cont)http://deck.ly/~GYcKVSat, 26 Feb 2011 19:20:43 +0000nhdd: advance directives can help docs convert patient goals into a POLSTforms Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:19:35 +0000ellenklem: RT @nhdd: if your patient brings in an advance directive, review itDoris Hawks JD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:18:44 +0000nhdd: Doris Hawks JD talks about how advance directives can’t be asubstitute for discussion of preferences #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:18:40 +0000nhdd: if your patient brings in an advance directive, review it Doris Hawks JD#HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:18:02 +0000nhdd: cant eliminate the ambivalence of what its like to do your own DorisHawks JD #HaveTheTalk Early... Lets start w/ourselves #mcip11Sat, 26 Feb 2011 19:17:41 +0000nhdd: "people change their minds" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:16:01 +0000
  • 9. nhdd: "Legal forms hard to understand & do not provide useful guidance" DorisHawks JD #mcip11Sat, 26 Feb 2011 19:15:46 +0000nhdd: "Most people dont do an AHCD" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:15:23 +0000nhdd: "What is POLST? Physician Orders for Life Sustaining Treatment" DorisHawks JD #mcip11Sat, 26 Feb 2011 19:14:55 +0000nhdd: "care is always provided, intervention can be refused" Doris Hawks JD#HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:12:04 +0000nhdd: an oral directive can be given by a person who has capacity DorisHawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:11:42 +0000Pallimed: RT @NHDD: it isnt ok if the patient disagrees with you to thendecide that the patient does now lack capacity Doris Hawks JD #hpm #mcip11Sat, 26 Feb 2011 19:11:02 +0000ctsinclair: RT @NHDD: when the patient looses capacity (as decided by theMD), you are not required to neuro-psych evaluation Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:10:39 +0000DrDignity: RT @nhdd: youve got to bring it up, youve got to push your doctorabout what you & your family need to know" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:09:52 +0000nhdd: it can be done on a napkin Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:09:26 +0000DrDignity: RT @GetPalliative: RT @renee_berry "were in an era now wherepeople realize we need to care for advance illness management" -@BradHStuart #mcip11 #palliativeSat, 26 Feb 2011 19:08:36 +0000nhdd: "help the surrogate make the decision best for the patient" Doris HawksJD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:08:32 +0000nhdd: when the patient looses capacity (as decided by the MD), you are notrequired to neuro-psych evaluation Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:07:57 +0000richland51: RT @Pallimed: RT @renee_berry: “add 6-7min to deal w/emotions in outpatient, setting 6-7min to change a life/even a systemâ€@BradHStuart #mcip11Sat, 26 Feb 2011 19:07:24 +0000brimcmike: RT @nhdd: the agents job is to make decisions based on thepatients values & goals Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:06:55 +0000nhdd: btw.. (still @renee_berry here, switched to @NHDD because this talk isabout advance care planning) #mcip11Sat, 26 Feb 2011 19:06:45 +0000
  • 10. brimcmike: RT @nhdd: Doris Hawks JD discussing all of the different termsassociated with advance care planning... a lot #mcip11Sat, 26 Feb 2011 19:06:29 +0000brimcmike: RT @nhdd: Doris Hawks JD discusses that choices are discussedas preferred treatment, but values & goals help gear focus #HaveTheTalk#hpm #mcip11Sat, 26 Feb 2011 19:06:20 +0000brimcmike: RT @nhdd: everybody is selective in what they tell you DorisHawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:06:06 +0000nhdd: the agents job is to make decisions based on the patients values &goals Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:06:03 +0000brimcmike: RT @nhdd: your job as physicians is to determine capacity, but ifyou dont capacity is assumed Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:05:32 +0000brimcmike: RT @GetPalliative: RT @renee_berry "were in an era now wherepeople realize we need to care for advance illness management" -@BradHStuart #mcip11 #palliativeSat, 26 Feb 2011 19:05:26 +0000brimcmike: RT @nhdd: capacity to consent is complicated but we need tounderstand when patients do & dont Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:04:43 +0000brimcmike: RT @nhdd: youve got to bring it up, youve got to push your doctorabout what you & your family need to know" Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:04:35 +0000nhdd: Doris Hawks JD discussing all of the different terms associated withadvance care planning... a lot #mcip11Sat, 26 Feb 2011 19:04:18 +0000brimcmike: RT @nhdd: Important to remember that a condition does not have totrigger you to #HaveTheTalk #mcip11Sat, 26 Feb 2011 19:04:13 +0000brimcmike: RT @ctsinclair: @westr @renee_berry Also important to know thathigh dose opioids can be immunosuppressive #mcip11Sat, 26 Feb 2011 19:03:58 +0000brimcmike: RT @nhdd: Doris Hawks JD discussing the many conditions mighttrigger an Advance Care Planning discussion #mcip11Sat, 26 Feb 2011 19:03:51 +0000brimcmike: RT @nhdd: Legal & Ethical Issues in Advance Care Planning:Patient’s Right to know & POLST w/ Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:03:45 +0000brimcmike: RT @ctsinclair: RT @renee_berry: @ctsinclair sorry correction mymistake: Managing Critically Ill Patients (not Chronically) #mcip11 cc@cure_MTMSat, 26 Feb 2011 19:03:25 +0000nhdd: Doris Hawks JD discusses that choices are discussed as preferredtreatment, but values & goals help gear focus #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 19:02:33 +0000
  • 11. nhdd: everybody is selective in what they tell you Doris Hawks JD#HaveTheTalk #mcip11Sat, 26 Feb 2011 19:01:39 +0000brimcmike: RT @ctsinclair: RT @renee_berry: ‘sometimes opioids fail’Brennan MD #hpm "yep. they are not a panacea." #mcip11Sat, 26 Feb 2011 19:01:26 +0000brimcmike: RT @westr: LINKS? "RT @renee_berry: poorly controlled #painaffects immune system" Brennan MD - [yes research to support this] #mcip11"-@ctsinclairSat, 26 Feb 2011 19:01:07 +0000nhdd: it isnt ok that if the patient disagrees with you to then decide that thepatient does now lack capacity Doris Hawks JD #hpm #mcip11Sat, 26 Feb 2011 19:01:03 +0000brimcmike: RT @renee_berry: our bodies evolve the pain pathway to surviveBrennan MD #hpm (I dont know what this means exactly but soundsinteresting) #mcip11Sat, 26 Feb 2011 19:01:00 +0000brimcmike: RT @renee_berry: RT @TheRedElm: The Neuroscience ofMindfulness by David Rock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart#wisdom2confSat, 26 Feb 2011 19:00:41 +0000Pallimed: "Pain Can Kill" article from 1991 John Liebeskind http://bit.ly/fmT2CC#mcip11 #hpm talks about pain suppressing immune systemSat, 26 Feb 2011 19:00:17 +0000brimcmike: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD#hpm #mcip11Sat, 26 Feb 2011 19:00:15 +0000nhdd: your job as physicians is to determine capacity, but if you dont capacityis assumed Doris Hawks JD #mcip11Sat, 26 Feb 2011 19:00:09 +0000GetPalliative: RT @renee_berry "were in an era now where people realize weneed to care for advance illness management" - @BradHStuart #mcip11#palliativeSat, 26 Feb 2011 19:00:03 +0000erigentry: RT @westr: "Live Tweets Today from "Managing Chronically IllPatients 2011" http://ow.ly/43QHQ #mcip11" -via @renee_berry #pm101#hcsmSat, 26 Feb 2011 18:59:40 +0000nhdd: capacity to consent is complicated but we need to understand whenpatients do & dont Doris Hawks JD #HaveTheTalk #mcip11Sat, 26 Feb 2011 18:59:32 +0000nhdd: youve got to bring it up, youve got to push your doctor about what you &your family need to know" Doris Hawks JD #mcip11Sat, 26 Feb 2011 18:58:57 +0000westr: "@westr @renee_berry Also important to know that high dose opioidscan be immunosuppressive #mcip11" -via @ctsinclair #pm101Sat, 26 Feb 2011 18:58:43 +0000
  • 12. nhdd: Important to remember that a condition does not have to trigger you to#HaveTheTalk #mcip11Sat, 26 Feb 2011 18:58:34 +0000ctsinclair: @westr @renee_berry Also important to know that high dose opioidscan be immunosuppressive #mcip11Sat, 26 Feb 2011 18:58:05 +0000nhdd: Doris Hawks JD discussing the many conditions might trigger anAdvance Care Planning discussion #mcip11Sat, 26 Feb 2011 18:58:00 +0000nhdd: Legal & Ethical Issues in Advance Care Planning: Patient’s Right toknow & POLST w/ Doris Hawks JD #mcip11Sat, 26 Feb 2011 18:56:21 +0000brimcmike: RT @renee_berry: "I know Im supposed to wrap up, but Im notgoing to because this is really important" Brennan MD :) I love speakersw/personality #mcip11Sat, 26 Feb 2011 18:56:04 +0000emacartney: @carlaaxt: #mcip11 is an #hpm event at @paloaltomedical 2dayw/ Sutter VNA & Hospice & @millspeninsula also presenting http://ow.ly/440BySat, 26 Feb 2011 18:55:59 +0000westr: "Live Tweets Today from "Managing Chronically Ill Patients 2011"http://ow.ly/43QHQ #mcip11" -via @renee_berry #pm101 #hcsmSat, 26 Feb 2011 18:55:51 +0000brimcmike: RT @renee_berry: poorly controlled #pain effects the immunesystem" Brennan MD #mcip11Sat, 26 Feb 2011 18:55:18 +0000brimcmike: RT @renee_berry: rare that patients have a clear allergy to#morphine - confusion because of itching skin side effect Morris, MD MPH#hpm #mcip11Sat, 26 Feb 2011 18:55:11 +0000ctsinclair: RT @renee_berry: @ctsinclair sorry correction my mistake:Managing Critically Ill Patients (not Chronically) #mcip11 cc @cure_MTMSat, 26 Feb 2011 18:55:06 +0000brimcmike: RT @renee_berry: ‘I don’t plan on getting sick until I dieâ€Morris, MD MPH ... many people can relate, especially our culture :) #hpm#mcip11Sat, 26 Feb 2011 18:55:02 +0000brimcmike: RT @renee_berry: Morris, MD MPH talking about collaboration of@PaloAltoMedical w/community to build #palliative outpatient services#awesome #hpm #mcip11Sat, 26 Feb 2011 18:54:51 +0000brimcmike: RT @renee_berry: now taking the mic: Morris MD MPHhttp://ow.ly/43XHY #hpm #mcip11Sat, 26 Feb 2011 18:54:44 +0000renee_berry: @ctsinclair sorry correction my mistake: Managing Critically IllPatients (not Chronically) #mcip11Sat, 26 Feb 2011 18:54:12 +0000renee_berry: ‘how many of you came to this for pain control? Doris HawksJD (only one in audience raised hand) #hpm #mcip11
  • 13. Sat, 26 Feb 2011 18:53:41 +0000ctsinclair: RT @renee_berry: Live Tweets Today from "Managing Chronically IllPatients 2011" http://ow.ly/43QHQ #mcip11 "thanks for the info"Sat, 26 Feb 2011 18:53:14 +0000westr: No real options either! "RT @renee_berry: ‘sometimes opioidsfail’ Brennan MD #hpm "yep. they are not a panacea." #mcip11" -via@ctsinclairSat, 26 Feb 2011 18:52:26 +0000renee_berry: Legal & Ethical Issues in Advance Care Planning: Patient’sRight to know & POLST w/ Doris Hawks JD @SantaClaraLawhttp://ow.ly/43XJl #mcip11Sat, 26 Feb 2011 18:52:23 +0000renee_berry: Live Tweets Today from "Managing Chronically Ill Patients 2011"http://ow.ly/43QHQ #mcip11Sat, 26 Feb 2011 18:51:57 +0000peds_id_doc: RT @PracticalWisdom: RT @renee_berry:Only 37% MDs givefrank prognost disclosure even when a pt requested survival estimate TapperMD #hpm #epatient #mcip11 #hpmSat, 26 Feb 2011 18:50:25 +0000renee_berry: “we (MDs) have to rapidly switch to another opioid (when oneis not working)†Brennan MD #hpm #mcip11Sat, 26 Feb 2011 18:50:21 +0000Cure_MTM: @ctsinclair Did you find out what #mcip11 stands for? Hi btw ImQM for VistaCare Hospice in SLC, UTSat, 26 Feb 2011 18:50:08 +0000renee_berry: @westr dont have any links for that, any MDs know of clinicalresearch of poorly controlled pain effecting immune system? #hpm #mcip11Sat, 26 Feb 2011 18:48:47 +0000carlaaxt: RT @ctsinclair: RT @renee_berry: ‘sometimes opioids fail’Brennan MD #hpm "yep. they are not a panacea." #mcip11Sat, 26 Feb 2011 18:48:33 +0000ctsinclair: RT @renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm"yep. they are not a panacea." #mcip11Sat, 26 Feb 2011 18:47:35 +0000westr: LINKS? "RT @renee_berry: poorly controlled #pain affects immunesystem" Brennan MD - [yes research to support this] #mcip11" -@ctsinclairSat, 26 Feb 2011 18:46:32 +0000renee_berry: our bodies evolve the pain pathway to survive Brennan MD#hpm (I dont know what this means exactly but sounds interesting) #mcip11Sat, 26 Feb 2011 18:46:28 +0000renee_berry: RT @TheRedElm: The Neuroscience of Mindfulness by DavidRock http://ow.ly/1s4WIo #mcip11 cc @BradHStuart #wisdom2confSat, 26 Feb 2011 18:44:22 +0000westr: Pray to God thats not true.. RT @renee_berry "poorly controlled #paineffects the immune system" Brennan MD #mcip11Sat, 26 Feb 2011 18:44:02 +0000
  • 14. renee_berry: ‘sometimes opioids fail’ Brennan MD #hpm #mcip11Sat, 26 Feb 2011 18:43:11 +0000carlaaxt: RT @renee_berry: "when you cant cure, healing is all you have"@BradHStuart #hospice #hpm #mcip11Sat, 26 Feb 2011 18:42:46 +0000carlaaxt: RT @ctsinclair: Hey @renee_berry what is #mcip11? Good tweets.keep em coming.Sat, 26 Feb 2011 18:42:21 +0000DoctorGirardi: RT @hollyby: RT @renee_berry: "patients who have thisdiscussion are far less likely to be admitted to the ICU" @BradHStuart#HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 18:42:12 +0000renee_berry: "I know Im supposed to wrap up, but Im not going to because thisis really important" Brennan MD :) I love speakers w/personality #mcip11Sat, 26 Feb 2011 18:40:59 +0000ctsinclair: Hey @renee_berry what is #mcip11? Good tweets. keep em coming.Sat, 26 Feb 2011 18:40:39 +0000Pallimed: RT @renee_berry: “add 6-7min to deal w/ emotions in outpatient,setting 6-7min to change a life/even a system†@BradHStuart #mcip11Sat, 26 Feb 2011 18:40:10 +0000ctsinclair: RT @renee_berry: poorly controlled #pain affects the immunesystem" Brennan MD - [yes there is research to support this] #mcip11Sat, 26 Feb 2011 18:39:27 +0000ctsinclair: RT @renee_berry: ‘I don’t plan on getting sick until I dieâ€Morris, MD MPH ... many people can relate, especially our culture :) #mcip11Sat, 26 Feb 2011 18:39:02 +0000PalMedConnect: RT @renee_berry: poorly controlled #pain effects theimmune system" Brennan MD #mcip11Sat, 26 Feb 2011 18:34:29 +0000renee_berry: poorly controlled #pain effects the immune system" Brennan MD#mcip11Sat, 26 Feb 2011 18:30:55 +0000renee_berry: rare that patients have a clear allergy to #morphine - confusionbecause of itching skin side effect Morris, MD MPH #hpm #mcip11Sat, 26 Feb 2011 18:28:02 +0000renee_berry: ‘I don’t plan on getting sick until I die†Morris, MD MPH ...many people can relate, especially our culture :) #hpm #mcip11Sat, 26 Feb 2011 18:25:38 +0000emacartney: RT @drpippa: RT @renee_berry: "when you cant cure, healing isall you have" - @BradHStuart spkg at #mcip11 #hospice #hpmSat, 26 Feb 2011 18:25:35 +0000renee_berry: Morris, MD MPH talking about collaboration of @PaloAltoMedicalw/community to build #palliative outpatient services #awesome #hpm #mcip11Sat, 26 Feb 2011 18:25:06 +0000renee_berry: now taking the mic: Morris MD MPH http://ow.ly/43XHY #hpm
  • 15. #mcip11Sat, 26 Feb 2011 18:24:00 +0000renee_berry: RT @emacartney: RT @jodyms RT @westr: Well-said! RT@renee_berry #Pain is what the patient reports, not what we think it looks like -via Brennan MD #mcip11Sat, 26 Feb 2011 18:22:35 +0000PaloAltoMedical: RT @nhdd: RT @renee_berry: "treatment goals should followpatients personal goals" - @BradHStuart #HaveTheTalk at #mcip11Sat, 26 Feb 2011 18:19:47 +0000drpippa: RT @renee_berry: "when you cant cure, healing is all you have"@BradHStuart #hospice #hpm #mcip11Sat, 26 Feb 2011 18:18:49 +0000emacartney: RT @jodyms RT @westr: Well-said! RT @renee_berry #Pain iswhat the patient reports, not what we think it looks like - via Brennan MD#mcip11Sat, 26 Feb 2011 18:17:01 +0000emacartney: @jodyms And to you too! Your voice & advocacy in cancer care,womens health & #hpm is profound! Thank you for joining in #mcip11 today.Sat, 26 Feb 2011 18:16:16 +0000Nurse2103: RT @renee_berry: "when you cant cure, healing is all you have"@BradHStuart #hospice #hpm #mcip11Sat, 26 Feb 2011 18:15:54 +0000Nurse2103: RT @renee_berry: "I find it best to be as honest, open, connected& compassionate as I can possibly be" @BradHStuart #mcip11Sat, 26 Feb 2011 18:15:45 +0000Nurse2103: RT @renee_berry: " 90% of people want to know the truth"@BradHStuart #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 18:15:38 +0000Nurse2103: RT @renee_berry: "when you listen, really listen, not just with yourears, watch your own body & be @ the same side of the table" @BradHStuart#mcip11Sat, 26 Feb 2011 18:15:33 +0000Nurse2103: RT @renee_berry: “in other words it’s about listeningâ€@BradHStuart #mcip11Sat, 26 Feb 2011 18:15:24 +0000renee_berry: Thanks for staying with me, Brennan MD discussing clinicalaspects of pain management (tweet break) will keep ears open for nuggets#mcip11Sat, 26 Feb 2011 18:14:20 +0000hcsmSV: RT @nhdd: RT @renee_berry: "treatment goals should followpatients personal goals" @BradHStuart #HaveTheTalk (spkg at #mcip11)Sat, 26 Feb 2011 18:11:10 +0000jodyms: RT @westr: Well-said! RT @renee_berry #Pain is what the patientreports, not what we think it looks like via Brennan MD #mcip11Sat, 26 Feb 2011 18:05:35 +0000westr: Well-said! RT @renee_berry #Pain is what the patient reports, not whatwe think it looks like via Brennan MD #mcip11Sat, 26 Feb 2011 18:04:53 +0000
  • 16. ewidera: RT @renee_berry: "peoples hopes evolve" @BradHStuart #hpm#mcip11Sat, 26 Feb 2011 18:04:52 +0000nhdd: "when you listen, really listen not just with your ears, watch your ownbody & be @ the same side of the table" @BradHStuart #mcip11...Sat, 26 Feb 2011 18:04:36 +0000nhdd: RT @renee_berry: "treatment goals should follow patients personalgoals" @BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 18:03:41 +0000brimcmike: RT @renee_berry: ‘pain is what the patient reports, not what wethink it looks like’ Brennan MD #mcip11Sat, 26 Feb 2011 18:02:58 +0000jodyms: @renee_barry @emacartney @brimcmike -- thank you for your tweetsthis morning. Such good & much needed advocacy:) #hpm #mcip11Sat, 26 Feb 2011 18:02:42 +0000renee_berry: ‘pain is what the patient reports, not what we think it lookslike’ Brennan MD #mcip11Sat, 26 Feb 2011 18:02:20 +0000brimcmike: RT @renee_berry: next: Pain Management w/ Elizabeth BrennanMD http://ow.ly/43XFp & William Morris MD MPH http://ow.ly/43XHY #hpm#mcip11Sat, 26 Feb 2011 18:02:11 +0000Nurse2103: RT @renee_berry: ‘What do patients want? They don’t wantto be in pain, this is a universal desire’ Tapper MD #hpm #mcip11Sat, 26 Feb 2011 18:02:07 +0000brimcmike: RT @renee_berry: "we tend to talk about symptoms & treatment, buteven when disease is advanced we tend to stay on that level" @BradHStuart#hpm #mcip11Sat, 26 Feb 2011 18:01:56 +0000brimcmike: RT @renee_berry: "we need to learn that sometimes its good tostop & say hold on we need to #HaveTheTalk here, its not easy"@BradHStuart #mcip11Sat, 26 Feb 2011 18:01:47 +0000brimcmike: RT @renee_berry: "patients who have this discussion are far lesslikely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 18:01:31 +0000Nurse2103: RT @renee_berry: ‘What do patients not? They don’t wantto be in pain, this is a universal desire’ Tapper MD #mcip11Sat, 26 Feb 2011 18:01:28 +0000brimcmike: RT @renee_berry: "why should we talk about dying, we have dataon the fact that its a good idea & not just morally" @BradHStuart#HaveTheTalk #mcip11Sat, 26 Feb 2011 18:01:04 +0000brimcmike: RT @renee_berry: "dollars spent are a measure of what we careabout, & we need to think about that" @BradHStuart #hcr #healthcare #hpm#mcip11Sat, 26 Feb 2011 18:00:53 +0000
  • 17. brimcmike: RT @renee_berry: @BradHStuart highlighting survival data ofpatients appropriately on hospice live just as long & sometimes longer #hpm#mcip11Sat, 26 Feb 2011 18:00:39 +0000brimcmike: RT @renee_berry: we must move the focus of care out of thehospital & in to the community so people dont have to be patients@BradHStuart #hpm #hcr #mcip11Sat, 26 Feb 2011 18:00:32 +0000brimcmike: RT @renee_berry: "I find it best to be as honest, open, connected &compassionate as I can possibly be" @BradHStuart #mcip11Sat, 26 Feb 2011 18:00:09 +0000renee_berry: next: Pain Management w/ Elizabeth Brennan MDhttp://ow.ly/43XFp & William Morris MD MPH http://ow.ly/43XHY #hpm #mcip11Sat, 26 Feb 2011 17:58:21 +0000hollyby: RT @renee_berry: "patients who have this discussion are far lesslikely to be admitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 17:51:38 +0000brimcmike: RT @PaloAltoMedical: @renee_berry Thank you! Youre doinggreat live tweeting & amplifying voices so that many more people can to sharein the discussion #mcip11Sat, 26 Feb 2011 17:46:47 +0000emacartney: RT @renee_berry: "peoples hopes evolve" @BradHStuart #hpm#mcip11Sat, 26 Feb 2011 17:46:14 +0000brimcmike: RT @renee_berry: "The end of a life lives on in the minds of thosewho care" @BradHStuart #mcip11Sat, 26 Feb 2011 17:44:13 +0000brimcmike: RT @renee_berry: "peoples hopes evolve" @BradHStuart #hpm#mcip11Sat, 26 Feb 2011 17:43:05 +0000brimcmike: RT @renee_berry: "treatment goals should follow patients personalgoals" @BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 17:42:44 +0000emacartney: Daily and dearly! RT @renee_berry: "The end of a life lives on inthe minds of those who care" @BradHStuart #mcip11Sat, 26 Feb 2011 17:42:12 +0000PaloAltoMedical: @renee_berry Thank you! Youre doing great live tweeting &amplifying voices so that many more people can to share in the discussion#mcip11Sat, 26 Feb 2011 17:40:53 +0000renee_berry: "The end of a life lives on in the minds of those who care"@BradHStuart #mcip11Sat, 26 Feb 2011 17:38:45 +0000renee_berry: "peoples hopes evolve" @BradHStuart #hpm #mcip11Sat, 26 Feb 2011 17:37:54 +0000brimcmike: RT @emacartney: RT @jodyms: RT @renee_berry: “in otherwords it’s about listening†@BradHStuart #mcip11
  • 18. Sat, 26 Feb 2011 17:37:18 +0000brimcmike: RT @renee_berry: "when you cant cure, healing is all you have"@BradHStuart #hospice #hpm #mcip11Sat, 26 Feb 2011 17:36:46 +0000brimcmike: RT @jodyms: @PracticalWisdom I really wish we were there inperson for these discussions. Theyre terrific @BradHstuart #mcip11 #hpmSat, 26 Feb 2011 17:36:05 +0000brimcmike: RT @renee_berry: @PaloAltoMedical Amazing Speakers = EasyLive Tweeting #mcip11Sat, 26 Feb 2011 17:35:56 +0000brimcmike: RT @millspeninsula: Yes! RT @renee_berry: "I find it best to be ashonest, open, connected & compassionate as I can possibly be" @BradHStuart#mcip11Sat, 26 Feb 2011 17:35:49 +0000renee_berry: "treatment goals should follow patients personal goals"@BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 17:35:26 +0000emacartney: RT @brimcmike: RT @renee_berry: "our healthcare systemshould be out in the community" @BradHStuart #hpm #mcip11Sat, 26 Feb 2011 17:35:24 +0000brimcmike: RT @millspeninsula: If youre interested in learning newperspectives in hospice & palliative care, follow tweets streaming live @#mcip11 conference now! #hpmSat, 26 Feb 2011 17:35:21 +0000brimcmike: RT @renee_berry: " 90% of people want to know the truth"@BradHStuart #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 17:34:43 +0000SanBrunoCal: RT @millspeninsula: If youre interested in learning newperspectives in hospice & palliative care, follow tweets streaming live @#mcip11 conference now! #hpmSat, 26 Feb 2011 17:34:38 +0000brimcmike: RT @renee_berry: "when you listen, really listen, not just with yourears, watch your own body & be @ the same side of the table" @BradHStuart#mcip11Sat, 26 Feb 2011 17:34:31 +0000brimcmike: RT @PaloAltoMedical: Thank you to all now attending and/ortweeting via #mcip11 today. Its wonderful to see the voices raised in #hospice& #palliative care!Sat, 26 Feb 2011 17:34:23 +0000brimcmike: RT @renee_berry: “add 6-7min to deal with emotions inoutpatient, setting 6-7min to change a life, or even a system†@BradHStuart#HaveTheTalk #mcip11Sat, 26 Feb 2011 17:34:14 +0000brimcmike: RT @renee_berry: “ask before you tell & I’m just teachingthis to myself too†@BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 17:33:54 +0000brimcmike: RT @PracticalWisdom: Support Self-CareRT @renee_berry:@BradHStuart "we MDs dont like 2 have these discussions, its hard"
  • 19. #HaveTheTalk #hpm #mcip11 #hpmSat, 26 Feb 2011 17:33:44 +0000brimcmike: RT @PracticalWisdom: Diverse Teams Help RT @renee_berry:@BradHStuart "we MDs dont like 2 have these discussions, its hard"#HaveTheTalk #hpm #mcip11 #hpmSat, 26 Feb 2011 17:32:47 +0000brimcmike: RT @renee_berry: “the agenda we have & the agenda thatpatients & families have come together when we have these discussionsâ€@BradHStuart #hpm #mcip11Sat, 26 Feb 2011 17:32:33 +0000brimcmike: RT @renee_berry: “in other words it’s about listeningâ€@BradHStuart #mcip11Sat, 26 Feb 2011 17:32:18 +0000brimcmike: RT @renee_berry: "things are changing, were in an era now wherepeople realize we need to care for advance illness management"@BradHStuart #hpm #mcip11Sat, 26 Feb 2011 17:32:13 +0000brimcmike: RT @renee_berry: people don’t want to be patients@BradHStuart #insight #mcip11Sat, 26 Feb 2011 17:31:26 +0000brimcmike: RT @renee_berry: ‘our community, our country & our economyall at stake & are all connected†@BradHStuart #hcr #mcip11Sat, 26 Feb 2011 17:30:49 +0000brimcmike: RT @renee_berry: "letting patient preference drive care drops cost"@BradHStuart #HaveTheTalk #hpm ... & Improves Patient-Centered Care!#mcip11Sat, 26 Feb 2011 17:30:43 +0000brimcmike: RT @renee_berry: "its our responsibility to communicate aboutthose things" @BradHStuart #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 17:30:30 +0000brimcmike: RT @renee_berry: "we need invest in an entirely different model ofcare than what were doing" @BradHStuart #hpm #hcr #healthcare #mcip11Sat, 26 Feb 2011 17:30:25 +0000PracticalWisdom: Wish I heard this in person~So Moving!RT @renee_berry:"when you cant cure, healing is all you have" @BradHStuart #hospice #hpm#mcip11 #hpmSat, 26 Feb 2011 17:30:23 +0000brimcmike: RT @renee_berry: "our healthcare system should be out in thecommunity" @BradHStuart #hpm #mcip11Sat, 26 Feb 2011 17:30:10 +0000brimcmike: RT @renee_berry: @BradHStuart told the audience to go find outabout tweeting & said hi to all of you out of this room (& in tweetchat)#Advocate #mcip11Sat, 26 Feb 2011 17:30:04 +0000brimcmike: RT @renee_berry: @BradHStuart expressing gratitude for beingable to be here... Im always impressed w/his humility #hpm #mcip11Sat, 26 Feb 2011 17:29:40 +0000PracticalWisdom: Curious (no sarcasm) Is this new Info? RT @renee_berry: "
  • 20. 90% of people want to know the truth" @BradHStuart #HaveTheTalk #hpm#mcip11 #hpmSat, 26 Feb 2011 17:28:45 +0000PracticalWisdom: Then HCare Folks to also Listen! RT @renee_berry: " 90% ofpeople want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11#hpmSat, 26 Feb 2011 17:27:18 +0000PracticalWisdom: Thankful we now Talk & Listen! RT @renee_berry: "90% ofpeople want to know the truth" @BradHStuart #HaveTheTalk #hpm #mcip11#hpmSat, 26 Feb 2011 17:26:06 +0000PracticalWisdom: Honest! RT @renee_berry: @BradHStuart "we doctors dontlike to have these discussions, these things are hard" #HaveTheTalk #hpm#mcip11 #hpmSat, 26 Feb 2011 17:25:11 +0000emacartney: RT @jodyms: RT @renee_berry: “in other words it’s aboutlistening†@BradHStuart #mcip11Sat, 26 Feb 2011 17:24:59 +0000renee_berry: "when you cant cure, healing is all you have" @BradHStuart#hospice #hpm #mcip11Sat, 26 Feb 2011 17:24:53 +0000jodyms: @PracticalWisdom I really wish we were there in person for thesediscussions. Theyre terrific @BradHstuart #mcip11 #hpmSat, 26 Feb 2011 17:24:46 +0000emacartney: RT @renee_berry: “ask before you tell & I’m just teachingthis to myself too†@BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 17:24:21 +0000renee_berry: @PaloAltoMedical Amazing Speakers = Easy Live Tweeting#mcip11Sat, 26 Feb 2011 17:24:17 +0000millspeninsula: Yes! RT @renee_berry: "I find it best to be as honest, open,connected & compassionate as I can possibly be" @BradHStuart #mcip11Sat, 26 Feb 2011 17:23:07 +0000millspeninsula: If youre interested in learning new perspectives in hospice &palliative care, follow tweets streaming live @ #mcip11 conference now! #hpmSat, 26 Feb 2011 17:22:22 +0000renee_berry: "I find it best to be as honest, open, connected & compassionateas I can possibly be" @BradHStuart #mcip11Sat, 26 Feb 2011 17:22:10 +0000PracticalWisdom: No ? mark-My Bad!RT@renee_berr @BradHStuart survivaldata/pts approx Hospice live just as long?sometimes longer #hpm #mcip11#hpm -12: #hpmSat, 26 Feb 2011 17:21:24 +0000renee_berry: " 90% of people want to know the truth" @BradHStuart#HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 17:20:19 +0000renee_berry: "when you listen, really listen, not just with your ears, watch yourown body & be @ the same side of the table" @BradHStuart #mcip11
  • 21. Sat, 26 Feb 2011 17:19:36 +0000PaloAltoMedical: Thank you to all now attending and/or tweeting via #mcip11today. Its wonderful to see the voices raised in #hospice & #palliative care!Sat, 26 Feb 2011 17:19:07 +0000doctatum: RT @renee_berry: “add 6-7min to deal with emotions inoutpatient, setting 6-7min to change a life, or even a system†@BradHStuart#HaveTheTalk #mcip11Sat, 26 Feb 2011 17:18:45 +0000renee_berry: “ask before you tell & I’m just teaching this to myself tooâ€@BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 17:18:11 +0000PracticalWisdom: Support Self-CareRT @renee_berry: @BradHStuart "weMDs dont like 2 have these discussions, its hard" #HaveTheTalk #hpm#mcip11 #hpmSat, 26 Feb 2011 17:17:59 +0000doctatum: RT @renee_berry: @BradHStuart told the audience to go find outabout tweeting & said hi to all of you out of this room (& in tweetchat)#Advocate #mcip11Sat, 26 Feb 2011 17:17:07 +0000PracticalWisdom: Diverse Teams Help RT @renee_berry: @BradHStuart "weMDs dont like 2 have these discussions, its hard" #HaveTheTalk #hpm#mcip11 #hpmSat, 26 Feb 2011 17:16:39 +0000jodyms: RT @renee_berry: “the agenda we have & the agenda thatpatients & families have come together when we have these discussionsâ€@BradHStuart #hpm #mcip11Sat, 26 Feb 2011 17:16:21 +0000jodyms: RT @renee_berry: “in other words it’s about listeningâ€@BradHStuart #mcip11Sat, 26 Feb 2011 17:16:11 +0000renee_berry: “in other words it’s about listening†@BradHStuart#mcip11Sat, 26 Feb 2011 17:15:27 +0000PracticalWisdom: Acceptance?RT @renee_berry:"pts who have discussion 4far less likely 2 b admitted to the ICU" @BradHStuart #HaveTheTalk #hpm#mcip11 #hpmSat, 26 Feb 2011 17:15:12 +0000renee_berry: “the agenda we have & the agenda that patients & familieshave come together when we have these discussions†@BradHStuart #hpm#mcip11Sat, 26 Feb 2011 17:15:10 +0000renee_berry: “add 6-7min to deal with emotions in outpatient, setting 6-7minto change a life, or even a system†@BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 17:14:27 +0000PracticalWisdom: Saves $/Right thing 2 Do.RT@renee_berr @BradHStuartsurvival data/pts approx Hospice live just as long?sometimes longer #hpm#mcip11 #hpmSat, 26 Feb 2011 17:14:17 +0000
  • 22. renee_berry: "we tend to talk about symptoms & treatment, but even whendisease is advanced we tend to stay on that level" @BradHStuart #hpm#mcip11Sat, 26 Feb 2011 17:14:12 +0000renee_berry: "we need to learn that sometimes its good to stop & say hold onwe need to #HaveTheTalk here, its not easy" @BradHStuart #mcip11Sat, 26 Feb 2011 17:11:08 +0000renee_berry: @BradHStuart "we doctors dont like to have these discussions,these things are hard" #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 17:09:46 +0000renee_berry: "patients who have this discussion are far less likely to beadmitted to the ICU" @BradHStuart #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 17:09:14 +0000renee_berry: "people who arent yet patients thinking this through are less likelyto become patients" @BradHStuart #HaveTheTalk Early #mcip11Sat, 26 Feb 2011 17:08:00 +0000emacartney: If you are intrested in new perspectives in hospice & palliativecare, @renee_berry is live tweeting at @paloaltomedical right now #mcip11Sat, 26 Feb 2011 17:07:44 +0000PracticalWisdom: Remarkable statement:RT @renee_berry: "its ourresponsibility to communicate about those things" @BradHStuart#HaveTheTalk #hpm #mcip11 #hpmSat, 26 Feb 2011 17:07:33 +0000renee_berry: "why should we talk about dying, we have data on the fact that itsa good idea & not just morally" @BradHStuart #HaveTheTalk #mcip11Sat, 26 Feb 2011 17:07:15 +0000emacartney: RT @renee_berry: we must move the focus of care out of hospital& in to the community so ppl dont have to be patients @BradHStuart #mcip11Sat, 26 Feb 2011 17:05:56 +0000renee_berry: "dollars spent are a measure of what we care about, & we need tothink about that" @BradHStuart #hcr #healthcare #hpm #mcip11Sat, 26 Feb 2011 17:05:07 +0000emacartney: MT @renee_berry: @BradHStuart told the audience to find outabout tweeting & said hi to all of you outside of this room tweeting #mcip11Sat, 26 Feb 2011 17:04:12 +0000renee_berry: @BradHStuart highlighting survival data of patients appropriatelyon hospice live just as long & sometimes longer #hpm #mcip11Sat, 26 Feb 2011 17:03:58 +0000jodyms: RT @renee_berry: we must move the focus of care out of the hospital& in to the community so people dont have to be patients @BradHStuart #hpm#hcr #mcip11Sat, 26 Feb 2011 17:03:46 +0000renee_berry: we must move the focus of care out of the hospital & in to thecommunity so people dont have to be patients @BradHStuart #hpm #hcr#mcip11Sat, 26 Feb 2011 17:02:39 +0000renee_berry: RT @emacartney: @practicalwisdom Thank you for adding yourmeaningful comments to the discussion. Appreciate learning from you! #mcip11
  • 23. Sat, 26 Feb 2011 17:01:18 +0000renee_berry: people don’t want to be patients @BradHStuart #insight#mcip11Sat, 26 Feb 2011 17:00:40 +0000emacartney: @practicalwisdom Thank you for adding your meaningfulcomments to the discussion. Appreciate learning from you! #mcip11Sat, 26 Feb 2011 16:59:50 +0000renee_berry: ‘our community, our country & our economy all at stake & areall connected†@BradHStuart #hcr #mcip11Sat, 26 Feb 2011 16:58:18 +0000PracticalWisdom: Thanks for sharing this Point.RT @renee_berry:@BradHStuart expressing gratitude 4 being here. impressed w/his humility#hpm #mcip11 #hpmSat, 26 Feb 2011 16:57:57 +0000Kaviraj2: RT @renee_berry: “accurate predication of #prognosis isimportant for good clinical decision making†Tapper MD #HaveTheTalk #hpm#mcip11Sat, 26 Feb 2011 16:57:53 +0000Kaviraj2: RT @renee_berry: ‘What do patients want? They don’t want tobe in pain, this is a universal desire’ Tapper MD #hpm #mcip11Sat, 26 Feb 2011 16:57:22 +0000renee_berry: "letting patient preference drive care drops cost" @BradHStuart#HaveTheTalk #hpm ... & Improves Patient-Centered Care! #mcip11Sat, 26 Feb 2011 16:57:05 +0000Kaviraj2: RT @renee_berry: “biopsychological failure -I think we all havethat, I may have had it this morning’ Tapper MD keeping the audiencesmiling #mcip11Sat, 26 Feb 2011 16:57:01 +0000PracticalWisdom: The Truly Classy folks R Humble!RT @renee_berry:@BradHStuart expressing gratitude 4 being here.. Impressed w/his humility#hpm #mcip11 #hpmSat, 26 Feb 2011 16:57:00 +0000dmteachey1: RT @renee_berry: “I ask do you want to know what deathmight look like for you, most of the times patients say yes†Tapper MD #hpm#HaveTheTalk #mcip11Sat, 26 Feb 2011 16:56:32 +0000renee_berry: "its our responsibility to communicate about those things"@BradHStuart #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 16:56:08 +0000renee_berry: "we need invest in an entirely different model of care than whatwere doing" @BradHStuart #hpm #hcr #healthcare #mcip11Sat, 26 Feb 2011 16:55:40 +0000renee_berry: "our healthcare system should be out in the community"@BradHStuart #hpm #mcip11Sat, 26 Feb 2011 16:55:09 +0000PracticalWisdom: http://bit.ly/elFIdDRT @renee_berry: “more people aregetting CPR & more people are dying from it†Tapper MD#HaveTheTalk#hpm #mcip11 #hpm
  • 24. Sat, 26 Feb 2011 16:54:34 +0000renee_berry: @BradHStuart told the audience to go find out about tweeting &said hi to all of you out of this room (& in tweetchat) #Advocate #mcip11Sat, 26 Feb 2011 16:54:25 +0000brimcmike: RT @renee_berry: Tapper MD says “was asked to go in forgoals of care consultation but patient was w/in hours of dying" #HaveTheTalkEarly #mcip11Sat, 26 Feb 2011 16:53:10 +0000brimcmike: RT @renee_berry: “In hospital CPR ... MD’s ask do youwant everything done or nothing done†Tapper MD (Language &Communication #crucial) #mcip11Sat, 26 Feb 2011 16:53:05 +0000renee_berry: "things are changing, were in an era now where people realizewe need to care for advance illness management" @BradHStuart #hpm#mcip11Sat, 26 Feb 2011 16:52:59 +0000brimcmike: RT @renee_berry: There are a lot of non-verbal ways that patientsshow pain Tapper MD #hpm #mcip11Sat, 26 Feb 2011 16:52:34 +0000renee_berry: @BradHStuart expressing gratitude for being able to be here... Imalways impressed w/his humility #hpm #mcip11Sat, 26 Feb 2011 16:50:37 +0000PracticalWisdom: They might not even be aware of this.RT @renee_berry:There are a lot of non-verbal ways that patients show pain Tapper MD #hpm#mcip11 #hpmSat, 26 Feb 2011 16:50:09 +0000brimcmike: RT @renee_berry: “biopsychological failure -I think we all havethat, I may have had it this morning’ Tapper MD keeping the audiencesmiling #mcip11Sat, 26 Feb 2011 16:47:29 +0000brimcmike: RT @renee_berry: ‘What do patients want? They don’t wantto be in pain, this is a universal desire’ Tapper MD #hpm #mcip11Sat, 26 Feb 2011 16:47:18 +0000renee_berry: Tapper MD says “was asked to go in for goals of careconsultation but patient was w/in hours of dying" #HaveTheTalk Early #mcip11Sat, 26 Feb 2011 16:47:11 +0000brimcmike: RT @renee_berry: “accurate predication of #prognosis isimportant for good clinical decision making†Tapper MD #HaveTheTalk #hpm#mcip11Sat, 26 Feb 2011 16:46:59 +0000renee_berry: “more people are getting CPR & more people are dying fromit†Tapper MD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 16:45:25 +0000renee_berry: “In hospital CPR ... MD’s ask do you want everythingdone or nothing done†Tapper MD (Language & Communication #crucial)#mcip11Sat, 26 Feb 2011 16:45:00 +0000PracticalWisdom: We need more $/research=Pain Manag. RT
  • 25. @renee_berry:They don’t want to be in pain, this is a universal desire’Tapper MD #hpm #mcip11 #hpmSat, 26 Feb 2011 16:44:30 +0000renee_berry: There are a lot of non-verbal ways that patients show painTapper MD #hpm #mcip11Sat, 26 Feb 2011 16:43:32 +0000renee_berry: Tried to set up what the hashtag for some stats, is it working foranyone? (my comps being slow) http://wthashtag.com/Mcip11 #mcip11Sat, 26 Feb 2011 16:42:02 +0000renee_berry: “biopsychological failure -I think we all have that, I may havehad it this morning’ Tapper MD keeping the audience smiling #mcip11Sat, 26 Feb 2011 16:39:58 +0000renee_berry: ‘What do patients want? They don’t want to be in pain, thisis a universal desire’ Tapper MD #hpm #mcip11Sat, 26 Feb 2011 16:35:37 +0000renee_berry: sorry everyone next tweet is correcting a typo, I put what dopatients not, its what do patients want... #mcip11Sat, 26 Feb 2011 16:35:20 +0000renee_berry: “accurate predication of #prognosis is important for goodclinical decision making†Tapper MD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 16:34:42 +0000emacartney: RT @renee_berry: “I ask do you want to know what deathmight look like for you, most of the times patients say yes†Tapper MD #hpm#mcip11Sat, 26 Feb 2011 16:34:03 +0000brimcmike: RT @renee_berry: ‘Dying quietly in our sleep happens only 10%of the time’ Tapper MD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 16:30:49 +0000renee_berry: “I ask do you want to know what death might look like for you,most of the times patients say yes†Tapper MD #hpm #HaveTheTalk #mcip11Sat, 26 Feb 2011 16:30:44 +0000brimcmike: RT @renee_berry: Tapper MD prognostication one of 4 Cardinalclinical skills, disease prevention, diagnosis, therapy, & ->prognostication#hpm #mcip11Sat, 26 Feb 2011 16:30:34 +0000PracticalWisdom: Profound RT @emacartney: RT @renee_berry: ‘Dyingquietly in our sleep happens only 10% of the time’ Tapper MD#HaveTheTalk #hpm #mcip11 #hpmSat, 26 Feb 2011 16:30:21 +0000brimcmike: RT @renee_berry: ‘until we are comfortable with prognostication,our patients will not be comfortable talking about it either’ Tapper MD#HaveTheTalk #mcip11Sat, 26 Feb 2011 16:30:16 +0000brimcmike: RT @renee_berry: ‘when I went to medical school I got noeducation about prognostication’ Tapper MD #meded #hpm #mcip11Sat, 26 Feb 2011 16:30:10 +0000brimcmike: RT @renee_berry: Sharon Tapper MD tells a story of anotherclinician giving her feedback that Prognostication was boring .. she disagrees
  • 26. #mcip11Sat, 26 Feb 2011 16:30:04 +0000brimcmike: RT @renee_berry: "start thinking about illness trajectories" TapperMD #hpm #mcip11Sat, 26 Feb 2011 16:29:34 +0000brimcmike: RT @renee_berry: ‘What do patients not? They don’t want tobe in pain, this is a universal desire’ Tapper MD #mcip11Sat, 26 Feb 2011 16:29:30 +0000brimcmike: RT @renee_berry: Only 37% of MDs give frank prognosticationdisclosure even when a patient requested a survival estimate Tapper MD#hpm #epatient #mcip11Sat, 26 Feb 2011 16:29:22 +0000renee_berry: @Kaviraj2 & @brimcmike Thanks for joining!! (Presentation gotslightly technical/medical last few min, stay tuned... :) #mcip11Sat, 26 Feb 2011 16:28:13 +0000renee_berry: @PracticalWisdom right?! Shes doing a great job really usinglanguage that speaks to early access to comfort focused care #mcip11Sat, 26 Feb 2011 16:27:13 +0000jodyms: RT @emacartney: RT @renee_berry: ‘Dying quietly in our sleephappens only 10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 16:24:49 +0000PracticalWisdom: RT @renee_berry:Only 37% MDs give frank prognostdisclosure even when a pt requested survival estimate Tapper MD #hpm#epatient #mcip11 #hpmSat, 26 Feb 2011 16:24:20 +0000emacartney: RT @renee_berry: ‘Dying quietly in our sleep happens only10% of the time’ Tapper MD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 16:23:38 +0000brimcmike: Following spkrs at #mcip11 Managing Critically Ill Patients @ EOL@renee_berry will be live tweeting after 8am PST http://ow.ly/43Xoa #hpmSat, 26 Feb 2011 16:23:03 +0000renee_berry: ‘Dying quietly in our sleep happens only 10% of the time’Tapper MD #HaveTheTalk #hpm #mcip11Sat, 26 Feb 2011 16:21:31 +0000emacartney: RT @renee_berry: ‘What do patients not? They don’t wantto be in pain, this is a universal desire’ Tapper MD #mcip11Sat, 26 Feb 2011 16:21:07 +0000PracticalWisdom: Great Title! RT @renee_berry: Is This a Bad Day or My LastDay? The Art & Science of Prognostication w/ Sharon Tapper MD #hpm#mcip11 #hpmSat, 26 Feb 2011 16:20:31 +0000Kaviraj2: RT @renee_berry: Tapper MD prognostication one of 4 Cardinalclinical skills, disease prevention, diagnosis, therapy, & ->prognostication#hpm #mcip11Sat, 26 Feb 2011 16:20:01 +0000PracticalWisdom: New Opportunity RT @renee_berry: ‘when I went tomedical school I got no education about prognostication’ Tapper MD#meded #hpm #mcip11 #hpm
  • 27. Sat, 26 Feb 2011 16:19:55 +0000renee_berry: "start thinking about illness trajectories" Tapper MD #hpm#mcip11Sat, 26 Feb 2011 16:19:47 +0000Kaviraj2: RT @renee_berry: ‘What do patients not? They don’t want tobe in pain, this is a universal desire’ Tapper MD #mcip11Sat, 26 Feb 2011 16:18:56 +0000renee_berry: Only 37% of MDs give frank prognostication disclosure evenwhen a patient requested a survival estimate Tapper MD #hpm #epatient#mcip11Sat, 26 Feb 2011 16:17:44 +0000renee_berry: ‘What do patients not? They don’t want to be in pain, this isa universal desire’ Tapper MD #mcip11Sat, 26 Feb 2011 16:15:02 +0000renee_berry: @PracticalWisdom Im planning to use hpm on my favoritequotes, feel free to do whatever works for you #mcip11Sat, 26 Feb 2011 16:13:50 +0000renee_berry: ‘until we are comfortable with prognostication, our patients willnot be comfortable talking about it either’ Tapper MD #HaveTheTalk#mcip11Sat, 26 Feb 2011 16:13:17 +0000renee_berry: ‘when I went to medical school I got no education aboutprognostication’ Tapper MD #meded #hpm #mcip11Sat, 26 Feb 2011 16:12:45 +0000renee_berry: Tapper MD prognostication one of 4 Cardinal clinical skills,disease prevention, diagnosis, therapy, & ->prognostication #hpm #mcip11Sat, 26 Feb 2011 16:11:04 +0000PracticalWisdom: Should we use #hpm or #mcip11 #hpmSat, 26 Feb 2011 16:10:10 +0000renee_berry: Sharon Tapper MD tells a story of another clinician giving herfeedback that Prognostication was boring .. she disagrees #mcip11Sat, 26 Feb 2011 16:09:30 +0000PaloAltoMedical: RT @renee_berry Welcome by Sharon Tapper MD thankingsponsors @paloaltomedical @millspeninsula Sutter VNA Hospicehttp://ow.ly/43Xln #mcip11Sat, 26 Feb 2011 16:08:03 +0000renee_berry: Is This a Bad Day or My Last Day? The Art & Science ofPrognostication w/ Sharon Tapper MD #hpm #mcip11Sat, 26 Feb 2011 16:07:34 +0000PracticalWisdom: @jodyms: Good Morning! Excited you are here too. Lots ofSmart, Kind and Wise Ladies. ;<) #mcip11Sat, 26 Feb 2011 16:07:17 +0000renee_berry: @jodyms of course! #mcip11Sat, 26 Feb 2011 16:07:15 +0000renee_berry: RT @jodyms: @renee_berry @emacartney Thanks for letting me
  • 28. know about #mcip11:) #hpmSat, 26 Feb 2011 16:07:03 +0000emacartney: Following spkrs at #mcip11 today on #hpm care. @renee_berrywill be live tweeting after 8am PST if you wish to join in! http://ow.ly/43XoaSat, 26 Feb 2011 16:05:16 +0000nhdd: RT @emacartney Live #hpm tweets today http://ow.ly/43Wh4 Follow#mcip11Sat, 26 Feb 2011 16:05:03 +0000jodyms: @renee_berry @emacartney Thanks for letting me know about#mcip11:) #hpmSat, 26 Feb 2011 16:04:52 +0000renee_berry: Welcome by Sharon Tapper, MD thanking sponsors@PaloAltoMedical @MillsPeninsula & Sutter VNA #Hospice http://ow.ly/43Xln#mcip11Sat, 26 Feb 2011 16:04:31 +0000PracticalWisdom: @emacartney Erin, Thank you again for your wonderful Actsof Kindness this week. I"m sure this will be Grand! #mcip11Sat, 26 Feb 2011 16:04:14 +0000PracticalWisdom: Silly U R a sharp Crayon in the BoxRT @renee_berry:@PracticalWisdom youre welcome!! Hope I can keep up with these awesomespeakers! #mcip11Sat, 26 Feb 2011 16:01:41 +0000PracticalWisdom: Looking forward to the Rumble and Fast Fingers, KeenMInds, Big Heats #mcip11Sat, 26 Feb 2011 16:00:43 +0000emacartney: @practicalwisdom Yes! Wouldnt miss it. Looking fwd to followingyour and others tweets and learning! #mcip11Sat, 26 Feb 2011 16:00:10 +0000PracticalWisdom: Getting Ready to rumble: Oh Ya.http://www.youtube.com/watch?v=uAIAET2e2y8 #mcip11Sat, 26 Feb 2011 15:59:29 +0000renee_berry: @PracticalWisdom youre welcome!! Hope I can keep up withthese awesome speakers! #mcip11Sat, 26 Feb 2011 15:58:44 +0000renee_berry: RT @PracticalWisdom: @renee_berry thank you for the invitationto tweet. #mcip11Sat, 26 Feb 2011 15:58:15 +0000PracticalWisdom: emacartney-Erin are you going to Tweet with us this morning.Crossing my Fingers #mcip11Sat, 26 Feb 2011 15:57:16 +0000visiting_nurse: RT @PaloAltoMedical: Were presenting an #hpm event todayw/Sutter Hospice & VNA and @millspeninsula http://ow.ly/43WTZ. Live tweetsvia #mcip11 starting 8am PSTSat, 26 Feb 2011 15:56:19 +0000PracticalWisdom: @renee_berry thank you for the invitation to tweet. #mcip11Sat, 26 Feb 2011 15:56:18 +0000
  • 29. PaloAltoMedical: Were presenting an #hpm event today w/Sutter Hospice &VNA and @millspeninsula http://ow.ly/43WTZ. Live tweets via #mcip11 starting8am PSTSat, 26 Feb 2011 15:42:31 +0000millspeninsula: Were co-presenting an #hpm event today w/@paloaltomedicaland Sutter Hospice & VNA. You can follow via #mcip11 on twitter starting @ 8aPSTSat, 26 Feb 2011 15:32:18 +0000hcsmSV: RT @renee_berry: Just arrived at #mcip11 http://ow.ly/43QHQ #hpm(Live tweets starting soon after 8a PST)Sat, 26 Feb 2011 15:21:02 +0000emacartney: RT @renee_berry Just arrived at #mcip11 http://ow.ly/43QHQ#hpm (Live tweets starting soon after 8a PST)Sat, 26 Feb 2011 15:19:32 +0000hcsmSV: @renee_berry is Live tweeting today at #hpm event presented by@paloaltomedical @millspeninsula @SutterHealth http://ow.ly/43Wqr #mcip11Sat, 26 Feb 2011 15:18:23 +0000emacartney: Live #hpm tweets today via @renee_berry http://ow.ly/43Wh4 w/@PaloAltoMedical @MillsPeninsula @SutterHealth. Follow #mcip11Sat, 26 Feb 2011 15:12:57 +0000renee_berry: Just arrived at #mcip11 http://ow.ly/43QHQ #hpm (Live tweetsstarting soon after 8a PST)Sat, 26 Feb 2011 15:12:36 +0000renee_berry: Live #hpm Tweets Tomorrow http://ow.ly/43QHQ #mcip11 w/@PaloAltoMedical @MillsPeninsula @SutterHealthSat, 26 Feb 2011 06:54:16 +0000 TweetReach is presented by Appozite at www.tweetreach.com • TweetReach is not affiliated with Twitter.

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