2011 04 06 hpm tweetchat transcript
Upcoming SlideShare
Loading in...5
×
 

2011 04 06 hpm tweetchat transcript

on

  • 630 views

 

Statistics

Views

Total Views
630
Views on SlideShare
630
Embed Views
0

Actions

Likes
0
Downloads
0
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

2011 04 06 hpm tweetchat transcript 2011 04 06 hpm tweetchat transcript Document Transcript

  • #hpmHealthcare Hashtag Twitter Transcript From: Wed Apr 06 17:55:00 PDT 2011 To: Wed Apr 06 19:05:00 PDT 2011 Customize transcript dates and layoutLearn more about #hpm at The Healthcare Hashtag Projectrabob Disability after acute respiratory failure - a role for palliative care -#hpm http://bit.ly/ihqT1a Wed Apr 6 17:55:28 PDT 2011KathyKastner RT @rabob: Disability after acute respiratory failure - a role for palliative care -#hpm http://bit.ly/ihqT1a #eldercarechat #hpm Wed Apr 6 17:56:23 PDT 2011KathyKastner Just a few minutes to tonites chat. Range of topics including what happened on the Hill. #hpm Wed Apr 6 17:56:59 PDT 2011DNRstories RT @KathyKastner: Just a few minutes to tonites chat. Range of topics including what happened on the Hill. #hpm Wed Apr 6 17:58:57 PDT 2011KathyKastner @NatriceR come join #hpm - Im guest hosting :) Wed Apr 6 17:59:14 PDT 2011PracticalWisdom Lets get ready to rumble with @KathyKastner #HPM as she Hosts our community. http://bit.ly/gVcTuR #HPM Wed Apr 6 18:01:06 PDT 2011KathyKastner Good evening all! Welcome.I am your host and blogger www.ability4life.com exploring app to help make AD decisions. #hpm Wed Apr 6 18:01:31 PDT 2011PracticalWisdom Lots of Tweets coming from our TweetChat with the amazing and humble folks from Its a mighty Fine Bunch. #HPM Wed Apr 6 18:02:18 PDT 2011MeredithGould Getting ready to dive into this weeks #HPM chat moderated by @KathyKastner Wed Apr 6 18:02:28 PDT 2011
  • KathyKastner Hi @PracticalWisdom and @DNRstories. Gr8 to see you. A couple of announcement from our leader @ctsinclair #hpm Wed Apr 6 18:02:40 PDT 2011inhousehospice RT @PracticalWisdom: Lets get ready to rumble with @KathyKastner #HPM as she Hosts our community. http://bit.ly/gVcTuR #hpm Wed Apr 6 18:02:51 PDT 2011KathyKastner The @NHPCO_News Management and Leadership conference is this week, follow #MLC11 for updates #hpm Wed Apr 6 18:02:59 PDT 2011KathyKastner Palliative Care Grand Rounds is back at @Pallimed Cases -> http://cases.pallimed.org - Monthly best of the blogs #hpm Wed Apr 6 18:03:19 PDT 2011mdstudent31 @KathyKastner Congrats for guest-hosting! I plan to lurk, but that usually doesnt happen when being around such great people at #hpm Wed Apr 6 18:03:32 PDT 2011KathyKastner OK Announcements done: Hey and hi @inhousehospice and @MeredithGould #hpm Wed Apr 6 18:04:18 PDT 2011EllenRichter @KathyKastner Im not usually available Wed nites at 9 pm but how could I miss your hosting debut! #hpm Wed Apr 6 18:04:18 PDT 2011MeredithGould @EllenRichter <waving wildly across the Twitterverse> #hpm Wed Apr 6 18:04:39 PDT 2011KathyKastner @mdstudent lurk away. @EllenRichter yay hurray. #hpm Wed Apr 6 18:05:13 PDT 2011PracticalWisdom Agree! RT @EllenRichter: @KathyKastner Im not usually available Wed nites at 9 pm but how could I miss your hosting debut! #HPM Wed Apr 6 18:05:16 PDT 2011EllenRichter @MeredithGould LMAO waving back, gf! Hope you are well! :) #hpm Wed Apr 6 18:05:32 PDT 2011DNRstories @KathyKastner This is my first official tweet chat! :) #hpm Fun! Wed Apr 6 18:06:20 PDT 2011EllenRichter @PracticalWisdom @mdstudent31 Nice to see you too! #hpm Wed Apr 6 18:06:44 PDT 2011KathyKastner @DNRstories - first timer and.. Ive just reviewed the book http://tinyurl.com/3g2z4k3 #hpm
  • Wed Apr 6 18:06:53 PDT 2011mdstudent31 @EllenRichter @PracticalWisdom Great to see you as well!! #hpm Wed Apr 6 18:07:23 PDT 2011RossJeanette hello all, HPM doc passionate about teaching @uthscsa multitasking getting child ready for bed but will try to join in #hpm Wed Apr 6 18:07:49 PDT 2011MeredithGould <--sociologist, writer, keen on communicating health & building online communities. Gadfly tendencies. Also tweet as @HealthFaith #hpm Wed Apr 6 18:08:13 PDT 2011DrSnit Hey all - good to see everyone here. #hpm Wed Apr 6 18:08:14 PDT 2011EllenRichter That book looks wonderful! RT @KathyKastner: @DNRstories - first timer and.. Ive just reviewed the book http://tinyurl.com/3g2z4k3 #hpm Wed Apr 6 18:08:18 PDT 2011PracticalWisdom Best April Fools joke came from this Bunch. You guys got me: http://bit.ly/fCTV4Z #HPM Wed Apr 6 18:08:23 PDT 2011mdstudent31 @KathyKastner @DNRstories Great book, a must-get! :) #hpm Wed Apr 6 18:08:26 PDT 2011KathyKastner @RossJeanette So tickled to have an #Hpm host here Wed Apr 6 18:08:47 PDT 2011inhousehospice Hi! Im Ash, marketing coordinator @inhousehospice & palliative care of MI and OH. #hpm Wed Apr 6 18:08:50 PDT 2011MeredithGould Got to tour Kaiser Permanentes Center for Total Health yesterday. Highly recommend a visit. Heck, plan a conference there! #HPM #KPTCH Wed Apr 6 18:09:08 PDT 2011DrSnit Melissa Travis, cultural medical research, patient. #hpm Wed Apr 6 18:09:09 PDT 2011KathyKastner Sigh. Thanks for just going ahead w intros. Forgot my hosting duties. #hpm Wed Apr 6 18:09:18 PDT 2011akroundtree RT @KathyKastner: OK Announcements done: Hey and hi @inhousehospice and @MeredithGould #hpm Wed Apr 6 18:09:27 PDT 2011EllenRichter Im a critical care nurse in a retirement community in S. Florida where many of our patients are at the end of their lives #hpm
  • patients are at the end of their lives #hpm Wed Apr 6 18:09:30 PDT 2011MeredithGould @KathyKastner And the apologies begin! O Canada!! #hpm Wed Apr 6 18:09:37 PDT 2011PracticalWisdom Huge wave to the entire #HPM Gang. What a Great Bunch tonight. @KathyKastner What a great crowd you gathered. #HPM Wed Apr 6 18:09:39 PDT 2011DNRstories @mdstudent31 @kathykastner Thank you both for the compliments! Very excited to join in the #hpm movement Wed Apr 6 18:09:49 PDT 2011KathyKastner #hpm T1 Today=Hilll Day for NHPCO: Done any Legislative Advocacy? Successes/Failures? Best Practices in social media ? (ok. 3 questions) Wed Apr 6 18:10:01 PDT 2011mdstudent31 Kevin, tomorrow-last day rotating as 4th yr med student, in limbo til graduation, brainstorming new twitter names. Viva #FMRevolution! #hpm Wed Apr 6 18:10:13 PDT 2011DrSnit @KathyKastner you are blowing our mind socks already! #hpm Wed Apr 6 18:10:17 PDT 2011MeredithGould @DrSnit You should add "specializing in flame and *confetti* throwing" #HPM Wed Apr 6 18:10:18 PDT 2011KathyKastner @DrSnit -I think you wanted to know about @DNRstories http://tinyurl.com/3g2z4k3 #hpm Wed Apr 6 18:10:22 PDT 2011akroundtree On a plane. About to take off. Hoping to get a few #hpm tweets in! Wed Apr 6 18:10:26 PDT 2011KathyKastner HA (eh)RT @MeredithGould: @KathyKastner And the apologies begin! O Canada!! #hpm Wed Apr 6 18:10:43 PDT 2011DrSnit This too. RT @MeredithGould: @DrSnit You should add "specializing in flame and *confetti* throwing" #HPM Wed Apr 6 18:11:17 PDT 2011KathyKastner @akroundtree thanks for joining before flying off.. #hpm Wed Apr 6 18:11:19 PDT 2011PracticalWisdom morphs the ho-hum into compelling. Speaker, Trainer, Presentation Designer, Rascal. Tweets R my own and do represent my Employer~Me. #HPM Wed Apr 6 18:11:26 PDT 2011 Ohh- yes! Thank you! RT @KathyKastner: @DrSnit -I think you wanted to know about
  • DrSnit @DNRstories http://tinyurl.com/3g2z4k3 #hpm Wed Apr 6 18:11:47 PDT 2011MeredithGould T1 IMO, participating in Legislative Action days requires lots of prep and training. #hpm Wed Apr 6 18:12:33 PDT 2011aliciabloom @DNRstories is compelling and well written. had privilege of reading advance copy :) great teaching tool for patients & clinicians #hpm Wed Apr 6 18:13:15 PDT 2011DNRstories #hpm One of my favorite stories is about 18 yo kid w/ cystic fibrosis who put himself on hospice. Mom says she was only able to cope b/c Wed Apr 6 18:13:18 PDT 2011KathyKastner Tell us more RT @MeredithGould: T1 IMO, participating in Legislative Action days requires lots of prep and training. #hpm Wed Apr 6 18:13:23 PDT 2011DNRstories of closure that hospice gives. #hpm Wed Apr 6 18:13:32 PDT 2011akroundtree RT @MeredithGould: T1 IMO, participating in Legislative Action days requires lots of prep and training. #hpm Wed Apr 6 18:13:35 PDT 2011mdstudent31 T1: Love hitting the hill for @AAFP FMCC, coming up again in May, we advocate for the advancement of family medicine #hpm Wed Apr 6 18:13:49 PDT 2011MeredithGould T1 Its not a field trip! Its a strategic foray into a world with (crazy) rules and roles. Not for everyone nor should be! #hpm Wed Apr 6 18:14:31 PDT 2011KathyKastner T1 What kind of prep? WHere do you get training? #hpm Wed Apr 6 18:14:38 PDT 2011mdstudent31 T1: @AAFP does a good job organizing a 2day conference. Day 1 - learn how to lobby, Day 2 - go do it. #hpm Wed Apr 6 18:14:50 PDT 2011MeredithGould RT @mdstudent31: T1: @AAFP does a good job organizing a 2day conference. Day 1 - learn how to lobby, Day 2 - go do it. #hpm Wed Apr 6 18:15:14 PDT 2011KathyKastner RT @mdstudent31: T1: @AAFP does a good job organizing a 2day conference. Day 1 - learn how to lobby, Day 2 - go do it. #hpm Wed Apr 6 18:15:24 PDT 2011mdstudent31 T1: We roll up w/ physicians, residents, and students from the same state. Go with 3-4 talking points, keep it simple & stick to them #hpm Wed Apr 6 18:15:47 PDT 2011
  • KathyKastner T1 Cost of @aafp training? #hpm Wed Apr 6 18:16:01 PDT 2011MeredithGould Prep: Learning lingo (not buzz words), how to be succinct, body language management. Issues. #hpm Wed Apr 6 18:16:26 PDT 2011mdstudent31 @KathyKastner $250 for Physicians/residents $99 for med studentss. Scholarships available for residents/students #hpm Wed Apr 6 18:17:05 PDT 2011KathyKastner Oooh. good. RT @MeredithGould: Prep: Learning lingo (not buzz words), how to be succinct, body language management. Issues. #hpm Wed Apr 6 18:17:17 PDT 2011EllenRichter Thats good use of time! RT @mdstudent31 T1 @AAFP does good job organizing 2day conference. Day 1- learn how to lobby, Day 2- go do it #hpm Wed Apr 6 18:17:18 PDT 2011MeredithGould Prep: learning which legislative aide has any power/influence...not to mention time. #hpm Wed Apr 6 18:17:33 PDT 2011KathyKastner and affordable !RT @mdstudent31:$250 for Physicians/residents $99 for med studentss. Scholarships available for residents/students #hpm Wed Apr 6 18:17:42 PDT 2011mdstudent31 More info here: http://bit.ly/eq8aR5 #hpm Wed Apr 6 18:17:56 PDT 2011DNRstories T1: #hpm How do you find time to do during med school? what about residents/fellows? Wed Apr 6 18:18:03 PDT 2011PracticalWisdom T1: So unless you have official Med. Status you would not be able to participate? #HPM Wed Apr 6 18:18:11 PDT 2011MeredithGould Prep: What kinds of materials to leave behind -- if theyll go for paper. #hpm Wed Apr 6 18:18:16 PDT 2011aliciabloom advocacy is about the right message, delivered the right way with a strong voice. important, challenging task for our #hpm community! Wed Apr 6 18:18:20 PDT 2011KathyKastner Thanks @mdstudent31: More info here: http://bit.ly/eq8aR5 #hpm Wed Apr 6 18:18:22 PDT 2011MeredithGould RT @mdstudent31: More info here: http://bit.ly/eq8aR5 #hpm
  • MeredithGould Wed Apr 6 18:18:41 PDT 2011EllenRichter @MeredithGould T1 Sounds like youve done this before! #hpm Wed Apr 6 18:19:01 PDT 2011MeredithGould RT @aliciabloom: advocacy is about the right message, delivered the right way with a strong voice. #hpm Wed Apr 6 18:19:11 PDT 2011KathyKastner Did you go to @aafp? RT @MeredithGould: Prep: What kinds of materials to leave behind -- if theyll go for paper. #hpm Wed Apr 6 18:19:21 PDT 2011mdstudent31 @DNRstories I tell student affairs far in advance that I am going and will make up the time in whatever they would like me to do #hpm Wed Apr 6 18:19:49 PDT 2011MeredithGould Prep: messages have to be coherent and coordinated. Need to manage loose cannons in your own team. #hpm Wed Apr 6 18:19:53 PDT 2011PracticalWisdom T1: The Language is always important. Quakers call it plain speak. No death panel talk. #HPM Wed Apr 6 18:19:53 PDT 2011KathyKastner RT @aliciabloom: advocacy about right message, delivered right way with a strong voice. important, challenging task for #hpm #hpm Wed Apr 6 18:20:16 PDT 2011mdstudent31 T1: Stuff to leave behind: a summary of your talking points with lists of references to find more info on each. #hpm Wed Apr 6 18:20:23 PDT 2011inhousehospice RT @PracticalWisdom: T1: The Language is always important. Quakers call it plain speak. No death panel talk. #hpm Wed Apr 6 18:20:59 PDT 2011akroundtree With any success influencing legislators? “@mdstudent31: T1: Go with 3-4 talking points & stick to them #hpm” Wed Apr 6 18:21:02 PDT 2011KathyKastner @MeredithGould @mdstudent31 what a fab wealth of info #hpm Wed Apr 6 18:21:30 PDT 2011MeredithGould While there: Do not waste anyones time, do not sound stupid, wear good shoes. #hpm Wed Apr 6 18:21:30 PDT 2011mdstudent31 @MeredithGould Having no loose canons is definitely a must - prep what each person will talk about, be brief, be balanced #hpm Wed Apr 6 18:21:53 PDT 2011
  • KathyKastner Its always about the shoes innitRT @MeredithGould: While there: Do not waste anyones time, do not sound stupid, wear good shoes. #hpm Wed Apr 6 18:22:11 PDT 2011MeredithGould Re: success: develop a reasonable definition of success so you dont get crazy/disappointed. #hpm Wed Apr 6 18:22:15 PDT 2011mdstudent31 The more you shift person to person, the more attention you will grab. One person stealing the spotlight leads to watch/clock-glancing #hpm Wed Apr 6 18:22:32 PDT 2011MeredithGould @KathyKastner Absolutely! Shoes! #hpm Wed Apr 6 18:22:46 PDT 2011DNRstories @KathyKastner Haha- you read my mind! #hpm Wed Apr 6 18:23:01 PDT 2011aliciabloom definitely no death panel talk! that propaganda is what makes folks afraid to discuss EoL issues or even develop an advance directive. #hpm Wed Apr 6 18:23:04 PDT 2011mdstudent31 @akroundtree You get a feel from the questions/ body language. You usually dont have to ask straight up if you have influenced them #hpm Wed Apr 6 18:23:21 PDT 2011KathyKastner I wondered too RT @akroundtree: With any success influencing legislators? “@mdstudent31: #hpm Wed Apr 6 18:23:24 PDT 2011PracticalWisdom T1: Could a link to a Slideshare be used? This would help bring additional educational opportunities. #HPM Wed Apr 6 18:23:24 PDT 2011MeredithGould @mdstudent31 Right...which means the group has to become a TEAM before the event. #hpm Wed Apr 6 18:23:25 PDT 2011mdstudent31 @MeredithGould Exactly! We are already in contact and the conference is over a month away #hpm Wed Apr 6 18:23:53 PDT 2011MeredithGould Hot flash: If THEY bring up "death panels," then YOU have to talk about em in a reframe YOU create. #hpm Wed Apr 6 18:24:09 PDT 2011KathyKastner Shouldnt all mds learn to key into.. @mdstudent31: You get a feel from the questions/ body language. #hpm Wed Apr 6 18:24:39 PDT 2011 @mdstudent31 Good point: this stuff needs to be planned, scripted, etc. months
  • @mdstudent31 Good point: this stuff needs to be planned, scripted, etc. monthsMeredithGould ahead of time, if possible. #hpm Wed Apr 6 18:24:45 PDT 2011KathyKastner #hpm T2 Something completely different: successfully Aging in place. What are some (creative) solutions for quality of life. Wed Apr 6 18:25:02 PDT 2011KathyKastner Very hot flashRT @MeredithGould: Hot flash: If THEY bring up "death panels," then YOU have to talk about em in a reframe YOU create. #hpm Wed Apr 6 18:25:02 PDT 2011mdstudent31 The earlier you contact staff/office of legislator you want to visit, the better you organize your visits/easier for them to fit you in #hpm Wed Apr 6 18:25:40 PDT 2011MeredithGould T2 I feel like Im aging in place right now. How creative is that/am I? #hpm Wed Apr 6 18:25:59 PDT 2011mdstudent31 @KathyKastner In theory yes... in theory. #hpm Wed Apr 6 18:26:10 PDT 2011nursingpins RT @MeredithGould: T2 I feel like Im aging in place right now. How creative is that/am I? #hpm Wed Apr 6 18:26:35 PDT 2011KathyKastner I think this tweet-chat may b turning into a cheat sheet #hpm Wed Apr 6 18:26:36 PDT 2011DNRstories @KathyKastner #hpm Impt to DEFINE your quality of life. Many patinets dont seem to think about what that term means to THEM. Wed Apr 6 18:26:41 PDT 2011PracticalWisdom Suzana Makowski Work Can help us so much. http://slidesha.re/ezipSM #HPM Wed Apr 6 18:26:51 PDT 2011KathyKastner As long as youre hot flashing, very RT @MeredithGould: T2 I feel like Im aging in place right now. How creative is that/am I? #hpm Wed Apr 6 18:26:58 PDT 2011familydocwonk See you there en vivo! @mdstudent31: T1: Love hitting the hill for @AAFP FMCC, coming up again in May #hpm Wed Apr 6 18:27:03 PDT 2011DrSnit @KathyKastner Creative solutions for QoL? Can you define this more what you mean by successful aging? #hpm Wed Apr 6 18:27:07 PDT 2011DrSnit @MeredithGould snicker #hpm Wed Apr 6 18:27:23 PDT 2011
  • inhousehospice T2: Determine pt. goals/wishes early -- the rest follows that. #hpm Wed Apr 6 18:27:30 PDT 2011MeredithGould @KathyKastner Oh I am so way beyond hot flashes & thank God, time & acupuncture for that! TMI #hpm Wed Apr 6 18:27:39 PDT 2011KathyKastner @nursingpins @familydocwonk Greetings! #hpm Wed Apr 6 18:28:29 PDT 2011DrSnit @MeredithGould WORD to the TMI- TWEETS! #hpm Wed Apr 6 18:28:36 PDT 2011aliciabloom @DNRstories agreed! in order to develop a strategy to maintain QoL, we need to understand what it means to the individual. #hpm Wed Apr 6 18:28:39 PDT 2011MeredithGould @DrSnit Successful aging = staying put in yr own home w/o breaking a hip or setting it on fire or having adult children move back in. #hpm Wed Apr 6 18:28:44 PDT 2011DNRstories @inhousehospice Agree. Define your personal philosophy. What is acceptable vs. not acceptable for QOL. Different for everyone! #hpm Wed Apr 6 18:28:47 PDT 2011EllenRichter T2 Much of successful aging has to do with outlook, attitude, love for life. Aging people must be actively involved in making choices. #hpm Wed Apr 6 18:28:50 PDT 2011KathyKastner Now that u ask: I think success is dif for everyone RT @DrSnit: Creative solutions for QoL? you mean by successful aging? #hpm Wed Apr 6 18:29:26 PDT 2011DrSnit @MeredithGould In this case - some people are very unsuccessful at youth. har. #hpm Wed Apr 6 18:29:36 PDT 2011PracticalWisdom @MeredithGould @KathyKastner : Barbie does acupuncture http://bit.ly/fx0znP #HPM Wed Apr 6 18:29:49 PDT 2011nursingpins RT @MeredithGould: @DrSnit Successful aging = staying put in yr own home w/o breaking a hip or setting it on fire or having adult children move back in. #hpm Wed Apr 6 18:30:05 PDT 2011KathyKastner RT @MeredithGould: @DrSnit Success aging = staying put in yr own home w/o breaking a hip setting n fire having children move back in. #hpm Wed Apr 6 18:30:12 PDT 2011MeredithGould RT @EllenRichter: T2 Much of successful aging has to do with outlook, attitude, love for life. Must be actively involved in choices. #hpm Wed Apr 6 18:30:28 PDT 2011
  • Wed Apr 6 18:30:28 PDT 2011KathyKastner Hah! RT @DrSnit: @MeredithGould In this case - some people are very unsuccessful at youth. har. #hpm Wed Apr 6 18:30:31 PDT 2011GerryWiederRN @PracticalWisdom @MeredithGould @KathyKastner Oh my! #hpm Wed Apr 6 18:30:32 PDT 2011PracticalWisdom T2: I remember when folks would begin to dress and act old when they hit 40! Not anymore! #HPM Wed Apr 6 18:30:35 PDT 2011KathyKastner I knew I shouldnt a givenher awayRT @PracticalWisdom: @MeredithGould @KathyKastner : Barbie does acupuncture http://bit.ly/fx0znP #hpm Wed Apr 6 18:30:52 PDT 2011DrSnit Finding Quality of Life & Successful ways to age are both cultural perceptions AND certainly need to be discussed with our families! #hpm Wed Apr 6 18:30:58 PDT 2011aliciabloom once QoL & goals are defined, advance care planning is key-- we can reduce distress for patients AND families when we help them plan. #hpm Wed Apr 6 18:31:11 PDT 2011DrBeckerSchutte Age is entirely an attitude (and a reflection of health). My grandma was not old at 85, but she was at 92. #hpm Wed Apr 6 18:31:30 PDT 2011KathyKastner @GerryWeiderRN Hi and welcome. Love yr opening comment :) #hpm Wed Apr 6 18:31:38 PDT 2011MeredithGould RT @DrSnit: Finding Quality of Life & Successful ways to age are both cultural perceptions<--absolutely #hpm Wed Apr 6 18:31:42 PDT 2011mdstudent31 T2: Create realistic bucket list, solidify support at home, connect w/ community resources, maintain strong interpersonal relationships #hpm Wed Apr 6 18:31:46 PDT 2011inhousehospice RT @aliciabloom: once QoL & goals are defined, adv care planning is key- can reduce distress for pts AND fams when we help them plan #hpm Wed Apr 6 18:31:58 PDT 2011DrBeckerSchutte @aliciabloom--I totally agree that planning is key to reducing family distress. #hpm Wed Apr 6 18:32:13 PDT 2011DrSnit Having adult children living with us for some is not only an expectation, but a way of respect, and doesnt diminish us, hence, culture #hpm Wed Apr 6 18:32:14 PDT 2011
  • DNRstories T2 My hubbie having a hard time with "aging". He is upset we dont stay up past 10pm (were early 30s). He is not aging graceflly #hpm Wed Apr 6 18:32:19 PDT 2011KathyKastner @drbeckerschutte Thanks for joining. Totally agree age is an attitude #hpm Wed Apr 6 18:32:33 PDT 2011GerryWiederRN Best laid plans...my 83 year old mom was it by a car. Changed everything. Independent to institutionalized. #hpm Wed Apr 6 18:32:38 PDT 2011drbeckerschutte BTW--Hi all! Im a psychologist from the Kansas City, MO area. #hpm Wed Apr 6 18:32:41 PDT 2011MeredithGould @DrSnit Youre right about the adult children at home (i.e. extended family) being cultural. Go ahead, stomp on my best lines. #hpm Wed Apr 6 18:32:59 PDT 2011DNRstories RT @aliciabloom: once QoL & goals are defined, advance care planning is key-- we can reduce distress for patients AND families when we help them plan. #hpm Wed Apr 6 18:32:59 PDT 2011GerryWiederRN Hi all...RN in Seattle working in HIT. #hpm Wed Apr 6 18:33:26 PDT 2011EllenRichter @GerryWiederRN So distressing to hear. Yes, life can just grab us by the jugulars at times, cant it? #hpm Wed Apr 6 18:33:31 PDT 2011DrSnit @MeredithGould NOT STOMPING. Promise. Just reminding people to open themselves to non-traditional western values. #hpm Wed Apr 6 18:33:43 PDT 2011MeredithGould @EllenRichter Or lower... #hpm Wed Apr 6 18:33:46 PDT 2011KathyKastner Did it help you being hcp? RT @GerryWiederRN: Best laid plans...my 83 year old mom was it by a car. Independent to institutionalized. #hpm Wed Apr 6 18:33:51 PDT 2011GerryWiederRN @MeredithGould @DrSnit Not cultural necessarily...forced by this crummy economy. #hpm Wed Apr 6 18:34:16 PDT 2011EllenRichter @MeredithGould LOL yes, even there ;) #hpm Wed Apr 6 18:34:21 PDT 2011DrBeckerSchutte @KathyKastner @GerryWiederRN Kathy--you got my ??, I wonder if planning helped ease the pain? #hpm Wed Apr 6 18:34:35 PDT 2011
  • KathyKastner (and they laugh when I say lots of silliness on hpm RT @MeredithGould: @EllenRichter Or lower... #hpm Wed Apr 6 18:34:46 PDT 2011DrSnit RT @MeredithGould: @DrSnit Successful aging = staying put in yr own home w/o breaking a hip or setting it on fire or having adult children move back in. #hpm Wed Apr 6 18:35:02 PDT 2011GerryWiederRN @KathyKastner @GerryWiederRN Not sure. I think Im able to see more flaws in a very flawed system. #hpm Wed Apr 6 18:35:05 PDT 2011MeredithGould @GerryWiederRN True and actually might restore extended family values, which wouldnt be such a bad thing! #hpm Wed Apr 6 18:35:22 PDT 2011mdstudent31 Not sure what happened in past 10 years. Something about school? Receding hairline and some grey hair - when did that happen? #hpm Wed Apr 6 18:35:31 PDT 2011KathyKastner AmenRT @MeredithGould: @GerryWiederRN True and actually might restore extended family values, which wouldnt be such a bad thing! #hpm Wed Apr 6 18:35:49 PDT 2011DrSnit @GerryWiederRN Crummy economy too. Im just discussing the non-western cultural ones where families do it anyway! #hpm Wed Apr 6 18:36:02 PDT 2011GerryWiederRN @MeredithGould @GerryWiederRN True. I think its actually been a blessing in our family. #hpm Wed Apr 6 18:36:17 PDT 2011KathyKastner Say more plsRT @MeredithGould @GerryWiederRN True. I think its actually been a blessing in our family. #hpm Wed Apr 6 18:36:52 PDT 2011DNRstories @mdstudent31 Its the call schedule. Just wait till residency :) #hpm Wed Apr 6 18:36:55 PDT 2011GerryWiederRN Perhaps we are discovering what families already know in non-western cultures. #hpm Wed Apr 6 18:37:05 PDT 2011RossJeanette succesful aging=maintaining functional status! #hpm Wed Apr 6 18:37:20 PDT 2011KathyKastner Lots to learn from othersRT @GerryWiederRN: Perhaps we are discovering what families already know in non-western cultures. #hpm Wed Apr 6 18:37:40 PDT 2011MeredithGould The blessing is that younger generations get to know older generations & vice versa
  • MeredithGould The blessing is that younger generations get to know older generations & vice versa #hpm Wed Apr 6 18:37:44 PDT 2011KathyKastner To patients def of functionalRT @RossJeanette: succesful aging=maintaining functional status! #hpm Wed Apr 6 18:38:08 PDT 2011DrBeckerSchutte @GerryWiederRN Gerry--Having my grandmother live with us was a real blessing. I know she would have preferred independence... #hpm Wed Apr 6 18:38:09 PDT 2011mdstudent31 @DNRstories Back when I did residency and there were no work-hours restrictions :) Were not as hardcore anymore #hpm Wed Apr 6 18:38:09 PDT 2011KathyKastner Nice. RT @MeredithGould: The blessing is that younger generations get to know older generations & vice versa #hpm Wed Apr 6 18:38:22 PDT 2011MeredithGould successful aging = getting senior discounts but still looking fabulous. (Personal definition) #hpm Wed Apr 6 18:38:24 PDT 2011PracticalWisdom T2: Cuccesful Aging-Dignity. Better not call me Honey, Sweetie, Etc. when I hit the "Home" #HPM Wed Apr 6 18:38:39 PDT 2011PracticalWisdom Wisdom RT @KathyKastner: Nice. RT @MeredithGould: The blessing is that younger generations get to know older generations & vice versa #HPM Wed Apr 6 18:39:02 PDT 2011drbeckerschutte @RossJeanette I couldnt agree more. And thats an awfully personal definition. #hpm Wed Apr 6 18:39:06 PDT 2011EllenRichter T2 We need more efforts made to help the elderly survivor work through the great & unseemingly hopeless loss of a spouse #hpm Wed Apr 6 18:39:13 PDT 2011KathyKastner Have u considered stand up comedy? RT @MeredithGould: successful aging = getting senior discounts but still looking fab. (Pers def) #hpm Wed Apr 6 18:39:14 PDT 2011DrSnit Yes. Family takes work. RT @MeredithGould The blessing is that younger generations get to know older generations & vice versa #hpm Wed Apr 6 18:39:33 PDT 2011GeroAmericano T2: more like "aging in Community," like the "village" idea - support of neighbors @innovate4impact #hpm Wed Apr 6 18:39:37 PDT 2011drbeckerschutte @PracticalWisdom Couldnt agree more. I dont know why we culturally treat older adults as children. #hpm
  • adults as children. #hpm Wed Apr 6 18:39:39 PDT 2011pfanderson RT @KathyKastner: Have u considered stand up comedy? RT @MeredithGould: successful aging = getting senior discounts but still looking fab. (Pers def) #hpm Wed Apr 6 18:39:58 PDT 2011GerryWiederRN @MeredithGould LOL. Does that include at Macdonalds? #hpm Wed Apr 6 18:40:00 PDT 2011MeredithGould @KathyKastner Yes but I ditched the idea because I hate smoke & dont drink, which limits venues. #hpm Wed Apr 6 18:40:01 PDT 2011KathyKastner #hpm T3 How can long distance family/caregivers help with patients/caregivers on the front lines Wed Apr 6 18:40:03 PDT 2011KathyKastner Just to warn.. T3s a coming.. and its related to T2 (I think) #hpm Wed Apr 6 18:40:17 PDT 2011DNRstories @PracticalWisdom T2- this is actually a good point for MDs to remember. I upset a pt once by calling her dear. Impt lesson 4 me. #hpm Wed Apr 6 18:40:33 PDT 2011MeredithGould T3 Learn how to use social media wisely and well!!! #hpm Wed Apr 6 18:40:48 PDT 2011DrSnit I dont want to discount the "family of choice" that many alternative families turn to. It is not readily recognized but it happens #hpm Wed Apr 6 18:40:57 PDT 2011aliciabloom @PracticalWisdom agreed! i get insulted when i hear care providers call patients "honey" & "sweetie." it does not maintain dignity. #hpm Wed Apr 6 18:41:02 PDT 2011GerryWiederRN @KathyKastner Great topic. Im the distant family. #hpm Wed Apr 6 18:41:08 PDT 2011KathyKastner Hello @GeroAmericano Welcome! #hpm Wed Apr 6 18:41:12 PDT 2011DrSnit @MeredithGould hahahaha- there is truth in this standup world. ;) #hpm Wed Apr 6 18:41:21 PDT 2011drbeckerschutte T3--I think that non-judgment is huge! Respecting that the on-site caregiver is doing hard work, even if its different than you. #hpm Wed Apr 6 18:41:23 PDT 2011KathyKastner And? what do you doRT @GerryWiederRN: @KathyKastner Great topic. Im the
  • KathyKastner And? what do you doRT @GerryWiederRN: @KathyKastner Great topic. Im the distant family. #hpm Wed Apr 6 18:41:32 PDT 2011GerryWiederRN T3. I distant family can "lend perspective" to family/caregivers on the front lines. #hpm Wed Apr 6 18:41:54 PDT 2011EllenRichter T3 Its quite difficult. Working with EOL patients who are snowbirds means all family is up north. Its always difficult dying like that #hpm Wed Apr 6 18:42:06 PDT 2011KathyKastner !!!!!RT @drbeckerschutte: T3--non-judgment huge! Respecting that the on-site caregiver is doing hard work, even if idifferent than u #hpm Wed Apr 6 18:42:24 PDT 2011PracticalWisdom @DNRstories: Different Strokes for Different Folks. If I like someone they can give term of endearment. #HPM Wed Apr 6 18:42:25 PDT 2011KathyKastner RT @GerryWiederRN: T3. I distant family can "lend perspective" to family/caregivers on the front lines. #hpm Wed Apr 6 18:42:35 PDT 2011DrBeckerSchutte T3--Also being willing to provide respite care, and encouraging on-site caregiver to take breaks. #hpm Wed Apr 6 18:42:52 PDT 2011PracticalWisdom RT @drbeckerschutte: T3 Non-judgment is huge! Respecting the on-site caregiver is doing hard work, even if its different than you. #HPM Wed Apr 6 18:42:52 PDT 2011MedicalMarcom Just tripped across #hpm. What does hpm stand for? Wed Apr 6 18:42:58 PDT 2011MeredithGould T3 Set up a portal for shared info, records, convo. #hpm Wed Apr 6 18:43:08 PDT 2011GerryWiederRN T3 Ive been doing some of the stuff I can do remotely as well. Phoning and talking to local resources. #hpm Wed Apr 6 18:43:15 PDT 2011MeredithGould @MedicalMarcom Hospice and Palliative Medicine #hpm Wed Apr 6 18:43:21 PDT 2011RossJeanette T3 distant caregiver could make planned visit so on site caregiver can take a break. #hpm Wed Apr 6 18:43:31 PDT 2011EllenRichter T3 No matter how much distant family is involved by phone, they always feel guilty & inadequate. Wish there were better ways. #hpm Wed Apr 6 18:43:34 PDT 2011
  • Wed Apr 6 18:43:34 PDT 2011DrBeckerSchutte @MeredithGould I like that! #hpm Wed Apr 6 18:43:38 PDT 2011PracticalWisdom T3: Sometimes it might look like family does not care but sometimes its the PTs wish. Families can be very complex. #HPM Wed Apr 6 18:43:40 PDT 2011KathyKastner Hi @MedicalMarcom: Welcome. Means hospice and Palliative Meds (were a very funny bunch) #hpm Wed Apr 6 18:43:58 PDT 2011GerryWiederRN T3. Im always self-conscious about being the do-nothing so-and-so relative from a far. It can be tough too. #hpm Wed Apr 6 18:44:15 PDT 2011KathyKastner RT @GerryWiederRN: T3 Ive been doing some of the stuff I can do remotely as well. Phoning and talking to local resources. #hpm Wed Apr 6 18:44:21 PDT 2011DrSnit T3 Long distance family dealing w EOL pts/caregivers can send food, get house cleaners, hire lawn care, THE WORK THAT DOESNT GET DONE #hpm Wed Apr 6 18:44:23 PDT 2011RossJeanette @MedicalMarcom HPM stands for hospice and palliative medicine, welcome #hpm Wed Apr 6 18:44:24 PDT 2011aliciabloom im a big proponent of speaker phones for goals of care meetings to engage family at a distance. bonus: it reduces conflict. #hpm Wed Apr 6 18:44:33 PDT 2011GerryWiederRN RT @PracticalWisdom: Sometimes it might look like family does not care but sometimes its the PTs wish. Families can be very complex. #hpm Wed Apr 6 18:44:40 PDT 2011PracticalWisdom T3: Think there is a wonderful role for Prof. Advocates for Older Adults. Ex. Help move to Assisted Living. If motives are true. #HPM Wed Apr 6 18:44:50 PDT 2011DNRstories T3- send food package to caregiver. A rest from cooking is welcome break. Massage good too. Caregivers neglect themselves. #hpm Wed Apr 6 18:45:16 PDT 2011MeredithGould @GerryWiederRN Hope youre talking with someone (other than the millions on Twitter) about feeling thusly. #hpm Wed Apr 6 18:45:18 PDT 2011GerryWiederRN @aliciabloom Weve done family phone conferences. It helps a lot. #hpm Wed Apr 6 18:45:33 PDT 2011 T3 Hire a specialist to handle all the insurance-related and other paperwork. #hpm
  • T3 Hire a specialist to handle all the insurance-related and other paperwork. #hpm Wed Apr 6 18:45:50 PDT 2011MeredithGouldKathyKastner RT @GerryWiederRN: @aliciabloom Weve done family phone conferences. It helps a lot. #hpm Wed Apr 6 18:45:56 PDT 2011aliciabloom @MedicalMarcom were the hospice & palliative medicine community. the coolest kids on Twitter! #hpm Wed Apr 6 18:46:06 PDT 2011DrSnit Being far away doesnt mean you cant be involved. Just as being NEAR. People are often afraid to INSERT themselves. Loving takes risk. #hpm Wed Apr 6 18:46:17 PDT 2011DNRstories Ive seen @aliciabloom in action and shes right. It really does help, although it makes everyone shout #hpm :) Wed Apr 6 18:46:23 PDT 2011GerryWiederRN @DNRstories And those that are thrown to be martyrs have an opportunity. #hpm Wed Apr 6 18:46:26 PDT 2011DrBeckerSchutte @DNRstories I like the focus on the practicalities that get lost if someone is doing care-giving. #hpm Wed Apr 6 18:46:39 PDT 2011DrSnit @MeredithGould YES YES YES. The work. The stuff that cant get done. The annoying things. #hpm Wed Apr 6 18:46:40 PDT 2011MaryAgnesKelley RT @aliciabloom: @PracticalWisdom agreed! i get insulted when i hear care providers call patients "honey" & "sweetie." it does not maintain dignity. #hpm Wed Apr 6 18:46:46 PDT 2011PracticalWisdom T3: Guiding the Elderly in Living Arrangementshttp://bit.ly/geW14O #HPM Wed Apr 6 18:46:48 PDT 2011EllenRichter Good suggestion! RT @MeredithGould: T3 Hire a specialist to handle all the insurance-related and other paperwork. #hpm Wed Apr 6 18:46:50 PDT 2011KathyKastner In my fam, we had assigned roles: sis=worrier, bro=researcher moi= coordinator #hpm Wed Apr 6 18:47:11 PDT 2011GerryWiederRN RT @DrSnit: Loving takes risk. <= amen #hpm Wed Apr 6 18:47:12 PDT 2011aliciabloom “@DNRstories: Ive seen @aliciabloom in action and shes right. It really does help, although it makes everyone shout #hpm :)” so true! Wed Apr 6 18:47:31 PDT 2011
  • KathyKastner Welcome @MaryAgnesKelley #hpm Wed Apr 6 18:47:35 PDT 2011GerryWiederRN RT @KathyKastner: In my fam, we had assigned roles: sis=worrier, bro=researcher moi= coordinator LOL. #hpm Wed Apr 6 18:47:43 PDT 2011MeredithGould If you can afford it, offload all the crap that gets in the way of providing personal support from afar. #hpm Wed Apr 6 18:47:44 PDT 2011MeredithGould RT @KathyKastner: In my fam, we had assigned roles: sis=worrier, bro=researcher moi= coordinator #hpm Wed Apr 6 18:47:55 PDT 2011KathyKastner RT @MeredithGould: If you can afford it, offload all the crap that gets in the way of providing personal support from afar. #hpm Wed Apr 6 18:48:03 PDT 2011GerryWiederRN I could be the "worrier" :) #hpm Wed Apr 6 18:48:04 PDT 2011PracticalWisdom @KathyKastner: Now there are so many smaller families or folks who never had children. #HPM Wed Apr 6 18:48:05 PDT 2011PracticalWisdom Who to trust?RT @MeredithGould: If U can afford it, offload all the crap that gets in the way of providing personal support from afar. #HPM Wed Apr 6 18:48:29 PDT 2011KathyKastner True. RT @PracticalWisdom: @KathyKastner: Now there are so many smaller families or folks who never had children. #hpm Wed Apr 6 18:48:40 PDT 2011MeredithGould @KathyKastner Someone always needs to be designated coordinator & everyone has to honor that. Families get even crazier under stress #hpm Wed Apr 6 18:48:47 PDT 2011MeredithGould @PracticalWisdom Get personal referrals. #hpm Wed Apr 6 18:49:03 PDT 2011MaryAgnesKelley RT @EllenRichter: T2 We need more efforts made to help the elderly survivor work through the great & unseemingly hopeless loss of a spouse #hpm Wed Apr 6 18:49:05 PDT 2011GerryWiederRN @PracticalWisdom @MeredithGould My wifes in senior living business. She says those folks are the hardest--no family support. #hpm Wed Apr 6 18:49:20 PDT 2011KathyKastner Oh man, I was so happy to offload that to my sis RT @GerryWiederRN: I could be the "worrier" :) #hpm
  • "worrier" :) #hpm Wed Apr 6 18:49:31 PDT 2011DrBeckerSchutte AMEN!!!RT@KathyKastner Someone always needs to be designated coordinator & everyone honor that. Families get crazier under stress. #hpm Wed Apr 6 18:50:07 PDT 2011EllenRichter T3 What about those who have no family & are at the end of their lives? They still need caring care, even with no loved ones or family. #hpm Wed Apr 6 18:50:09 PDT 2011akroundtree I think some units @ MDACC are moving to a model like this. “@MeredithGould: T3 Set up a portal for shared info, records, convo. #hpm” Wed Apr 6 18:50:32 PDT 2011KathyKastner Sometimes I feel w eldercare its like child-rearing: sounds so good in the books. IRL: yikes #hpm Wed Apr 6 18:50:34 PDT 2011MeredithGould @GerryWiederRN Well, those people (Im in that category) may have loads of other support from non-family networks. #hpm Wed Apr 6 18:50:42 PDT 2011DrBeckerSchutte The discussion around T3 points back to the importance of advance planning and clear communication. #hpm Wed Apr 6 18:51:07 PDT 2011DNRstories Sadly all, the coffee shop is closing up around me so i have to head out. Thank you for my first official tweet chat. #hpm Wed Apr 6 18:51:11 PDT 2011DrSnit @EllenRichter We have a societal duty to create space for no one to truly be alone, even in old age or at the end of life. Never. #hpm Wed Apr 6 18:51:21 PDT 2011PracticalWisdom T3: More practical Wisdom from the NY Times http://nyti.ms/gPR0u0 #HPM Wed Apr 6 18:51:24 PDT 2011DrBeckerSchutte @KathyKastner LOL--painfully true. #hpm Wed Apr 6 18:51:25 PDT 2011MeredithGould And, uh, heres where faith-based communities can really make a difference...or should. #hpm Wed Apr 6 18:51:25 PDT 2011MeredithGould @DNRstories Tell them to stay open for you and us. #hpm Wed Apr 6 18:51:37 PDT 2011DrSnit @DNRstories So glad to meet you!! #hpm Wed Apr 6 18:51:45 PDT 2011
  • DNRstories @DrSnit Thank you! You too #hpm Wed Apr 6 18:51:56 PDT 2011DrBeckerSchutte @DrSnit @EllenRichter "Never." Gave me chills! #hpm Wed Apr 6 18:52:09 PDT 2011KathyKastner @DNRstories: so great that you came! #hpm Wed Apr 6 18:52:15 PDT 2011EllenRichter @DrSnit Oh I agree! But so many slip through the cracks, especially the very elderly whose family members all died. So sad. #hpm Wed Apr 6 18:52:25 PDT 2011DrBeckerSchutte @DNRStories--Good to meet you! Come back and chat again. Tonight was my first #hpm event. #hpm Wed Apr 6 18:52:38 PDT 2011KathyKastner Im telling you Meredith: comedy a fall back profession. RT @MeredithGould: @DNRstories Tell them to stay open for you and us. #hpm Wed Apr 6 18:52:38 PDT 2011aliciabloom @DNRstories see you in the MICU! #hpm Wed Apr 6 18:53:01 PDT 2011DrSnit @EllenRichter yes. it is terribly sad. #hpm Wed Apr 6 18:53:21 PDT 2011EllenRichter @DNRstories You picked a great chat to start out with! :) #hpm Wed Apr 6 18:53:47 PDT 2011KathyKastner Does anyone talk about educating on the dying process (having just read abt that) http://tinyurl.com/3w6pce6 #hpm Wed Apr 6 18:53:55 PDT 2011mdstudent31 @DNRstories Good to see you again! #hpm Wed Apr 6 18:54:11 PDT 2011DNRstories Today was official launch of my book and id love to hear the opinions of #hpm experts on it--pos or neg. Its a labor of love Wed Apr 6 18:54:15 PDT 2011GerryWiederRN Thanks all. Nice to meet you all. #hpm Wed Apr 6 18:54:31 PDT 2011EllenRichter @DrSnit When I get older (elderly) Im coming to your place! :) #hpm Wed Apr 6 18:54:32 PDT 2011DNRstories @aliciabloom Alicia- Im on vacation girlfriend! Then, Bronch-a-thon at Crozer for
  • DNRstories @aliciabloom Alicia- Im on vacation girlfriend! Then, Bronch-a-thon at Crozer for April. Back in May! #hpm Wed Apr 6 18:54:43 PDT 2011MeredithGould @EllenRichter @DrSnit Why wait? #hpm Wed Apr 6 18:54:56 PDT 2011aliciabloom the interdisciplinary hospice team can provide a lot of valuable support to older adults dying alone #hpm Wed Apr 6 18:55:00 PDT 2011KathyKastner #hpm Good lord: wrap up, final words, wise words, words of encouragement, words that will make us think (I think I need tequila) Wed Apr 6 18:55:01 PDT 2011DrSnit @EllenRichter *fluffs your pillows* *steals your jewels* #hpm Wed Apr 6 18:55:16 PDT 2011DNRstories RT @aliciabloom: the interdisciplinary hospice team can provide a lot of valuable support to older adults dying alone #hpm Wed Apr 6 18:55:23 PDT 2011MeredithGould @EllenRichter Im willing to bet that my generation will ditch the word "elderly" when we get there. #hpm Wed Apr 6 18:55:34 PDT 2011EllenRichter @MeredithGould Haha....you really are hilarious. @DrSnit Both of you...! #hpm Wed Apr 6 18:55:59 PDT 2011GerryWiederRN @DrSnit @EllenRichter So youre the one! lol #hpm Wed Apr 6 18:56:04 PDT 2011DrSnit RT @MeredithGould: @EllenRichter Im willing to bet that my generation will ditch the word "elderly" when we get there. #hpm Wed Apr 6 18:56:08 PDT 2011MeredithGould @EllenRichter Like, next week. #hpm Wed Apr 6 18:56:10 PDT 2011KathyKastner U have an alternate? RT @MeredithGould: @EllenRichter Im willing to bet that my generation will ditch "elderly" when we get there. #hpm Wed Apr 6 18:56:48 PDT 2011MeredithGould Yes, Ive found a kindred spirit in @DrSnit. #hpm Wed Apr 6 18:56:53 PDT 2011DrBeckerSchutte Thanks for the intro to #hpm chat, all! I may have to give up having a life outside of Tweetchats-yikes. #hpm Wed Apr 6 18:56:55 PDT 2011
  • Robert_Fried @BuddhishMD Agree all HCPs need "primary #palliative care" competence. But specialists still needed for complex cases. #hpm Wed Apr 6 18:57:23 PDT 2011MeredithGould @KathyKastner Not yet but Im sure some Boomer wag will come up with something. #hpm Wed Apr 6 18:57:33 PDT 2011DrSnit @DrBeckerSchutte SO GLAD you could make it!! This place rocks full of brilliance! #hpm Wed Apr 6 18:57:39 PDT 2011KathyKastner Gee thanks to each and every single one of you for making this a total joy for the novice hoster #hpm Wed Apr 6 18:58:00 PDT 2011PracticalWisdom Certainly but if you are new to a commuinity~Any good/trusted Referrals. RT@MeredithGould @PracticalWisdom Get personal referrals. #hpm Wed Apr 6 18:58:00 PDT 2011aliciabloom @KathyKastner all the time-- educate patients/families re: what to expect. also important to educate clinicians re: dying process. #hpm Wed Apr 6 18:58:19 PDT 2011DrBeckerSchutte @DrSnit It is awfully brilliant (and entertaining)--fits with my EOL work experience! #hpm Wed Apr 6 18:58:30 PDT 2011MeredithGould @KathyKastner Great moderating! Its a wild right, isnt it? #hpm Wed Apr 6 18:58:41 PDT 2011EllenRichter @KathyKastner You did an absolutely terrific job....like youve been doing it forever, Kathy! Way to go! #hpm Wed Apr 6 18:58:42 PDT 2011mdstudent31 @KathyKastner Youre a rock star at hosting! #hpm Wed Apr 6 18:58:43 PDT 2011KathyKastner @Robert_Fried @BuddishMD: you snuck in. I didnt properly welcome you and here you are.. leaving #hpm Wed Apr 6 18:58:52 PDT 2011DrSnit Fabulous job hosting the #hpm @KathyKastner - You cats are totally fab full of discussion and brilliance and ideas! Wed Apr 6 18:59:03 PDT 2011DrBeckerSchutte @KathyKastner You deserve an award for "cat-herding!" Thanks for hosting tonight. #hpm Wed Apr 6 18:59:40 PDT 2011aliciabloom "Gone From My Sight" excellent educational piece about dying process for patients & families #hpm
  • aliciabloom families #hpm Wed Apr 6 18:59:49 PDT 2011KathyKastner Meeow. ThanksRT @drbeckerschutte: @KathyKastner You deserve an award for "cat-herding!" Thanks for hosting tonight. #hpm Wed Apr 6 19:00:03 PDT 2011MeredithGould Final thoughts: If you cant make someone throw a lung laughing, at least make someone smile. #hpm Wed Apr 6 19:00:41 PDT 2011PracticalWisdom @KathyKastner: Kathy, thank you so much for a wonderful evening. Night. #HPM Wed Apr 6 19:00:49 PDT 2011EllenRichter Enjoy your night, everyone! Wonderful hour with many of my friends & quite a few new people I can follow, too! I love that! Ta ta! #hpm Wed Apr 6 19:00:57 PDT 2011PracticalWisdom RT @drbeckerschutte: @DrSnit It is awfully brilliant (and entertaining)--fits with my EOL work experience! #HPM Wed Apr 6 19:01:12 PDT 2011MeredithGould Ciao for niao! #hpm Wed Apr 6 19:01:52 PDT 2011KathyKastner Tequila becons Thanks all xo @DrSnit @drbeckerschutte @mdstudent31 @EllenRichter @MeredithGould @PracticalWisdom #hpm Wed Apr 6 19:02:35 PDT 2011PracticalWisdom T3: Final Thought: "When in doubt~Give Benefit of the doubt." Lisa Fields Start the discussion. Families can be complex. #HPM Wed Apr 6 19:02:48 PDT 2011DrBeckerSchutte Good night all--thanks for the good thoughts and the laughs! #hpm Wed Apr 6 19:02:49 PDT 2011DrBeckerSchutte @KathyKastner Enjoy--you earned it! #hpm Wed Apr 6 19:03:07 PDT 2011PracticalWisdom @drbeckerschutte: Enjoyed you so much this Evening. You are a great listener. Thanks to everybody Great Group/Great Ideas. #HPM Wed Apr 6 19:03:56 PDT 2011aliciabloom @KathyKastner cheers! excellent #hpm chat Wed Apr 6 19:03:58 PDT 2011