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2011 04 27 hpm tweetchat transcript

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  • 1. #hpmHealthcare Hashtag Twitter Transcript From: Wed Apr 27 17:55:00 PDT 2011 To: Wed Apr 27 19:05:00 PDT 2011 Customize transcript dates and layoutLearn more about #hpm at The Healthcare Hashtag ProjectDaniel_Spurgeon RT @hollyby: RT @Pallimed: New Pallimed Post:: The Unspoken - Short Film About Father-Son Communication http://hpm.md/l33BE6 #hpm Wed Apr 27 17:56:36 PDT 2011ctsinclair @Daniel_Spurgeon Dont you love that short film? #hpm Wed Apr 27 17:57:19 PDT 2011PracticalWisdom Getting ready to Learn/Chat/Enjoy/Think from my Pals so Im feeling http://www.youtube.com/watch?v=TJBhdKrwTOc #HPM Wed Apr 27 17:57:44 PDT 2011MeredithGould Hospice & Palliative Medicine chat coming up in 2 minutes! #hpm Wed Apr 27 17:58:19 PDT 2011ctsinclair @nadyne4 Wow! I am honored that my tweet was your first retweet! welcome to twitter! #hpm Wed Apr 27 17:58:21 PDT 2011FamMedChat Looking forward to tomorrows #FamMedChat at 9pmEST! @mdstudent31 will be moderating - hope you can join us w/ friends live at #STFM! #HPM Wed Apr 27 17:59:09 PDT 2011ctsinclair @PracticalWisdom Slow down you move too fast...is that a theme for tweetchat? #hpm Wed Apr 27 17:59:14 PDT 2011renee_berry in the next hour Ill be participating in a chat abt #hospice & #palliative care, all are welcome to join #meded #HealthLit #healthcare #hpm Wed Apr 27 18:00:06 PDT 2011SheyontheBay Next hour, tweeting #hpm tweetchat Wed Apr 27 18:00:45 PDT 2011
  • 2. ctsinclair Hey it is the top of the hour, time t ostart #Hospice and Palliative Tweetchat. use the hashtag #HPM in Tweetdeck or Tweetchat #hpm Wed Apr 27 18:00:57 PDT 2011KathyKastner Trying to to do homework from @hollyby s RTs b4 plunging in to #hpm Evening all. Wed Apr 27 18:01:09 PDT 2011renee_berry @FamMedChat @mdstudent31 sounds awesome, feel free to join our chat any time as well! #stfm #FamMedChat #hpm Wed Apr 27 18:01:18 PDT 2011hollyby Me too, for a bit. RT @SheyontheBay: Next hour, tweeting #hpm tweetchat #hpm Wed Apr 27 18:01:35 PDT 2011ctsinclair All tweets are my own #TAMO. And the next hour you will see a lot of tweets since I am moderating tonight. Come join us... #hpm Wed Apr 27 18:01:37 PDT 2011hollyby @KathyKastner Not homework, just finally got onto Twitter today. :) #hpm Wed Apr 27 18:01:53 PDT 2011ctsinclair I have not been to #FamMedChat but gald to see them getting started! #hpm Wed Apr 27 18:02:15 PDT 2011renee_berry --> awkwardly obsessed with patient centered care, love advance care planning, early palliative care & hospice volunteerism w/@KLXmedia #hpm Wed Apr 27 18:02:28 PDT 2011PracticalWisdom Wanted to share Feeling Groovy w/Pals.RT @ctsinclair: @PracticalWisdom Slow down you move too fast...is that a theme for tweetchat? #HPM Wed Apr 27 18:02:35 PDT 2011renee_berry RT @ctsinclair: I have not been to #FamMedChat but gald to see them getting started! #hpm Wed Apr 27 18:02:35 PDT 2011GailZahtz Oh, yea! Finally catching back with one of my favorite medchats #HPM. So for the next hour I hope to be tweeting there! Wed Apr 27 18:02:37 PDT 2011ctsinclair Feel free to introduce yourself. newbies are welcome, dont be shy. #hpm Wed Apr 27 18:02:42 PDT 2011MeredithGould @KathyKastner @hollyby There was/is homework?? Carp! Im gonna flunk tonights chat for sure. #hpm Wed Apr 27 18:02:43 PDT 2011renee_berry @ctsinclair are you hosting? I thought I saw a tweet from @jodyms that she was hosting tonight? change of plans? #hpm Wed Apr 27 18:03:34 PDT 2011
  • 3. Wed Apr 27 18:03:34 PDT 2011ctsinclair Christian Sinclair, Palliative Doc @KChospice, Editor @Pallimed, CEO @KLXmedia, Newly minted 36 year old. Fan of @SJSharks #hpm Wed Apr 27 18:03:37 PDT 2011RossJeanette Hi all HPM doc, associate HPM fellowship director @uthscsa passionate about teaching #HPM Wed Apr 27 18:04:09 PDT 2011ctsinclair @renee_berry Nope the schedule tonight had a blank spot, @JodyMS is moderating in June I believe #hpm Wed Apr 27 18:04:14 PDT 2011MeredithGould <--sociologist, keen on using social media to build communities for patients, caregivers & providers. Also on Twitter as @HealthFaith #hpm Wed Apr 27 18:04:18 PDT 2011erinrbreedlove Im Erin, patient blogger/advocate, college student, future physician. Hi, yall! www.healthyunwealthywise.com #hpm Wed Apr 27 18:04:26 PDT 2011hollyby @MeredithGould @KathyKastner No homework. If there was, my cat ate it. #hpm Wed Apr 27 18:04:29 PDT 2011mdstudent31 Hey all! Kevin, 4th yr med student (t-23 days), excited about 2morrows #FamMedChat, multitasking w/ @DrMikeSevillas show & friends @ #hpm Wed Apr 27 18:04:46 PDT 2011PracticalWisdom Curious Adult Education Scholar who morphs the ho-hum into compelling. Speaker, Trainer, Presentation Designer, Rascal. #HPM Wed Apr 27 18:04:48 PDT 2011GailZahtz Patient, care-giver, healthcomm, proud parent of @ALifeGuide and broadcaster from #ATC11 in 3 days. #HPM Wed Apr 27 18:05:14 PDT 2011doctatum RT @PalliativeMed_j Cultures of Interdisciplinary Teams: How to Foster Good Dynamics http://ow.ly/4BiKr #hpm great jeanie!!! Wed Apr 27 18:05:30 PDT 2011DNRstories Hi there. Pulmonary Critical care fellow and Author of DNR: Do Not Resuscitate #hpm Wed Apr 27 18:05:31 PDT 2011ctsinclair Tweetchat 2011 schedule for #hpm: http://hpm.md/gsaCVZ #hpm Wed Apr 27 18:05:41 PDT 2011SheyontheBay Hospice nurse, NY #hpm Wed Apr 27 18:06:14 PDT 2011
  • 4. JoshGriffin RT @GailZahtz: Oh, yea! Finally catching back with one of my favorite medchats #HPM. So for the next hour I hope to be tweeting there! Wed Apr 27 18:06:16 PDT 2011hollyby Holly Yang, HPM doc from @SanDiegoHospice. All tweets are my own. Can only join for a bit. :( #hpm Wed Apr 27 18:06:18 PDT 2011hvto Missed all of you & the ideas you inspire in the last few wks - been working hard at Adv Dir presentations #hpm Wed Apr 27 18:06:24 PDT 2011KathyKastner Official greetings all. Health blogger w keen interest in (and appreciation 4) all things #hpm. Wed Apr 27 18:06:26 PDT 2011MeredithGould <--Also, victim of humidity. #hpm Wed Apr 27 18:06:33 PDT 2011thehealthmaven Hi All, Im lurking..see some great healthcare thought leaders here #hpm Wed Apr 27 18:06:35 PDT 2011PracticalWisdom Getting ready for a Big WIC Presentation for Breastfeeding Peer Counselors tomorrow. RE: Balancing Work/Personal LIfe #HPM Wed Apr 27 18:06:36 PDT 2011ctsinclair @doctatum @Ewidera @dianeEmeier @Dweissma @rabob ARe any of you joining us tonight? #hpm Wed Apr 27 18:06:42 PDT 2011RossJeanette @ctsinclair thanks for letting me use the SM slides I did a brief presentation on SM today new interest group #PRISMSA #HPM Wed Apr 27 18:06:49 PDT 2011DianeEMeier RT @hollyby: RT @ctffox: #Palliative care options for #seniors http://ow.ly/4IuMZ #hpm Wed Apr 27 18:06:54 PDT 2011ctsinclair @hollyby Have missed you Holly. Glad to have you for any time we can! #hpm Wed Apr 27 18:07:04 PDT 2011ctsinclair @RossJeanette How did it go? Any skeptics? #hpm Wed Apr 27 18:07:19 PDT 2011PracticalWisdom Presenting Gals RT @hvto: Missed all of you & the ideas you inspire in the last few wks - been working hard at Adv Dir presentations #HPM Wed Apr 27 18:07:21 PDT 2011DianeEMeier RT @hollyby: RT @CAPCpalliative: About.com on #palliative care. Heres a new video with Dr. Nathan Goldstein from @MountSinaiNYC http://ow.ly/4Iq6X #hpm Wed Apr 27 18:07:29 PDT 2011
  • 5. GailZahtz RT @ctsinclair: Tweetchat 2011 schedule for #hpm: http://hpm.md/gsaCVZ #hpm <-So organized Christian! Wed Apr 27 18:07:41 PDT 2011PracticalWisdom Agree. Holly U R Valuable! RT @ctsinclair: @hollyby Have missed you Holly. Glad to have you for any time we can! #HPM Wed Apr 27 18:07:47 PDT 2011JoshGriffin RT @hollyby: @MeredithGould @KathyKastner No homework. If there was, my cat ate it. #hpm Wed Apr 27 18:07:47 PDT 2011MatthewsMichele <---social media, blogging, #healthcare policy,#hpm enthusiast; w/ @KLXmedia...New #hpm tweetchat regular :) #hpm Wed Apr 27 18:07:54 PDT 2011doctatum Paul Here. From NewOrleans for #STFM #hpm Wed Apr 27 18:07:55 PDT 2011erinrbreedlove Happy belated birthday, @ctsinclair! Hope it was excellent! #hpm Wed Apr 27 18:08:00 PDT 2011ctsinclair @KathyKastner Thanks for the pdf on computer use with EMR and patients. Will be talking about tonight. #hpm Wed Apr 27 18:08:01 PDT 2011hollyby @ctsinclair Missed you all too! Be back full time soon! Love my HPM tweeps! #hpm Wed Apr 27 18:08:04 PDT 2011ctsinclair Will get started with topic 1 in just a minute #hpm Wed Apr 27 18:08:17 PDT 2011RossJeanette @ctsinclair it went well I invited them to join in or lurk. #HPM Wed Apr 27 18:08:22 PDT 2011renee_berry RT @RossJeanette: @ctsinclair thanks for letting me use the SM slides I did a brief presentation on SM today new interest group #PRISMSA #HPM Wed Apr 27 18:08:35 PDT 2011aliciabloom via @secondact: More People Choosing Hospice at Lifes End (http://t.co/A7VXTCW) wonderful piece explaining why. #hpm Wed Apr 27 18:08:37 PDT 2011mdstudent31 @doctatum Have fun at #STFM! Wish I could have made it down - @DrMikeSevilla is broadcasting live from there right now #hpm Wed Apr 27 18:09:06 PDT 2011SheyontheBay @DianeEMeier Looking forward to seeing that #hpm Wed Apr 27 18:09:10 PDT 2011
  • 6. KathyKastner I took that as my cue RT @ctsinclair: @KathyKastner Thanks for the pdf on computer use with EMR and patients. http://hpm.md/jide5l #hpm Wed Apr 27 18:09:13 PDT 2011RossJeanette @doctatum Hi Paul have you tweeted from #STFM ? Ill have to look for tweets. #HPM Wed Apr 27 18:09:24 PDT 2011JoshGriffin Josh, Pastor and Chaplain, mostly lurking depending on when DW gets home #hpm Wed Apr 27 18:09:56 PDT 2011PracticalWisdom @ctsinclair: They say it was your http://www.youtube.com/watch?v=ztoSUhbNntQ Hope you had a Good time! #HPM Wed Apr 27 18:10:06 PDT 2011doctatum @RossJeanette @doctatum will tweet #stfm starting tomorrow #hpm Wed Apr 27 18:10:14 PDT 2011mdstudent31 @RossJeanette @doctatum We will also have a gathering tomorrow there for our #FamMedChat tomorrow at this time! #STFM #hpm Wed Apr 27 18:10:17 PDT 2011ctsinclair Topic #1: Many R raving abt tablets/iPads being EMR/bedside revolution. In what ways could they be helpful for a hospice population? #hpm Wed Apr 27 18:10:25 PDT 2011AmandaChanguris Ooh, bad hair day? “@MeredithGould: <--Also, victim of humidity. #hpm” Wed Apr 27 18:11:09 PDT 2011renee_berry RT @ctsinclair: Topic #1: Many R raving abt tablets/iPads being EMR/bedside revolution. In what ways could they be helpful for a hospice population? #hpm Wed Apr 27 18:11:27 PDT 2011ctsinclair More on Topic 1: Not just straight tablet use for EMR - but what are creative ways 2 use in caring for those w/ advanced illness #hpm Wed Apr 27 18:11:33 PDT 2011erinrbreedlove T1: Perhaps, when requiring pt consent on forms, but pt has limited dexterity, "auto sign" features would give autonomy. :) #hpm Wed Apr 27 18:11:38 PDT 2011MatthewsMichele RT @ctsinclair: T1: Many R raving abt tablets/iPads being EMR/bedside revolution. How can they be helpful for a hospice population? #hpm Wed Apr 27 18:11:41 PDT 2011GailZahtz T1 Expanding just a bit beyond hospice- I had a group ask about using tablets for patients who were pre-hospice w/volunteers #HPM Wed Apr 27 18:11:45 PDT 2011 Family Medicine JournalL: pts view of Tablets in Exam Rooms = positive
  • 7. Family Medicine JournalL: pts view of Tablets in Exam Rooms = positiveKathyKastner http://hpm.md/jide5l #hpm Wed Apr 27 18:11:53 PDT 2011ctsinclair RT @erinrbreedlove: T1: Perhaps, when requiring pt consent on forms, but pt has limited dexterity, "auto sign" features give autonomy. #hpm Wed Apr 27 18:12:07 PDT 2011aliciabloom electronic medical records will improve transitions between care settings & enhance care. #hpm Wed Apr 27 18:12:34 PDT 2011JoshGriffin @MeredithGould Great to be here! #hpm Wed Apr 27 18:12:37 PDT 2011mdstudent31 T1: Skype/video chat for docs and patients/caregivers to add the sense of vision to communication between visits #hpm Wed Apr 27 18:12:50 PDT 2011inhousehospice RT @ctsinclair: T1: Many R raving abt tablets/iPads being bedside revolution. what ways could they be helpful for a hospice population? #hpm Wed Apr 27 18:12:50 PDT 2011ctsinclair @erinrbreedlove Do you know if there is legal support for electronic consent? Great idea! cc @Thaddeuspope #hpm Wed Apr 27 18:12:51 PDT 2011SheyontheBay Hospice pts Using skype to visit with distant relatives #hpm Wed Apr 27 18:12:56 PDT 2011GailZahtz T1 A big tablet EMR advantage is for a patient with multiple care-givers, or a care- giver trying to keep track of docs. #HPM Wed Apr 27 18:13:02 PDT 2011ctsinclair @GailZahtz Could be talking about those with life-threatening/limiting illness, not just hospice. #hpm Wed Apr 27 18:13:12 PDT 2011doctatum I would love to see pt symptom assessment with VAS filled out by finger touch on screen, and then that data autopopulate my notes #hpm Wed Apr 27 18:13:19 PDT 2011erinrbreedlove And really, who cant foster family togetherness at EOL with a little Angry Birds? :) #hpm Wed Apr 27 18:13:35 PDT 2011hollyby T1: Besides the obvious portability stuff for EMRs, it would be a great way to record as needed medication doses taken, symptoms, ?s #hpm Wed Apr 27 18:13:54 PDT 2011renee_berry T1 creative ways to use ipads 4those w/advanced illness- utilizing picture sharing, video & apps to connect fam members at the bedside #hpm Wed Apr 27 18:14:03 PDT 2011
  • 8. Wed Apr 27 18:14:03 PDT 2011ctsinclair @DNRstories dont forget your #hpm tag Use tweetchat since you dont have to remember Wed Apr 27 18:14:03 PDT 2011DNRstories @ctsinclair T1: iChat/Facetime with distant relatives!!! iPad 2 is perfect for this. (im an apple junkie, btw) #hpm (forgot to add #hpm Wed Apr 27 18:14:04 PDT 2011westr RT @KathyKastner: Family Medicine JournalL: pts view of Tablets in Exam Rooms = positive http://hpm.md/jide5l #hpm #pm101 Wed Apr 27 18:14:11 PDT 2011erinrbreedlove @ctsinclair @erinrbreedlove @Thaddeuspope Not sure about legalities. Will investigate. #hpm Wed Apr 27 18:14:18 PDT 2011PracticalWisdom T1: MD. Can show/educate pts by using the internet can show their med tests. MDs dont need to leave bedside to obtain info. #HPM Wed Apr 27 18:14:19 PDT 2011ctsinclair @doctatum Oh yes me too. And it would show a historical record to patient and care team #hpm Wed Apr 27 18:14:25 PDT 2011GailZahtz @ctsinclair TY this groups volunteers go into homes of critically ill elderly patients- thought tablets would be gr8 communications #HPM Wed Apr 27 18:14:25 PDT 2011RossJeanette T1videochat between hospice patient/ family and hospice personnel. rural areas? #HPM Wed Apr 27 18:14:26 PDT 2011ctsinclair RT @doctatum: pt symptom assessment with VAS filled out by finger touch on screen, and then that data autopopulate my notes #hpm Wed Apr 27 18:14:36 PDT 2011MeredithGould Anyone else worry (a bit) about tablets being like petri dishes? #hpm Wed Apr 27 18:14:45 PDT 2011hvto T1 could facilitate a faster referral 2 hospice by linking to a rep (SM savvy one) to request immediate consultation. #hpm Wed Apr 27 18:14:48 PDT 2011MatthewsMichele RT @RossJeanette: T1videochat between hospice patient/ family and hospice personnel. rural areas? #hpm Wed Apr 27 18:15:00 PDT 2011erinrbreedlove Recording via checklist would be a little risky. What if your finger slips? With typing, its easier to decipher a little typo. #hpm Wed Apr 27 18:15:03 PDT 2011
  • 9. KathyKastner +1RT @MeredithGould: Anyone else worry (a bit) about tablets being like petri dishes? #hpm Wed Apr 27 18:15:07 PDT 2011ctsinclair @PracticalWisdom I am really interested in this use of tablet as meded tool to patients and families.. Trying to pick what topics.. #hpm Wed Apr 27 18:15:07 PDT 2011JoshGriffin RT @SheyontheBay: Hospice pts Using skype to visit with distant relatives #hpm Wed Apr 27 18:15:21 PDT 2011Zimbarama first time here so just lurking #hpm Wed Apr 27 18:15:25 PDT 2011renee_berry T1 video conferencing with interdisciplinary team members #hpm Wed Apr 27 18:15:26 PDT 2011GailZahtz T1 Medication reminder and keeping track, tracking vitals, sending same information to multiple treatment team members #HPM Wed Apr 27 18:15:28 PDT 2011doctatum I also find carrying laptop into room cumbersome and distracting. Wonder if discreet tablet size would be more like old fashion chart #hpm Wed Apr 27 18:15:29 PDT 2011hollyby @MeredithGould Would need to wipe them down btwn pts like other medical equipment. #hpm Wed Apr 27 18:15:32 PDT 2011RossJeanette T1 some people cant talk could type or point to common phrases #HPM Wed Apr 27 18:15:34 PDT 2011ctsinclair @GailZahtz So the volunteers have the tablets? What about the person on the other end for communicating? #hpm Wed Apr 27 18:15:45 PDT 2011erinrbreedlove Sure, @MeredithGould. But its like anything in the hospital/medical environment. Sanitation is of utmost importants. #hpm Wed Apr 27 18:15:57 PDT 2011joshgriffin RT @renee_berry: T1 creative ways to use ipads 4those w/advanced illness- utilizing picture sharing, video & apps to connect fam members at the bedside #hpm Wed Apr 27 18:16:01 PDT 2011hollyby RT @RossJeanette: T1 some people cant talk could type or point to common phrases #hpm Wed Apr 27 18:16:12 PDT 2011MatthewsMichele @RossJeanette video chat not to replace, but in between home visits, rt? Good
  • 10. MatthewsMichele idea! #hpm Wed Apr 27 18:16:12 PDT 2011ctsinclair I know the music therapists I work with want an iPad to use Garage Band with patients to make music. #hpm Wed Apr 27 18:16:12 PDT 2011MeredithGould @hollyby Yes but WILL folks remember to wipe them down? Touch screens are skeevy. #hpm Wed Apr 27 18:16:24 PDT 2011KathyKastner #hpm T2 I am working (as we speak) on content for a mobile app to help facilitte EOL. AD etc. decisions Wed Apr 27 18:16:25 PDT 2011GailZahtz @ctsinclair Idea actually is that every patient has a tablet, and then the information gets added by the different volunteers/team #HPM Wed Apr 27 18:16:26 PDT 2011ctsinclair RT @hollyby: @MeredithGould Would need to wipe them down btwn pts like other medical equipment. "good point. iMrsa #hpm Wed Apr 27 18:16:39 PDT 2011aliciabloom art therapy, music therapy, life review activities. #hpm Wed Apr 27 18:16:43 PDT 2011DocForeman RT @ctsinclair: I know the music therapists I work with want an iPad to use Garage Band with patients to make music. #hpm Wed Apr 27 18:16:43 PDT 2011PracticalWisdom T1: patients also got understandinghow complex care, U could show tall tstudies, consults, iPad on med. rounds, a hands on Md review #HPM Wed Apr 27 18:16:44 PDT 2011SheyontheBay @ctsinclair Very cool!! #hpm Wed Apr 27 18:16:46 PDT 2011ctsinclair RT @KathyKastner: +1RT @MeredithGould: Anyone else worry (a bit) about tablets being like petri dishes? #hpm Wed Apr 27 18:16:55 PDT 2011PracticalWisdom RT @KathyKastner: #hpm T2 I am working (as we speak) on content for a mobile app to help facilitte EOL. AD etc. decisions #HPM Wed Apr 27 18:16:55 PDT 2011erinrbreedlove Ive seen the iPad specifically be a very vital tool for children with special needs who are nonverbal. Alz/dementia, too? #hpm Wed Apr 27 18:17:02 PDT 2011DNRstories #hpm T1: tablets have so many uses at bedside. Photos of "trach", med diagrams, visual cues to help MDs explain interventions Wed Apr 27 18:17:14 PDT 2011
  • 11. ctsinclair @GailZahtz Would giving every patient a tablet/computer anything be considered inducement? I guess not if they were taken back #hpm Wed Apr 27 18:17:21 PDT 2011PracticalWisdom @ctsinclair @hollyby @MeredithGould: Easy to clean. Alcohol based wipes. #HPM Wed Apr 27 18:17:24 PDT 2011renee_berry T1 I get concerned about these new tools being a distraction (like many other things) from being present w/the patient & family #hpm Wed Apr 27 18:17:40 PDT 2011hollyby It would be really useful if there was an app that beeped when it is med time & had pics of the meds they are supposed to take #hpm Wed Apr 27 18:17:43 PDT 2011SheyontheBay Gotta "read" the pt - some put off by technology, see as barrier #hpm Wed Apr 27 18:17:44 PDT 2011MeredithGould T1 Looking at all these reasons for using tablets but not seeing how theyre different/better than smartphones or notebook computers #hpm Wed Apr 27 18:17:47 PDT 2011erinrbreedlove Could allow us a window into true thought processes of terminally ill patients. Valuable and vital to effective care. #hpm Wed Apr 27 18:17:51 PDT 2011ctsinclair @erinrbreedlove Great thoughts of finding similarities between peds patients attention needs and #dementia Something to keep engaged. #hpm Wed Apr 27 18:17:58 PDT 2011hvto @ctsinclair T1 - Would love to see patients using ipad to create their legacy of memories and wishes through journaling #hpm Wed Apr 27 18:18:03 PDT 2011PracticalWisdom Yes, G8Story NCRT @erinrbreedlove: Ive seen iPad specifically be a very vital tool Kids special needs nonnonverbal. Alz/dementia, too? #HPM Wed Apr 27 18:18:11 PDT 2011MatthewsMichele @erinrbreedlove Im no doc, but i would say depends on what stage they are in their illness re: Alz, dementia patients. #hpm Wed Apr 27 18:18:13 PDT 2011MeredithGould RT @SheyontheBay: Gotta "read" the pt - some put off by technology, see as barrier #hpm Wed Apr 27 18:18:18 PDT 2011RossJeanette T1 I guess you would have to give the tablet back like u do w hospital beds #HPM Wed Apr 27 18:18:24 PDT 2011DNRstories RT @PracticalWisdom: @ctsinclair @hollyby @MeredithGould: Easy to clean.
  • 12. DNRstories Alcohol based wipes. #HPM Wed Apr 27 18:18:24 PDT 2011PracticalWisdom RT @erinrbreedlove: Could allow uswindow into true thought processes terminally ill patients. Valuable and vital to effective care. #HPM Wed Apr 27 18:18:26 PDT 2011ctsinclair @PracticalWisdom Are you supposed to use alcohol wipes on iPads? I thought they had an oleophillic coating, and you had 2b particular? #hpm Wed Apr 27 18:18:31 PDT 2011PracticalWisdom RT @hvto: @ctsinclair T1 - Would love to see patients using ipad to create their legacy of memories and wishes through journaling #HPM Wed Apr 27 18:18:37 PDT 2011Zimbarama @MeredithGould @SheyontheBay totally agree sometimes technology is seen as impersonal maybe? #hpm Wed Apr 27 18:18:52 PDT 2011westr Disinfectable. RT @KathyKastner: +1RT @MeredithGould: Anyone else worry (a bit) about tablets being like petri dishes? #hpm Wed Apr 27 18:18:57 PDT 2011KathyKastner TY lisa :)RT @PracticalWisdom: RT @KathyKastner: #hpm T2 I am working (as we speak) on content for a mobile ap… (cont) http://deck.ly/~qwRHy Wed Apr 27 18:18:59 PDT 2011GailZahtz @ctsinclair Theoretically tablet could be a lease like other medical equipment (e.g. beds) at home. But think its participatory care! #HPM Wed Apr 27 18:19:04 PDT 2011ctsinclair @erinrbreedlove tablets as communication tools very good idea. #hpm Wed Apr 27 18:19:07 PDT 2011PracticalWisdom Choice Diff. Strokes Diff. Folks RT @MeredithGould: RT @SheyontheBay: Gotta "read" the pt - some put off by technology, see as barrier #HPM Wed Apr 27 18:19:09 PDT 2011RiversidePD RT @erinrbreedlove: Ive seen the iPad specifically be a very vital tool for children with special needs who are nonverbal. Alz/dementia, too? #hpm Wed Apr 27 18:19:23 PDT 2011cathycongo RT @ctsinclair: I know the music therapists I work with want an iPad to use Garage Band with patients to make music. #hpm Wed Apr 27 18:19:28 PDT 2011hvto T1 preloaded with links to sites like Caring Bridge; great for patient/caregivers to share their journey #hpm Wed Apr 27 18:19:28 PDT 2011ctsinclair RT @aliciabloom: art therapy, music therapy, life review activities. #hpm Wed Apr 27 18:19:35 PDT 2011
  • 13. KathyKastner RT @PracticalWisdom: RT @hvto: @ctsinclair T1 - Would love to see patients using ipad to create their legacy of memories and wishes through journaling #HPM Wed Apr 27 18:19:40 PDT 2011erinrbreedlove RE: Cleaning: I use a specific cleaner that Apple markets for MBP, iPad, and iPhone screens. #hpm Wed Apr 27 18:19:48 PDT 2011renee_berry RT @PracticalWisdom: RT @hvto: @ctsinclair T1 - Would love to see patients using ipad to create their legacy of memories and wishes through journaling #HPM Wed Apr 27 18:19:49 PDT 2011PracticalWisdom Not problem lit saidRT @westr: Disinfectable. RT @KathyKastner: +1RT @MeredithGould: Anyone worry tablets being like petri dishes? #HPM Wed Apr 27 18:19:54 PDT 2011joshgriffin @ctsinclair Ive also heard of therapists using the drum apps for dexterity work. #hpm Wed Apr 27 18:19:54 PDT 2011GailZahtz @hollyby There is an app for that, and also one that gives the name and cross- med from pics of the pill #HPM Wed Apr 27 18:19:58 PDT 2011hollyby Also... an app that notified the hospice team if the pt. recorded more than 6 doses of as needed pain meds in a day. #hpm Wed Apr 27 18:20:07 PDT 2011joshgriffin RT @GailZahtz: @ctsinclair Idea actually is that every patient has a tablet, and then the information gets added by the different volunteers/team #HPM Wed Apr 27 18:20:13 PDT 2011ctsinclair @Zimbarama My concern as well. If the tablet acts as an amplifier for good interaction or a distraction. #ShinyNewObjectSyndrome #hpm Wed Apr 27 18:20:16 PDT 2011SheyontheBay RT @ctsinclair: Are you supposed to use alcohol wipes on iPads? I thought they had an oleophillic coating, and you had 2b particular? #hpm Wed Apr 27 18:20:34 PDT 2011renee_berry RT @SheyontheBay: Gotta "read" the pt - some put off by technology, see as barrier #hpm Wed Apr 27 18:20:34 PDT 2011ctsinclair RT @hollyby: app that notified the hospice team if the pt. recorded more than 6 doses of as needed pain meds in a day. "like" #hpm Wed Apr 27 18:20:44 PDT 2011hollyby @GailZahtz Really? What is it called? #hpm Wed Apr 27 18:20:47 PDT 2011
  • 14. MeredithGould And who gives every patient a tablet? The healthcare organization? Who pays for that? #hpm Wed Apr 27 18:20:53 PDT 2011KathyKastner RT @renee_berry: RT @SheyontheBay: Gotta "read" the pt - some put off by technology, see as barrier #hpm Wed Apr 27 18:20:55 PDT 2011MatthewsMichele RT @Zimbarama My concern as well. If the tablet acts as an amplifier for good interaction or a distraction. #ShinyNewObjectSyndrome #hpm Wed Apr 27 18:21:05 PDT 2011ctsinclair RT @hvto: T1 preloaded with links to sites like Caring Bridge; great for patient/caregivers to share their journey #hpm Wed Apr 27 18:21:05 PDT 2011GailZahtz RT @hvto: T1 preloaded with links to sites Caring Bridge; great patient/caregivers to share journey #hpm <-Yes, pre-loaded not overloaded Wed Apr 27 18:21:13 PDT 2011renee_berry RT @ctsinclair: @Zimbarama My concern as well. If the tablet acts as an amplifier for good interaction or a distraction #hpm Wed Apr 27 18:21:14 PDT 2011Zimbarama @ctsinclair agreed, and maybe a false sense of emotion through technology... also what happens when they go home? #hpm Wed Apr 27 18:21:14 PDT 2011DNRstories T1 #hpm I have ipad and use with pts a lot, find they love it and appreciate the visuals. Having access to Xrays on ipad would be so useful Wed Apr 27 18:21:24 PDT 2011JoshGriffin @ctsinclair @gailzahtz Or could have a nominal fee like the TVs. #hpm Wed Apr 27 18:21:25 PDT 2011Zimbarama @MeredithGould agree, thats not feasible i dont think... #hpm Wed Apr 27 18:21:35 PDT 2011KathyKastner RT @DNRstories: T1 #hpm I have ipad and use with pts a lot, find they love it and appreciate the visuals. Having access to Xrays on ipa ... Wed Apr 27 18:21:37 PDT 2011GailZahtz RT @hollyby: @GailZahtz Really? What is it called? #hpm <-Ill get you the names of the different ones and the links Wed Apr 27 18:21:52 PDT 2011ctsinclair RT @MeredithGould Who pays for the tablet? "The ever elusive grant funding I hear that animal is going extinct!" #hpm Wed Apr 27 18:21:57 PDT 2011
  • 15. hvto ALS Society often provides keyboards for pts when verbal communication is affected. Wonder why they dont transition to ipad? #hpm Wed Apr 27 18:21:58 PDT 2011erinrbreedlove Blog readers child using iPad to communicate. CP/nonverbal/3 years old. Now spelling http://www.youtube.com/watch?v=TYRztzNizLE #hpm Wed Apr 27 18:21:59 PDT 2011SheyontheBay @hollyby dont like that app - minimizes face-to-face interaction/assessment/touch #hpm Wed Apr 27 18:22:04 PDT 2011MeredithGould The ipad is just another *tool* for communication that needs to be used wisely & well. #hpm Wed Apr 27 18:22:43 PDT 2011Zimbarama we have to remember that even through the use of technology nothing beats the personal touch #hpm Wed Apr 27 18:22:52 PDT 2011PracticalWisdom T1: Doc get info and dont have to leave Pt in Bed. Can get from web and show pts their medical information/Tests. EAsy to carry #HPM Wed Apr 27 18:22:54 PDT 2011DNRstories #hpm Tablets should/could be similar to the video games and toys that are common place in childrens hospitals. Lifts spirits.T1 Wed Apr 27 18:22:58 PDT 2011ctsinclair @GailZahtz I think tablets for patients would have to be carefully constructed benefit, so it doesnt look like an enticement. #HPM Wed Apr 27 18:22:59 PDT 2011KathyKastner #hpm 1,800 ipads are going to hospital in Ottawa http://tinyurl.com/3jpamwr Wed Apr 27 18:23:02 PDT 2011hollyby @SheyontheBay Not a replacement for care, just a warning in case the patients are not ones that call in between visits. #hpm Wed Apr 27 18:23:07 PDT 2011inhousehospice RT @MeredithGould: The ipad is just another *tool* for communication that needs to be used wisely & well. #hpm Wed Apr 27 18:23:10 PDT 2011MatthewsMichele Clinicians how do you go abt developing a balance between tech and traditional care? shouldnt there be one? #hpm Wed Apr 27 18:23:19 PDT 2011hvto RT @ctsinclair: RT @MeredithGould Who pays for the tablet? Gotta show the cost savings compared to traditional methods. #hpm Wed Apr 27 18:23:22 PDT 2011KathyKastner Amen RT @inhousehospice: RT @MeredithGould: The ipad is just another *tool* for communication that needs to be used wisely & well. #hpm
  • 16. for communication that needs to be used wisely & well. #hpm Wed Apr 27 18:23:27 PDT 2011MatthewsMichele RT @hollyby: @SheyontheBay Not a replacement for care, just a warning in case the patients are not ones that call in between visits. #hpm Wed Apr 27 18:23:32 PDT 2011ctsinclair Have seen peds patients use iPad to work on dexterity #hpm Wed Apr 27 18:23:35 PDT 2011renee_berry RT @Zimbarama: we have to remember that even through the use of technology nothing beats the personal touch #hpm Wed Apr 27 18:23:55 PDT 2011MeredithGould @ctsinclair Yeah, like: come die with us and YOU can use a spankin new ipad as you leave Earth Duty. #hpm Wed Apr 27 18:23:57 PDT 2011JoshGriffin @GailZahtz @hollyby I could use that list as well. #hpm Wed Apr 27 18:24:14 PDT 2011ctsinclair @MatthewsMichele never have felt comfortable documenting on laptop in with patient or family in hospice. Makes for long days charting #hpm Wed Apr 27 18:24:16 PDT 2011erinrbreedlove Keep in mind, folks. iPads are great, but they dont replace the values of human contact and engaging relationships. #hpm Wed Apr 27 18:24:25 PDT 2011renee_berry RT @MatthewsMichele: Clinicians how do you go abt developing a balance between tech and traditional care? shouldnt there be one? #hpm Wed Apr 27 18:24:26 PDT 2011hvto RT @renee_berry: RT @Zimbarama: we have to remember that even through the use of technology nothing beats the personal touch #hpm Wed Apr 27 18:24:26 PDT 2011PracticalWisdom @inhousehospice @MeredithGould: Unless it took away eye to eye contact/Listening how could it be used poorly? #HPM Wed Apr 27 18:24:28 PDT 2011GailZahtz @ctsinclair Enticement for what? #HPM Wed Apr 27 18:24:36 PDT 2011hollyby @SheyontheBay Also, PRN medication record may be more reliable on the iPad if pts like it. Can help us titrate meds more accurately #hpm Wed Apr 27 18:24:41 PDT 2011SheyontheBay @MatthewsMichele @hollyby @SheyontheBay if pts need 6 rescue doses/day, need mre frequent visits #hpm Wed Apr 27 18:24:47 PDT 2011
  • 17. if technology can enhance the care we provide to our patients, then im all foraliciabloom it....but, it should never be a substitute. #hpm Wed Apr 27 18:24:47 PDT 2011ctsinclair @MeredithGould Exactly! Have to make sure the tablet is returned especially with #hospice short stay being more the rule. #hpm Wed Apr 27 18:24:59 PDT 2011westr RT @mdstudent31: T1 Skype/video chat for docs & patients/caregivers to add the sense of vision to communication between visits #hpm #pm101 Wed Apr 27 18:25:04 PDT 2011MeredithGould @KathyKastner Thanks for that RT, I get crazed when technological tools (hardware & software) are treated like the Holy Grail. #hpm Wed Apr 27 18:25:09 PDT 2011MatthewsMichele RT @erinrbreedlove: Keep in mind, folks. iPads are great, but they dont replace the values of human contact and engaging relationships. #hpm Wed Apr 27 18:25:11 PDT 2011ctsinclair RT @aliciabloom: if technology can enhance the care we provide to our patients, then im all for it but should never be a substitute. #hpm Wed Apr 27 18:25:12 PDT 2011ctsinclair Getting ready for Topic #2..final thoughts on T1? #hpm Wed Apr 27 18:25:24 PDT 2011renee_berry RT @aliciabloom: if technology can enhance the care we provide to our patients, then im all for it....but, it should never be a substitute. #hpm Wed Apr 27 18:25:45 PDT 2011aliciabloom @ctsinclair iPads for all of us! #hpm Wed Apr 27 18:25:51 PDT 2011DNRstories @MeredithGould @ctsinclair #hpm But tablets/ipads can benefit ALL patients, not just dying ones. Just like TVs in rooms. Wed Apr 27 18:25:58 PDT 2011MeredithGould @ctsinclair Oh, like: we will not release your loved ones body until you return the iPad. (Id love to be the writer for that info!) #hpm Wed Apr 27 18:26:10 PDT 2011hollyby Tech is no substitute for hands-on care, but can enhance care if used to its full potential #hpm Wed Apr 27 18:26:14 PDT 2011erinrbreedlove As someone with a physical disability, the iPad has changed my world. Never carry laptop to class. iPhone has made it all EASIER. #hpm Wed Apr 27 18:26:21 PDT 2011PracticalWisdom @ctsinclair: Still not clear how it could be a substitute> #HPM Wed Apr 27 18:26:24 PDT 2011
  • 18. renee_berry @DNRstories @MeredithGould @ctsinclair has potential to benefit all patients, but I dont know if Id say all.. #hpm Wed Apr 27 18:26:46 PDT 2011SheyontheBay RT @MeredithGould: @ctsinclair Yeah, like: come die with us and YOU can use a spankin new ipad as you leave Earth Duty..OYE MEredith!! #hpm Wed Apr 27 18:26:50 PDT 2011PracticalWisdom Agree. RT @hollyby: Tech is no substitute for hands-on care, but can enhance care if used to its full potential #HPM Wed Apr 27 18:26:50 PDT 2011hollyby Exactly! RT @SheyontheBay: @MatthewsMichele @hollyby if pts need 6 rescue doses/day, need mre frequent visits #hpm Wed Apr 27 18:27:01 PDT 2011renee_berry RT @DNRstories: #hpm Tablets should/could be similar to the video games and toys that are common place in childrens hospitals. Lifts spirits.T1 Wed Apr 27 18:27:05 PDT 2011DNRstories RT @renee_berry: @DNRstories @MeredithGould @ctsinclair has potential to benefit all patients, but I dont know if Id say all.. #hpm Wed Apr 27 18:27:07 PDT 2011ctsinclair Topic #2: @ModernHealthcr just announced 2011 nomination process for top influencers for healthcare. What role will social media play? #hpm Wed Apr 27 18:27:17 PDT 2011MeredithGould @SheyontheBay ;-) #hpm Wed Apr 27 18:27:31 PDT 2011GailZahtz I truly believe that technology should be a tool to allow more time for physicians to do what only they can do with patients #HPM Wed Apr 27 18:27:34 PDT 2011renee_berry RT @ctsinclair: Topic #2: @ModernHealthcr just announced 2011 nomination process for top influencers for healthcare. What role will social media play? #hpm Wed Apr 27 18:27:41 PDT 2011Cure_MTM Having lost a beloved aunt a long time ago, 1 of the things I treasure r notes she wrote, in her own handwriting, during final days. #hpm Wed Apr 27 18:27:46 PDT 2011doctatum RT @hollyby: Tech is no substitute for hands-on care, but can enhance care if used to its full potential #hpm Wed Apr 27 18:27:47 PDT 2011MeredithGould T2 Are they looking for people or things as nominations? #hpm Wed Apr 27 18:28:03 PDT 2011
  • 19. ctsinclair Topic 2a) Here is the link to the nomination process for @modernhealthcr http://hpm.md/l5Qojt via @ssmithaahpm #hpm Wed Apr 27 18:28:15 PDT 2011PracticalWisdom T1: If technology like IPad is used to share Pt information/education with ease then seems like its all "good" along with Soft skills #HPM Wed Apr 27 18:28:16 PDT 2011PracticalWisdom RT @GailZahtz: I truly believe technology should be a tool to allow more time for physicians to do what only they can do with patients #HPM Wed Apr 27 18:28:26 PDT 2011inhousehospice RT @ctsinclair: T2: @ModernHealthcr announced 2011 nomination process for top influencers for healthcare. What role will soc med play? #hpm Wed Apr 27 18:28:29 PDT 2011Cure_MTM iPads, etc can be good substitute for those that cant otherwise manage. #hpm Wed Apr 27 18:28:36 PDT 2011ctsinclair T2: this isnt just about #hospice per se, more a general social media question. #hpm Wed Apr 27 18:28:47 PDT 2011erinrbreedlove T2: IMHO, social media wont play any role until we fully understand how it is capable of revolutionizing pt care. And were not close. #hpm Wed Apr 27 18:28:52 PDT 2011renee_berry T2 My question addendum Im interested in groups thoughts what role should it play? & should nominees be active on social media? #hpm Wed Apr 27 18:28:54 PDT 2011ctsinclair @MeredithGould People I believe. #hpm Wed Apr 27 18:29:01 PDT 2011PracticalWisdom Agree! RT @doctatum: RT @hollyby: Tech is no substitute for hands-on care, but can enhance care if used to its full potential #HPM Wed Apr 27 18:29:04 PDT 2011renee_berry RT @ctsinclair: Topic #2: @ModernHealthcr just announced 2011 nomination process for top influencers for healthcare. What role will social media play? #hpm Wed Apr 27 18:29:11 PDT 2011KathyKastner RT @renee_berry: T2 My question addendum Im interested in groups thoughts what role should it play? & should nominees be active on social media? #hpm Wed Apr 27 18:29:13 PDT 2011MeredithGould T2 Theyre looking for people and, quite frankly (am I a crank tonight or what?) I think these types of beauty contests are absurd #hpm Wed Apr 27 18:29:15 PDT 2011hollyby T2: Can boost votes from a particular field. Ahem, like #hpm
  • 20. hollyby T2: Can boost votes from a particular field. Ahem, like #hpm Wed Apr 27 18:29:18 PDT 2011MatthewsMichele T2: People have been tweeting about it for a few days...not sure its the best use of #socialmedia advocacy though...just my feeling #hpm Wed Apr 27 18:29:24 PDT 2011Zimbarama @GailZahtz I think thats the key point technology is a "Tool" it shouldnt be the the main focus in any healthsystem #hpm #hpm Wed Apr 27 18:29:30 PDT 2011PracticalWisdom RT @Zimbarama: @GailZahtz I think thats the key point technology is a "Tool" it shouldnt not be the the main focus in any healthsystem #HPM Wed Apr 27 18:29:34 PDT 2011Zimbarama @MeredithGould its always good to be a devils advocate :-) #hpm Wed Apr 27 18:29:59 PDT 2011ctsinclair RT @hollyby: T2: Can boost votes from a particular field. Ahem, like #hpm "that is one thought for sure, but will others do the same?" #hpm Wed Apr 27 18:30:00 PDT 2011erinrbreedlove @MeredithGould Agree totally re: beauty contest. Its not all about the package. #hpm Wed Apr 27 18:30:03 PDT 2011joshgriffin T2: I think it will begin to play a small role but it should play a role. Influencing takes place on SM and its valid consideration #hpm Wed Apr 27 18:30:05 PDT 2011renee_berry yes! RT @hollyby T2: Can boost votes from a particular field. Ahem, like #hpm Wed Apr 27 18:30:09 PDT 2011MeredithGould And I say that as someone who has been paid to write nomination puffery-blather for similar healthcare industry pubs. #hpm Wed Apr 27 18:30:12 PDT 2011joshgriffin T2: It shouldnt be the only consideration, however. #hpm Wed Apr 27 18:30:19 PDT 2011MeredithGould @Zimbarama I think of myself as an angelic devils advocate. #hpm Wed Apr 27 18:30:30 PDT 2011renee_berry RT @MatthewsMichele: T2: People have been tweeting about it for a few days...not sure its the best use of #socialmedia advocacy though...just my feeling #hpm Wed Apr 27 18:30:32 PDT 2011PracticalWisdom @Zimbarama @GailZahtz: T1: SoMe like a knife if you know how to use G8 Tool If you dont it will cut you. #HPM Wed Apr 27 18:30:34 PDT 2011
  • 21. @renee_berry Right! If you are influential in healthcare should you also at least bectsinclair playing in the social media pool? #hpm Wed Apr 27 18:30:39 PDT 2011GailZahtz A MRI doesnt substitute for one-on-one care, it enables better care- any technology should be the same. #HPM @PracticalWisdom @Zimbarama Wed Apr 27 18:30:46 PDT 2011PracticalWisdom RT @MeredithGould: And I say as someone who has been paid to write nomination puffery-blather for similar healthcare industry pubs. #HPM Wed Apr 27 18:31:07 PDT 2011MeredithGould RT @ctsinclair: If you are influential in healthcare should you also at least be playing in the social media pool?<--Agree!! #hpm Wed Apr 27 18:31:15 PDT 2011Zimbarama @PracticalWisdom Great analogy! like a master chef then we need ot ensure we use the tech correctly #hpm Wed Apr 27 18:31:29 PDT 2011renee_berry @MatthewsMichele I disagree because I think #palliative care should be more recognized, so if we vote&use social media = advocacy to me #hpm Wed Apr 27 18:31:32 PDT 2011ctsinclair @MeredithGould I agree this has a bit of a beauty contest feel to it. But isnt the public pretty superficial digesting info anyway? #hpm Wed Apr 27 18:31:34 PDT 2011Zimbarama @MeredithGould the best kind :-) #hpm Wed Apr 27 18:31:40 PDT 2011GailZahtz RT @ctsinclair: Topic 2a) Here is the link to the nomination process for @modernhealthcr http://hpm.md/l5Qojt via @ssmithaahpm #hpm Wed Apr 27 18:31:45 PDT 2011PracticalWisdom Nice!RT @GailZahtz: MRI doesnt sub.4 one-on-one care, enables better care any tech should be the same. #HPM @PracticalWisdom @Zimbarama #HPM Wed Apr 27 18:31:54 PDT 2011erinrbreedlove So, @ctsinclair, who ARE the influential folks in healthcare? Me as a patient, you as a doctor? Who? Thats why these things are bad. #hpm Wed Apr 27 18:31:54 PDT 2011renee_berry RT @ctsinclair: @renee_berry Right! If you are influential in healthcare should you also at least be playing in the social media pool? #hpm Wed Apr 27 18:31:58 PDT 2011hvto RT @ctsinclair: @renee_berry If u r influential n healthcare should u also be playing n the social media pool? Not the DEEP end! #hpm Wed Apr 27 18:32:04 PDT 2011MeredithGould @ctsinclair Why should we waste valuable time & energy that could be spent in other ways on this stuff? #hpm
  • 22. other ways on this stuff? #hpm Wed Apr 27 18:32:10 PDT 2011ctsinclair @MeredithGould RE: public information consumption pattern - Look at picture first, then headline..move along. #hpm Wed Apr 27 18:32:11 PDT 2011joshgriffin @ctsinclair @MeredithGould Id say so. #hpm Wed Apr 27 18:32:17 PDT 2011MatthewsMichele @joshgriffin Its all online voting so what else were you thinking should factor into it? #hpm Wed Apr 27 18:32:18 PDT 2011PracticalWisdom RT @Zimbarama: @PracticalWisdom Great analogy! like a master chef then we need ot ensure we use the tech correctly #HPM Wed Apr 27 18:32:23 PDT 2011DNRstories RT @GailZahtz: A MRI doesnt substitute for one-on-one care, it enables better care- any technology should be the same. #HPM @PracticalWisdom @Zimbarama Wed Apr 27 18:32:26 PDT 2011Zimbarama @GailZahtz I agree with that, bt still tech shouldnt be the focus it should be a tool to enable better care, if it doesnt then bin it #hpm Wed Apr 27 18:32:35 PDT 2011renee_berry I tend to think leaders in #healthcare should participate in social media to help increase public access to quality info online #hpm Wed Apr 27 18:32:36 PDT 2011ctsinclair @erinrbreedlove I would love to see patient advocates be promoted in something like this, but will likely be industry types #hpm Wed Apr 27 18:32:40 PDT 2011hollyby Lets win that beauty contest! Who are we nominating? :) RT @MeredithGould: T2 ... I think these types of beauty contests are absurd #hpm Wed Apr 27 18:32:50 PDT 2011aliciabloom part of being influential is being able to reach people to educate them. social media is a key component of this. #hpm Wed Apr 27 18:33:05 PDT 2011MeredithGould Spend time flogging names for an industry pub contest OR enhance information about HPM. Hmmm...choice? #hpm Wed Apr 27 18:33:19 PDT 2011techguy @MeredithGould I love beauty contests, when they include beauty and not puffery- blather. #hpm Wed Apr 27 18:33:20 PDT 2011renee_berry (and I know Im biased) but I do think that social media has become a key indicator in reach, influence & community building #relevant #hpm Wed Apr 27 18:33:38 PDT 2011
  • 23. ctsinclair @MeredithGould I agree there shouldnt be strong efforts, but I find these contests interesting. They keep doing it for some reason. #hpm Wed Apr 27 18:33:48 PDT 2011joshgriffin @MatthewsMichele Just because the voting is all online doesnt mean all influencing need be. Other factors: reg media, conference pres #hpm Wed Apr 27 18:33:50 PDT 2011DNRstories T2: The word influential is very subjective. #hpm. Not sure what it means. Same with the Time100. Wed Apr 27 18:33:56 PDT 2011PracticalWisdom T2: When I looked at this Nominating I had real concerns because there are so many leaders within this field. Some write, some advocate #HPM Wed Apr 27 18:34:04 PDT 2011KathyKastner RT @DNRstories: T2: The word influential is very subjective. #hpm. Not sure what it means. Same with the Time100. Wed Apr 27 18:34:25 PDT 2011JoshGriffin @MatthewsMichele Community presentations, etc. They are all valid ways to influence, reach and build community. #hpm Wed Apr 27 18:34:29 PDT 2011ctsinclair T2: Do they do this b/c everyone likes lists? No one reads Why I like dogs" but everyone reads, shares "Top 4 reasons I like dogs" #hpm Wed Apr 27 18:34:34 PDT 2011renee_berry @techguy @MeredithGould #funfact about rfb - I did a beauty pageant in college, was the only non- bikini model contestant :) #justme #hpm Wed Apr 27 18:34:39 PDT 2011MatthewsMichele @joshgriffin I think its natural that it would be a big part of it. #hpm Wed Apr 27 18:34:40 PDT 2011MeredithGould Please name one healthcare industry publication sponsored contest that isnt a means to driving ad revenue. #hpm Wed Apr 27 18:34:42 PDT 2011hollyby It depends on how much the public pays attention to a particular "beauty contest" to decide if it is worth our time. Raise awareness. #hpm Wed Apr 27 18:34:43 PDT 2011PracticalWisdom RT @Zimbarama: @GailZahtz I agree bt still tech shouldnt b focus it should be a tool to enable better care, if it doesnt then bin it #HPM Wed Apr 27 18:34:48 PDT 2011GailZahtz T2 Everyone says that they dont hold by a magazines "Top Docs" but its always on the walls and resumes of winners :)) #HPM Wed Apr 27 18:35:00 PDT 2011PracticalWisdom Yes!RT @joshgriffin: @MatthewsMichele Community presentations, etc. They are
  • 24. PracticalWisdom Yes!RT @joshgriffin: @MatthewsMichele Community presentations, etc. They are all valid ways to influence, reach and build community. #HPM Wed Apr 27 18:35:11 PDT 2011ctsinclair RT @MeredithGould: Spend time flogging names for an industry pub contest OR enhance information abt HPM. Hmmm...choice?Fish/cut bait #hpm Wed Apr 27 18:35:11 PDT 2011MeredithGould @renee_berry Did you win...a bathing suit? #hpm Wed Apr 27 18:35:15 PDT 2011renee_berry RT @MeredithGould: Please name one healthcare industry publication sponsored contest that isnt a means to driving ad revenue. #hpm Wed Apr 27 18:35:29 PDT 2011joshgriffin @MatthewsMichele It doesnt mean it isnt. I just think it should be a wholistic approach rather than just SM driven. #hpm Wed Apr 27 18:35:36 PDT 2011MatthewsMichele RT @hollyby: It depends on how much the public pays attention to a particular "beauty contest" to decide if it is worth our time. Raise awareness. #hpm Wed Apr 27 18:35:38 PDT 2011hollyby Gotta run. HPM hugs to all! #hpm Wed Apr 27 18:35:42 PDT 2011GailZahtz If any tool is not enabling better care, it isnt a tool at all and should get trashed! #HPM @Zimbarama @PracticalWisdom @DNRstories Wed Apr 27 18:35:43 PDT 2011PracticalWisdom RT @hollyby: depends on how much pub. pays attention 2 a particular "beauty contest" 2 decide if it is worth our time. Raise awareness. #HPM Wed Apr 27 18:35:55 PDT 2011MeredithGould @GailZahtz Great "Nurse Jackie" episode about the young self-absorbed doc getting on a Top Doc list. #hpm Wed Apr 27 18:35:56 PDT 2011DNRstories @ctsinclair I read your tweet and thought "ooh, what ARE the top 4 reasons you like dogs?" Lists ARE very effective apparently! :) #hpm Wed Apr 27 18:36:02 PDT 2011ctsinclair @MeredithGould It is funny to read your cynical tweets that are spot on, but you have a smiling avatar. Cognitively dissonant #hpm Wed Apr 27 18:36:02 PDT 2011JoshGriffin @hollyby Have a blessed night Holly! #hpm Wed Apr 27 18:36:25 PDT 2011ctsinclair @renee_berry Wow, I learn new things every tweetchat! #hpm Wed Apr 27 18:36:27 PDT 2011
  • 25. renee_berry I got runner-up & a job offer at the local pub :) I wore a speedo RT @MeredithGould @renee_berry Did you win...a bathing suit? #hpm Wed Apr 27 18:36:37 PDT 2011GailZahtz @MeredithGould Let me know the Nurse Jackie episode and Ill Netflix or Amazon or otherwise demand to see it :)) #HPM Wed Apr 27 18:36:50 PDT 2011PracticalWisdom T2: Im very clear though when I see folks even mention please vote/please vote for me I"m very turned off. #HPM Wed Apr 27 18:36:50 PDT 2011techguy @MeredithGould By their very nature, a contest means you want publicity. There are some giveaways that are just that. #hpm Wed Apr 27 18:36:58 PDT 2011ctsinclair @DNRstories Exactly! I saw something that said using numebrs other than 5 or 10 are effective. Top 6 reasons stands out more. #hpm Wed Apr 27 18:37:04 PDT 2011MeredithGould @ctsinclair I dont think of myself as cynical but rather as a insightful sociologist & culture critic...who smiles! #hpm Wed Apr 27 18:37:04 PDT 2011MeredithGould @GailZahtz Think it was the 2nd season? #hpm Wed Apr 27 18:37:35 PDT 2011PracticalWisdom T2: I think SoMe gives us a great view into the valid work many folks do in a manner that is humble and valuable. #HPM Wed Apr 27 18:37:39 PDT 2011GailZahtz @techguy Everyone wants publicity, its just some people are willing to work for it more than others :))) #HPM Wed Apr 27 18:37:39 PDT 2011ctsinclair @MeredithGould Maybe cynical wasnt the write word to use with a righter ;-) #hpm Wed Apr 27 18:37:44 PDT 2011hvto Maybe we should start our own "most influential" list - no sponsored ads allowed. #hpm Wed Apr 27 18:37:46 PDT 2011GailZahtz RT @MeredithGould: @GailZahtz Think it was the 2nd season? #HPM <-On it! Wed Apr 27 18:38:08 PDT 2011PracticalWisdom Some are shyRT @GailZahtz: @techguy Everyone wants publicity, its just some people are willing to work for it more than others :))) #HPM Wed Apr 27 18:38:12 PDT 2011MatthewsMichele @renee_berry The Big Impact Tournament is devoid of any mention of #palliative
  • 26. MatthewsMichele @renee_berry The Big Impact Tournament is devoid of any mention of #palliative care as discipline...pits #hospice against pt. safety #hpm Wed Apr 27 18:38:28 PDT 2011GailZahtz RT @hvto: Maybe we should start our own "most influential" list - no sponsored ads allowed. #hpm <-And just nominate each other? LOL Wed Apr 27 18:38:29 PDT 2011Zimbarama @ctsinclair @DNRstories a random number it stands out more,and this is can be used else where eg setting up a meeting make it 10:03 #hpm Wed Apr 27 18:38:30 PDT 2011ctsinclair @hvto Not a bad idea! #hpm Wed Apr 27 18:38:32 PDT 2011renee_berry RT @PracticalWisdom: T2: I think SoMe gives us a great view into the valid work many folks do in a manner that is humble and valuable. #HPM Wed Apr 27 18:38:35 PDT 2011MeredithGould @ctsinclair ;-) #hpm Wed Apr 27 18:38:50 PDT 2011DNRstories @ctsinclair I see! So what ARE the top 6 reasons? I dont even care what the reasons are for! :) #hpm Wed Apr 27 18:38:58 PDT 2011renee_berry dinner /the grandparents, got to go everyone!! so fun to participate!! -rb signing off #hpm Wed Apr 27 18:38:59 PDT 2011Zimbarama RT @PracticalWisdom: T2: I think SoMe gives us a great view into the valid work many folks do in a manner that is humble and valuable. #hpm Wed Apr 27 18:39:05 PDT 2011ctsinclair @Zimbarama @DNRstories I guess when you use a random number for a purpose it doesnt become random. Hmmmm #hpm Wed Apr 27 18:39:10 PDT 2011JoshGriffin @renee_berry Have a great dinner Renee! #hpm Wed Apr 27 18:39:28 PDT 2011renee_berry @MatthewsMichele annoying #hpm Wed Apr 27 18:39:31 PDT 2011ctsinclair Getting ready for Topic 3 soon... #hpm Wed Apr 27 18:39:43 PDT 2011renee_berry RT @MatthewsMichele: @renee_berry The Big Impact Tournament is devoid of any mention of #palliative care as discipline...pits #hospice against pt. safety #hpm Wed Apr 27 18:39:52 PDT 2011
  • 27. Zimbarama @ctsinclair @DNRstories haha true true i should have said a non-convential number out of the morm #hpm Wed Apr 27 18:39:58 PDT 2011MatthewsMichele RT @joshgriffin: @renee_berry Have a great dinner Renee! #hpm Wed Apr 27 18:40:01 PDT 2011PracticalWisdom T2: Im not sure this is considered good form but I try to link us to other health care chats/tweets to bring education/understanding #HPM Wed Apr 27 18:40:05 PDT 2011ctsinclair RT @renee_berry: @MatthewsMichele annoying Did you just call her annoying? ;-) #hpm Wed Apr 27 18:40:11 PDT 2011Zimbarama @renee_berry see you enjoy dinner #hpm Wed Apr 27 18:40:12 PDT 2011MeredithGould @renee_berry Bye! Eat dessert first! #hpm Wed Apr 27 18:40:17 PDT 2011ctsinclair @Zimbarama It only came to me when I saw your tweet that it was no longer random. I would have said the same thing. #hpm Wed Apr 27 18:40:40 PDT 2011PracticalWisdom Night ReneeRT @Zimbarama: @renee_berry see you enjoy dinner #HPM Wed Apr 27 18:40:48 PDT 2011JoshGriffin RT @MeredithGould: @renee_berry Bye! Eat dessert first! #hpm Wed Apr 27 18:40:54 PDT 2011KathyKastner @renee_berry Im hungry. Can I come? #hpm Wed Apr 27 18:40:54 PDT 2011PracticalWisdom RT @Zimbarama: @ctsinclair @DNRstories haha true true i should have said a non-convential number out of the morm #HPM Wed Apr 27 18:41:01 PDT 2011MeredithGould Ok, Im lost. Isnt T2 about Modern Healthcares call for nominees? #hpm Wed Apr 27 18:41:03 PDT 2011TroubledDays RT @ctsinclair: Topic #2: @ModernHealthcr just announced 2011 nomination process for top influencers for healthcare. What role will social media play? #hpm Wed Apr 27 18:41:12 PDT 2011ctsinclair Quick question before topic 3. Question 2.5 - Do you listen to music or watching TV during tweetchat? #hpm Wed Apr 27 18:41:17 PDT 2011
  • 28. DNRstories Not to be a cynic, but social media can also be dangerous, like WebMD. Public sees written word as truth, even if misguided. #hpm Wed Apr 27 18:41:28 PDT 2011MeredithGould @joshgriffin Right? Right! #hpm Wed Apr 27 18:41:28 PDT 2011GailZahtz So while @renee_berry is gone to eat- lets just nominate her for beauty queen! #HPM Wed Apr 27 18:41:35 PDT 2011hvto RT @PracticalWisdom: T2: ... I try to link us to other health care chats/tweets to bring education/understanding #hpm Wed Apr 27 18:41:41 PDT 2011MatthewsMichele @ctsinclair (cc:@renee_berry) haha, yeah right! she was talking abt lack of mention of #palliative care in the Big impact tournament #hpm Wed Apr 27 18:41:54 PDT 2011JoshGriffin @ctsinclair I confess...Watching hockey :-) #hpm Wed Apr 27 18:41:55 PDT 2011PracticalWisdom RT @DNRstories: Not to be a cynic, but SoMe can also be dangerous, like WebMD. Public sees written word as truth, even if misguided. #HPM Wed Apr 27 18:41:59 PDT 2011aliciabloom @DNRstories its the "google" effect and it can be very dangerous. #hpm Wed Apr 27 18:42:12 PDT 2011ctsinclair Topic 2.5 I love to put on some upbeat music. Fools myself into thinking it is a little soiree. Currently listening to Eliza Doolittle #hpm Wed Apr 27 18:42:18 PDT 2011aliciabloom @ctsinclair yes! tonight its Criminal Minds & Sixers-Heat game. #hpm Wed Apr 27 18:42:35 PDT 2011KathyKastner Q2.5 Are you kidding? Takes all my attention to keep up. RT @ctsinclair: Do you listen to music or watching TV during tweetchat? #hpm Wed Apr 27 18:42:41 PDT 2011JoshGriffin @MeredithGould Absolutely. Have done reverse dinners with my youth before...JUST so I can start with dessert. #hpm Wed Apr 27 18:43:00 PDT 2011jen_c_taylor @ctsinclair : Topic 2.5 : No, I just lurk quietly. #hpm Wed Apr 27 18:43:03 PDT 2011ctsinclair @joshgriffin Oh man, Putting on the Habs game now! #hpm Wed Apr 27 18:43:06 PDT 2011
  • 29. MeredithGould T2.5 Oh boy...I do other things while chatting including but not limited to music, other chats, back channel convos, reading, eating #hpm Wed Apr 27 18:43:13 PDT 2011PracticalWisdom T2: Again we have so many leaders in so many different ways. Think of introverts who dont feel comfortable talking about their contrib #HPM Wed Apr 27 18:43:14 PDT 2011RossJeanette T2.5 no music trying to get kids do homework n bathe... Im not being successful Ill have to sign off :( #HPM Wed Apr 27 18:43:46 PDT 2011DNRstories Topic 2.5. Husband usually has TV on. Laptop on lap. Dog at feet (usually licking). #hpm in brain :) Wed Apr 27 18:43:48 PDT 2011MatthewsMichele T2.5 Yep, Top Chef Masters and cooking dinner too :) #hpm Wed Apr 27 18:43:53 PDT 2011JoshGriffin @ctsinclair I just watched my Spitfires get eliminated in the OHL. Waiting for rd. 2 for my Wings. Back and forth bet PB/TB and Habs #hpm Wed Apr 27 18:43:54 PDT 2011MeredithGould Im a visual kinesthetic learner, so multitasking works well for me. #hpm Wed Apr 27 18:44:02 PDT 2011ctsinclair Topic 3: Ability to categorize risk is notoriously faulty (air v car travel risks?) How does that affect medical decision making? #hpm Wed Apr 27 18:44:12 PDT 2011brigid22 @ctsinclair @JoshGriffin Ill stop lurking after the playoffs #hpm Wed Apr 27 18:44:30 PDT 2011joshgriffin @PracticalWisdom But thats why you nominate someone T2 #hpm Wed Apr 27 18:44:35 PDT 2011ctsinclair @jen_c_taylor You should speak up! You have lots to say! #hpm Wed Apr 27 18:44:52 PDT 2011techguy @PracticalWisdom @GailZahtz Who on the list of top leaders is shy? #hpm Wed Apr 27 18:44:57 PDT 2011MeredithGould T3 My question: What are the manifest & latent functions of categorizing risk in the 1st place? #hpm Wed Apr 27 18:45:15 PDT 2011JoshGriffin RT @ctsinclair: @jen_c_taylor You should speak up! You have lots to say! #hpm Wed Apr 27 18:45:25 PDT 2011
  • 30. ctsinclair @brigid22 Yeah, And we will put you in detention for too many absences! (kidding) #hpm Wed Apr 27 18:45:26 PDT 2011PracticalWisdom But there are so #. Cant think of just one.RT @joshgriffin: @PracticalWisdom But thats why you nominate someone T2 #HPM Wed Apr 27 18:45:31 PDT 2011ctsinclair @MeredithGould Elaborate please? #hpm Wed Apr 27 18:45:48 PDT 2011aliciabloom its difficult to weigh risks & benefits rationally when so much emotion is involved in medical decision making. #hpm Wed Apr 27 18:45:52 PDT 2011GailZahtz @techguy Dont look at me. I have been called many things, but Im pretty sure shy isnt one of them :) @PracticalWisdom #HPM Wed Apr 27 18:46:03 PDT 2011KathyKastner RT @aliciabloom: its difficult to weigh risks & benefits rationally when so much emotion is involved in medical decision making. #hpm Wed Apr 27 18:46:05 PDT 2011joshgriffin T3: One area I see is the use of different medications and the interaction risk. I have seen MDs say, "Thats nothing" but progs scream #hpm Wed Apr 27 18:46:22 PDT 2011ctsinclair T3: I took this test last night from the BBC: "The Big Risk Test" http://hpm.md/jH82j0 Very illuminating #hpm Wed Apr 27 18:46:47 PDT 2011MatthewsMichele RT @aliciabloom: its difficult to weigh risks & benefits rationally when so much emotion is involved in medical decision making. #hpm Wed Apr 27 18:46:52 PDT 2011MeredithGould There are reasons for calculating risks, right? E.g. Outcomes assessment, efficacy, etc. Those would be the manifest functions. #hpm Wed Apr 27 18:47:08 PDT 2011JoshGriffin @PracticalWisdom It is difficult. If only everything was easy ;-) #hpm Wed Apr 27 18:47:16 PDT 2011DNRstories Risk/benefit analysis core to medical decision making. Impt for pts to know there is no "right" answer in medicine, all judgements #hpm Wed Apr 27 18:47:19 PDT 2011ctsinclair T3: I find that in assessing any risk, people tend to think heavily about risk of inaction, and dismiss any risk of action. #hpm Wed Apr 27 18:47:28 PDT 2011KathyKastner RT @DNRstories: Risk/benefit analysis core to medical decision making. Impt for
  • 31. KathyKastner RT @DNRstories: Risk/benefit analysis core to medical decision making. Impt for pts to know there is no "right" answer in medicine, all judgements #hpm Wed Apr 27 18:47:37 PDT 2011DNRstories RT @ctsinclair: T3: I find that in assessing any risk, people tend to think heavily about risk of inaction, and dismiss any risk of action. #hpm Wed Apr 27 18:47:54 PDT 2011DNRstories @ctsinclair Well said! #hpm Wed Apr 27 18:48:08 PDT 2011MeredithGould But there are other underlying reasons why risk analysis is touted as important despite unreliability. What are those reasons? #hpm Wed Apr 27 18:48:14 PDT 2011KathyKastner RT @ctsinclair: T3: I find that in assessing any risk, people tend to think heavily about risk of inaction, and dismiss any risk of action. #hpm Wed Apr 27 18:48:15 PDT 2011ctsinclair I have had multiple family members point to their head and their heart when talking about what decisions they are making. #Nonverbal #hpm Wed Apr 27 18:48:22 PDT 2011techguy I just play a shy person on TV. Although, Ive never been on the list either. @GailZahtz @PracticalWisdom #hpm Wed Apr 27 18:48:23 PDT 2011GailZahtz @MeredithGould lawsuits? #HPM Wed Apr 27 18:48:38 PDT 2011Zimbarama @ctsinclair nope im at work haha #hpm Wed Apr 27 18:48:47 PDT 2011PracticalWisdom Perhaps not shy but not often on our Tweet Chat but contributes #HPM ~Suzana Makowski http://slidesha.re/ezipSM #HPM Wed Apr 27 18:48:55 PDT 2011MeredithGould RT @GailZahtz: lawsuits?<--BINGO! #hpm Wed Apr 27 18:49:08 PDT 2011ctsinclair @MeredithGould I think the unreliability of risk assessments is not in the models themselves but in our understanding of their limits #hpm Wed Apr 27 18:49:12 PDT 2011GailZahtz @techguy Nah, when Ive been on TV, pretty sure no-one accused me of being shy then either LOL #HPM @PracticalWisdom Wed Apr 27 18:49:26 PDT 2011JoshGriffin RT @MeredithGould: RT @GailZahtz: lawsuits?<--BINGO! #hpm Wed Apr 27 18:49:29 PDT 2011
  • 32. @ctsinclair "If u can’t predict with absolute certainty what will happen when u makehvto a choice, u r taking a risk."- Big Risk Test #hpm Wed Apr 27 18:49:31 PDT 2011MatthewsMichele RT @ctsinclair: I have had multiple family members point to their head and their heart when talking about what decisions they are making. #Nonverbal #hpm Wed Apr 27 18:49:42 PDT 2011GailZahtz RT @MeredithGould: RT @GailZahtz: lawsuits?<--BINGO! #hpm <-Praise from Meredith better than a beauty contest!!! Woo Hoo Wed Apr 27 18:49:58 PDT 2011MeredithGould @ctsinclair Probably a bit of both: unreliable in the statistical sense and in our interpretation/understanding. #hpm Wed Apr 27 18:50:03 PDT 2011joshgriffin @GailZahtz @techguy @PracticalWisdom I havent been on TV since I was 8. Hmm, lol #hpm Wed Apr 27 18:50:09 PDT 2011MatthewsMichele RT @hvto: @ctsinclair "If u can’t predict with absolute certainty what will happen when u make a choice, u r taking a risk."- Big Risk Test #hpm Wed Apr 27 18:50:19 PDT 2011ctsinclair T3: I often describe preventative medicines not preventing disease but reducing the risk of getting a disease/complication #hpm Wed Apr 27 18:50:30 PDT 2011KathyKastner RT @MeredithGould: @ctsinclair Probably a bit of both: unreliable in the statistical sense and in our interpretation/understanding. #hpm Wed Apr 27 18:50:33 PDT 2011PracticalWisdom I used the wrong word when I said shy. Im thinking MBTI Introverts vs. Extroverts. #HPM Wed Apr 27 18:50:40 PDT 2011JoshGriffin RT @ctsinclair: T3: often describe preventative medicines not preventing disease but reducing the risk of getting disease/complication #hpm Wed Apr 27 18:51:03 PDT 2011MeredithGould Whenever organizations (esp bureaucracies) get super keen on measuring something, its good to look at the latent function/agenda #hpm Wed Apr 27 18:51:06 PDT 2011DNRstories Uncertainty itself may be considered a risk. #hpm Wed Apr 27 18:51:16 PDT 2011ctsinclair @MeredithGould Like medical tests. Most people think they are infallible, but statistics/nummeracy shows limits to accuracy. #hpm Wed Apr 27 18:51:24 PDT 2011PracticalWisdom @ctsinclair: Didnt get that homework so I cant play. #HPM
  • 33. PracticalWisdom @ctsinclair: Didnt get that homework so I cant play. #HPM Wed Apr 27 18:51:39 PDT 2011MeredithGould RT @ctsinclair: T3: Often describe preventative medicines not preventing disease but reducing risk of getting a disease/complication #hpm Wed Apr 27 18:51:42 PDT 2011ctsinclair @MeredithGould Yes pick what you want to measure so you can get the outcomes you want. Like political redistricting! #hpm Wed Apr 27 18:51:44 PDT 2011amcunningham RT @ctsinclair: T3: I find that in assessing any risk, people tend to think heavily about risk of inaction, and dismiss any risk of action. #hpm Wed Apr 27 18:51:51 PDT 2011amcunningham RT @ctsinclair: T3: I took this test last night from the BBC: "The Big Risk Test" http://hpm.md/jH82j0 Very illuminating #hpm Wed Apr 27 18:51:57 PDT 2011ctsinclair RT @DNRstories: Uncertainty itself may be considered a risk. #hpm Wed Apr 27 18:51:58 PDT 2011aliciabloom people assume treatment will lead to cure & therefore take high risks with interventions that are likely to have little to no impact. #hpm Wed Apr 27 18:52:02 PDT 2011mdstudent31 @ctsinclair Definitely better wording than "preventing disease" - especially if we know it is inevitable #hpm Wed Apr 27 18:52:07 PDT 2011PracticalWisdom RT @ctsinclair: @MeredithGould Yes pick what you want to measure so you can get the outcomes you want. Like political redistricting! #HPM Wed Apr 27 18:52:07 PDT 2011GailZahtz T3 Ill add into the mix the way we call in for a "consult" only for one symptom- thus no responsibility for total care/risk assessment #HPM Wed Apr 27 18:52:26 PDT 2011MeredithGould @ctsinclair Yep...again, not cynical but sociological in the sense that meaning & value is a social construction/artifact. #hpm Wed Apr 27 18:52:38 PDT 2011JoshGriffin RT @mdstudent31: @ctsinclair Definitely better wording than "preventing disease" - especially if we know it is inevitable #hpm Wed Apr 27 18:52:40 PDT 2011ctsinclair T3: It was informing when i read an article that helped me to see all decisions are about assessing risk/benefit. #hpm Wed Apr 27 18:52:40 PDT 2011PracticalWisdom RT @mdstudent31: @ctsinclair Definitely better wording than "preventing disease" - especially if we know it is inevitable #HPM Wed Apr 27 18:52:41 PDT 2011
  • 34. Zimbarama off i go all back to work, was an interesting lurk at this chat.. and nice to see some familiar Avatars ;-) #hpm Wed Apr 27 18:53:00 PDT 2011MatthewsMichele @aliciabloom well said! sad, but true...Ive seen it even in my own family! #hpm Wed Apr 27 18:53:09 PDT 2011MeredithGould @Zimbarama Back to work? Eat dessert first! My general counsel. #hpm Wed Apr 27 18:53:42 PDT 2011ctsinclair @mdstudent31 And the words we choose are so important. Prevention = reducing risk Not many (medical) things are truly preventable. #hpm Wed Apr 27 18:53:42 PDT 2011PracticalWisdom @Zimbarama: All work no play=No fun. Glad you could join us for the fun part. Cheers. #HPM Wed Apr 27 18:53:47 PDT 2011MatthewsMichele RT @ctsinclair: T3: It was informing when i read an article that helped me to see all decisions are about assessing risk/benefit. #hpm Wed Apr 27 18:53:59 PDT 2011ctsinclair Getting ready to finish up, so think of something witty/inspiring/bland to share with the group! #hpm Wed Apr 27 18:54:14 PDT 2011PracticalWisdom @MeredithGould @ctsinclair; O.K. where is that sociology Textbook when I need it. #HPM Wed Apr 27 18:54:23 PDT 2011JoshGriffin MT @aliciabloom: people assume trtmnt lead to cure, therefore take high risks w interventions likely to have little to no impact. #hpm Wed Apr 27 18:54:41 PDT 2011KathyKastner Nite all. Another hour of amazing #hpm immersion for me . lots to think about. Thanks. Wed Apr 27 18:54:48 PDT 2011MeredithGould Eat dessert first? #hpm Wed Apr 27 18:54:59 PDT 2011JoshGriffin RT @ctsinclair: And the words we choose are so important. Prevention = reducing risk Not many (medical) things are truly preventable. #hpm Wed Apr 27 18:55:09 PDT 2011GailZahtz Last thought- Palliative Physicians are most courageous because theyre willing to say there may not be an answer, fix, cure. #HPM Wed Apr 27 18:55:19 PDT 2011
  • 35. MatthewsMichele Attending #HCIDC tmw...look for my tweets about that. #hpm Wed Apr 27 18:55:20 PDT 2011EOLnavigator So scattered these days. Missed the #hpm tweetchat. Have to set an alarm. Wed Apr 27 18:55:21 PDT 2011PracticalWisdom @KathyKastner: Good Night Kathy! #HPM Wed Apr 27 18:55:21 PDT 2011ctsinclair RT @aliciabloom: people assume treatment will lead to cure then take high risks w/ interventions likely to have little to no impact. #hpm Wed Apr 27 18:55:23 PDT 2011JoshGriffin RT @MeredithGould: Eat dessert first? #hpm Wed Apr 27 18:55:25 PDT 2011jen_c_taylor I agree w @ctsinclair: I have had multiple family members point to their head & their heart when talking about their decisions. #hpm #hpm Wed Apr 27 18:55:49 PDT 2011JoshGriffin It was great to be back. I have been lurking wihile not feeling well, but tonight gave me the opportunity. I love this group! #hpm Wed Apr 27 18:56:00 PDT 2011ctsinclair Thanks for coming everyone: Wise words to weave us with? (says Elmer Fudd) #hpm Wed Apr 27 18:56:01 PDT 2011hvto ok- I nominate this entire panel of experts to the top influential people in HC SoMe for April 27th, 2011. Good night all. #hpm Wed Apr 27 18:56:08 PDT 2011MeredithGould Parting thoughts: be a contribution & avoid getting caught up in industry-specific nonsense that does nothing to enhance direct care #hpm Wed Apr 27 18:56:19 PDT 2011aliciabloom @ctsinclair so true. we need to reframe discussions. its not "full treatment" vs "withdrawal of care" --> action vs inaction dichotomy #hpm Wed Apr 27 18:56:27 PDT 2011mdstudent31 @ctsinclair Exactly - many things delay process to a later time. However, the "possibility of improved QoL" may also work well. #hpm Wed Apr 27 18:56:40 PDT 2011PracticalWisdom @MeredithGould: Your dessert? http://mypetjawa.mu.nu/archives/my%20butt%20hurts.jpg #HPM Wed Apr 27 18:56:45 PDT 2011ctsinclair Been thinking a lot about this #quote from Einstein: "Everything should be made as simple as possible, but not simpler." #hpm Wed Apr 27 18:56:56 PDT 2011
  • 36. MatthewsMichele RT @MeredithGould: Parting thoughts: be a contribution & avoid getting caught up in industry-specific nonsense that does nothing to enhance direct care #hpm Wed Apr 27 18:57:11 PDT 2011MeredithGould @PracticalWisdom Cute! #hpm Wed Apr 27 18:57:21 PDT 2011JoshGriffin RT @MeredithGould: Parting: b contribution, avoid getting caught up n industry- specific nonsense that does nothing enhance direct care #hpm Wed Apr 27 18:57:46 PDT 2011ctsinclair @mdstudent31 When you watch good docs talk with patients, pay attention to the words they choose. #hpm Wed Apr 27 18:57:52 PDT 2011Daniel_Spurgeon @StoryCorps Legacy Initiative is now posted on the website: http://storycorps.org/initiatives (#hpm) Wed Apr 27 18:57:53 PDT 2011DNRstories Great chat tonight. #hpm Wed Apr 27 18:57:56 PDT 2011JoshGriffin RT @PracticalWisdom: @MeredithGould: Your dessert? http://mypetjawa.mu.nu/archives/my%20butt%20hurts.jpg #hpm Wed Apr 27 18:58:00 PDT 2011MeredithGould @ctsinclair How about this one (author unknown): Simple doesnt necessarily mean easy. #hpm Wed Apr 27 18:58:09 PDT 2011ctsinclair MT @MeredithGould: Parting thought: be a contribution & avoid getting industry- spec nonsense that does nothing to enhance direct care #hpm Wed Apr 27 18:58:37 PDT 2011ctsinclair @Daniel_Spurgeon Wish you could have joined us tonight! #hpm Wed Apr 27 18:58:51 PDT 2011PracticalWisdom RT @ctsinclair: @mdstudent31 When you watch good docs talk with patients, pay attention to the words they choose. #HPM Wed Apr 27 18:59:24 PDT 2011MatthewsMichele @ctsinclair thanks for moderating! Excellent chat...in the words of someone famous, Good night and God Bless! :) #hpm Wed Apr 27 18:59:29 PDT 2011ctsinclair Thanks for coming everyone! Next weeks host @matthewsmichele for her first time ever! #hpm Wed Apr 27 18:59:38 PDT 2011MatthewBrowning #hpm RT:@emoryhealthcare: Our use of Twitter to aid in healthcare crisis in this
  • 37. MatthewBrowning #hpm RT:@emoryhealthcare: Our use of Twitter to aid in healthcare crisis in this case study http://bit.ly/fEJe9S Wed Apr 27 18:59:43 PDT 2011mdstudent31 @ctsinclair I have seen the good, bad, & ugly w/ choice of words. Have appreciated great mentors to help my career, especially here on #hpm Wed Apr 27 18:59:44 PDT 2011JoshGriffin Have a blessed night everyone! Hope to see you all again next week. #hpm Wed Apr 27 18:59:56 PDT 2011ctsinclair @MeredithGould Or Twain. "I would have made it shorter if I had more time." #hpm Wed Apr 27 19:00:00 PDT 2011JoshGriffin RT @MatthewsMichele: @ctsinclair thanks for moderating! Excellent chat...in the words of someone famous, Good night and God Bless! :) #hpm Wed Apr 27 19:00:06 PDT 2011MatthewsMichele I am?! Thanks for the reminder ;) #hpm Wed Apr 27 19:00:24 PDT 2011MeredithGould Have a great evening, day or night -- depending on your time zone! #hpm Wed Apr 27 19:00:25 PDT 2011PracticalWisdom @MatthewBrowning: Sorry about the Death of your Grandmother. #HPM Wed Apr 27 19:00:29 PDT 2011EOLnavigator very funny rt @joshgriffin: RT @PracticalWisdom: @MeredithGould: Your dessert? http://mypetjawa.mu.nu/archives/my%20butt%20hurts.jpg #hpm Wed Apr 27 19:00:35 PDT 2011ctsinclair @mdstudent31 I have learned a lot for docs who are bad with words. #hpm Wed Apr 27 19:00:43 PDT 2011aliciabloom "@ctsinclair @mdstudent31 When you watch good docs talk with patients, pay attention to the words they choose." yes & SW/NP, too! #hpm Wed Apr 27 19:00:50 PDT 2011DNRstories @mdstudent31 @ctsinclair And he goes to a great med school :) #hpm Wed Apr 27 19:00:56 PDT 2011ctsinclair @mdstudent31 Like the ICU attending who would yell at intubated patients "Do you want to die!?" and consider the code status discussed #hpm Wed Apr 27 19:01:00 PDT 2011JoshGriffin I shall sign up again soon, I just need my summer schedule first. #hpm Wed Apr 27 19:01:11 PDT 2011mdstudent31 @DNRstories @ctsinclair Of course.. great med school! :) #hpm
  • 38. mdstudent31 @DNRstories @ctsinclair Of course.. great med school! :) #hpm Wed Apr 27 19:01:25 PDT 2011mdstudent31 @ctsinclair Yea, for some reason, I dont see that as an effective way at communication w/ patients. #hpm Wed Apr 27 19:01:53 PDT 2011mdstudent31 @ctsinclair Thanks for the chat tonight! I went lurk-status for a while listening to @DrMikeSevilla but hope you can join us tomorrow? #hpm Wed Apr 27 19:02:43 PDT 2011ctsinclair @MatthewBrowning Wow just browsed over it but am going back to read later. http://bit.ly/fEJe9S - Sorry to hear the news. #hpm Wed Apr 27 19:02:52 PDT 2011ctsinclair @mdstudent31 He thought it was great. Direct and clear communication. And he didnt have a military background. #hpm Wed Apr 27 19:03:14 PDT 2011DNRstories Good night all! #hpm Wed Apr 27 19:03:31 PDT 2011ctsinclair @joshgriffin Love to have you host! #hpm Wed Apr 27 19:03:36 PDT 2011mdstudent31 @aliciabloom @ctsinclair Have learned A LOT from great social workers! That experience should be often and mandatory #hpm Wed Apr 27 19:04:08 PDT 2011ctsinclair Signing off you guys to root for #MLS4RSL Real Salt Lake! and watch playoff hockey. Where did my two tvs go? #hpm Wed Apr 27 19:04:11 PDT 2011JoshGriffin @ctsinclair I should have my schedule soon. #hpm Wed Apr 27 19:04:19 PDT 2011ctsinclair @aliciabloom I do get tired of writing HC professionals, but yes I have learned form many disciplines! #hpm Wed Apr 27 19:04:42 PDT 2011mdstudent31 @ctsinclair So when I start my internship at the Naval hospital, I could use that? ;) just kidding of course! #hpm Wed Apr 27 19:04:55 PDT 2011