Transcript for #hpm from 2011 aahpm annual assembly
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Transcript for #hpm from 2011 aahpm annual assembly

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112 page Transcript of tweets from AAHPM 2011 Annual Assembly.

112 page Transcript of tweets from AAHPM 2011 Annual Assembly.

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Transcript for #hpm from 2011 aahpm annual assembly Transcript for #hpm from 2011 aahpm annual assembly Document Transcript

  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #hpm wthashtag.com/hpm Transcript from February 16, 2011 to February 20, 2011 All times are Pacific Time February 16, 2011 12:20 am hospicepharmacy: Medicare costs in last 6 months of life driven by pt variables... http://bit.ly/g2lc9D Research: http://bit.ly/gR7SGQ #hospice #hpm 12:21 am thehealthmaven: RT @MeredithGould: Learn about #hospice & #palliativemedicine from the best by following #HPM as AAHPM/HPNA meets in Vancouver, starting tmorrow. 12:32 am drpippa: Made it to Vancouver for the AAHPM annual assembly! Cant wait for the program to start & to meet colleagues from around the globe. #hpm 1:26 am DrFelipeBarreto: Amanhã pref. #Riverton e sec. de saúde #EduardoCardoso em evento no Rio com sec.saúde do gov do estado. Buscando recursos para nosso #hpm 1:31 am AntonioBander: RT @DrFelipeBarreto: Amanhã pref. #Riverton e sec. de saúde #EduardoCardoso em evento no Rio com sec.saúde do gov do estado. Buscando recursos para nosso #hpm 1:33 am Pedrotvmacae: RT @DrFelipeBarreto: Amanhã pref. #Riverton e sec. de saúde #EduardoCardoso em evento no Rio com sec.saúde do gov do estado. Buscando recursos para nosso #hpm 2:23 am ctsinclair: RT @thehealthmaven: good luck @ctsinclair! A request to my social media peers http://slidesha.re/dLHLBT Thanks! #hpm 2:25 am ssanquist: RT @sanaquijadamd Sharing Will Take You Out of Isolation: http://t.co/fhFlvXp #selfcare #pain #suffering #hpm 3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via @hollyby @elderpages @ewidera @ssanquist @ctsinclair 3:02 am doclake: RT @ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via @hollyby @elderpages @ewidera @ssanquist @ctsinclair 3:12 am ssanquist: RT @ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via @hollyby @elderpages @ewidera @ssanquist @ctsinclair 5:00 am HospiScript: Copies of HospiLink will be at the HospiScript booth at #AAHPM conf. Sign up there or go to hospiscript.com and sign up now! #hpm #hospice 5:05 am ctsinclair: RT @ewidera: My #JAMA paper just came out on advance planning for finances -check out @AlexSmithMD summary http://goo.gl/fb/czdQT #hpm 5:06 am ctsinclair: @MeredithGould Thanks for all you are doing to promote us this week! #hpm 5:06 am ctsinclair: @ssmithaahpm Good to see you tonight Steve. Great board meeting. #hpm 5:15 am ctsinclair: RT @inhousehospice: Our med. dir. Dr. Patricia Schmidt is presenting @AAHPM Ann. Assembly 2011 Preview - Wed. Pre-Con on Hospice & NHs #hpm 5:17 am OncoPRN: RT @ewidera: My #JAMA paper just came out on advance planning for finances -check out @AlexSmithMD summary http://goo.gl/fb/czdQT #hpm 5:18 am ctsinclair: @HospiScript Who is staffing your booth at the conference? the same person who does your twitter? #hpm 5:19 am ctsinclair: @AAHPM Missed out on registering early. Will be there bright and early at 7am #hpm 6:00 am ssmithaahpm: @ctsinclair Thanks Christian ... always appreciate your insights and contributions #hpmwthashtag.com/transcript.php?page_id=… 1/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! contributions #hpm 6:13 am ctsinclair: @morganbain and dont forget to add #hpm to any related tweets for the conference 6:14 am ctsinclair: RT @drpippa: Made it to Vancouver for the AAHPM annual assembly! Cant wait for the program to start & to meet colleagues from around the globe. #hpm 6:17 am ctsinclair: @haslingerppc Saw Sarah tonight. keep an eye on #hpm this week! 6:20 am ctsinclair: @Kathy_Brandt Looking forward to meeting you in person. hoping you will tweet some from the #hpm conference too 6:34 am ctsinclair: Would encourage you to follow #hpm this week for @AAHPM Annual Assembly, RTs appreciated! @AmerAcadPainMed @AmerGeriatrics @amednews 6:36 am ctsinclair: I encourage you to follow #hpm this week for @AAHPM Annual Assembly, RTs appreciated! @AmerMedicalAssn @ASTRO_org @lesmorgan @paulinechen 6:39 am ctsinclair: Was inspired by presentation to @AAHPM board from @AAMCToday CEO Dr. Darrell Kirch. He talked about the challenges of health reform. #hpm 6:40 am ctsinclair: Also had preso by @FrankDFerris from @SanDiegoHospice on lack of pain med access around the world and role for @AAHPM internationally #hpm 6:41 am ctsinclair: And I am very excited to debut tomorrow my new creative writing/blogging workshop for #hpm with Amos Bailey, more info to come! #hpm 6:51 am PalMedConnect: RT @ctsinclair: I encourage you to follow #hpm this week for @AAHPM Annual Assembly, RTs appreciated! @AmerMedicalAssn @ASTRO_org @lesmorgan @paulinechen 9:28 am LVADone: RT @ctsinclair: I encourage you to follow #hpm this week for @AAHPM Annual Assembly, RTs appreciated! @AmerMedicalAssn @ASTRO_org @lesmorgan @paulinechen 1:40 pm ezpsych: Off to Vancouver for AAHPM! #hpm 1:48 pm EOLnavigator: Check out my home town Irish Hospice Foundation fundraiser: http://on.fb.me/ihsuqo #hpm 2:02 pm EOLnavigator: RT @kevinmd: Hospitals need healthcare flight crews http://bit.ly/hIsRX7 #hpm 2:31 pm hfahospice: HFA Webinar on LGBT Community and EOL Care on April 20 http://bit.ly/dQsaMb Register now! #lgbt #hpm 2:37 pm AliveHospice: RT @ctsinclair: Would encourage you to follow #hpm this week for @AAHPM Annual Assembly, RTs appreciated! @AmerAcadPainMed @AmerGeriatrics @amednews 2:52 pm AAHPM: Registration opens in about ten minutes for the AAHPM HPNA Assembly. Come now and beat the rush! #hpm 2:54 pm AliveHospice: @AAHPM Have a great conference! We heard the weather was rainy in Vancouver yesterday, but it wont dampen the #hpm Annual Assembly! 3:40 pm hospicepharmacy: Health care reform will change #hospice http://bit.ly/eHNOXL #hpm #hcr 3:40 pm ctsinclair: At the conc centre passing out @pallimed and twitter stickers for badges #hpm 3:42 pm jayrhorton: RT @hfahospice: HFA Webinar on LGBT Community and EOL Care on April 20 http://bit.ly/dQsaMb Register now! #lgbt #hpm 3:53 pm ctsinclair: IAt first I thought I wouldnt be able to upload photos from my camera, but then I remembered it can do wifi too! #hpm 3:57 pm ctsinclair: Have already talked to a few people getting their wi-fi set up at the conv centre, should be a few today, more tomorrow #hpm 4:00 pm MeredithGould: @ctsinclair Live streaming? #hpmwthashtag.com/transcript.php?page_id=… 2/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 4:05 pm hospice_mktg: RT @PatBombaMD: Palliative Care defines the Art, Science and Limits of Medicine: http://bit.ly/ffCnGT #hpm #hospice 4:08 pm hospice_mktg: RT @hospicepharmacy: Health care reform will change #hospice http://bit.ly/eHNOXL #hpm #hcr 4:09 pm RossJeanette: On my way to Vancouver and looking forward to connecting withHPM folks #Hpm 4:17 pm drpippa: Was looking for you! Need a sticker. @ctsinclair: At the conc centre passing out @pallimed and twitter stickers for badges #hpm 4:19 pm ctsinclair: @drpippa I posted Pallimed and Facebook Stickers on the Announcement board, Only have a few Twitter stickers so giving out sparingly #hpm 4:19 pm hospice_mktg: Last chance...reg for FREE WEBINAR, "Creating Effective #Hospice Marketing" Feb. 17 3 p.m. ET http://bit.ly/gFHwYV #hcmktg #hpm 4:19 pm elderpages: RT @hospice_mktg: RT @PatBombaMD: Palliative Care defines the Art, Science and Limits of Medicine: http://bit.ly/ffCnGT #hpm #hospice 4:19 pm ctsinclair: @drpippa If you find @revdoc she has some Twitter stickers. Not sure which session she is in #hpm 4:20 pm ctsinclair: Any people on Twitter in Vancouver for @AAHPM conference we will be having Tweetchat at 6p local in exhibit hall #hpm 4:21 pm ctsinclair: RT @MeredithGould: @ctsinclair Live streaming? "Not this year, @equijada was talking about it. Absolutely on the request list for 2012 #hpm 4:21 pm elderpages: Lucky hospice will win free Facebook set-up at #NHPCO Management & Leadership Conference http://bit.ly/gADxhF #hpm 4:28 pm elderpages: New NY state law requires discussion of #palliative care with pts who have 6 month prognosis! http://bit.ly/hCwMBy #hpm 4:28 pm EOLnavigator: Looking for #HPM orgs to beta test a social media platform. Please share....email: niamh@practitionersolutions.com 4:32 pm ctsinclair: @AliveHospice The weather is quite rainy, with good chance for snow Thursday! But we are tough, we can do it! #hpm 4:33 pm drpippa: From MGH- pall care pts have more acc understanding of role of chemo, prognosis. Didnt nec change treatment path, did change QOL. #hpm 4:46 pm drpippa: Joint visits pall care-oncology powerful. Would love to see pall care-primary care visits - move beyond cancer. #hpm 4:48 pm ctsinclair: @jayrhorton Are you in Vancouver? Make sure to follow @AAHPM conf tweets this week and RT. #hpm 4:53 pm drpippa: Outpatient pall care funding - 49% billing, 45% institutional support. Would that fly at your institution? #hpm 4:55 pm AAHPM: Please try to keep this a green meeting, and minimize the number of pages you print. Thanks! #hpm 4:57 pm ctsinclair: RT @ezpsych: Off to Vancouver for AAHPM! "looking forward to seeing you" #hpm 5:00 pm hospicepharmacy: Elderly get fewer antipsychotics after FDA warning http://bit.ly/fs1241 #hospice #hpm #eldercare #dementia 5:00 pm wareaglenurse: RT @hospicepharmacy: Elderly get fewer antipsychotics after FDA warning http://bit.ly/fs1241 #hospice #hpm #eldercare #dementia 5:08 pm ctsinclair: RT @drpippa: Outpatient pall care funding - 49% billing, 45% institutional support. Would that fly at your institution? "nope" #hpm 5:12 pm AAHPM: WiFi users at assembly may experience a disruption in access at lunchtime as server is rebooted. WiFi Plus users will not be affected. #hpm 5:25 pm RedefineHospice: Though Latinos prefer having families care for loved ones they desire to reduce caretaker burden via JPM #hospice #hpmwthashtag.com/transcript.php?page_id=… 3/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:27 pm ctsinclair: @AAHPM Do you have numbers on how many are purchasing wi-fi? If I see someone with a computer I am going to get them to tweet #hpm 5:28 pm RedefineHospice: More than half of African Americans not informed about #hospice of those informed, cancer leading cause of death. #hpm 5:31 pm ctsinclair: @NHPCO_news Make sure you use #hpm to be seen by the stream 5:31 pm MeredithGould: RT @RedefineHospice: More than half of African Americans not informed about #hospice of those informed, cancer leading cause of death. #hpm 5:34 pm hospicepharmacy: New Strategies for #Alzheimers and #Dementia Care Help Family Caregivers, Too http://huff.to/hefgV6 #hospice #hpm #caregiving 5:34 pm ctsinclair: RT @Life_Quality: Our Director, Dan Johnson is attending as is Jeff Manuel, one of our physician educators. will look for him #hpm 5:35 pm ConsultGeriRN: RT @hospicepharmacy: New Strategies for #Alzheimers and #Dementia Care Help Family Caregivers, Too http://huff.to/hefgV6 #hospice #hpm #caregiving 5:37 pm Alyssa4602: RT @hospicepharmacy: New Strategies for #Alzheimers and #Dementia Care Help Family Caregivers, Too http://huff.to/hefgV6 #hospice #hpm #caregiving 5:38 pm EOLnavigator: @ctsinclair Theres a river over there? It can see you?.....only joking! #hpm!!! 5:40 pm doclake: RT @drpippa: Outpatient pall care funding - 49% billing, 45% institutional support. Would that fly at your institution? "yup" #hpm 5:44 pm MeredithGould: @AAHPM Make the hotel provide free Wi-Fi!!! #hpm 5:46 pm drpippa: Views from Vancouver CC so beautiful hard to go back in the seminar room after a break. Meeting great people at the breaks though! #hpm 5:47 pm hospicevalley: RT@hospicepharmacy New Strategies for #Alzheimers and #Dementia Care Help Family Caregivers, Too http://huff.to/hefgV6 #hospice #hpm 5:52 pm hospicevalley: RT@HFAhospice HFA Webinar on LGBT Community and EOL Care on April 20 http://bit.ly/dQsaMb Register now! #lgbt #hpm 5:53 pm ctsinclair: Dont forget #HPM Tweetchat tonight with live particiapnts from the @AAHPM @HPNAinfo Conf in vancouver 6p PT 6:02 pm ctsinclair: @drpippa Keep the tweets coming. looks like you are the only one so far in pre-cons tweeting with any regularity #hpm 6:03 pm hospicevalley: Hospice of the Valley welcomes Vince Evans, Senior Director of Clinical Operations http://bit.ly/9SGbfU #hospice #hpm 6:03 pm ctsinclair: In @AAHPM Board meeting and not really stuff I can tweet yet. Will betweeting more educ stuff thurs/fri/sat #hpm 6:04 pm ctsinclair: RT @MeredithGould: @AAHPM Make the hotel provide free Wi-Fi!!! Not the hotel but conv centre. They have reasonable day rate #hpm 6:05 pm ctsinclair: @MeredithGould I think the big problem is people used to using cells for mobile, are slowed by $$$ intl data plans #hpm 6:05 pm drpippa: Best advice re: outpt pall care: dont spread yourself too thin or your program will fail. Easy to say, hard to do. #hpm 6:06 pm ctsinclair: @EOLnavigator There is a lot of rain, so there may be a river soon. #hpm 6:08 pm ctsinclair: @drpippa Wondering why @revdoc so quiet. #hpm 6:13 pm MeredithGould: @ctsinclair Then the hotel is forgiven but the convention center is not! #hpm 6:14 pm MeredithGould: @ctsinclair @drpippa Do you have a link to the schedule so those of us following here know what/when sessions are. #hpm 6:14 pm ctsinclair: @MeredithGould You mean centre #hpm 6:17 pm MeredithGould: @ctsinclair And favour. #hpmwthashtag.com/transcript.php?page_id=… 4/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 6:17 pm MeredithGould: @ctsinclair And favour. #hpm 6:17 pm ctsinclair: @MeredithGould Here is the brochure: http://bit.ly/eqWyHA No easy quick read page. Will be making one soon #hpm 6:20 pm MeredithGould: Brochur for #AAHPM/HPNA conference: http://bit.ly/eqWyHA (via @ctsinclair & @drpippa) #hpm 6:24 pm MeetVancouver: Gmorning @AAHPM @HPNAInfo delegates! Were here till 5PM, come see us for sightseeing & food recs! #hpm http://twitpic.com/40hknt 6:31 pm doclake: Wheres the tweets? (from AAHPM Vancouver) #hpm 6:38 pm ctsinclair: RT @doclake: Wheres the tweets? (from AAHPM Vancouver) #hpm "a lot less than I would have liked so far, wi-fi cost and intl barriers" 6:39 pm daitpcg: RT @ctsinclair: Dont forget #HPM Tweetchat tonight with live particiapnts from the @AAHPM @HPNAinfo Conf in vancouver 6p PT 6:39 pm ctsinclair: RT @doclake: Wheres the tweets? (from @AAHPM Vancouver) #hpm "ill rock it thu, fri, sat" 6:40 pm ctsinclair: RT @doclake: Wheres the tweets? (from AAHPM Vancouver) #hpm "and @renee_berry is not here yet" 6:43 pm ctsinclair: @daitpcg are you here yet? #HPM 6:53 pm emilybarryPR: Just heard Hospice of NW Ohios new :30 radio spot! A touching testimonial about little pleasures in life #hospice #hpm 7:03 pm AAHPM: WiFi is restored #hpm. Sorry for any disruption you may have experienced. 7:09 pm lesmorgan: RT @ctsinclair: I encourage you to follow #hpm this week for @AAHPM Annual Assembly, RTs appreciated! @AmerMedicalAssn @ASTRO_org @lesmorgan @paulinechen 7:10 pm ctsinclair: RT @AAHPM: WiFi is restored #hpm. Sorry for any disruption you may have experienced. no wonder so few tweets! 7:15 pm revdoc: Tweeting from Academy mtg next few days #hpm 7:16 pm revdoc: Puchalski et al. Spirituality as domain of care #hpm 7:16 pm DianeEMeier: At the #Palliative care meetings in Vancouver BC, misty wet cool and beautiful, awed by growth +energy in the field! #aahpm #hpm 7:21 pm ctsinclair: @DianeEMeier Cant wait to see you #hpm 7:23 pm ctsinclair: RT @DianeEMeier: At the #Palliative care meetings in Vancouver BC, misty wet cool and beautiful, awed by growth +energy in the field! #hpm 7:33 pm ctsinclair: At the @AAHPM board meeting, hearing from Conf co-chair Rodney Tucker from UAB, giving us a preiew of the conf #hpm 7:34 pm MeredithGould: RT @AAHPM: WiFi is restored #hpm. Sorry for any disruption you may have experienced. 7:37 pm EOLnavigator: RT @DianeEMeier: NYS Medicaid Announces 49 Ideas: http://nyti.ms/ft1awb & fails to include access to #palliative care. Huge oversight #hpm 7:37 pm FitNavigator: RT @DianeEMeier: NYS Medicaid Announces 49 Ideas: http://nyti.ms/eVhSVe & fails to include access to #palliative care. Huge oversight #hpm 7:43 pm EOLnavigator: @DeathwDignity: what was on the bill that you are happy didnt come to fruition. #hpm 7:43 pm equijada: RT @ctsinclair: RT @MeredithGould: @ctsinclair Live streaming? "Not this year, @equijada was talking about it. Absolutely on the request list for 2012 #hpm 7:48 pm ElusiveEm: RT @Help0thers: Balloons provide lift for Marion area hospice patients: http://ht.ly/3Wi82 #hpmwthashtag.com/transcript.php?page_id=… 5/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:52 pm hospicepharmacy: #Hospice of Sacred Heart and Institute of #Palliative Medicine form collaboration to expand services http://bit.ly/hq59KM #hpm 8:02 pm EOLnavigator: Truth does not depend on a consensus of opinion. #hpm #hospice #palliative 8:03 pm Adeuxmains: RT @DianeEMeier: At the #Palliative care meetings in Vancouver BC, misty wet cool and beautiful, awed by growth +energy in the field! #aahpm #hpm 8:09 pm zarakramer: Mean old girls: Seniors who bully - Health - Aging - msnbc.com http://t.co/6d3trUp via @msnbc #hpm 8:24 pm MeetVancouver: Dont know where to go for lunch yet? Come see us for food recommendations! Were just past the registration booths. @AAHPM @hpnainfo #hpm 8:25 pm NursingLink: RT @tmlfox: RT @ctsinclair: A request to my social media peers to help this week for #hpm conference http://slidesha.re/dLHLBT 8:25 pm MeetVancouver: @GiovaneCafe @millbistro @FairmontPacific Weve been sending tons of delegates your way for lunch.. hope youre ready for the rush ;) #hpm 8:29 pm DeathwDignity: @eolnavigator Happy to help! The bill also had the potential to have an impact on #hpm and medications to ease pain. 8:51 pm ctsinclair: @revdoc Did you learn anything good at the Spirituality precon? #hpm 8:53 pm ctsinclair: Teaching a few @AAHPM board members about how to use Tweetchat. hoping they try it out over the next few days #hpm 8:54 pm gcooneymd: @ctsinclair Returning from board lunch; great conversation on communicating with members #hpm 8:55 pm MeredithGould: Hey there @AAHPM board members: live tweeting will allow more people to participate AND further the importance work of #HPM education. 8:57 pm ctsinclair: RT @MeredithGould: Hey there @AAHPM board members: live tweeting will allow more people to participate "thanks Merdeith, very helpful! #hpm 8:58 pm ctsinclair: @MeredithGould Sorry about the misspelling! #hpm 8:58 pm ameritox: Looking forward to @Ameritox CMO Dr. Harry Leider speaking at the @AAHPM and @HPNAinfo annual assembly tomorrow. #hpm 9:01 pm doclake: RT @ctsinclair: RT @MeredithGould: @ctsinclair Live streaming? "Not this year, @equijada was talking about it. Absolutely on the request list for 2012 #hpm 9:03 pm ctsinclair: Back to the @AAHPM board meeting...time to make the donuts. #hpm 9:05 pm ctsinclair: Our Core Purpose: To improve care of patients w/ serious or life-threatening cond thru advancement of hospice and palliative medicine. #hpm 9:06 pm palliativecare: Interesting article about how to reduce pain by changing your visuals - RT @suzanakm: http://tinyurl.com/6fqugbx #hpm 9:09 pm ctsinclair: Hey @revdoc @drpippa @suzanakm @hollyby Where are your tweets? Wi- fi issues See you in Exhibit hall at 530 #hpm 9:12 pm drpippa: @ctsinclair: Where are your tweets? #hpm lost wifi at end, not signed up for pm pre con (conf call - blerg.) See you tonight! 9:13 pm ctsinclair: @drpippa Oh ok. Just checking in, more to come tomorrow. #hpm 9:13 pm drpippa: RT @ctsinclair: Our Core Purpose: To improve care of patients w/ serious or life-threatening cond thru advancement of hospice and palliative medicine. #hpm 9:16 pm MatthewsMichele: RT @ctsinclair: Our Core Purpose: To improve care of patients w/ serious or life-threatening cond thru advancement of hospice and palliative medicine. #hpm 9:38 pm MatthewsMichele: A true assessment if ever I heard one...Schumacher (@NHPCO_news) says "health care reform will change hospice!" #hospice #hpm 9:45 pm VirtualHospice: In Vancouver and setting up for the @AAHPM! Very excited to connect with visitors from near and far! #hpmwthashtag.com/transcript.php?page_id=… 6/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! visitors from near and far! #hpm 9:55 pm therealhawdwerk: #np ME - Computer #HPM 10:05 pm revdoc: EXCELLENT workshop on methadone, ketamine, lidocaine #hpm 10:08 pm ctsinclair: @revdoc I heard Ky Stulzfus from KU was there too. #hpm 10:11 pm drpippa: @revdoc: EXCELLENT workshop #hpm I really wanted that one but signed up too late - full. Very strict w/ id checks so no sneaking either. 10:13 pm ctsinclair: @drpippa no sneaking in huh. Do they scan the bar code on your badge? #hpm 10:14 pm gcooneymd: RT @palliativecare: Interesting article about how to reduce pain by changing your visuals - RT @suzanakm: http://tinyurl.com/6fqugbx #hpm 10:14 pm ctsinclair: @drpippa @revdoc At least by checking badges for sneaks, the org is being fiscally responsible with your membership dues! ;-) #hpm 10:14 pm gcooneymd: RT @ctsinclair: To improve care of patients w/ serious or life-threatening cond thru advancement of hospice and palliative medicine. #hpm 10:15 pm CompAndChoices: New blog post: why everyone, including those with disabilities, have the right to end-of-life #choice: http://ow.ly/3XQa4 #hpm 10:15 pm gcooneymd: Physicians caring for patients with serious illness #hpm #hpm 10:15 pm drpippa: @ctsinclair no - they have someone stationed checking your pre con workshop number, cant switch. Will see if I get scanned tomorrow. #hpm 10:28 pm ctsinclair: @drpippa maybe @revdoc willl share her notes! #hpm 10:30 pm ewidera: Just arrived in Vancouver - wheres the party at? Social media session tomorrow - thats where it is! #HPM 10:51 pm ctsinclair: @ewidera Good we need more tweeters! #hpm 10:58 pm ctsinclair: Awesome! Every @AAHPM member not registered o be in Vancouver gets a Wish you were here postcard with Save the date for 2012 Denver #hpm 11:00 pm renee_berry: RT @ctsinclair: RT @doclake: Wheres the tweets? (from AAHPM Vancouver) #hpm "and @renee_berry is not here yet" 11:02 pm renee_berry: @ctsinclair @doclake here now, planning the really great live tweets tomorrow, fun tweets abt meeitng people IRL until then @aahpm #hpm 11:03 pm ctsinclair: Just finished taking annual board pics, reviewing financials and then over to the conference! #hpm 11:03 pm renee_berry: RT @ewidera: Just arrived in Vancouver - wheres the party at? Social media session tomorrow - thats where it is! #HPM 11:04 pm ctsinclair: Get excited @PracticalWisdom hosting #hpm tweetchat tonight in only 3 hours on #hospice and #palliative topics #hpm 11:05 pm ctsinclair: For everyone watching, the live tweets will really increase tomorrow, hold on to your hats #hpm 11:05 pm ameritox: Don?t miss Ameritox CMO Dr. Harry Leider?s presentation on improving health care through clinical leadership @AAHPM http://t.co/F8Ptic4 #hpm 11:06 pm jodyms: @ctsinclair Wish I could join you. Wed. night commitment makes #HPM impossible until mid-May.... 11:07 pm renee_berry: RT @ctsinclair: Get excited @PracticalWisdom hosting #hpm tweetchat tonight in only 3 hours on #hospice and #palliative topics #hpm 11:10 pm renee_berry: @jodyms thats ok at least this week you will have a very active #hpm stream all thurs &fri (hi btw :) 11:10 pm quality1: @ctsinclair What time is #hpm tonight? 11:11 pm ctsinclair: @quality1 6p PT / 9p ET same time as usual #hpm 11:15 pm renee_berry: @ctsinclair @ewidera & anyone in #hpm please consider writing about thiswthashtag.com/transcript.php?page_id=… 7/112
  • 2/23/2011 11:15 pm renee_berry: @ctsinclair @ewidera & anyone What the Hashtag?! Transcript for #hpm - in #hpm please consider writing about this http://tinyurl.com/4ctu4oh cc @dianeemeier #datamisinterpreted 11:16 pm MatthewsMichele: Excited to see tmws tweets! RT @ctsinclair: For everyone watching, the live tweets will really increase tomorrow, hold on to your hats #hpm 11:19 pm renee_berry: RT @ameritox: Don?t miss Ameritox CMO Dr. Harry Leider?s presentation on improving health care through clinical leadership @AAHPM http://t.co/F8Ptic4 #hpm 11:37 pm PracticalWisdom: Please join us #hpm tweetchat tonight. 6p PT / 9p ET. Tonight is very exciting @AAHPM is meeting in Vancouver. 11:42 pm DeathwDignity: Montanas Ban of Death with Dignity Dismissed! http://ht.ly/3XTMc #hpm 11:51 pm PracticalWisdom: Great Ink found in the Brochure #AAHPM/HPNA conf: attendees will discuss mem. sessions throughout the meetingTwitter (use hashtag #hpm) 11:56 pm PracticalWisdom: @stsinclair excited @AAHPM meeting in Vancouver. Hes using Twitter 2 find his Colleagues/Friends. Twitter can be used like 4 Square. #hpm February 17, 2011 12:16 am PracticalWisdom: Great Sessions: #AAHPM/HPNA conference: What a creative title: SIG Symposium Career Speed Dating (518) Professionals in training #hpm. 12:24 am PracticalWisdom: #AAHPM/HPNA Conference: SoMe Forum (321) No CME/CE credits will be offered this session. Wonder when CME or CE credits will be given? #hpm 12:27 am drpippa: RT @PracticalWisdom: #AAHPM/HPNA Conference: SoMe Forum (321) No CME/CE credits will be offered this session. Wonder when CME or CE credits will be given? #hpm 12:29 am PracticalWisdom: #hpm is live tonight at 6p PT/9P simply add the #hpm to your tweets. See you in 90 Minutes! #HPM 12:30 am PracticalWisdom: RT @drpippa: ?@ctsinclair: In @AAHPM Board meeting and not really stuff I can tweet yet. #hpm? I was wondering why so few tweets from you! See you @4:30? 12:30 am PracticalWisdom: RT @drpippa: Best advice re: outpt pall care: dont spread yourself too thin or your program will fail. Easy to say, hard to do. #hpm 12:33 am ctsinclair: Impressed the whole Vancouver taxi fleet are Prius cars #hpm 12:33 am PracticalWisdom: RT @ctsinclair: Any people on Twitter in Vancouver for @AAHPM conference we will be having Tweetchat at 6p local in exhibit hall #hpm 12:33 am PracticalWisdom: RT @ctsinclair: And I am very excited to debut tomorrow my new creative writing/blogging workshop for #hpm with Amos Bailey, more info to come! #hpm 12:49 am PracticalWisdom: 1 hour #hpm! If youre interested in Hospice/Palliative Medicine, wed love you to join. Just add the hashtag # hpm 2 your tweets! #HPM 12:57 am hjluks: RT @ctsinclair: And I am very excited to debut tomorrow my new creative writing/blogging workshop for #hpm with Amos Bailey, more info to come! #hpm 12:58 am PracticalWisdom: 7 ways to use Twitter at a Medical Conference just in time for @AAHPM conference.Lots of Practical Wisdom:http://bit.ly/dJVrDt #hpm 1:02 am KathleenPacurar: RT @SanDiegoHospice: @palliativecare Safe travels to our staff and colleagues attending #AAHPM Conference this week! #hpm 1:07 am doclake: RT @DanielPink: Interesting factoid from THE WEEK: "Nursing homes & hospices R now among the top 10 employers in 20 difft states." #hpm 1:12 am doclake: RT @KathleenPacurar: (CEO SD Hospice) I just learned how to use Twitter and look forward to starting to tweet and reading your tweets! #hpm 1:16 am KathleenPacurar: @doclake Thanks for the RT, Scott! #hpm 1:27 am PracticalWisdom: @KathleenPacurar Welcome to #hpm. How Lovely: The way I approachwthashtag.com/transcript.php?page_id=… 8/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 1:27 am PracticalWisdom: @KathleenPacurar Welcome to #hpm. How Lovely: The way I approach work is to keep the heart & compassion at the forefront of all we do. #hpm 1:30 am hospice_mktg: RT @PracticalWisdom: @KathleenPacurar Welcome 2 #hpm. The way I approach work is 2 keep the heart & compassion at the forefront of all we do 1:31 am ctsinclair: RT @doclake: RT @KathleenPacurar: (CEO @SDHospice) just learned how to use Twitter. Looking forward to tweeting/reading tweets! #hpm #hpm 1:32 am ctsinclair: @KathleenPacurar Heard a great talk from @FrankDFerris to the @AAHPM board. He loves the international scene #hpm 1:34 am PracticalWisdom: @KathleenPacurar who was your Twitter Teacher? I hope you can stay for our live chat that takes place in about 30 Min. #hpm 1:38 am ctsinclair: @KathleenPacurar Are you in Vancouver, or did you stay home in SD? I will be at NHPCO in April. Hope to meet you. #hpm 1:40 am ctsinclair: @PracticalWisdom I bet @mdelacalazada had something to do with teaching @KathleenPacurar #hpm 1:42 am equijada: Back in Vancouver after a day of playing in pow. Knees hurt, thighs sore, spirit restored. Ready for #hpm #itson 1:43 am equijada: Whistler pow http://instagr.am/p/BplXA/ Related: self-care #hpm 1:43 am PracticalWisdom: @equijada: Looking forward to your participation. #hpm 1:45 am PracticalWisdom: @equijada: I already was wishing I was having fun with you guys and then you show a picture like that!!! Thanks for sharing. ;<) #hpm 1:49 am MeetVancouver: Well be back onsite tomorrow at 9AM! DId you catch the beautiful sunset outside @VanConventions? @AAHPM #hpm http://twitpic.com/40l2lz 1:51 am PracticalWisdom: Lets get ready to Rumble: We only have 10 minutes before #hpm begins. Special Night @AAHPM http://bit.ly/as5GqC #hpm 1:55 am hollyby: We wrote, colored, shared, blessed, remembered, breathed, walked, & rediscovered our heart today during the preconference session! #hpm 1:55 am hvto: Only have about 5 minutes before #hpm begins. Special Night http://bit.ly/as5GqC #hpm For participation go to: http://tweetchat.com and at? 1:56 am PracticalWisdom: RT @hollyby: We wrote/colored/shared/blessed/remembered/breathed/ walked rediscovered our heart today during the preconference session! #hpm 1:56 am MeredithGould: @hollyby Sounds like a wonderful and necessary respite. #hpm 1:56 am hollyby: If you are at the @AAHPM mtg, dont forget to check out the labyrinth in the quiet space sometime during the conference. Rms 221-222. #hpm 1:56 am dockj: RT @hollyby: We wrote, colored, shared, blessed, remembered, breathed, walked, & rediscovered our heart today during the preconference session! #hpm 1:57 am MeredithGould: @hollyby LOVE walking the labyrinth. An opportunity has always emerged at the exact right time for spirit by Spirit. #hpm 1:58 am hollyby: @MeredithGould It was lovely and much needed, all with a view of the water and the mountains just outside the room. #hpm 1:59 am MeredithGould: @hollyby Dont tell me you had sushi for lunch. I want to be lovingly supportive not jealous! #hpm 1:59 am hollyby: @hollyby The labyrinth has tiles that our preconference participants made to share with everyone at the mtg, each w/ its own intention #hpm 2:00 am PracticalWisdom: Welcome 2Hospice& Palliative Medicine #hpm. If you are joining please introduce yourself! (Practical Wisdom-Lisa Fields moderating) #hpm 2:00 am hvto: @hollyby Wow - what a great experience! #hpm 2:01 am hospice_mktg: Hello! Im Emily Barry with Transcend Hospice Marketing #hpm 2:02 am hvto: Robin Watts - Hospice Volunteer Training Online #hpmwthashtag.com/transcript.php?page_id=… 9/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 2:02 am hvto: Robin Watts - Hospice Volunteer Training Online #hpm 2:02 am dockj: Kevin Johnson, family medicine educator and HPM in Wilmington NC #hpm 2:03 am PracticalWisdom: @hospice_mktg: Welcome Emily. Are you attending the @AAHPM Conference/Vancouver? #hpm 2:03 am PracticalWisdom: @hvto: Robin glad you are here. #hpm 2:04 am hollyby: Thanks for hosting @PracticalWisdom! #hpm 2:04 am hospice_mktg: @PracticalWisdom No Im not at the conference but following everyones tweets! Wish I was there! #hpm 2:04 am ctsinclair: Hey everyone, I am manning the booth and teaching people to use Twitter @AAHPM in Vancouver #hpm 2:04 am PracticalWisdom: @dockj: Glad you could also join tonight. #hpm 2:05 am hvto: @PracticalWisdom @hvto Thank you. I am silently sitting in jealousy of those at the @AAHPM Conference! #hpm 2:05 am PracticalWisdom: @hollyby: My pleasure, Ive already enjoyed your Tweets. #hpm 2:05 am hollyby: Hey all you there with @ctsinclair! Glad you are joining the tweetchat!!! #hpm 2:05 am drpippa: Greetings from Vancouver! Pippa Shulman here, tweeting from exhibit hall. meeting folks IRL! #hpm 2:06 am equijada: Thx for hosting Lisa! #hpm 2:06 am ctsinclair: @hollyby Where are you? in the exhibit hall? #hpm 2:06 am dockj: Having Vancouver-envy. #hpm 2:06 am PracticalWisdom: Multi-Tasking!RT @ctsinclair: Hey everyone, I am manning the booth and teaching people to use Twitter @AAHPM in Vancouver #hpm 2:06 am PracticalWisdom: @equijada: My pleasure. Enjoyed the snow picture. #hpm 2:06 am equijada: @ctsinclair @AAHPM awesome! #hpm 2:07 am joshgriffin: RT @dockj: Having Vancouver-envy. #hpm 2:07 am hollyby: @ctsinclair Back at the hotel celebrating the completion of the preconference with wine and friends. And showing them twitter! #hpm 2:07 am PracticalWisdom: It?s a special night. ?Shout out? goes to all those attending the @AAHPM Conference/Vancouver. If your 1st visit to #hpm welcome. #hpm 2:08 am RickCaffeinated: Following #hpm here at the end of the week, e-watching conference in Vancouver, BC from Columbia, SC. #tweetchat 2:08 am PracticalWisdom: If your First Experience Tweeting Congrats! #hpm 2:09 am equijada: @RickCaffeinated hi rick. welcome. #hpm 2:09 am PracticalWisdom: @RickCaffeinated: Rick Welcome. Java Guy? #hpm 2:09 am PracticalWisdom: We presume all tweets within #hpm during this hour are you own and not those of your employer (unless specifically expressed) #hpm 2:09 am MeredithGould: @KathleenPacurar Welcome to the wild, wonderful illuminating world of Twitter! #hpm 2:10 am hospice_mktg: Love it! RT @hollyby: @ctsinclair Back at hotel celebrating the completion of preconf with wine and friends. And showing them twitter! #hpm 2:10 am RickCaffeinated: @equijada thanks - looks like yall are having fun. Hope the weather goes well for everyone. #hpm 2:10 am PracticalWisdom: Wonderful group tonight. Lets get started with our first discussion. #hpm 2:11 am PracticalWisdom: T1: What is the role of patient/family/public in attending medical conferences? #hpmwthashtag.com/transcript.php?page_id=… 10/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! conferences? #hpm 2:12 am RickCaffeinated: @practicalwisdom coffee snob, yes :) #hpm 2:12 am MeredithGould: T1 Are patients/caregivers/public generally allowed to attend medical conferences?!? #hpm 2:13 am hvto: @PracticalWisdom Applying sound communication principles w/pts, families, & IDT teams is an objective - need the end users input #hpm 2:13 am hospice_mktg: T1 - learning how to serve patients/families better, ensure u provide highest quality care, support #hpm 2:14 am ctsinclair: T1: There are guest registrations, but since they are not marketed to, they probably dont think about coming #hpm 2:14 am dspacl: T1 Patients/families can attend the #AAHPM conference tweetchat for free #hpm 2:15 am ctsinclair: I know @rawarrior has gone to a #rheum conference and was well recd #hpm 2:15 am joshgriffin: Good evening all. Josh - Pastor/Chaplain, late to the party. Also wont be tweeting much, shoulder/hand killing me tonight. #hpm 2:16 am ctsinclair: @renee_berry is here at @AAHPM conf and she is not a palliative professional, so she might tell you her perspective #hpm 2:16 am dspacl: There is a potential ePatient audience out there #hpm 2:16 am ctsinclair: RT @dspacl: T1 Patients/families can attend the #AAHPM conference tweetchat for free "excellent point" #hpm 2:16 am PracticalWisdom: @joshgriffin: Glad you are here. LIstening is always valuable. #hpm 2:16 am MeredithGould: @ctsinclair She (@rawarrior) also had to fight to attend that conference as Press. #hpm 2:17 am PracticalWisdom: She also is an advocate, Subject Matter Expert. RT @ctsinclair: I know @rawarrior has gone to a #rheum conference and was well recd #hpm 2:17 am MeredithGould: @dspacl Speaks to the value of learning & using Twitter. Ive been able to attend conferences virtually for 3 yrs! #AAHPM #hpm 2:18 am PracticalWisdom: @ctsinclair: Was she a speaker? #hpm 2:19 am ctsinclair: @PracticalWisdom Not that I know of? RE: @rawarrior as speaker #hpm 2:20 am hvto: As a hospice advocate, I would love to attend to better understand the current trends, challenges, and successes in #hpm #hpm 2:22 am MeredithGould: T1 Id like to see conference organizers get into the best practice of inviting experienced #hcsm folks to tweet sessions in real time. #HPM 2:22 am PracticalWisdom: RT @ctsinclair: T1: There are guest registrations, but they are not marketed to. Do you think this might change in the future? #hpm 2:22 am hvto: RT @MeredithGould: @dspacl Speaks to the value of learning & using Twitter. Been able 2 attend conferences virtually for 3 yrs! #AAHPM #hpm 2:22 am drpippa: RT @MeredithGould: @dspacl Speaks to the value of learning & using Twitter. Ive been able to attend conferences virtually for 3 yrs! #AAHPM #hpm 2:22 am dspacl: What offerings are directed at caregivers? The appeal such offerings to professionals, would be limited #hpm 2:23 am DrSnit: @MeredithGould #hpm hey cats hope the conference goers are having a lovely time. missing you! having a birthday thinger with the fam. MUAH! 2:23 am PracticalWisdom: @DrSnit: Happy B Day @DrSnit! #hpm 2:23 am hollyby: RT @MeredithGould: T1 Id like to see conf organizers get into inviting experienced #hcsm folks to tweet sessions in real time. #hpm 2:24 am dspacl: Perhaps microblogging the topics contemporaneously would be of value towthashtag.com/transcript.php?page_id=… 11/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 2:24 am dspacl: Perhaps microblogging the topics contemporaneously would be of value to #hcsm users #hpm 2:24 am dockj: T1. The other issue is non-member costs are higher for most conferences. Added burden for PT/family. #hpm 2:24 am PracticalWisdom: Great Discussion for T1: Now getting ready for T2: #hpm 2:24 am DrSnit: @PracticalWisdom Thank you! it is not till tomorrow!!! But you know - birthday season... ;) #hpm 2:24 am hvto: RT @dspacl: Perhaps microblogging the topics contemporaneously would be of value to #hcsm users. I really like that idea. #hpm 2:25 am PracticalWisdom: T2: What are the Pros/Cons of live Tweeting during Keynote or Presenters talks during medical Conferences? #hpm 2:25 am MeredithGould: @hollyby Ive done it as an invited "press" and just because Ive been attending. Very intense & difficult at times. #hpm 2:25 am hollyby: @DrSnit A very happy birthday to you!!! #hpm 2:26 am MeredithGould: T2 Essential, IMO. Takes nothing away from the speaker & provides much for the audience. #hpm 2:27 am hollyby: T2: People who are not on twitter think you are ignoring them, when in fact you are really paying attention in order to tweet! #hpm 2:27 am dockj: RT @MeredithGould: T2 Essential, IMO. Takes nothing away from the speaker & provides much for the audience. #hpm 2:27 am MeredithGould: @hollyby Just like they think people who doodle arent paying attention when, in fact, kinesthetic learners need to be doing something #hpm 2:28 am dockj: T2 you can use transcripts from live tweets as crib sheet for your own notes. #hpm 2:28 am hvto: @PracticalWisdom T2: Twitter becomes the tool for supreme note taking - only lots of people sharing your notes. #hpm 2:28 am dspacl: A recent conference (might of been MASCC) projected the live tweets during the talk and disparaging comments caused them to stop #hpm 2:28 am equijada: @PracticalWisdom heard a lecturer open "please do not give me your undivided attention please tweet to #hashtag" #hpm 2:28 am MeredithGould: RT @hvto: @PracticalWisdom T2: Twitter becomes the tool for supreme note taking - only lots of people sharing your notes. #hpm 2:29 am drpippa: RT @hollyby: T2: People who are not on twitter think you are ignoring them, when in fact you are really paying attention in order to tweet! #hpm 2:29 am ctsinclair: RT @PracticalWisdom: T2: What are the Pros/Cons of live Tweeting during Keynote or Presenters talks during medical Conferences? #hpm 2:30 am MeredithGould: @dspacl Was at a conf 2 yrs ago where projected live tweets caused somewhat of a fuss but I still think color commentary is impt. #hpm 2:30 am joshgriffin: RT @MeredithGould Just like think people who doodle rnt paying attention when, in fact kinesthetic learners need 2 b doing something #hpm 2:30 am mpalko: @ctsinclair the pros are that folks NOT at the conference get the benefit of virtual participation #hpm 2:30 am MeredithGould: @dspacl If a speaker is SO unresponsive to the audience that lots o people are yawning or tweeting comments, so what? Feedback! #hpm 2:31 am MeredithGould: RT @mpalko: @ctsinclair the pros are that folks NOT at the conference get the benefit of virtual participation #hpm 2:31 am hughstephens: @PracticalWisdom what is #hpm? Havent heard of it before! 2:31 am dockj: RT @mpalko: @ctsinclair the pros are that folks NOT at the conference get the benefit of virtual participation #hpm 2:31 am MeredithGould: @hughstephens Hospice and Palliative Medicine #hpmwthashtag.com/transcript.php?page_id=… 12/112
  • 2/23/2011 2:31 am MeredithGould: @hughstephens Hospice and Palliativethe Hashtag?! Transcript for #hpm - What Medicine #hpm 2:31 am ctsinclair: I am not sure I think broadcasting live tweets works unless you have a critical mass of tech lovers in audience #hpm 2:31 am hospice_mktg: RT @mpalko: @ctsinclair the pros are that folks NOT at the conference get the benefit of virtual participation #hpm 2:31 am mpalko: The sound of typing is the new applause #hpm 2:31 am MeredithGould: RT @mpalko: The sound of typing is the new applause #hpm 2:31 am PracticalWisdom: T2(A) Do you think the experience of the speaker/Type of Conference/Age of the audience impacts the pros/cons. #hpm 2:31 am rawarrior: #hpm Eek, what have I missed? 2:31 am ctsinclair: [sidenote] I am getting some commentary from the crowd watching me type #hpm 2:31 am kikilitalien: RT @mpalko: The sound of typing is the new applause #hpm 2:31 am MeredithGould: @mpalko Ok, I just favorited that tweet!!! #hpm 2:32 am revrevwine: RT @mpalko: The sound of typing is the new applause #hpm 2:32 am PracticalWisdom: @rawarrior: Nice complements about you. #hpm 2:32 am RickCaffeinated: Exactly (from SC!) //RT @mpalko: @ctsinclair the pros are that folks NOT at the conference get the benefit of virtual participation #hpm 2:32 am rawarrior: RT @PracticalWisdom: @rawarrior: Nice complements about you. #hpm //Hehe. glad to catch that. ;) 2:32 am hollyby: *clap clap clap* RT @mpalko: The sound of typing is the new applause #hpm 2:33 am equijada: @ctsinclair always (mostly) good to be an early adapter #hpm 2:33 am hughstephens: ah of course. RT @MeredithGould: @hughstephens Hospice and Palliative Medicine #hpm 2:33 am MeredithGould: T2(A) While age cohort may have an impact, I say tough darts -- get with the 21st century! #hpm 2:33 am equijada: @ctsinclair yo crowd. tweet away. #hpm 2:33 am joshgriffin: RT @MeredithGould: T2(A) While age cohort may have an impact, I say tough darts -- get with the 21st century! #hpm 2:33 am RickCaffeinated: Can I get a crossstitch of this? :) //RT @hollyby: *clap clap clap* RT @mpalko: The sound of typing is the new applause #hpm 2:34 am PracticalWisdom: Interview on NPR Biz Stone reported one speaker was so boring a large # of the group left to go across the hall for another speaker. #hpm 2:34 am dspacl: @hughstephens Do you attend many tweetchats? #hpm 2:34 am MeredithGould: @equijada Did you mean that double entendre? (adapter/adopter) #hpm 2:35 am SheyontheBay: RT @MeredithGould: T1 Id like to see conference organizers get into the best practice of inviting experienced #hcsm folks to tweet sessions in real time. #HPM 2:35 am PracticalWisdom: Rascal in me: http://www.youtube.com/watch?v=m-prl07CaOI #hpm 2:35 am dspacl: @PracticalWisdom Theres an idea! You can monitor the tweetage from the room before you decide to attend #hpm 2:35 am MeredithGould: @hughstephens If you can, attend the Sunday night #hcsm chat #hpm 2:36 am hlherrington: Hi! @CTSinclair just signed me up! just learning... #hpm 2:36 am FeliciaChapman: @hvto Hey Robin, whats #hpm? 2:36 am equijada: @MeredithGould nope! i used the wrong word. #hpmwthashtag.com/transcript.php?page_id=… 13/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 2:37 am MeredithGould: @hlherrington Hi! Hang in there, it can be confusing at first. #hpm 2:37 am MeredithGould: @equijada You shouldve said "yes" and then everyone would marvel that youre so clever! #hpm 2:37 am equijada: @MeredithGould you editors and writer types! ha! #hpm 2:37 am PracticalWisdom: T(3) Have you seen Speakers take questions or change their talk when they are receiving feedback from the Tweeters in the Room? #hpm 2:37 am mcamp41: RT @mpalko: The sound of typing is the new applause #hpm 2:38 am equijada: @hlherrington welcome! #hpm 2:38 am MeredithGould: T3 Yes & its very effective --enhances interactive, participatory, collaborative nature of event #hpm 2:38 am PracticalWisdom: RT @equijada: @hlherrington welcome! #hpm 2:38 am kgtyson: RT @mpalko: The sound of typing is the new applause #hpm 2:38 am equijada: @MeredithGould it did cross my mind... #hpm 2:39 am drpippa: @hlherrington welcome! Perfect intro. #hpm 2:40 am SheyontheBay: RT @ctsinclair: RT @mpalko: The sound of typing is the new applause. "I am putting that on a t-shirt" #hpm 2:40 am hlherrington: @equijada @meredithgould @drpippa- thanks, guys! #hpm 2:40 am PracticalWisdom: Opps sorry if I made it more confusing with T(3). Sorry. #hpm 2:40 am PracticalWisdom: T3: If someone asked you why you use Twitter or other Social Media tools during Medical Conferences what would you tell them. #hpm 2:40 am MeredithGould: @equijada Yeah, the absolute nerve of us demanding craft! Could be worse, we could be demanding good handwriting too! #hpm 2:41 am drpippa: T3 - wow! That would be great. Havent seen a speaker change based on feedback yet. Perhaps at SoMe preso tomorrow?@PracticalWisdom #hpm 2:41 am MeredithGould: @drpippa Ive seen it and its very compelling! #hpm 2:42 am PracticalWisdom: @drpippa: Ev Williams gets Feedback from Chris right after his TED Speech Re: Twitter. Ev looks very uncomfortable. #hpm 2:42 am MeredithGould: T3 Id say, "Im using social media as a tool to make healthcare education & information to as broad an audience as possible." #HPM 2:42 am joshgriffin: RT @ctsinclair: RT @mpalko: The sound of typing is the new applause. "I am putting that on a t-shirt" < Id wear that each time I speak #hpm 2:42 am hollyby: T3: Twitter is an important way to get the word out, share, learn, connect! When Im reading, it helps me broaden my view! #hpm 2:43 am equijada: @PracticalWisdom t3: changes your life. weak bonds may become strong bonds. Plus its the Guttenberg press. #hpm 2:43 am PracticalWisdom: RT @MeredithGould: T3 "Im using social media as a tool to make healthcare education & information to as broad an audience as possible." #hpm 2:43 am joshgriffin: RT @equijada: @PracticalWisdom t3: changes your life. weak bonds may become strong bonds. Plus its the Guttenberg press. #hpm 2:43 am ssmithaahpm: Attending #HPNF reception - happy anniversay #HPNA! #HPM #AAHPM 2:44 am rawarrior: RT @MeredithGould: T3 Id say, "Im using social media as a tool to make healthcare education & information to as broad an audience as possible." #HPM 2:44 am MeredithGould: T3 Ive found, met & learned from my most valued colleagues via social media. #hcsm #hpm #mccsm 2:45 am MeredithGould: T3 (and then Id mutter something under my breath like, "you should try it, bud") #HPMwthashtag.com/transcript.php?page_id=… 14/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! bud") #HPM 2:45 am dockj: RT @hollyby: T3: Twitter is an important way to get the word out, share, learn, connect! When Im reading, it helps me broaden my view! #hpm 2:45 am joshgriffin: RT @MeredithGould: T3 (and then Id mutter something under my breath like, "you should try it, bud") #hpm 2:46 am ctsinclair: RT @MeredithGould: T3 Ive found, met & learned from my most valued colleagues via social media. #hcsm #hpm #mccsm #hpm 2:46 am MeredithGould: @JoshGriffin I <3 you for RTng that! #hpm 2:46 am mpalko: @MeredithGould agreed, its like finding a 1000 co-workers you might not otherwise have known about #hcsm #hpm 2:46 am PracticalWisdom: @ctsinclair: Are you seeing an increase in SoMe during this conference? #hpm 2:46 am ctsinclair: I like using twitter at a med conf for taking notes to review afterwards and discuss with my colleagues #hpm 2:46 am joshgriffin: @MeredithGould I <3 you for tweeting it :-) #hpm 2:47 am ctsinclair: RT @PracticalWisdom: @ctsinclair: Are you seeing an increase in SoMe during this conference? "you guys have helped a bunch" #hpm 2:47 am MeredithGould: RT @ctsinclair: I like using twitter at a med conf for taking notes to review afterwards and discuss with my colleagues #hpm 2:47 am ctsinclair: @PracticalWisdom The wi-fi has made it a little daunting as well as intl data plans being $$$, but we will overcome these challenges #hpm 2:47 am MeredithGould: @PracticalWisdom My sense is --> @ctsinclair is dressed up like the Twitter bird to recruit tweeple! #hpm 2:47 am dspacl: @ctsinclair How do you review the notes? Can you call up a transcript. Forgive my novice ways #hpm 2:47 am ctsinclair: RT @mpalko: @MeredithGould agreed, its like finding a 1000 co-workers you might not otherwise have known about #hcsm #hpm 2:48 am hollyby: RT @ctsinclair: I like using twitter at a med conf for taking notes to review afterwards and discuss with my colleagues #hpm 2:48 am ctsinclair: RT @MeredithGould: @PracticalWisdom My sense is @ctsinclair is dressed up like the Twitterbird to recruit tweeple! "ill photshop that #hpm 2:48 am MeredithGould: @dspacl There are a number of technologies you can use to archive stuff. #hpm 2:48 am joshgriffin: RT @MeredithGould: @PracticalWisdom My sense is --> @ctsinclair is dressed up like the Twitter bird to recruit tweeple! #hpm 2:48 am ctsinclair: RT @dspacl: @ctsinclair How do you review the notes? Can you call up a transcript. Yeah, you can get pdf of your tweets or a hashtag #hpm 2:49 am ctsinclair: @dspacl Will write up a blog post on @pallimed tonight on how to get your twitter posts neatly organized #hpm 2:49 am hvto: btw, what was one of the tweetable insights that came from todays preconf? #hpm 2:49 am dockj: @ctsinclair @PracticalWisdom we had same wifi problem at Wall Center in Vancouver for STFM last year. #hpm 2:49 am PracticalWisdom: @ctsinclair: http://4.bp.blogspot.com/_UU2D6Y0X8_k/S9Iz- 8okvbI/AAAAAAAACGc/Q4IHv-ZF9ag/s1600/1229031072_bigbird.png teasing #hpm 2:49 am MeredithGould: @ctsinclair Better than being the Fail Whale (a moment of reverent silence) #hpm 2:49 am dspacl: @MeredithGould @ctsinclair Cool, thanks #hpm 2:49 am hollyby: Ha!!! RT @MeredithGould: @PracticalWisdom My sense is --> @ctsinclairwthashtag.com/transcript.php?page_id=… 15/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 2:49 am hollyby: Ha!!! RT @MeredithGould: @PracticalWisdom My sense is --> @ctsinclair is dressed up like the Twitter bird to recruit tweeple! #hpm 2:50 am drpippa: This is great - was just chatting with a guy who has been in practice 41 years, wants to learn about "the twitter." he is loving it! #hpm 2:50 am ctsinclair: RT @MeredithGould: @dspacl There are a number of technologies you can use to archive stuff. any that you know of off top of head?" #hpm 2:51 am thehealthmaven: RT @ctsinclair: RT @MeredithGould: @dspacl There are a number of technologies you can use to archive stuff. any that you know of off top of head?" #hpm 2:51 am joshgriffin: @drpippa "the twitter" is becoming such a powerful tool, even to the elder generation, as the reach is incredible. #hpm 2:51 am ctsinclair: @drpippa teach him now! #hpm 2:51 am dspacl: RT @drpippa: This great - chatting with a guy who has been in practice 41 years, wants to learn about "the twitter." he is loving it! #hpm 2:52 am PracticalWisdom: @joshgriffin @drpippa: I prefer the term Spicy generation~Please #hpm 2:52 am drpippa: done and done! RT @ctsinclair: @drpippa teach him now! #hpm 2:53 am PracticalWisdom: @ctsinclair: Do you have any final thoughts tonight? #hpm 2:53 am joshgriffin: @PracticalWisdom Spicy generation it is. Although I use elder with all respect. #hpm 2:53 am mpalko: Thanks for letting me crash the #hpm conference. Ive got a BIG interest in #hcsm. Let me know how I can help 2:53 am MeredithGould: Social media adoption by "older" cohorts is driven by children & grandchildren who use this stuff as a matter of course. #HPM 2:54 am PracticalWisdom: @joshgriffin: When in doubt I always give benefit of doubt. Thanks #hpm 2:54 am MeredithGould: @mpalko Love your Twitter bio. #hpm #hcsm 2:54 am ctsinclair: RT @PracticalWisdom: Any final thoughts tonight? "Thanks to all of you who are not here for the beg of a great socmed story" #hpm 2:54 am ctsinclair: @mpalko Would love for some of your RT and interaction tomorrow thru Sat when #hpm tweets go into overdrive #hpm 2:55 am ctsinclair: RT @mpalko: Thanks for letting me crash the #hpm conference. Ive got a BIG interest in #hcsm. Let me know how I can help #hpm 2:55 am hvto: @ctsinclair What was your best take away from todays pre-conf? #hpm 2:55 am PracticalWisdom: Final thoughts from the rest of our community. #hpm 2:55 am MeredithGould: #HPM Final thoughts: Live tweeting in real time at conferences needs to become the new best practice. 2:55 am ctsinclair: RT @hvto: @ctsinclair What was your best take away from todays pre-conf? "I wish I would have gone, but I was at @AAHPM board meeting #hpm 2:56 am PracticalWisdom: @ctsinclair: Thank you for serving and for helping to bring WiFi to the conference. #hpm 2:56 am dspacl: Ill listen for the tweets before choosing my concurrent session (; #hpm 2:56 am drpippa: RT @PracticalWisdom: Final thoughts - Twitter made it easier to walk into a room of 2000 people I dont know. #hpm 2:57 am mpalko: @ctsinclair appreciate the invitation! Ill be "lurking" as much as I am able. Just added the #hpm tag as a column in TweetDeck 2:57 am drpippa: me too! RT @dspacl: Ill listen for the tweets before choosing my concurrent session (; #hpm 2:57 am PracticalWisdom: Final Thoughts from @ctsinclairs the new students? #hpm 2:57 am MeredithGould: @mpalko Check out the #hcsm chat on Sunday nights. 9:00 PM ET. #hpmwthashtag.com/transcript.php?page_id=… 16/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 2:57 am MeredithGould: @mpalko Check out the #hcsm chat on Sunday nights. 9:00 PM ET. #hpm 2:57 am hvto: @drpippa What was your greatest take away from todays conf? #hpm 2:59 am rawarrior: @ctsinclair mention someone = nice way to get new participants in chat lol. #hpm 2:59 am drpippa: RT @hvto: @drpippa What was your take away from today? Dont spread yourself or your program too thin too quick. expand thoughtfully. #hpm 2:59 am PracticalWisdom: Best wishes for all who are attending~@AAHPM Conference/Vancouver. Its almost time for a wrap. #hpm 2:59 am daleview: the posters are amazing @AAHPM. great one on primary care physicians think they should refer to hospice BEFORE palliative care. #hpm 2:59 am dockj: @PracticalWisdom thanks for hosting! #hpm 2:59 am PracticalWisdom: RT @rawarrior: @ctsinclair mention someone = nice way to get new participants in chat lol. #hpm 2:59 am MeredithGould: @mpalko If you use Tweetdeck, you can set up a column to capture tweets from multiple hashtags. #hpm 3:00 am PracticalWisdom: @dockj: My pleasure it was a blast. #hpm 3:00 am MeredithGould: @PracticalWisdom Great chat topics! Thanks!! #hpm 3:00 am joshgriffin: Great chat, as always. And great job moderating by @PracticalWisdom Maybe next week there will be some tipics I know more about :-D #hpm 3:00 am dspacl: Ill be one of those to receive a wish you were here card. Have fun and WARM Regards to all #hpm 3:00 am P_Suelen: Pensei que ia ta estagiando em pleno #Carnaval... Pq ano passado,sabado e domingo de carnaval estava eu dentro do #HPM... hehehhe 3:00 am hvto: @drpippa Dont spread yourself or your program too thin too quick. expand thoughtfully. Sort of represents a life plan, doesnt it? TY #hpm 3:00 am ctsinclair: @PracticalWisdom Great chat. Sorry i could not be more involved. #hpm 3:00 am drpippa: Agreed! Esp on a night when lots of attention is focused other places. Great chat! RT @dockj: @PracticalWisdom thanks for hosting! #hpm 3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via @nathankottkamp @hfahospice @ameritox @palliativecare @zarakramer 3:01 am ctsinclair: RT @rawarrior: @ctsinclair mention someone = nice way to get new ppl in chat lol. you inspire me, remembered you went to the conf #hpm 3:01 am PracticalWisdom: @ctsinclair: My pleasure. As a teacher I know First things First. #hpm 3:01 am eyoste: RT @PracticalWisdom: RT @MeredithGould: T3 "Im using social media as a tool to make healthcare education & information to as broad an audience as possible." #hpm 3:01 am PracticalWisdom: Good NIght everyone: http://bit.ly/dIX6oo #hpm 3:02 am hvto: @PracticalWisdom TY - Wonderful hosting, enjoyed it. #hpm 3:02 am ctsinclair: RT @drpippa: RT @PracticalWisdom: Final thoughts - Twitter made it easier to walk into a room of 2000 people I dont know. #hpm 3:03 am PracticalWisdom: NIght everybody. Thank you for all your wisdom. http://www.youtube.com/watch?v=cp7_u0kcQRo #hpm 3:03 am ctsinclair: Night everyone, going to mingle in person! #hpm 3:04 am drpippa: RT @hvto: Sort of represents a life plan, doesnt it? TY *prob why it sticks with me! #hpm 3:04 am drpippa: Yes! Looking forward to tomorrow night. RT @ctsinclair: Night everyone, going to mingle in person! #hpm 3:08 am mdelacalzada: @ctsinclair @PracticalWisdom I am proud to say @KathleenPacurar iswthashtag.com/transcript.php?page_id=… 17/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! quite the Twitter savvy one all on her own! #hpm 3:11 am KathyKastner: RT @dockj: non-member costs are higher for most conferences. Added burden for PT/family. #hpm #MDChat 3:11 am KathyKastner: RT @MeredithGould: @hollyby Ive done it as an invited "press" and just because Ive been attending. Very intense & difficult at times. #hpm 3:12 am KathyKastner: RT @hollyby: Ppl not on twitter think you are ignoring them, when in fact you are really paying attention in order to tweet! #hpm #MDchat 3:13 am KathyKastner: Nice one ! RT @dockj: you can use transcripts from live tweets as crib sheet for your own notes. #hpm #hcsmca 3:13 am KathyKastner: Love it.RT @hvto: @PracticalWisdom Twitter becomes the tool for supreme note taking - only lots of people sharing your notes. #hpm #hcsmca 3:14 am KathyKastner: Gr8 RT @equijada: @PracticalWisdom heard lecturer open "please do not give me yr undivided attention please tweet to #hashtag" #hpm #hcsmca 3:18 am KathyKastner: Im virtual at 2 conf in Van: RT @mpalko: @ctsinclair the pros r that folks NOT at conference get the benefit of virtual participation #hpm 3:19 am KathyKastner: @MeredithGould Im feeling smart: I see, as I go through #hpm, Im RT same things as you. 3:19 am westr: RT @ctsinclair: RT @drpippa: RT @PracticalWisdom: Final thoughts - Twitter made it easier to walk into a room of 2000 people I dont know. #hpm 3:22 am KathyKastner: RT @ctsinclair:[sidenote] getting commentary from crowd watching me type.@mpalko:The sound of typing is the new applause #hpm #hcsmca #hpm 3:24 am KathyKastner: RT @dspacl: @PracticalWisdom Theres an idea! You can monitor the tweetage from the room before you decide to attend #hpm #hcsmca 3:26 am ssmithaahpm: Joy Buck RN MSN PhD keynote at #HPNF dinner #HPNA #HPM discusses the importance of archiving the history of the field 3:29 am KathyKastner: Gr8 ans 2 Why use sm at med conf RT @MeredithGould:"I use sm as tool 2 get healthcare ed & information 2 as broad audience possible." #HPM 3:30 am KathyKastner: RT @ctsinclair: I like using twitter at a med conf for taking notes to review afterwards and discuss with my colleagues #hpm #MDchat #hcsmca 3:30 am ssmithaahpm: Buck: Much of captured history focuses on a few key leaders in visible and privileged positions #HPM #AAHPM 3:33 am KathyKastner: RT @joshgriffin: @drpippa "the twitter" is becoming such a powerful tool, even to the elder generation, as the reach is incredible. #hpm 3:35 am KathyKastner: RT @MeredithGould: #HPM Final thoughts: Live tweeting in real time at conferences needs to become the new best practice. #MdChat #hcsmca 3:36 am KathyKastner: RT @dockj: @PracticalWisdom thanks for hosting! #hpm 3:37 am KathyKastner: RT @PracticalWisdom: @ctsinclair: Thank you for serving and for helping to bring WiFi to the conference. #hpm 3:37 am westr: RT @KathyKastner: RT @ctsinclair: I like using twitter at a med conf for taking notes to review afterwards and discuss with my colleagues #hpm #MDchat #hcsmca 3:47 am ssmithaahpm: Buck: Saunders, Wald and Kubler-Ross were the pioneers of hospice and palliative care #HPM 3:52 am ssmithaahpm: Buck: Saunders was portrayed as Lady MacBeth in editorial cartoons in the US as hospice gained in popularity #HPM # AAHPM 3:58 am ssmithaahpm: Happy 25th anniversary #HPNA! #AAHPM and its members are proud of all you have accomplished! #HPM 4:01 am ewidera: RT @ssmithaahpm: Happy 25th anniversary #HPNA! #AAHPM and its members are proud of all you have accomplished! #HPMwthashtag.com/transcript.php?page_id=… 18/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 4:24 am daitpcg: RT @ctsinclair: @dspacl Will write up a blog post on @pallimed tonight on how to get your twitter posts neatly organized #hpm 4:25 am daitpcg: RT @daleview: the posters are amazing @AAHPM. great one on primary care physicians think they should refer to hospice BEFORE palliative care. #hpm 4:27 am daitpcg: RT @ssmithaahpm: Happy 25th anniversary #HPNA! #AAHPM and its members are proud of all you have accomplished! #HPM 4:32 am OlkinComm: RT @mpalko: The sound of typing is the new applause #hpm 4:36 am khudak11: RT @mpalko: The sound of typing is the new applause #hpm 4:42 am gcooneymd: MUST TRY Bella Gelateria, corner of Burrard and Cordova, right across from the convention center - blood orange, lavander honey, more #hpm 4:46 am m57lyra: RT @mpalko: The sound of typing is the new applause #hpm 5:07 am GeriPalBlog: GeriPal Wins the Best Clinical Weblog of 2010 http://goo.gl/fb/glgAj #blogs #hpm 5:10 am melissaglassey: RT @ctsinclair: RT @mpalko: The sound of typing is the new applause. "I am putting that on a t-shirt" #hpm 5:14 am melissaglassey: Thats awesome! RT @ctsinclair: Hey everyone, I am manning the booth and teaching people to use Twitter @AAHPM in Vancouver #hpm 5:23 am ewidera: Mad props 2 @ctsinclair @geri_doc @pallimed @lisamarieblaski @hollyby @daitpcg @renee_berry @GriefHealing for http://goo.gl/fb/glgAj #HPM 5:24 am ewidera: More props @ShelleyWebbRN, @emarnold14, @CompAndChoices, @OLDCOLNYHOSPICE, @Adeuxmains, @KathyKastner for http://goo.gl/fb/glgAj #HPM 5:27 am ewidera: Even more 2 @MatthewsMichele @dianeemeier @hospicevalley @brimcmike @suzanakm 4 the win http://goo.gl/fb/glgAj #HPM 5:42 am ctsinclair: at dinner (chinese food!) With @suzanakm @hollyby @renee_berry yum! #hpm 6:10 am melissacolleen: RT @mpalko: The sound of typing is the new applause #hpm 6:14 am sfriebert: @ctsinclair Finally making this thing work - thanks for the tutorial! #HPM 6:23 am ezpsych: spent entire day flying across the county. hate cramped airline seats. hi vancouver! #hpm 6:56 am elderpages: RT @hollyby: *clap clap clap* RT @mpalko: The sound of typing is the new applause #hpm 7:39 am renee_berry: RT @ewidera: Mad props 2 @ctsinclair @geri_doc @pallimed @lisamarieblaski @hollyby @daitpcg @renee_berry @GriefHealing for http://goo.gl/fb/glgAj #HPM 7:52 am HospiScript: Wonderful 1st day at the AAHPM Conference! Stop by and see us in the exhibit hall and sign up for HospiLink. #hpm #hospice 8:59 am westr: Lucky you! RT @ctsinclair: at dinner (chinese food!) With @suzanakm @hollyby @renee_berry yum! #hpm 11:18 am PracticalWisdom: @ctsinclair For everyone watching, the live tweets will really increase (now, today) hold on to your ttp://bit.ly/dGDHf4 h #hpm #hpm 11:23 am PracticalWisdom: @ctsinclair says "For everyone watching, the live tweets will really increase (now, today) hold on to your http://bit.ly/ibcKTw" #hpm 11:33 am PracticalWisdom: Me too! RT@hospice_mktg @PracticalWisdom No Im not at the conference but following everyones tweets! Wish I was there! #hpm 11:43 am PracticalWisdom: @ctsinclair Thank you for teaching/helping folks use Twitter @AAHPM in Vancouver. You gathered a great group! http://bit.ly/geTAr8 #hpm 12:04 pm PracticalWisdom: Why Twitter@Med Conf RT@equijada @PracticalWisdom changes your life. weak bonds may become strong bonds. (+) its the Guttenberg press. #hpmwthashtag.com/transcript.php?page_id=… 19/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! weak bonds may become strong bonds. (+) its the Guttenberg press. #hpm 12:07 pm RickCaffeinated: RT @PracticalWisdom @equijada Why Twitter changes your life. weak bonds may become strong bonds. (+) its the Guttenberg press. #hpm 12:13 pm PracticalWisdom: @equijada http://bit.ly/dY4jI7 is so much easier than http://bit.ly/fuB6ig re: @AAHPM Plus Twitter is http://bit.ly/fnnGTB #HPM 12:14 pm PracticalWisdom: RT @ctsinclair: RT @rawarrior: @ctsinclair mention someone = nice way to get new ppl in chat lol. you inspire me, remembered you went to the conf #hpm 12:18 pm PracticalWisdom: RT@MeredithGould #HPM Final thoughts: Live tweeting in real time at conferences needs to become the new best practice. 12:18 pm PracticalWisdom: RT @KathyKastner: RT @ctsinclair:[sidenote] getting commentary from crowd watching me type.@mpalko:The sound of typing is the new applause #hpm #hcsmca #hpm 12:36 pm PracticalWisdom: @RickCaffeinated I"m so glad 2 have met you through the wires last night #hpm. Hey local Boy next Java is on me! Cheers. 12:57 pm LVADone: RT @ctsinclair: Our Core Purpose: To improve care of patients w/ serious or life-threatening cond thru advancement of hospice and palliative medicine. #hpm 12:57 pm LVADone: RT @mpalko: The sound of typing is the new applause #hpm 1:17 pm RickCaffeinated: @practicalwisdom same here - thanks for connecting. Ill be loosely eavesdropping on the #hpm tag today - yall have fun. 1:23 pm RickCaffeinated: RT @practicalwisdom: RT@MeredithGould #HPM Final thoughts: Live tweeting in real time at conferences needs to become the new best practice. 2:12 pm haslingerppc: RT @ctsinclair: Hey everyone, I am manning the booth and teaching people to use Twitter @AAHPM in Vancouver #hpm 2:23 pm hospice_mktg: RT @pkassner: Painting the backdrop of pts & families final days together @horizonHCH Listen wuwm.com/listen 10:45a cst #hospice #art #hpm 2:29 pm hospice_mktg: Fabulous video - a must see! RT @HelptheHospices: Want to know more about how hospices change lives? http://bit.ly/hbXJRK #hospice #hpm 2:29 pm ameritox: At the @AAHPM and @HPNAinfo assembly? 15 minutes until Dr. Harry Leider discusses improving health care through clinical leadership. #hpm 2:40 pm equijada: RT @mpalko: The sound of typing is the new applause #hpm 2:44 pm Adeuxmains: RT @mpalko: The sound of typing is the new applause #hpm 2:47 pm equijada: via @HelptheHospices - Adding life to days: http://bit.ly/ebvYr0 UK gets it. Captures the passion w/o the sap #hpm 2:47 pm brimcmike: RT @mpalko: The sound of typing is the new applause #hpm 2:53 pm emilybarryPR: Agree! Powerful RT @equijada: via @HelptheHospices - Adding life to days: http://bit.ly/ebvYr0 UK gets it. Captures the passion w/o sap #hpm 2:58 pm PracticalWisdom: In Apple Store. White coat MD is here buying lots of stuff. Asked him about social media & hospital. Kinda gave me a blank look. #HCSM #hpm 3:01 pm andrewspong: RT @PracticalWisdom: In Apple Store. White coat MD is here buying lots of stuff. Asked him about social media & hospital. Kinda gave me a blank look. #HCSM #hpm 3:02 pm RickCaffeinated: #Doh! //RT @practicalwisdom: Apple Store. White coat MD buying lots. Asked him about social media & hospital, gave me blank look. #HCSM #hpm 3:09 pm equijada: Thank you @ssmithaahpm and @aahpm for hard work planning #hpm. Looking forward to the day 3:13 pm ctsinclair: Talking to Amy Kelley - just published in AnnalsIntMed Determinants of Med Expenditures in Last 6 Months of Life http://bit.ly/helncF #hpmwthashtag.com/transcript.php?page_id=… 20/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 3:15 pm ctsinclair: Thursday Sessions are starting. Yes we get up early in the morning for education in palliative medicine #hpm 3:17 pm emilybarryPR: Great info! Make your hospitals #Facebook page a conversation not monologue http://bit.ly/hpX4F7 #hpm #hcmktg #hcpr 3:19 pm ctsinclair: Ira Byock from @Dartmouth @DHMC announced as receiving the @AAHPM PDIA Community Leadership Award #hpm 3:21 pm ctsinclair: Byock "we can contribute by bringing clinical excellence, caring concern to affirm essential core values in every patient we meet" #hpm 3:25 pm ctsinclair: Now up - Bob Arnold (@rabob) to receive the @AAHPM PDIA National Leadership Award #hpm 3:25 pm ssmithaahpm: Toasting PC-FACS editor Amy Abernethy and team with sparkling cider for 100+ great issues #aahpm #hpm 3:26 pm ctsinclair: Arnold - Pretty funny speaker - he clarified his suit is not rented and not his bat mitzvah suit #hpm 3:29 pm VirtualHospice: RT @ctsinclair: Byock "we can contribute by bringing clinical excellence, caring concern to affirm essential core values in every patient we meet" #hpm 3:30 pm ctsinclair: Arnold (@rabob) thanking Tony Back who he worked on @Oncotalk helping #Oncology fellows w/ communication skills http://bit.ly/hlyAqd #hpm 3:30 pm ctsinclair: RT @ssmithaahpm: Toasting @AAHPM PC-FACS editor Amy Abernethy and team with sparkling cider for 100+ great issues love pc-facs #hpm 3:31 pm ctsinclair: Arnolds subject - Things that I thought were true that are not #hpm 3:32 pm GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice 3:33 pm AAHPM: RT @GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice 3:33 pm ctsinclair: Arnold reading The Journey Down the Sidewalk of Life http://bit.ly/hggOCm good poem for mistakes in health care #hpm 3:34 pm ctsinclair: Mistakes help one see how the future might be different. -Arnold #hpm 3:36 pm hospice_mktg: ! RT @GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice 3:36 pm mdpathways: RT @griefhealing: Congratulations to GeriPal: Best Clinical Weblog for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice 3:36 pm RNpathways: RT @griefhealing: Congratulations to GeriPal: Best Clinical Weblog for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice 3:36 pm ctsinclair: RT @GriefHealing: Congratulations to @GeriPalBlog: Best Clinical Weblog for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice #hpm 3:38 pm ctsinclair: Arnold - Talent is overrated - what you need is intense practice, intentional and focused, immediate feedback with a coach #hpm 3:41 pm ctsinclair: Arnold - Focus on the role of behavioral economics and the role of emotions influencing preferences #hpm 3:42 pm ctsinclair: Affect functions as info; spotlights certain info, motivates gathering more info, serves as common currency - Arnold #hpm 3:48 pm ctsinclair: As clinicians, it is impossible to be neutral, we have walked these roads many times before, patients often look for advice from us #hpm 3:51 pm AAHPM: Good morning, attendees! The exhibit hall is all abuzz with positive feedback. Whats been your best experience at the Assembly so far? #hpm 3:52 pm ctsinclair: Arnold - Teaching is about creating a space where learning can occur - motivate and catalyze, make explicit connections #hpm #meded #hpm 3:56 pm ctsinclair: Arnold @rabob rec for medical teachers: Teach Like a Championwthashtag.com/transcript.php?page_id=… 21/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 3:56 pm ctsinclair: Arnold @rabob rec for medical teachers: Teach Like a Champion http://amzn.to/gxrdqh #meded #hpm 3:57 pm ctsinclair: Another book rec from @rabob: How Learning Works: Seven Research- Based Principles for Smart Teaching http://amzn.to/fFHZCr #meded #hpm 3:59 pm apjonas: RT @ctsinclair: As clinicians, it is impossible to be neutral, we have walked these roads many times before, patients often look for advice from us #hpm 4:01 pm ctsinclair: Walker Percy "If you listen carefully to your patients they will tell you not only what is wrong with them but what is wrong with you." #hpm 4:06 pm ctsinclair: Arnold read a short excerpt from David Foster Wallace on Life and Work - WSJ.com http://on.wsj.com/gCrNAy #meded #hpm 4:07 pm ctsinclair: It is not about the single error but about learning from any error and not making it again. - Arnold (paraphrase) #hpm 4:10 pm hospice_mktg: Excellent advice esp for #hpm orgs RT @ElenaVerlee: Don?t be afraid to test your msg to make sure it?s understood. http://fb.me/tdzTokAW #PR 4:23 pm westr: RT @MeredithGould: T3 Ive found, met & learned from my most valued colleagues via social media. #hcsm #hpm #mccsm 4:37 pm VirtualHospice: Congratulations! RT @GeriPalBlog: GeriPal Wins the Best Clinical Weblog of 2010 http://goo.gl/fb/glgAj #blogs #hpm 4:40 pm ctsinclair: Sean Morrison, President of @AAHPM is from Canada and had to put on a Canadian Hockey jersey before speaking #hpm 4:41 pm Life_Quality: Improving EOL Ed for IM Residnets by using Death Rounds. Focus on emotional needs - Journal of Palliative Medicine http://bit.ly/f7lhfE #hpm 4:41 pm MeredithGould: @ctsinclair Maple Leafs?? #hpm 4:43 pm ctsinclair: @AAHPM Presidential Award to Canadian Sen Sharon Carstairs who is appointed Federal Cabinet post responsible for #Palliative Care #hpm 4:44 pm ctsinclair: RT @MeredithGould: @ctsinclair Maple Leafs?? "Canada National Team Olympics 2010" #hpm 4:44 pm hospicepharmacy: The New York State?s #Palliative Care Information Act now in effect http://bit.ly/h8LICj #NewYork #hospice #hpm 4:45 pm hospicepharmacy: Legislation filed to legalize medical marijuana in #Kansas http://bit.ly/fHOsbZ #cancer #hospice #hpm 4:45 pm ctsinclair: Amazing work Senator Carstairs http://bit.ly/f1A5W9 Raising the Bar A Roadmap for the Future of Palliative Care in Canada #hpm 4:47 pm ctsinclair: nearly all 16 past presidents of @HPNA here today for the 25th anniversary of the group. #RNchat #nursing #hospice #hpm 4:47 pm ctsinclair: RT @hospicepharmacy: Legislation filed to legalize medical marijuana in #Kansas http://bit.ly/fHOsbZ #cancer #hospice #hpm 4:49 pm ewidera: RT @ctsinclair: nearly all 16 past presidents of @HPNA here today for the 25th anniversary of the group. #RNchat #nursing #hospice #hpm 4:51 pm ctsinclair: Now for the @HPNAinfo awards - Leading the Way award - Madalon ORawe Amenta PhD, MN, RN, leader in hospice in Penn/U.S. #hpm 4:54 pm renee_berry: RT @ctsinclair @HPNAinfo awards - Leading the Way award - Madalon ORawe Amenta PhD, MN, RN, leader in hospice in Penn/U.S. #hpm 4:57 pm ctsinclair: 2010 @HPNAinfo Distinguished Career Achievement Award to Patricia Murphy, PhD APN FAAN FPCN from UMDNJ #RNChat @nursingworld #hpm 4:57 pm renee_berry: Most of what I know about resilience and spirit has been from the families I have worked with -Murphy, PhD APN FAAN FPCN #hpm 4:59 pm MeetVancouver: Beautiful day for a @capsuspbridge & @grousemountain adventure. Get exclusive discounts at our onsite booth! @AAHPM @HPNAInfo #hpmwthashtag.com/transcript.php?page_id=… 22/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:01 pm renee_berry: Detmer, MD Partnering Informatics & Continuing Professional Edu for Performance Improvement & Improved Patient Care #hpm 5:02 pm ctsinclair: Don Detmer now doing Plenary . He is past pres for American Medical Informatics Assoc @AMIAinformatix #hpm 5:02 pm renee_berry: "theres an opportunity to reform processes for valute driven gains & better outcomes to improve communities Detmer, MD #hpm 5:03 pm equijada: Detmer: Ancient reluctant conscript and EMR http://bit.ly/fCsUTl #hpm 5:04 pm MeetVancouver: Hope its the city ;) RT @AAHPM Exhibit hall is all abuzz with (+) feedback. Whats been your best experience at the Assembly so far? #hpm 5:04 pm renee_berry: "The growth of the knowledge base in medicine is exploding" Detmer, MD #hpm 5:04 pm ctsinclair: Detmer - Demise of expert-based practice is inevitable, the information blows past ability for human cognition #hpm 5:05 pm ctsinclair: Detmer - Wonder if he will talk about the Singularity? http://www.singularity.com/ #hpm 5:05 pm RossJeanette: Medicine used to be simple and ineffective #Hpm 5:06 pm ctsinclair: When all else fails, lower your standards - Roy Underhill, Woodwrights Shop - Detmer says that is not the answer #hpm 5:06 pm equijada: Detmer paraphrased - Moores law doesnt apply to the human brain #hpm 5:06 pm renee_berry: "Weve got to move past the craftmanship standard" Detmer, MD #hpm 5:07 pm ewidera: "Medicine used to be simple, ineffective, & relatively safe. Now it is complex, effective, & potentially dangerous." Sir Cyril Chantler #HPM 5:07 pm renee_berry: "We dont just want to know what works, we want to know what works best" Detmer, MD #hpm 5:08 pm ctsinclair: The Learning Healthcare System in 2010 and Beyond: Institute of Medicine http://bit.ly/hDizHz Referenced by Detmer #hpm 5:08 pm ctsinclair: Detmer is a fast speaker lots of info! Glad there are multiple tweeters #hpm 5:08 pm elderpages: RT @renee_berry: Most of what I know about resilience and spirit has been from the families I have worked with -Murphy, PhD APN FAAN FPCN #hpm 5:09 pm ctsinclair: RT @renee_berry: "We dont just want to know what works, we want to know what works best" Detmer, MD #hpm 5:09 pm renee_berry: RT @ctsinclair: Detmer is a fast speaker lots of info! Glad there are multiple tweeters #hpm 5:10 pm suzanakm: Informatics aims to enhance use of knowledge base of health sciences to improve health outcomes and research. Detmer #hpm 5:10 pm equijada: Detmer - informatics: not about technology, about communication. Me: amen #hpm 5:10 pm renee_berry: RT @suzanakm: Informatics aims to enhance use of knowledge base of health sciences to improve health outcomes and research. Detmer #hpm 5:10 pm suzanakm: RT @elderpages @renee_berry: Most of what I know about resilience and spirit has been from the families I have worked with -Murphy #hpm 5:11 pm elderpages: Cutting pills in half to save money or lower doses may be hazardously inaccurate. http://on.fb.me/hwWMQp #caregiving #hpm 5:12 pm suzanakm: Translational bioinformatics, imagine & simulation, public health info, clinical research, clinical care - domains of #healthIT #hpm 5:12 pm equijada: Detmer on translational bioinformatics - two words. Awe.some. #hpm 5:12 pm renee_berry: "Doing things right is not the same as doing the right things" Detmer, MD #hpmwthashtag.com/transcript.php?page_id=… 23/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:13 pm renee_berry: So great to have a tweeting team!!! (Hi everyone) #hpm 5:13 pm ctsinclair: Well done is better than Well said - Ben Franklin from Detmer talk #hpm 5:13 pm suzanakm: Change in #healthIT is like changing the engine while driving the car... Detmer #hpm 5:13 pm equijada: Well done is better than well said - T. Jefferson #woops #hpm 5:13 pm RossJeanette: detmer we need to change culture to employ informatics, its like working on your car while it is running #Hpm 5:13 pm ctsinclair: Whoops meant #HealthIT not #HIT @Ahier #hpm 5:14 pm VanConventions: RT @meetvancouver: onsite tomorrow at 9AM! Did you catch the beautiful sunset outside @VanConventions? @AAHPM #hpm http://twitpic.com/40l2lz 5:14 pm renee_berry: HITC is not about technology, its about communications & bringing people together -Detmer, MD #HealthIT #hpm 5:14 pm ctsinclair: "Everyone complains of his memory, but no one complains of his judgement." - Duc De La Rochefoucauld from Detmer #hpm 5:15 pm revdoc: Dr. Detmer-clinicians need training in utilizing informatics (science of use of info) #hpm 5:15 pm renee_berry: "In a complex system #Leadership is more important than management" Detmer, MD #hpm 5:16 pm suzanakm: RT @ctsinclair: "Everyone complains of his memory, but no one complains of his judgement." - Duc De La Rochefoucauld from Detmer #hpm 5:16 pm hospicepharmacy: Death with dignity advocates to unveil #Vermont bill http://bit.ly/fvg0UX #hospice #hpm #cancer #eldercare 5:16 pm revdoc: RT @ctsinclair: "Everyone complains of his memory, but no one complains of his judgement." - Duc De La Rochefoucauld from Detmer #hpm 5:16 pm RossJeanette: Clinical professional informatician .. I like that... Wonder what it takes to do it #Hpm 5:16 pm MDTalk: Whoops meant #HealthIT not #HIT #hpm http://bit.ly/hk7gJf 5:17 pm ctsinclair: Wondering about integration of #hcsmsv @GoogleHealth #Hpm and @AMIamiainformatix #hpm 5:18 pm renee_berry: Informatics in #healthcare today is a dynamic field -Detmer #hpm 5:18 pm ctsinclair: Detmer referenceed the AMIA 10x10 conference http://bit.ly/ePo2tN http://bit.ly/ePo2tN #hpm 5:19 pm Pallimed: Medical computer standards mentioned bby Detmer MedBiquitous Consortium http://bit.ly/g0pw2Z #hpm #healthIT 5:20 pm ctffox: When the Battle With #Cancer Can?t Be Won http://ow.ly/3XWnc #hpm 5:20 pm klxmedia: make sure to follow @ctsinclair and @renee_berry who are part of our team live tweeting from @AAHPM Annual Assembly (follow #hpm) 5:20 pm equijada: Health care partnerships: Need to create tight feedback loops. See: @massivehealth #hpm 5:20 pm renee_berry: "Communications standards need to supplement the information standards" -Detmer #hpm 5:20 pm renee_berry: "We really need to be focusing on the people side of this far more than what were doing" -Detmer #hpm 5:21 pm ctsinclair: RT @renee_berry: "We really need to be focusing on the people side of this far more than what were doing" -Detmer #hpm 5:21 pm ctsinclair: RT @equijada: Health care partnerships: Need to create tight feedback loops. See: @massivehealth #hpmwthashtag.com/transcript.php?page_id=… 24/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:22 pm Pallimed: Confused by HIBBs mentioned by Detmer? Health Informatics Building Blocks (HIBBs) http://bit.ly/iin1V1 #hpm #healthIT 5:22 pm renee_berry: Detmer talked about the crucial importance of #AdvanceDirectives for patient centered care #HaveTheTalk cc @NHDD #hpm 5:22 pm ctsinclair: Detmer - "Weve talked about working as teams (in health care) more than we have actually done it" #hpm 5:23 pm renee_berry: RT @ctsinclair Detmer - "Weve talked about working as teams (in health care) more than we have actually done it" #hcsm #hcr #hpm 5:23 pm RossJeanette: Detmer " useful knowledge is power - Jefferson " #Hpm 5:24 pm equijada: Detmer informatics priorities 1. EBM -> 5. IDT #hmm Knowledge is power but context is now god. #engagement #hpm 5:26 pm ctsinclair: RT @equijada: Detmer informatics priorities 1. EBM -> 5. IDT #hmm Knowledge is power but context is now god. #engagement #healthIT #hpm 5:26 pm quality1: RT @ctsinclair: Detmer - "Weve talked about working as teams (in health care) more than we have actually done it" #hpm 5:27 pm ameritox: At the @AAHPM and @HPNAinfo assembly? 15 minutes until Dr. Harry Leider discusses improving health care through clinical leadership. #hpm 5:27 pm ctsinclair: Hey @Ameritox, your Chief Medical Officer Harry Leider is now talking at @AAHPM Assembly #hpm 5:28 pm Pallimed: Don E. Detmer - Wikipedia, the free encyclopedia http://bit.ly/gw4oCm #hpm #healthIT 5:28 pm renee_berry: Improving #Healthcare through Effective Clinical #Leadership w/ @Ameritox CMO Harry Leider http://ow.ly/3YoK8 #hcsm #hpm 5:29 pm suzanakm: @ACPE featured at @AAHPM conference! Leider speaks on leadership, herding cats, change #hpm 5:30 pm Pallimed: John Kotter on What Leaders Really Do from @HarvardBiz http://bit.ly/fynuPP Rerenced by Leider @Ameritox CMO #hpm 5:30 pm renee_berry: RT @Pallimed: John Kotter on What Leaders Really Do from @HarvardBiz http://bit.ly/fynuPP Rerenced by Leider @Ameritox CMO #hpm 5:31 pm suzanakm: RT @renee_berry: Improving #Healthcare through Effective Clinical #Leadership w/ @Ameritox CMO Harry Leider http://ow.ly/3YoK8 #hcsm #hpm 5:32 pm renee_berry: (challenge) "Attracting young talent to your field, where its about really caring for people" -Leider cc @Y_A_H_A #hpm 5:32 pm VirtualHospice: Congratulations to Senator Sharon Carstairs who received @AAHPM?s President?s Citation. #hpm 5:33 pm ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpm 5:33 pm renee_berry: "Why is it so hard to influence physicians? Physicians have a defect that nurses do not.. Thinking they run the show" Leider #hpm 5:33 pm RossJeanette: Leider " why is it son hard to influence clinicians ... We are trained to run he show not so much in practicing as a team #Hpm 5:34 pm ctsinclair: If you want to improve care it is about reducing variations in care. - Leider #hpm 5:34 pm renee_berry: RT @ctsinclair Leider "smart ones know they are not" (there to run the show) #hpm 5:35 pm Pallimed: Know everyone at @AAHPM can be linked to @Ameritox CMO Dr. Harry Leider http://linkd.in/gezG4l #hpm 5:35 pm RossJeanette: Leider Physicians practice alone together #Hpm 5:36 pm revdoc: Leider: quality care is systematic, pop health, attends 2 cost, works aswthashtag.com/transcript.php?page_id=… 25/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:36 pm revdoc: Leider: quality care is systematic, pop health, attends 2 cost, works as team #hpm 5:36 pm renee_berry: "cost has always been a secondary issue in medicine" -Leider (re: not being trained to analyze cost factors in medicine) #hpm 5:36 pm ctsinclair: Leider - Quote from Dr. Marc Bard from Harvard - "Physicians practice alone, together" #MDchat #RNchat #hpm 5:36 pm equijada: Leider - physicians practice alone together #myownhashtag #hpm 5:36 pm suzanakm: Leider - "physicians practice alone, together." #hpm - we need to change this culture. How? 5:36 pm revdoc: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpm 5:36 pm renee_berry: RT @revdoc: Leider: #quality care is systematic, pop health, attends 2 cost, works as team #hpm 5:37 pm suzanakm: RT @renee_berry: RT @revdoc: Leider: #quality care is systematic, pop health, attends 2 cost, works as team #hpm 5:37 pm ctsinclair: Trust between clinicians and payors is poor and without an EMR the payors have the data - Challenge to improve quality #healthIT #hcr #hpm 5:38 pm amcunningham: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpm 5:39 pm ctsinclair: Any of my followers just FYI, live tweeting from Vancouver @AAHPM conference see http://slidesha.re/fh5kKy or pallimed.org for details #hpm 5:39 pm suzanakm: Traditional strategies for influencing clinicians: education, input, feedback, admin barriers, positive/negative reinforcement -Leider #hpm 5:40 pm zacksholem: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpm 5:40 pm ctsinclair: "One more grand rounds and well fix this problem is not a way to improve care. - Leider #hpm 5:41 pm suzanakm: In reality, evidence shows that education, guidelines, economic incentives dont influence physician behavior - Leider #hpm #mdchat 5:41 pm renee_berry: #advocate RT @ctsinclair re: live tweeting from Vancouver @AAHPM conference see http://slidesha.re/fh5kKy or @Pallimed for details #hpm 5:42 pm ahier: RT @ctsinclair: Any of my followers just FYI, live tweeting from Vancouver @AAHPM conference see http://slidesha.re/fh5kKy or pallimed.org for details #hpm 5:44 pm Pallimed: Ref by @Ameritox CMO Leider Translating Guidelines Into Clinical Practice* ? @accpchest http://bit.ly/fYu9LY (Free PDF) #OA #hpm #hcr 5:44 pm RossJeanette: Leider strategies for influence physicians acquire them, manage them, incentivice them #Hpm 5:44 pm equijada: Change behavior with relationships http://zd.net/hOMLTH #hpm #connected 5:45 pm renee_berry: RT @equijada: Change behavior with relationships http://zd.net/hOMLTH #hpm #connected #hcsm #healthcare #hpm 5:46 pm renee_berry: "most #physicians are really entrepreneurs" -Leider #hpm 5:48 pm equijada: Lieder - Stephen JObs? #hpm 5:48 pm ctsinclair: Current models to influence docs: Acquire, Manage, Incentivize. None have led to success they have set out to achieve #hpm 5:49 pm suzanakm: Leider- "clash of cultures" - doctors dont like to be managed - so providing a manager does not solve all problems #hpmwthashtag.com/transcript.php?page_id=… 26/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:50 pm suzanakm: RT @ctsinclair: Current models to influence docs: Acquire, Manage, Incentivize. None have led to success they have set out to achieve #hpm 5:50 pm ctsinclair: RT @equijada: Lieder - Stephen Jobs? funny mixup #hpm 5:51 pm ctsinclair: RT @equijada: Change behavior with relationships http://zd.net/hOMLTH #hpm #connected #hpm 5:51 pm equijada: Its hard to grow a garden #thatisall #hpm 5:51 pm revdoc: Leider: it is easier to incent productivity/utiliz than to incent quality #hpm 5:52 pm doclake: RT @ctsinclair: Current models to influence docs: Acquire, Manage, Incentivize. None have led to success they have set out to achieve #hpm 5:52 pm renee_berry: "Improving quality is harder to measure" -Leider #hpm 5:53 pm doclake: RT @renee_berry: "Improving quality is harder to measure" -Leider #hpm 5:53 pm doclake: RT @taraparkerpope: A Doctor at the Funeral http://nyti.ms/edcM0h #hpm 5:54 pm doclake: RT @suzanakm: Leider - "physicians practice alone, together." #hpm - we need to change this culture. How? 5:54 pm doclake: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpm 5:54 pm renee_berry: RT @doclake RT @taraparkerpope A Doctor at the Funeral http://nyti.ms/edcM0h #hpm 5:55 pm VirtualHospice: Virtual Hospice M&Ms big hit with @AAHPM crowd - should have brought another bag! #hpm 5:55 pm renee_berry: "Incentives get attention but not always the results that are wanted" Leider, MD #hcr #HealthCare #hpm 5:55 pm doclake: RT @ewidera: "Medicine used to be simple, ineffective, & relatively safe. Now it is complex, effective, & potentially dangerous." Sir Cyril Chantler #HPM 5:56 pm suzanakm: RT @revdoc: Leider: it is easier to incent productivity/utiliz than to incent quality #hpm 5:56 pm renee_berry: "Incentives are part of the solution, not the solution" -Leider, MD #hpm 5:56 pm ctsinclair: RT @revdoc: Leider: it is easier to incent productivity/utiliz than to incent quality #hcr #hpm 5:56 pm revdoc: Leider: you cant work harder to improve quality as a long-term strategy #hpm 5:57 pm doclake: RT @ctsinclair: Walker Percy "If you listen carefully to your patients they will tell you not only what is wrong with them but what is wrong with you." #hpm 5:57 pm ctsinclair: New strategies for changing behavior in HealthCare: Strong Clinical Leadership, Effective Incentives, Tools for Improving Performances #hpm 5:58 pm suzanakm: Leiders model for herding cats (managing physicians): strong clinical leadership, effective incentives, performance improvement tools #hpm 5:58 pm ctsinclair: Wondering if Leider is alienating half the audience who are cat lovers with the herding cats v herding dogs analogy? :) #hpm 5:59 pm ctsinclair: RT @dalehammond: @ctsinclair Are you tweeting from Vancouver @ AAHPM? "Yes come join us online with #hpm!" 6:00 pm MeredithGould: @ctsinclair Cat people are used to such analogies & are proud that kitties refuse to be shoved around like dogs. #hpm 6:00 pm Colleen_Young: @VirtualHospices handing out Virtual Hospice M&Ms to @AAHPM crowd. Not all connecting tools are sm-based ;) #hpm #hcsmca 6:00 pm renee_berry: RT @mpalko: The sound of typing is the new applause #hpmwthashtag.com/transcript.php?page_id=… 27/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 6:00 pm renee_berry: RT @ctsinclair: Walker Percy "If you listen carefully to your patients they will tell you not only what is wrong with them but what is wrong with you." #hpm 6:00 pm VirtualHospice: Gold medal for Sean! RT @ctsinclair: Sean Morrison, President of @AAHPM is from Canada and had put on Cdn Hockey jersey before speaking #hpm 6:01 pm suzanakm: Leider strong clinical leadership: clinical credibility, skills in: communication, group leadership, team building, negotiation, QI, $ #hpm 6:01 pm Pallimed: Managing for Excellence: Guide to Developing High Performance in Contemporary Organizations http://amzn.to/hpF2wx refd by Leider #hpm 6:02 pm ctsinclair: Strong Clinical Leadership needs a Group leadership approach. We are in a post-heroic era. - Leider #hpm 6:02 pm LeeAase: Check out what @ctsinclair is doing this week at the #hpm conference - Cant wait to see what he reports on in for #MCCSM 6:03 pm ctsinclair: RT @suzanakm: Leider strong clin leadership: clinical credibility, skills in: comm, group leadership, team building, negotiation, QI, $ #hpm 6:03 pm renee_berry: Great! #LiveTweet RT @dalehammond @ctsinclair Our DNS & two RNs are up there. Nice to see some of whats going on without being there! #hpm 6:03 pm DeathwDignity: RT @hospicepharmacy: #DeathwithDignity advocates to unveil #Vermont bill http://bit.ly/fvg0UX #hospice #hpm #cancer #eldercare 6:03 pm SarahVarga: RT @mpalko: The sound of typing is the new applause #hpm 6:04 pm AAHPM: RT @suzanakm: Leiders: Manage physicians through strong clinical leadership, effective incentives, performance improvement tools #hpm #hpm 6:04 pm ctsinclair: @LeeAase Thanks Lee! Have a lot of ideas to blog about for #MCCSM Looking forward to engagement from SocMed community with #hpm #hpm 6:05 pm renee_berry: @LeeAase cool, thanks for saying hi Lee! #hpm 6:05 pm suzanakm: RT @VirtualHospice: Gold medal for Sean! @ctsinclair: Sean Morrison Canadian @AAHPM President put on Cdn Hockey jersey before speaking #hpm 6:05 pm mpalko: @renee_berry @ctsinclair Sounds like there is a lot of "applause in the room today! #hpm 6:05 pm lglcommunity: RT @ctsinclair: Strong Clinical Leadership needs a Group leadership approach. We are in a post-heroic era. - Leider #hpm 6:06 pm Pallimed: Why Dont Physicians Follow Clinical Practice Guidelines?, form 1999 by Cabana @JAMA http://bit.ly/ez2gyF refd by Leider #OA #hcr #hpm 6:08 pm ctsinclair: RT @renee_berry: RT @mpalko: The sound of typing is the new applause #hpm 6:08 pm revdoc: RT @renee_berry: we have a lot of advocates for #hospice & #Palliative care in the audience! re: RT @mpalko Sounds like theres a lot of "applause" today #hpm 6:09 pm amcunningham: RT @suzanakm: In reality, evidence shows that education, guidelines, economic incentives dont influence physician behavior - Leider #hpm #mdchat 6:09 pm ctsinclair: RT @mpalko: @renee_berry @ctsinclair Sounds like there is a lot of applause in the room today! "It is so loud!" #hpm 6:09 pm suzanakm: Leiders study on influencing behavior: clinical leadership & clinical tools get As, financial incentives get an F #hpm #hcleadership #acpe 6:09 pm ctsinclair: Have heard three times in last 24 hours from speakers - we are spending more but not getting quality outcomes #hcr #hpm 6:09 pm renee_berry: US system we spend more with out improving outcomes -Leider #hcr #Healthcare #hpmwthashtag.com/transcript.php?page_id=… 28/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #Healthcare #hpm 6:10 pm Pallimed: RT @GeriPalblog GeriPal Wins the Best Clinical Weblog of 2010 http://bit.ly/f0iBdm #hpm 6:11 pm renee_berry: RT @ewidera: "Medicine used to be simple, ineffective, & relatively safe. Now it is complex, effective, & potentially dangerous." Sir Cyril Chantler #HPM 6:11 pm ctsinclair: Dr. Mark Werner from Carilion Clinic "Only clinicians can adequately lead change around cost and #quality" #hcr #hpm 6:12 pm Pallimed: Leider highlights @CarilionClinic as example of quality and success in medical care http://bit.ly/gOgJb9 #hcr #hpm 6:13 pm renee_berry: Falls: New guidelines frm American Geriatrics Society discussed @ #NewOldAge: http://nyti.ms/dWlrPq via @AmJNurs @ewidera & @paula_span #hpm 6:13 pm renee_berry: RT @Pallimed: Leider highlights @CarilionClinic as example of quality and success in medical care http://bit.ly/gOgJb9 #hcr #hpm 6:13 pm suzanakm: Mark Werner "only clinicians can [ultimately] influence cost & quality in healthcare." @carilionclinic via Leider #hpm 6:14 pm RossJeanette: Leider " you are never done when you are trying to improve quality #Hpm 6:15 pm Colleen_Young: RT @suzanakm: In reality, evidence shows that education, guidelines, economic incentives dont influence physician behavior - Leider #hpm #mdchat 6:15 pm renee_berry: great that youre here! @nhpco_news re: Excited to have @Kathy_Brandt & other staff in Vancouver for #HPNA & @AAHPM Annual Assembly! #hpm 6:16 pm Colleen_Young: @amcunningham @suzanakm: Does Leider suggest what does influence physician behavior? #hpm #mdchat 6:16 pm renee_berry: yes! RT @RossJeanette: Leider " you are never done when you are trying to improve quality #hpm 6:16 pm suzanakm: On herding cats: know when you are dealing with lions! Leider on physician leadership #hpm #mdchat #acpe 6:16 pm Colleen_Young: RT @suzanakm: Leiders study on influencing behavior: clinical leadership & clinical tools get As, financial incentives get an F #hpm #hcleadership #acpe 6:16 pm ssmithaahpm: Great coverage of #aahpm #hpna opening plenary by the tweet team! #hpm 6:17 pm renee_berry: RT @ssmithaahpm: Great coverage of #aahpm #hpna opening plenary by the tweet team! #hpm 6:18 pm renee_berry: Any guesses on the number of tweets just this morning @AAHPM ? http://ow.ly/3YrgU 555!!! #awesome #hpm 6:21 pm doclake: RT @renee_berry: US system we spend more with out improving outcomes - Leider #hcr #Healthcare #hpm 6:21 pm doclake: RT @suzanakm: Mark Werner "only clinicians can [ultimately] influence cost & quality in healthcare." @carilionclinic via Leider #hpm 6:22 pm doclake: RT @suzanakm: On herding cats: know when you are dealing with lions! Leider on physician leadership #hpm #mdchat #acpe 6:24 pm LilMissMktg: Awesome- #aahpm continues to rock at social media! RT @ssmithaahpm: Great coverage of #aahpm #hpna opening plenary by the tweet team! #hpm 6:26 pm VintiShah: Excited to be at the #hpm assembly. 6:31 pm VTinaB: RT @renee_berry: Detmer talked about the crucial importance of #AdvanceDirectives for patient centered care #HaveTheTalk cc @NHDD #hpm 6:33 pm VTinaB: RT @renee_berry: #advocate RT @ctsinclair re: live tweeting from Vancouver @AAHPM conference see http://slidesha.re/fh5kKy or @Pallimed for detailswthashtag.com/transcript.php?page_id=… 29/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! @AAHPM conference see http://slidesha.re/fh5kKy or @Pallimed for details #hpm 6:34 pm a_singledrop: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpm 6:34 pm VTinaB: RT @renee_berry: yes! RT @RossJeanette: Leider " you are never done when you are trying to improve quality #hpm 6:39 pm dwensel: Ok I freely admit that I am a cat and I need to learn how to be more like a dog. Great plenary on leadership #hpm 6:44 pm haslingerppc: RT @renee_berry: Any guesses on the number of tweets just this morning @AAHPM ? http://ow.ly/3YrgU 555!!! #awesome #hpm 6:48 pm gcooneymd: Finally! Got my iPad connected to the vcc wifi. Great coffee in the exhibit hall and I am choosy about my coffee!! #Hpm 6:49 pm gcooneymd: @dwensel Maybe a cocker spaniel and not an Akita Dave! #Hpm 6:54 pm hospicepharmacy: The New York State #Palliative Care Information Act is now in effect! http://bit.ly/h8LICj #NewYork #hospice #hpm 6:54 pm ctsinclair: RT @dwensel: Ok I freely admit that I am a cat and I need to learn how to be more like a dog. Great plenary on leadership #hpm 6:55 pm ctffox: RT @hospicepharmacy: Death with dignity advocates to unveil #Vermont bill http://bit.ly/fvg0UX #hospice #hpm #cancer #eldercare 6:56 pm hospicepharmacy: RT @renee_berry: Any guesses on the number of tweets just this morning @AAHPM ? http://ow.ly/3YrgU 555!!! #awesome #hpm 6:57 pm hospicepharmacy: RT @ctsinclair: Dr. Mark Werner from Carilion Clinic "Only clinicians can adequately lead change around cost and #quality" #hcr #hpm 6:57 pm MyrnaB23: Christian@ctsinclair is teaching a twaddle to tweet! #hpm 6:58 pm ctsinclair: @MyrnaB23 Glad to have a patient learner. Everyone meet the great Martha Twaddle #hpm 7:01 pm RedefineHospice: First Palliative Care Dept for Cancer Patients in South of Vietnam opens. http://bit.ly/dUStcx #hpm #hospice 7:03 pm drpippa: Beth Clark quoting Dylan Thomas to open her dementia & pall med talk. "rage, rage against the dying of the light." apt description. #hpm 7:07 pm drpippa: Nice comparison of geriatric approach vs palliative care approach to dementia. Like a venn diagram, need both. #hpm 7:07 pm dwensel: http://www.aahpmblog.org/ come follow me for discussion about dementia and palliative care #hpm 7:07 pm MyrnaB23: Jocelyn White speaks of being like water - going with the flow, and providing her message "drop by drop" . #hpm 7:10 pm MyrnaB23: JWs comments are profound - water can wear away a rock... #hpm 7:11 pm doclake: RT @dwensel: http://www.aahpmblog.org/ come follow me for discussion about dementia and palliative care #hpm 7:11 pm doclake: RT @MyrnaB23: Jocelyn White speaks of being like water - going with the flow, and providing her message "drop by drop" . #hpm 7:11 pm ameritox: Thanks @ctsinclair. Dr. Leiders presentation on clinical leadership was great. Thanks again to @AAHPM and @HPNAInfo. #HPM 7:11 pm doclake: RT @drpippa: Beth Clark quoting Dylan Thomas to open her dementia & pall med talk. "rage, rage against the dying of the light." apt description. #hpm 7:12 pm gcooneymd: 208-209 ALF regs and staff - making the most of the system to care for patients #Hpm 7:14 pm doclake: RT @gcooneymd: 208-209 ALF regs and staff - making the most of the system to care for patients #Hpmwthashtag.com/transcript.php?page_id=… 30/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:14 pm Pallimed: Refd by Moss Online calculator to estimate prognosis in patients with ESRD http://bit.ly/hLPhHN #renal #hpm 7:14 pm ctsinclair: We will be working on a pic for @MyrnaB23 soon #hpm 7:15 pm renee_berry: "Early goals of care conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm 7:15 pm doclake: RT @renee_berry: "Early goals of care conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm 7:15 pm gcooneymd: 211 dementia behavioral disturbances: more touch, fewer drugs, no benzos #Hpm 7:16 pm doclake: RT @Pallimed: Refd by Moss Online calculator to estimate prognosis in patients with ESRD http://bit.ly/hLPhHN #renal #hpm 7:16 pm ctsinclair: In Dr Alvin Moss (from @wvuhealth) talk on Kidney Disease update: New Guidelines on #Dialysis #renal #hpm 7:16 pm renee_berry: "Make an assessment of patients goals a routine" Jocelyn White, MD #HaveTheTalk #hpm 7:16 pm Life_Quality: RT @renee_berry: "Early goals of care conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm 7:17 pm renee_berry: "Have conversations about goals of care at admission to have a plan of care that matches patients goals" Jocelyn White MD #HaveTheTalk #hpm 7:18 pm hollyby: In "Community-Based Opportunites for Extending the Palliative Care Continuum," Spragens and Jones #hpm 7:18 pm ctsinclair: Moss - Presenting this same slidedeck to nephrologists v. palliative audience leads to diff discussions #hpm 7:18 pm gcooneymd: Non-pharm mgmt dementia. Mitigate triggers, change focus, change cg expectations #Hpm 7:19 pm renee_berry: Jocelyn White, MD talking about the checklist for goals of care conversations for people w/serious illness (#HaveTheTalk b4illness!) #hpm 7:19 pm renee_berry: so glad youre there! RT @hollyby: In "Community-Based Opportunites for Extending the Palliative Care Continuum," Spragens and Jones #hpm 7:20 pm equijada: @renee_berry thx for the stream. wanted to hear that one. #hpm 7:20 pm ctsinclair: "Would I be surprised if this patient died in next year" accurate for prognostication from #renal docs in dialysis patients. #hpm 7:20 pm renee_berry: @hollyby was trying to decide between this session & that, now w/your live tweets I can feel like I get the best of both worlds! #hpm 7:20 pm gcooneymd: Delirium - most common atypical presentation of dementia, missed by docs 90 % of time, high mortality #Hpm 7:21 pm renee_berry: cool no prob! Benefits of twitter! RT @equijada: @renee_berry thx for the stream. wanted to hear that one. #hpm 7:21 pm doclake: RT @gcooneymd: Delirium - most common atypical presentation of dementia, missed by docs 90 % of time, high mortality #Hpm 7:21 pm doclake: RT @ctsinclair: "Would I be surprised if this patient died in next year" accurate for prognostication from #renal docs in dialysis patients. #hpm 7:22 pm equijada: HD mortality predictor touchcalc.com/calculators/sq http://bit.ly/fe89VQ #hpm 7:22 pm Pallimed: Predicting Six-Month Mortality for Patients Who Are on Maintenance Hemodialysis ? CJASN http://bit.ly/emveRs cc @RenalFellowNtwk #renal #hpm 7:22 pm gcooneymd: AMA Guide to assessing older drivers very valuable, cannot relyon self regulation #Hpmwthashtag.com/transcript.php?page_id=… 31/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:23 pm hollyby: ID pt & family needs by asking them, health care profs, admin/leadership, community orgs, SNFs, hospices, EMS, pharmacies, & payers #hpm 7:23 pm gcooneymd: Higher rate of mva per mile driven than 16-24 year olds #Hpm 7:23 pm nhdd: "Have conversations about goals of care at admission to have a plan of care that matches patients goals" Jocelyn White MD #HaveTheTalk #hpm 7:23 pm ctsinclair: Moss - increasing evidence showing even in the elderly dialysis may not be better than conservative/med management in survival #renal #hpm 7:24 pm nhdd: awesome!!! Thanks for being an advocate! RT @hospicevalley: Were excited to get planning for Natl Health Care Decisions Day, Apr 16! #hpm 7:24 pm gcooneymd: Easier to talk to older patients about sex or death than about driving #Hpm 7:24 pm ctsinclair: RT @equijada: @renee_berry thx for the stream. wanted to hear that one. "With Twitter you can be in two places at once!" #hpm 7:25 pm Kaviraj2: RT @renee_berry: Jocelyn White, MD talking about the checklist for goals of care conversations for people w/serious illness (#HaveTheTalk b4illness!) #hpm 7:25 pm Kaviraj2: RT @renee_berry: "Make an assessment of patients goals a routine" Jocelyn White, MD #HaveTheTalk #hpm 7:26 pm drpippa: Remember "In assessing older pt, things arent always what they seem" - atypical preso of symptoms/conditions->leads to insuff tx #hpm 7:26 pm renee_berry: The surrogate decisions maker gets to have a goals of care conversation as part of the system policy Jocelyn White, MD #HaveTheTalk #hpm 7:27 pm equijada: Moss - Utility of the ?Surprise? Question to Identify Dialysis Patients with High Mortality ? CJASN http://bit.ly/eTdbHH #hpm 7:28 pm ctsinclair: Moss highlighting Advanced Care Planning focused on patients initiating dialysis #Renal CC @nhdd #havetheTalk #hpm 7:28 pm equijada: 3/4 of dialysis patients chose the shorter time to avoid suffering - Moss #hpm 7:28 pm PalMedConnect: Dr. Jeremy Hirst currently sharing pediatric #palliative depression case and symptom management options room 205. #hpm 7:28 pm ctsinclair: Anyone following the #hpm stream, you may notice lots of different subjects. We are in the concurrent sessions, so lots of topics. #hpm 7:29 pm renee_berry: "comfort measures & full code doesnt really make sense to have together" Jocelyn White, MD (language=interesting) #hpm 7:29 pm gcooneymd: Canadiens require reporting of driving impairment, most US states do not. In FL, you can renew by mail :)) #Hpm 7:29 pm equijada: @PalMedConnect thx for the stream. #hpm 7:31 pm renee_berry: (important) Jocelyn White MD talking abt bumps in the road for system wide implementation for goals of care conversations @ admission #hpm 7:32 pm equijada: Moss: Hospice patients can receive dialysis. Me: Yes, but... #hpm 7:32 pm ctsinclair: Nearly 80,000 patients died with End Stage Renal Disease (had been on HD), only 21% received hospice services - Moss #hpm 7:32 pm nhdd: RT @ctsinclair: Moss highlighting Advanced Care Planning focused on patients initiating #dialysis #Renal #havetheTalk #hpm #hospitalist 7:32 pm hollyby: Palliative care continuum issues: post discharge follow-up, lack of tight link btwn inpt and outpt systems, keeping the plan of care #hpm 7:33 pm ctsinclair: Moss - You can get hospice (under Medicare Hospice Benefit) and hemodialysis at the same time #hpm 7:34 pm ctsinclair: Moss - "Only about a dozen nephrologists in US that are certified in hospice and palliative medicine" Love to meet them #renal #hpmwthashtag.com/transcript.php?page_id=… 32/112
  • 2/23/2011 and palliative medicine" #hpm - meet them Hashtag?! Transcript for Love to What the #renal #hpm 7:34 pm renee_berry: (maybe we can convince to blog?! & tweet!) "All of the learning material is available by email" Jocelyn White, MD #HaveTheTalk #hpm 7:34 pm ctsinclair: RT @equijada: Moss: Hospice patients can receive dialysis. Me: Yes, but... "yes but what? You need another diagnosis to qualify" #hpm 7:34 pm PalMedConnect: PAL-MED CONNECT is available at booth 305, at #AAHPM #HPNA conf to answer #palliative questions regarding challenging cases. #HPM 7:35 pm renee_berry: "its one thing to implement this policy & another to turn it loose to the entire organization" Erik Fromme, MD re #HaveTheTalk #hpm 7:36 pm renee_berry: "teach the goals of care conversations to a brad audience to make it simple" Erik Fromme, MD, Oregon Health & Science University #hpm 7:36 pm PalMedConnect: Dr. Hirst currently discussing titration for pediatric patients. #HPM 7:36 pm equijada: @ctsinclair Yes but...goals of care in context of narrative and sometimes aggressive rx in 1 area leads to checklist. #hpm 7:37 pm gcooneymd: GeriPal won!! What an honor!! #Hpm 7:37 pm equijada: @renee_berry go Erik go! #heisawesome #hpm 7:37 pm renee_berry: "there better statements than do you want CPR or not?" Erik Fromme, MD, Oregon Health & Science University #HaveTheTalk #hpm 7:38 pm renee_berry: YES! I wish this was video recorded, so cool! RT @equijada: @renee_berry go Erik go! #heisawesome #hpm 7:39 pm Pallimed: Moss cites: Clinical Algorithm and Preferred Management to Treat Pain in #Dialysis Patients http://bit.ly/e6Fu2v #renal #hpm 7:40 pm hollyby: Pt care continuum issues: Less than 1/2 of PCPs were provided discharge info/meds after hospitalization. NEJM art http://bit.ly/frh1Ll #hpm 7:41 pm renee_berry: "watching video re: language in conversations about goals of care" #HaveTheTalk ...this is great!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! #hpm 7:41 pm HospiScript: Proposed rules to cut waste in Medicare Part D. The proposed rules require 7-day or shorter fills. http://tinyurl.com/4rukw7x #hpm #hospice 7:42 pm PalMedConnect: Rosene Pirrello, RPh currently sharing case about children with insomnia and self-soothing strategies. #HPM 7:42 pm ggramels: Clark speaking on palliative care for dementia patients just referred to Florida as "Gods waiting room." Sunshine state not so sunny. #HPM 7:43 pm drpippa: Clark - Barrier to excellent end of life care for dementia pts --> hard for families, docs, etc to view dementia as a terminal illness #hpm 7:43 pm ctsinclair: RT @renee_berry: "teach the goals of care conversations to a broad audience to make it simple" - Fromme From @ohsuinthenews #hpm 7:44 pm drpippa: RT @hollyby: Pt care continuum issues: <1/2 PCPs were provided discharge info/meds after hospitalization. NEJM http://bit.ly/frh1Ll #hpm 7:44 pm equijada: Framing goals of care Fromme -UFO: Understand, Fill in, Outcomes, Feasible Outcomes #hpm 7:44 pm drpippa: RT @ctsinclair: Anyone following the #hpm stream, you may notice lots of different subjects. We are in the concurrent sessions, so lots of topics. #hpm 7:45 pm ctsinclair: RT @equijada: Framing goals of care Fromme -UFO: Understand, Fill in, Outcomes, Feasible Outcomes cc @FIMDM #hpm 7:45 pm equijada: Fromme Feasible outcome -> the.bomb (the good kind of bomb) #hpm 7:45 pm hollyby: Potential benefits of outpt PC: increase continuity, earlier involvement, decrease hosptitalizations, pre-crisis relationships #hpm 7:45 pm renee_berry: Thanks!!! haha RT @equijada Framing goals of care Fromme -UFO: Understand, Fill in, Outcomes, Feasible Outcomes #HaveTheTalk #hpmwthashtag.com/transcript.php?page_id=… 33/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:46 pm dwensel: @ctsinclair @equijada @FIMDM Clark is also talking about advanced directives and goals of care discussions in Dementia #hpm 7:46 pm hollyby: Potential benefits of outpt. PC: Increase skills of other caregivers and providers, increase consumer awareness #hpm 7:46 pm equijada: @ctsinclair -> thx for streaming #renal #hpm 7:47 pm nhdd: Aim for shared understanding RT @equijada Framing GoalsOfCare Fromme -UFO Understand, Fill in, Outcomes, Feasible Outcomes #HaveTheTalk #hpm 7:47 pm MyrnaB23: For Pt conversations - "what are you hoping your life will be like as a result of all this medical care?" #hpm 7:47 pm ctsinclair: Morphine not recc chronic/continuous basis in chronic kidney disease and patients on hemodialysis from published guidelines - Moss #hpm 7:47 pm equijada: Fromme "what do you think might happen" #hpm 7:48 pm ctsinclair: RT @equijada: Fromme Feasible outcome -> the.bomb (the good kind) "I use feasible outcome language a lot. What can medicine acheive #hpm 7:48 pm ewidera: @ctsinclair Alex just pointed out that you are sitting behind us at Moss talk #HPM 7:48 pm equijada: @ctsinclair any data oxycodone v hydromorphone #renal #hpm 7:48 pm renee_berry: could you hear the typing?! haha RT @ewidera: @ctsinclair Alex just pointed out that you are sitting behind us at Moss talk #hpm 7:48 pm gcooneymd: VAMC template for physician documentation of AD discussion - great tool! #Hpm 7:49 pm equijada: @ctsinclair yup, me too. #hpm 7:49 pm ctsinclair: RT @ewidera: @ctsinclair Alex just pointed out that you are sitting behind us at Moss talk Keep it down up there, sheesh! #hpm 7:49 pm renee_berry: RT @MyrnaB23 For Pt conversations - "what are you hoping your life will be like as a result of all this medical care?" #HaveTheTalk #hpm 7:49 pm MDTalk: Alex just pointed out that you are sitting behind us at Moss talk Keep it down up there, sheesh! #hpm http://bit.ly/g3hltL 7:49 pm renee_berry: RT @gcooneymd: Easier to talk to older patients about sex or death than about driving #hpm 7:50 pm drpippa: Clark - pts w/ dementia less likely to report pain. With behav changes, r/o other causes, try APAP, can work wonders. Simple but true. #hpm 7:51 pm drekw: #HPM 7:51 pm equijada: IMPORTANT: Cant promise outcome. Thanks Erik, thats key and we dont teach that often. #hpm 7:51 pm ctsinclair: RT @equijada: @ctsinclair any data oxycodone v hydromorphone #renal "no head to head, use oxycodone with caution" http://bit.ly/e6Fu2v #hpm 7:51 pm renee_berry: great !! welcome-->RT @MyrnaB23: Christian @ctsinclair is teaching a twaddle to tweet! #hpm 7:51 pm ctsinclair: RT @MyrnaB23: For Pt conversations - "what are you hoping your life will be like as a result of all this medical care?" nice tweet #hpm 7:51 pm bleep13: RT @Pallimed: Refd by Moss Online calculator to estimate prognosis in patients with ESRD http://bit.ly/hLPhHN #renal #hpm 7:52 pm renee_berry: great, thanks for tweeting here @AAHPM !! RT @VintiShah: Excited to be at the #hpm assembly. #hpm 7:53 pm equijada: "I dont want to die" #hpm 7:53 pm ctsinclair: RT @VintiShah: Excited to be at the #hpm assembly. "Glad you are here and on Twitter! Everyone meet Vinti!" #hpmwthashtag.com/transcript.php?page_id=… 34/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! and on Twitter! Everyone meet Vinti!" #hpm 7:53 pm hollyby: Spragens on PC continuum planning: Ask Who are the people you are trying to serve? Then identify at least one community partner. #hpm 7:54 pm hollyby: Hello Vinti! RT @ctsinclair RT @VintiShah: Excited to be @ the #hpm assembly. "Glad you are here and on Twitter! Everyone meet Vinti!" #hpm 7:55 pm drpippa: RT @MyrnaB23: For Pt conversations - "what are you hoping your life will be like as a result of all this medical care?" #hpm 7:57 pm ctsinclair: If anyone at the #hpm conference goes to a pediatric session make sure to cc/alert @seattlemamadoc @haslingerppc @KUkidsHP #hpm 7:58 pm ctsinclair: RT @hollyby: Spragens on PC continuum: Ask who are the people you are trying to serve? Then identify at least one community partner. #hpm 7:59 pm ctsinclair: Question in session on #Renal: Wouldnt methadone be preferred over Fentanyl given incr chance of neuropathic pain? Moss (and me) Yes #hpm 8:00 pm hollyby: Spragens: Plan for growth ahead of time. Dont be surprised when your program gets busy. #hpm 8:02 pm hollyby: RT @ctsinclair: Nearly 80,000 patients died with End Stage Renal Disease (had been on HD), only 21% received hospice services - Moss #hpm 8:02 pm MeetVancouver: Delegates are a hungry bunch! Go to @GiovaneCafe, @Carderos_Van, Oru at @FairmontPacific, @panpacificvan.. Ask us for more food recs! #hpm 8:03 pm MeetVancouver: @giovanecafe @millbistro @FairmontPacific get ready for another rush! #hpm delegates seem to reallyyyy like their food. 8:03 pm smhcs: @renee_berry awesome tweets today. #hpm 8:04 pm hollyby: RT @renee_berry: "Have convos abt goals of care at admit to have a plan of care that matches pts goals" Jocelyn White MD #HaveTheTalk #hpm 8:06 pm DeathwDignity: @seniors4living Thanks for the RT! You can also learn more about Vermonts bill on our website: http://ht.ly/3Ywif #DeathwithDignity #hpm 8:06 pm hospice_mktg: RT @renee_berry: "Have convos abt goals of care at admit to have plan of care that matches pts goals" Jocelyn White MD #HaveTheTalk #hpm 8:08 pm hospice_mktg: Be strategic! RT @hollyby: Spragens: Plan for growth ahead of time. Dont be surprised when your program gets busy. #hpm #hospice 8:08 pm HealthIsSocial: RT @ctsinclair A request to my social media peers to help this week for #hpm conference http://slidesha.re/dLHLBT #hcsm 8:13 pm CompAndChoices: Concern about my vulnerability should not be used to deprive others of their end-of-life rights. http://ow.ly/3YwD2 #MTLeg #hpm 8:14 pm jwrenaud: RT @CompAndChoices: Concern about my vulnerability should not be used to deprive others of their end-of-life rights. http://ow.ly/3YwD2 #MTLeg #hpm 8:16 pm Adeuxmains: RT @suzanakm: RT @ctsinclair: "Everyone complains of his memory, but no one complains of his judgement." - Duc De La Rochefoucauld from Detmer #hpm 8:19 pm drpippa: Paper sessions on quality starting in rooms 205-207! Come join. #hpm 8:21 pm drpippa: 1st paper - national survey of. hospice quality (Carlson) - are they following quality guidelines? #hpm 8:22 pm equijada: Hydromorphone -> H3G 4x level in renal failure compared with normal. No adverse effects? Depends on study (insert your own emoticon) #hpm 8:22 pm Kaviraj2: RT @renee_berry: RT @gcooneymd: Easier to talk to older patients about sex or death than about driving #hpm 8:22 pm Kaviraj2: RT @renee_berry: RT @MyrnaB23 For Pt conversations - "what are you hoping your life will be like as a result of all this medical care?" #HaveTheTalk #hpm 8:22 pm PeterJenkin: RT @Life_Quality: RT @renee_berry: "Early goals of care conversations arewthashtag.com/transcript.php?page_id=… 35/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 8:22 pm PeterJenkin: RT @Life_Quality: RT @renee_berry: "Early goals of care conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm 8:24 pm Kaviraj2: RT @renee_berry: "teach the goals of care conversations to a brad audience to make it simple" Erik Fromme, MD, Oregon Health & Science University #hpm 8:24 pm ctsinclair: Only one hour until we present 2010 Social Media Year in Review @AAHPM HPNA http://slidesha.re/hEStls #hpm #hcsm #hcmktg 8:24 pm jsperber: RT @hospice_mktg: Be strategic! RT @hollyby: Spragens: Plan for growth ahead of time. Dont be surprised when your program gets busy. #hpm #hospice 8:24 pm Kaviraj2: RT @renee_berry: (important) Jocelyn White MD talking abt bumps in the road for system wide implementation for goals of care conversations @ admission #hpm 8:24 pm melanoma_mama: RT @CompAndChoices: Concern about my vulnerability should not be used to deprive others of their end-of-life rights. http://ow.ly/3YwD2 #MTLeg #hpm 8:25 pm drpippa: RT @renee_berry: "Early goals of care conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm yes! 8:28 pm MyrnaB23: Cassels presentation - PC consultations show decrease in ICU LOS in 12 different studies #hpm 8:29 pm equijada: Adverse effects from hydromorphone infusion (mainly agitation, change mental status) related to dose and duration more than GFR #hpm 8:32 pm drpippa: Carlson - larger hospices better at implementing NQF guidelines. Does this translate to better care? #hpm 8:34 pm Pallimed: *Updated* List of #Hospice & #Palliative Medicine Blogs (Current & Inactive) http://bit.ly/4tSruO Am I missing any? #hpm #hcsm 8:34 pm renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations show decrease in ICU LOS in 12 different studies #hpm 8:35 pm renee_berry: RT @ctsinclair: Only one hour until we present 2010 Social Media Year in Review @AAHPM HPNA http://slidesha.re/hEStls #hpm #hcsm #hcmktg 8:36 pm renee_berry: @SMHCS thanks! awesome @AAHPM presenters really! #hpm 8:37 pm CathrynHrudicka: RT @HealthIsSocial: RT @ctsinclair A request to my social media peers to help this week for #hpm conference http://slidesha.re/dLHLBT #hcsm 8:38 pm Life_Quality: RT @renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations show decrease in ICU LOS in 12 different studies #hpm 8:38 pm drpippa: Goldstein - ntl study of hospice & pall med physicians about accessions of hastening pt death - response to death panel smears. #hpm 8:39 pm gcooneymd: @drpippa And how will we measure that? #Hpm 8:39 pm renee_berry: @Pallimed how about us microbloggers?) --> www.tweetchat.com/room/hpm #hpm 8:39 pm ctsinclair: Now up: Nathan Goldstein: National Study of #Hospice #Palliative physicians about accusations of hastening a Patients Death #ethics #hpm 8:40 pm renee_berry: @ctsinclair um, I think Im in the wrong room! shoot thats where I wanted to be! Tweet well!! #hpm 8:41 pm renee_berry: RT @ctsinclair: Now up: Nathan Goldstein: National Study of #Hospice #Palliative physicians abt accusations of hastening Death #ethics #hpm 8:43 pm renee_berry: @drpippa glad youre there too, please tweet up a storm! :) (I went in the wrong room, and sat in the front row) #hpm 8:43 pm drpippa: And that, dear Watson, is the question. no answer today. Alas. @gcooneymd: @drpippa And how will we measure that? #Hpm 8:43 pm Pallimed: @renee_berry Youll get your due. #hpm 8:43 pm gcooneymd: In the last 5 years, how often has someone characterized a PC tx aswthashtag.com/transcript.php?page_id=… 36/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 8:43 pm gcooneymd: In the last 5 years, how often has someone characterized a PC tx as euthanasia or murder? 53% #Hpm 8:44 pm ssmithaahpm: On FourSqurare? Be sure to check in at AAHPM/HPNA Annual Assembly #aahpm #hpm 8:45 pm ctsinclair: My session does not lend it self to tweets, but longer discussions. Concerned data may be misrepresented #hpm 8:45 pm gcooneymd: 4% formally investigated on patients death #Hpm 8:45 pm AAHPM: Stop by the booth and tell us why youre here, what youve learned, or why you heart #AAHPM and well put your photo on facebook. #hpm #hcsm 8:45 pm renee_berry: (Unveilling the Complexity of Home #Hospice #Nurse Communication" with Lee Ellington #hpm 8:46 pm drpippa: Goldstein - 50% of respondents reported being accused of hastening death, 25% from friend/fam member. 4% formally accused/investigated. #hpm 8:46 pm renee_berry: will do! RT @AAHPM Stop by our booth & tell us why youre here or why you heart #AAHPM #hpm 8:46 pm ctsinclair: 53% of Hospice physicians felt that other people misperceived actions as hastening death in natl survey - Goldstein #hpm 8:48 pm renee_berry: RT @drpippa: Goldstein - 50% of respondents reported being accused of hastening death, 25% from friend/fam member. 4% formally accused/investigated. #hpm 8:48 pm doclake: RT @renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations show decrease in ICU LOS in 12 different studies #hpm 8:48 pm kathyrutz: RT @AAHPM: Stop by the booth and tell us why youre here, what youve learned, or why you heart #AAHPM and well put your photo on facebook. #hpm #hcsm 8:48 pm ctsinclair: Goldstein - 25 docs had some investigation about possible hastening death. Mostly by other health care team members, hospital based #hpm 8:48 pm Mtnmd: RT @drpippa: Goldstein - 50% of respondents reported being accused of hastening death, 25% from friend/fam member. 4% formally accused/investigated. #hpm 8:48 pm drpippa: Goldstein - respondents underestimated risk, of those investigated 40% hospital 32% in hospice, 16% NH, many knew accuser. #hpm 8:49 pm ctsinclair: RT @doclake: RT @renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations show decrease in ICU LOS in 12 different studies #hpm 8:49 pm AAHPM: Wow! Were at more than 750 tweets for #hpm today! Lets work on more than 1000. We can do it! #hcsm 8:51 pm ctsinclair: Goldsteins presentation->sobering. Palliative docs underestimate the risk of being investigate and practices likely to be investigated #hpm 8:51 pm drpippa: Goldstein- the narratives are powerful, moving, also frightening. Misinterpretation of actions is unbelievable. Documentation critical #hpm 8:52 pm ctsinclair: Goldstein recs: open lines of comm with other HC staff, meticulous documentation (document opioid calculations), mediation efforts #hpm 8:52 pm doclake: RT @ctsinclair: Goldsteins presentation->sobering. Palliative docs underestimate the risk of being investigate and practices likely to be investigated #hpm 8:52 pm drpippa: RT @ctsinclair: Goldsteins presentation->sobering. Palliative docs underestimate the risk of being investigate and practices likely to be investigated #hpm 8:52 pm renee_berry: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff, meticulous documentation (document opioid calculations), mediation efforts #hpm 8:52 pm renee_berry: RT @drpippa: Goldstein- the narratives are powerful, moving, alsowthashtag.com/transcript.php?page_id=… 37/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! frightening. Misinterpretation of actions is unbelievable. Documentation critical #hpm 8:52 pm renee_berry: RT @ctsinclair: Goldsteins presentation->sobering. Palliative docs underestimate the risk of being investigate and practices likely to be investigated #hpm 8:53 pm MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for the complexity of care & severity of illness #hpm 8:53 pm ctsinclair: @MyrnaB23 Nice pic! #hpm 8:53 pm ctsinclair: RT @MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for the complexity of care & severity of illness. "PPS?" #hpm 8:54 pm katekson: How medical students should present patients to their attendings http://t.co/vD2Uawa via @kevinmd #hpm 8:54 pm gcooneymd: RT @renee_berry: Goldsteins presentation->sobering. Palliative docs underestimate risk of investigate, practices likely investigated #Hpm 8:54 pm renee_berry: RT @MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for the complexity of care & severity of illness #hpm 8:55 pm gcooneymd: RT @MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for the complexity of care & severity of illness #Hpm 8:55 pm AAHPM: Have you shared the #hpm video with your friends and colleagues yet? http://bit.ly/f9kefo 8:57 pm renee_berry: Ellington w/ U of Utah College of Nursing reviewing analysis of #Hospice #Nurse conversations with patients @ Home ..interesting #hpm 8:58 pm drpippa: Goldsteins presentation def makes one assess how we communicate with HC team, document in chart - med reasoning/calculations/consent #hpm 8:59 pm ctsinclair: Goldstein - Publishing this study needs to be done with measured caution because of significant risk of misunderstanding/soundbites #hpm 9:00 pm drpippa: Agree with Goldstein that figuring out how to present his paper is a challenge, but very important. tread carefully #hpm 9:00 pm renee_berry: RT @NHPCO_news " #HCR will change #hospice " Schumacher http://fb.me/IeRGbZmI #hpm 9:01 pm renee_berry: It is feasible to audio record RN visits at home to capture dialoge w/o interrupting care -Ellington #hpm 9:04 pm ctsinclair: RT @renee_berry: RT @NHPCO_news " #HCR will change #hospice " Schumacher http://fb.me/IeRGbZmI #hpm 9:08 pm GetPalliative: RT @drpippa RT @renee_berry "Early goals of care conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm yes! 9:09 pm nhdd: RT @hospice_mktg Don Berwick says let phys have #eolc discussions w/ their pts w/o govt involvement http://bit.ly/i90tVq #hpm #HaveTheTalk 9:10 pm ssmithaahpm: Attending meeting with all #AAHPM SIG Chairs and Community Cimmittee. Great ideas and collaboration! #hpm 9:11 pm AAHPM: Session on social media up next #hpm. 9:11 pm hollyby: Dont forget to take time out for yourself and check out the quiet space and labyrinth in rms 221-222 #hpm 9:12 pm MeredithGould: Grateful to all who are tweeting #aahpm. Youre providing a "you are there" experience. Im very grateful & probably smarter now. #HPM 9:12 pm hollyby: 15 minutes until the Social Media for Palliative Care Advocacy talk. Rm. 212-214. See you there! :) #hpm 9:13 pm RickCaffeinated: Very cool - already lots of #SoMe out there from the conf //RT @aahpm: Session on social media up next #hpm. 9:19 pm 2healthguru: @MeredithGould yea for the virtual world! spread the luv! #aahpm #HPMwthashtag.com/transcript.php?page_id=… 38/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 9:19 pm 2healthguru: @MeredithGould yea for the virtual world! spread the luv! #aahpm #HPM 9:25 pm drpippa: Good crowd already! @hollyby: 15 minutes until the Social Media for Palliative Care Advocacy talk. Rm. 212-214. See you there! :) #hpm 9:27 pm renee_berry: RT @hollyby: 5 minutes until the Social Media for Palliative Care Advocacy talk. Rm. 212-214. See you there! :) #hpm 9:28 pm jsperber: Wishing I was there! @drpippa: Good crowd already! @hollyby: 15 min until Social Media for Palliative Care Advocacy talk. Rm. 212-214. #hpm 9:28 pm renee_berry: @drpippa where are you? Im plugged into the wall to the right of the stage #hpm 9:29 pm drpippa: Already mesmerized by the tweets + word clouds on the screen at the social media preso(hasnt started yet! Come to rm 212!). Very cool. #hpm 9:29 pm hospicepharmacy: Providing #hospice in the womb http://bit.ly/gyamD3 #palliative #hpm 9:29 pm revdoc: HCSM presentation beginning at Assembly #hpm 9:30 pm renee_berry: Social Media for Advocacy - Rockstar Panel... @Hollyby @ctsinclair @ewidera @DianeEMeier @Suzanakm #Awesome #hpm 9:31 pm emilybarryPR: All rock stars! RT @renee_berry: Social Media for Advocacy - Rockstar Panel @Hollyby @ctsinclair @ewidera @DianeEMeier @Suzanakm #hpm #hcsm 9:33 pm dalehammond: Thx 4 the lineup. Now following them all! RT @renee_berry: SoMe for Advocacy Panel @Hollyby @ctsinclair @ewidera @DianeEMeier @Suzanakm #hpm 9:33 pm renee_berry: @ctsinclair introducing the rockstars, twitter bios on the screen! #hpm 9:34 pm renee_berry: @AlexSmith & @Ewidera win best clinical blog with @GeriPalblog !!! Congrats! #hpm #hpm 9:35 pm gcooneymd: Giovane in Fairmont, great easy lunch #Hpm 9:35 pm dwensel: @renee_berry @ctsinclair where can we get the slides #hpm 9:35 pm drpippa: Thanks @suzanakm for pointing out @renee_berry! Now sitting next to her. Next up: to meet @hollyby after presentation. #hpm 9:35 pm renee_berry: Social Media is all about access to information, get over the sill names & understand this as an advocacy tool! - @ctsinclair #hcsm #hpm 9:35 pm emilybarryPR: Thanks for live tweeting! Feel like Im there! RT @renee_berry: @ctsinclair introducing the rockstars, twitter bios on the screen! #hpm 9:35 pm renee_berry: :) RT @drpippa: Thanks @suzanakm for pointing out @renee_berry! Now sitting next to her. Next up: to meet @hollyby after presentation. #hpm 9:35 pm revdoc: @ctsinclair: electronic social media as a digital printing press #hpm 9:36 pm equijada: @drpippa @suzanakm @renee_berry @hollyby where are you sitting? #hpm 9:36 pm renee_berry: great!! access to information!!! #Advocate RT @emilybarryPR: Thanks for live tweeting! Feel like Im there! #hpm 9:37 pm renee_berry: What has social media taught you @DianeEMeier ? #hpm 9:37 pm planetary_: RT @hollyby: RT @ctsinclair: Nearly 80,000 patients died with End Stage #Renal Disease, only 21% received hospice services - Moss #hpm 9:38 pm renee_berry: "decided to try social media to engage a broader community" - @DianeEMeier #hpm 9:39 pm drpippa: love hearing @dianeemeier reflecting on her twitter hesitation 1 year ago, now a champion tweeter. Great way to advance field of #hpm 9:39 pm AAHPM: RT @renee_berry: Social Media is all about access to information, get over the sill names & understand this as an advocacy tool! - @ctsinclair #hcsm #hpm 9:40 pm SheyontheBay: RT @ctsinclair: RT @MyrnaB23: For Pt conversations - "what are youwthashtag.com/transcript.php?page_id=… 39/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 9:40 pm SheyontheBay: RT @ctsinclair: RT @MyrnaB23: For Pt conversations - "what are you hoping your life will be like as a result of all this medical care?" nice tweet #hpm 9:40 pm renee_berry: @DianeEMeier says she still learning about metrics, but still important to embrace this as a way to have an impact #hpm 9:40 pm SheyontheBay: RT @ctsinclair: Now up: Nathan Goldstein: National Study of #Hospice #Palliative physicians about accusations of hastening a Patients Death #ethics #hpm 9:41 pm SheyontheBay: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff, meticulous documentation (document opioid calculations), mediation efforts #hpm 9:41 pm drpippa: Sounds like I might need to enroll in @ctsinclairs twitter 202 lecture. #hpm 9:42 pm renee_berry: "show me the data on impact of this @DianeEMeier we can start here: www.whatthehashtag.com/hpm #hpm 9:42 pm renee_berry: @AlexSmithMD up now @GeriPalBlog writer takes the stage @AAHPM #hpm 9:43 pm renee_berry: Review of #hcsm in the past year, reviewing some basic definitions of web 1.0 vs 2.0 etc - @AlexSmithMD #hpm 9:44 pm doclake: RT @renee_berry: Social Media is all about access to information, get over the sill names & understand this as an advocacy tool! - @ctsinclair #hcsm #hpm 9:44 pm renee_berry: @AlexSmithMD talking about #SFGiants Lincecum being a pitching freak :) #SanFrancisco #hpm 9:45 pm renee_berry: @AlexSmithMD reviewing @MedNetworks Nicholas Christakis & integrating innovative concepts for health #hcsm #hpm 9:47 pm revdoc: I have used email correspondence to help form a differential dx with a nurse in Haiti #hpm 9:47 pm SadiaChoudhury: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff, meticulous documentation (document opioid calculations), mediation efforts #hpm 9:47 pm SadiaChoudhury: RT @ctsinclair: RT @doclake: RT @renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations show decrease in ICU LOS in 12 different studies #hpm 9:48 pm CAPCpalliative: RT @renee_berry: @DianeEMeier says she still learning about metrics, but still important to embrace this as a way to have an impact #hpm 9:49 pm CAPCpalliative: RT @renee_berry: "show me the data on impact of this @DianeEMeier we can start here: www.whatthehashtag.com/hpm #hpm 9:49 pm revdoc: Alex Smith reviewing some cool start up med sites from 2010 #hpm 9:49 pm RossJeanette: Alex smith showcased Eprognosis can help you calculate prognosis for your patients #Hpm 9:49 pm CAPCpalliative: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff, meticulous documentation (document opioid calculations), mediation efforts #hpm 9:50 pm renee_berry: @AlexSmithMD highlighting @UCSF s use of #hcsm & Twitter @AAHPM #hcsmSV #hpm 9:50 pm RachelleNorman: RT @drpippa Barrier to excellent end of life care for dementia pts: hard for families, docs, etc to view dementia as a terminal illness #hpm 9:52 pm renee_berry: "The drunk medical students comment got me thinking, there is a party tonight" - @ctsinclair haha awesome #hpm 9:52 pm drpippa: Nice review of health care & social media in 2010 by Alex Smith. appreciate his commentary on the tensions of hc providers & soc media #hpm 9:53 pm renee_berry: @ctsinclair presenting the awesome #hpm community @AAHPM !!wthashtag.com/transcript.php?page_id=… 40/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 9:53 pm renee_berry: @ctsinclair presenting the awesome #hpm community @AAHPM !! Tweetchat people, youre on stage! #hpm 9:53 pm renee_berry: "Who is talking about the stuff that we care about? Lets be advocates together" - @ctsinclair #hpm 9:54 pm AAHPM: @ctsinclair and #aahpm staff can help you with Twitter 202 at the exhibit hall. #hpm 9:54 pm CAPCpalliative: RT @renee_berry: @ctsinclair presenting the awesome #hpm community @AAHPM !! Tweetchat people, youre on stage! #hpm 9:54 pm revdoc: @ctsinclair talking about the powerful HPM stories from last year spreading beyond our own "borders" #hpm 9:54 pm renee_berry: @ctsinclair talking about the @NYTimes article about Dr. Pardi (link here http://ow.ly/3YABB ) a fascinating conversation #hpm 9:55 pm renee_berry: About 29 active #hpm blogs @ctsinclair "We need more voices" calling on the @AAHPM community & orgs to tell their story #hpm 9:55 pm drpippa: now @ctsinclair following up @alexsmithmd reviewing #hpm & social media in 2010. Where have all the blogs gone? 9:56 pm emacartney: RT @renee_berry: "Who is talking about the stuff that we care about? Lets be advocates together" - @ctsinclair #hpm #hospice 9:56 pm renee_berry: "Tweetchats, publicly talking about #hospice & #palliative care issues in a planned meeting once a week" - @ctsinclair #hpm 9:58 pm emilybarryPR: RT @renee_berry: @DianeEMeier says she still learning abt metrics, but still important to embrace this as a way to have an impact #hpm #hcsm 9:58 pm drpippa: RT @renee_berry: "show me the data on impact of this @DianeEMeier we can start here: www.whatthehashtag.com/hpm #hpm 9:58 pm renee_berry: By doing this publicly we can show people how amazing #hospice & #palliative medicine is - @ctsinclair #hpm 9:58 pm RossJeanette: @ctsinclair I hope people spy on me when Im tweeting on HPM #Hpm 9:58 pm hospice_mktg: Absolutely! RT @renee_berry: By doing this publicly we can show people how amazing #hospice & #palliative medicine is - @ctsinclair #hpm 9:59 pm drpippa: Tweets and contributors have exploded in 2011! Already 1200 from 1st 1/2 day of @aahpm from 170 contributors. #hpm 9:59 pm renee_berry: "boring @YouTube videos, yes Im a doctor Im nodding, you can do more" @ctsinclair #hpm 10:00 pm renee_berry: @ewidera "how do you do this in a very busy day, dont start off being @ctsinclair whos bigger than Obama" hahaha #hpm 10:00 pm dwensel: we can all spare 8 minutes per day #hpm 10:00 pm renee_berry: @ewidera calls on the audience to "do 8minutes of online advocacy per day to advocate for #palliative care" @AAHPM #hpm 10:01 pm revdoc: RT @renee_berry: @ewidera "how do you do this in a very busy day, dont start off being @ctsinclair whos bigger than Obama" hahaha #hpm 10:01 pm RossJeanette: @ewidera " help spread the word can you tweet once a day? #Hpm 10:01 pm AAHPM: RT @renee_berry: @ewidera "how do you do this in a very busy day, dont start off being @ctsinclair whos bigger than Obama" hahaha #hpm 10:01 pm renee_berry: "stir the conversation, dont try to put every thing in 140 characters" @ewidera @UCSF @GeriPalBlog #hpm 10:01 pm drpippa: can you spend 8 minutes a day advocating for #hospice & #palliative med asks @ewidera - YES! #hpm 10:01 pm dwensel: @RossJeanette @ewidera yes we can #hpm 10:01 pm AAHPM: RT @renee_berry: @ewidera calls on the audience to "do 8minutes of online advocacy per day to advocate for #palliative care" @AAHPM #hpmwthashtag.com/transcript.php?page_id=… 41/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! advocacy per day to advocate for #palliative care" @AAHPM #hpm 10:02 pm Kaviraj2: RT @renee_berry: By doing this publicly we can show people how amazing #hospice & #palliative medicine is - @ctsinclair #hpm 10:02 pm renee_berry: @ewidera talking about how @Twitter has connected him to a @NYTimes reporter & how engaging that new relationship has been #hpm 10:02 pm renee_berry: :) RT RT RT @dwensel: @RossJeanette @ewidera yes we can #hpm 10:02 pm revdoc: @ewidera: 8 minute advocacy re our specialty--one tweet, one like, a comment, a post #hpm 10:02 pm Kaviraj2: RT @renee_berry: Key questions: "How to use social media effectively? How much effort, for what reward? @AlexSmithMD #hcsmSV #hpm 10:03 pm drpippa: RT @revdoc: @ewidera: 8 minute advocacy re our specialty--one tweet, one like, a comment, a post #hpm 10:03 pm renee_berry: "impact is really created by driving content & increasing readers, a community alive & thriving online" @ewidera #palliative #hospice #hpm 10:03 pm PalMedConnect: RT @renee_berry: @ewidera calls on the audience to "do 8minutes of online advocacy per day to advocate for #palliative care" @AAHPM #hpm 10:03 pm renee_berry: "issues like death panels are wrong & this is why its wrong, make your voice heard from a national perspective" @ewidera #hpm 10:03 pm AAHPM: Social media shows our community is alive and thriving #hpm 10:04 pm renee_berry: @ewidera highlighting the importance of how you dont always have to agree, but have the conversation #hpm 10:04 pm RossJeanette: @ewidera when using facebook you can stir the community to get our voices heards #Hpm 10:04 pm revdoc: RT @renee_berry: "issues like death panels are wrong & this is why its wrong, make your voice heard from a national perspective" @ewidera #hpm 10:04 pm drpippa: Not just twitter, fb - goal of 1 comment per week on blog/news article/gov regs/fb pages. I will take @ewideras challenge. #hpm 10:05 pm renee_berry: "develop novel content that youre passionate about" @ewidera #hpm 10:05 pm mamaier262: RT @renee_berry: Social Media is all about access to information, get over the sill names & understand this as an advocacy tool! - @ctsinclair #hcsm #hpm 10:05 pm drpippa: RT @renee_berry: "issues like death panels are wrong & this is why its wrong, make your voice heard from a national perspective" @ewidera #hpm 10:05 pm mamaier262: RT @renee_berry: "stir the conversation, dont try to put every thing in 140 characters" @ewidera @UCSF @GeriPalBlog #hpm 10:05 pm renee_berry: "one small voice can make an impact thats the goal of social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #Advocate #hpm 10:05 pm mamaier262: RT @renee_berry: @ewidera talking about how @Twitter has connected him to a @NYTimes reporter & how engaging that new relationship has been #hpm 10:05 pm mamaier262: RT @renee_berry: @ewidera highlighting the importance of how you dont always have to agree, but have the conversation #hpm 10:06 pm mamaier262: RT @renee_berry: "one small voice can make an impact thats the goal of social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #Advocate #hpm 10:06 pm RossJeanette: @hollyby web2.0 using the web to interact with each other. How can we be efficient? #Hpm 10:06 pm renee_berry: "how can you be efficient with this? A common large fear is the idea that its too much time" @Hollyby w/ @SanDiegoHospice #hpm 10:07 pm emilybarryPR: RT @renee_berry: "one small voice can make an impact thats the goal ofwthashtag.com/transcript.php?page_id=… 42/112
  • 2/23/2011 10:07 pm emilybarryPR: RT @renee_berry: "one#hpm voice can make an impact thats the goal of Transcript for small - What the Hashtag?! social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #hpm 10:07 pm RachelleNorman: I really appreciate all the tweets from folks at @AAHPM. Keep it up! #hpm 10:08 pm ssmithaahpm: Listening to the pioneers of the #HPM social media movement -- thanks for your leadership and increasing visibility for our field #aahpm 10:08 pm AAHPM: @hollyby web 2.0 isnt another time commitment, it can save you time. #hpm 10:08 pm MatthewsMichele: RT @renee_berry: "one small voice can make an impact thats the goal of social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #Advocate #hpm 10:08 pm mamaier262: RT @renee_berry: "how can you be efficient with this? A common large fear is the idea that its too much time" @Hollyby w/ @SanDiegoHospice #hpm 10:08 pm renee_berry: "Social media can actually save you time" - @Hollyby w/ @SanDiegoHospice #hospice #palliative #hpm 10:08 pm revdoc: @hollyby demonstrating how RSS can save time for your practice while keeping you better informed #hpm 10:09 pm revdoc: RT @renee_berry: "Social media can actually save you time" - @Hollyby w/ @SanDiegoHospice #hospice #palliative #hpm 10:09 pm Kaviraj2: RT @renee_berry: "one small voice can make an impact thats the goal of social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #Advocate #hpm 10:09 pm mamaier262: @renee_berry @Hollyby @SanDiegoHospice #hpm Docs already use internet for research... more likely to get them to answers faster... 10:09 pm dwensel: @revdoc @hollyby it is a time saving way to get information at a faster rate and the information I need. #hpm 10:10 pm renee_berry: I cant read every newspaper out there, but I can scan a twitter page of someone in our #hpm community & see whats relevant - @Hollyby #hpm 10:11 pm revdoc: RT @renee_berry: I cant read every newspaper out there, but I can scan a twitter page of someone in our #hpm community & see whats relevant - @Hollyby #hpm 10:11 pm renee_berry: @Hollyby referencing the National #Hospice Month Video as a way to connect the community http://ow.ly/3YBfB #hpm 10:12 pm dwensel: RT @renee_berry: @Hollyby referencing the National #Hospice Month Video as a way to connect the community http://ow.ly/3YBfB #hpm 10:12 pm drpippa: perfect example @renee_berry: @Hollyby referencing the National #Hospice Month Video as a way to connect community http://ow.ly/3YBfB #hpm 10:15 pm renee_berry: Talking about using social media guide our independent learning goals" @Suzanakm @AAHPM #hpm 10:15 pm drpippa: personal learning networks v diff than virtual learning (ie blackboard). They are dynamic, a conversation - @suzanakm #hpm 10:16 pm renee_berry: @Suzanakm discussing the Louis Green Learning Community http://ow.ly/3YBr3 @AAHPM #hpm 10:17 pm drpippa: Very cool. RT @renee_berry: @Suzanakm discussing the Louis Green Learning Community http://ow.ly/3YBr3 @AAHPM #hpm 10:18 pm renee_berry: This is a venue to create learning networks @Suzanakm (Lets help people learn about #palliative care!) #Advocate #hpm 10:18 pm revdoc: @suzanakm demonstrating about personal learning networks pulling from variety of social media outlets #hpm 10:18 pm gcooneymd: Lois Green Learning Community - its my what I can use on Tuesday from the social media talk -thanks!! #Hpm 10:19 pm AAHPM: @suzanakm : use social media to create a PLE, personal learning network.wthashtag.com/transcript.php?page_id=… 43/112
  • 2/23/2011 10:19 pm AAHPM: @suzanakm : use social media What theaHashtag?! Transcript for #hpm - to create PLE, personal learning network. IE Lois Green #hpm 10:20 pm AAHPM: RT @gcooneymd: Lois Green Learning Community - its my what I can use on Tuesday from the social media talk -thanks!! #Hpm 10:21 pm PalMedConnect: Looking forward to attending the dementia-related agitation workshop on Saturday #HPM 10:21 pm kgtyson: RT @renee_berry: "one small voice can make an impact thats the goal of social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #Advocate #hpm 10:28 pm drpippa: How to learn about social media- "just get online, you cant screw up that much."@ewidera #hpm 10:28 pm renee_berry: "if you try to memorize the social media language in 5min it will be overwhelming, just get online, be patient & learn" @ewidera @AAHPM #hpm 10:30 pm hospicepharmacy: RT @renee_berry: I cant read every newspaper out there, but I can scan a twitter page of someone in our #hpm community & see whats relevant - @Hollyby #hpm 10:30 pm renee_berry: Question from the audience "Continuous partial attention" great question! #hpm 10:30 pm ssmithaahpm: Abernethy on mentors: Assess you needs, seek multiple mentors for specific areas @aahpm #hpm 10:30 pm mamaier262: @renee_berry @ewidera @AAHPM #hpm cant be told what social media is...learn by doing... it is not a spectator sport... =) 10:31 pm renee_berry: "Social Media just like medicine, if its effective, there are side effects... and there are side effects" @ctsinclair #hcsm #hpm 10:32 pm renee_berry: audience member "pull in teen volunteers to help your team learn the social media language" #hospice #volunteer #hpm 10:33 pm GroundSwellAus: RT @drpippa: can you spend 8 minutes a day advocating for #hospice & #palliative med asks @ewidera - YES! #hpm 10:34 pm GroundSwellAus: RT @renee_berry: "stir the conversation, dont try to put every thing in 140 characters" @ewidera @UCSF @GeriPalBlog #hpm 10:34 pm PracticalWisdom: RT @renee_berry: audience member "pull in teen volunteers to help your team learn the social media language" #hospice #volunteer #hpm 10:38 pm GroundSwellAus: enjoying reading the #hpm stream from down here in OZ @renee_berry 10:44 pm EOLnavigator: RT @TalentCulture: RT @ralphrwatson: True Leaders are not looking for followers. They are looking for the next Leaders. #hpm 10:45 pm melanoma_mama: RT @renee_berry: "one small voice can make an impact thats the goal of social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #Advocate #hpm 10:47 pm doclake: RT @renee_berry: "Social media can actually save you time" - @Hollyby w/ @SanDiegoHospice #hospice #palliative #hpm 10:47 pm doclake: RT @ssmithaahpm: Listening to the pioneers of the #HPM social media movement -- thanks for your leadership and increasing visibility for our field #aahpm 10:49 pm ronaldpetrovich: RT @LeeAase: Check out what @ctsinclair is doing this week at the #hpm conference - Cant wait to see what he reports on in for #MCCSM 10:50 pm doclake: RT @renee_berry: "Social Media just like medicine, if its effective, there are side effects... and there are side effects" @ctsinclair #hcsm #hpm 10:53 pm dwensel: I am intoxicated by my illness expressed through poetry and music #hpm 10:56 pm EOLnavigator: RT @ctsinclair: Nearly 80,000 patients died with ESRD (on HD), only 21% received hospice services - Moss #hpm. Thats a shameful number. 10:57 pm dwensel: Tolstoy wrote just before he died, "I dont understand what I am suppose to do." #hpmwthashtag.com/transcript.php?page_id=… 44/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! do." #hpm 10:57 pm AliveHospice: @ctsinclair What was the most thought-provoking question you received during your presentation, and what was the answer? #hpm 10:57 pm EOLnavigator: Yes it does! RT @renee_berry: "comfort measures & full code doesnt make sense to have together" Jocelyn White, MD #hpm 11:00 pm dwensel: "Soul Loss" a sense of terrible emptiness. #hpm 11:01 pm AliveHospice: @hollyby Thanks for using @AliveHospices photo collage from the "Hospice is..." video in your presentation! http://slidesha.re/hEStls #hpm 11:01 pm hospicepharmacy: Validation of something #hospice #hpm sees every day - Family caregivers mitigate #Medicare costs http://bit.ly/fw0mPF 11:03 pm hospicehouse: RT @renee_berry: "Tweetchats, publicly talking about #hospice & #palliative care issues in a planned meeting once a week" - @ctsinclair #hpm 11:04 pm equijada: 1/2 pt that smoked cannabis experienced 30% reduction in neuropathic pain Me: similar to TCA and antiseizure meds #hpm 11:06 pm drpippa: Communicating bad news- 3 techniques to discuss diff prognosis w/ pts - hypothetical questions, hope/worry statements, name the dilemma #hpm 11:06 pm equijada: In the spirit of saving twitter characters, "cannabis" will be referred to as "chronic" #hpm 11:07 pm RossJeanette: Jane Thomas difficult conversations strategies: what if, hope/worry strategies #Hpm 11:09 pm equijada: Boyer-Kollas - "how many of you have used pot?", "how many have progressed to heroin" re: gateway drug myth #hpm 11:12 pm equijada: Boyer-Kollas - why are alcohol and nicotine legal when they are more addictive than marijuana? #hpm 11:13 pm doclake: RT @drpippa: Communicating bad news- 3 techniques to discuss diff prognosis w/ pts - hypothetical questions, hope/worry statements, name the dilemma #hpm 11:13 pm doclake: RT @equijada: Boyer-Kollas - "how many of you have used pot?", "how many have progressed to heroin" re: gateway drug myth #hpm 11:13 pm equijada: Boyer-Kollas - Cannabis facts - low abuse potential in comparison to other recreational and medical drugs #hpm 11:13 pm doclake: RT @equijada: Boyer-Kollas - Cannabis facts - low abuse potential in comparison to other recreational and medical drugs #hpm 11:14 pm doclake: RT @GetPalliative: RT @drpippa RT @renee_berry "Early goals of care conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm yes! 11:15 pm doclake: RT @EOLnavigator: RT @ctsinclair: Nearly 80,000 patients died with ESRD (on HD), only 21% received hospice services - Moss #hpm. Thats a shameful number. 11:15 pm VirtualHospice: Thanks Dr. Fraser Black for doing a superb job presenting @virtualhospice at Showcase Canada. #hpm 11:16 pm equijada: Kollas - RCTs: modest anti-emetic effect, small inc in caloric intake, reduction in neuropathic pain. #kindaworks #hpm 11:17 pm ctsinclair: At Rushtons Talk on "Transforming Parental Suffering: Role of Being a Good Parent" #peds cc: @haslingerppc @KUkidsHP @seattlemamadoc #hpm 11:18 pm equijada: Kollas - take home: medical marijuana modest improvement in seriously ill #hpm 11:19 pm ctsinclair: RT @equijada: Kollas - RCTs: modest anti-emetic effect, small inc in caloric intake, reduction in neuropathic pain. #hpm 11:20 pm ctsinclair: @equijada Wondering if @NORML or other Marijuana advocates will watch your tweets today with your subject #hpmwthashtag.com/transcript.php?page_id=… 45/112
  • 2/23/2011 your tweets today with your subject #hpm Hashtag?! Transcript for #hpm - What the 11:20 pm ctsinclair: RT @doclake: RT @equijada: Boyer-Kollas - Cannabis facts - low abuse potential in comparison to other recreational and medical drugs #hpm 11:21 pm Pallimed: Legislation filed to legalize medical marijuana in #Kansas http://bit.ly/gsHGbz @equijada dont know if you saw this earlier #hpm 11:21 pm dwensel: The language that docs use to define prognosis should emphasize living not dying #hpm 11:22 pm ctsinclair: Thanks to all who are RTing for the @AAHPM @HPNAinfo conference from #hcsm and other networks online #hpm 11:22 pm equijada: Kollas - Should HPC have a position statement on MJ? Kollas - would should we do? Q&A time #hpm 11:22 pm ctsinclair: RT @dwensel: The language that docs use to define prognosis should emphasize living not dying. Example? #hpm 11:24 pm equijada: Participant comment: (in rebuttal to prior MJ w/glaucoma) "MJ doesnt decrease the time to blindness" #hpm 11:24 pm ctsinclair: @AliveHospice Q: RE continuous attention syndrome with social media. A: All effective tools have side effects, manage the side effect #hpm 11:24 pm equijada: Kollas - "the answer is cannabinoids" #hpm 11:24 pm dwensel: @ctsinclair @dwensel "you will be living for another few days, weeks, or months not dying in days, weeks, or months" #hpm 11:24 pm jodyms: @ctsinclair "losing the battle" needs to be eliminated from all cancer talk. #hpm 11:25 pm ctsinclair: @equijada did speaker highlight semantic diff between cannabis and marijuana? Is there one? #hpm 11:26 pm ctsinclair: @dwensel gotcha, thanks #hpm 11:26 pm equijada: Mel Sterling: "it is true they go blind at the same time, theyre just not unhappy about it" crowd laughs #hpm 11:26 pm djsampson: RT @jodyms: @ctsinclair "losing the battle" needs to be eliminated from all cancer talk. #hpm 11:27 pm equijada: @ctsinclair no he didnt. Im not sure if there is one. Perhaps cannabis:marijuana is to opioid:narcotic ? #hpm 11:27 pm ctsinclair: RT @drpippa: Communicating bad news- 3 tech to discuss diff prognosis w/ pts- hypothetical qs, hope/worry statements, name the dilemma #hpm 11:27 pm jodelancey: Amen. RT @djsampson: RT @jodyms: @ctsinclair "losing the battle" needs to be eliminated from all cancer talk. #hpm 11:28 pm ctsinclair: Rushton - Avoid labeling parents as difficult or uncaring get to know their challenges, their view point #peds #hpm 11:28 pm ctsinclair: @equijada That is what I was wondering #hpm 11:28 pm melanoma_mama: RT @ctsinclair: Rushton - Avoid labeling parents as difficult or uncaring get to know their challenges, their view point #peds #hpm 11:28 pm ctsinclair: RT @jodyms: "losing the battle" needs to be eliminated from all cancer talk. "Great point" #hpm 11:29 pm dwensel: Davis, Cothren expression of terminal illness through music, art and poetry #hpm 11:29 pm equijada: Mel Sterling: "we need to take the handcuffs off of research...we need to distinguish between medical and recreational use" #hpm 11:29 pm drpippa: Audience member "it was great to watch you squirm" re: role play of pt- clinician discussion of poor prognosis. Weve all been there! #hpm 11:31 pm dwensel: The expression of human kindness through the use of hands in art. #hpmwthashtag.com/transcript.php?page_id=… 46/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:31 pm ctsinclair: Staff labeled mother as uncaring. Her response- Im home getting life in order in case he gets discharged. He is safe w/ you -Rushton #hpm 11:31 pm equijada: Audience: "thanks that we are a bunch of lefty pot smokers" Me: #cantspeakforthat #hpm 11:31 pm ctsinclair: RT @dwensel: Davis, Cothren expression of terminal illness through music, art and poetry wanted to go to that session #hpm 11:32 pm equijada: Crowd laughs when the word "high" is used #hpm 11:32 pm MeetVancouver: Need a tasty place for dinner or dessert? Were onsite till 430pm today! @AAHPM @HPNAInfo #hpm 11:33 pm ctsinclair: RT @dwensel: Tolstoy wrote just before he died, "I dont understand what I am suppose to do." #quote #hpm 11:33 pm dwensel: The Hands of Death and the Faces of Death series are wonderful #hpm 11:33 pm ctsinclair: RT @equijada: Crowd laughs when the word "high" is used. not very academic of everyone, suspect tension breaker? #hpm 11:33 pm equijada: @sandiegohospice fellow Beth speaking: taking it back clinically, are there other preparations. Kollas: in brownies. Crowd laughs #hpm 11:34 pm ctsinclair: RT @dwensel: The Hands of Death and the Faces of Death series are wonderful links, online? #hpm 11:34 pm equijada: Kollas - smoking avoids 1st pass effect #hpm 11:34 pm equijada: @ctsinclair yes #hpm 11:35 pm Nurse2103: RT @renee_berry: Ellington w/ U of Utah College of Nursing reviewing analysis of #Hospice #Nurse conversations with patients @ Home ..interesting #hpm 11:36 pm Nurse2103: RT @renee_berry: "show me the data on impact of this @DianeEMeier we can start here: www.whatthehashtag.com/hpm #hpm 11:36 pm equijada: @sandiegohospice fellow Beth: Q: synergy with opiates? A: not sure #hpm 11:37 pm ctsinclair: Thanks for joining us today @melanoma_mama We hope youll stick around for some more tweets from #hpm 11:37 pm Mtnmd: RT @dwensel The expression of human kindness through the use of hands in art. #hpm 11:38 pm MatthewsMichele: hmm; Not sure pros use is it the same as teens RT @renee_berry: (para) audience: "pull in teens to help your team learn social media" #hpm 11:38 pm Nurse2103: RT @renee_berry: About 29 active #hpm blogs @ctsinclair "We need more voices" calling on the @AAHPM community & orgs to tell their story #hpm 11:38 pm AAHPM: More than 1000 tweets today for #hpm Now, how about some well thought out comments for our thoughtful bloggers http://bit.ly/av8ctS ?! 11:38 pm ctsinclair: RT @AAHPM: @ctsinclair and #aahpm staff can help you with Twitter 202 at the exhibit hall. #hpm Yes We Can!" 11:39 pm lmockford: RT @VirtualHospice: Thanks Dr. Fraser Black for doing a superb job presenting @virtualhospice at Showcase Canada. #hpm 11:39 pm Mtnmd: RT @dwensel The language that docs use to define prognosis should emphasize living not dying #hpm 11:40 pm hospicedave: Thats wht she said! RT @ctsinclair: Rushton - Avoid labeling parents as difficult or uncaring get to know their challenges #peds #hpm 11:41 pm AAHPM: RT @ctsinclair: Thanks to all who are RTing for the @AAHPM @HPNAinfo conference from #hcsm and other networks online #hpm 11:41 pm equijada: Kollas - "we are already labeled the death doctor cant get much worse than that" re: label of pot doctor #hpm 11:41 pm Mtnmd: RT @ctsinclair @doclake @equijada Boyer-Kollas - Cannabis facts - lowwthashtag.com/transcript.php?page_id=… 47/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! abuse potential in comparison 2 other recreational & med drugs #hpm 11:43 pm ctsinclair: Rushton - How to support parents: language of non-abandonment, give and respect choices, foster authentic hope, and build trust #peds #hpm 11:43 pm equijada: Boyer-Kollas - we have patients dying in pain, thats not ok. #hpm 11:44 pm drpippa: Take home re diff convos: patients often hear something different than what was said for many reasons. Important to honor them! #hpm 11:45 pm renee_berry: RT @mamaier262: @renee_berry @ewidera @AAHPM #hpm cant be told what social media is...learn by doing... it is not a spectator sport... =) 11:45 pm melanoma_mama: Interesting tweets! @ctsinclair Thanks for joining us today @melanoma_mama We hope youll stick around for some more tweets from #hpm 11:47 pm ctsinclair: "One of the most beautiful compensations of this life that no man can sincerely try to help another without helping himself." -Emerson #hpm 11:50 pm MDTalk: Boyer-Kollas - Cannabis facts - low abuse potential in comparison 2 other recreational & med drugs #hpm http://bit.ly/hTcfgy 11:50 pm davidkroll: This. RT @djsampson: RT @jodyms: @ctsinclair "losing the battle" needs to be eliminated from all cancer talk. #hpm 11:56 pm gcooneymd: Why is cancer a war and not other terminal ilness??RT @davidkroll: "losing the battle" needs to be eliminated from all cancer talk. #Hpm 11:57 pm gcooneymd: Lets not tell my kids tho! RT @MDTalk: Cannabis facts - low abuse potential in comparison 2 other recreational & med drugs #Hpm February 18, 2011 12:01 am ctsinclair: New session Lynn Mcpherson covering new drugs approved/introduced to the market in 2010. Listen up #pharma #fda fans #hpm 12:02 am DianeEMeier: RT @dwensel: Tolstoy wrote just before he died, "I dont understand what I am suppose to do." #hpm 12:03 am ctsinclair: Mcpherson - Dalfasmpridine (Ampyra) for #MultipleSclerosis Can help with function, but Cots $1000 for 30d, watch out for seizures #hpm 12:04 am gcooneymd: Id pay that! RT @ctsinclair: Mcpherson - Dalfasmpridine (Ampyra) for #MultipleSclerosis Can help with function but costs $1000 for 30d #Hpm 12:05 am dwensel: RT @ctsinclair: Mcpherson - Dalfasmpridine for #MultipleSclerosis Can help with function but Cots $1000 for 30d, watch out for seizures #hpm 12:05 am ctsinclair: Macpherson - Tocilizumab (Actemra) for #RA Q4weeks; Modest effect in #RA if not responding to TNF inhib #pharma #hpm 12:05 am kevhen63: RT @gcooneymd: Why is cancer a war and not other terminal illness? "losing the battle" needs to be eliminated from all cancer talk. #Hpm 12:06 am DianeEMeier: RT @Health_Affairs: Blog: Defining Essential Benefits: Congress?Role http://bit.ly/dZxV6e #palliative care is THE essential benefit #hpm 12:06 am ctsinclair: Macpherson - Dabigatran etexilate mesylate (Pradaxa) new competitor with Warfarin, stroke embolism risk reducer #pharma #hpm 12:07 am dockj: RT @equijada: Kollas - "we are already labeled the death doctor cant get much worse than that" re: label of pot doctor #hpm 12:08 am ctsinclair: Macpherson - Pradaxa fewer drug interactions, no INR checks like coumadin, but at what cost. $7/day vs. 50cents for coumadin #hpm 12:09 am hollyby: In dexmedetomidine talk for refractory symptoms talk... #hpm 12:09 am gcooneymd: At new drug session b/o great tweets! Thanks guys! #Hpm 12:09 am ctsinclair: Macpherson - Must be careful in storing Pradaxa - once opened only good for 30days #pharma #hpmwthashtag.com/transcript.php?page_id=… 48/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 12:10 am ctsinclair: Everyone say hi to Kevin Henning @kevhen63 He is tweeting right next to me! #hpm 12:11 am MyrnaB23: Hi Kevin Henning@kevhen63 #hpm 12:11 am RossJeanette: Hi @kevhen63 welcome to twitter HPM #Hpm 12:11 am ctsinclair: Macpherson - Fentanyl SL tablet (Abstral) 5th rapid acting trans mucosal (actiq, gen actiq, Onsolis, Fentora) #pharma #hpm 12:11 am gcooneymd: Opioid tolerant defined as 60 MG OMS daily for one week #Hpm 12:12 am dwensel: Hi Kevin #hpm 12:12 am ctsinclair: RT @gcooneymd: Opioid tolerant defined as 60 MG OMS daily for one week #hpm 12:13 am DianeEMeier: In room 205 #hpm talking about the place of #palliative care in health reform efforts. Come by! 12:13 am renee_berry: Welcome Kevin! RT @ctsinclair: Everyone say hi to Kevin Henning @kevhen63 He is tweeting right next to me! #hpm 12:13 am ctsinclair: Macpherson - REMS strategy for Abstral - good preview for other opioids in future. Prescriber are specially certified - Adoption rate? #hpm 12:14 am renee_berry: sounds awesome RT @DianeEMeier: In room 205 #hpm talking about the place of #palliative care in health reform efforts. Come by! #hpm 12:14 am dwensel: @ctsinclair @gcooneymd That sounds high? #hpm 12:14 am thehealthmaven: RT @ctsinclair: Talking my language! "One of the most beautiful compensations of this life that no man can sincerely try" -Emerson #hpm 12:14 am gcooneymd: RT @DianeEMeier: In room 205 #hpm talking about the place of #palliative care in health reform efforts. Come by! #Hpm 12:14 am dockj: @dwensel not attending but catching up on the flood of #hpm tweets. Good stuff! 12:14 am ctsinclair: Macpherson - Abstral REMS the pharmacist and wholeseller also has to be specially certified. Good luck with getting all 3 in your town #hpm 12:15 am DianeEMeier: RT @renee_berry: "show me the data on impact of twitter @DianeEMeier we can start here: www.whatthehashtag.com/hpm #hpm 12:15 am renee_berry: @DianeEMeier is it more on payment models? or health reform? (or both?) #hpm 12:16 am ctsinclair: Macpherson - Propxyphene (Darvocet) being pulled off market - Very good thing. My take from @pallimed http://bit.ly/fkMVEl #pharma #hpm 12:16 am hollyby: Dexmedetomidine (Precedex) alpha-2 agonist used for sedation and analgesia, often used in ICU and surgery settings #hpm 12:17 am gcooneymd: The death of propoxyphene! Long overdue. #Hpm 12:17 am RossJeanette: 3 day Happy dance for propoxyphene out of the market- macpherson #Hpm 12:18 am gcooneymd: Propoxyphene and yet, why do so many little old laid swear by it? #Hpm 12:19 am gcooneymd: RT @gcooneymd: Propoxyphene and yet, why do so many little old ladies swear by it? #Hpm 12:20 am ctsinclair: RT @gcooneymd: Propoxyphene ineffective and yet, why do so many little old laid swear by it? "beats me" #hpm 12:20 am equijada: Alternatives to propoxyphene -> methadone. Begs the question of NMDA effect #hpm 12:21 am ctsinclair: Macpherson - FDA def of opioid tolerant - 60mg morphine, 24mcg fent patch, 30mg oxycodone, or 8mg hydromorphone per day #hpm 12:21 am dwensel: I have never prescribed propoxyphene has anyone here? #hpmwthashtag.com/transcript.php?page_id=… 49/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 12:21 am ctsinclair: Macpherson - Exalgo (once daily hydromorphone) - Wish she spent more time on this one #hpm 12:21 am gcooneymd: Butrans transdermal buprenorphine #Hpm 12:21 am renee_berry: Peg Nelson, MSN NP Talked about staff completing survey, high turn in after patient death saying "were not prepared" #hpm 12:22 am gcooneymd: Yes, for the LOL with propoxyphene receptor RT @dwensel: I have never prescribed propoxyphene has anyone here? #Hpm 12:22 am dwensel: @ctsinclair Does that seem high to anyone for opioid tolerant? #hpm 12:23 am ctsinclair: Macpherson - BuTrans Transdermal buprenorphine - patch worn for 7 days, need to titrate patient down before starting #hpm 12:23 am dwensel: @ctsinclair me too! #hpm 12:23 am ctsinclair: @dwensel I thought it sounded kind of low for opioid tolerant doses #hpm 12:24 am ctsinclair: RT @dwensel: I have never prescribed propoxyphene has anyone here? rarely in the past, always continuing, not initiating #hpm 12:24 am FIMDM: RT @ctsinclair: Any of my followers just FYI, live tweeting from Vancouver @AAHPM conference see http://slidesha.re/fh5kKy or pallimed.org for details #hpm 12:24 am DianeEMeier: #hpm no clarity postacute care settings (hospice, home care, LTC) in accountable care orgs. #palliative care is key 2 #aco success. 12:24 am ctsinclair: Macpherson - Primary care providers have warm/fuzzy feeling towards transdermal systems -"Totally agree, but variable understanding #hpm 12:25 am gcooneymd: Am I emotionally incontinent?? #Hpm 12:25 am hollyby: Dexmedetomidine in palliative care: Prommer - http://bit.ly/gqpwTs , Coyne - http://bit.ly/ejGUQA , Roberts - http://bit.ly/e2hKNb #hpm 12:25 am westr: RT @ctsinclair: FDA def of opioid tolerant - 60mg morphine, 24mcg fent patch, 30mg oxycodone, or 8mg hydromorphone per day #hpm #pm101 12:26 am dwensel: @gcooneymd Am I emotionally incontinent?? I know I am #hpm 12:26 am westr: I also swear by it. RT @ctsinclair @gcooneymd: Propoxyphene ineffective and yet, why do so many little old laid swear by it? "beats me" #hpm 12:27 am dwensel: For you Seinfeld fans "she is a fast talker" #hpm 12:27 am ctsinclair: Macpherson - Nuedexta (Dextromethorphan/Quinidine) for uncontrolled laughing/crying in multiple neurological diseases #ALS #MS #hpm 12:27 am gcooneymd: RT @dwensel: @gcooneymd Am I emotionally incontinent?? I know I am. Lets all be emotionally incontinent! #Hpm 12:28 am ctsinclair: Nuedexta - $600/month, "wow! but if you have these symptoms of uncontrolled laughing/crying, could be helpful #hpm 12:28 am renee_berry: I came in just in time for @DianeEMeier #hpm 12:28 am hollyby: Dexmedetomidine also called "dex". Confusing... I use "dex" for dexamethasone. Will need to be careful if we start to use it more. #hpm 12:29 am MyrnaB23: Meier: Success of the new payment models are critically dependent on our field - on us. #hpm 12:29 am gcooneymd: Fingolimod = IM interferon in decreasing MS relapses #Hpm 12:29 am ctsinclair: RT @dwensel: For you Seinfeld fans "she is a fast talker" - "Dont you mean sheisafasttalker #hpm 12:29 am ctsinclair: RT @hollyby: Dexmedetomidine also called "dex". Confusing... "Do not like. Need better name...deto" #hpm 12:29 am dwensel: RT @ctsinclair: RT @dwensel: For you Seinfeld fans "she is a fast talker" - "Dont you mean sheisafasttalker Yea thats it #hpmwthashtag.com/transcript.php?page_id=… 50/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 12:29 am renee_berry: we ( #palliative care) are central to the success of those models (Accountable Care Organizations) @DianeEMeier #hpm 12:29 am chemosabe: @gcooneymd define emotional inco pls? aussie not up on the term #hpm 12:30 am hollyby: Lots of questions for dexmedetomidine. Best dose, best duration, and best symptom palliated not clear for palliative care population. #hpm 12:30 am ctsinclair: RT @MyrnaB23: From @DianeEMeier: Success of the new payment models are critically dependent on our field - on us. #hpm 12:30 am gcooneymd: Fingolimod second line, if fails/intolerant of interferon #Hpm 12:30 am ctsinclair: RT @chemosabe: @gcooneymd define emotional inco pls? aussie not up on the term. "FDA term for uncontrolled laughing/crying" #hpm 12:31 am gcooneymd: RT @chemosabe: @gcooneymd define emotional inco pls? aussie not up on the term. Neuro syndrome. Uncontrolled laughter/crying :)) #Hpm 12:31 am ctsinclair: RT @gcooneymd: Am I emotionally incontinent?? Who came up with that term, it actually sounds pretty insulting, if I had it #hpm 12:31 am hollyby: Dexmedetomidine may be useful for intractable pain, agitation and/or delirium #hpm 12:32 am chemosabe: @hollyby imsp just published list of drugs with CAPITALISATION for like sounding or looking drug names #hpm 12:32 am ctsinclair: @gcooneymd Didnt mean to scoop you on the answer to @chemosabe (best twitter handle ever) #hpm 12:32 am MyrnaB23: Diane likes to be on sx in July as there is still neurologic plasticity on the part of the house staff. #hpm 12:32 am ctsinclair: Macpherson - Acetaminophen IV (Ofirmev) - Finally I have wanted to have this so many times #hpm 12:33 am westr: RT @ctsinclair: Propxyphene being pulled off market - Very good thing. My take from @pallimed http://bit.ly/fkMVEl #pharma #hpm #pm101 12:33 am chemosabe: @ctsinclair @gooneymd so u guys are saying it is a recognised and accepted diagnosis up there? #hpm 12:33 am ctsinclair: @MyrnaB23 That is reverse thinking from many attendings! #hpm 12:33 am gcooneymd: FDA investigating acetaminophen combination products #Hpm 12:33 am renee_berry: @DianeEMeier tells story of an intern missing the big picture... we need to pause & consider goals of care #hpm 12:33 am hjluks: RT @ctsinclair: RT @gcooneymd: Am I emotionally incontinent?? Who came up with that term, it actually sounds pretty insulting, if I had it #hpm 12:34 am kevhen63: Who knows what APAP stands for? #Hpm 12:34 am ctsinclair: @chemosabe I just heard it for the first time today RE: Emotional incontinence #hpm 12:34 am RossJeanette: Macpherson FDA decrease acetaminophen (APAP) so combos dont have more than 325mg of APAP #Hpm 12:34 am dwensel: @ctsinclair what did she just say we did not get it in the back of the room #hpm 12:34 am ctsinclair: RT @kevhen63: Who knows what APAP stands for? not anti-pain, anti- pyretic #hpm 12:35 am equijada: Duloxetine for chronic msk pain #ididnotknowthat #hpm 12:35 am kevhen63: Who knows what APAP stands for? Not what Christian said... #Hpm 12:35 am chemosabe: @ctsinclair agree with u that it sounds pretty derogatory #hpm 12:35 am gcooneymd: RT @ctsinclair: @chemosabe I just heard it for the first time today RE: Emotional incontinence- think its pharma jargon #Hpmwthashtag.com/transcript.php?page_id=… 51/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! Emotional incontinence- think its pharma jargon #Hpm 12:35 am ctsinclair: @dwensel Missed it too #hpm 12:35 am equijada: #ididnotknowthat for lots of things in this talk #hpm 12:36 am ctsinclair: RT @equijada: #ididnotknowthat for lots of things in this talk Agreed, this is an essential talk every year #hpm 12:36 am hollyby: Isnt it also called pseudobulbar affective disorder? re: emotional incontinence @chemosabe @ctsinclair @gooneymd #hpm 12:36 am gcooneymd: Abuse deterrent Oxycontin #Hpm 12:36 am MyrnaB23: APAP = An antipyretic and analgesic, with potency similar to that of aspirin. #hpm 12:36 am chemosabe: @gcooneymd ah pharmas making up diagnosis to fit there drug, now I get it! #hpm 12:37 am chemosabe: @hollyby that sounds like a real dx #hpm 12:37 am gcooneymd: RT @hollyby: Isnt it also called pseudobulbar affective disorder? re: emotional incontinence - But not as funny, Holly #Hpm 12:37 am ctsinclair: Macpherson - OxyContin Reformulation-60 tab AWP $375, insoluable in alcohol, forms viscous gel with water, some pts say not effective #hpm 12:37 am gcooneymd: RT @MyrnaB23: APAP = An antipyretic and analgesic, with potency similar to that of aspirin. Is that true?? #Hpm 12:37 am thehealthmaven: RT @ctsinclair: Macpherson - REMS strategy for Abstral - good preview for other opioids in future. Prescriber are specially certified - Adoption rate? #hpm 12:38 am hollyby: True RT @gcooneymd & @hollyby: Isnt it also called pseudobulbar affective disorder? re emotional incontinence - But not as funny, Holly #hpm 12:39 am ctsinclair: Woo hoo Macpherson referenced @Pallimed on her slides http://www.pallimed.org/2010/12/opioids-on-chopping-block.html #pharma #hpm 12:39 am chemosabe: the whole emoinco discussion takes me down medicolegal path of flk, fith syndrome, lolnad, etc #hpm #rnchat 12:39 am ctsinclair: RT @kevhen63: Who knows what APAP stands for? Not what Christian said...wikipedia: N-acetyl-p-aminophenol #hpm 12:40 am kevhen63: @gcooneymd. Nope, not antipyretic and analgesic. #Hpm 12:40 am DrRobie: RT @gcooneymd: Why is cancer a war and not other terminal ilness??RT @davidkroll: "losing the battle" needs to be eliminated from all cancer talk. #Hpm 12:40 am renee_berry: "OCD level of attention to communication is key to success" @DianeEMeier (YES!) #hpm 12:40 am ctsinclair: @chemosabe Yes, I think we should just stop saying emotional incontinence, funny or not to us it is not funny to the patients #hpm 12:40 am renee_berry: "patients get confused with who to listen to with many specialists that dont talk to each other" @DianeEMeier #hpm 12:41 am ctsinclair: RT @renee_berry: "OCD level of attention to communication is key to success" @DianeEMeier (YES!) [with breaks for milk and cookies] #hpm 12:41 am renee_berry: "coordinating of care with out goal assessment is not effective" @DianeEMeier #HaveTheTalk #hpm 12:41 am DrRobie: RT @ctsinclair: Macpherson - Must be careful in storing Pradaxa - once opened only good for 30days #pharma #hpm 12:41 am renee_berry: @ctsinclair or sushi in Vancouver :) #hpm 12:42 am chemosabe: @ctsinclair u must be pretty clever to be listening to presentation and chatting #hpmwthashtag.com/transcript.php?page_id=… 52/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! chatting #hpm 12:42 am ctsinclair: Macpherson - medical #Marijuana - Allowed in 14 states, Maryland and Kansas have legislation pending, others? cc @NORML #hpm 12:42 am renee_berry: "Even @CMS defines #palliative care with out reference to prognosis, rather defined based on need" @DianeEMeier #hpm 12:43 am ctsinclair: RT @chemosabe: @ctsinclair u must be pretty clever to be listening to presentation and chatting Some may call it that... ;) #hpm 12:43 am equijada: Macpherson talk <fire hose on> will need to review twitter notes and Im acutally going to download her handout #wow #hpm 12:44 am ctsinclair: RT @equijada: Macpherson talk <fire hose on> will need to review twitter notes and Im acutally going to download her handout "Ditto" #hpm 12:44 am chemosabe: @renee_berry u also must be pretty clever to be listening to presentation and chatting #hpm 12:44 am ctsinclair: @equijada Im spent. end of day and lots of info. brain is getting tired. #hpm 12:44 am renee_berry: "Fee for service is going to go away, so we need to study whos doing it, what theyre doing well & what theyre not" @DianeEMeier #hpm 12:45 am dwensel: @ctsinclair @equijada we need a pallimed/geripal gathering stat #hpm 12:45 am hospicedave: That she is. But love Macpherson! RT @ctsinclair: RT @dwensel: For you Seinfeld fans "she is a fast talker" #hpm 12:45 am DrRobie: RT @gcooneymd: Propoxyphene and yet, why do so many little old laid swear by it? #Hpm 12:45 am renee_berry: :) just takes practice RT @chemosabe: @renee_berry u also must be pretty clever to be listening to presentation and chatting #hpm 12:46 am renee_berry: @chemosabe & I read about palliative care enough that I have some flexibility, have a much harder time doing it at tech conferences! #hpm 12:46 am equijada: @dwensel yes indeed. #hpm 12:47 am ctsinclair: Macpherson - Speaking out against EMRs and nurse communication in mls instead of milligrams when working with opioids #hpm 12:47 am chemosabe: who is this macpherson #hpm goddess that isnt Elle? 12:48 am renee_berry: @Aetna has implemented a 12month model for #hospice where patients dont need to forgo curative treatment - @DianeEMeier #hpm 12:48 am gcooneymd: Oral morphine 20 MG/ml only for opioid tolerant patients. Yikes!! #Hpm 12:48 am renee_berry: @DianeEMeier highlighting various innovative models of implementation of integrated palliative care .. #Fascinating #hpm 12:49 am chemosabe: @ctsinclair thought accepted abbreviations was ACCEPTABLE? #hpm 12:49 am ctsinclair: Macpherson - Cryostat - Most important palliative care therapy I am talking about - cold pack for hemorrhoid relief #hpm 12:49 am equijada: CryoSTAT #needsomenow #hpm 12:49 am dwensel: can you repeat the joke we missed it in the back. #hpm 12:50 am renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #hpm 12:50 am renee_berry: "This is our moment & we need to grab it" @DianeEMeier #hpm 12:50 am PracticalWisdom: RT @ctsinclair: Rushton - Avoid labeling parents as difficult or uncaring get to know their challenges, their view point #peds #hpm 12:50 am ctsinclair: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier #hpm 12:51 am gcooneymd: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier #Hpmwthashtag.com/transcript.php?page_id=… 53/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #Hpm 12:51 am PracticalWisdom: RT @ctsinclair: Rushton - How to support parents: language of non- abandonment, give and respect choices, foster authentic hope, and build trust #peds #hpm 12:51 am hollyby: RT @renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #hpm 12:51 am gcooneymd: RT @renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #Hpm 12:51 am ctsinclair: RT @dwensel: can you repeat the joke we missed it in the back. she has too many cant keep up #hpm 12:51 am kevhen63: What does orphan drug status mean? #Hpm 12:51 am chemosabe: @ctsinclair did u just change speakers or rooms? #hpm 12:51 am dwensel: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier #hpm 12:52 am ctsinclair: Macpherson Palliative related med Pipeline Ereska, Fentora Long Acting, Posidur, Rylomine get used to these names #hpm 12:52 am PracticalWisdom: RT @ctsinclair: @LeeAase Thanks Lee! Have a lot of ideas to blog about for #MCCSM Looking forward to engagement from SocMed community with #hpm #hpm 12:52 am ctsinclair: @chemosabe Nope still in macpherson, but rt a few from @renee_berry, must remember that could be confusing for people watching! #hpm 12:53 am chemosabe: @ctsinclair in North America only! #hpm 12:53 am equijada: <fire hose off> Time for #yoga #hpm 12:53 am kevhen63: Orphan drugs are for rare diseases http://en.wikipedia.org/wiki/Orphan_drug #Hpm 12:54 am chemosabe: @ctsinclair Where did Rushton come from then, did Macpherson cite him? #hpm 12:55 am chemosabe: @equijada enjoy your pretzelling #yoga #hpm 12:55 am renee_berry: @DianeEMeier highlighting the amount of time & challenges for new studies to be funded & published #hpm 12:55 am westr: RT @ctsinclair: Macpherson - Fentanyl SL tablet (Abstral) 5th rapid acting trans mucosal (actiq, gen actiq, Onsolis, Fentora) #pharma #hpm 12:56 am renee_berry: @DianeEMeier talks about how the @CAPCpalliative program took an unproven model & made it work #entrepreneurship #innovation #hpm 12:57 am renee_berry: its the job of our field to get primary #palliative care competencies out to other disciplines across systems - @DianeEMeier #hpm 1:00 am renee_berry: "the effective models of #palliative care integration require close oversight & quality assurance" @DianeEMeier #hpm 1:01 am subatomicdoc: RT @renee_berry: "the effective models of #palliative care integration require close oversight & quality assurance" @DianeEMeier #hpm 1:05 am westr: RT @Mtnmd: RT @dwensel The language that docs use to define prognosis should emphasize living not dying #hpm 1:19 am innerspirit: RT @RedefineHospice: Though Latinos prefer having families care for loved ones they desire to reduce caretaker burden via JPM #hospice #hpm 1:20 am PracticalWisdom: Great Point!RT@hvto As a hospice advocate, I would love to attend to better understand the current trends, challenges, and successes in #hpm 1:21 am innerspirit: RT @Pallimed: *Updated* List of #Hospice & #Palliative Medicine Blogs (Current & Inactive) http://bit.ly/4tSruO Am I missing any? #hpm #hcsm 1:21 am erlanovation: @DianeEMeier talks about how the @CAPCpalliative program took anwthashtag.com/transcript.php?page_id=… 54/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! unproven model & made it work #entrepreneurship #innovation #hpm 1:22 am mdelacalzada: RT @renee_berry: "how can you be efficient with this? A common large fear is idea that its too much time" @Hollyby w/ @SanDiegoHospice #hpm 1:27 am PracticalWisdom: Great Point RT@dockj T1. The other issue is non-member costs are higher for most conferences. Added burden for PT/family. #hpm 1:28 am DianeEMeier: Come hang out with us at the Mount Sinai jobs booth at the reception! #hpm 1:28 am PracticalWisdom: I"m going through the #hpm Transcript and finding even more Gems from last night. Hope this is not confusing. 1:29 am drpippa: RT @equijada: Macpherson talk <fire hose on> will need to review twitter notes and Im acutally going to download her handout #wow #hpm 1:30 am drpippa: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier #hpm 1:31 am Dr_Butin: #hpm oops- missed this hashtag attended EthicsSIG, medical marijuana, social media talks today at Day 1 AAHPM conference in Vancouver 1:35 am PracticalWisdom: Witty & True! RT@hvto @PracticalWisdom T2: Twitter becomes the tool for supreme note taking - only lots of people sharing your notes. #hpm 1:41 am AAHPM: Dr. Kimberly Johnsons session on Race and Residence originally sched. for 2/17 will take place 2/18 in room 215-216 at 2:15pm. #hpm 1:42 am MeredithGould: RT @AAHPM: More than 1000 tweets today for #hpm Now, how about some well thought out comments for our thoughtful bloggers http://bit.ly/av8ctS ?! 1:43 am PracticalWisdom: Love This Line!RT@hollyby T2: People who R not on twitter think U R ignoring them, when U R really paying attention in order to tweet! #hpm 1:51 am gcooneymd: Help! Cannot find leadership reception #hpm 2:07 am hvto: RT @Pallimed: *Updated* List of #Hospice & #Palliative Medicine Blogs (Current & Inactive) http://bit.ly/4tSruO Am I missing any? #hpm #hcsm 2:09 am AAHPM: @gcooneymd 19th floor of Renaissance Hotel, the Vistas Room. Have fun! #hpm 2:09 am PracticalWisdom: Dennis, great idea. RT@dspacl Perhaps microblogging the topics contemporaneously would be of value to #hcsm users #hpm 2:10 am hvto: RT @renee_berry: @Aetna has implemented a 12month model for #hospice where patients dont need to forgo curative treatment - @DianeEMeier #hpm 2:11 am AAHPM: RT@hvto@PracticalWisdom: Twitter becomes the tool for supreme note taking - only lots of people sharing your notes. #hpm #hpm 2:11 am hvto: @renee_berry "pull teen volunteers 2 help team learn social media language" #hospice #volunteer #hpm I know a Great online training site! 2:12 am hvto: RT @drpippa: can you spend 8 minutes a day advocating for #hospice & #palliative med asks @ewidera - YES! #hpm 2:12 am hvto: RT @emacartney: RT @renee_berry: "Who is talking about the stuff that we care about? Lets be advocates together" - @ctsinclair #hpm #hospice 2:17 am JA_Carpenter: Can you spend 8 minutes a day advocating for #hospice & #palliative med asks @ewidera @drpippa - ABSOLUTELY! #hpm 2:19 am JA_Carpenter: RT @renee_berry: "Who is talking about the stuff that we care about? Lets be advocates together" - @ @emacartney #hpm #hospice 2:19 am stales: RT @PracticalWisdom: RT@MeredithGould Just like they think people who doodle arent paying attention when, kinesthetic learners need to be doing something #hpm 2:30 am PracticalWisdom: Agree RT@dockj T2 you can use transcripts from live tweets as crib sheet for your own notes. #hpm 2:33 am PracticalWisdom: I"m in NC wish @AAHPM RT@hvto @PracticalWisdom @hvto Thank you. I am silently sitting in jealousy of those at the @AAHPM Conference! #hpmwthashtag.com/transcript.php?page_id=… 55/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! am silently sitting in jealousy of those at the @AAHPM Conference! #hpm 2:35 am VirtualHospice: RT @gcooneymd: RT @renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #Hpm 2:37 am PracticalWisdom: RT @hvto: Robin Watts - Hospice Volunteer Training Online #hpm 2:43 am drpippa: trying out my first AAHPM blog post - A quick summary of Lynn McPhersons even quicker drug review. http://tinyurl.com/5vr3zem #hpm 2:50 am PracticalWisdom: It happensRT@dspacl A rec. conference ( ____) projected the live tweets during the talk and disparaging comments caused them to stop #hpm 2:51 am drpippa: Thanks @ctsinclair @renee_berry @doclake @Mtnmd @PracticalWisdom @RachelleNorman @getpalliative @dspacl for the RTs! What a day! #hpm 2:54 am PracticalWisdom: RT @equijada: Kollas - Should HPC have a position statement on MJ? Kollas - would should we do? Q&A time #hpm 2:58 am PracticalWisdom: 5 Star Post!! RT@PracticalWisdom heard a lecturer open "please do not give me your undivided attention please tweet to #hashtag" #hpm 3:00 am PracticalWisdom: Sorry Earls post 5 Stars! RT@equijada heard a lecturer open "please do not give me your undivided attention please tweet to #hashtag" #hpm 3:01 am hvto: RT @PracticalWisdom: 5 Star Post!! RT@PracticalWisdom heard a lecturer open "please do not give me your undivided attention please tweet to #hashtag" #hpm 3:14 am hvto: Check out the Hospice Twitter list Ive added to Listorious http://bit.ly/h1XQSj #volunteering #activism #spirituality #hpm 3:21 am olsonkd: In Vancouver BC for palliatve care mtg. #hpm 3:22 am Stberns: making waves with my first palliative tweet. #hpm 3:26 am NHPCO_news: Another change to catch NHPCOs Judi Lund Person in the exhibit hall on Friday from 7am - noon at the NHPCObooth at #hpm 3:30 am doclake: RT @drpippa: trying out my first AAHPM blog post - A quick summary of Lynn McPhersons even quicker drug review. http://tinyurl.com/5vr3zem #hpm 3:36 am renee_berry: RT @drpippa: Thanks @ctsinclair @renee_berry @doclake @Mtnmd @PracticalWisdom @RachelleNorman @getpalliative @dspacl for the RTs! What a day! #hpm 3:53 am PracticalWisdom: Best reason Health Care Professionals might consider SoMe is so their pts can see spot the Menschs #HSCM #HPM Amazed by the Depth/Caring 4:01 am drpippa: the word clouds the social media presentation today came from http://bit.ly/eY2LFD #hpm on my homescreen now! very cool. 5:43 am DrJESimon: @ctsinclair Congrats another new convert from your Tweet Talk. Im a newbee, signing in for the virtual palliative team #hpm 6:38 am drpippa: just left most excellent @Pallimed party - still going strong! Great to meet folks including @drbeffy - welcome to the twitterverse! #hpm 6:40 am drpippa: @DrJESimon welcome to the twitterverse! Glad you are trying it out. Virtual palliative team is fantastic! #hpm 8:27 am suzanakm: The art of medicine Medicine without pretence - via @Lancet http://bit.ly/e2fkf0 #hpm #humanism #humanities 8:37 am renee_berry: RT @doctatum Missouri finally has its out-of-hospital Advanced care directive functioning! I think we are the 43rd state #HaveTheTalk #hpm 12:38 pm PracticalWisdom: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpm 12:42 pm CureT1Diabetes: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - trained to think we run the show, smart ones know they are not #hpmwthashtag.com/transcript.php?page_id=… 56/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #hpm 12:46 pm mkarina: RT ^@suzanakm: ... evidence shows that education, guidelines, economic incentives dont influence physician behavior - Leider #hpm #mdchat 12:59 pm PracticalWisdom: @DocForeman: Thought of You. Value Change behavior with relationships http://zd.net/hOMLTH #hpm #connected #hpm Via @ctsinclair @equijada 1:14 pm FIMDM: RT @DianeEMeier: RT @Health_Affairs: Blog: Defining Essential Benefits: Congress?Role http://bit.ly/dZxV6e #palliative care is THE essential benefit #hpm 1:16 pm FIMDM: RT @drpippa: Take home re diff convos: patients often hear something different than what was said for many reasons. Important to honor them! #hpm 2:16 pm DrFelipeBarreto: Passei visita a um paciente na Clínica São Lucas às 07:30h ,depois #hpm e agora partindo pro Rio direto pra #FGV . #UFAaaaa... 2:25 pm LiebertPubsPete: RT @renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #hpm 2:26 pm GriefHealing: Agreed! Preparatory #Grief: What an appropriate term! http://bit.ly/f7vxFg via @DianaSebzda #hpm #hospice 2:33 pm AAHPM: Pls RT: Dr. Kimberly Johnsons session on Race and Residence originally sched. for 2/17 will take place 2/18 in room 215-216 at 2:15pm. #hpm 2:33 pm DrFelipeBarreto: Só acho que ainde que haja um financiamento considerável do estado com a prefeitura para o #hpm ,precisamos avaliar com muito pé no chão... 2:41 pm CAPCpalliative: RT @AAHPM: Pls RT: Dr. Kimberly Johnsons session on Race and Residence originally sched. for 2/17 will take place 2/18 in room 215-216 at 2:15pm. #hpm 3:13 pm hollyby: In Leedy and Tatums "Redefining the Hospice and Palliative Care Patient for Primary Care" talk. Good morning! #hpm 3:15 pm hollyby: Leedy and Tatum using an audience response system as part of their teaching tools this morning. Nice! #hpm 3:17 pm RougaRell57: So many ppl out here so aint on my level step ur #hpms up #slowazz 3:18 pm hospice_mktg: Could supercomputers like IBMs Watson improve #hospice referrals? @hospiceguy shares his thoughts http://bit.ly/faptqN #hpm 3:21 pm hollyby: From Labyak (MSW), 10 Myths and Facts about Hospice Care" http://bit.ly/dKbUcp #hpm 3:27 pm VirtualHospice: @sinclairshane article "Impact of death and dying on professionals" put #hpm on cover of @CMAJ_News! http://bit.ly/bmWGNw 3:28 pm RossJeanette: Tatum we need the primary care foundation to provide palliative care to patients #Hpm 3:31 pm hollyby: Leedy & Tatum describe how primary palliative care (PC) will be delivered by primary care docs, w/ secondary/tertiary PC by specialists #hpm 3:32 pm NHPCO_news: #hpm Stop by booth 101 at @AAHPM and learn about @HospiceAction 2011 Capitol Hill Day!!! 3:32 pm RossJeanette: Leedy and Tatum describe levels of providing palliative care http://bit.ly/gc7LpV #Hpm 3:42 pm equijada: Watson & hospice via @hospice_mktg http://bit.ly/hIdf2G Related: The heart has its reasons of which reason knows nothing - B. Pascal #hpm 3:46 pm hospicedave: RT @NHPCO_news: #hpm Stop by booth 101 at @AAHPM and learn about @HospiceAction 2011 Capitol Hill Day!!! 3:46 pm SanDiegoHospice: RT @KathleenPacurar RT @Atul_Gawande Must read. Invaluably clear concise chart on status of health reform rollout http://nyti.ms/hnuUrD #hpm 3:47 pm CAPCpalliative: #hpm Media training at 10 am Sat. Rm. 217-219 @AAHPM 3:48 pm CAPCpalliative: RT @SanDiegoHospice: RT @KathleenPacurar RT @Atul_Gawande Mustwthashtag.com/transcript.php?page_id=… 57/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 3:48 pm CAPCpalliative: RT @SanDiegoHospice: RT @KathleenPacurar RT @Atul_Gawande Must read. Invaluably clear concise chart on status of health reform rollout http://nyti.ms/hnuUrD #hpm 3:49 pm hollyby: Leedy & Tatum used the Temel paper to help primary care docs see the benefit of palliative care. http://bit.ly/bbRF9n #hpm 3:50 pm hospice_mktg: RT @KathleenPacurar @Atul_Gawande: Must read. Invaluably clear, concise chart on status of hlth ref rollout http://nyti.ms/hnuUrD #hpm #hcr 3:58 pm DrFelipeBarreto: @carlosemir precisamos primeiro reestruturar os prontos socorros p posteriormente pensarmos em receber pacientes só referenciados no #hpm 4:02 pm hollyby: Anyone else having their tweets not show up in TweetChat although it does in Twitter? TweetChat must need more caffeine this morning! #hpm 4:07 pm hollyby: Tatum often provides the #palliative care reference, "Fast Facts" through EPERC to primary care docs. http://bit.ly/gVWP5j #hpm 4:13 pm equijada: Windsor, Ont., parents lose fight to take terminally ill baby son home to die - http://yhoo.it/idTeKX #hpm 4:14 pm hollyby: Nice job @doctatum (Paul Tatum) and Stephen Leedy on introducing palliative care and hospice to primare care! #hpm 4:17 pm hollyby: Please congratulate @doctatum on his talk, and give him a big Twitter welcome! #hpm 4:19 pm hospice_mktg: So sad. RT @equijada: Windsor, Ont., parents lose fight to take terminally ill baby son home to die - http://yhoo.it/idTeKX #hpm 4:20 pm hollyby: Please welcome @doctatum @DrJESimon @birensaraiya @toddsauer @drbeffy to Twitter all you #hospice and #palliative medicine tweeps! #hpm 4:20 pm MeredithGould: RT @CAPCpalliative: #hpm Media training at 10 am Sat. Rm. 217-219 @AAHPM 4:21 pm MeredithGould: @hospice_mktg Sad and disturbing and infuriating. #hpm 4:21 pm hospice_mktg: Great insights coming from @AAHPM conf! RT @RossJeanette: Tatum we need the primary care foundation to provide #palliative care to pts #hpm 4:24 pm hospicepharmacy: #Hospice is changing for #pediatric patients - #Monterey program is on the cutting edge http://bit.ly/eyrGnI #hpm 4:33 pm hospice_mktg: Hello! RT @hollyby: Welcome @doctatum @DrJESimon @birensaraiya @toddsauer @drbeffy to Twitter you #hospice and #palliative med tweeps! #hpm 4:35 pm hollyby: Official start to Day 2 of the @AAHPM and @HPNA Annual Assembly now! Over 2000 people here from 15 countries! Hooray!!! #hpm 4:35 pm ctsinclair: At the Friday opening for the @AAHPM @HPNAinfo Annual Assembly, over 2000 people in attendance from over 15 countries #hpm 4:35 pm PalMedConnect: Looking forward to attending the dementia-related agitation workshop on Saturday #HPM 4:35 pm mpf2011: RT @hollyby: Official start to Day 2 of the @AAHPM and @HPNA Annual Assembly now! Over 2000 people here from 15 countries! Hooray!!! #hpm 4:36 pm ctsinclair: RT @equijada: Windsor, Ont., parents lose fight to take terminally ill baby son home to die - http://yhoo.it/idTeKX #hpm 4:36 pm gcooneymd: Hooray, Judy Lentz! #Hpm 4:36 pm ctsinclair: @hollyby Mine is showing up in Tweetchat so far #hpm 4:39 pm hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine Nurses Association) on 25 years! #hpm 4:39 pm hospice_mktg: #FF #hpm rocks stars we love 2 follow @ctsinclair @hollyby @renee_berry @nhdd @MeredithGould @RossJeanette @nhpco_news @PracticalWisdom 4:41 pm ctsinclair:Sean Morrison to award @AAHPM Magno Distinguished #Hospicewthashtag.com/transcript.php?page_id=… 58/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 4:41 pm ctsinclair: Sean Morrison to award @AAHPM Magno Distinguished #Hospice Physician Award to Charles Wellman, MD FAAHPM from @HospiceWR. Go Cleveland! #hpm 4:43 pm NHPCO_news: RT @hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine Nurses Association) on 25 years! #hpm 4:43 pm ctsinclair: Wellman sopeech focusing on Magnos contributions to founding @AAHPM, IAHPC and other key initiatives #hpm 4:43 pm NHPCO_news: RT @hospice_mktg: #FF #hpm rocks stars we love 2 follow @ctsinclair @hollyby @renee_berry @nhdd @MeredithGould @RossJeanette @nhpco_news @PracticalWisdom 4:43 pm RossJeanette: Welcome to twitter @doctatum @DrJESimon @birensaraiya @toddsauer @drbeffy #Hpm 4:45 pm ctsinclair: RT @RossJeanette: Welcome to twitter @doctatum @DrJESimon @birensaraiya @toddsauer @drbeffy Hooray more people to play with #hpm 4:47 pm ctsinclair: Morrison now presenting Charles Sasser, MD, FACP, FAAHPM with Distinguished Service Award #hpm 4:47 pm birensaraiya: RT @hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine Nurses Association) on 25 years! #hpm 4:48 pm JWebbDNP: Where are the photos from AAHP? #hpm 4:52 pm DianeEMeier: RT @ctsinclair: RT @equijada: Windsor, Ont., parents lose fight to take terminally ill baby son home to die - http://yhoo.it/idTeKX #hpm 4:52 pm gcooneymd: RT @hospice_mktg rocks stars we love 2 follow @ctsinclair @hollyby @renee_berry @nhdd @MeredithGould @RossJeanette @nhpco_news #Hpm 4:53 pm ctsinclair: Morrison Its a really good morning to be named Charles. (all three award winners named Charles) #hpm 4:53 pm DianeEMeier: RT @ctsinclair: At the Friday opening for the @AAHPM @HPNAinfo Annual Assembly, over 2000 people in attendance from over 15 countries #hpm 4:53 pm daitpcg: RT @hollyby: Please congratulate @doctatum on his talk, and give him a big Twitter welcome! #hpm 4:54 pm daitpcg: RT @hollyby: Nice job @doctatum (Paul Tatum) and Stephen Leedy on introducing palliative care and hospice to primare care! #hpm 4:54 pm hollyby: Dr. Charles von Gunten ( @CvonGunten ) from @SanDiegoHospice is awarded the @AAHPM Lifetime Achievement Award! Congratulations!!! #hpm 4:55 pm ctsinclair: Morrison now awarding Lifetime Achievement Award Dr. Charles Von Gunten @cvongunten from @SanDiegoHospice Editor @PalliativeMed_J #hpm 4:55 pm RossJeanette: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) from @SanDiegoHospice is awarded the @AAHPM Lifetime Achievement Award! #Hpm 4:55 pm birensaraiya: Congratulations Charles von Gunten for lifetime achievement award #hpm 4:55 pm mpf2011: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) from @SanDiegoHospice is awarded the @AAHPM Lifetime Achievement Award! Congratulations!!! #hpm 4:55 pm suzanakm: RT @hollyby: @CvonGunten from @SanDiegoHospice is awarded the @AAHPM Lifetime Achievement Award! Congratulations!!! #hpm #Hpm 4:56 pm gcooneymd: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) is awarded the @AAHPM Lifetime Achievement Award! Congratulations!!! #Hpm 4:56 pm DianeEMeier: RT @CDCgov: Chronic disease is leading cause of death for 7 of 10 Americans. Learn about ACHIEVE communities. http://go.usa.gov/g5K #hpmwthashtag.com/transcript.php?page_id=… 59/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 4:56 pm CAPCpalliative: RT @ctsinclair: Morrison now awarding Lifetime Achievement Award Dr. Charles Von Gunten @cvongunten from @SanDiegoHospice Editor @PalliativeMed_J #hpm 4:57 pm mpf2011: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of death for 7 of 10 Americans. Learn about ACHIEVE communities. http://go.usa.gov/g5K #hpm 4:57 pm PalMedConnect: Congratulations to Dr. Charles F. von Gunten, awarded @AAHPM Lifetime Achievement Award #HPM 4:57 pm elderpages: What would Buddha Tweet? 10 mindful ways to use social media. http://on.fb.me/hwWMQp #hpm #hcsm 4:57 pm suzanakm: Dr. Charles Sasser received distinguished service award: a doc w/ commitment & heart! #hpm #Hpm 4:57 pm daitpcg: RT @ctsinclair: At the Friday opening for the @AAHPM @HPNAinfo Annual Assembly, over 2000 people in attendance from over 15 countries #hpm 5:00 pm DianeEMeier: RT @BreneBrown: Einsteins Princeton office "Not everything that counts can be counted and not everything that can be counted counts."#hpm 5:01 pm daitpcg: RT @ctsinclair: Morrison Its a really good morning to be named Charles. (all three award winners named Charles) #hpm 5:02 pm Pallimed: Now speaking Sandra Bertman, PhD biosketch from her website Grief and the Healing Arts http://bit.ly/eY7Fej #hpm 5:02 pm daitpcg: RT @ctsinclair: Morrison now awarding Lifetime Achievement Award Dr. Charles Von Gunten @cvongunten from @SanDiegoHospice Editor @PalliativeMed_J #hpm 5:03 pm daitpcg: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of death for 7 of 10 Americans. Learn about ACHIEVE communities. http://go.usa.gov/g5K #hpm 5:03 pm daitpcg: RT @suzanakm: Dr. Charles Sasser received distinguished service award: a doc w/ commitment & heart! #hpm #Hpm 5:05 pm CompAndChoices: Check it out RT @pallimed: Sandra Bertman, PhD biosketch from her website Grief and the Healing Arts http://bit.ly/eY7Fej #hpm 5:06 pm ctsinclair: "Art is about arresting life and making it available for contemplation" - Bertman #hpm 5:06 pm suzanakm: http://bit.ly/ehw4l4 Dr. Sandra Bertman speaks now of art, spirit, and soul: the awe and mystery of our work. #hpm what a beautiful start 5:07 pm NHPCO_news: Regulatory and Compliance expert Judi Lund Person will be at booth 101 during the coffee break. Stop by! @AAHPM #hpm 5:07 pm ctsinclair: Powerful video from Bertman, cant find it online...yet #hpm 5:07 pm DeathwDignity: Thanks for sharing! RT @tennpianoman: I have recorded an instrumental CD of music for #hospice facilities: http://tinyurl.com/27zpbw9 #hpm 5:07 pm suzanakm: RT @ctsinclair: "Art is about arresting life and making it available for contemplation" - Bertman #Hpm 5:08 pm Pallimed: From the @Pallimed Archives: from Dr. Amy Clarkson "Ars Moriendi" http://bit.ly/dXqUn8 #hpm 5:08 pm ctsinclair: Love the focus of Bertmans confluence of art and hospice care, especially the use of Ars Moriendi #hpm 5:09 pm suzanakm: Rembrandt painting: perhaps first evidence of an ethical will... #hpm #Hpm 5:09 pm daitpcg: RT @hospice_mktg: RT @KathleenPacurar @Atul_Gawande: Must read. Invaluably clear, concise chart on status of hlth ref rollout http://nyti.ms/hnuUrD #hpm #hcr 5:10 pm daitpcg: RT @RossJeanette: Leedy and Tatum describe levels of providing palliative care http://bit.ly/gc7LpV #Hpmwthashtag.com/transcript.php?page_id=… 60/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:11 pm suzanakm: Bertman: movies and art showing the ability to die "wearing silver slippers!" #hpm #Hpm 5:11 pm Pallimed: Emily Dickinson: The Heart Asks Pleasure First http://bit.ly/fRq3YF #hpm quoted by Bertman 5:12 pm RossJeanette: Bertman Art speaks to our need to reveal and transform #Hpm 5:13 pm Pallimed: Poem cited by Bertman My Death by Raymond Carver http://mysp.ac/fxd1Z0 "If Im lucky Ill be wired every which way. #hpm 5:15 pm ctsinclair: Really wish @Pallimed Arts and Humanities editors Amy Clarkson and Amber Wollesen were here #hpm 5:15 pm ctsinclair: Bertman using Maxine cartoons as examples of art and living wills #hpm 5:16 pm hospicepharmacy: Physician-assisted death bill introduced in #Vermont but with slim prospects this year http://bit.ly/fiTZdQ #hospice #hpm 5:17 pm Pallimed: Bertman used this Bats and Angels Image to ask what the audience really saw first #hpm http://bit.ly/gVHMQC 5:17 pm suzanakm: Emily Dickinson and Raymond Carver http://mysp.ac/hXUAK4 poems - so different #Hpm 5:18 pm ctsinclair: My favorite quote from Bertman (so far) "We are Body and biography" #hpm 5:18 pm ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #hpm 5:19 pm suzanakm: RT @ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #Hpm 5:20 pm RossJeanette: Bertman we only see what we want. We need to see how others see. Bats and angels http://bit.ly/glG9IH #Hpm 5:20 pm suzanakm: Religion is for people who are afraid of going to hell, spirituality is for people who have been there. -Bertman #Hpm 5:20 pm ctsinclair: Religion is for people afraid of going to hell and spirituality is for those who have been there.- #quote from anon patient #hpm 5:22 pm Pallimed: I shall be diffused in great Nature, in the soil, in the air, in the sunshine, http://bit.ly/hjCA6K Burroughs (Cited by bertman) #hpm 5:23 pm suzanakm: Give my kidneys t one who depends on a machine to exist... Boston Globe 2/78 #Hpm 5:23 pm suzanakm: RT @Pallimed: I shall be diffused in great Nature, in the soil, in the air, in the sunshine, http://bit.ly/hjCA6K Burroughs #Hpm 5:24 pm Adeuxmains: RT @hollyby: From Labyak (MSW), 10 Myths and Facts about Hospice Care" http://bit.ly/dKbUcp #hpm 5:25 pm GriefHealing: "Religion is for people afraid of going to hell and spirituality is for those who have been there" -Robert G. Ingersoll RT @ctsinclair #hpm 5:26 pm DianeEMeier: RT @JAMA_current:Hi Costs@ Childrens Hospitals due2 Patients W/ Freq Readmits http://bit.ly/ewEbdF #hpm #palliative these are our patients! 5:26 pm ctsinclair: Humor is such a healing modality. We meaning making creatures and art at its best remind us of the contradictions that plague us all #hpm 5:27 pm birensaraiya: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is for those who have been there.- #quote from anon patient #hpm 5:27 pm ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to hell and spirituality is for those who have been there" -R. G. Ingersoll #hpm 5:27 pm mpalko: #hpm RT @HealthStandards: Interesting! "verifying Twitter accounts for doctors" RT @crossassociates: The Docto? (cont) http://deck.ly/~RAzet 5:28 pm ctsinclair: @GriefHealing Thanks so much for citing that quote. Two cheers for the power of crowdsourcing/correction and social media #hpmwthashtag.com/transcript.php?page_id=… 61/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! power of crowdsourcing/correction and social media #hpm 5:28 pm suzanakm: Aesthetic competency: the ability to absorb, interpret and respond to to the meaning of stories and images. -Bertman #Hpm 5:28 pm holisticnurses: RT @ctsinclair: Humor is such a healing modality. We meaning making creatures and art at its best remind us of the contradictions that plague us all #hpm 5:29 pm suzanakm: Every patient invites the doctor to combine the role of the priest, the philosopher, the poet, the lover. -Bertman #Hpm 5:29 pm Life_Quality: RT @dianeemeier: RT @JAMA_current:Hi Costs@ Childrens Hospitals due2 Patients W/ Freq Readmits http://bit.ly/ewEbdF #hpm #palliative... 5:29 pm ctsinclair: Every patient invites the doctor to combine the role of the priest the philosopher the poet the lover - Anatole Brovard from Bertman #hpm 5:30 pm ctsinclair: @holisticnurses Just FYI that quote was by Sandra Bertman - ran out of twitter space! Thanks for the RT #hpm 5:30 pm emilybarryPR: Could supercomputers like IBMs Watson impr #hospice referrals? via @hospice_mktg @hospiceguy shares his thoughts http://bit.ly/faptqN #hpm 5:31 pm suzanakm: We cannot perform miracles, but what we might be able to do is to create and hold the space where miracles can occur. - Kearney #Hpm 5:34 pm hospicevalley: RT @hospice_mktg: RT @KathleenPacurar @Atul_Gawande: Must read. Invaluably clear, concise chart on status of hlth ref rollout http://nyti.ms/hnuUrD #hpm #hcr 5:35 pm suzanakm: How can we teach interns to create that space for miracles, where we can transform horrific moments into sacred ones? - Bertman #Hpm 5:38 pm Adeuxmains: RT @suzanakm: Emily Dickinson and Raymond Carver http://mysp.ac/hXUAK4 poems - so different #Hpm 5:38 pm hollyby: RT @suzanakm: We cannot perform miracles, but what we might be able 2 do is 2 create & hold the space where miracles can occur. Kearney #hpm 5:38 pm DianeEMeier: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is for those who have been there.- #quote from anon patient #hpm 5:38 pm suzanakm: Art unlocks our valves of feeling, to return us to life more forcefully, more authentically. -Bertman #Hpm 5:39 pm ctsinclair: Excellent inspiring talk by Sandra Bertman - Recommended for any medical conference. #hpm 5:40 pm equijada: Bertman: Art offers a space for the who, what, where, and how. #hpm 5:41 pm renee_berry: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is for those who have been there.- #quote from anon patient #hpm 5:41 pm HospiScript: Showing folks HospiLink at our HospiScript booth on the iPad. #hpm #hospice 5:41 pm renee_berry: RT @ctsinclair: Excellent inspiring talk by Sandra Bertman - Recommended for any medical conference. #hpm 5:41 pm ctsinclair: Sherry Showalter is on Twitter @DrSES now up and speaking looking through different eyes: weaving stories of hope and healing #hpm 5:42 pm suzanakm: Now Sherry Sowalter, storyteller #Hpm 5:43 pm ctsinclair: RT @DrSES #aahpm good morning friends! Best to all thoughts for ya! Morning In Vancouver http://bit.ly/gZkkvz speaking now #hpm 5:43 pm renee_berry: RT @Life_Quality: RT @dianeemeier: RT @JAMA_current:Hi Costs@ Childrens Hospitals due2 Patients W/ Freq Readmits http://bit.ly/ewEbdF #hpm #palliative... 5:43 pm renee_berry: RT @ctsinclair: Sherry Showalter is on Twitter @DrSES now up and speaking looking through different eyes: weaving stories of hope and healing #hpmwthashtag.com/transcript.php?page_id=… 62/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:44 pm ctsinclair: "That which is to provide light must endure burning" - Victor Frankl - Great #quote from Showalter #hpm 5:44 pm renee_berry: RT @suzanakm: RT @ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #Hpm 5:44 pm suzanakm: "That which is to provide light must endure burning." Victor Frankl via @DrSES #Hpm 5:45 pm renee_berry: RT @suzanakm: Rembrandt painting: perhaps first evidence of an ethical will... #hpm #Hpm 5:46 pm renee_berry: RT @suzanakm: "That which is to provide light must endure burning." Victor Frankl via @DrSES #Hpm 5:46 pm ctsinclair: Why didnt you tell the taxi driver what you do (#hospice)? You had 40 minutes and you paid them $50 - Showalter @DrSES #hpm 5:46 pm dalehammond: RT @ctsinclair: "That which is to provide light must endure burning" - Victor Frankl - Great #quote from Showalter #hpm 5:47 pm renee_berry: RT @DianeEMeier: RT @BreneBrown: Einsteins Princeton office "Not everything that counts can be counted and not everything that can be counted counts."#hpm 5:48 pm renee_berry: RT @ctsinclair: Why didnt you tell the taxi driver what you do (#hospice)? You had 40 minutes and you paid them $50 - Showalter @DrSES #hpm 5:51 pm doclake: RT @suzanakm: Art unlocks our valves of feeling, to return us to life more forcefully, more authentically. -Bertman #Hpm 5:51 pm doclake: RT @suzanakm: How can we teach interns to create that space for miracles, where we can transform horrific moments into sacred ones? - Bertman #Hpm 5:52 pm doclake: RT @ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to hell and spirituality is for those who have been there" -R. G. Ingersoll #hpm 5:52 pm doclake: RT @ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #hpm 5:53 pm ugofast: RT @ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to hell and spirituality is for those who have been there" -R. G. Ingersoll #hpm 5:55 pm RossJeanette: ?You matter because you are you,and you matter to the end of your life. cicely Saunders #Hpm 5:55 pm ugofast: RT @ctsinclair: "That which is to provide light must endure burning" - Victor Frankl - Great #quote from Showalter #hpm 5:58 pm mamaier262: @palidoc hmmm...sorry...just seeing this now... probably this hashtag #hpm... include in your posts to participate... clik on 2C thread... 5:58 pm suzanakm: RT @equijada: Bertman: Art offers a space for the who, what, where, and how. #humanities #Hpm 5:59 pm mamaier262: RT @BreneBrown: Einsteins Princeton office "Not everything that counts can be counted and not everything that can be counted counts."#hpm 6:00 pm mamaier262: RT @ctsinclair: Sherry Showalter is on Twitter @DrSES now up and speaking looking thru different eyes: weaving stories ohope+healing #hpm 6:00 pm lfettig: RT @ctsinclair: Excellent inspiring talk by Sandra Bertman - Recommended for any medical conference. #hpm agree-inspiring 6:00 pm suzanakm: @palidoc Welcome to twitter: yes, follow #hpm - one way is to go to the website: http://tweetchat.com/room/Hpm login with your twitter... 6:01 pm suzanakm: RT @lfettig: RT @ctsinclair: Excellent inspiring talk by Sandra Bertman - Recommended for any medical conference. #hpm agree-inspiring 6:03 pm lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpm 6:05 pm gcooneymd: #AAHPM attendees: MUST try Bella Gelateria. Amazing gelato! Try thewthashtag.com/transcript.php?page_id=… 63/112
  • 2/23/2011 6:05 pm Transcript for #hpm - What the Hashtag?! gcooneymd: #AAHPM attendees: MUST try Bella Gelateria. Amazing gelato! Try the blood orange. Tell them that twitter sent you! Burnard and Cordova #HPM 6:05 pm suzanakm: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #humanities #Hpm 6:06 pm doclake: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpm 6:07 pm suzanakm: RT @gcooneymd: #AAHPM attendees: MUST try Bella Gelateria. Amazing gelato! Tell them that twitter sent you! -will do #Hpm 6:07 pm danasaur82: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is for those who have been there.- #quote from anon patient #hpm 6:07 pm VTinaB: RT @hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine Nurses Association) on 25 years! #hpm 6:08 pm doclake: RT @ctsinclair: "That which is to provide light must endure burning" - Victor Frankl - Great #quote from Showalter #hpm 6:10 pm doclake: RT @MyrnaB23: Meier: Success of the new payment models are critically dependent on our field - on us. #hpm 6:10 pm VirtualHospice: Congratulations to Terry Altilio and Shirley Otis-Green on the launch of the Oxford Textbook of Palliative Social Work! #hpm #palliative 6:16 pm elderpages: RT @suzanakm: "That which is to provide light must endure burning." Victor Frankl via @DrSES #Hpm 6:16 pm elderpages: RT @suzanakm: Rembrandt painting: perhaps first evidence of an ethical will... #hpm #Hpm 6:17 pm elderpages: RT @hollyby: RT @suzanakm: We cannot perform miracles, but what we might be able 2 do is 2 create & hold the space where miracles can occur. Kearney #hpm 6:17 pm elderpages: RT @ctsinclair: Every patient invites the doctor to combine the role of the priest the philosopher the poet the lover - Anatole Brovard from Bertman #hpm 6:20 pm drpippa: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpm 6:22 pm jodylivingak: RT @Pallimed: Bertman used this Bats and Angels Image to ask what the audience really saw first #hpm http://bit.ly/gVHMQC 6:23 pm jodylivingak: RT @Pallimed: I shall be diffused in great Nature, in the soil, in the air, in the sunshine, http://bit.ly/hjCA6K Burroughs (Cited by bertman) #hpm 6:24 pm jodylivingak: Angels @Pallimed Bats and Angels Image to ask what the audience really saw first #hpm http://bit.ly/gVHMQC 6:26 pm RachelleNorman: Interesting concept RT @suzanakm Aesthetic competency: ability to absorb, interpret and respond to the meaning of stories and images #Hpm 6:31 pm equijada: Where my labyrinth led #hpm http://twitpic.com/414vk8 6:33 pm SheyontheBay: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpm 6:33 pm hollyby: RT @equijada: Where my labyrinth led #hpm http://twitpic.com/414vk8 #hpm 6:34 pm SheyontheBay: RT @ctsinclair: "That which is to provide light must endure burning" - Victor Frankl - Great #quote from Showalter #hpm 6:34 pm SheyontheBay: RT @equijada: Bertman: Art offers a space for the who, what, where, and how. #hpm 6:34 pm SheyontheBay: RT @suzanakm: Art unlocks our valves of feeling, to return us to life more forcefully, more authentically. -Bertman #Hpm 6:35 pm SheyontheBay: RT @suzanakm: Aesthetic competency: the ability to absorb, interpret and respond to to the meaning of stories and images. -Bertman #Hpmwthashtag.com/transcript.php?page_id=… 64/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! respond to to the meaning of stories and images. -Bertman #Hpm 6:42 pm CompAndChoices: Obama Administration guts Bush-era "conscience" regs for HHS: http://ow.ly/3ZdU6 #hpm #choice 6:45 pm Pallimed: RT @GeriPalblog Future of Geriatric Education is in Peril http://bit.ly/eSmU1y #hpm 6:48 pm CompAndChoices: New video: Death With Dignity in Oregon, from the perspective of Oregonians living w/ disabilities http://ow.ly/3Ze82 #disabilityrights #hpm 6:52 pm hollyby: In session "Pain Theater: How to Talk to Your Patients When their Pills are Stolen ...Again." presented by Wood, Childers, Barnett #hpm 6:55 pm ctsinclair: In the big ballroom with Dr. David Russell on How Long Doc? Prediction and Communication: What we know, what we dont know.." #hpm 6:56 pm ctsinclair: Prognosis is what I find MOST interesting about medicine, and it is least studied area when compared to treatments, or diagnostics #hpm 6:56 pm MeetVancouver: Beautiful day to take @aquabus & @falsecreekferry to @granville_isle.. Or a flight with @HarbourAirLtd! Ask us how! #yvr #hpm 6:56 pm ctsinclair: Russell - Prognosis allows for informed decision making in medical/personal/social issues #hpm 6:57 pm hollyby: Risk assessment for substance abuse: Ask abt pts personal and family history of substance abuse, mood disorders, legal problems #hpm 7:00 pm ctsinclair: Russell - Biggest reason to talk abt prognosis w/ patients is not Medicare #Hospice eligibility but to help patients plan their future #hpm 7:01 pm ctsinclair: Curious if Russell will emphasize limits of prognostication without making a call for more studies/research dollars, which is needed #hpm 7:01 pm hollyby: Risk assessment tool: Screener and Opioid Assessment for Patients with Pain (SOAPP) http://bit.ly/gkYWev #hpm 7:01 pm doclake: RT @ctsinclair: Russell - Biggest reason to talk abt prognosis w/ patients is not Medicare #Hospice eligibility but to help patients plan their future #hpm 7:01 pm doclake: RT @ctsinclair: Curious if Russell will emphasize limits of prognostication without making a call for more studies/research dollars, which is needed #hpm 7:01 pm ctsinclair: RT @equijada: Where my labyrinth led #hpm http://twitpic.com/414vk8 I need to go do that #hpm 7:02 pm doclake: RT @ctsinclair: Prognosis is what I find MOST interesting about medicine, and it is least studied area when compared to treatments, or diagnostics #hpm 7:02 pm ctsinclair: RT @hollyby: Risk assessment tool: Screener/Opioid Assessment for Patients w/Pain (SOAPP) http://bit.ly/gkYWev seen but havent used #hpm 7:04 pm hollyby: Opioid Risk Tool calculator (ORT) http://bit.ly/aS7buy #hpm 7:04 pm drpippa: Moving the health care system off addiction to fee for service - bending the cost curve. How? Stop paying or capitation. @DianeEMeier #hpm 7:04 pm ctsinclair: Russell covering the Palliative Prognostic Score (PaP) - Personally I think it has too many problems to even be considered. So does he #hpm 7:04 pm equijada: Pain theater: Risk assessment in rx opioids. #hpm I use this tool -> Opioid Risk Tool (ORT)http://bit.ly/ggFntB 7:05 pm ctsinclair: Confidence diminishes with longer term predictions; wider confidence limits - Russell #hpm 7:05 pm drpippa: RT @ctsinclair: Prognosis is what I find MOST interesting about medicine, and it is least studied area when compared to treatments, or diagnostics #hpm 7:06 pm melanoma_mama: RT @suzanakm: RT @ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #Hpmwthashtag.com/transcript.php?page_id=… 65/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:07 pm CompAndChoices: #FF #HPM @ctsinclair @DeathwDignity @renee_berry @ewidera @hospicepharmacy @ctffox @daitpcg @hollby @equijada 7:07 pm RossJeanette: Placovick ask your oncologist:what are Rx related toxicities? How long do they last? #Hpm 7:08 pm Pallimed: Here is a Prognosis slidedeck on Evidence Based Prognostication presented by @ctsinclair in Peoria 2010 http://slidesha.re/bCpyzD #hpm 7:08 pm ctsinclair: RT @RossJeanette: Placovick - ask your oncologist: what are Rx related toxicities? How long do they last? #cancer #hpm 7:09 pm MDTalk: Confidence diminishes with longer term predictions; wider confidence limits - Russell #hpm http://bit.ly/elqSgf 7:09 pm ctsinclair: Monitoring eGFR is more accurate than function (PPS) in prognosticating #Renal patients #hpm 7:09 pm FIMDM: MT @pallimed: Here is a Prognosis slidedeck on Evidence Based Prognostication presented by @ctsinclair http://slidesha.re/bCpyzD #hpm 7:09 pm gcooneymd: Abernethy: palliative care database project #HPM 7:10 pm MeredithGould: RT @FIMDM: MT @pallimed: Here is a Prognosis slidedeck on Evidence Based Prognostication presented by @ctsinclair http://slidesha.re/bCpyzD #hpm 7:10 pm MeredithGould: RT @ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #hpm 7:10 pm drpippa: listening to @DianeEMeier talk makes me appreciate my training at Dartmouth/#TDI/#LPMR. Folks here should consider @DartmouthMHCDS #hpm #hcr 7:10 pm gcooneymd: Bull: how do we collect data on palliative care patients? #HPM 7:11 pm ctsinclair: Russell - cases made for anyone on the liver transplant waiting list is #hospice eligible since high mortality. Make sure goals align. #hpm 7:11 pm drpippa: RT @Pallimed: Here is a Prognosis slidedeck on Evidence Based Prognostication presented by @ctsinclair in Peoria 2010 http://slidesha.re/bCpyzD #hpm 7:12 pm ctsinclair: RT @gcooneymd: Bull: how do we collect data on palliative care patients? "Wish we had symptom registries w/ easy access from community" #hpm 7:12 pm FIMDM: #FF For lots of conversation on hospice and palliative medicine, #hpm is a must follow this week! 7:13 pm gcooneymd: Bull: barriers to data collection includes limited Internet access in field, dropped signal. Success with electronic pens #HPM 7:13 pm Pallimed: Survival after Initial Diagnosis of #Alzheimer Disease ? Ann Intern Med http://bit.ly/gwLr2f Cited by Russell #hpm 7:14 pm hollyby: Establishing rules for opioid prescribing: 1 doc, 1 pharmacy. Clear guidelines on how much, how often, what to do if continued pain #hpm 7:15 pm Pallimed: Prediction of 6-Month Survival in #Dementia Using ADEPT vs #Hospice Guidelines @JAMA http://bit.ly/fV0C3o cited by Russell #hpm 7:16 pm ctsinclair: Russell - Adv age, anorexia were stronger predictors of survival than current hospice guideliens for #dementia #hpm 7:17 pm ctsinclair: RT @hollyby: Estab rules for opioid prescribing: 1 doc, 1 pharmacy. Clear guidelines on how much, how often, action w/ poor pain #hpm 7:18 pm ctsinclair: Optimistic and pessimistic should not be used when describing research data on prognosis. Those words assign bias/emotion #hpm 7:20 pm ctsinclair: Russell says Best prognosticator knows the patient least. Loss of objectivity? IMHO data supporting this claim is weak #hpm 7:20 pm doclake: RT @ctsinclair: Russell says Best prognosticator knows the patient least.wthashtag.com/transcript.php?page_id=… 66/112
  • 2/23/2011 7:20 pm doclake: RT @ctsinclair: Russell#hpmBest prognosticator knows the patient least. Transcript for says - What the Hashtag?! Loss of objectivity? IMHO data supporting this claim is weak #hpm 7:20 pm doclake: RT @ctsinclair: RT @hollyby: Estab rules for opioid prescribing: 1 doc, 1 pharmacy. Clear guidelines on how much, how often, action w/ poor pain #hpm 7:21 pm doclake: RT @ctsinclair: Russell - Adv age, anorexia were stronger predictors of survival than current hospice guideliens for #dementia #hpm 7:21 pm hollyby: Urine immunoassay for opioids only reliably picks up morphine & codeine. Gas chromatography is more sensitive for different opioids #hpm 7:22 pm doclake: RT @ctsinclair: Monitoring eGFR is more accurate than function (PPS) in prognosticating #Renal patients #hpm 7:22 pm RossJeanette: Bablonic ask radoncologist what is best fractionation strategy for the pt considering prognosis? #Hpm 7:22 pm ctsinclair: Russell - "We set up failure when we are overly optimistic with prognostication" agreed #hpm 7:23 pm doclake: RT @hollyby: Opioid Risk Tool calculator (ORT) http://bit.ly/aS7buy #hpm 7:23 pm doclake: RT @ctsinclair: Russell covering the Palliative Prognostic Score (PaP) - Personally I think it has too many problems to even be considered. So does he #hpm 7:23 pm ctsinclair: @doclake Yes but how often do we measure eGFR as a prognostic tool. Rarely. Maybe factual but not functional data. #hpm 7:23 pm doclake: RT @Pallimed: Here is a Prognosis slidedeck on Evidence Based Prognostication presented by @ctsinclair in Peoria 2010 http://slidesha.re/bCpyzD #hpm 7:24 pm drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #hpm 7:24 pm melanoma_mama: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpm 7:24 pm renee_berry: our policy should be to insist that access to #hospice & #palliative care is a requirement for #ACO s - @DianeEMeier #hpm 7:25 pm FIMDM: RT @drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #hpm 7:25 pm jsperber: RT @drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #hpm 7:25 pm melanoma_mama: RT @ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to hell and spirituality is for those who have been there" -R. G. Ingersoll #hpm 7:25 pm ctsinclair: Russell - Data shows patients want honest prognostic info 80% of the time, families want patient to hear 55% of the time. #hpm 7:25 pm kevhen63: 20% of patients dont want to discuss prognosis. #HPM 7:25 pm renee_berry: RT @drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #hpm 7:25 pm gcooneymd: Bull COPD lowest rate of advanced directives #HPM 7:26 pm drpippa: 0.01% of NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hpm 7:26 pm hollyby: RT @drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #hpm 7:26 pm renee_berry: @drpippa isnt it hard to live tweet w/ @dianeemeier ?! Everything she says is tweetable! #hpm 7:26 pm melanoma_mama: RT @ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #hpm 7:26 pm gcooneymd: RT @drpippa: High quality, well integrated palliative care critical to #hcr -wthashtag.com/transcript.php?page_id=… 67/112
  • 2/23/2011 7:26 pm Transcript for #hpm - What the Hashtag?! gcooneymd: RT @drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #HPM 7:26 pm renee_berry: RT @drpippa: 0.01% of #NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hcr #hpm 7:27 pm drpippa: @renee_berry: @drpippa isnt it hard to live tweet w/ @dianeemeier ?! Everything she says is tweetable! #hpm totally! But still fun 7:27 pm rsm2800: RT @ctsinclair Optimistic & pessimistic should not be used when describing research data on prognosis. Those words assign bias/emotion #hpm 7:27 pm gcooneymd: RT @drpippa: 0.01% of #NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hcr #HPM 7:27 pm MedicalNotice: RT @renee_berry: our policy should be to insist that access to #hospice & #palliative care is a requirement for #ACO s - @DianeEMeier #hpm 7:27 pm ctsinclair: RT @renee_berry: RT @drpippa: 0.01% of #NIH funding is for #palliative care research. "as if no one suffers and no one dies" #hcr #hpm 7:27 pm renee_berry: ?the perspective of the government is that long stay #hospice is abuse & a misuse of medicare dollars? - @DianeEMeier #hpm 7:28 pm gcooneymd: RT @renee_berry: ?the perspective of the government is that long stay #hospice is abuse & a misuse of medicare dollars? - @DianeEMeier #HPM 7:28 pm renee_berry: "We need to be in there as providers of people that take care of these people, because its not just an engine for profit" @DianeEMeier #hpm 7:29 pm gcooneymd: Bull data collection teaches us more about symptom burden for different diagnoses #HPM 7:29 pm RossJeanette: Vonn Roem presentation of palliative care to other specialties "passion without pressure" #Hpm 7:30 pm renee_berry: "submit your data to @CAPCpalliative s registry so that we can raise our quality together" - @DianeEMeier #palliative #hpm 7:30 pm gcooneymd: RT @renee_berry: "submit your data to @CAPCpalliative s registry so that we can raise our quality together" - @DianeEMeier #palliative #HPM 7:31 pm hollyby: RT @renee_berry: "submit your data to @CAPCpalliative s registry so that we can raise our quality together" - @DianeEMeier #palliative #hpm 7:31 pm drpippa: RT @renee_berry: ?the perspective of the government is that long stay #hospice is abuse & a misuse of medicare dollars? - @DianeEMeier #hpm 7:33 pm drpippa: Palliative care is about matching treatment to patient goals - as a field we must have consistency of language. @DianeEMeier #hpm 7:33 pm drpippa: RT @renee_berry: "submit your data to @CAPCpalliative s registry so that we can raise our quality together" - @DianeEMeier #palliative #hpm 7:34 pm renee_berry: "most #palliative care is needed by people that are NOT dying" - @DianeEMeier #hpm 7:34 pm drpippa: "Patients not only deserve and need palliative care, they live longer when they get it" @DianeEMeier #hpm 7:35 pm RossJeanette: Vonn Roemm you can use SPIKES model to talk to the clinician consulting us. #Hpm 7:35 pm renee_berry: "one thing that @CAPCpalliative tries to do is shine a light on successful models for managing chronically ill" - @DianeEMeier #hpm 7:35 pm ctsinclair: Russell-How do we meet the patients need in prognositcation? Know the data/tools; know the bias, know the uncertainty #hpm 7:36 pm hollyby: Take homes from Pain Theatre (1/3): Risk stratify pts for opioid misuse or abuse #hpm 7:36 pm renee_berry: "the fact is the people that show up, get what they want, the people that have those relationships, we need to show up." @DianeEMeier #hpm 7:37 pm drpippa: Block into your calendar time to meet with your congressional rep - lobbywthashtag.com/transcript.php?page_id=… 68/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:37 pm drpippa: Block into your calendar time to meet with your congressional rep - lobby and advocate for palliative care- @DianeEMeier #hpm #hcr 7:37 pm DONALDHTAYLORJR: RT @renee_berry: our policy should be to insist that access to #hospice & #palliative care is a requirement for #ACO s - @DianeEMeier #hpm 7:37 pm hollyby: Take homes from Pain Theatre (2/3): For high risk - Express concern for medical risks of abuse or addiction. Avoid argumentation. #hpm 7:38 pm drpippa: RT @renee_berry: "the fact is the people that show up, get what they want, the people that have those relationships, we need to show up." @DianeEMeier #hpm 7:38 pm hollyby: Take homes from Pain Theatre (3/3): For high risk pts - Set clear limits based on risks & benefits. Commit to treating pain. #hpm 7:39 pm ctsinclair: Russell - Avoid Truth Dumping on patients. It is not communciation. #epatient #hpm 7:39 pm RachelleNorman: RT @drpippa: 0.01% of NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hpm 7:39 pm drpippa: RT @ctsinclair: Russell - Avoid Truth Dumping on patients. It is not communciation. #epatient #hpm 7:41 pm renee_berry: "this is a universal issue, its a bi-partisan issue, just get a seat at the table" #palliative care policy - @DianeEMeier #hcr #hpm 7:41 pm VirtualHospice: RT @gcooneymd: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten) is awarded the @AAHPM Lifetime Achievement Award! Congratulations!!! #hpm 7:42 pm ctsinclair: Hey @DianeEMeier - Dont have your cell. Call/Text for your Twitter 202 lesson. Will be in @AAHPM Biz Meeting #hpm 7:42 pm renee_berry: "I came to Washington as a cynic & I left an optimist" - @DianeEMeier #hpm 7:42 pm drpippa: The entire birth of the field of palliative care has been about the art of the possible - @DianeEMeier #hpm #hcr 7:43 pm ctsinclair: Q From Audience to Russell - Important to consider functional prognosis as much as mortality prognosis in patient centered care #hpm 7:43 pm ctsinclair: RT @renee_berry: "I came to Washington as a cynic & I left an optimist" - @DianeEMeier #gov20 #hpm 7:43 pm drpippa: I came to Washington as a cynic & I left an optimist" - @DianeEMeier I know Im still a believer! #hpm #hcr 7:44 pm doclake: RT @drpippa: I came to Washington as a cynic & I left an optimist" - @DianeEMeier I know Im still a believer! #hpm #hcr 7:44 pm doclake: RT @drpippa: The entire birth of the field of palliative care has been about the art of the possible - @DianeEMeier #hpm #hcr 7:44 pm stales: SO TRUE!!! ---> RT @ctsinclair Russell - Avoid Truth Dumping on patients. It is not communciation. #epatient #hpm 7:44 pm doclake: RT @drpippa: "Patients not only deserve and need palliative care, they live longer when they get it" @DianeEMeier #hpm 7:44 pm stales: RT @ctsinclair: RT @renee_berry: RT @drpippa: 0.01% of #NIH funding is for #palliative care research. "as if no one suffers and no one dies" #hcr #hpm 7:45 pm FIMDM: #FF @compandchoices @ctsinclair @DeathwDignity @renee_berry @ewidera @drpippa @pallimed @hollby @equijada @doclake #HPM 7:45 pm doclake: RT @drpippa: Palliative care is about matching treatment to patient goals - as a field we must have consistency of language. @DianeEMeier #hpm 7:45 pm renee_berry: RT @doclake RT @drpippa The entire birth of the field of palliative care has been about the art of the possible- @DianeEMeier #hpm #hcr #hpm 7:45 pm doclake: RT @gcooneymd: Bull data collection teaches us more about symptomwthashtag.com/transcript.php?page_id=… 69/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:45 pm doclake: RT @gcooneymd: Bull data collection teaches us more about symptom burden for different diagnoses #HPM 7:45 pm doclake: RT @renee_berry: ?the perspective of the government is that long stay #hospice is abuse & a misuse of medicare dollars? - @DianeEMeier #hpm 7:45 pm renee_berry: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpm 7:46 pm doclake: RT @gcooneymd: Bull COPD lowest rate of advanced directives #HPM 7:46 pm doclake: RT @ctsinclair: Russell - Data shows patients want honest prognostic info 80% of the time, families want patient to hear 55% of the time. #hpm 7:46 pm renee_berry: RT @drpippa: The entire birth of the field of palliative care has been about the art of the possible - @DianeEMeier #hpm #hcr 7:46 pm Pallimed: Pallimeds Public Timeline of recent links shared at #hpm conference in case you missed any http://bit.ly/dVHN81 7:46 pm doclake: RT @drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #hpm 7:46 pm renee_berry: RT @VirtualHospice: RT @gcooneymd: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten) is awarded the @AAHPM Lifetime Achievement Award! Congratulations!!! #hpm 7:47 pm stales: For more info on the #hpm hash tag check out --> http://www.pallimed.org/ 7:47 pm renee_berry: RT @rsm2800: RT @ctsinclair Optimistic & pessimistic should not be used when describing research data on prognosis. Those words assign bias/emotion #hpm 7:48 pm DONALDHTAYLORJR: RT @drpippa: Palliative care is about matching treatment to patient goals - as a field we must have consistency of language. @DianeEMeier #hpm 7:49 pm ssmithaahpm: #aahpm members .. Dont forget the AAHPM Business Meeting at 12 noon in 211 #hpm 7:51 pm doclake: RT @renee_berry: "most #palliative care is needed by people that are NOT dying" - @DianeEMeier #hpm 7:52 pm hollyby: Pain Theatre (Childers, Wood, Barnett) - Nice use of roleplay to engage the audience in a challenging #communication case. #hpm 7:53 pm LVADone: RT @ctsinclair: Prognosis is what I find MOST interesting about medicine, and it is least studied area when compared to treatments, or diagnostics #hpm 7:54 pm LVADone: RT @ctsinclair: Russell - Biggest reason to talk abt prognosis w/ patients is not Medicare #Hospice eligibility but to help patients plan their future #hpm 7:55 pm LVADone: RT @Pallimed: Here is a Prognosis slidedeck on Evidence Based Prognostication presented by @ctsinclair in Peoria 2010 http://slidesha.re/bCpyzD #hpm 7:57 pm LVADone: RT @ctsinclair: Russell - Avoid Truth Dumping on patients. It is not communciation. #epatient #hpm 7:59 pm peds_id_doc: RT @ctsinclair: Russell - Data shows patients want honest prognostic info 80% of the time, families want patient to hear 55% of the time. #hpm 8:00 pm mizzeck: RT @renee_berry: RT @drpippa: 0.01% of #NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hcr #hpm 8:00 pm dockj: RT @Pallimed: RT @GeriPalblog Future of Geriatric Education is in Peril http://bit.ly/eSmU1y #hpm 8:01 pm hospicepharmacy: ASCO report offered no surprises for those of us who work daily in #palliative care and #hospice http://bit.ly/hrmdMo #hpm 8:04 pm PR4DEHOSPICE: RT @hospicepharmacy: ASCO report offered no surprises for those of us who work daily in #palliative care and #hospice http://bit.ly/hrmdMo #hpmwthashtag.com/transcript.php?page_id=… 70/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 8:05 pm mamaier262: RT @klxmedia: make sure to follow @ctsinclair and @renee_berry who are part of our team live tweeting from @AAHPM Annual Assembly (follow #hpm) 8:05 pm doclake: Enjoy lunch #hpm 8:06 pm hollyby: Now in the @AAHPM business mtg... a big THANKS to the board of directors and the directors at large!!! #hpm 8:06 pm doclake: RT @hospicepharmacy: ASCO report offered no surprises for those of us who work daily in #palliative care and #hospice http://bit.ly/hrmdMo #hpm 8:07 pm hollyby: Another big THANKS to the @AAHPM staff for all their hard work! #hpm 8:09 pm hollyby: And... another big THANKS to all the volunteers! #hpm 8:09 pm equijada: @renee_berry @suzanakm up for lunch? #hpm 8:09 pm LVADone: @ctsinclair 55%=92 yo F neighbr lived alone died of cancer.Family knew 1year. days b4 passing. said she was "pissedoff" 2findout late #hpm 8:10 pm LVADone: RT @ctsinclair: RT @renee_berry: "I came to Washington as a cynic & I left an optimist" - @DianeEMeier #gov20 #hpm 8:11 pm kevdnguyen: I am sitting next to Christian Sinclair @ctsinclair at the @AAHPM business meeting. #hpm 8:11 pm kevdnguyen: Learning to tweet. Ive arrived. #hpm 8:12 pm hollyby: @kevdnguyen Hooray! Welcome to twitter! #hpm 8:12 pm kevdnguyen: RT @LVADone: RT @ctsinclair: Russell - Avoid Truth Dumping on patients. It is not communciation. #epatient #hpm 8:13 pm doclake: RT @NEJM: How did full coverage of treatment for one specific disease become U.S. law? (hemodialysis) http://bit.ly/eTOwJJ #hpm 8:13 pm kevdnguyen: @hollyby Thanks Holly! Great preconference workshop on Rediscovering Our Heart! My heart is full. #hpm 8:15 pm renee_berry: RT @FIMDM: RT @drpippa: 0.01% of NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hpm 8:15 pm hollyby: @AAHPM Fellowship Summit will be Sept. 8-9, 2011 in Grapevine, TX #hpm 8:15 pm kevdnguyen: Wow! There are now 77 accredited HPM fellowship programs! #hpm 8:17 pm drpippa: Blue sky day in Vancouver! What a gorgeous city. #hpm http://yfrog.com/h4fnezj 8:18 pm renee_berry: interesting updates on @AAHPM ! RT @ssmithaahpm: #aahpm members .. Dont forget the AAHPM Business Meeting at 12 noon in 211 #hpm 8:23 pm ctsinclair: The @AAHPM just announced they will be moving forward with the #Hospice Medical Directors Certification Pathway, ready by 2013 #hpm 8:24 pm ctsinclair: RT @kevdnguyen: Learning to tweet. Ive arrived. Hey Kevin, nice to meet you, and glad you arrived! Everyone say hi to Kevin #hpm 8:25 pm hollyby: RT @ctsinclair: The @AAHPM just announced they will be moving forward with the #Hospice Medical Directors Certification Pathway... 2013 #hpm 8:26 pm ctsinclair: The @AAHPM certified by ACCME for 4-6 years (longest avail extension) for its educational programs #hpm 8:28 pm ctsinclair: Great job @Suzanakm Announed to be chairing a Quality Task force. you are going to be busy next year #hpm 8:28 pm hollyby: HPM PASS, 2nd edition was approved by American Board of Internal Medicine for Maintenance of Certification credit #hpm 8:29 pm emilybarryPR: Potential for phys in #socialmedia is great, sharing health info & advocacy via @SBoSM http://bit.ly/hfAswf #hcsm #hpm 8:30 pm ctsinclair: Morrison highlighting social media efforts for @AAHPM - Blogs, Twitter,wthashtag.com/transcript.php?page_id=… 71/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! Facebook LinkedIn, they have it covered #hpm 8:31 pm daleview: RT @hollyby: HPM PASS, 2nd edition was approved by American Board of Internal Medicine for Maintenance of Certification credit #hpm 8:32 pm hollyby: Talking about increased tweets, blogs and other social media use by @AAHPM and its members! Strong work guys! #hpm 8:33 pm hospice_mktg: Keep it up! RT @hollyby: Talking abt increased tweets, blogs and other social media use by @AAHPM and its members! Strong work guys! #hpm 8:35 pm ctsinclair: Bummed that @Atul_Gawande wont be in Vancouver tomorrow to receive @AAHPM humanities award tomorrow #hpm 8:36 pm Dr_Butin: RT @ctsinclair: The @AAHPM just announced they will be moving forward with the #Hospice Medical Directors Certification Pathway, ready by 2013 #hpm 8:36 pm LVADone: RT @ctsinclair: Morrison highlighting social media efforts for @AAHPM - Blogs, Twitter, Facebook LinkedIn, they have it covered #hpm 8:37 pm hollyby: @daleview Hi Dale! Glad you are tweeting!!! #hpm 8:37 pm doclake: Once we understand something-even if we don?t like it-we can begin to accept it. ex post by RN c new dx. breast ca http://bit.ly/gCl6de #hpm 8:38 pm Dr_Butin: RT @doclake: Once we understand something-even if we don?t like it-we can begin to accept it. ex post by RN c new dx. breast ca http://bit.ly/gCl6de #hpm 8:38 pm doclake: RT @daleview: RT @hollyby: HPM PASS, 2nd edition was approved by American Board of Internal Medicine for Maintenance of Certification credit #hpm 8:39 pm doclake: RT @ctsinclair: Great job @Suzanakm Announed to be chairing a Quality Task force. you are going to be busy next year #hpm 8:39 pm hollyby: Developing country scholarship recipients to the @AAHPM Assembly: Khanh Quach - Vietnam, Eddie Mwebesa - Uganda, Bishnu Paudel - Nepal #hpm 8:42 pm aaroncohenpr: RT @FIMDM: RT @drpippa: 0.01% of NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hpm 8:44 pm ctsinclair: The @AAHPM is on good financial footing thanks to smart investing and wise budgeting and growth. #hpm 8:46 pm doclake: RT @ctsinclair: @AAHPM is on good financial footing thanks to smart investing & wise budgeting & growth. #hpm "good-buy wifi next yr Denver" 8:47 pm ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year. Number of tweets almost matching - 2011 so far 1 tweet per person! #hpm 8:48 pm DrJESimon: At CSPCP AGM thats the Canadian AAHPM equivalent. Were small but vibrant. Glad we can share in the AAHPM energy #hpm 8:48 pm ctsinclair: @doclake I think things have gone better than i expected even without free wi-fi this year. But I will push hard for it. #hpm 8:49 pm hollyby: Nice! RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year. # of tweets almost matching - 2011 so far 1 tweet per person! #hpm 8:49 pm ctsinclair: RT @DrJESimon: At CSPCP AGM (Canadian @AAHPM equiv) small but vibrant. Glad we can share in the energy Glad to work together #hpm 8:51 pm ctsinclair: Q from Lynn Oneill about @AAHPM LEAD program in future years. A: @ssmithaahpm - Commitment to leadership, board to review #hpm 8:54 pm Dr_Butin: @doclake Diane Meiers got the whole group fired up to get involved politically- I will when I can #hpm #aahpm 8:55 pm hollyby: Very important program! RT @ctsinclair: Q abt @AAHPM LEAD program in future. A: @ssmithaahpm - Commitment to leadership, board 2 review #hpm 8:59 pm hollyby: Lynn Spragens, recipient @AAHPM Presidential Citation Award forwthashtag.com/transcript.php?page_id=… 72/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 8:59 pm hollyby: Lynn Spragens, recipient @AAHPM Presidential Citation Award for developing sustainable business models for palliative care in hospitals #hpm 9:00 pm Dr_Butin: RT @hollyby: Talking about increased tweets, blogs and other social media use by @AAHPM and its members! Strong work guys! #hpm 9:02 pm SanDiegoHospice: Excellent! RT @hollyby: Talking about increased tweets, blogs and other social media use by @AAHPM and its members! Strong work guys! #hpm 9:02 pm SanDiegoHospice: RT @Pallimed: Pallimeds Public Timeline of recent links shared at #hpm conference in case you missed any http://bit.ly/dVHN81 9:05 pm Dr_Butin: interesting discuss in EthicsSIG- tweets etc too brief for depth of discussion Need to redirect to blogs #hpm #AAHPM #AAHPMethics #ethicsSIG 9:10 pm DeathwDignity: Thank you RT @fimdm: #FF @CompAndChoices @ctsinclair @DeathwDignity @renee_berry @ewidera @drpippa @Pallimed @Hollby @equijada @doclake #HPM 9:10 pm hollyby: Sean Morrison hands over the @AAHPM presidency to Ron Crossno. Thank you Sean! #hpm 9:11 pm SanDiegoHospice: Go Suzana! RT @ctsinclair: Great job @Suzanakm Announed to be chairing a Quality Task force. you are going to be busy next year #hpm 9:13 pm dwensel: advocacy update waiting for business meetings to close so members can come #hpm 9:14 pm Dr_Butin: past few days have been "fire hydrant days" for me with info #hpm Afraid once I get home wont come back to it #wishIhadaphotographicmemory 9:15 pm dwensel: advocacy is application of pressure and influence #hpm 9:16 pm dwensel: public policy committee recommends priorities to AAHPM board #hpm 9:18 pm dwensel: Priorities 1. Expand access to palliative care and hospice #hpm 9:20 pm FIMDM: MT @dr_butin: RT @doclake: Once we understand something-even if we don?t like it-we can begin to accept it. http://bit.ly/gCl6de #hpm 9:20 pm dwensel: 2. Growing HPM workforce by asking for workforce study by support of PACHETA #hpm 9:22 pm dwensel: Regulatory Concerns: FDA REMS #hpm 9:23 pm dwensel: increasing funding for palliative care research #hpm 9:23 pm dwensel: ChrisRorick from HPNA to discuss priorities #hpm 9:24 pm dwensel: Develop relationships on Capitol Hill #hpm 9:28 pm dwensel: HPNA guiding Principles and priorities BudgetBudgetBudget, CMS FTF rule, hospice & palliative care coalition #hpm 9:30 pm hospicepharmacy: AARP Enters #Idaho Freedom of Conscience Bill Battle due to concerns abt #eolc http://bit.ly/h9orDY AND http://yhoo.it/ez1pdb #hospice #hpm 9:31 pm PracticalWisdom: RT @ctsinclair: @AAHPM Presidential Award to Canadian Sen Sharon Carstairs who is appointed Federal Cabinet post responsible for #Palliative Care #hpm 9:32 pm dwensel: HP care coalition Susan Cox HPCC established in 2001 wiht hpna,nhpco,aahpm #hpm 9:33 pm mdelacalzada: YAY! RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) from @SanDiegoHospice awarded @AAHPM Lifetime Achievement Award! Congrats! #hpm 9:39 pm renee_berry: so important! RT @dwensel: Develop relationships on Capitol Hill #hpm 9:39 pm dwensel: 112 congress house 94 new members and 35 never held office senate 51-2- 47 #hpm 9:40 pm dwensel: house repeal of ACA but senate will never pass so moving to repeal and replace #hpmwthashtag.com/transcript.php?page_id=… 73/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 9:42 pm dwensel: medical liability reform big in the senate for now, SGR 6 short term fixes in the last year if not fixed docs face a 25% cut #hpm 9:42 pm ewidera: RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year. Number of tweets almost matching - 2011 so far 1 tweet per person! #hpm 9:42 pm dwensel: new budget has a 2 year fix #hpm 9:43 pm renee_berry: & congrats Ron! RT @hollyby: Sean Morrison hands over the @AAHPM presidency to Ron Crossno. Thank you Sean! #hpm 9:43 pm dwensel: RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year. Number of tweets almost matching - 2011 so far 1 tweet per person! #hpm 9:44 pm dwensel: PACHETA wyden is hoping for a republican to co sign it #hpm 9:45 pm renee_berry: "The part that is most important is what you can do as individuals, reach out to your policy makers" - Koller #palliative care advocacy #hpm 9:46 pm renee_berry: "passion counts & individual effort counts" -Kollas #palliative care #advocacy #hpm 9:46 pm dwensel: Questions and answers coming up #hpm 9:48 pm dwensel: match up between number of people aging and dying and workforce #hpm 9:50 pm dwensel: how do we combat medical misinformation? direct language around ACP and AAHPM advocacy #hpm 9:52 pm renee_berry: RT @dwensel: how do we combat medical misinformation? direct language around ACP and AAHPM advocacy #hpm 9:52 pm dwensel: concurrent care project has no funding and will be tough in the current budgt #hpm 9:54 pm dwensel: ACS reports support for HPM and improving quality of care under patient centered care #hpm 9:55 pm renee_berry: We need to realize as a field that we do not need to wait for a traditional publication to say something about an issue #advocate #hpm 9:55 pm dwensel: health care reform is about increase in quality and efficiency #hpm 9:57 pm renee_berry: Statement from a woman in the audience who worked w/ @AmericanCancer Society & Advocacy we need to focus on quality of life #hpm 9:58 pm dwensel: All politics are local and contact matters call your representatives NOW #hpm 10:00 pm dwensel: Howard Tuck ask question about AAHPM support at the state level #hpm 10:01 pm dwensel: Jackie answers: develop key contacts within states to identify priorities #hpm 10:02 pm dwensel: RT @renee_berry: We need to realize as a field that we do not need to wait for traditional publication to say something about an issue #hpm 10:04 pm renee_berry: Reach out & tell your story about why #palliative care is important w/ @AAHPM Local Legislative Advocacy Tool http://ow.ly/3ZmBx #hpm 10:06 pm dwensel: great session on advocacy and policy #hpm 10:08 pm ewidera: RT @hollyby: Sean Morrison hands over the @AAHPM presidency to Ron Crossno. Thank you Sean! #hpm 10:10 pm doclake: RT @renee_berry: Statement from a woman in the audience who worked w/ @AmericanCancer Society & Advocacy we need to focus on quality of life #hpm 10:10 pm doclake: RT @renee_berry: We need to realize as a field that we do not need to wait for a traditional publication to say something about an issue #advocate #hpm 10:11 pm doclake: RT @renee_berry: & congrats Ron! RT @hollyby: Sean Morrison hands over the @AAHPM presidency to Ron Crossno. Thank you Sean! #hpmwthashtag.com/transcript.php?page_id=… 74/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! the @AAHPM presidency to Ron Crossno. Thank you Sean! #hpm 10:12 pm ewidera: Trouble is brewing for GACA junior faculty members in geriatrics and palliative care http://ow.ly/3ZmTi #HPM 10:12 pm DianeEMeier: RT @FIMDM: RT @drpippa: 0.01% of NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hpm 10:13 pm DianeEMeier: RT @renee_berry: RT @doclake RT @drpippa The entire birth of the field of palliative care has been about the art of the possible- @DianeEMeier #hpm #hcr #hpm 10:14 pm DianeEMeier: RT @ctsinclair: RT @renee_berry: "I came to Washington as a cynic & I left an optimist" - @DianeEMeier #gov20 #hpm 10:14 pm PracticalWisdom: RT @CAPCpalliative: #hpm Media training at 10 am Sat. Rm. 217-219 @AAHPM 10:14 pm DianeEMeier: RT @renee_berry: "this is a universal issue, its a bi-partisan issue, just get a seat at the table" #palliative care policy - @DianeEMeier #hcr #hpm 10:14 pm DianeEMeier: RT @drpippa: Block into your calendar time to meet with your congressional rep - lobby and advocate for palliative care- @DianeEMeier #hpm #hcr 10:15 pm DianeEMeier: RT @renee_berry: "one thing that @CAPCpalliative tries to do is shine a light on successful models for managing chronically ill" - @DianeEMeier #hpm 10:16 pm DianeEMeier: RT @drpippa: "Patients not only deserve and need palliative care, they live longer when they get it" @DianeEMeier #hpm 10:16 pm DianeEMeier: RT @renee_berry: "most #palliative care is needed by people that are NOT dying" - @DianeEMeier #hpm 10:16 pm DianeEMeier: RT @hollyby: RT @renee_berry: "submit your data to @CAPCpalliative s registry so that we can raise our quality together" - @DianeEMeier #palliative #hpm 10:17 pm DianeEMeier: RT @gcooneymd: RT @drpippa: 0.01% of #NIH funding is for palliative care research. "as if no one suffers and no one dies" @DianeEMeier #hcr #HPM 10:17 pm DianeEMeier: RT @gcooneymd: RT @drpippa: High quality, well integrated palliative care critical to #hcr - should be a requirement to any #ACO. @DianeEMeier #HPM 10:18 pm KathleenPacurar: Congrats to our Provost @CvonGunten honored w/ #AAHPM Lifetime Achievement Award today in Vancouver-Bravo! #health #hospice #palliative #hpm 10:18 pm DianeEMeier: RT @renee_berry: our policy should be to insist that access to #hospice & #palliative care is a requirement for #ACO s - @DianeEMeier #hpm 10:18 pm DianeEMeier: RT @drpippa: Moving the health care system off addiction to fee for service - bending the cost curve. How? Stop paying or capitation. @DianeEMeier #hpm 10:19 pm DianeEMeier: RT @PalliativeMed_j: RT @renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #hpm 10:21 pm equijada: Whidden - wound pain is the most distressing symptom #hpm 10:22 pm DianeEMeier: RT @KathleenPacurar: Congrats to our Provost @CvonGunten honored w/ #AAHPM Lifetime Achievement Award today in Vancouver-Bravo! #health #hospice #palliative #hpm 10:24 pm ctsinclair: RT @equijada: Whidden - wound pain is the most distressing symptom to some people, individual is the gold standard. ;-) #hpm 10:25 pm equijada: Whidden: MS04 topically in wound bed works. BUT MS 60 mg with sulfadine is expensive $200/tub (dont ask me the size of the tub) #hpm 10:25 pm equijada: RT @ctsinclair: RT @equijada: Whidden - wound pain is the most distressing symptom to some people, individual is the gold standard. ;-) #hpmwthashtag.com/transcript.php?page_id=… 75/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #hpm 10:26 pm equijada: @ctsinclair let me guess...youre going to moral distress next. #hpm 10:26 pm ctsinclair: In paper session - use of dermafil cellulose wound care dressing management of pain in wounds - Whidden from @suncoasthospice #hpm 10:27 pm equijada: Whidden- topical preparations: EMLA - no, MS - yes, ibuprofen - no, lidocaine - yes. -> for wound pain #hpm 10:28 pm ctsinclair: @equijada Moral Distress session looks intriguing, but thinking about Sanders session on fraud investigation in #hospice #hpm 10:28 pm a_singledrop: Beautiful post from RN w/lung #cancer on the impt knowing your enemy & the doc communication in terminal illness http://bit.ly/gCl6de #hpm 10:30 pm renee_berry: ?outpatient #palliative care co-management is feasible & effective? - Rabow, MD @UCSF #hpm 10:31 pm renee_berry: Q from the audience "what questions are you asking to screen for spiritual distress? #hpm 10:32 pm equijada: Dermafil - cost effective, $30 for approx 15 cm x 15 cm, generally can be applied only once till wound healed or prn if infected #hpm 10:32 pm ctsinclair: RT @equijada: Whidden- topical preps: EMLA - no, MS - yes, ibuprofen - no, lidocaine - yes. -> for wound pain; "dermafil best of all" #hpm 10:33 pm renee_berry: Rabow, MD @UCSF fascinating discussion about asking men about their sexuality as a way to understand their spirituality #hpm 10:33 pm HospiScript: In peds paper session- only 10% of children receive hospice. #hpm #hospice 10:33 pm renee_berry: "what were really doing is giving people a safe space to talk about their spiritual issues & mortality concerns" Rabow, MD @UCSF #hpm 10:34 pm mchwistek: RT @PalliativeMed_j: RT @renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #hpm 10:34 pm renee_berry: "there really is something to say about patients feeling they have a safe space" Rabow, MD @UCSF #hpm 10:34 pm equijada: Dermafil Tissue Builder http://bit.ly/eCsdDZ #hpm 10:34 pm msceofx: @ctsinclair @kevdnguyen Hi Kevin, welcome to Twitter! #hpm 10:35 pm DeathwDignity: RT @drnancyhoffman: RT @kevinmd: Every American deserves the right to have a #DeathwithDignity http://goo.gl/fb/PydDd #hpm #hospice... 10:35 pm kevhen63: Declan Walsh - Fatigue/anorexia-cachexia, aero-digestive, debility symptom clusters correlates with worse survival. #HPM 10:36 pm mchwistek: RT @kevhen63: Declan Walsh - Fatigue/anorexia-cachexia, aero-digestive, debility symptom clusters correlates with worse survival. #HPM 10:36 pm hcsmSV: #hcsmSV RT @renee_berry "there really is something to say about patients feeling they have a safe space" Rabow, MD @UCSF #hpm #SiliconValley 10:36 pm sthrane: RT @renee_berry: our policy should be to insist that access to #hospice & #palliative care is a requirement for #ACO s - @DianeEMeier #hpm 10:37 pm mchwistek: RT @renee_berry: our policy should be to insist that access to #hospice & #palliative care is a requirement for #ACO s - @DianeEMeier #hpm 10:37 pm kevhen63: Declan Walsh - 3 or more symptom clusters correlates with worse survival. #HPM 10:38 pm ctsinclair: Now up Dr. Victor Chang talking about Patient rated weight loss, Performance scale and Prognosis: An RPA algorithim #hpm 10:39 pm renee_berry: Symptom Burden #Gynecologic #Oncology Out pts w/Carolyn Casey, MD MPH @UCSF #Obstetrics #Gynecology & #Reproductive Science #hcsmSV #hpm 10:40 pm FIMDM: RT @drpippa: "Patients not only deserve and need palliative care, they livewthashtag.com/transcript.php?page_id=… 76/112
  • 2/23/2011 10:40 pm FIMDM: RT @drpippa: "Patients#hpm - What the Hashtag?! Transcript for not only deserve and need palliative care, they live longer when they get it" @DianeEMeier #hpm 10:41 pm ctsinclair: Whats a RPA you may ask? Recursive partitioning algorithm. Long form explanation here: http://bit.ly/iddKeV #hpm 10:42 pm ctsinclair: RT @drpippa: "Patients not only deserve/need pall care, they live longer when they get it" @DianeEMeier bold given fair evidence #hpm 10:43 pm ctsinclair: @drpippa, have to watch out for overpromising results #hpm 10:43 pm AAHPM: AAHPM Board approves development of Hospice Medical Director Certification that will launch in 2014. #hpm 10:43 pm HospiScript: RT @ctsinclair: Whats a RPA you may ask? Recursive partitioning algorithm. Long form explanation here: http://bit.ly/iddKeV #hpm 10:44 pm ctsinclair: RT @AAHPM: Board approves development of Hospice Medical Director Certification that will launch in 2014. not 2013? Did I hear wrong? #hpm 10:45 pm ctsinclair: RT @kevhen63: Declan Walsh - Fatigue/anorexia-cachexia, aero-digestive, debility symptom clusters correlates with worse survival. #hpm 10:45 pm equijada: RT @ctsinclair: Whats a RPA you may ask? Recursive partitioning algorithm. http://bit.ly/iddKeV Huh? Still asking. I need it simplerer #hpm 10:47 pm ctsinclair: @equijada agreed, RPA seems very complex yet simple once you get it I am sure. Still working on understanding. #hpm 10:48 pm doclake: RT @ctsinclair: Hoping that future prognostication research takes into account the dynamic nature of prognosis. Example, changing func status #hpm 10:48 pm doclake: RT @kevhen63: Declan Walsh - 3 or more symptom clusters correlates with worse survival. #HPM 10:48 pm HospiScript: Peds paper session- Massachusetts survey said hospices struggled with 1)census 2)language barriers 3)parents/family resource #hpm 10:50 pm renee_berry: Casey, MD MPH @UCSF highlighting how sometimes there is the simple concept of asking the patient that can be effective #hpm 10:50 pm ctsinclair: Would love feedback from ppl watching #hpm tweetstream here/not here on good things, improvements, etc. ctsinclair@gmail.com #hcsm #hpm 10:51 pm ctsinclair: RT @HospiScript: Peds session- Massachusetts survey said #hospice struggled w/ 1)census 2)language barriers 3)parents/family resource #hpm 10:52 pm renee_berry: Casey, MD MPH @UCSF Has heard other specialists say ?oh that?s a #palliative care service, she?s not dying? #misunderstanding #hpm 10:53 pm doclake: RT @renee_berry: Casey, MD MPH @UCSF Has heard other specialists say ?oh that?s a #palliative care service, she?s not dying? #misunderstanding #hpm 10:53 pm ctsinclair: @DianeEMeier You got a lot of RTs in today! #hpm 10:53 pm lfettig: Blackhall: hospices should have policy to screen every pt/cg 4 substance abuse, & plan for safety plan when concerns arise #hpm 10:53 pm doclake: RT @lfettig: Blackhall: hospices should have policy to screen every pt/cg 4 substance abuse, & plan for safety plan when concerns arise #hpm 10:54 pm ctsinclair: RT @lfettig: Blackhall: #hospice orgs should have policy: screen every pt/cg 4 substance abuse, & plan for safety when concerns arise #hpm 10:54 pm ctsinclair: RT @lfettig: Blackhall: screen every pt/cg 4 substance abuse Screen every caregiver? that could be hard to do/invasive #hpm 10:55 pm renee_berry: q re:" web based education on symptom management?" Casey, MD MPH @UCSF response " no but that would be great" #hcsmSV #hpm 10:56 pm ctsinclair: New paper Wygart on Childhood Sexual Abuse (CSA) in Pallaitive Care: 1 in 3 women and 1 in 6 men have had CSA #hpm 10:56 pm equijada: Wygant: 1/3 of girls 1/6 boys have had childhood sexual abuse Me: #wowwthashtag.com/transcript.php?page_id=… 77/112
  • 2/23/2011 10:56 pm Transcript for #hpm - What the Hashtag?! equijada: Wygant: 1/3 of girls 1/6 boys have had childhood sexual abuse Me: #wow thats a lot #hpm 10:57 pm ctsinclair: Wygart - CSA impacts adherence to medical treatment, increased co- morbidities. Exacerbated by decline in physical/cognitive fxn #hpm 10:57 pm kevhen63: Del Fabbro. Cachexia may be masked in obese cancer patients. CT can reveal "sarcopenia" #hpm 10:57 pm jodyms: RT @ctsinclair: New paper Wygart on Childhood Sexual Abuse (CSA) in Pallaitive Care: 1 in 3 women and 1 in 6 men have had CSA #hpm 10:57 pm renee_berry: ?access to #hospice is a major issue? Solomon Liao, MD @UCSF #hcsmSV #hpm 10:57 pm ctsinclair: Only one study to date looking at CSA in #palliative care/advanced #cancer settings #hpm 10:58 pm ctsinclair: RT @kevhen63: Del Fabbro. Cachexia may be masked in obese cancer patients. CT can reveal "sarcopenia" - interesting #hpm 10:58 pm jodyms: @ctsinclair Both y ou and @renee_berry are doing an incredible job. Thanks for sharing so much terrific info - #hpm #hcsm 10:59 pm ctsinclair: CSA may be revealed by another family member and not the patient. - Wygart #hpm 11:00 pm ctsinclair: @jodyms Thanks so much for the feedback Jody. Let us know if you have any conferences/issues we can return the tweets for! #hpm 11:01 pm lfettig: RT @lfettig: Screen every caregiver? that could be hard to do/invasive #hpm Concern that some take on cg role 4 diversion. Provocative. 11:02 pm equijada: How do address childhood sexual abuse: validate and provide safety...then consciously change subject till pt ready #hpm 11:02 pm doclake: RT @kevhen63: Del Fabbro. Cachexia may be masked in obese cancer patients. CT can reveal "sarcopenia" #hpm 11:03 pm equijada: Childhood sexual abuse - shame and blame. #youarenotalone #hpm 11:03 pm hvto: RT @jodyms: @ctsinclair Both y ou and @renee_berry are doing an incredible job. Thanks for sharing so much terrific info - #hpm #hcsm 11:03 pm hvto: RT @renee_berry: ?access to #hospice is a major issue? Solomon Liao, MD @UCSF #hcsmSV #hpm 11:03 pm ctsinclair: CSA survivors may repress, history of victim blaming/shaming, no safe place to report; Health care staff not sure how to respond. #hpm 11:04 pm jodyms: @ctsinclair One issue for sure is addressing end-of-life/palliative care issues in young adults w/cancer. Is anyone discussing this? #hpm 11:04 pm brigid22: RT @equijada: Childhood sexual abuse - shame and blame. #youarenotalone #hpm 11:04 pm brigid22: RT @ctsinclair: CSA survivors may repress, history of victim blaming/shaming, no safe place to report; Health care staff not sure how to respond. #hpm 11:06 pm ctsinclair: RT @jodyms: impt issue: young adults w/cancer. Is anyone discussing this? actually in the next session good thing you asked!, ill go #hpm 11:06 pm hollyby: RT @ctsinclair: Would love feedback from ppl on #hpm tweets here/not here, on good things, improvements, etc ctsinclair@gmail.com #hcsm #hpm 11:08 pm kevhen63: Del Fabbro - metoclopramide a first choice for N/V and cachexia in advanced cancer #hpm 11:10 pm kevhen63: Del Fabbro Megace increases thromboembolism. They use less than 480 mg and only for patients who want appetite and accept risk of DVT. #hpm 11:10 pm ctsinclair: RT @kevhen63: Del Fabbro - metoclopramide a first choice for N/V and cachexia in advanced #cancer i dont prescribe much #hpm 11:11 pm renee_berry: ?Encourage inclusion not isolation for a Volunteer Hospice Network,wthashtag.com/transcript.php?page_id=… 78/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:11 pm renee_berry: ?Encourage inclusion not isolation for a Volunteer Hospice Network, because we can learn from them? Solomon Liao, MD #hpm 11:15 pm renee_berry: Solomon Liao, MD @UCSF calls on the #hospice & #palliative care community to increase engagement of #PublicHealth professionals #hcsmSV #hpm 11:15 pm renee_berry: ?look more towards ourselves & what we can do rather than relying just on medicare? Solomon Liao, MD @UCSF #hcsmSV #hpm 11:27 pm GroundSwellAus: RT @renee_berry: Solomon Liao MD @ucsf calls #hospice & #palliative care community to increase engagement of #PublicHealth prof #hcsmSV #hpm 11:30 pm MORELAND18: #HPM looking for the woman who said she would be a Hospice or Palliative care "Doula" this morning: fascinating! moreland18@comcast.net 11:30 pm PracticalWisdom: RT @drpippa: great topic for the newbie - social media can be efficient and even save you time! nice preso @hollyby #hpm 11:31 pm ctsinclair: Hey @jodyMS, @Renee_Berry is here, so I am going to another session.... #hpm 11:32 pm MeaningComfort: Read the latest news on spirit-centered palliative care http://bit.ly/ebAJoP #hpm 11:33 pm renee_berry: The Role of #Palliative Medicine in Young Adulthood w/Kelly Cooke, DO, Central Texas Veterans Healthcare System #hpm 11:33 pm jodyms: @ctsinclair Great - thanks for letting me know about the session. @renee_berry & I are long overdue for a phone chat anyway:) #hpm 11:33 pm gcooneymd: Fraud & Abuse in HPM - if it makes good business sense, its probably illegal #HPM 11:34 pm GroundSwellAus: Guidelines for Health Promoting Palliative Care in Australia http://ow.ly/3Zp0M #hpm @renee_berry 11:34 pm gcooneymd: MC Fraud Control Strike Team - multiple arrests nationally yesterday #HPM 11:35 pm ctsinclair: Now in Educational Exchange, developed by my friend Laura Morrison. Looking at innovative ways to educ professionals #hpm 11:36 pm ctsinclair: RT @gcooneymd: Fraud & Abuse in HPM - if it makes good business sense, its probably illegal yikes, that is broad #hpm 11:36 pm renee_berry: Population Lost: Spectrum of Young Adulthood, Illness & the Role of #Palliative Medicine w/ Jennifer Clark, MD, U of #Oklahoma ?Tulsa #hpm 11:36 pm gcooneymd: Ate more gelatto after lunch: Akbar Mashti, Black Sesame, Tahitian Vanilla. Theyre out ofBlood Orange... #HPM 11:37 pm ctsinclair: RT @gcooneymd: MC Fraud Control Strike Team - multiple arrests nationally yesterday here is the @latimes link: http://lat.ms/idZwb6 #hpm 11:37 pm westr: RT @jodyms: @ctsinclair Both y ou and @renee_berry are doing an incredible job. Thanks for sharing so much terrific info - #hpm #hcsm 11:38 pm MeaningComfort: RT @ctsinclair: RT @drpippa: "Patients not only deserve/need pall care, they live longer when they get it" @DianeEMeier bold given fair evidence #hpm 11:38 pm ctsinclair: @MORELAND18 Wasnt that the past president from @HPNAinfo? #hpm 11:38 pm MeaningComfort: RT @renee_berry: "there really is something to say about patients feeling they have a safe space" Rabow, MD @UCSF #hpm 11:39 pm ctsinclair: Dr. Amy Doshi from @radychildrens presenting on Comfort Care Modules (CCMs); interactive and reproducible for teaching #hpm 11:40 pm ctsinclair: Comfort care module are exercises based on PALS (ped adv life support modules) - mult scenarios - pain, dyspnea. delivering bad news #hpm 11:41 pm norskedoc: RT @DianeEMeier: RT @renee_berry: None of the new models in healthcare reform will work with out us ( #Palliative care) @DianeEMeier #hpmwthashtag.com/transcript.php?page_id=… 79/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:42 pm ctsinclair: Residents found CCMs helpful/very helpful for future interactions with patients and families; like safe/supportive environment #hpm 11:43 pm renee_berry: (chronic illness, serious conditions) ?weather or not you want to deal with it, you have to deal with it? Jennifer Clark, MD #hpm 11:44 pm ctsinclair: Now up Dr. Jeff Myers from @UToronto on "De novo development of interprofessional HPC Case Based Simulation" #hpm 11:44 pm renee_berry: " #Oncology has done a great job at recognizing young adults managing their serious illness" Jennifer Clark, MD #hpm 11:45 pm hollyby: Me too! RT @ctsinclair: Now in Educational Exchange, developed by Laura Morrison. Looking at innovative ways to educ professionals #hpm 11:46 pm renee_berry: "if there?s a specific group of #oncologists there needs to be a specific group of us" ( #palliative care) Jennifer Clark MD #su2c #hpm 11:48 pm renee_berry: ?30% of young adults do not have health insurance? Jennifer Clark MD #SU2C #hpm 11:48 pm ctsinclair: @DeathwDignity thanks for the #FF #HPM 11:49 pm MeaningComfort: RT @renee_berry: "The part that is most important is what you can do as individuals, reach out to your policy makers" - Koller #palliative care advocacy #hpm 11:50 pm renee_berry: fascinating discussion of the support network for young adult decision making w/ Jennifer Clark MD @AAHPM #SU2C #hpm 11:50 pm ctsinclair: RT @LVADone: she was "pissedoff" 2findout late "#hpm "I have seen that reaction too 11:51 pm drpippa: Smart abx use in hospice/pall care. Avg hospice pt on >20 meds - make sure you have a good reason for adding another. #hpm 11:52 pm renee_berry: "have them tell their story & allow them to embrace possibilities" re: Young Adults - Jennifer Clark MD @AAHPM #SU2C #hpm 11:52 pm kevhen63: Maxwell in Abx utilization at EOL. Very few Abx are absorbed rectally. Avoid this route. #Hpm 11:52 pm jodyms: RT @renee_berry fascinating discussion of the support network for young adult decision making w/ Jennifer Clark MD #hpm cc: @hayeslat 11:53 pm jodyms: RT @renee_berry: ?30% of young adults do not have health insurance? Jennifer Clark MD #SU2C #hpm 11:54 pm renee_berry: ?Young Adults have the capacity to discuss advance directives for decisions? Jennifer Clark MD #SU2C cc @NHDD #hpm 11:54 pm Mtnmd: RT @drpippa Smart abx use in hospice/pall care. Avg hospice pt on >20 meds - make sure you have a good reason for adding another. #hpm 11:55 pm Doctor_V: Wow RT @renee_berry: ?Young Adults have the capacity to discuss advance directives for decisions? Jennifer Clark MD #SU2C cc @NHDD #hpm 11:56 pm MeaningComfort: RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year. Number of tweets almost matching - 2011 so far 1 tweet per person! #hpm 11:56 pm ctsinclair: Now up Nancy Sharp BSN CHPN on The Notebook an educational innovation to help with training when their may be turnover #hpm 11:56 pm renee_berry: ?decisions need to be reassessed frequently? Jennifer Clark MD @AAHPM #SU2C #hpm 11:57 pm renee_berry: ?create an environment of trust for young adults? Jennifer Clark MD @AAHPM #SU2C #hpm 11:57 pm MeaningComfort: RT @drpippa: Palliative care is about matching treatment to patient goals - as a field we must have consistency of language. @DianeEMeier #hpm 11:57 pm MeaningComfort: RT @drpippa: The entire birth of the field of palliative care has been aboutwthashtag.com/transcript.php?page_id=… 80/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! the art of the possible - @DianeEMeier #hpm #hcr 11:58 pm ctsinclair: Now up Dr. Gordon Wood from University of Pittsburgh on "CODE: Chronic Opioid Documentation Evaluation" innovative teaching #hpm 11:58 pm renee_berry: Jennifer Clark MD @AAHPM discussing crucial importance of discussing sexuality with young adults experiencing serious illness #SU2C #hpm 11:59 pm emarnold14: Call for Submissions: Death, dying, and end-of-life care http://conta.cc/f62s5O #hpm #humanities #palliative 11:59 pm ctsinclair: @renee_berry seems sexuality has been showing up in a few sessions today regarding palliative care #hpm 11:59 pm emarnold14: RT @drpippa: The entire birth of the field of palliative care has been about the art of the possible - @DianeEMeier #hpm #hcr February 19, 2011 ctsinclair: Conference Tip: You can turn off the scrolling noise on your blackberry. Your neighbors will be happier. #hpm 12:03 am jodyms: RT @emarnold14: Call for Submissions: Death, dying, and end-of-life care http://conta.cc/f62s5O #hpm #humanities #palliative 12:03 am ctsinclair: Now up Dr. Susan Glod from @PennStHershey on Experiencing Loss Through Patients Eyes. #hpm 12:04 am ctsinclair: Glod describes the Grim Reaper exercise to help medical students recognize loss. #hpm 12:05 am ctsinclair: Glod - Students write on paper valuable goals, roles, person, possessions, 1st remove 1 from each category, then whole category then... #hpm 12:06 am ctsinclair: Glod - random student pre-selected comes in as Grim Reaper; and removes random slips of paper from each student. #hpm 12:07 am ctsinclair: Glod - Wow - I am totally going to use that exercise with learners. Glod points out learners find this harder than you think #hpm 12:07 am comalliwrites: RT @renee_berry: ?30% of young adults do not have health insurance? Jennifer Clark MD #SU2C #hpm 12:08 am renee_berry: Kelly Cooke, DO @AAHPM - importance of retaining sense of normality - assessing who they are & whats important to YoungAdults #SU2C #hpm 12:08 am ctsinclair: Now up Lynn Macpherson - fastest talking speaker Ive heard yet on Pharmacist didactic/experiential educ on pain and palliative care #hpm 12:08 am GroundSwellAus: sounds interesting!! RT @ctsinclair: Glod describes the Grim Reaper exercise to help medical students recognize loss. #hpm 12:08 am renee_berry: "remind Young Adults of their identity before the illness? Kelly Cooke, DO @AAHPM #SU2C (so important) #hpm 12:09 am renee_berry: ?Young Adults with serious illness often grieve the loss of education? Kelly Cooke, DO @AAHPM #SU2C #hpm 12:09 am renee_berry: ?sometimes survivorship issues are worse than the disease for the experience of the young adult patient? Kelly Cooke, DO @AAHPM #SU2C #hpm 12:10 am renee_berry: ?support non-traditional support groups for young adults to prevent isolation? Kelly Cooke, DO @AAHPM #SU2C #hpm 12:10 am drpippa: RT @renee_berry: "remind Young Adults of their identity before the illness? Kelly Cooke, DO @AAHPM #SU2C (so important) #hpm 12:11 am kevhen63: Maxwell - nothing new, but it bears repeating. "50% of Abx are likely prescribed unnecessarily." #Hpm 12:11 am ctsinclair: @GroundSwellAus My tweets probably didnt do it justice, but it is a fantastic exercise. #hpmwthashtag.com/transcript.php?page_id=… 81/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! fantastic exercise. #hpm 12:11 am renee_berry: Kelly Cooke, DO @AAHPM discusses @PlanetCancer & online support groups as great tools for engaging young adults in support communities #hpm 12:12 am DianeEMeier: RT @ctsinclair: RT @gcooneymd: MC Fraud Control Strike Team - multiple arrests nationally yesterday here is the @latimes link: http://lat.ms/idZwb6 #hpm 12:12 am GroundSwellAus: RT @ctsinclair: can you share it? love to hear more... #hpm 12:12 am MeaningComfort: RT @renee_berry: "this is a universal issue, its a bi-partisan issue, just get a seat at the table" #palliative care policy - @DianeEMeier #hcr #hpm 12:13 am MeaningComfort: RT @renee_berry: "most #palliative care is needed by people that are NOT dying" - @DianeEMeier #hpm 12:13 am renee_berry: "people have a different level of death awareness based on their experience of death" Kelly Cooke, DO @AAHPM #partoflife #hpm 12:13 am MeaningComfort: RT @ctsinclair: Russell - Data shows patients want honest prognostic info 80% of the time, families want patient to hear 55% of the time. #hpm 12:14 am jodyms: RT @renee_berry: Kelly Cooke, DO @AAHPM discusses @PlanetCancer & online support groups as great tools for engaging young adults in support communities #hpm 12:14 am renee_berry: #SU2C RT @MeaningComfort "most #palliative care is needed by people that are NOT dying" - @DianeEMeier #hpm 12:14 am PracticalWisdom: RT @ctsinclair: Now in Educational Exchange, developed by my friend Laura Morrison. Looking at innovative ways to educ professionals #hpm 12:14 am kevhen63: Maxwell suggests an Antibiotic Stewardship Program to increase the appropriate use of Abx. #Hpm 12:22 am renee_berry: my Q: how do we improve access to #palliative care for young adults?" A: "education" Kelly Cooke, DO @AAHPM #su2c #hpm 12:24 am renee_berry: @ctsinclair please ask abt encouraging link w/in hospital website for local #palliative care team to improve public access vs brochures #hpm 12:26 am renee_berry: Kelly Cooke, DO @AAHPM ?young law student w/breast cancer said she felt so disempowered in our medical system? #hcr #healthcare #hpm 12:29 am kevinmd: @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 12:30 am PracticalWisdom: In about 2 hours ill be posting a Slide Deck documenting our #hmp chat this Wed. The comments were so impressive, cant wait to post. #hpm 12:30 am hollyby: Educational Exchange: Wood and Childers presenting a very cool way to teach residents/fellows about Chronic Opioid Documentation #hpm 12:30 am SanDiegoHospice: RT @Dr_Butin: interesting discuss in EthicsSIG-tweets etc 2 brief 4 depth of discussion-redirect 2 blogs #hpm #AAHPM #AAHPMethics #ethicsSIG 12:32 am DrSnit: Love to #hpm cats! RT @kevinmd: @ctsinclair is live-tweeting from American Academy of Hospice & Palliative Medicine Annual Assembly at #hpm 12:38 am ctsinclair: Hey @hollyby I just signed @elisecarey up for a twitter account. You can do the advanced lessons! #hpm 12:39 am hollyby: Nice! Will do! RT @ctsinclair: Hey @hollyby I just signed @elisecarey up for a twitter account. You can do the advanced lessons! #hpm 12:39 am ctsinclair: RT @kevinmd: @ctsinclair is live-tweeting from American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm thanks kevin! 12:46 am MDTalk: is live-tweeting from American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm thanks... http://bit.ly/dUPHxj 12:47 am LJaneTn: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpmwthashtag.com/transcript.php?page_id=… 82/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #hpm 12:51 am klxmedia: RT @kevinmd @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 12:51 am renee_berry: RT @kevinmd @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 12:52 am jodyms: @renee_berry @ctsincalir -- thanks to you both:) #hpm 12:54 am hollyby: Rockstar! RT @kevinmd: @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 1:02 am MeaningComfort: RT @ctsinclair: Every patient invites the doctor to combine the role of the priest the philosopher the poet the lover - Anatole Brovard from Bertman #hpm 1:03 am MeaningComfort: RT @ctsinclair: "Death is about continuing bonds of attachments not severing them" - Bertman #hpm 1:06 am MeaningComfort: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of death for 7 of 10 Americans. Learn about ACHIEVE communities. http://go.usa.gov/g5K #hpm 1:09 am KathyKastner: Good background on FDA/EHR regulation http://tinyurl.com/49qhsy3 #hcsm #hcsmca #MDchat #hpm 1:09 am suzanakm: RT @hollyby: Rockstar! RT @kevinmd: @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 1:21 am elisecarey: Nearing end of 2nd of 3 days at the @AAHPM Annual Assembly. Check out the tweetstream from last 2 days at: http://bit.ly/fQWBVu #hpm 1:25 am Catalyst4Growth: RT @renee_berry: "remind Young Adults of their identity before the illness? Kelly Cooke, DO @AAHPM #SU2C (so important) #hpm 1:26 am Catalyst4Growth: RT @renee_berry: ?sometimes survivorship issues are worse than the disease for the experience of the young adult patient? Kelly Cooke, DO @AAHPM #SU2C #hpm 1:30 am hollyby: RT @elisecarey: Nearing end of 2nd of 3 days at the @AAHPM Annual Assembly. Check out the tweetstream at: http://bit.ly/fQWBVu #hpm 1:33 am Doctor_V: RT @renee_berry: RT @kevinmd @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 1:47 am sophiasgarden: Follow RT @kevinmd @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 1:56 am MeredithGould: @renee_berry Interesting...at first I read that tweet as "based on their experience of life" !! #partoflife #hpm 2:16 am hollyby: RT @KathleenPacurar - @SanDiegoHospice is 34 years old this month. Thank you Dr. Doris Howell for your vision. @palliativecare #hpm 2:23 am ctsinclair: Gong to buy tickets to see canucks sat night #hpm 2:35 am equijada: @ctsinclair count me in if less than $150. #hpm 2:53 am PracticalWisdom: @equijada @ctsinclair @hollyby @MeredithGould This is a slide deck showing our #HPMChat this Wed. http://slidesha.re/hewb6c #hpm 2:55 am PracticalWisdom: Im adding more names of those who contributed 2/16/2011 If you have any corrections, would like to (-) your slide, etc. Please email #hpm 3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/czPwM9 ? Top stories today via @dianeemeier @compandchoices @emarnold14 @rossjeanette @fimdm 3:02 am daleview: all ABHPM certified docs - YES, you must sit for the 2012 ABMS exam if you want to get ABMS certification. http://bit.ly/gHyk1h #hpm 3:05 am PracticalWisdom: @hvto @ehospice_mktg @dspacl @dockj @mpalko @drpippa @rawarrior Please let me know if there are any ?s, comments or concerns. #hpmwthashtag.com/transcript.php?page_id=… 83/112
  • 2/23/2011 Please let me knowfor #hpm - any ?s, comments or concerns. #hpm Transcript if there are What the Hashtag?! 3:10 am toptwideos: #HPM 2/16/2011 http://naza.be/hAJCre 3:12 am PracticalWisdom: Honored and humbled to have been included with your rock stars. Blushing RT@hospice_mktg #FF #hpm rocks stars we love 2 follow 3:17 am PracticalWisdom: So many others to thank #hpm. Ill catch you all later. 3:24 am Dr_Butin: RT @renee_berry: @ctsinclair please ask abt encouraging link w/in hospital website for local #palliative care team to improve public access vs brochures #hpm 3:32 am Dr_Butin: RT @ctsinclair: Glod - Students write on paper valuable goals, roles, person, possessions, 1st remove 1 from each category, then whole category then... #hpm 3:32 am Dr_Butin: RT @ctsinclair: Glod - random student pre-selected comes in as Grim Reaper; and removes random slips of paper from each student. #hpm 3:32 am Dr_Butin: RT @ctsinclair: Glod - Wow - I am totally going to use that exercise with learners. Glod points out learners find this harder than you think #hpm 3:48 am melanoma_mama: RT @kevinmd: @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpm 3:49 am melanoma_mama: RT @renee_berry: my Q: how do we improve access to #palliative care for young adults?" A: "education" Kelly Cooke, DO @AAHPM #su2c #hpm 3:52 am joshgriffin: RT @renee_berry: my Q: how do we improve access to #palliative care for young adults?" A: "education" Kelly Cooke, DO @AAHPM #su2c #hpm 3:54 am melanoma_mama: RT @renee_berry: Jennifer Clark MD @AAHPM discussing crucial importance of discussing sexuality with young adults experiencing serious illness #SU2C #hpm 4:18 am renee_berry: Early Career Professionals @AAHPM thinking abt karaoke http://tinyurl.com/6hn9ed6 any takers #hpm ? 4:46 am DianeEMeier: RT @renee_berry: #SU2C RT @MeaningComfort "most #palliative care is needed by people that are NOT dying" - @DianeEMeier #hpm 4:53 am ctsinclair: At Miko with @revdoc @suzanakm @hollby @kpw22 I love coming to conf #hpm 4:59 am daitpcg: RT @daleview: all ABHPM certified docs - YES, you must sit for the 2012 ABMS exam if you want to get ABMS certification. http://bit.ly/gHyk1h #hpm 4:59 am daitpcg: RT @ctsinclair: The #hpm Daily is out! http://bit.ly/czPwM9 ? Top stories today via @dianeemeier @compandchoices @emarnold14 @rossjeanette @fimdm 5:39 am lfettig: RT @hollyby: Educational Exchange: Wood and Childers presenting a very cool way to teach residents/fellows about Chronic Opioid Documentation #hpm 7:11 am doctatum: RT @hollyby: Very important program! RT @ctsinclair: Q abt @AAHPM LEAD program in future. A: @ssmithaahpm - Commitment to leadership, board 2 review #hpm 7:52 am GroundSwellAus: Fantastic more people to tweet with!!! RT @saifsabil: Social media wksp starts 1.30 pm today at Institute of Palliative Med #IPM #WHOCC #HPM 8:26 am drpippa: appropriate that the week of @AAHPM assembly the Pulse essay is a reflection on the importance of palliative care http://t.co/lpgnza9 #hpm 8:28 am fbfukushima: RT @palliativecare: New resource for pain in non-communicative patients http://bit.ly/hvJtwu #palliative #hpm #caregiving? 9:08 am drpippa: Wish you were at @DianeEMeiers Healthcare Reform talk today? I wrote up a quick summary for @aahpm blog http://tinyurl.com/5un7ytp #hpm 11:56 am doclake: RT @kevinmd: @ctsinclair is live-tweeting from the American Academy of Hospice and Palliative Medicine Annual Assembly at #hpmwthashtag.com/transcript.php?page_id=… 84/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:59 am doclake: RT @drpippa: Smart abx use in hospice/pall care. Avg hospice pt on >20 meds - make sure you have a good reason for adding another. #hpm 12:05 pm emarnold14: MT @drpippa Heres my quick summary of @DianeEMeier s Healthcare Reform talk @aahpm conference http://tinyurl.com/5un7ytp #hpm / Excellent! 12:28 pm PracticalWisdom: So impressed w/learning, sharing, fellowship thats going on @aahpm. As an Adult Educ. would love to hear more re: Grim Reaper. #hpm 12:30 pm PracticalWisdom: Since Im a Curious George type of Girl have any of the PowerPoints/Slide Decks used clips inserted directly into them? #hpm 12:31 pm PracticalWisdom: Are some of the presenters staying away from Bullet point Hell by using more media clips/images? #hpm 12:35 pm PracticalWisdom: Grim Reaper; Ex. slips of paper from each student. Perfect example of Androgogy. Adults Attention spans R shorter. Dont just lecture! #hpm 2:24 pm EllenRichter: Difficult but necessary chat! "Oncologists shouldnt delay frank talk with patients" amednews http://goo.gl/4AybZ #hpm #hcsm #MDchat #RNchat 2:28 pm AAHPM: Good morning, #aahpm and #hpna ... last day in Vancouver. We have a full day of great sessions. See you there and here #hpm 2:31 pm jsperber: RT @drpippa: Wish you were at @DianeEMeiers Healthcare Reform talk today? I wrote up a quick summary for @aahpm blog http://tinyurl.com/5un7ytp #hpm 2:32 pm MeaningComfort: Hear what Anderson Cooper says about HealthCare Chaplaincy http://bit.ly/9vve0H #hpm 2:52 pm ClearMedNetwork: RT @EllenRichter: Difficult but necessary chat! "Oncologists shouldnt delay frank talk with patients" amednews http://goo.gl/4AybZ #hpm #hcsm #MDchat #RNchat 3:31 pm ssmithaahpm: Breakfast with the #aahpm past presidents -- wow --- what a group! #hpm 3:50 pm daleview: in Research SIG - Jean Kutner describes new Palliative Care Research Collaboration funded by NINR. #hpm 3:51 pm MeredithGould: RT @MeaningComfort: Hear what Anderson Cooper says about HealthCare Chaplaincy http://bit.ly/9vve0H #hpm 4:04 pm hollyby: At the Education - Developing Special Interest Group, great group of people very interested in all kinds of palliative care education #hpm 4:05 pm MeredithGould: RT @drpippa: appropriate that the week of @AAHPM assembly the Pulse essay is a reflection on the importance of palliative care http://t.co/lpgnza9 #hpm 4:08 pm hollyby: At the @AAHPM Education SIG, everyone very interested in collaboration & sharing of educ. resources. This will be a generative group! #hpm 4:10 pm suzanakm: RT @ctsinclair: At Miko with @revdoc @suzanakm @hollby @kpw22 I love coming to conf #hpm 4:12 pm hollyby: My tweets from today will be from the @AAHPM and @HPNAinfo Annual Assembly in Vancouver. Last day, so thx to everyone for the RTs on #hpm 4:35 pm ctsinclair: RT @hollyby: My tweets from today will be from the @AAHPM and @HPNAinfo Annual Assembly in Vancouver. Last day, so thx everyone for RTs #hpm 4:36 pm ctsinclair: Rodney Tucker just announced the prelim Twitter numbers from 1st 2 days of conference.... #hpm 4:37 pm ctsinclair: Prelim Twitter #s from @AAHPM conf - 300+users, 2000+ tweets, 300k+ accounts reached, 2.3M potential impressions - thanks to all #hpm 4:39 pm renee_berry: RT @ctsinclair: Prelim Twitter #s from @AAHPM conf - 300+users, 2000+ tweets, 300k+ accounts reached, 2.3M potential impressions - thanks to all #hpmwthashtag.com/transcript.php?page_id=… 85/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #hpm 4:40 pm ctsinclair: Distinguished Researcher Award for @HPNAinfo to Neville Strumpf PhD, RN, FAAN - focused on individualized care in nursing home #RNchat #hpm 4:40 pm renee_berry: RT @drpippa: appropriate that the week of @AAHPM assembly the Pulse essay is a reflection on the importance of palliative care http://t.co/lpgnza9 #hpm 4:41 pm ctsinclair: Morrison presenting Harvey Max Chochinov MD, PhD, FRCPC FRSC with @AAHPM Excellence in Research Award. focused on dignity for patients #hpm 4:42 pm Pallimed: Biosketch on Harvey M. Chochinov, MD, PhD http://bit.ly/f546Gr from National Palliative Care Research Center #hpm 4:42 pm ctsinclair: Chochinov - going to sing a little ditty, that may undermine my dignity... #hpm 4:46 pm equijada: Chochinov rocking the house. "Heaven knows were trying hard to make your dying more fun" Related: @SteveMartinToGo #hpm 4:46 pm daleview: Best award acceptance ever - Dr. Chochinov sings and plays guitar - "were working hard to make your dying more fun" #hpm 4:47 pm gcooneymd: RT @hollyby: My tweets from today will be from the @AAHPM and @HPNAinfo Annual Assembly in Vancouver. Last day! Great meeting!! #HPM 4:47 pm ctsinclair: Congratulations to @AmericanCancer society for @AAHPM Presidential Citation award for funding many palliative care initiatives #Cancer #hpm 4:47 pm jodyms: RT @ctsinclair: Congratulations to @AmericanCancer society for @AAHPM Presidential Citation award for funding many palliative care initiatives #Cancer #hpm 4:47 pm renee_berry: RT @daleview: Best award acceptance ever - Dr. Chochinov sings and plays guitar - "were working hard to make your dying more fun" #hpm 4:47 pm emarnold14: RT @ctsinclair Prelim Twit #s from @AAHPM conf 300+users, 2000+ tweets, 300k+ accounts reached, 2.3M potential impressions #hpm /Awesome! 4:49 pm hollyby: RT @ctsinclair: Prelim Twitter #s from @AAHPM conf - 300+users, 2000+ tweets, 300k+ accts reached, 2.3M potential impressions - thanks! #hpm 4:49 pm gcooneymd: RT @ctsinclair: Congratulations to @AmericanCancer for @AAHPM Presidential Citation award for funding palliative care initiatives #HPM 4:50 pm ctsinclair: Dr. Otis Brawley, CMO from @AmericanCancer Society here to accept award. Here is their Palliative Research page: http://bit.ly/h6uA63 #hpm 4:50 pm renee_berry: The @AmericanCancer Society is committed to promoting your ( #palliative ) research" Otis Webb Brawley MD #hpm 4:51 pm ssmithaahpm: Chochinov acceptance song most catchy tune since "Hey Soul Sister" #aahpm #hpm 4:51 pm ctsinclair: Glad to hear new Quality of Life bills for health care that also address payment reform being supported by @AmericanCancer #hcr #cancer #hpm 4:52 pm LZeefe: RT @ctsinclair: Glad to hear new Quality of Life bills for health care that also address payment reform being supported by @AmericanCancer #hcr #cancer #hpm 4:52 pm renee_berry: Otis Webb Brawley MD CMO of @AmericanCancer Society talks about public policy collaboration improving access to pt centered care #hpm 4:53 pm ctsinclair: "We truly appreciate marching sidebyside w/ such great orgs as we move forward to improve health care." - Brawley @AmericanCancer #hpm 4:53 pm gcooneymd: State of the Science: Goldstein and Anderson. Always a hit!! #HPM 4:53 pm ssmithaahpm: Thank you American Cancer Society for your support of palliative care and survivorship initiatives #aahpm #hpmwthashtag.com/transcript.php?page_id=… 86/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! survivorship initiatives #aahpm #hpm 4:54 pm MyrnaB23: Thanks to the ACS for their groundbreaking support!!! #hpm 4:54 pm renee_berry: Nathan Goldstein MD takes the stage @AAHPM for the state of the science http://ow.ly/3ZDb7 #hpm 4:54 pm hollyby: RT @ctsinclair: Congrats @AmericanCancer for @AAHPM Presidential Citation for funding palliative care initiatives #Cancer cc @djsampson #hpm 4:55 pm renee_berry: YES! RT @ssmithaahpm: Thank you @AmericanCancer Society for your support of #palliative care and survivorship initiatives #aahpm #hpm 4:55 pm ctsinclair: Now up the @AAHPM State of the Science presented by Dr. Nathan Goldstein (Mt. Sinai) and Dr. Wendy Anderson @UCSF #hpm 4:55 pm renee_berry: absolutely! RT @MyrnaB23: Thanks to the ACS for their groundbreaking support!!! #hpm 4:56 pm dwensel: RT @ctsinclair: Now up the @AAHPM State of the Science presented by Dr. Nathan Goldstein (Mt. Sinai) and Dr. Wendy Anderson @UCSF #hpm 4:56 pm ctsinclair: Goldstein - Canadians care about the U and we highlight in our talk today. "just like palliative care cares about the you" #hpm 4:56 pm sophiasgarden: RT @ctsinclair: Congratulations to @AmericanCancer society for @AAHPM Presidential Citation award for funding many palliative care initiatives #Cancer #hpm 4:57 pm MyrnaB23: The NEJM article re advanced NCSLCA and PC had more than 400 million media impressions! #hpm 4:58 pm daleview: State of Science - Goldstein reports that Temel article on impact of pal care on lung CA patients got 419 million media impressions #hpm 4:58 pm ctsinclair: 419 million media impressions for the Early #Palliative Care in Lung #Cancer study published in @NEJM - holy cow! #hpm 4:59 pm dwensel: RT @ctsinclair: 419 million media impressions for the Early #Palliative Care in Lung #Cancer study published in @NEJM - holy cow! #hpm 4:59 pm Pallimed: From the @Pallimed archives: Game Changer: Early PC for Lung #Cancer Patients Improves QOL AND Median Survival http://bit.ly/drzChC #hpm 4:59 pm ssmithaahpm: RT @ctsinclair: 419 million media impressions for the Early #Palliative Care in Lung #Cancer study published in @NEJM - holy cow! #hpm 5:00 pm renee_berry: RT @Pallimed: From the @Pallimed archives: Game Changer: Early PC for Lung #Cancer Patients Improves QOL AND Median Survival http://bit.ly/drzChC #hpm 5:01 pm Pallimed: Early #PalliativeCare for Patients w/ Metastatic Non?Small-Cell Lung #Cancer- @NEJM http://bit.ly/bGnsyx via Goldstein #hpm freepdf 5:01 pm renee_berry: RT @ctsinclair: 419 million media impressions for the Early #Palliative Care in Lung #Cancer study published in @NEJM - holy cow! #hpm 5:01 pm equijada: Goldstein: Palliative Care Extends Life of Lung Cancer Patients http://nyti.ms/hw1aM0 Related: http://bit.ly/gMZ4uu #hpm 5:01 pm MyrnaB23: Would be very interesting to repeat the NSCLCA study with a more ethnically diverse population. #hpm 5:02 pm MyrnaB23: PC arm patients in the study had decrease in depression - improvement in QofL #hpm 5:02 pm ctsinclair: RT @MyrnaB23: Would be very interesting to repeat the NSCLCA study with a more ethnically diverse population. "agreed" #hpm 5:02 pm hollyby: RT @ctsinclair: 419 M media impressions for the Early #Palliative Care in Lung #Cancer study published in @NEJM - http://bit.ly/bbRF9n #hpm 5:03 pm ctsinclair: This study is important because it demonstrates benefit AND lack of harm to the wider health care audience - Goldstein #hpmwthashtag.com/transcript.php?page_id=… 87/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:03 pm dwensel: RT @MyrnaB23: PC arm patients in the study had decrease in depression - improvement in QofL #hpm 5:03 pm drpippa: RT @ctsinclair: Prelim Twitter #s from @AAHPM conf - 300+users, 2000+ tweets, 300k+ accounts reached, 2.3M potential impressions - thanks to all #hpm 5:03 pm MyrnaB23: This study grabbed the attention outside our immediate constituency. Early #Palliative Care in Lung #Cancer study published in @NEJM #hpm 5:03 pm ctsinclair: RT @MyrnaB23: PC arm patients in the study had decrease in depression - improvement in QofL - and the primary endpoint #hpm 5:03 pm CAPCpalliative: @AmericanCancer Society has been at forefront of efforts to ensure palliative and patient-centered care. Bravo! #palliative #aahpm #hpm 5:04 pm ctsinclair: Goldstein - Be careful not to overgeneralize this study. "Agree we can set up false hope, which would not be in our nature" #hpm 5:04 pm renee_berry: early palliative care integrated w/standard oncologic care = important @AAHPM #hpm 5:05 pm renee_berry: RT @ctsinclair: Goldstein - Be careful not to overgeneralize this study. "Agree we can set up false hope, which would not be in our nature" #hpm 5:05 pm LZeefe: RT @CAPCpalliative: @AmericanCancer Society has been at forefront of efforts to ensure palliative and patient-centered care. Bravo! #palliative #aahpm #hpm 5:05 pm renee_berry: RT @CAPCpalliative: @AmericanCancer Society has been at forefront of efforts to ensure palliative and patient-centered care. Bravo! #palliative #aahpm #hpm 5:06 pm DianeEMeier: RT @emarnold14: MT @drpippa Heres my quick summary of @DianeEMeier s Healthcare Reform talk @aahpm conference http://tinyurl.com/5un7ytp #hpm / Excellent! 5:06 pm jodyms: RT @emarnold14: MT @drpippa Heres my quick summary of @DianeEMeier s Healthcare Reform talk @aahpm conference http://tinyurl.com/5un7ytp #hpm / Excellent! 5:07 pm ctsinclair: Conference tip: big ballroom slides should not be white/yellow font on dark slides. Brightness is never enough it seems #hpm 5:07 pm renee_berry: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of death for 7 of 10 Americans. Learn about ACHIEVE communities. http://go.usa.gov/g5K #hpm 5:07 pm DianeEMeier: RT @CAPCpalliative: @AmericanCancer Society has been at forefront of efforts to ensure palliative and patient-centered care. Bravo! #palliative #aahpm #hpm 5:07 pm Pallimed: From the @Pallimed Archives: RCT of Oxygen vs. Room Air (Delivered by a Concentrator) http://bit.ly/bLtj9d - study cited by Goldstein #hpm 5:08 pm MyrnaB23: Breathlessness did not differ in a study of oxygen vs room air. #hpm 5:09 pm ctsinclair: Breathlessness did not differ between those who got oxygen or free air. Oxygen may not be the key component. #hpm 5:09 pm hollyby: RT @Pallimed: @Pallimed Archives: RCT of Oxygen vs. Room Air (Delivered by Concentrator) http://bit.ly/bLtj9d - cited by Goldstein #hpm 5:09 pm MyrnaB23: QofL did not differ between those who used Room Air vs Oxygen #hpm 5:10 pm DianeEMeier: RT @hollyby: RT @ctsinclair: 419 M media impressions for the Early #Palliative Care in Lung #Cancer study published in @NEJM - http://bit.ly/bbRF9n #hpm 5:10 pm MyrnaB23: Oxygen is often used at EOL without proven benefit. Anecdotally it may also prolong the death. #hpm 5:10 pm dwensel: RT @ctsinclair: Breathlessness did not differ between those who got oxygen or free air. Oxygen may not be the key component. #hpmwthashtag.com/transcript.php?page_id=… 88/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! or free air. Oxygen may not be the key component. #hpm 5:10 pm renee_berry: Awesome Slides for the #hpm Tweetchat Wed 2/16/11 via @PracticalWisdom http://ow.ly/3ZDqd #hospice #palliative 5:10 pm equijada: Goldstein: Refractory breathlessness: o2 v RA The Lancet : Volume 376, Number 9743, 4 September 2010 http://bit.ly/gqQPfv #hpm 5:11 pm dwensel: RT @equijada: Goldstein: Refractory breathlessness: o2 v RA The Lancet : Volume 376, Number 9743, 4 September 2010 http://bit.ly/gqQPfv #hpm 5:11 pm renee_berry: Wendy Anderson, MD Wendy Anderson, MD. Assistant Clinical Professor Department of Medicine @UCSF #hcsmSV #hpm 5:12 pm equijada: Goldstein: Room Air Matches 02 for dyspnea relief http://bit.ly/hBmaLv #hpm 5:13 pm melissaglassey: RT @ctsinclair: Prelim Twitter #s from @AAHPM conf - 300+users, 2000+ tweets, 300k+ accounts reached, 2.3M potential impressions - thanks to all #hpm 5:14 pm MyrnaB23: Study in prolonged ventilation - prior to admission, median dependency for ADLs was 0. Very sobering on which to reflect #hpm 5:14 pm Pallimed: From @Pallimed Archives: Prognosis of prolonged mech ventilation http://bit.ly/cjjQNv 3 for 3 so far on state of the science! #hpm 5:14 pm hollyby: Unroe article in Annals of Internal Medicine, on one-year trajectory of prolonged mechanical ventilation patients- http://bit.ly/eQd5MR #hpm 5:15 pm MyrnaB23: Of the 56% of patients that survived on long term ventilation - 49% reported poor quality of life #hpm 5:15 pm dwensel: From @Pallimed Archives: Prognosis of prolonged mech ventilation http://bit.ly/cjjQNv 3 for 3 so far on state of the science! #hpm 5:16 pm ctsinclair: RT @hollyby: Unroe article in @AnnalsofIM , on 1-year trajectory of prolonged mechanical ventilation patients- http://bit.ly/eQd5MR #hpm 5:16 pm renee_berry: RT @MyrnaB23: Of the 56% of patients that survived on long term ventilation - 49% reported poor quality of life #hpm 5:17 pm DianeEMeier: RT @dwensel: RT @equijada: Goldstein: Refractory breathlessness: o2 v RA The Lancet : Volume 376, Number 9743, 4 September 2010 http://bit.ly/gqQPfv #hpm 5:17 pm equijada: One Year Trajectories of Care and Resource Utilization for Recipients of Prolonged Mechanical Ventilation http://bit.ly/fb70Uu #hpm 5:17 pm ctsinclair: Given high expectations from patients/families on outcomes from prolonged mech ventilation - impt to understand morbidity/mortality #hpm 5:17 pm dwensel: RT @MyrnaB23: Of the 56% of patients that survived on long term ventilation - 49% reported poor quality of life #hpm 5:17 pm ctsinclair: Anderson - One important weakness of the study is financial impact to the family. #hpm 5:20 pm equijada: "Its not just what the doctor tells me:" Factors that influ... : Critical Care Medicine http://bit.ly/dS4xWX #hpm 5:20 pm hollyby: Previously functional pts who recieved prolonged mechanical ventilation - high mortality (44%) and poor quality of life after one year. #hpm 5:20 pm suzanakm: RT @dwensel: RT @MyrnaB23: Of the 56% of patients that survived on long term ventilation - 49% reported poor quality of life #Hpm 5:20 pm dwensel: RT @equijada: "Its not just what the doctor tells me:" Factors that influ... : Critical Care Medicine http://bit.ly/dS4xWX #hpm 5:20 pm DianeEMeier: RT @ctsinclair: RT @hollyby: Unroe article in @AnnalsofIM , on 1-year trajectory of prolonged mechanical ventilation patients- http://bit.ly/eQd5MR #hpm 5:21 pm Pallimed: "Its not just what the doctor tells me:" Factors influence surrogate decisionwthashtag.com/transcript.php?page_id=… 89/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 5:21 pm Pallimed: "Its not just what the doctor tells me:" Factors influence surrogate decision makers from CriticalCareMedicine http://bit.ly/eAzWRR #hpm 5:21 pm emacartney: RT @capcpalliative: @AmericanCancer Society has been at forefront of efforts to ensure #palliative and patient-centered care. Bravo! #hpm 5:21 pm Pallimed: Dang. We missed the last one. 3 for 4. #hpm 5:21 pm suzanakm: RT @equijada: "Its not just what the doctor tells me:" Factors that influ... : Critical Care Medicine http://bit.ly/dS4xWX #Hpm 5:21 pm MyrnaB23: Surrogates estimated the patients likely survival at 69% - higher than actual CriticalCareMedicine http://bit.ly/eAzWRR #hpm 5:21 pm DianeEMeier: RT @dwensel: From @Pallimed Archives: Prognosis of prolonged mech ventilation http://bit.ly/cjjQNv 3 for 3 so far on state of the science! #hpm 5:22 pm ctsinclair: 79% recd prognostic info from docs, only 47% of families partially used that info to help with dec making #hpm 5:22 pm dwensel: RT @Pallimed: Dang. We missed the last one. 3 for 4. That is still great odds congrats #hpm 5:22 pm suzanakm: RT @DianeEMeier: RT @dwensel: From @Pallimed Archives: Prognosis of prolonged mech ventilation http://bit.ly/cjjQNv #Hpm 5:22 pm suzanakm: RT @ctsinclair: 79% recd prognostic info from docs, only 47% of families partially used that info to help with dec making #Hpm 5:23 pm ctsinclair: Multiple sources of information besides doctors prognostic info. Optimism, intuition, faith, patients appearance, responses #hpm 5:23 pm suzanakm: Surrogates want to be optimistic: perceive that this improves survival #Hpm 5:23 pm equijada: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% - higher than actual CriticalCareMedicine http://bit.ly/eAzWRR #hpm 5:24 pm suzanakm: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% - higher than actual CriticalCareMedicine http://bit.ly/eAzWRR #Hpm 5:24 pm ctsinclair: Patients History of Survival, intrinsic qualities, perceived will to live, power of support played role in surrogate decision making #hpm 5:24 pm renee_berry: RT @Pallimed: "Its not just what the doctor tells me:" Factors influence surrogate decision makers from CriticalCareMedicine http://bit.ly/eAzWRR #hpm 5:24 pm ctsinclair: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% - higher than actual CriticalCareMedicine http://bit.ly/eAzWRR #hpm 5:25 pm renee_berry: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% - higher than actual CriticalCareMedicine http://bit.ly/eAzWRR #hpm 5:25 pm suzanakm: Power of support was believed to help people get better: interesting that in physiatry literature supports this in brain injured pts. #Hpm 5:25 pm ctsinclair: Important take home about this study - we need to better understand/support/listen how family/surrogates make medical decisions #hpm 5:25 pm MyrnaB23: Provider-surrogate concordance about prognosis is often very poor. Info from providers is only one source fam usehttp://bit.ly/eAzWRR #hpm 5:26 pm Doctor_V: Dayyyy-am, these palliative folks are social #hpm 5:26 pm suzanakm: Conceptual model of prognostic communication: sharing understanding between parties. #Hpm 5:26 pm ctsinclair: Anderson - this data should inform the conceptual model of prognostic communication. Shared understanding v. unidirectional #hpm 5:26 pm suzanakm: Surrogates bring in multiple sources for their perceived prognosis of patient - far beyond what the doctor says. #Hpm 5:27 pm ctsinclair: RT @Doctor_V: Dayyyy-am, these palliative folks are social. "Yes we are! We do like to communicate after all." #hpmwthashtag.com/transcript.php?page_id=… 90/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! We do like to communicate after all." #hpm 5:27 pm nhdd: RT @ctsinclair - we need to better understand/support/listen how family/surrogates make medical decisions #hpm #HaveTheTalk 5:27 pm drpippa: Discussing prognosis with patients should not be unidirectional, but rather a discussion with pt and family. #hpm 5:27 pm equijada: Blood -- End-of-life experience of children undergoing stem cell transplantation for ... http://bit.ly/hgZ4nm #hpm 5:28 pm dwensel: RT @drpippa: Discussing prognosis with patients should not be unidirectional, but rather a discussion with pt and family. #hpm 5:28 pm ctsinclair: Everyone in #hpm go read @Doctor_V blog 33 Charts ? medicine. health. (social) media. http://bit.ly/eSgL9x You will learn a lot.I have. #hpm 5:28 pm suzanakm: RT @equijada: Blood -- End-of-life experience of children undergoing stem cell transplantation for ... http://bit.ly/hgZ4nm #Hpm 5:28 pm drpippa: RT @ctsinclair: Multiple sources of information besides doctors prognostic info. Optimism, intuition, faith, patients appearance, responses #hpm 5:29 pm ctsinclair: RT @equijada: Blood-End-of-life experience of children undergoing stem cell transplantation for ... http://bit.ly/hgZ4nm thanks Earl #hpm 5:29 pm klxmedia: Increasing Public Access To Quality Online Health Info RT @Doctor_V Dayyyy-am, these #palliative folks are social #hpm #HealthLit 5:29 pm jodyms: RT @ctsinclair: RT @Doctor_V: Dayyyy-am, these palliative folks are social. "Yes we are! We do like to communicate after all." #hpm 5:29 pm hollyby: RT @ctsinclair: Everyone in #hpm go read @Doctor_V blog 33 Charts ? medicine. health. (social) media. http://bit.ly/eSgL9x #hpm 5:30 pm Pallimed: Alright missed the last two articles in State of the Science. 3 for 5. #hpm 5:30 pm renee_berry: @Doctor_V :) thanks for the shout out Bryan! We #hpm folks appreciate it! 5:30 pm suzanakm: RT @klxmedia RT @Doctor_V Dayyyy-am, these #palliative folks are social #hpm #HealthLit #Hpm 5:31 pm dwensel: RT @equijada: Blood -- End-of-life experience of children undergoing stem cell transplantation for ... http://bit.ly/hgZ4nm #hpm 5:31 pm klxmedia: yes! RT @hollyby RT @ctsinclair Everyone in #hpm --> read @Doctor_V blog 33 Charts ? medicine. health. (social) media. http://bit.ly/eSgL9x 5:32 pm LZeefe: RT @ctsinclair: Everyone in #hpm go read @Doctor_V blog 33 Charts ? medicine. health. (social) media. http://bit.ly/eSgL9x You will learn a lot.I have. #hpm 5:55 pm suzanakm: RT @drpippa: Volandes work on dementia & cancer: patients who see realty of life prolonging care make different decisions. #Hpm 5:55 pm nhdd: RT @MyrnaB23: Compare: pts who received verbal narrative vs pts who viewed a video re EOL care options were more likely to prefer comfort care #hpm 5:55 pm MyrnaB23: Imagine carrying the videos on our IPads and watching WITH pts and families - observing and companioning #hpm 5:55 pm stales: RT @ctsinclair: Multiple sources of information besides doctors prognostic info. Optimism, intuition, faith, patients appearance, responses #hpm 5:56 pm stales: RT @ctsinclair: 79% recd prognostic info from docs, only 47% of families partially used that info to help with dec making #hpm 5:56 pm stales: RT @ctsinclair ctsinclair 419 mil. media impressions for the Early #Palliative Care in Lung #Cancer study published in @NEJM, holy cow #hpm 5:57 pm drpippa: Absolutely @nhdd: videos are meant to supplement conversations not replace Wendy Anderson MD @UCSF http://ow.ly/3ZEgG #hpm #HaveTheTalk 6:00 pm DianeEMeier: RT @Pallimed: Fantastic slidedeck made by @practicalWisdom for #HPMwthashtag.com/transcript.php?page_id=… 91/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 6:00 pm DianeEMeier: RT @Pallimed: Fantastic slidedeck made by @practicalWisdom for #HPM Tweetchat 2/16/2011 http://slidesha.re/hauJUz #hcsm 6:00 pm MyrnaB23: Tribble quote: Rxment of pneumonia in adv dementia confers av survival of 9 more mo; rendering hospice "inelgible" #hpm 6:00 pm dwensel: RT @DianeEMeier: RT @Pallimed: Fantastic slidedeck made by @practicalWisdom for #HPMTweetchat 2/16/2011 http://slidesha.re/hauJUz #hcsm #hpm 6:00 pm MyrnaB23: Twaddle and Tribble really need to publish together - but who would take it seriously? #hpm 6:02 pm hollyby: Video use in advance care planning in glioma pts. significantly impacted decisions - Volandes art in J Clin Onc http://bit.ly/gLtPMg #hpm 6:02 pm MyrnaB23: intr.v. twad·dled, twad·dling, twad·dles. To talk foolishly; prate. n. Foolish, trivial, or idle talk or chatter. #hpm 6:05 pm MeetVancouver: Todays our last day onsite for @AAHPM @HPNAInfo #hpm. Were here till 3pm; come by & tell us what you loved most about Vancouver! 6:05 pm comalliwrites: RT @suzanakm: RT @hollyby: Kids who die after stem cell transplant have more symptom burden and less end of life planning than non-SCT kids. #Hpm 6:05 pm MeaningComfort: Geriatric education?s future imperiled in Congress! Act now to help! (per Geripal) http://bit.ly/hxAFSJ #hpm 6:07 pm drpippa: RT @hollyby: Video use in advance care planning in glioma pts. significantly impacted decisions - Volandes art in J Clin Onc http://bit.ly/gLtPMg #hpm 6:09 pm nhdd: It is so great to see so many advance care planning tweets from the #hpm conference 6:12 pm drpippa: Challenge to evaluate evidence on agitation in dementia bc no clear agreement on definitions - mood/behavior/psychosis/etc #hpm 6:13 pm ctsinclair: @suzanakm I want the videos too #hpm 6:14 pm daleview: hey quality task force peeps - we need you over in rm 115 for committee meeting #hpm 6:16 pm equijada: @MyrnaB23 Twaddles Tweets are Twantanstic #fastlearner #hpm 6:17 pm AAHPM: Congrats PDIA Ntnl Leadership Award Winner Robert M. Arnold, MD, FAAHPM; PDIA Community Leadership Award Winner Ira Byock, MD, FAAHPM #hpm 6:19 pm AAHPM: Congrats to Distinguished Service Award Winner Charles Sasser, MD FACP FAAHPM #hpm 6:20 pm AAHPM: Congrats, Josefina B. Magno Distinguished Hospice Phys. Award Winner Charles V. Wellman, MD FAAHPM #hpm 6:21 pm AAHPM: Congrats to Lifetime Achievement Award Winner Charles F. von Gunten, MD PhD FACP FAAHPM #hpm 6:21 pm RossJeanette: Gonzalez extubation at home: we need to get commitment from Family and clinicians #HPM 6:22 pm AAHPM: Congrats to Excellence in Scientific Research in Palliative Care Award Winner Harvey M. Chochinov, MD PhD FRCPC FRSC #hpm 6:23 pm AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 6:23 pm drpippa: link for info on Volandes ACP videos - www.acpdecisions.org @equijada @myrnaB23 @ctsinclair @suzanakm #hpm 6:23 pm MyrnaB23: Award Winner Harvey M. Chochinov, MD PhD FRCPC FRSC is a Renaissance man #hpm 6:26 pm AAHPM: Congrats to AAHPM Presidential Citation Award Winners Senator Sharon Carstairs, Lynn Spragens and the American Cancer Society #hpmwthashtag.com/transcript.php?page_id=… 92/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! Carstairs, Lynn Spragens and the American Cancer Society #hpm 6:26 pm renee_berry: yes, congratulations RT @AAHPM Congrats to Humanities Award Winner @Atul_Gawande MD MPH MA #hpm 6:27 pm RossJeanette: Gonzalez home extubation: is autonomy respected? How and who are we helping? Do goals of care match? #HPM 6:29 pm renee_berry: Listening to @LisaDMorgan w/ @CAPCPalliative discussing the crucial importance of the language of #palliative care & staying on message #hpm 6:29 pm AAHPM: Special thanks to Developing Countries Scholars Quach Thanh Khanh, MD MS, Eddie Mwebesa, MMed MD ChB and Bishnu Dutta Paudel MD #hpm 6:30 pm renee_berry: "Stories resonate & that we have a lot of compelling ones to tell in #palliative care? - @LisaDMorgan w/ @CAPCPalliative #hpm 6:31 pm hollyby: RT @AAHPM: Special thx to Developing Countries Scholars Quach Thanh Khanh, MD MS, Eddie Mwebesa, MMed MD ChB & Bishnu Dutta Paudel MD #hpm 6:31 pm renee_berry: ?it?s easy to get into the jargon of the field, try to use every day language? @LisaDMorgan w/ @CAPCPalliative #palliative #hpm 6:31 pm RossJeanette: Gonzalez home extubation: cost to consider ventilator, nursing,RT, MD time and may need to check electric circuit of home #HPM 6:32 pm ssmithaahpm: Attending planning session for #AAHPM #HPNA Annual Assembly in Denver. Great leadership and ideas! #hpm 6:33 pm hollyby: Media training boot camp @AAHPM: Stay on message. Avoid jargon. Use plain language. Be confident. #hpm 6:36 pm RossJeanette: Gonzalez home extubation: have all IDT at time of withdrawing the ventilator, prepare family for postextubation scenarios #HPM 6:36 pm hollyby: Media training boot camp: "Bridging" = Transition from the media question, back to what you want to talk about. #hpm 6:41 pm DrJESimon: RT @ctsinclair: CPR preferences after having video viewing. #hpm (there may be some biases in patient selection) http://twitpic.com/41imdy 6:42 pm DrJESimon: @ctsinclair anyone found the ACP video on internet? They mentioned non- profit is producing it would be good to widely available utube?#hpm 6:43 pm RossJeanette: Home extubation: consider Proportional palliative sedation. As discussed in Ann int med 2009:151:421-424 #HPM 6:44 pm drpippa: Good advice for all communication! MT @hollyby: Media training @AAHPM: Stay on message. Avoid jargon. Use plain language. Be confident. #hpm 6:45 pm equijada: Scott Irwin @SanDiegoHospice : 9 - 25 pt helped : 1 pt harmed re: antipsychotics benefits v. risks #hpm 6:48 pm westr: RT @renee_berry: yes, congratulations RT @AAHPM Congrats to Humanities Award Winner @Atul_Gawande MD MPH MA #hpm 6:48 pm DrLaura04: Prelim Twitter #s from @AAHPM conf- 300+users, 2000+ tweets, 300k+ accts reached, #hpm @ctsinclair "thanks from those of us stuck at home!" 6:52 pm ctsinclair: RT @drpippa: link for info on Volandes ACP videos - www.acpdecisions.org cc @DrJESimon #hpm 6:53 pm drpippa: "black box warnings (on drugs) are not a do not enter sign, they are a proceed with caution sign." Scott Irwin @Sandiegohospice #hpm 6:56 pm KathleenPacurar: RT @AAHPM: Congrats to Lifetime Achievement Award Winner Charles F. von Gunten, MD PhD FACP FAAHPM #hpm 6:58 pm MyrnaB23: I remember when Charles was a Fellow - he dazzled us even then. Congrats my dear friend! #hpm 7:00 pm hollyby: Media training boot camp: Carefully choose which interviews you want to do, be very cautious with those that may be antagonistic. #hpm 7:00 pm DianeEMeier: RT @ctsinclair: RT @drpippa: link for info on Volandes ACP videos -wthashtag.com/transcript.php?page_id=… 93/112
  • 2/23/2011 7:00 pm Transcript for #hpm - What the Hashtag?! DianeEMeier: RT @ctsinclair: RT @drpippa: link for info on Volandes ACP videos - www.acpdecisions.org cc @DrJESimon #hpm 7:02 pm hollyby: Media relations toolkit on @CAPCpalliative website http://bit.ly/dEWfXd #hpm 7:02 pm DianeEMeier: RT @hollyby: Media training boot camp: "Bridging" = Transition from the media question, back to what you want to talk about. #hpm 7:02 pm DianeEMeier: RT @hollyby: Media training boot camp @AAHPM: Stay on message. Avoid jargon. Use plain language. Be confident. #hpm 7:03 pm DianeEMeier: RT @AAHPM: Congrats to AAHPM Presidential Citation Award Winners Senator Sharon Carstairs, Lynn Spragens and the American Cancer Society #hpm 7:06 pm dwensel: go over to http://www.aahpmblog.org/ and read about Facing Death. Just finished blog about session. #hpm 7:07 pm dwensel: please leave comments while you visit. #hpm 7:08 pm DianeEMeier: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 7:10 pm sgriz: Great news-congrats! RT @KathleenPacurar RT @AAHPM: Congrats to Lifetime Achievement Award Winner @CvonGunten, MD PhD FACP FAAHPM #hpm 7:11 pm DianeEMeier: RT @ctsinclair: CPR preferences after having video viewing. #hpm (there may be some biases in patient selection) http://twitpic.com/41imdy 7:11 pm gcooneymd: Agitation in dementia patients - wish there were better answers! Great presentation- check out slides if you missed it. #HPM 7:12 pm lfettig: Pallimed list of AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #hpm 7:12 pm gcooneymd: Bella Gelaterria: tonight is Persian Night - can you imagine the flavors??? #HPM 7:15 pm LVADone: RT @hollyby: Media training boot camp: Prepare by finding out about the interview beforehand. Think about the common questions for HPM. #hpm 7:15 pm LVADone: RT @hollyby: Media relations toolkit on @CAPCpalliative website http://bit.ly/dEWfXd #hpm 7:17 pm dwensel: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #hpm 7:21 pm dwensel: Now in physician leadership with Bull and Twaddle #hpm 7:22 pm dwensel: Leadership involves integrating, and delegating. #hpm 7:23 pm dwensel: Leadership models: The Servant Leader is a good model for our field. One who inspires, speak to vision and align goals. #hpm 7:24 pm gcooneymd: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #HPM 7:24 pm dwensel: It is not about control and management. Not about being the BOSS but being present for others and letting go of our ego. #hpm 7:25 pm dwensel: Leadership is about paying attention, and requires love of our organizations and people. #hpm 7:26 pm dwensel: Situational Leader: no single best style, most effective are those who adapt to bring out the best in others. #hpm 7:28 pm dwensel: Telling, selling, participating, and delegating are the characters of the situational leader. #hpm 7:28 pm DONALDHTAYLORJR: RT @drpippa: Wish you were at @DianeEMeiers Healthcare Reform talk today? I wrote up a quick summary for @aahpm blog http://tinyurl.com/5un7ytp #hpm 7:29 pm MeaningComfort: #hpm advocate says "Palliative care can start with diagnosis & allows restorative/curative treatment" gets people to want to know more.wthashtag.com/transcript.php?page_id=… 94/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! restorative/curative treatment" gets people to want to know more. 7:31 pm dwensel: Role of CEO and CMO. Critical relationship and good understanding of where the organization is going. #hpm 7:32 pm dwensel: CEO perspective: understanding the challenges they face and making the argument that Docs make a difference. #hpm 7:33 pm suzanakm: Listening to #Chochinov - Dignity and qualitative approaches... The rigor of doing qualitative analysis is remarkable! #Hpm 7:34 pm suzanakm: RT @dwensel: Telling, selling, participating, and delegating are the characters of the situational leader. #Hpm 7:34 pm dwensel: FourSeasons census of 250 with 5.5 FTEs and bill about 90% of FTF visits. #hpm 7:34 pm suzanakm: Chochinov: if you are doing qualitative research and havent gotten to the point that you hate the data, you havent looked deep enough #Hpm 7:35 pm ctsinclair: RT @dwensel: FourSeasons census of 250 with 5.5 FTEs and bill about 90% of FTF visits. Wow #hpm 7:36 pm ctsinclair: In case conferences session. Nice to see it thriving after starting from the PITSIG in 2006/7? #hpm 7:36 pm bachinsky: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 7:36 pm dwensel: Can build a model to support physicians by setting clear expectations about role and goal setting. #hpm 7:36 pm dwensel: RT @ctsinclair: In case conferences session. Nice to see it thriving after starting from the PITSIG in 2006/7? Thanks to You!!! #hpm 7:37 pm ctsinclair: Now up Dr. Christian Chen from @VCUMedicalNews "The guy who came in from the cold: Inaccurate prognostication with induced hypothermia" #hpm 7:39 pm ctsinclair: Induced/Therapeutic Hypothermia for patients after cardiac arrest first published in 2002. 55% v 39% favorable neuro outcome NNT 6 #hpm 7:39 pm dwensel: Having a job description is key. Sets clear expectations and base them on the ACGME competencies. #hpm 7:40 pm suzanakm: The most frequently downloaded article on @virtualhospice When death is near http://bit.ly/dZlOFX #Hpm 7:40 pm suzanakm: RT @ctsinclair: Dr. C. Chen @VCUMedicalNews "The guy who came in from the cold: Inaccurate prognostication with induced hypothermia" #Hpm 7:41 pm ctsinclair: RT @drpippa: Wish you were at @DianeEMeiers Healthcare Reform talk Fri? Quick summary for @aahpm blog http://tinyurl.com/5un7ytp #hpm 7:43 pm dwensel: To be effective in role of CMO must have time to lead with administrative support. #hpm 7:45 pm ctsinclair: Reliability of 2006 @AANMember guidelines may not reflect the current practice and outcomes of current post-cardiac arrest care - Chen #hpm 7:45 pm suzanakm: ABCDs: Humanities of care as core competencies in healthcare: attitude, ... #Hpm 7:45 pm degamuna: RT @hollyby: Media training boot camp @AAHPM: Stay on message. Avoid jargon. Use plain language. Be confident. #hpm 7:46 pm suzanakm: Chochinov: patients shared loss of purpose: this is the definition, of being an inanimate burdensome object - to be there w/o meaning. #Hpm 7:46 pm ctsinclair: Malignant EEG findings: Triphasic waves, burst suppression, alpha/theta/spindle, generalized suppression #hpm 7:46 pm suzanakm: RT @degamuna: RT @hollyby: Media training boot camp @AAHPM: Stay on message. Avoid jargon. Use plain language. Be confident. #Hpm 7:47 pm DrRobie: RT @ctsinclair: Induced/Therapeutic Hypothermia for patients after cardiacwthashtag.com/transcript.php?page_id=… 95/112
  • 2/23/2011 7:47 pm Transcript for #hpm - What the Hashtag?! DrRobie: RT @ctsinclair: Induced/Therapeutic Hypothermia for patients after cardiac arrest first published in 2002. 55% v 39% favorable neuro outcome NNT 6 #hpm 7:47 pm suzanakm: RT @ctsinclair @drpippa: Wish you were at @DianeEMeiers Healthcare Reform talk Fri? summary for @aahpm blog http://tinyurl.com/5un7ytp #Hpm 7:47 pm ctsinclair: Hypothermia may decrease the clearance of sedatives by effects on P450, decreased distribution volume - Chen #hpm 7:49 pm suzanakm: What does it take to have a reflective practice? To question and to have/practice humility CMAJ2010 182(11) #compassion #Hpm 7:49 pm equijada: RT @suzanakm: What does it take to have a reflective practice? To question and to have/practice humility CMAJ2010 182(11) #compassion #Hpm 7:50 pm Pallimed: Here is the free pdf to the 2006 @AANmember post cardiac arrest comatose survivors guidelines http://bit.ly/gWqZjk #hpm 7:50 pm suzanakm: RT @Pallimed: Here is the free pdf to the 2006 @AANmember post cardiac arrest comatose survivors guidelines http://bit.ly/gWqZjk #Hpm 7:51 pm dwensel: Now reviewing a plan to reduce cost of medications per day per participant from 8.50 down to 7.50. #hpm 7:51 pm suzanakm: #compassion is the deep acknowledgement of suffering in another partnered with the will to relief it. -Chochinov #Hpm 7:52 pm ctsinclair: @equijada @suzanakm I love that @CMAJ_News articles are all #openaccess free pdfs! #OA #hpm 7:52 pm PracticalWisdom: RT @suzanakm: #compassion is the deep acknowledgement of suffering in another partnered with the will to relief it. -Chochinov #Hpm 7:52 pm suzanakm: Chochinov- pathways to compassion: humanities, social sciences, arts... We are all different, we arrive there in unique ways. #Hpm 7:52 pm dwensel: After putting plan in place was able to get cost down to 6.86 and was a savings of 171k in one year. #hpm 7:53 pm suzanakm: RT @ctsinclair: @equijada @suzanakm I love that @CMAJ_News articles are all #openaccess free pdfs! #OA #Hpm 7:53 pm ctsinclair: Now up "Why hasnt my loved one died yet?" - Dr. Quy Tran fellow @Stanford - may sound callous, but families struggle w/ this often #hpm 7:54 pm ebonyjwriter: RT @ctsinclair: Congratulations to @AmericanCancer society for @AAHPM Presidential Citation award for funding many palliative care initiatives #Cancer #hpm 7:54 pm ctsinclair: Tran - Much of the problem may come from accuracy/estimates of prognostication. I need to get him connected with me and Paul Glare" #hpm 7:54 pm thedarkyew: RT @ctsinclair: Now up "Why hasnt my loved one died yet?" - Dr. Quy Tran fellow @Stanford - may sound callous, but families struggle w/ this often #hpm 7:54 pm Adeuxmains: RT @suzanakm: RT @ctsinclair: @equijada @suzanakm I love that @CMAJ_News articles are all #openaccess free pdfs! #OA #Hpm 7:55 pm suzanakm: RT @ctsinclair: "Why hasnt my loved one died yet?" - Dr. Tran fellow @Stanford - may sound callous, but families struggle w/ this often #Hpm 7:56 pm equijada: RT @suzanakm: RT @ctsinclair: "Why hasnt my loved one died yet?" - Dr. Tran fellow @Stanford - may sound callous, but families struggle w/ this often #Hpm 7:57 pm ctsinclair: Tran - Used many diff prognostic indices - "may tend to be less accurate, apply to groups, output not in helpful way to communicate" #hpm 7:57 pm suzanakm: RT @ctsinclair: Congrats @AmericanCancer society for @AAHPM Presidential Citation award for funding palliative care initiatives #Cancer #Hpm 7:58 pm ctsinclair: @ctsinclair Thanks for your RT from the #hpm conference. Muchwthashtag.com/transcript.php?page_id=… 96/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 7:58 pm ctsinclair: @ctsinclair Thanks for your RT from the #hpm conference. Much appreciated. 7:59 pm suzanakm: Advice from Dr. Foley to Chochinov: just put in your article physicians should just not be jerks -lessons from #Osler #Hpm 7:59 pm dwensel: Performance evaluation: Identify issues, set a plan, and have the person tell you how they will address issues and when. #hpm 8:00 pm ctsinclair: RT @suzanakm: Advice from Foley to Chochinov: just put in article physicians should just not be jerks-lessons from Osler #epatient #hpm 8:00 pm Nurse2103: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 8:00 pm suzanakm: Great questions: "what should I know about you as a person to help me take the best care of you that i can?" #Hpm 8:01 pm ctsinclair: Tran- "Make new survival estimates based on a change in patient status - most important to understand this is an iterative process" #hpm 8:02 pm jodyms: RT @suzanakm: Advice from Dr. Foley to Chochinov: just put in your article physicians should just not be jerks -lessons from #Osler #Hpm 8:02 pm ctsinclair: RT @Nurse2103: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD also online @Atul_Gawande and a fan of Radiohead! #hpm 8:02 pm suzanakm: Chochinov #Dignity question: "What should I know about you as a person to help me take the best care of you that I can?" #MDChat #Hpm 8:02 pm ctsinclair: @suzanakm would find many people may not know how to answer that question #hpm 8:02 pm suzanakm: RT @Nurse2103: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #Hpm 8:04 pm suzanakm: Congrats @Atul_Gawande #Hpm 8:04 pm MeaningComfort: Patient-centered care needs health insurers? compliance. 2 sobering NYTimes pieces http://nyti.ms/f4M1NN http://nyti.ms/fV7yBD #hpm 8:05 pm dwensel: We need to do behavioral interviews to help place the right person in the right job. #hpm 8:06 pm equijada: @suzanakm yes, I use this and yes @ctsinclair difficult to answer. I dont use this phrasing regularly #hpm 8:06 pm ctsinclair: Wow, this assembly helped me zoom past 11,000 tweets and I didnt even celebrate! ;-) #hpm 8:07 pm MeredithGould: @ctsinclair *confetti* (as @DrSnit would tweet!) #hpm 8:07 pm dwensel: RT @ctsinclair: Wow, this assembly helped me zoom past 11,000 tweets and I didnt even celebrate! ;-) YEA!!! #hpm 8:07 pm Nutrition4IBS: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 8:08 pm suzanakm: @equijada @ctsinclair - what wording do you use? #Hpm 8:08 pm suzanakm: RT @dwensel: We need to do behavioral interviews to help place the right person in the right job. #Hpm 8:08 pm equijada: @suzanakm I use this phrasing sometimes, "what makes you famous?" #hpm 8:09 pm dwensel: What does it mean to be a physician leader? Find the skill set, build relationship with CEO, servant leadership is best model. #hpm 8:09 pm annemiekeh: RT @suzanakm: Advice from Dr. Foley to Chochinov: just put in your article physicians should just not be jerks -lessons from #Osler #Hpm 8:11 pm equijada: @suzanakm @ctsinclair I use it how Chochinov states: "anything I should know about you to take better care of you..." #hpm 8:11 pm suzanakm: @equijada really? How does that work? Think it is Southern Cali specificwthashtag.com/transcript.php?page_id=… 97/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 8:11 pm suzanakm: @equijada really? How does that work? Think it is Southern Cali specific question? #Hpm 8:12 pm PracticalWisdom: Thank You! RT@renee_berry Awesome Slides for the #hpm Tweetchat Wed 2/16/11 via @PracticalWisdom http://ow.ly/3ZDqd #hospice #palliative 8:13 pm EllenRichter: The waters are so muddied! "Administration Seeks Clarity From Judge on #Health Ruling" http://nyti.ms/dK1qOW #HCR #hcsm #RNchat #MDchat #hpm 8:17 pm equijada: @suzanakm M e"what makes you famous?" Pt "I dont know" Me "everyone is famous for something.." Pt "Im a great mom" #hpm #somethinglikethat 8:17 pm PracticalWisdom: RT @equijada: @suzanakm M e"what makes you famous?" Pt "I dont know" Me "everyone is famous for something.." Pt "Im a great mom" #hpm #somethinglikethat 8:19 pm PracticalWisdom: @DianeEMeier:Thank you for the RT. Fantastic slidedeck made by @practicalWisdom for #HPM Tweetchat 2/16/2011 http://slidesha.re/hauJUz #hcsm 8:26 pm DianeEMeier: RT @suzanakm: #compassion is the deep acknowledgement of suffering in another partnered with the will to relief it. -Chochinov #Hpm 8:27 pm PracticalWisdom: @dwensel: Thank you for the RT of my Slides: #HPM Tweetchat 2/16/2011 http://slidesha.re/hauJUz #hcsm Wanted 2 show the 5 Star folks #HPM 8:28 pm PracticalWisdom: RT @equijada: @suzanakm @ctsinclair I use it how Chochinov states: "anything I should know about you to take better care of you..." #hpm 8:28 pm DianeEMeier: RT @gcooneymd: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #HPM 8:45 pm PracticalWisdom: @suzanakm: Susan, what makes you famous. : < ) #hpm 8:49 pm DianeEMeier: BBC on adv care planning and our own Bud Hammes! #hpm #palliative http://news.bbc.co.uk/2/hi/programmes/world_news_america/9402281.stm 8:53 pm daitpcg: RT @suzanakm: The most frequently downloaded article on @virtualhospice When death is near http://bit.ly/dZlOFX #Hpm 8:53 pm PracticalWisdom: So touched by the Ink coming @AAHPM. We often chat #HCSM & #HPM why MDs would Benefit from SoMe. These Tweets would make MD decision easy! 8:56 pm ssmithaahpm: Spectacular views at #AAHPM #HPNA closing plenary. Dont miss it! #HPM 8:57 pm daitpcg: RT @ctsinclair: RT @Nurse2103: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD also online @Atul_Gawande and a fan of Radiohead! #hpm 9:00 pm daitpcg: RT @dwensel: What does it mean to be a physician leader? Find the skill set, build relationship with CEO, servant leadership is best model. #hpm 9:02 pm daitpcg: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes! #hpm #palliative http://news.bbc.co.uk/2/hi/programmes/world_news_america/9402281.stm 9:12 pm lfettig: Highly rec using Canada line train to airport. Close to conv ctr, efficient, was 2.50 today. #hpm #vancouver 9:13 pm daitpcg: RT @dwensel: FourSeasons census of 250 with 5.5 FTEs and bill about 90% of FTF visits. #hpm 9:15 pm Vancouver_RT: RT @lfettig Highly rec using Canada line train to airport. Close to conv ctr, efficient, was 2.50 today. #hpm #vancouver 9:16 pm daitpcg: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 9:18 pm dwensel: Check out post at http://www.aahpm.org/apps/blog/?p=1031 just starting with session #hpm 9:27 pm Adeuxmains: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes! #hpm #palliative http://news.bbc.co.uk/2/hi/programmes/world_news_america/9402281.stmwthashtag.com/transcript.php?page_id=… 98/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! http://news.bbc.co.uk/2/hi/programmes/world_news_america/9402281.stm 9:28 pm Adeuxmains: RT @gcooneymd: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #HPM 9:38 pm hollyby: RT @lfettig: @Pallimed list of @AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #hpm 9:59 pm hollyby: Coming up... closing plenary for the @AAHPM and @HPNAinfo Annual Assembly! #hpm 10:06 pm StacyRemke: #hpm: peds highlights include tours of canuck pl, competencies shared, considering impact of dd on decision making. 10:29 pm maggiemahar: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 10:30 pm wbgleason: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 10:36 pm renee_berry: RT @maggiemahar: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 10:39 pm ctsinclair: At the last session of @AAHPM @HPNAinfo conference. Great times, good friends, good info. Reinvigorated to do good work at home. #hpm 10:39 pm revdoc: RT @ctsinclair: At the last session of @AAHPM @HPNAinfo conference. Great times, good friends, good info. Reinvigorated to do good work at home. #hpm 10:40 pm ctsinclair: Congrats @hollyby on your new letters. Holly Yang is now FAAHPM #hpm 10:42 pm ctsinclair: Now being awarded: @Atul_Gawande (in absentia) w/ @AAHPM Humanities award for article Letting Go and other efforts in palliative care #hpm 10:43 pm dwensel: It has been so much fun to follow all of you this year on twitterchat! #hpm 10:43 pm Pallimed: Letting Go: #Hospice medical care for dying patients in The New Yorker http://nyr.kr/dNGfSM from @atul_gawande #hpm 10:43 pm renee_berry: RT @Pallimed: Letting Go: #Hospice medical care for dying patients in The New Yorker http://nyr.kr/dNGfSM from @atul_gawande #hpm 10:43 pm ctsinclair: RT @dwensel: It has been so much fun to follow all of you this year on twitterchat! ill second that #hpm 10:44 pm dwensel: RT @Pallimed: Letting Go: #Hospice medical care for dying patients in The New Yorker http://nyr.kr/dNGfSM from @atul_gawande #hpm 10:45 pm dwensel: Can we get the final stats after the meeting? #hpm 10:46 pm ctsinclair: Now up @DianeEMeier from @CAPCPalliative presenting on "#Palliative Care: The View From The Hill" #gov20 #hpm 10:46 pm gcooneymd: Diane Meier: My year in Washington. Be at the table oe be on the menu! #HPM 10:46 pm ctsinclair: Funny! @DianeEMeier retitled her talk: "My Year in Washington: Be at the table or be on the menu" #hpm 10:47 pm hollyby: "The secret of the care of the patient is caring for the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm 10:48 pm LVADone: RT @Pallimed: Letting Go: #Hospice medical care for dying patients in The New Yorker http://nyr.kr/dNGfSM from @atul_gawande #hpm 10:48 pm ctsinclair: "The secret of the care of the patient is caring for the patient," - Francis Peabody Harvard University 1921 via @DianeEMeier #hpm 10:48 pm dwensel: RT @hollyby: "The secret of the care of the patient is caring for the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm 10:48 pm gcooneymd: Optics matter and language matters #HPM 10:48 pm renee_berry: there is no policy change with out public engagement - @DianeEMEier #hpmwthashtag.com/transcript.php?page_id=… 99/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! #hpm 10:48 pm ctsinclair: "We are not the audience; no public engagement, no policy change." - @DianeEMeier #hpm 10:48 pm revdoc: RT @hollyby: "The secret of the care of the patient is caring for the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm 10:49 pm renee_berry: there is no policy change with out public engagement - @DianeEMeier #palliative care advocacy #hpm 10:50 pm renee_berry: RT @revdoc RT @hollyby "The secret of the care of the patient is caring for the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm 10:50 pm ctsinclair: American Nurses Association: Nurses advance our profession to improve health for all - Meier #RNchat #hpm 10:50 pm renee_berry: "together we will play an active role in shaping the future of medicine" @DianeEMEier #palliative #hpm 10:51 pm LVADone: RT @hollyby: "The secret of the care of the patient is caring for the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm 10:51 pm LVADone: RT @ctsinclair: American Nurses Association: Nurses advance our profession to improve health for all - Meier #RNchat #hpm 10:52 pm ctsinclair: @maggiemahar thanks for tweeting/following from the AAHPM conference on #hpm Hospice and Palliative Medicine. Very appreciated 10:52 pm hollyby: The ends of U.S. medicine should be "To cure sometimes, relieve often, comfort always." - Meier #hpm 10:52 pm LVADone: RT @renee_berry: "together we will play an active role in shaping the future of medicine" @DianeEMEier #palliative #hpm 10:52 pm dwensel: RT @ctsinclair: American Nurses Association: Nurses advance our profession to improve health for all - Meier #RNchat #hpm 10:52 pm renee_berry: reasonable people can disagree @DianeEMeier #hpm 10:52 pm hollyby: RT @maggiemahar: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm 10:53 pm gcooneymd: Value = Quality/Cost #HPM 10:53 pm JEAlford: RT @renee_berry: reasonable people can disagree @DianeEMeier #hpm 10:53 pm dwensel: RT @gcooneymd: Value = Quality/Cost #hpm 10:53 pm ssmithaahpm: Congratulations to all of the new #AAHPM Fellows! #hpm 10:54 pm renee_berry: 1/5 of GDP is spent on healthcare @DianeEMeier #hpm 10:54 pm ctsinclair: RT @gcooneymd: Value = Quality/Cost and changes in both quality and cost are needed! #hpm 10:54 pm renee_berry: "healthcare spending is the number one threat to Americans quality of life & way of life" @DianeEMeier #hpm 10:54 pm renee_berry: RT @ssmithaahpm: Congratulations to all of the new #AAHPM Fellows! #hpm 10:54 pm LVADone: RT @AAHPM: Social media shows our community is alive and thriving #hpm 10:55 pm ctsinclair: 82-83 90-94 2001-4 all were big increase in total expenditures of health care on GDP. Wonder what the causes were? #hpm 10:55 pm mpf2011: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes, relieve often, comfort always." - Meier #hpm 10:55 pm ctsinclair: FYI, slides from @DianeEMeier for closing session not on @AAHPM website. Will try to encourage her to post online, open access. #hpm 10:55 pm LVADone: RT @GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospicewthashtag.com/transcript.php?page_id=… 100/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice 10:56 pm ctsinclair: no reform can be adequate without budgetary framework to consider both benefit and costs. Steurle and Bovbjerg - @HealthAffairs #hpm 10:56 pm dwensel: It would be great to get her stats and slides. #hpm 10:57 pm gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for service system #HPM 10:57 pm renee_berry: ?we are addicted to fee for service & we need to detox? @DianeEMeier #hcr #healthcare #hpm 10:57 pm ctsinclair: RT @gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for service system so we dont have seizures! #hcr #hpm 10:58 pm LVADone: RT @AAHPM: Sundance film features difficult and complex end-of-life issues http://nyti.ms/hn2D8i #hpm 10:58 pm ctsinclair: FYI to #hpm tweeters can add #hcr if your tweet is very reform minded or #gov20 if about new ways for govt to work #hpm 11:00 pm renee_berry: ?patients suffer, Charles Van Gunten says it?s ?medical torture? - @DianeEMeier #hpm 11:00 pm renee_berry: @DianeEMeier calls on the audience @AAHPM Assembly to engage the public w/social media for advocacy #hpm #advocate (open to all!) #hpm 11:00 pm ctsinclair: Conflict about use of term medical torture when suffering is not addressed in medicine - i dont like it myself, politics of fear #hpm 11:00 pm renee_berry: RT @ctsinclair FYI to #hpm tweeters can add #hcr if your tweet is very reform minded or #gov20 if about new ways for govt to work #hpm 11:00 pm ewidera: RT @ctsinclair: no reform can be adequate without budgetary framework to consider both benefit and costs. Steurle and Bovbjerg - @HealthAffairs #hpm 11:00 pm equijada: RT @ctsinclair: Conflict about use of term medical torture when suffering is not addressed in medicine - i dont like it myself, politics of fear #hpm 11:01 pm gcooneymd: Bend the cost curve: stop paying for things that dont work and capitation (ACOs, bundling) #HPM 11:01 pm renee_berry: @ctsinclair "medical torture" is very strong language & there is a strong situation (though I agree, may be too fear driven) #hpm 11:01 pm joshgriffin: RT @ctsinclair: FYI, slides from @DianeEMeier for closing session not on @AAHPM website. Will try to encourage her to post online, open access. #hpm 11:01 pm dwensel: RT @gcooneymd: Bend the cost curve: stop paying for things that dont work and capitation (ACOs, bundling) #hpm 11:01 pm ctsinclair: Compariative Effecitveness Research - became politcal football - rationing, death panels. #hpm 11:02 pm renee_berry: comparative effectiveness research helps us understand what is working & what is not working for quality patient care #hpm 11:03 pm ctsinclair: ?US political discourse not yet mature enough to support realistic discussion abt difficult subjects.? @Bob_Wachter via @DianeEMeier #hpm 11:03 pm renee_berry: @DianeEMeier discussing that doing nothing language is NOT helpful to anyone, it is simply not true #hpm 11:03 pm renee_berry: RT @ctsinclair: ?US political discourse not yet mature enough to support realistic discussion abt difficult subjects.? @Bob_Wachter via @DianeEMeier #hpm 11:04 pm gcooneymd: Detoxing in Affordable Care Act: bundled payment for an episode of care #HPM 11:04 pm ctsinclair: I would enourage #HPM Tweeters to follow @Bob_Wachter as a key leader in the hospitalist field. We need to work well with them. #hpmwthashtag.com/transcript.php?page_id=… 101/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! in the hospitalist field. We need to work well with them. #hpm 11:05 pm joshgriffin: RT @renee_berry: ?patients suffer, Charles Van Gunten says it?s ?medical torture? - @DianeEMeier #hpm 11:05 pm gcooneymd: More attn to quality, paying more for better quality #HPM 11:05 pm dwensel: @ctsinclair @Bob_Wachter Thanks for all the tweets to watch. It helps to know where to look. #hpm 11:06 pm hollyby: We need to think of ourselves as the solution to our health care system problem, not the stigmatized victim. - Meier #hpm 11:06 pm renee_berry: "these new delivery & payment models need us (#palliative care) or they will fail" @DianeEMeier #ACO #hpm 11:06 pm gcooneymd: RT @hollyby: We need to think of ourselves as the solution to our health care system problem, not the stigmatized victim. - Meier #HPM 11:07 pm renee_berry: RT @hollyby We need to think of ourselves as the solution to our health care system problem, not the stigmatized victim - @DianeEMeier #hpm 11:07 pm ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 11:07 pm dwensel: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 11:08 pm hollyby: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 11:08 pm renee_berry: improve access to #palliative care through persistence @DianeEMeier #hpm 11:08 pm gcooneymd: Joint Commision should require hospital to have a palliative care program and a contract with one or more hospices #HPM 11:08 pm renee_berry: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 11:09 pm consultdoc: @ctsinclair Kind of tough to have a continuum of care without Hospice and palliative care if the goal is truly improved outcomes! #hpm #hcr 11:09 pm ctsinclair: Clarity and Consistency of Language that speaks to the Concerns of our Audiences is Needed! - @DianeEMeier #hpm 11:10 pm renee_berry: "talking about the good death is completely ineffective communications for #hospice & #palliative care @DianeEMeier #hpm 11:10 pm gcooneymd: Palliative care and hospice are all about matching treatment to patient goals #HPM 11:10 pm hollyby: "Palliative care and hospice are about matching treatment to patient goals." - @DianeEMeier #hpm 11:10 pm ctsinclair: RT @gcooneymd: @JointCommision should require hospital to have a #palliative care program and a contract w/ #hospice #hcr #hpm 11:11 pm renee_berry: "it?s all about patient centered care, and not the throw away term, the actuality of it" - @DianeEMeier #hpm 11:11 pm ctsinclair: @consultdoc Exactly! Thanks for joining in. Feel free to stick around. #hpm 11:11 pm ctsinclair: @gcooneymd Cool @JointCommission is on Twitter. Hope they are listening. #hpm 11:11 pm gcooneymd: We need to work together and we need to speak with one voice #HPM 11:12 pm mpf2011: RT @hollyby: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 11:13 pm hollyby: RT @ctsinclair & @gcooneymd: @JointCommision should require hospital to have a #palliative care program & a contract w/ #hospice #hcr #hpm 11:13 pm gcooneymd: Action: submit public comments when asked #HPMwthashtag.com/transcript.php?page_id=… 102/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:13 pm gcooneymd: Action: submit public comments when asked #HPM 11:13 pm ctsinclair: So glad that @DianeEMeier made a strong ask to this audience to engage online and in Social media. #hpm 11:13 pm renee_berry: "we need to use social media, this is how we create the movement that will change policy" @DianeEMeier #hcsm #HealthLit #healthcare #hpm 11:13 pm renee_berry: #advocate RT @ctsinclair: So glad that @DianeEMeier made a strong ask to this audience to engage online and in Social media. #hpm 11:13 pm gcooneymd: Action: establish a relationship with your representatives #HPM 11:14 pm dwensel: RT@ctsinclair:So glad that @DianeEMeier made a strong ask to this audience to engage online and in Socialmedia.Not possible without you #hpm 11:14 pm ctsinclair: Submit public comments when asked - they are taken extremely seriously in Washington. Dont delete them like we all do - @DianeEMeier #hpm 11:14 pm hollyby: "Submit public comments when asked - they are taken extremely seriously in Washington." via @DianeEMeier #hcr #hpm 11:14 pm renee_berry: "our issue is more bipartisan than any other" - @DianeEMeier #palliative care advocacy #hcr #hpm 11:15 pm renee_berry: #BestPractice ?yes you should be tweeting AND yes you should meet in person? @DianeEMeier (create meaningful relationships!) #hpm 11:15 pm ctsinclair: I totally agree w/ @DianeEMeier online relationships are enhanced with offline meeting. Starting online can be a social lubricant #hpm 11:16 pm gcooneymd: Action: email your representatives when asked to do so. Dont delete that message, even on a busy day! #HPM 11:16 pm renee_berry: @ctsinclair @DianeEMeier also agree, but its not about schmooze its about collaboration to increase public access to quality info #hpm 11:17 pm myhealthsocial: RT @renee_berry: "we need to use social media, this is how we create the movement that will change policy" @DianeEMeier #hcsm #HealthLit #healthcare #hpm 11:17 pm hollyby: RT @renee_berry: ?yes you should be tweeting AND yes you should meet in person? @DianeEMeier (create meaningful relationships!) #hpm 11:17 pm Pallimed: Found alternative version of slides from @DianeEMeier http://bit.ly/h2IATi #hpm #hcr #reform 11:18 pm dwensel: RT @Pallimed: Found alternative version of slides from @DianeEMeier http://bit.ly/h2IATi #hpm #hcr #reform #hpm 11:18 pm gcooneymd: RT @renee_berry: "our issue is more bipartisan than any other" - @DianeEMeier #palliative care advocacy #hcr #HPM 11:18 pm ctsinclair: RT @renee_berry: #BestPractice ?yes you should tweet AND meet in person? @DianeEMeier (create meaningful relationships!) #hpm 11:19 pm renee_berry: ?the voice of the people is determinative so social media is a top priority? @DianeEMeier #hcr #HealthLit #hpm 11:19 pm equijada: Weak links -> strong links. Connect even if all connections are not meaningful. #letpassionfigureitout #hpm 11:19 pm ctsinclair: RT @suzanakm: @equijada @ctsinclair - what wording do you use? #Hpm not sure, more in the moment 11:19 pm klxmedia: RT @equijada: Weak links -> strong links. Connect even if all connections are not meaningful. #letpassionfigureitout #hpm 11:21 pm gcooneymd: HPM growth is an example of the art of the possible @dianeemeier #HPM 11:21 pm hollyby: What has happened in hospice and palliative care in the last 25 years is an example of the "art of the possible". via @DianeEMeier #hpm 11:22 pm ctsinclair: RT @hollyby: #Hospice and palliative care in the last 25yrs is example of the "art of the possible" via @DianeEMeier #hpmwthashtag.com/transcript.php?page_id=… 103/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! the "art of the possible" via @DianeEMeier #hpm 11:23 pm ctsinclair: Closing plenary speaker Dr. Jim Block "Gaining Institutional Understanding and Support for Palliative Care" #hpm 11:24 pm ctsinclair: Need to be addressing Long Term Care issues in @DianeEMeier talk and hopefully Dr. Jim Blocks talk will. #hpm 11:24 pm renee_berry: RT @hollyby #Hospice & palliative care in the last 25yrs is example of the "art of the possible" via @DianeEMeier #hpm 11:25 pm KatieBe_NC: RT @ctsinclair: Funny! @DianeEMeier retitled her talk: "My Year in Washington: Be at the table or be on the menu" #hpm 11:25 pm ctsinclair: RT @cmeadvocate: Top 100 learning tools for 2009 - http://slidesha.re/bo7Jd #ACMEETC cc @suzanakm @clsaarinen #MedEd #hpm 11:26 pm renee_berry: Dear @DianeEMeier thank you for such a strong call to action @AAHPM for our community to engage the public w/ social media -> #empower #hpm 11:27 pm ctsinclair: Block - Talking about the Flexner Report - "I was concerned that it had been lost. Glad to see many of you know about it." #hpm 11:27 pm Pallimed: Flexner Report - Wikipedia, the free encyclopedia http://bit.ly/eW9Mnb #hpm 11:28 pm ctsinclair: Flexner recd the adjusted 2011 equivalent of $6M to reform medical education from the Rockefellers - Block #hpm 11:28 pm hollyby: Flexner report pdf - http://bit.ly/hBCqlS Helped to change medical education in the US at the turn of the century. #hpm 11:29 pm dwensel: RT @hollyby: Flexner report pdf - http://bit.ly/hBCqlS Helped to change medical education in the US at the turn of the century. #hpm 11:31 pm renee_berry: #hpm Welcome Twitter Newbie--> @Stberns !! RT @Stberns making waves with my first palliative tweet 11:32 pm hollyby: RT @renee_berry: #hpm Welcome Twitter Newbie--> @Stberns !! RT @Stberns making waves with my first palliative tweet #hpm 11:33 pm ctsinclair: RT @stberns making waves with my first palliative tweet. #hpm "Awesome! Keep it up." #hpm 11:33 pm revdoc: RT @renee_berry: Dear @DianeEMeier thank you for such a strong call to action @AAHPM for our community to engage the public w/ social media -> #empower #hpm 11:34 pm joshgriffin: RT @ctsinclair: RT @stberns making waves with my first palliative tweet. #hpm "Awesome! Keep it up." #hpm 11:34 pm comalliwrites: RT @hollyby: "The secret of the care of the patient is caring for the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm 11:34 pm ctsinclair: Health care system moving into 40s/50s: had Blue Cross/Shield, stronger medical schools. Health care was a community affair - Block #hpm 11:34 pm gcooneymd: Jim Block we used to believe that healthcare is a community affair #HPM 11:35 pm gcooneymd: RT @renee_berry: Dear @DianeEMeier thank you for such strong call to action @AAHPM for our community to engage public w/ social media #HPM 11:35 pm renee_berry: RT @nhdd: It is so great to see so many advance care planning tweets from the #hpm conference 11:35 pm renee_berry: RT @nhdd: These videos are meant to supplement conversations not replace Wendy Anderson MD @UCSF http://ow.ly/3ZEgG #hpm #HaveTheTalk 11:36 pm ctsinclair: Blue Cross used to be community-rated everyone got insurance at same price. - Block #hpm 11:37 pm DrJerath: RT @hollyby: "The secret of the care of the patient is caring for the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm 11:38 pm renee_berry: @ctsinclair is about to tweet his 500th #hospice & #palliative care tweet forwthashtag.com/transcript.php?page_id=… 104/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:38 pm renee_berry: @ctsinclair is about to tweet his 500th #hospice & #palliative care tweet for @AHHPM ---> Thank you for such commitment! #hpm 11:39 pm joshgriffin: RT @ctsinclair: Health care system moving into 40s/50s: had Blue Cross/Shield, stronger medical schools. Health care was a community affair - Block #hpm 11:40 pm ctsinclair: RT @renee_berry: @ctsinclair abt to tweet 500th #hospice #palliative care tweet now I have to think of something smart to say. doh! #hpm 11:40 pm Catalyst4Growth: RT @renee_berry: reasonable people can disagree @DianeEMeier #hpm 11:40 pm Catalyst4Growth: RT @renee_berry: "healthcare spending is the number one threat to Americans quality of life & way of life" @DianeEMeier #hpm 11:40 pm joshgriffin: RT @gcooneymd: RT @renee_berry: Dear @DianeEMeier thank you for such strong call to action @AAHPM for our community to engage public w/ social media #HPM 11:41 pm ctsinclair: Block - "I remember so clearly the discussions about the decisions to make the first for-profit hospital" #hpm 11:41 pm ctsinclair: Block - It doesnt matter whether you are For profit or Non Profit, it matters how well you do the job. #hpm 11:42 pm joshgriffin: RT @renee_berry: @ctsinclair is about to tweet his 500th #hospice & #palliative care tweet for @AHHPM ---> Thank you for such commitment! #hpm 11:42 pm renee_berry: RT @ctsinclair Block - It doesnt matter whether you are For profit or Non Profit, it matters how well you do the job. #hpm 11:43 pm joshgriffin: RT @ctsinclair: Block - "I remember so clearly the discussions about the decisions to make the first for-profit hospital" #hpm 11:43 pm joshgriffin: RT @ctsinclair: Block - It doesnt matter whether you are For profit or Non Profit, it matters how well you do the job. #hpm 11:43 pm renee_berry: the healthcare system became a marketplace, a destructive dance that has no value Block #hpm 11:43 pm renee_berry: "I promise you, I will never call you a consumer" Block (THANK YOU!!!!) #hpm 11:44 pm ctsinclair: "When I first heard providers or consumers I felt it in my gut. I will never use those terms to describe you or patients" Block #hpm 11:44 pm gcooneymd: RT @renee_berry: the healthcare system became a marketplace, a destructive dance that has no value Block #HPM 11:44 pm joshgriffin: RT @ctsinclair: "When I first heard providers or consumers I felt it in my gut. I will never use those terms to describe you or patients" Block #hpm 11:45 pm equijada: Profit v non-profit. #meh Stack.cheddar (the good kind) #hpm 11:45 pm dwensel: RT @ctsinclair: "When I first heard providers or consumers I felt it in my gut. I will never use those terms to describe you or patients" Block #hpm 11:45 pm equijada: RT @renee_berry: "I promise you, I will never call you a consumer" Block (THANK YOU!!!!) #hpm 11:46 pm renee_berry: Block calls on #healthcare to run a hospital for your patients not a business for consumers #hpm 11:46 pm ctsinclair: RT @equijada: Profit v non-profit. #meh Stack.cheddar (the good kind) "huh?" #hpm 11:46 pm dwensel: Thanks @renee_berry it worked! #hpm 11:46 pm joshgriffin: RT @renee_berry: Block calls on #healthcare to run a hospital for your patients not a business for consumers #hpm 11:47 pm equijada: Urban Dictionary: stack cheddar http://bit.ly/h2w9aX = get the job done cc: @ctsinclair #hpmwthashtag.com/transcript.php?page_id=… 105/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:47 pm renee_berry: cool glad I could help!! Thanks so much for participating! RT @dwensel: Thanks @renee_berry it worked! #hpm 11:47 pm AlisynGayle: RT @renee_berry: Block calls on #healthcare to run a hospital for your patients not a business for consumers #hpm 11:48 pm ctsinclair: Block - Historical test sites for payment systems - NJ had DRG system. Rochester had lowest cost and good quality. DRG system won. #hpm 11:49 pm renee_berry: AMAZING to see everyone IRL! (got to go start head to grab my flight! Thank you everyone Im signing off) #hpm 11:49 pm dwensel: @renee_berry great to meet you and thanks again #hpm 11:49 pm joshgriffin: RT @renee_berry: AMAZING to see everyone IRL! (got to go start head to grab my flight! Thank you everyone Im signing off) #hpm 11:49 pm ctsinclair: RT @equijada: Urban Dict: stack cheddar http://bit.ly/h2w9aX = get job done. "I have no Financial disclosures, must stack cheddar" #hpm 11:50 pm ctsinclair: RT @dwensel: @renee_berry great to meet you and thanks again "she closed her computer she says good to meet you too" #hpm 11:51 pm dwensel: we need a few4serviceectomy in this country #hpm 11:52 pm ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 11:52 pm dwensel: "The container for meaning is a persons story" Naomi Racheal Riemen #hpm 11:52 pm kevdnguyen: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #Hpm 11:53 pm joshgriffin: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 11:53 pm dwensel: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 11:54 pm dwensel: We have the community but do we have the courage? #hpm 11:55 pm ctsinclair: @kevdnguyen Hey Kevin thanks for the RT. Everyone say Hi to Kevin. And follow him. He will have important things to say in the future #hpm 11:55 pm ctsinclair: RT @dwensel: We have the community but do we have the courage? "I do." #hpm 11:55 pm hollyby: Yes we do!!! RT @dwensel: We have the community but do we have the courage? #hpm 11:55 pm melanoma_mama: RT @renee_berry: @ctsinclair is about to tweet his 500th #hospice & #palliative care tweet for @AHHPM ---> Thank you for such commitment! #hpm 11:55 pm ssmithaahpm: Enjoyed connecting with everyone throughout the #AAHPM #HPNA Assembly. You inspire me. See you in Denver. #hpm 11:55 pm dwensel: @ctsinclair @kevdnguyen Hi Kevin #hpm 11:56 pm dwensel: @ssmithaahpm cant wait #hpm 11:56 pm hollyby: See you all in 2012 in Denver, Colorado at the @AAHPM and @HPNAinfo Annual Assembly!!! Thanks everyone!!! #hpm 11:57 pm dwensel: see you all in Denver cant wait for Wednesday nights now! #hpm 11:57 pm ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly Twitter Flurry in Denver March 7-10, 2012. Thanks again everyone for your tweeting! #hpm 11:58 pm equijada: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 11:58 pm equijada: @dwensel see you then. thx. Earl #hpm 11:59 pm annpetry: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes!wthashtag.com/transcript.php?page_id=… 106/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 11:59 pm annpetry: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes! #hpm #palliative http://news.bbc.co.uk/2/hi/programmes/world_news_america/9402281.stm 11:59 pm equijada: <fire hose off> #hpm Thanks @AAHPM 11:59 pm LVADone: RT @ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly Twitter Flurry in Denver March 7-10, 2012. Thanks again everyone for your tweeting! #hpm 11:59 pm joshgriffin: RT @ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly Twitter Flurry in Denver March 7-10, 2012. Thanks again everyone for your tweeting! #hpm February 20, 2011 12:03 am fbfukushima: RT @equijada: Goldstein: Refractory breathlessness: o2 v RA The Lancet : Volume 376, Number 9743, 4 September 2010 http://bit.ly/gqQPfv #hpm 12:03 am PracticalWisdom: David, look forward to your Tweets on Wed. nights RT@dwensel see you all in Denver cant wait for Wednesday nights now! #hpm 12:04 am joshgriffin: RT @PracticalWisdom: David, look forward to your Tweets on Wed. nights RT@dwensel see you all in Denver cant wait for Wednesday nights now! #hpm 12:05 am mad100: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 12:05 am ctsinclair: We now have a new @AAHPM president Ron Crossno. Great Job Sean. Good luck Ron! #hpm 12:08 am westr: RT @ctsinclair: @cmeadvocate: Top 100 learning tools for 2009 - http://slidesha.re/bo7Jd #ACMEETC #MedEd #hpm #pm101 12:08 am annpetry: ?@AAHPM: Congrats to AAHPM Presidential Citation Award Winners Senator Sharon Carstairs, Lynn Spragens and the American Cancer Society #hpm? 12:12 am annpetry: RT @AAHPM: Congrats to AAHPM Presidential Citation Award Winners Senator Sharon Carstairs, Lynn Spragens and the American Cancer Society #hpm 12:16 am daitpcg: RT @hollyby: What has happened in hospice and palliative care in the last 25 years is an example of the "art of the possible". via @DianeEMeier #hpm 12:19 am ctsinclair: Signing off. Thanks again all who participated. Going to enjoy some #Canucks Hockey tonight with @dwensel #hpm 12:19 am daitpcg: RT @ctsinclair: Flexner recd the adjusted 2011 equivalent of $6M to reform medical education from the Rockefellers - Block #hpm 12:20 am ctsinclair: @PracticalWisdom looking at the stats this weekend. Will have things to blog about forever from this conference #hpm 12:23 am daitpcg: RT @gcooneymd: Jim Block we used to believe that healthcare is a community affair #HPM 12:24 am daitpcg: RT @renee_berry: @ctsinclair is about to tweet his 500th #hospice & #palliative care tweet for @AHHPM ---> Thank you for such commitment! #hpm 12:24 am westr: RT @gcooneymd @renee_berry: the healthcare system became a marketplace, a destructive dance that has no value Block #HPM #pm101 12:30 am DianeEMeier: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 12:31 am dspacl: RT @ctsinclair: We now have a new @AAHPM president Ron Crossno. Great Job Sean. Good luck Ron! #hpm 12:32 am daitpcg: ?@ctsinclair: Block - It doesnt matter whether you r For profit or Non Profit, it matters how well you do the job. #hpm? Jobs Are Differentwthashtag.com/transcript.php?page_id=… 107/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! it matters how well you do the job. #hpm? Jobs Are Different 12:32 am daitpcg: RT @renee_berry: the healthcare system became a marketplace, a destructive dance that has no value Block #hpm 12:34 am DianeEMeier: RT @hollyby: What has happened in hospice and palliative care in the last 25 years is an example of the "art of the possible". via @DianeEMeier #hpm 12:34 am annpetry: ?@ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm?-this is SO true. 12:34 am daitpcg: ?@renee_berry: Block calls on #healthcare to run a hospital for your patients not a business for consumers #hpm? Quaint Notion? 12:35 am DianeEMeier: RT @dwensel: RT @Pallimed: Found alternative version of slides from @DianeEMeier http://bit.ly/h2IATi #hpm #hcr #reform #hpm 12:35 am DianeEMeier: RT @hollyby: "Submit public comments when asked - they are taken extremely seriously in Washington." via @DianeEMeier #hcr #hpm 12:36 am DianeEMeier: RT @hollyby: RT @ctsinclair & @gcooneymd: @JointCommision should require hospital to have a #palliative care program & a contract w/ #hospice #hcr #hpm 12:37 am DianeEMeier: RT @hollyby: "Palliative care and hospice are about matching treatment to patient goals." - @DianeEMeier #hpm 12:38 am DianeEMeier: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 12:40 am DianeEMeier: RT @gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for service system #HPM 12:41 am DianeEMeier: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes, relieve often, comfort always." - Meier #hpm 12:47 am dspacl: New oncogene in aggressive form of breast cancer @bbcnews http://www.bbc.co.uk/news/health-12503798 #hpm 12:51 am daitpcg: ?@renee_berry: Block calls on #healthcare to run hospital for patients not business for consumers #hpm? Seems like profiteers have prevailed 12:52 am daitpcg: RT @renee_berry: ?the voice of the people is determinative so social media is a top priority? @DianeEMeier #hcr #HealthLit #hpm 12:53 am daitpcg: RT @ctsinclair: So glad that @DianeEMeier made a strong ask to this audience to engage online and in Social media. #hpm 12:54 am daitpcg: ?@gcooneymd: Palliative care and hospice are all about matching treatment to patient goals #HPM? Stay on Message. 12:55 am drpippa: RT @hollyby: See you all in 2012 in Denver, Colorado at the @AAHPM and @HPNAinfo Annual Assembly!!! Thanks everyone!!! #hpm 12:57 am daitpcg: RT @ctsinclair: ?US political discourse not yet mature enough to support realistic discussion abt difficult subjects.? @Bob_Wachter via @DianeEMeier #hpm 1:00 am djsampson: Were proud! RT @hollyby: RT @ctsinclair: Congrats to ACS for @AAHPM Presidential Citation for palliative care http://is.gd/a0GXf0 #hpm 1:00 am ACSNews: Were proud! RT @hollyby: RT @ctsinclair: Congrats to ACS for @AAHPM Presidential Citation for palliative care http://is.gd/a0GXf0 #hpm 1:00 am daitpcg: ?@renee_berry: ?we are addicted to fee for service & we need to detox? @DianeEMeier #hpm Will capitation be new addiction? 1:03 am Catalyst4Growth: RT @renee_berry: #BestPractice ?yes you should be tweeting AND yes you should meet in person? @DianeEMeier (create meaningful relationships!) #hpm 1:03 am daitpcg: RT @ctsinclair: Now being awarded: @Atul_Gawande (in absentia) w/ @AAHPM Humanities award for article Letting Go and other efforts in palliative care #hpm 1:04 am VeryKaree: RT @ACSNews: Were proud! RT @hollyby: RT @ctsinclair: Congrats towthashtag.com/transcript.php?page_id=… 108/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 1:04 am VeryKaree: RT @ACSNews: Were proud! RT @hollyby: RT @ctsinclair: Congrats to ACS for @AAHPM Presidential Citation for palliative care http://is.gd/a0GXf0 #hpm 1:09 am sthrane: RT @hollyby: "Submit public comments when asked - they are taken extremely seriously in Washington." via @DianeEMeier #hcr #hpm 1:12 am sthrane: RT @renee_berry: ?the voice of the people is determinative so social media is a top priority? @DianeEMeier #hcr #HealthLit #hpm 1:14 am sthrane: RT @renee_berry: comparative effectiveness research helps us understand what is working & what is not working for quality patient care #hpm 1:21 am sthrane: RT @renee_berry: "healthcare spending is the number one threat to Americans quality of life & way of life" @DianeEMeier #hpm 1:23 am Kaviraj2: RT @renee_berry: Block calls on #healthcare to run a hospital for your patients not a business for consumers #hpm 1:23 am Kaviraj2: RT @renee_berry: the healthcare system became a marketplace, a destructive dance that has no value Block #hpm 1:24 am Kaviraj2: RT @nhdd: It is so great to see so many advance care planning tweets from the #hpm conference 1:24 am sthrane: RT @hollyby: Previously functional pts who recieved prolonged mechanical ventilation - high mortality (44%) and poor quality of life after one year. #hpm 1:25 am Kaviraj2: RT @renee_berry: #BestPractice ?yes you should be tweeting AND yes you should meet in person? @DianeEMeier (create meaningful relationships!) #hpm 1:35 am FIMDM: RT @ctsinclair: Graph of medical decisions before and after video assisted advanced care planning #hpm #HaveTheTalk http://twitpic.com/41ilqo 1:41 am lfettig: RT @dwensel: "The container for meaning is a persons story" Naomi Racheal Riemen #hpm 1:48 am morganbain: Gorgeous day in Vancouver today. Nice way to end a great AAHPM/HPNA conference. See yall in Denver in 2012 #hpm 2:05 am DrLaura04: RT @gcooneymd: HPM growth is an example of the art of the possible @dianeemeier #HPM 2:18 am DrLaura04: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 2:20 am DrLaura04: Palliative care and hospice are all about matching treatment to patient goals #HPM /via @gcooneymd "Exactly!" 2:24 am lfettig: Well deserved RT @ctsinclair: @AAHPM Humanities award awarded to @Atul_Gawande (in absentia) for article Letting Go/other efforts in #hpm 2:27 am nm_roadrunner: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes, relieve often, comfort always." - Meier #hpm 2:28 am nm_roadrunner: RT @gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for service system #HPM 2:38 am Kanzius: RT @ACSNews: Were proud! RT @hollyby: RT @ctsinclair: Congrats to ACS for @AAHPM Presidential Citation for palliative care http://is.gd/a0GXf0 #hpm 2:48 am drosielle: Whats palliative care? Leaving BC #HPM I had a 5min chat with customs officer about him going to Philippines to b w dying father. 3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via @fbfukushima @dwensel @djsampson @drpippa 3:01 am MeredithGould: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 3:04 am MeredithGould: RT @hollyby: "Palliative care and hospice are about matching treatment to patient goals." - @DianeEMeier #hpmwthashtag.com/transcript.php?page_id=… 109/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 3:20 am xshortyxRN: "Hey @ctsinclair, wont be in Vancouver, but will be watching #hpm from afar" 3:28 am xshortyxRN: #Hpm"Tell me your story" the four most important words in the English language - Block v#hpmonway #hpm 3:33 am DrSureshKumar: RT @hollyby: What has happened in hospice and palliative care in the last 25 years is an example of the "art of the possible". via @DianeEMeier #hpm 4:02 am mchwistek: RT @MeredithGould: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 4:04 am mchwistek: RT @lfettig: Well deserved RT @ctsinclair: @AAHPM Humanities award awarded to @Atul_Gawande (in absentia) for article Letting Go/other efforts in #hpm 4:05 am mchwistek: RT @ctsinclair: We now have a new @AAHPM president Ron Crossno. Great Job Sean. Good luck Ron! #hpm 4:06 am mchwistek: RT @gcooneymd: RT @renee_berry: the healthcare system became a marketplace, a destructive dance that has no value Block #HPM 4:07 am mchwistek: RT @Pallimed: Flexner Report - Wikipedia, the free encyclopedia http://bit.ly/eW9Mnb #hpm 4:07 am mchwistek: RT @hollyby: What has happened in hospice and palliative care in the last 25 years is an example of the "art of the possible". via @DianeEMeier #hpm 4:17 am WysWoods: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes, relieve often, comfort always." - Meier #hpm 4:46 am StacyRemke: RT @ctsinclair: RT @dwensel: We have the community but do we have the courage? "I do." #hpm 4:47 am StacyRemke: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 4:55 am equijada: RT @drosielle: Whats palliative care? Leaving BC #HPM I had a 5min chat with customs officer about him going to Philippines to b w dying father. 4:56 am alicesdada: RT @drosielle: Whats palliative care? Leaving BC #HPM I had a 5min chat with customs officer about him going to Philippines to b w dying father. 5:03 am marveleise: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of accountable care orgs and medical homes #hcr #hpm 5:28 am renee_berry: @hollyby absolutely! So fun for all of us friends to become friends. #hpm 5:33 am suzanakm: RT @ctsinclair: RT @cmeadvocate: Top 100 learning tools for 2009 - http://slidesha.re/bo7Jd #ACMEETC cc @suzanakm @clsaarinen #MedEd #hpm 6:11 am Nurse2103: RT @renee_berry: "together we will play an active role in shaping the future of medicine" @DianeEMEier #palliative #hpm 6:11 am Nurse2103: RT @renee_berry: "healthcare spending is the number one threat to Americans quality of life & way of life" @DianeEMeier #hpm 6:13 am CreatingBrains: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 6:14 am lfettig: Determinants of Medical Expenditures in the Last 6 Months of Life from Annals of IM http://bit.ly/foofM9 #HPM 6:16 am lfettig: Estimating Typical, Best-Case, and Worst-Case Scenarios for Patients with Metastatic Breast Cancer http://bit.ly/ed1d6V #hpm 6:26 am DianeEMeier: RT @lfettig: Determinants of Medical Expenditures in the Last 6 Months of Life from Annals of IM http://bit.ly/foofM9 #HPM 6:36 am suzanakm: Just discovered an iPad app for twitter: @tweetlibrary curates my tweets. I collected all from the #hpm conference http://bit.ly/dKkYcl #hpm 6:36 am suzanakm: RT @MyrnaB23: I remember when Charles was a Fellow - he dazzled uswthashtag.com/transcript.php?page_id=… 110/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! 6:36 am suzanakm: RT @MyrnaB23: I remember when Charles was a Fellow - he dazzled us even then. Congrats my dear friend! #hpm 6:37 am suzanakm: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #hpm 6:41 am suzanakm: #hpm bookclub was a success: all enjoyed @cuttingforstone - what book do you nominate for 2012? Use #hpmbook and submit your pick! 6:42 am suzanakm: RT @renee_berry: @hollyby absolutely! So fun for all of us friends to become friends. #hpm 6:43 am suzanakm: RT @lfettig: Determinants of Medical Expenditures in the Last 6 Months of Life from Annals of IM http://bit.ly/foofM9 #HPM 6:43 am suzanakm: RT @lfettig: Estimating Typical, Best-Case, and Worst-Case Scenarios for Patients with Metastatic Breast Cancer http://bit.ly/ed1d6V #hpm 10:18 am hosp_memorial: RT @ctsinclair: Now being awarded: @Atul_Gawande (in absentia) w/ @AAHPM Humanities award for article Letting Go and other efforts in palliative care #hpm 11:43 am doclake: RT @lfettig: Estimating Typical, Best-Case, and Worst-Case Scenarios for Patients with Metastatic Breast Cancer http://bit.ly/ed1d6V #hpm 11:43 am doclake: RT @lfettig: Determinants of Medical Expenditures in the Last 6 Months of Life from Annals of IM http://bit.ly/foofM9 #HPM 12:54 pm GriefHealing: Best from this weeks Twitter stream: #Caregiving and #Hospice http://bit.ly/ha1CoI #hpm 12:58 pm suganthibala: RT @westr RT @ctsinclair: @cmeadvocate: Top 100 learning tools for 2009 - http://slidesha.re/bo7Jd #ACMEETC #MedEd #hpm #pm101 1:59 pm cmeadvocate: Top 100 Tools for Learning in 2010 http://slidesha.re/dlKuxN (for @ctsinclair @westr and the #hpm #pm101 crowd ) 2:12 pm westr: RT @cmeadvocate: Top 100 Tools for Learning in 2010 http://slidesha.re/dlKuxN (for @ctsinclair @westr and the #hpm #pm101 crowd ) #hcsm 2:17 pm NetworkingCEO: If its all about who you know, isnt it time you met them? Dallas Networking Mixer http://bit.ly/gggNC4 #HPM 3:04 pm HearMeRoaring: RT @ctsinclair: "Tell me your story" the four most important words in the English language - Block via Conway #hpm 3:05 pm HearMeRoaring: RT @hollyby: "Palliative care and hospice are about matching treatment to patient goals." - @DianeEMeier #hpm 3:09 pm cduncan18: RT @ctsinclair: RT @kevhen63: Del Fabbro. Cachexia may be masked in obese cancer patients. CT can reveal "sarcopenia" - interesting #hpm 3:09 pm ctsinclair: So excited that the Denver Convention Center has Free Wifi for 2012 @AAHPM Meeting. cc @iknowdenver #hpm 3:13 pm DONALDHTAYLORJR: @ctsinclair great job letting folks who werent there follow #aahpm annual mtg #hpm 3:15 pm cduncan18: @ctsinclair. I love this exercise- sounds like a great conf! Ctsinclair- is everyone using slideshare? #hpm 3:18 pm cduncan18: RT @renee_berry: #SU2C RT @MeaningComfort "most #palliative care is needed by people that are NOT dying" - @DianeEMeier #hpm 3:27 pm cduncan18: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes, relieve often, comfort always." - Meier #hpm 3:28 pm cduncan18: RT @hollyby: RT @ctsinclair & @gcooneymd: @JointCommision should require hospital to have a #palliative care program & a contract w/ #hospice #hcr #hpm 3:30 pm cduncan18: RT @ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly Twitter Flurry in Denver March 7-10, 2012. Thanks again everyone for your tweeting! #hpmwthashtag.com/transcript.php?page_id=… 111/112
  • 2/23/2011 Transcript for #hpm - What the Hashtag?! tweeting! #hpm 3:44 pm MeaningComfort: RT @ctsinclair: RT @hollyby: #Hospice and palliative care in the last 25yrs is example of the "art of the possible" via @DianeEMeier #hpm 3:44 pm MeaningComfort: RT @renee_berry: "it?s all about patient centered care, and not the throw away term, the actuality of it" - @DianeEMeier #hpm 3:56 pm jodyms: RT @hjluks A Doctor at the Funeral - http://nyti.ms/fOISfX #hpm cc: @danielleorfi 3:57 pm doclake: RT @ctsinclair: So excited that the Denver Convention Center has Free Wifi for 2012 @AAHPM Meeting. cc @iknowdenver #hpm 4:17 pm PracticalWisdom: westr westr Thanks Bob RT @cmeadvocate:100 Tools/Learning in 2010 http://slidesha.re/dlKuxN (for @ctsinclair @westr and the #hpm #hcsm) 4:36 pm CTrivalle: RT @suzanakm: RT @equijada: Survival and Comfort After Treatment of Pneumonia in Advanced Dementia, Givens et al. 170 (13): 1102 http://bit.ly/fApNex #Hpm 4:59 pm MeetVancouver: Thanks #hpm delegates for a great meeting, hope you all had a fun time in Vancouver! Drop us a tweet when youre in town again! @AAHPM 6:00 pm suzanakm: How Doctors Should Deliver Bad News http://huff.to/dRh7Le via @huffingtonpost #mdchat #hpm 6:20 pm mpalko: What say YOU? RT @TheGr8Chalupa RT @ahier: Is social media & healthcare bad medicine? http://bit.ly/eLcnns #hcsm #hpm 6:50 pm keiko_kitayama: Acompanhando um caso de Síndrome Neuroléptica Maligna no plantão aqui do #HPM Que sorte, pra nunca mais esquecer viu. ;-) 7:58 pm daitpcg: RT @suzanakm: How Doctors Should Deliver Bad News http://huff.to/dRh7Le via @huffingtonpost #mdchat #hpm 8:07 pm dwensel: RT @suzanakm: How Doctors Should Deliver Bad News http://huff.to/dRh7Le via @huffingtonpost #mdchat #hpm 8:09 pm dwensel: @mpalko its like any information you get online. Just because someone claims to be and expert does not mean they are. Reader beware! #hpm 8:26 pm myvancouver: RT @MeetVancouver: Thanks #hpm delegates for a great meeting, hope you all had a fun time in Vancouver! Drop us a tweet when youre in town again! @AAHPM 8:27 pm klxmedia: RT @HealthSocMed New to #hcsm? (Sun 8pm CT) & view some of the prev topics discussed here: http://bit.ly/hcsmabout "try this #hpm peeps" 8:30 pm mpalko: @dwensel very true. This echoes your sentiment: http://ht.ly/3Z2jo #hpm 9:14 pm suzanakm: ?@PracticalWisdom: thanks for pointing it out! A lot of #hpm featured @PJ_medigital The Medigital Daily is out! http://bit.ly/c80GxI ?? 9:16 pm suzanakm: RT @ewidera: RT @hollyby: RT @DianeEMeier: Easing living with serious illness - latimes.com http://lat.ms/fPhRXg #palliative care is the answer #hpm 9:21 pm magarg: Que bueno es encontrarse con grandes y verdaderas amistades #HPM 9:24 pm magarg: entiéndase #HPM como Hijas del Patrocinio de Maria! ? 10:30 pm ctsinclair: RT @lfettig RT @mnt_cancer: @ASTROorg Palliative Rad For Bone Met Guideline http://mnt.to/3Rkq #cancer #hpm single frac? @subatomicdoc Powered by WTHashtag, A Microblink Property | Contactwthashtag.com/transcript.php?page_id=… 112/112