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MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
MDchat Transcript May 24, 2011
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MDchat Transcript May 24, 2011

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  1. #MDchatHealthcare Hashtag Twitter Transcript From: Tue May 24 18:00:00 PDT 2011 To: Tue May 24 19:05:00 PDT 2011 Customize transcript dates and layoutLearn more about #MDchat at The Healthcare Hashtag ProjectMD_Chat Welcome to #MDchat - Tonights chat is moderated by @PhilBaumann Well fire up the engines in a moment, but first introduce yourselves! Tue May 24 18:00:38 PDT 2011NateOsit Yello everyone, Nate here- Health IT geek, healthcare chat cheerleader extraordinaire! #MDchat Tue May 24 18:02:18 PDT 2011hjluks Howard Luks ... Orthopedist from NY Shld be an interesting hour #mdchat Tue May 24 18:02:18 PDT 2011EllenRichter Im encouraging the #RNchat followers to "tune in" to #MDchat tonite for some thoughts on medical & health professionals & social media use Tue May 24 18:03:14 PDT 2011RichmondDoc Mark, family doc in #RVA, here is a participant (as opposed to moderating); glad as always to be along for the ride. #MDChat Tue May 24 18:03:41 PDT 2011thehealthmaven Hi everyone! #mdchat how are you? Tue May 24 18:03:48 PDT 2011hjluks @thehealthmaven Lea... how are you... do u ever have chat burnout? :-) #mdchat Tue May 24 18:04:22 PDT 2011thehealthmaven @hjluks @RichmondDoc @NateOsit hi there! are you guys doing ok? #mdchat Tue May 24 18:04:30 PDT 2011EllenRichter Hi! Ellen here, a critical care nurse & legal nurse consultant living in S. Florida. I enjoy health related social media activities #MDchat Tue May 24 18:04:45 PDT 2011DrJonathan Hi #MDChat! Lurking tonight but wanted to say hello! Tue May 24 18:04:45 PDT 2011
  2. EllenRichter LOL I made my first intro without the hashtag....duh.... #MDchat Tue May 24 18:05:06 PDT 2011ocamsrazor Jon here, "unprofessional" maybe - but stellar internist! #mdchat #mdchat Tue May 24 18:05:21 PDT 2011NateOsit LOL! Shes a chat champ! RT @hjluks: @thehealthmaven Lea... how are you... do u ever have chat burnout? :-) #MDchat Tue May 24 18:05:24 PDT 2011jodyms @MJMudd checking the hashtags of topics youre interested in is one way. Up now is #MDChat Tue May 24 18:05:24 PDT 2011hjluks @DrJonathan shld b interesting chat... u wont be able to lurk for long :-) Congrats on graduation! #mdchat Tue May 24 18:05:34 PDT 2011MD_Chat OK, well get started in a moment. Two topics are planned, but first one might be a rocker ;) Please add T1, etc to responses. #MDchat Tue May 24 18:06:04 PDT 2011DrJonathan @hjluks Haha thank you! Its on Sunday! Maybe Ill join in after my phone call. #mdchat Tue May 24 18:06:09 PDT 2011thehealthmaven @hjluks well, I start to run out of steam around 9:30 pretty consistently :) #worklifebalance :) #mdchat Tue May 24 18:06:13 PDT 2011EllenRichter Thanks for the quick RTs, peeps! @jodyms @Colleen_Young @nickdawson #MDchat Tue May 24 18:06:22 PDT 2011RichmondDoc @thehealthmaven @hjluks @NateOsit Hi, Lea et al. Rocking group, as always. #MDChat Tue May 24 18:06:29 PDT 2011EllenRichter @ocamsrazor LOL I like your intro :) #MDchat Tue May 24 18:06:46 PDT 2011hjluks @thehealthmaven I did note the zzzzs on your post last night :-) #mdchat Tue May 24 18:06:46 PDT 2011MD_chat T1 Standards of Professionalism: See @Doctor_Vʼs http://mdch.at/iteMSJ What constitute “good” and “bad” conduct online? #MDchat Tue May 24 18:06:47 PDT 2011amyrnbsn Amy from NY. Happy to listen, excited to learn, and may share an opinion or two, or three... Hi. #MDChat Tue May 24 18:07:18 PDT 2011
  3. EllenRichter @DrJonathan Oh yes! Congrats! How exciting! :) #MDchat Tue May 24 18:07:25 PDT 2011KathyKastner #MDChat such a gr8 topic (TY @Doctor_V) doing dual duty with #mhsm Tue May 24 18:07:26 PDT 2011colleen_young @drpauldempsey Hi Paul do you know about #MDchat? It just started at 9pm ET. Not too late to join in if your interested whilst on staycation Tue May 24 18:07:45 PDT 2011hjluks Number of issues here... nature of post... chronicity or first time blunder, HIPAA, etc... #mdchat Tue May 24 18:07:58 PDT 2011ocamsrazor @EllenRichter its true, dont judge a book by the cover #mdchat Tue May 24 18:07:58 PDT 2011hjluks @amyrnbsn menu? :-) #mdchat Tue May 24 18:08:14 PDT 2011NateOsit @amyrnbsn Hi Amy! Glad you could make it! #MDchat Tue May 24 18:08:53 PDT 2011NursingCenter @EllenRichter Thanks Ellen ~ will follow along! #RNchat #MDchat Tue May 24 18:09:01 PDT 2011RichmondDoc T1 This post stream was interesting; I think the intro was a bit over the edge but the follow-up comments pushed it. #MDChat Tue May 24 18:09:16 PDT 2011amyrnbsn @NateOsit Hey. #MDChat Tue May 24 18:09:38 PDT 2011RichmondDoc T1 Talking about patients--specific patients--in such a way that their dignity and their privacy are invaded is unprofessional. #MDChat Tue May 24 18:09:52 PDT 2011RichmondDoc T1 But the little back and forth and "fish or cut bait" moved it fully into the unprofessional realm in my opinion. #MDChat Tue May 24 18:10:26 PDT 2011MD_chat @RichmondDoc Lots of comments on it. #mdchat Tue May 24 18:10:40 PDT 2011hjluks I think it was a clear HIPAA issue... everything else aside. Not mny priapism cases in Florida last night... just guessing :-) #mdchat Tue May 24 18:10:59 PDT 2011RichmondDoc T1 *If* we speak about patients, we should ensure to protect privacy and dignity of patients, and have a reason for doing so. #MDChat
  4. Tue May 24 18:11:16 PDT 2011hjluks @RichmondDoc started to feel like a sermo stream #mdchat Tue May 24 18:11:21 PDT 2011JayGordonMDFAAP #mdchat waiting for news from NYs 26th and watching comments here,too. Tue May 24 18:11:28 PDT 2011RichmondDoc @hjluks Absolutely a HIPAA risk. Anyone with a bit of time and a good browser could find details about this. #MDChat Tue May 24 18:11:45 PDT 2011NateOsit T1 What concerns me is how ppl who act carelessly online may reinforce their conduct with patients #MDchat Tue May 24 18:12:07 PDT 2011hjluks @JayGordonMDFAAP what am I missing in NY ??? #mdchat Tue May 24 18:12:28 PDT 2011EllenRichter T1 Its an important lesson to be learned by many of us in the medical community. Im just not sure it needed to be a trial by fire #MDchat Tue May 24 18:12:31 PDT 2011nickdawson #MDchat interloper here, though curious, is it the choice of venue or culture? Would same comments be questionable at dinner with friends? Tue May 24 18:12:48 PDT 2011hjluks Agree Ellen... and when I really had the chance to think about it... it would have been far more productive as a teaching moment #mdchat Tue May 24 18:13:31 PDT 2011akroundtree Agreed. “@RichmondDoc: T1 The little back and forth and "fish or cut bait" moved it fully into unprofessional #MDChat Tue May 24 18:13:51 PDT 2011NateOsit @nickdawson I think those in healthcare should strive for compassion wherever they are, whether on twitter or at dinner #MDchat Tue May 24 18:14:13 PDT 2011RichmondDoc @nickdawson I would be uncomfortable with such language at a dinner w/ friends...but more egregious b/c fully public commentary. #MDChat Tue May 24 18:14:17 PDT 2011ocamsrazor @EllenRichter agree, was thrown under the bus #mdchat Tue May 24 18:14:37 PDT 2011hjluks @nickdawson good Q Nick... It wld b in poor taste anywhere... IMHO. On a public omnipresent stream ... yikes #mdchat Tue May 24 18:14:51 PDT 2011EllenRichter T1 @hjluks Absolutely agree. Almost felt like there was a small amt of bullying which could have been focused on positive learning #MDchat Tue May 24 18:15:16 PDT 2011
  5. hjluks @ocamsrazor @EllenRichter good analogy... wld have been a gr8 teaching moment... and will be for me in future! #mdchat Tue May 24 18:15:27 PDT 2011RichmondDoc T1 Over time, Ive been following that account, but havent learned too much from it. Tends to be a bit too much pt info there. #MDChat Tue May 24 18:15:44 PDT 2011RichmondDoc T1 Again, how hard would it be to find a hospital doing large #s of liver transplants...not automatic, but not impossible. #MDChat Tue May 24 18:16:18 PDT 2011hjluks Most docs do not realize just how difficult de-identification of patient is! The more unusual the case, the easier to cross line #mdchat Tue May 24 18:16:47 PDT 2011RichmondDoc T1 I think discussions of patient care should be focused more on the big picture and what we might learn from working w/ patients... #MDChat Tue May 24 18:16:59 PDT 2011ocamsrazor But, I think skewed view here...plenty of "salty talk" accepted @hosp. we are doctors not monks! #mdchat Tue May 24 18:17:11 PDT 2011nickdawson @NateOsit @richmonddoc @hjluks - thanks for reaffirming my faith in ethics and decency! #mdchat Tue May 24 18:17:14 PDT 2011NateOsit T1 Ive also seen other examples, and feel bad she was singled out. Lets focus on collective improvement, not blame-game #MDchat Tue May 24 18:17:18 PDT 2011RichmondDoc T1 .... Im not sure that simply telling us the patients you saw adds much value to the disucssion. #MDChat Tue May 24 18:17:39 PDT 2011jinpack M1 student jumping in. #MDchat Tue May 24 18:17:52 PDT 2011hjluks @NateOsit vry true... but some, like reporters will seize the moment. #mdchat Tue May 24 18:18:09 PDT 2011MD_Chat T1 Follow-up The public doesnt always have full understanding of what docs do. How best to give "raw" sense w/o violating dignity? #MDchat Tue May 24 18:18:10 PDT 2011hjluks @jinpack jump! #mdchat Tue May 24 18:18:17 PDT 2011RichmondDoc @ocamsrazor I have not doubt these comments happen in real life...but would you do it on the elevator? In the lobby? #MDChat Tue May 24 18:18:19 PDT 2011
  6. ePatientDave @hjluks What, are you suggesting there are a lot of OLD people in FL?? :) #mdchat Tue May 24 18:18:50 PDT 2011MD_chat @jinpack Welcome! #MDchat Tue May 24 18:19:25 PDT 2011JayGordonMDFAAP #Mdchat Howard, significant election Polls just closed. Tue May 24 18:19:26 PDT 2011hjluks @ePatientDave nope... priapism not isolated to older folk :-) #mdchat Tue May 24 18:19:31 PDT 2011jinpack T1 followup: raw sense w/o damage: 1) anonymize patient, 2) think if patient saw comment would hesje be hurt? feel betrayed? #MDchat Tue May 24 18:19:31 PDT 2011rlbates Check out @movinmeat s response http://bit.ly/lThFAQ #MDchat Tue May 24 18:19:44 PDT 2011hjluks @JayGordonMDFAAP oops #mdchat Tue May 24 18:19:45 PDT 2011amyrnbsn T1 True, blog could have been written w/o identifying account, just the tweets for discussion. #MDChat Tue May 24 18:19:50 PDT 2011ocamsrazor @RichmondDoc @ocamsrazor No #mdchat Tue May 24 18:19:50 PDT 2011EllenRichter T1 @NateOsit I agree with you abt not singling out 1 culprit when there are many (much worse)...more productive to use examples #MDchat Tue May 24 18:19:52 PDT 2011akroundtree So the same concern if MD made jokes at a social gathering? RT @NateOsit: T1 careless action online may reinforce conduct with pts #MDchat Tue May 24 18:20:47 PDT 2011hjluks @rlbates @movinmeat saw that... puttin gas on the flames :-) But justified from a "shld hv been teaching moment perspective" etc #mdchat Tue May 24 18:20:57 PDT 2011RichmondDoc @ocamsrazor And I think thats where this crossed the line. We are all human, and will say things we regret. Need to be aware. #MDChat Tue May 24 18:21:15 PDT 2011jinpack @NateOsit I agree slingle out ≠ productive, but we tweet at own risk, following proportional to repercussions #MDchat Tue May 24 18:21:34 PDT 2011ocamsrazor @hjluks @ePatientDave I heard there is a black market for viagra in the nursing
  7. homes #mdchat Tue May 24 18:21:40 PDT 2011hjluks @JayGordonMDFAAP u running for office ? :-) #mdchat Tue May 24 18:21:44 PDT 2011EllenRichter T1 Were all learning how to navigate the social media ocean while maintaining professional decorum. It requires constant thought. #MDchat Tue May 24 18:22:40 PDT 2011rlbates @hjluks Should have begun teaching movement privately. #MDchat Tue May 24 18:22:52 PDT 2011RichmondDoc T1 If this were to be considered unprofessional, it would be for the same reasons that speaking in the lobby is unprofessional. #MDChat Tue May 24 18:23:26 PDT 2011jinpack @EllenRichter True, and if we give constant thought we avoid thoughtless acts #MDchat Tue May 24 18:23:29 PDT 2011EllenRichter @jinpack Hopefully! :) #MDchat Tue May 24 18:23:52 PDT 2011jinpack @RichmondDoc More like announcing to the world... #MDChat Tue May 24 18:23:59 PDT 2011DrPaulDempsey T1: No shop talk that you wouldnt have with patient in the room with family and a friend or two (of the patient) present #mdchat Tue May 24 18:24:03 PDT 2011thehealthmaven @JayGordonMDFAAP @hjluks that is the underpinning of the entire convo - the difficulty in de-identifying, uncertain protection #mdchat Tue May 24 18:24:13 PDT 2011RichmondDoc T1 May not be that these things are never said, but shouldnt be said in a public forum. And the flirt give/take is more unsettling #MDChat Tue May 24 18:24:20 PDT 2011TheNerdyNurse #mdchat T1 - social medial judgment is a skill practiced and learned just like clinical judgment - some start out better than others Tue May 24 18:24:23 PDT 2011hjluks @rlbates yes... or generically scrubbed for wider teaching moment. #mdchat Tue May 24 18:24:23 PDT 2011jinpack @TheNerdyNurse so true... #mdchat Tue May 24 18:24:47 PDT 2011hjluks @thehealthmaven @JayGordonMDFAAP @hjluks virtually impossible to de- identify that patient #mdchat Tue May 24 18:25:03 PDT 2011
  8. NateOsit @MD_Chat T1b Ok to discuss experiences, but show some respect, compassion, and some common sense. #MDchat Tue May 24 18:25:20 PDT 2011RichmondDoc T1 I think the importance of thoughtfulness/carefulness is key. What if the author was tired/post-call? Maybe no ill intent ... #MDChat Tue May 24 18:25:27 PDT 2011hjluks @thenerdynurse true... the fear mny of us have is that this will scare lurkers and newbies (eggs) away. #mdchat Tue May 24 18:25:49 PDT 2011jinpack @hjluks yup. I said, how many 36h priapism were seen by female asian anesthesiologists on 5.22? Totally identifiable #mdchat Tue May 24 18:25:55 PDT 2011RichmondDoc T1 ... but the end results expose too much about an individuals health issues are too personal. #MDChat Tue May 24 18:26:16 PDT 2011drpauldempsey T1: I try to give links and resources that I think are accurate, that patients may not come across on their own. #mdchat Tue May 24 18:26:29 PDT 2011hjluks @jinpack @hjluks in florida in lg hosp that performs ton of liver transplants #mdchat Tue May 24 18:26:33 PDT 2011TheNerdyNurse #mdchat T1 best to discuss PT care based upon collaborative examples to avoid HIPAA violations. Not specific encounters. Tue May 24 18:26:51 PDT 2011Doctor_V Whats the question? #MDchat Tue May 24 18:26:58 PDT 2011rlbates MT @RichmondDoc T1 If this were considered unprofessional, it would be for same reasons that speaking in lobby is unprofessional. #MDChat Tue May 24 18:27:09 PDT 2011peds_id_doc @NateOsit #mdchat I said my bit on @Doctor_V s blog, but the only thing truly lacking I saw was common sense! Tue May 24 18:27:10 PDT 2011NateOsit @akroundtree Id be concerned that the MDs lack of respect, yes. #MDchat Tue May 24 18:27:25 PDT 2011MD_chat @Doctor_V Main topic http://twitter.com/#!/MD_chat/status/73193260956385280 #mdchat Tue May 24 18:27:54 PDT 2011RichmondDoc T1b I think we *can* talk about pts, but carefully, discussing bigger issues through a pt presentation, and upon careful reflection. #MDChat Tue May 24 18:27:57 PDT 2011
  9. MeredithGould @Doctor_V To be...or not to be. #MDchat Tue May 24 18:27:58 PDT 2011jinpack @peds_id_doc Yep, sometimes that counts for everythig #mdchat Tue May 24 18:28:08 PDT 2011TheNerdyNurse @jinpack @hjluks how many PTs go online and google Asian anesthesiologist and priapism after their priapism? #MDchat Tue May 24 18:28:16 PDT 2011peds_id_doc @NateOsit #mdchat far worse examples out there to pick on. Why drag HER into public forum without notifying (couldve contacted her by DM)? Tue May 24 18:28:16 PDT 2011RichmondDoc T1b comments in the heat of the moment, when tired or not yet fully awake, or w/o reflection, are not the best ways to to it. #MDChat Tue May 24 18:28:28 PDT 2011rlbates @DrPaulDempsey That varies greatly depending on patient and family/friends. :) #MDchat Tue May 24 18:28:35 PDT 2011jinpack @TheNerdyNurse Not sure I understand your Q. Point was, patient identifiable via MDs twitter profile and other public info #MDchat Tue May 24 18:29:07 PDT 2011ditzydoctor @hjluks I agree! It is very difficult to completely de-identify a patient #mdchat Tue May 24 18:29:23 PDT 2011rlbates & sense of humor? RT @NateOsit @MD_Chat T1b Ok to discuss experiences, but show some respect, compassion, and some common sense. #MDchat Tue May 24 18:29:30 PDT 2011EllenRichter @Doctor_V We are discussing your very interesting blog post & its repercussions on the Twitter health professionals. Its been good! #MDchat Tue May 24 18:29:35 PDT 2011RichmondDoc @rlbates @DrPaulDempsey Which is why context, understanding, and discussion w/ patients/family is important. #MDChat Tue May 24 18:29:44 PDT 2011hjluks @thenerdynurse @jinpack @hjluks doesnt matter... #mdchat Tue May 24 18:29:56 PDT 2011akroundtree Yes. Anonymizing accounts is important. #mdchat | Is it Ethical to Use Public #Twitter Accounts w/o Consent? http://t.co/Wpa6UmB Tue May 24 18:30:23 PDT 2011thenerdynurse @jinpack I see. Im thinking more tree in the falling. Whether it makes a sound if no one hears. Guess it does. #mdchat Tue May 24 18:30:58 PDT 2011
  10. DrPaulDempsey True but I dont see myself having that convo with family #mdchat RT @rlbates: That varies greatly depending on patient and... Tue May 24 18:31:08 PDT 2011hjluks @akroundtree thats a vry different issue... If u hit the enter button, all expectations of privacy go away, #mdchat Tue May 24 18:31:25 PDT 2011nursefriendly @amyrnbsn Hello Everyone, Andrew Lopez, RN from Jersey :) #MDChat Tue May 24 18:31:28 PDT 2011jinpack @akroundtree I would advise against anonymizing ones account. Encourages carelessness #mdchat #Twitter Tue May 24 18:31:33 PDT 2011NateOsit @akroundtree My 2nd week working in a hospital, I made complaints about MDs and staff saying "crazy","gay","lame". Hurtful, IMO #MDchat Tue May 24 18:31:57 PDT 2011nursefriendly @amyrnbsn Hello Amy, lotsa familiar faces here . . . #MDChat Tue May 24 18:31:59 PDT 2011amyrnbsn T1 Tweets for comedic effect are tricky in the healthcare arena. Compassion first, then humor - if appropriate. #MDChat Tue May 24 18:32:02 PDT 2011hjluks @thenerdynurse yes... the infraction is the event... not if the patient actually sees it... or hears us in elevator, etc. #mdchat Tue May 24 18:32:06 PDT 2011MattMerg T1 Perhaps it is the doctors anonymity that is the root of the problem here. #MDChat Tue May 24 18:32:08 PDT 2011MD_Chat I think well continue with T1 - its a good flow, and there are rivulets of sub-topics. ;) #MDchat Tue May 24 18:32:14 PDT 2011peds_id_doc @RichmondDoc #mdchat unfortunately twitter (and FB statuses) lend themselves to in-the-moment posts. Certainly seen colleagues slip up. Tue May 24 18:32:24 PDT 2011EllenRichter T1 It doesnt matter if the patient never sees the comments. We cant make medical comments that identify a specific person #MDchat Tue May 24 18:32:32 PDT 2011nursefriendly Anonymous accounts are rarely anonymous to a professional investigator. They give a false sense of security. #MDChat Tue May 24 18:32:42 PDT 2011amyrnbsn I think so too. RT @MattMerg: T1 Perhaps it is the doctors anonymity that is the root of the problem here. #MDChat Tue May 24 18:32:59 PDT 2011
  11. hjluks @MD_Chat rivulets :-) ? #mdchat Tue May 24 18:33:00 PDT 2011TheNerdyNurse @akroundtree if you post it on twitter it should be considered public domain. Unless you are copying and claiming to try to sell #mdchat Tue May 24 18:33:03 PDT 2011amyrnbsn @nursefriendly Hello there! :) #MDChat Tue May 24 18:33:07 PDT 2011jinpack @akroundtree @hjluks the intent of Twitter is to publish as widely as can, get retweets/follows. Not privacy #mdchat #Twitter Tue May 24 18:33:13 PDT 2011peds_id_doc @nursefriendly #mdchat Ive always posted under real name, sometimes to my chagrin, but thats how you learn. Tue May 24 18:33:34 PDT 2011MattMerg T1 People tend to watch what they say when their faces and real names are attached to their posts. #MDChat Tue May 24 18:33:59 PDT 2011nursefriendly t1 @RichmondDoc Youd think that doctors could keep it all hypothetical and leave identifying information out of it. #MDChat Tue May 24 18:34:01 PDT 2011akroundtree Yes. Comm 101: different venues /media call for different decorum. “@RichmondDoc: T1 Shouldnt be said in a public forum. #MDChat” Tue May 24 18:34:03 PDT 2011Doctor_V @peds_id_doc The medium is not an excuse for irresponsible conduct. Very weak argument #MDchat Tue May 24 18:34:13 PDT 2011Dr_Mum #MDchat T1 So should we go anon or not? Can we just not mention that part of our lives at all? Tue May 24 18:34:22 PDT 2011RichmondDoc @peds_id_doc Which I think is why writing about patient issues may be better done in a blog or a book. Gawande writes about pts ... #MDChat Tue May 24 18:34:23 PDT 2011drpauldempsey I also give a glimpse of the other stuff I do: committees, CME, legal work etc. Patients seem to like the peak behind the scene #mdchat Tue May 24 18:34:30 PDT 2011RyanMadanickMD Sorry All...coming in late tonight!! #mdchat Tue May 24 18:34:36 PDT 2011EllenRichter Haha...I thought the same thing :) RT @hjluks: @MD_Chat rivulets :-) ? #MDchat Tue May 24 18:34:45 PDT 2011 @nursefriendly hypothetical? identifiable? NO matter. If it could hurt patient
  12. jinpack feelings, dont tweer #MDChat Tue May 24 18:34:50 PDT 2011MD_chat T1 How practical is de-identification? Especially if a physician is publishing real- time (or close to it)? #MDchat Tue May 24 18:34:51 PDT 2011RichmondDoc @peds_id_doc ... and he writes eloquently. But he writes upon reflection, and ties patients experiences to bigger issues. #MDChat Tue May 24 18:35:06 PDT 2011TheNerdyNurse @MattMerg keeps you honest. And hopefully more accountable #mdchat Tue May 24 18:35:09 PDT 2011peds_id_doc @Doctor_V #mdchat not saying its an excuse, but there were better ways to handle it (both sides, before and after). Tue May 24 18:35:15 PDT 2011RyanMadanickMD @MD_Chat T1: I like to recall the "Flea" fiasco... #mdchat Tue May 24 18:35:31 PDT 2011RichmondDoc @MD_Chat I would never try and de-identify. If I wanted to make a point via pt. presentation, I would invent a patients case. #MDChat Tue May 24 18:35:36 PDT 2011amyrnbsn @RichmondDoc @peds_id_doc yes, too easy to misinterpret in 140, too easy to express wrong tone in 140. #MDChat Tue May 24 18:35:38 PDT 2011peds_id_doc @Doctor_V #mdchat an ideal situation - she gets a private DM, deletes tweets, no one else knows. Instead...here we are on MDchat. Tue May 24 18:35:49 PDT 2011nursefriendly T1@NateOsit Lotsa examples of HCPs getting careless unfortunately. #MDchat Tue May 24 18:35:54 PDT 2011jinpack @rlbates Yes, but not in medicine where accountability & transparency matter to patient care #hcsm #MDchat Tue May 24 18:36:06 PDT 2011Doctor_V #MDchat Deidentification of pt info hard enough without real time element Tue May 24 18:36:18 PDT 2011ditzydoctor @rlbates @nateosit @md_chat sense of humour is v impt! :) #mdchat Tue May 24 18:36:36 PDT 2011NateOsit T1 If you note your practicing location, time of tweet + your specialty is plenty of PHI to constitute HIPAA violation #MDchat Tue May 24 18:36:42 PDT 2011MattMerg De-identification of a patient is near impossible;but promoting a culture of willing self-identification amongst docs O/L is easier #MDChat Tue May 24 18:36:42 PDT 2011
  13. hjluks @peds_id_doc @Doctor_V on the other hand... all flames aside... it can be a good teaching moment. #mdchat Tue May 24 18:36:47 PDT 2011TheNerdyNurse #mdchat T1 every time I see someone tweet about a PT they "just saw" I get a little uneasy. Putting themselves and pts at risk. Tue May 24 18:36:49 PDT 2011nursefriendly T1 @EllenRichter So much of it is just plain common sense, you wonder what people are thinking at times. #MDchat Tue May 24 18:37:02 PDT 2011PracticalWisdom Lisa Trainer/Public Speaker. Topic was so G8 could not stay away. #MDchat Tue May 24 18:37:15 PDT 2011jackiefox12 Im a patient, not a health care professional. I would never go near a doc who thinks broadcasting juvenile tweets about pts is ok. #mdchat Tue May 24 18:37:35 PDT 2011jinpack T1 If it really is valuable teaching material, why not involve patients permission, let them control deidentification #MDchat Tue May 24 18:38:00 PDT 2011Neil_Mehta Professionalism means putting pts interest above docs personal interest. whose interest was served by putting this info on twitter #mdchat Tue May 24 18:38:08 PDT 2011hjluks @jackiefox12 thx 4 joining in Jackie #mdchat Tue May 24 18:38:10 PDT 2011Doctor_V what would Flea do on Twitter, I wonder “@ryanmadanickmd: @MD_Chat T1: I like to recall the "Flea" fiasco... #mdchat” Tue May 24 18:38:19 PDT 2011hjluks @jinpack u can do that... #mdchat Tue May 24 18:38:33 PDT 2011peds_id_doc @doctor_v #mdchat actually, I retract that. Ideal situation is it doesnt get tweeted in the first place. No arguments there :-/ Tue May 24 18:38:38 PDT 2011nursefriendly @peds_id_doc Ive been posting to listserv discussion groups for decades, and one of the first things you learn is to say only what #mdchat Tue May 24 18:39:18 PDT 2011TheNerdyNurse @jinpack T1 agree. Many PTs would be honored to be used as a teaching tool #mdchat Tue May 24 18:39:21 PDT 2011PracticalWisdom T1: Even if not giving "real name" this can help increase some Patient Fears re: MDs. @hjluks as U said "dont be stupid." #MDchat Tue May 24 18:39:26 PDT 2011
  14. Doctor_V @jackiefox12: Im a pt, not a health care pro. I would never go near a doc who thinks broadcasting juvenile tweets about pts is ok. #mdchat Tue May 24 18:39:33 PDT 2011MD_Chat T1 Lets assume tweets, etc. are de-identified (*letter* of law (HIPAA)): what about the *spirit* of patient dignity? #MDchat Tue May 24 18:39:48 PDT 2011jinpack @hjluks I know patients already volunteer in teaching, just questioning of tweets about them on the fly is wise at all #mdchat Tue May 24 18:39:49 PDT 2011nursefriendly @peds_id_doc to say only what you would in public, because all posts will be visible and archived for a very long time to come. #mdchat Tue May 24 18:40:00 PDT 2011NateOsit +1 RT @thenerdynurse: @jinpack T1 agree. Many PTs would be honored to be used as a teaching tool #MDchat Tue May 24 18:40:00 PDT 2011RN_ing Nurse comment here: twitter is for democratization of the message ....consider that, and not policing the talk...#mdchat Tue May 24 18:40:05 PDT 2011hjluks @PracticalWisdom my own personal filter... :-) #mdchat Tue May 24 18:40:09 PDT 2011JayGordonMDFAAP #mdchat I ask pts to follow me on Twitter. Give them heads up about kids tummy bug of the week. MD anonymity is not good. Tue May 24 18:40:36 PDT 2011jinpack T1 what about "spirit": Im pretty sure our JOB is to look out for pts best interest... #MDchat Tue May 24 18:40:53 PDT 2011Doctor_V We have a commitment that goes well above HIPAA #MDchat Tue May 24 18:40:54 PDT 2011nursefriendly @RichmondDoc Ha, ha, you dont have lunch at the nurses station too often do you Mark? Laypeople lose their appetites. #MDChat Tue May 24 18:40:57 PDT 2011RichmondDoc @MD_Chat T1 The spirit of our responsibility and professionalism should trump HIPAA; this stream shouldnt have come out at all IMO. #MDChat Tue May 24 18:40:58 PDT 2011hjluks @MD_Chat no brainer... every post I place on Tw/blog/FB I assume the next patient is seeing.... #mdchat Tue May 24 18:41:18 PDT 2011NateOsit T1 Docs not respecting patients should be subject to community response. Call out bad apples. #MDchat Tue May 24 18:41:33 PDT 2011
  15. RyanMadanickMD Good advice Howard RT @hjluks: @MD_Chat no brainer... every post I place on Tw/blog/FB I assume the next patient is seeing.... #mdchat Tue May 24 18:41:35 PDT 2011jinpack Good tip: RT @hjluks: @MD_Chat no brainer... every post I place on Tw/blog/FB I assume the next patient is seeing.... #mdchat Tue May 24 18:41:40 PDT 2011peds_id_doc @hjluks @doctor_v #mdchat I think it has been a teaching moment for all. Dont mean to flame - diff of opinion not necc disrespect. Tue May 24 18:41:45 PDT 2011rlbates Humor and respect are mutually exclusive RT @jinpack: @rlbates Yes, but not in medicine where accountability & t.... #hcsm #MDchat Tue May 24 18:41:59 PDT 2011RyanMadanickMD T1: "In order to care FOR people, you first have to care ABOUT people." -- Claude Botha (conference @UNC_Health_Care 05/24/11) #mdchat Tue May 24 18:42:05 PDT 2011Doctor_V “@NateOsit: T1 Docs not respecting patients should be subject to community response. Call out bad apples. #MDchat” Tue May 24 18:42:08 PDT 2011akroundtree Thanks for sharing that. We need more "do unto others" filters. “@NateOsit: MDs and staff saying "crazy","gay","lame". Hurtful, IMO #MDchat” Tue May 24 18:42:21 PDT 2011hjluks @peds_id_doc understood :-) Im calm :-) LOL #mdchat Tue May 24 18:42:31 PDT 2011macobgyn Act like you do all day everyday. Be normal. #mdchat Tue May 24 18:42:43 PDT 2011thenerdynurse #mdchat T1 transparency on twitter encourages greater thought and better tweets. Be true to yourself, honest, its just easier. Tue May 24 18:42:46 PDT 2011nursefriendly @jinpack You would think people would be more sensitive. If they think - anonymous, they may feel there is no risk/repercussions #MDChat Tue May 24 18:42:51 PDT 2011jinpack @rlbates not neccesarily, humor to cheer up patient =professional. laughing at patients expense =Not #MDchat Tue May 24 18:43:19 PDT 2011NateOsit Well said! RT @Doctor_V: We have a commitment that goes well above HIPAA #MDchat Tue May 24 18:43:40 PDT 2011PracticalWisdom @Doctor_V @NateOsit: She also states she is an anesthesiologist. What might she say when they are asleep. Pt Very Vulnerable. #MDchat Tue May 24 18:43:42 PDT 2011
  16. RichmondDoc T1 We can laugh and share *with* patients, but necessary to know them well, and to have a long-term relationship. #MDChat Tue May 24 18:43:49 PDT 2011rlbates In a respectful manner @NateOsit T1 Docs not respecting patients should be subject to community response. Call out bad apples. #MDchat Tue May 24 18:44:12 PDT 2011RichmondDoc T1 At the end of the day: what would this patient think if/when they saw their case invoked in public? Would they be OK with this? #MDChat Tue May 24 18:44:14 PDT 2011Doctor_V Patient input sorely missing in this dialog #MDchat Tue May 24 18:44:19 PDT 2011PracticalWisdom @doctorakerkar @jinpack @rlbates Laughing At now with the Patient. #MDchat Tue May 24 18:44:39 PDT 2011ryanmadanickmd @PracticalWisdom *SHE* interestingly doesnt think shes being unprofessional #MDchat Tue May 24 18:44:40 PDT 2011DotWonder “@PhilBaumann: Tonight on #MDchat well talk about @doctor_vs Unprofessional Physician Behavior on Twitter http://t.co/23FhQrs” Tue May 24 18:44:40 PDT 2011DrSnit @Doctor_V Patient input sorely missing in this dialog -> because it is called #MDchat Tue May 24 18:45:05 PDT 2011hjluks @Doctor_V we have one patient, Jackie with us tonight... shld b many more @epatientdave #mdchat Tue May 24 18:45:06 PDT 2011jinpack @Doctor_V Agree, if worth public discourse, worth patient involvement. #MDchat Tue May 24 18:45:13 PDT 2011RyanMadanickMD Oh shush Snit :-) RT @DrSnit: @Doctor_V Patient input sorely missing in this dialog -> because it is called #MDchat Tue May 24 18:45:36 PDT 2011jinpack @RyanMadanickMD Even more troubling, many MDs agree with her that its OK #MDchat Tue May 24 18:45:56 PDT 2011nursefriendly @hjluks Most docs dont realize who might be in earshot of the conversation at the nurses station, or lounge area. Family members..#mdchat Tue May 24 18:45:57 PDT 2011rlbates Agree. See -- not mutually exclusive. RT @jinpack: @rlbates humor to cheer up pt =professional. laughing at ps expense =Not #MDchat Tue May 24 18:46:03 PDT 2011
  17. NateOsit Exactly RT @jinpack: @rlbates not neccesarily, humor to cheer up patient =professional. laughing at patients expense =Not #MDchat Tue May 24 18:46:04 PDT 2011RichmondDoc @ryanmadanickmd @PracticalWisdom Its similar to how some docs think Sermo is unprofessional; others OK w/ it. #MDChat Tue May 24 18:46:14 PDT 2011ryanmadanickmd Not just her...also @BurbDoc RT @jinpack: @RyanMadanickMD Even more troubling, many MDs agree with her that its OK #MDchat Tue May 24 18:46:25 PDT 2011drpauldempsey @mindthecompany Ha! Listen in on #mdchat. Started at 9 pm. Compelling enough to interupt my staycation for... Tue May 24 18:46:26 PDT 2011KathyKastner Im a (largely lurking but read post) pt. Made me right uncomforable. RT @Doctor_V: Patient input sorely missing in this dialog #MDchat Tue May 24 18:46:35 PDT 2011XMRV_GA @Doctor_V we Re a patient org #MDchat but sadly we dont have healthcare for #mecfs Tue May 24 18:46:37 PDT 2011hjluks @nursefriendly they should :-( #mdchat Tue May 24 18:46:41 PDT 2011rlbates Wrong -- we are all patients RT @hjluks: @Doctor_V we have one patient, Jackie with us tonight... shld b many more @ePatientDave #mdchat Tue May 24 18:46:56 PDT 2011philbaumann @DrSnit There are patient perspectives - but physicians and nurses do need their place too!! And its open, so nobodys excluded ;) #MDchat Tue May 24 18:46:56 PDT 2011ryanmadanickmd @RichmondDoc @practicalwisdom I havent yet used sermo #MDChat Tue May 24 18:46:59 PDT 2011DrSnit @jinpack WHICH pts do you want? The ones who *like* doctors or the ones who have a grudge a mile long? I know both. ;) #MDchat Tue May 24 18:47:05 PDT 2011RichmondDoc @ryanmadanickmd @PracticalWisdom She can think that she isnt unprofessional; I can disagree. And would teach students accordingly. #MDChat Tue May 24 18:47:05 PDT 2011Doctor_V @rlbates @nateosit Doc loses right to public respect when exhibiting gross disregard for patients and profession #MDchat Tue May 24 18:47:17 PDT 2011RyanMadanickMD MT @rlbates: Wrong -- we are all pts @ePatientDave #mdchat Tue May 24 18:47:28 PDT 2011
  18. EllenRichter T1 So everyone seems to agree. Tweets discussing identifyable patient specifics is unprofessional & inappropriate. We can all learn. #MDchat Tue May 24 18:47:35 PDT 2011RichmondDoc @ryanmadanickmd @practicalwisdom Not sure that youll find value...depends what youre looking for. #MDChat Tue May 24 18:47:42 PDT 2011TrishaTorrey OK #MDchat just home after speaking to large group of patients and see youre looking for an additional patient voice. Whats the question? Tue May 24 18:47:53 PDT 2011jinpack @DrSnit Of course I prefer happy patients but my duty to them is all the same, I try to keep in mind #MDchat Tue May 24 18:47:56 PDT 2011hjluks @rlbates @hjluks @Doctor_V @ePatientDave that was my mantra for the longest time... until Phil pounded it :-( #mdchat Tue May 24 18:47:59 PDT 2011PracticalWisdom Dont understand?RT @RichmondDoc: @ryanmadanickmd @practicalwisdom Not sure that youll find value...depends what youre looking for. #MDchat Tue May 24 18:48:21 PDT 2011RichmondDoc @ryanmadanickmd @practicalwisdom Sermo is largely an anti-healthcare reform, anti-Obama venue, w/ some health care discussion. #MDChat Tue May 24 18:48:26 PDT 2011colleen_young @drpauldempsey I agree. I appreciate your "Behind the scenes" commentary. I think it makes you "real" to your community. #MDchat Tue May 24 18:48:29 PDT 2011amyrnbsn @NateOsit @jinpack @rlbates "Put-down" humor isnt funny anyway. #MDChat Tue May 24 18:48:33 PDT 2011hjluks @TrishaTorrey discussing Bryans blog post #mdchat Tue May 24 18:48:39 PDT 2011hrana @Doctor_V U wrote a blog post about me on a topic where I stood up against discrimination. Was that also "disregard for profession?" #MDchat Tue May 24 18:49:07 PDT 2011rlbates I disagree. No one loses right to public respect RT @doctor_v: @rlbates @NateOsit Doc loses right to public respect .... #MDchat Tue May 24 18:49:13 PDT 2011TrishaTorrey #MDchat - wrong wrong wrong - doctors can never see thru eyes of a regular patient - you cant subtract what you know, or who you know. Tue May 24 18:49:26 PDT 2011peds_id_doc @TrishaTorrey #mdchat guess! The @Doctor_V blog post today. Lots of thoughts here too. Tue May 24 18:49:29 PDT 2011
  19. ePatientDave @hjluks Did @PhilBaumann post his "pounding" for future reference? #mdchat Tue May 24 18:49:44 PDT 2011rlbates No, it isnt. Anywhere. Anytime RT @amyrnbsn: @NateOsit @jinpack @rlbates "Put-down" humor isnt funny anyway. #MDChat Tue May 24 18:49:45 PDT 2011NateOsit Word! RT @amyrnbsn: @NateOsit @jinpack @rlbates "Put-down" humor isnt funny anyway. #MDchat Tue May 24 18:49:48 PDT 2011Doctor_V Beautiful “@jinpack: @DrSnit Of course I prefer happy patients but my duty to them is all the same, I try to keep in mind #MDchat” Tue May 24 18:49:51 PDT 2011MattMerg It doesnt even need to be a specific patient. Doc expressing immature attitude towards pts abstractly is just as bad @EllenRichter #MDChat Tue May 24 18:49:58 PDT 2011ryanmadanickmd T1 MT @awakeningaimee If u must speak ill of another, do not speak it, write it in sand near the waters edge - Napoleon Hill #mdchat Tue May 24 18:50:05 PDT 2011hjluks @ePatientDave yup a few months back... #mdchat Tue May 24 18:50:26 PDT 2011PracticalWisdom When I read @docotor_V pieces today first thought You are what you tweet. Clearly this was disrespectful. Patient in pain=Not funny #MDchat Tue May 24 18:50:36 PDT 2011Doctor_V @hrana let the crowd decide. #MDchat Tue May 24 18:50:44 PDT 2011jinpack Keeper! RT @RyanMadanickMD: If u must speak ill of another, do not speak it, write it in sand near the waters edge - Napoleon Hill #mdchat Tue May 24 18:50:58 PDT 2011thenerdynurse @TrishaTorrey disagree. When youre on the otherside of the fence you feel just as vulnerable, if not more so. #mdchat Tue May 24 18:51:02 PDT 2011EllenRichter @DoctorClarkson What would be a good reason to tweet about patient specifics? Im curious to hear your thoughts? #MDchat Tue May 24 18:51:17 PDT 2011RyanMadanickMD @jinpack I kept it as a favorite from her just the other day #mdchat Tue May 24 18:51:19 PDT 2011DoctorClarkson @rlbates @doctor_v @nateosit that doesnt mean that they wont loose public respect anyway. #MDChat Tue May 24 18:51:22 PDT 2011EllenRichter @MattMerg Good point! Agreed! #MDchat Tue May 24 18:51:38 PDT 2011
  20. ePatientDave @hjluks @rlbates @Doctor_V IMO nobody counts as a "patient" unless they get why hospital rooms are horrible places to try to heal :) #mdchat Tue May 24 18:51:42 PDT 2011hrana @Doctor_V The crowd has no place to decide when & where I stand up against discrimination. You were out of line on that blog post. #mdchat Tue May 24 18:51:51 PDT 2011rebeccatrocki #MDchat I am both a pt. and gov. prof. Rand study on patient experience. http://www.randcompare.org/us-health-care-today/patient-experience Tue May 24 18:52:07 PDT 2011TrishaTorrey #mdchat - havent read posts since early afternoon, but struck me that the female doc did a good job of proving a stereotype -highly unprof. Tue May 24 18:52:07 PDT 2011TheNerdyNurse @MattMerg @ellenrichter that is perspective. Hard to decipher snark from immaturity at times. #mdchat Tue May 24 18:52:29 PDT 2011rlbates But we should not be disrespectful in our response @DoctorClarkson @doctor_v @nateosit #mdchat Tue May 24 18:52:32 PDT 2011TrishaTorrey @thenerdynurse #mdchat - well have to agree to disagree. When you get sick, who do you call? Someone whos rep you know? or a stranger? Tue May 24 18:52:51 PDT 2011nursefriendly Best bet :) RT @DrPaulDempsey: T1: I try to give links and resources that I think are accurate, that patients may not come across #mdchat Tue May 24 18:52:58 PDT 2011PracticalWisdom @TrishaTorrey: Here you go.http://33charts.com/2011/05/unprofessional- physician-behavior-twitter.html #MDchat Tue May 24 18:53:10 PDT 2011AriKaplan Great discussion about transformations in the medical profession w/ @EllenRichter @amyrnbsn @Doctor_V @RichmondDoc at #MDchat #reinvention Tue May 24 18:53:16 PDT 2011rlbates @ePatientDave Then I count as one. :) #mdchat Tue May 24 18:53:36 PDT 2011TheNerdyNurse @hrana @doctor_v link to post? #mdchat Tue May 24 18:53:44 PDT 2011hjluks @PracticalWisdom Ill show u how to shorten those links later :-) !! LOL #mdchat Tue May 24 18:53:47 PDT 2011cmeadvocate Amen....RT @Neil_Mehta: Professionalism means putting pts interest above docs interests #mdchat
  21. Tue May 24 18:53:48 PDT 2011macobgyn @hrana @Doctor_V Which blog post are you referring to? #mdchat Tue May 24 18:53:50 PDT 2011DrSnit @ePatientDave this is why I love you. #MDchat Patient means vulnerability. Patient means loss of control. Patient means SUFFERING VISIBLY. Tue May 24 18:54:06 PDT 2011akroundtree Fr the link I shared: tweeters dont consent to tweets being dissected by others, commentary. @thenerdynurse #mdchat Tue May 24 18:54:10 PDT 2011XMRV_GA #mdchat we are patients. yearning for #healthcare Tue May 24 18:54:14 PDT 2011EllenRichter @AriKaplan Glad to see you are following it! Thanks! :) #MDchat Tue May 24 18:54:20 PDT 2011NateOsit @TrishaTorrey I thought that it wouldve been good to point out male docs whove done the same. Shouldnt reinforce stereotypes #MDchat Tue May 24 18:54:24 PDT 2011ryanmadanickmd BTW she did say "In any case, Ive learned my lesson and will tone it down. Some." today #mdchat Tue May 24 18:54:40 PDT 2011hrana @macobgyn @TheNerdyNurse This is the blog post and my response... http://bit.ly/bRlTDT @Doctor_V #mdchat Tue May 24 18:54:52 PDT 2011MeredithGould @DrSnit @ePatientDave Patient means dealing with a system that is anything but user-friendly & can be life-threatening. #MDchat Tue May 24 18:55:05 PDT 2011thenerdynurse @TrishaTorrey depends on the scenario. If you go the ER its luck of the draw who takes care of you. #mdchat Tue May 24 18:55:06 PDT 2011MD_Chat Fast fast chat - could go on for hours. Well have to wrap up in a few moment.s #MDchat Do we want to return to this in future chats? Tue May 24 18:55:07 PDT 2011Health_Techie Tune in to #mdchat...pretty interesting! Tue May 24 18:55:10 PDT 2011cmeadvocate Anonymity and professionalism are incompatible. RT @Doctor_V: T1 ....is the doctors anonymity that is the root of the problem. #MDChat Tue May 24 18:55:23 PDT 2011MeredithGould @DrSnit @ePatientDave Thanks a heap you two, I vowed not to jump into #MDchat tonight!!! Tue May 24 18:55:44 PDT 2011
  22. MD_Chat Before we leave, lets hear your closing thoughts on tonights topics. #MDchat Tue May 24 18:55:44 PDT 2011jinpack @MD_chat Certainly worth mroe spinoff topics in the future #MDchat Tue May 24 18:55:46 PDT 2011TrishaTorrey #mdchat - no room for disrespect OR egos in HC relationships - thats part of what has gotten us into communications probs to begin with. Tue May 24 18:56:01 PDT 2011RyanMadanickMD To all, check out @mommy_doctor posts today after. Sometimes a blog can be a teaching moment to an individual #mdchat Tue May 24 18:56:04 PDT 2011MeredithGould @cmeadvocate Really? You might want to mention that to the gazillions of people in 12 Step programs of recovery. #MDChat Tue May 24 18:56:12 PDT 2011RyanMadanickMD @awakeningaimee Good good thanks...doing the #mdchat 2nite Tue May 24 18:56:24 PDT 2011PracticalWisdom You just earned http://bit.ly/kopZUC Points. Nice! @hjluks: @PracticalWisdom Ill show u how to shorten those links later :-) !! LOL #MDchat Tue May 24 18:56:35 PDT 2011TrishaTorrey @practicalwisdom thanks for the link :-) #mdchat Tue May 24 18:56:41 PDT 2011jinpack @MeredithGould I think he means HC professionals are held to a standard of ethics and accountability #MDChat Tue May 24 18:56:51 PDT 2011Doctor_V Yes “@cmeadvocate: Anonymity and professionalism are incompatible. @Doctor_V is the doctors anonymity that is the root of the prob #MDChat Tue May 24 18:56:53 PDT 2011nursefriendly @akroundtree Anonymizing accounts can give a false sense of security. End up in more careless discussions, violations. #mdchat #Twitter Tue May 24 18:56:54 PDT 2011ryanmadanickmd MT @hrana: @cmeadvocate y does something anonymous automatically mean itll be unprofessional? The link is questionable at best. #mdchat Tue May 24 18:56:54 PDT 2011thenerdynurse @akroundtree why would they need to consent? If you make a public statement its up for public discussion #mdchat Tue May 24 18:57:03 PDT 2011MeredithGould @TrishaTorrey Alas, hard to tell from whence 1st came the disrespect. At this point, pts are often at war with docs. Everyone loses. #mdchat Tue May 24 18:57:17 PDT 2011
  23. DrSnit @MD_chat Thank you for allowing us to sit in on your #MDchat today. And for the lovely discussion. Cheers all you sassy cats! Tue May 24 18:57:27 PDT 2011ePatientDave #mdchat Okay, thats not "we are NOT all pts" in the way I meant it, but its valid too RT @PhilBaumann: http://pbau.co/lixnlC Tue May 24 18:57:30 PDT 2011TrishaTorrey @nateosit #mdchat - stereotypes become harmful to everyone - and create bullying atmostphere. All this reminds me of NYTimes/ Theresa Brown Tue May 24 18:57:39 PDT 2011RyanMadanickMD @DrSnit Love ya! #MDchat Tue May 24 18:57:42 PDT 2011EllenRichter Terrific chat. We all grew an inch today. Great to share thoughts/ feelings about social media & its place in health care. Learning! #MDchat Tue May 24 18:57:46 PDT 2011NateOsit Final thoughts: Be respectful, think about how your words effect others, and show compassion to patients #MDchat Tue May 24 18:57:57 PDT 2011jinpack @MeredithGould Yet docs and nurses are ultimately responsible for tone of relationship with patient #mdchat Tue May 24 18:57:57 PDT 2011Neil_Mehta Society requires a superego. Does wearing a white coat require a supersuperego? #mdchat Tue May 24 18:58:06 PDT 2011macobgyn @hrana Thanks. Interesting discussion from that post. #mdchat Tue May 24 18:58:09 PDT 2011rebeccatrocki @TrishaTorrey trust is very important and fragile on both sides #mdchat Tue May 24 18:58:14 PDT 2011akroundtree @TheNerdyNurse Yes. Im not sure where I stand on it. But the link I shared makes good points on both sides. #mdchat Tue May 24 18:58:25 PDT 2011XMRV_GA #mdchat Patients with #MECFS would wish doctors could follow @WPInstitute and learn about neuro-immune disease http://t.co/F5KT5SW Tue May 24 18:58:30 PDT 2011MattMerg When I hear a doc talk like a high-schooler, I wonder if my own docs will be thinking of me same way @TheNerdyNurse @ellenrichter #MDChat Tue May 24 18:58:31 PDT 2011MeredithGould @jinpack Really? Ultimately responsible? Maybe. I need to contemplate this one. #mdchat Tue May 24 18:58:43 PDT 2011
  24. nursefriendly Great topic tonight, think well be hearing lots more about it. #mdchat #Twitter Tue May 24 18:58:46 PDT 2011ePatientDave @PhilBaumann Interesting foundation - we should get some pts to add their poignant perspectives too #mdchat Tue May 24 18:58:50 PDT 2011jinpack @MeredithGould Yeah, sadly we dont always have control, but that doesnt absolve our duty... #mdchat Tue May 24 18:59:06 PDT 2011TrishaTorrey #mdchat - Just FYI - I used to follow three docs that I stopped following b/c of this same kind of stuff. Disrespectful and arrogant. Tue May 24 18:59:08 PDT 2011TheNerdyNurse #mdchat closing thought: Use twitter to be an advocate for your profession and your patients. Tweet with integrity. Tue May 24 18:59:19 PDT 2011EllenRichter The dreaded "enter" key. It should have a default "are you SURE you want to send that?" window pop up each time! #MDchat Tue May 24 18:59:20 PDT 2011Doctor_V “@MattMerg: When I hear a doc talk like a high-schooler, I wonder if my own docs will be thinking of me same way @TheNerdyNurse #MDChat” Tue May 24 18:59:28 PDT 2011RobinPregnancy Me too! RT @TrishaTorrey: #mdchat - I used to follow three docs that I stopped following b/c of... Disrespectful and arrogant. Tue May 24 18:59:44 PDT 2011doctorakerkar can one get patients trust remaining anonymous? #MDchat Tue May 24 18:59:56 PDT 2011macobgyn @TrishaTorrey I will have to check if you still follow me :) #mdchat Tue May 24 18:59:58 PDT 2011RyanMadanickMD I keep following...important to see what NOT to do! RT @RobinPregnancy: Me too! RT @TrishaTorrey: #mdchat - … (cont) http://deck.ly/~hV3lw Tue May 24 19:00:14 PDT 2011jinpack Straight-up, NO. RT @doctorakerkar: can one get patients trust remaining anonymous? #MDchat Tue May 24 19:00:17 PDT 2011RichmondDoc Final thought: our commitment to patients extends to protecting their well-being at all times. Be mindful, be careful, & be caring. #MDChat Tue May 24 19:00:21 PDT 2011XMRV_GA #mdchat me as a pt I would like to present my case in front of an auditorium if it meant dr would learn about my condition and no stigmatize Tue May 24 19:00:32 PDT 2011
  25. TrishaTorrey @meredithgould #mdchat - I think most patients begin by trusting and respecting a new doc - until something sours relationship. Tue May 24 19:00:37 PDT 2011RyanMadanickMD #mdchat RT @RichmondDoc: Final thought: our commitment to patients extends to protecting their well-being a… (cont) http://deck.ly/~6qPqI Tue May 24 19:00:42 PDT 2011Preparing4Birth Ditto RT @RobinPregnancy: Me too! RT @TrishaTorrey: #mdchat - I used to follow 3 docs that I stopped followin… (cont) http://deck.ly/~ysi2Q Tue May 24 19:00:46 PDT 2011drseisenberg Final thoughts: Connect with respect = compassion. #mdchat Tue May 24 19:00:48 PDT 2011RyanMadanickMD @XMRV_GA this is totally different than someone else doing it w/o consent #mdchat Tue May 24 19:01:19 PDT 2011ePatientDave @MeredithGould @DrSnit So, I just suggested we add such thoughts as comments on @PhilBaumanns post http://pbau.co/lixnlC Gonna? #MDchat Tue May 24 19:01:20 PDT 2011MeredithGould @TrishaTorrey Probably right about that. #mdchat Tue May 24 19:01:29 PDT 2011PracticalWisdom Closing Thoughts: If you are not going to be transparent why be on Twitter in the First Place? It takes courage to be Real. #MDchat Tue May 24 19:01:50 PDT 2011TrishaTorrey @macobgyn yes! I still follow you! #mdchat! LOL! Tue May 24 19:01:52 PDT 2011jackiefox12 Ive read some very funny, earthy ER "war stories" (they put WHAT WHERE?) but they were past, masked & not immediate & specific #mdchat Tue May 24 19:02:18 PDT 2011ePatientDave yes yes yes yes: RT @mommy_doctor: I stroked your arm as you went to sleep. #DearPatient // #MDChat Tue May 24 19:02:22 PDT 2011RyanMadanickMD @hrana policeman? #mdchat Tue May 24 19:02:25 PDT 2011macobgyn My final thoughts: Be normal. #mdchat Tue May 24 19:02:37 PDT 2011jinpack #MDchat final thoughts: leave amusement to TV dramas. Tue May 24 19:02:46 PDT 2011akroundtree I meant removing name of MD who made the remark fr the blog post to make a universal teachable moment. “@nursefriendly: @akroundtree #mdchat Tue May 24 19:02:48 PDT 2011
  26. MeredithGould @macobgyn Define "normal"??? #mdchat Tue May 24 19:02:51 PDT 2011ePatientDave victim mode detected! :) RT @MeredithGould: @DrSnit @ePatientDave Thanks a heap you two, I vowed not to jump into #MDchat tonight!!! Tue May 24 19:03:00 PDT 2011EllenRichter @TrishaTorrey LOL oh Trish, everyone is checking to see if you are still following them! :) #MDchat Tue May 24 19:03:07 PDT 2011XMRV_GA #mdchat again, personally i wouldnt mind if anyone discussed my case with professionalism in order to gain advice or teach someone else Tue May 24 19:03:16 PDT 2011MeredithGould @ePatientDave Im going to quote you to you: punk. #MDchat Tue May 24 19:03:26 PDT 2011TrishaTorrey #mdchat If I knew real names of those docs Ive unfollowed, and someone needed a doc in their loc. + specialty, I would tell them to avoid. Tue May 24 19:03:30 PDT 2011ePatientDave (Pardon my butting in; is there a curator for #MDChat? Have a topic to propose) Tue May 24 19:03:34 PDT 2011RyanMadanickMD @ePatientDave @mdchat #MDChat Tue May 24 19:03:54 PDT 2011TrishaTorrey @ellenrichter LOL! #mdchat - it DID slow down the tweetstream, didnt it? LOL! Tue May 24 19:04:02 PDT 2011PracticalWisdom Red Flag Foul- Teasing!!!RT @MeredithGould: @ePatientDave Im going to quote you to you: punk. #MDchat Tue May 24 19:04:05 PDT 2011MD_Chat THANK YOU everybody - a great chat again. Here the transcript http://mdch.at/kVLaW7 #MDchat Tue May 24 19:04:12 PDT 2011macobgyn @MeredithGould Docs know should know how to act in "real" life. Do the same online. Dont overthink it - be normal. #mdchat Tue May 24 19:04:25 PDT 2011jackiefox12 That sums it up perfectly. RT @drseisenberg Final thoughts: Connect with respect = compassion. #mdchat Tue May 24 19:04:30 PDT 2011RyanMadanickMD whoops @md_chat @ePatientDave #MDChat Tue May 24 19:04:35 PDT 2011

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