MDchat Transcript May 24, 2011

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MDchat Transcript May 24, 2011

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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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