Transcript for #hpm from 2011 aahpm annual assembly

2/23/2011 Transcript for #hpm - What the Hashtag?!

#hpm
wthashtag.com/hpm

Transcript from February 16, 2011 to February 20, 2011
All times are Pacific Time

February 16, 2011

12:20 am hospicepharmacy: Medicare costs in last 6 months of life driven by pt variables...
http://bit.ly/g2lc9D Research: http://bit.ly/gR7SGQ #hospice #hpm

12:21 am thehealthmaven: RT @MeredithGould: Learn about #hospice & #palliativemedicine from the
best by following #HPM as AAHPM/HPNA meets in Vancouver, starting
t'morrow.

12:32 am drpippa: Made it to Vancouver for the AAHPM annual assembly! Can't wait for the
program to start & to meet colleagues from around the globe. #hpm

1:26 am DrFelipeBarreto: Amanhã pref. #Riverton e sec. de saúde #EduardoCardoso em evento no Rio
com sec.saúde do gov do estado. Buscando recursos para nosso #hpm

1:31 am AntonioBander: RT @DrFelipeBarreto: Amanhã pref. #Riverton e sec. de saúde
#EduardoCardoso em evento no Rio com sec.saúde do gov do estado.
Buscando recursos para nosso #hpm

1:33 am Pedrotvmacae: RT @DrFelipeBarreto: Amanhã pref. #Riverton e sec. de saúde
#EduardoCardoso em evento no Rio com sec.saúde do gov do estado.
Buscando recursos para nosso #hpm

2:23 am ctsinclair: RT @thehealthmaven: good luck @ctsinclair! A request to my social media
peers http://slidesha.re/dLHLBT Thanks! #hpm

2:25 am ssanquist: RT @sanaquijadamd Sharing Will Take You Out of Isolation:
http://t.co/fhFlvXp #selfcare #pain #suffering #hpm

3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via @hollyby
@elderpages @ewidera @ssanquist @ctsinclair

3:02 am doclake: RT @ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories
today via @hollyby @elderpages @ewidera @ssanquist @ctsinclair

3:12 am ssanquist: RT @ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories
today via @hollyby @elderpages @ewidera @ssanquist @ctsinclair

5:00 am HospiScript: Copies of HospiLink will be at the HospiScript booth at #AAHPM conf. Sign
up there or go to hospiscript.com and sign up now! #hpm #hospice

5:05 am ctsinclair: RT @ewidera: My #JAMA paper just came out on advance planning for
finances -check out @AlexSmithMD summary http://goo.gl/fb/czdQT #hpm

5:06 am ctsinclair: @MeredithGould Thanks for all you are doing to promote us this week! #hpm

5:06 am ctsinclair: @ssmithaahpm Good to see you tonight Steve. Great board meeting. #hpm

5:15 am ctsinclair: RT @inhousehospice: Our med. dir. Dr. Patricia Schmidt is presenting
@AAHPM Ann. Assembly 2011 Preview - Wed. Pre-Con on Hospice & NHs
#hpm
5:17 am OncoPRN: RT @ewidera: My #JAMA paper just came out on advance planning for
finances -check out @AlexSmithMD summary http://goo.gl/fb/czdQT #hpm

5:18 am ctsinclair: @HospiScript Who is staffing your booth at the conference? the same
person who does your twitter? #hpm

5:19 am ctsinclair: @AAHPM Missed out on registering early. Will be there bright and early at
7am #hpm

6:00 am ssmithaahpm: @ctsinclair Thanks Christian ... always appreciate your insights and
contributions #hpm
wthashtag.com/transcript.php?page_id=… 1/112

contributions #hpm

6:13 am ctsinclair: @morganbain and dont forget to add #hpm to any related tweets for the
conference

6:14 am ctsinclair: RT @drpippa: Made it to Vancouver for the AAHPM annual assembly! Can't
wait for the program to start & to meet colleagues from around the globe.
#hpm

6:17 am ctsinclair: @haslingerppc Saw Sarah tonight. keep an eye on #hpm this week!

6:20 am ctsinclair: @Kathy_Brandt Looking forward to meeting you in person. hoping you will
tweet some from the #hpm conference too

6:34 am ctsinclair: Would encourage you to follow #hpm this week for @AAHPM Annual
Assembly, RT's appreciated! @AmerAcadPainMed @AmerGeriatrics
@amednews

6:36 am ctsinclair: I encourage you to follow #hpm this week for @AAHPM Annual Assembly,
RT's appreciated! @AmerMedicalAssn @ASTRO_org @lesmorgan
@paulinechen

6:39 am ctsinclair: Was inspired by presentation to @AAHPM board from @AAMCToday CEO
Dr. Darrell Kirch. He talked about the challenges of health reform. #hpm

6:40 am ctsinclair: Also had preso by @FrankDFerris from @SanDiegoHospice on lack of pain
med access around the world and role for @AAHPM internationally #hpm

6:41 am ctsinclair: And I am very excited to debut tomorrow my new creative writing/blogging
workshop for #hpm with Amos Bailey, more info to come! #hpm

6:51 am PalMedConnect: RT @ctsinclair: I encourage you to follow #hpm this week for @AAHPM
Annual Assembly, RT's appreciated! @AmerMedicalAssn @ASTRO_org
@lesmorgan @paulinechen

9:28 am LVADone: RT @ctsinclair: I encourage you to follow #hpm this week for @AAHPM

1:40 pm ezpsych: Off to Vancouver for AAHPM! #hpm

1:48 pm EOLnavigator: Check out my home town Irish Hospice Foundation fundraiser:
http://on.fb.me/ihsuqo #hpm

2:02 pm EOLnavigator: RT @kevinmd: Hospitals need healthcare flight crews http://bit.ly/hIsRX7
#hpm

2:31 pm hfahospice: HFA Webinar on LGBT Community and EOL Care on April 20
http://bit.ly/dQsaMb Register now! #lgbt #hpm

2:37 pm AliveHospice: RT @ctsinclair: Would encourage you to follow #hpm this week for
@AAHPM Annual Assembly, RT's appreciated! @AmerAcadPainMed
@AmerGeriatrics @amednews
2:52 pm AAHPM: Registration opens in about ten minutes for the AAHPM HPNA Assembly.
Come now and beat the rush! #hpm

2:54 pm AliveHospice: @AAHPM Have a great conference! We heard the weather was rainy in
Vancouver yesterday, but it won't dampen the #hpm Annual Assembly!

3:40 pm hospicepharmacy: Health care reform will change #hospice http://bit.ly/eHNOXL #hpm #hcr

3:40 pm ctsinclair: At the conc centre passing out @pallimed and twitter stickers for badges
#hpm

3:42 pm jayrhorton: RT @hfahospice: HFA Webinar on LGBT Community and EOL Care on April
20 http://bit.ly/dQsaMb Register now! #lgbt #hpm

3:53 pm ctsinclair: IAt first I thought I wouldn't be able to upload photos from my camera, but
then I remembered it can do wifi too! #hpm

3:57 pm ctsinclair: Have already talked to a few people getting their wi-fi set up at the conv
centre, should be a few today, more tomorrow #hpm

4:00 pm MeredithGould: @ctsinclair Live streaming? #hpm

4:05 pm hospice_mktg: RT @PatBombaMD: Palliative Care defines the Art, Science and Limits of
Medicine: http://bit.ly/ffCnGT #hpm #hospice

4:08 pm hospice_mktg: RT @hospicepharmacy: Health care reform will change #hospice
http://bit.ly/eHNOXL #hpm #hcr

4:09 pm RossJeanette: On my way to Vancouver and looking forward to connecting withHPM folks
#Hpm

4:17 pm drpippa: Was looking for you! Need a sticker. @ctsinclair: At the conc centre
passing out @pallimed and twitter stickers for badges #hpm

4:19 pm ctsinclair: @drpippa I posted Pallimed and Facebook Stickers on the Announcement
board, Only have a few Twitter stickers so giving out sparingly #hpm

4:19 pm hospice_mktg: Last chance...reg for FREE WEBINAR, "Creating Effective #Hospice
Marketing" Feb. 17 3 p.m. ET http://bit.ly/gFHwYV #hcmktg #hpm

4:19 pm elderpages: RT @hospice_mktg: RT @PatBombaMD: Palliative Care defines the Art,
Science and Limits of Medicine: http://bit.ly/ffCnGT #hpm #hospice

4:19 pm ctsinclair: @drpippa If you find @revdoc she has some Twitter stickers. Not sure which
session she is in #hpm

4:20 pm ctsinclair: Any people on Twitter in Vancouver for @AAHPM conference we will be
having Tweetchat at 6p local in exhibit hall #hpm

4:21 pm ctsinclair: RT @MeredithGould: @ctsinclair Live streaming? "Not this year, @equijada
was talking about it. Absolutely on the request list for 2012 #hpm

4:21 pm elderpages: Lucky hospice will win free Facebook set-up at #NHPCO Management &
Leadership Conference http://bit.ly/gADxhF #hpm

4:28 pm elderpages: New NY state law requires discussion of #palliative care with pts who have 6
month prognosis! http://bit.ly/hCwMBy #hpm

4:28 pm EOLnavigator: Looking for #HPM orgs to beta test a social media platform. Please
share....email: niamh@practitionersolutions.com

4:32 pm ctsinclair: @AliveHospice The weather is quite rainy, with good chance for snow
Thursday! But we are tough, we can do it! #hpm

4:33 pm drpippa: From MGH- pall care pts have more acc understanding of role of chemo,
prognosis. Didn't nec change treatment path, did change QOL. #hpm

4:46 pm drpippa: Joint visits pall care-oncology powerful. Would love to see pall care-primary
care visits - move beyond cancer. #hpm

4:48 pm ctsinclair: @jayrhorton Are you in Vancouver? Make sure to follow @AAHPM conf
tweets this week and RT. #hpm

4:53 pm drpippa: Outpatient pall care funding - 49% billing, 45% institutional support. Would
that fly at your institution? #hpm

4:55 pm AAHPM: Please try to keep this a green meeting, and minimize the number of pages
you print. Thanks! #hpm

4:57 pm ctsinclair: RT @ezpsych: Off to Vancouver for AAHPM! "looking forward to seeing you"
#hpm

5:00 pm hospicepharmacy: Elderly get fewer antipsychotics after FDA warning http://bit.ly/fs1241
#hospice #hpm #eldercare #dementia

5:00 pm wareaglenurse: RT @hospicepharmacy: Elderly get fewer antipsychotics after FDA warning
http://bit.ly/fs1241 #hospice #hpm #eldercare #dementia

5:08 pm ctsinclair: RT @drpippa: Outpatient pall care funding - 49% billing, 45% institutional
support. Would that fly at your institution? "nope" #hpm

5:12 pm AAHPM: WiFi users at assembly may experience a disruption in access at lunchtime
as server is rebooted. WiFi Plus users will not be affected. #hpm

5:25 pm RedefineHospice: Though Latinos prefer having families care for loved ones they desire to
reduce caretaker burden via JPM #hospice #hpm


5:27 pm ctsinclair: @AAHPM Do you have numbers on how many are purchasing wi-fi? If I see
someone with a computer I am going to get them to tweet #hpm

5:28 pm RedefineHospice: More than half of African Americans not informed about #hospice of those
informed, cancer leading cause of death. #hpm

5:31 pm ctsinclair: @NHPCO_news Make sure you use #hpm to be seen by the stream

5:31 pm MeredithGould: RT @RedefineHospice: More than half of African Americans not informed
about #hospice of those informed, cancer leading cause of death. #hpm

5:34 pm hospicepharmacy: New Strategies for #Alzheimer's and #Dementia Care Help Family
Caregivers, Too http://huff.to/hefgV6 #hospice #hpm #caregiving

5:34 pm ctsinclair: RT @Life_Quality: Our Director, Dan Johnson is attending as is Jeff Manuel,
one of our physician educators. 'will look for him' #hpm

5:35 pm ConsultGeriRN: RT @hospicepharmacy: New Strategies for #Alzheimer's and #Dementia
Care Help Family Caregivers, Too http://huff.to/hefgV6 #hospice #hpm
#caregiving

5:37 pm Alyssa4602: RT @hospicepharmacy: New Strategies for #Alzheimer's and #Dementia
Care Help Family Caregivers, Too http://huff.to/hefgV6 #hospice #hpm
#caregiving

5:38 pm EOLnavigator: @ctsinclair There's a river over there? It can see you?.....only joking! #hpm!!!

5:40 pm doclake: RT @drpippa: Outpatient pall care funding - 49% billing, 45% institutional
support. Would that fly at your institution? "yup" #hpm

5:44 pm MeredithGould: @AAHPM Make the hotel provide free Wi-Fi!!! #hpm

5:46 pm drpippa: Views from Vancouver CC so beautiful hard to go back in the seminar room
after a break. Meeting great people at the breaks though! #hpm

5:47 pm hospicevalley: RT@hospicepharmacy New Strategies for #Alzheimer's and #Dementia Care
Help Family Caregivers, Too http://huff.to/hefgV6 #hospice #hpm

5:52 pm hospicevalley: RT@HFAhospice HFA Webinar on LGBT Community and EOL Care on April
20 http://bit.ly/dQsaMb Register now! #lgbt #hpm

5:53 pm ctsinclair: Don't forget #HPM Tweetchat tonight with live particiapnts from the
@AAHPM @HPNAinfo Conf in vancouver 6p PT

6:02 pm ctsinclair: @drpippa Keep the tweets coming. looks like you are the only one so far in
pre-cons tweeting with any regularity #hpm

6:03 pm hospicevalley: Hospice of the Valley welcomes Vince Evans, Senior Director of Clinical
Operations http://bit.ly/9SGbfU #hospice #hpm

6:03 pm ctsinclair: In @AAHPM Board meeting and not really stuff I can tweet yet. Will
betweeting more educ stuff thurs/fri/sat #hpm

6:04 pm ctsinclair: RT @MeredithGould: @AAHPM Make the hotel provide free Wi-Fi!!! 'Not the
hotel but conv centre. They have reasonable day rate' #hpm

6:05 pm ctsinclair: @MeredithGould I think the big problem is people used to using cells for
mobile, are slowed by $$$ intl data plans #hpm

6:05 pm drpippa: Best advice re: outpt pall care: don't spread yourself too thin or your program
will fail. Easy to say, hard to do. #hpm

6:06 pm ctsinclair: @EOLnavigator There is a lot of rain, so there may be a river soon. #hpm

6:08 pm ctsinclair: @drpippa Wondering why @revdoc so quiet. #hpm

6:13 pm MeredithGould: @ctsinclair Then the hotel is forgiven but the convention center is not! #hpm

6:14 pm MeredithGould: @ctsinclair @drpippa Do you have a link to the schedule so those of us
following here know what/when sessions are. #hpm

6:14 pm ctsinclair: @MeredithGould You mean centre #hpm

6:17 pm MeredithGould: @ctsinclair And favour. #hpm

6:17 pm MeredithGould: @ctsinclair And favour. #hpm

6:17 pm ctsinclair: @MeredithGould Here is the brochure: http://bit.ly/eqWyHA No easy quick
read page. Will be making one soon #hpm

6:20 pm MeredithGould: Brochur for #AAHPM/HPNA conference: http://bit.ly/eqWyHA (via
@ctsinclair & @drpippa) #hpm

6:24 pm MeetVancouver: G'morning @AAHPM @HPNAInfo delegates! We're here till 5PM, come see
us for sightseeing & food recs! #hpm http://twitpic.com/40hknt

6:31 pm doclake: Where's the tweets? (from AAHPM Vancouver) #hpm

6:38 pm ctsinclair: RT @doclake: Where's the tweets? (from AAHPM Vancouver) #hpm "a lot
less than I would have liked so far, wi-fi cost and intl barriers"
6:39 pm daitpcg: RT @ctsinclair: Don't forget #HPM Tweetchat tonight with live particiapnts
from the @AAHPM @HPNAinfo Conf in vancouver 6p PT

6:39 pm ctsinclair: RT @doclake: Where's the tweets? (from @AAHPM Vancouver) #hpm "i'll
rock it thu, fri, sat"

6:40 pm ctsinclair: RT @doclake: Where's the tweets? (from AAHPM Vancouver) #hpm "and
@renee_berry is not here yet"

6:43 pm ctsinclair: @daitpcg are you here yet? #HPM

6:53 pm emilybarryPR: Just heard Hospice of NW Ohio's new :30 radio spot! A touching testimonial
about little pleasures in life #hospice #hpm

7:03 pm AAHPM: WiFi is restored #hpm. Sorry for any disruption you may have experienced.

7:09 pm lesmorgan: RT @ctsinclair: I encourage you to follow #hpm this week for @AAHPM

7:10 pm ctsinclair: RT @AAHPM: WiFi is restored #hpm. Sorry for any disruption you may have
experienced. 'no wonder so few tweets!'

7:15 pm revdoc: Tweeting from Academy mtg next few days #hpm

7:16 pm revdoc: Puchalski et al. Spirituality as domain of care #hpm

7:16 pm DianeEMeier: At the #Palliative care meetings in Vancouver BC, misty wet cool and
beautiful, awed by growth +energy in the field! #aahpm #hpm

7:21 pm ctsinclair: @DianeEMeier Can't wait to see you #hpm

7:23 pm ctsinclair: RT @DianeEMeier: At the #Palliative care meetings in Vancouver BC, misty
wet cool and beautiful, awed by growth +energy in the field! #hpm

7:33 pm ctsinclair: At the @AAHPM board meeting, hearing from Conf co-chair Rodney Tucker
from UAB, giving us a preiew of the conf #hpm

7:34 pm MeredithGould: RT @AAHPM: WiFi is restored #hpm. Sorry for any disruption you may have
experienced.

7:37 pm EOLnavigator: RT @DianeEMeier: NYS Medicaid Announces 49 Ideas:
http://nyti.ms/ft1awb & fails to include access to #palliative care. Huge
oversight #hpm

7:37 pm FitNavigator: RT @DianeEMeier: NYS Medicaid Announces 49 Ideas:
http://nyti.ms/eVhSVe & fails to include access to #palliative care. Huge
oversight #hpm

7:43 pm EOLnavigator: @DeathwDignity: what was on the bill that you are happy didn't come to
fruition. #hpm

7:43 pm equijada: RT @ctsinclair: RT @MeredithGould: @ctsinclair Live streaming? "Not this
year, @equijada was talking about it. Absolutely on the request list for 2012
#hpm

7:48 pm ElusiveEm: RT @Help0thers: Balloons provide lift for Marion area hospice patients:
http://ht.ly/3Wi82 #hpm



7:52 pm hospicepharmacy: #Hospice of Sacred Heart and Institute of #Palliative Medicine form
collaboration to expand services http://bit.ly/hq59KM #hpm
8:02 pm EOLnavigator: Truth does not depend on a consensus of opinion. #hpm #hospice #palliative

8:03 pm Adeuxmains: RT @DianeEMeier: At the #Palliative care meetings in Vancouver BC, misty
wet cool and beautiful, awed by growth +energy in the field! #aahpm #hpm

8:09 pm zarakramer: Mean old girls: Seniors who bully - Health - Aging - msnbc.com
http://t.co/6d3trUp via @msnbc #hpm

8:24 pm MeetVancouver: Don't know where to go for lunch yet? Come see us for food
recommendations! We're just past the registration booths. @AAHPM
@hpnainfo #hpm

8:25 pm NursingLink: RT @tmlfox: RT @ctsinclair: A request to my social media peers to help
this week for #hpm conference http://slidesha.re/dLHLBT

8:25 pm MeetVancouver: @GiovaneCafe @millbistro @FairmontPacific We've been sending tons of
delegates your way for lunch.. hope you're ready for the rush ;) #hpm

8:29 pm DeathwDignity: @eolnavigator Happy to help! The bill also had the potential to have an
impact on #hpm and medications to ease pain.

8:51 pm ctsinclair: @revdoc Did you learn anything good at the Spirituality precon? #hpm

8:53 pm ctsinclair: Teaching a few @AAHPM board members about how to use Tweetchat.
hoping they try it out over the next few days #hpm

8:54 pm gcooneymd: @ctsinclair Returning from board lunch; great conversation on
communicating with members #hpm

8:55 pm MeredithGould: Hey there @AAHPM board members: live tweeting will allow more people to
participate AND further the importance work of #HPM education.

8:57 pm ctsinclair: RT @MeredithGould: Hey there @AAHPM board members: live tweeting will
allow more people to participate "thanks Merdeith, very helpful! #hpm

8:58 pm ctsinclair: @MeredithGould Sorry about the misspelling! #hpm

8:58 pm ameritox: Looking forward to @Ameritox CMO Dr. Harry Leider speaking at the
@AAHPM and @HPNAinfo annual assembly tomorrow. #hpm

9:01 pm doclake: RT @ctsinclair: RT @MeredithGould: @ctsinclair Live streaming? "Not this
year, @equijada was talking about it. Absolutely on the request list for 2012
#hpm

9:03 pm ctsinclair: Back to the @AAHPM board meeting...time to make the donuts. #hpm

9:05 pm ctsinclair: Our Core Purpose: To improve care of patients w/ serious or life-threatening
cond thru advancement of hospice and palliative medicine. #hpm

9:06 pm palliativecare: Interesting article about how to reduce pain by changing your visuals - RT
@suzanakm: http://tinyurl.com/6fqugbx #hpm

9:09 pm ctsinclair: Hey @revdoc @drpippa @suzanakm @hollyby Where are your tweets? Wi-
fi issues See you in Exhibit hall at 530 #hpm

9:12 pm drpippa: @ctsinclair: Where are your tweets? #hpm lost wifi at end, not signed up for
pm pre con (conf call - blerg.) See you tonight!

9:13 pm ctsinclair: @drpippa Oh ok. Just checking in, more to come tomorrow. #hpm

9:13 pm drpippa: RT @ctsinclair: Our Core Purpose: To improve care of patients w/ serious or
life-threatening cond thru advancement of hospice and palliative medicine.
#hpm
9:16 pm MatthewsMichele: RT @ctsinclair: Our Core Purpose: To improve care of patients w/ serious or
#hpm

9:38 pm MatthewsMichele: A true assessment if ever I heard one...Schumacher (@NHPCO_news) says
"health care reform will change hospice!" #hospice #hpm

9:45 pm VirtualHospice: In Vancouver and setting up for the @AAHPM! Very excited to connect with
visitors from near and far! #hpm

visitors from near and far! #hpm

9:55 pm therealhawdwerk: #np ME - Computer #HPM

10:05 pm revdoc: EXCELLENT workshop on methadone, ketamine, lidocaine #hpm

10:08 pm ctsinclair: @revdoc I heard Ky Stulzfus from KU was there too. #hpm

10:11 pm drpippa: @revdoc: EXCELLENT workshop #hpm I really wanted that one but signed
up too late - full. Very strict w/ id checks so no sneaking either.

10:13 pm ctsinclair: @drpippa no sneaking in huh. Do they scan the bar code on your badge?
#hpm

10:14 pm gcooneymd: RT @palliativecare: Interesting article about how to reduce pain by changing
your visuals - RT @suzanakm: http://tinyurl.com/6fqugbx #hpm

10:14 pm ctsinclair: @drpippa @revdoc At least by checking badges for sneaks, the org is being
fiscally responsible with your membership dues! ;-) #hpm

10:14 pm gcooneymd: RT @ctsinclair: To improve care of patients w/ serious or life-threatening
cond thru advancement of hospice and palliative medicine. #hpm

10:15 pm CompAndChoices: New blog post: why everyone, including those with disabilities, have the right
to end-of-life #choice: http://ow.ly/3XQa4 #hpm

10:15 pm gcooneymd: Physicians caring for patients with serious illness #hpm #hpm

10:15 pm drpippa: @ctsinclair no - they have someone stationed checking your pre con
workshop number, can't switch. Will see if I get scanned tomorrow. #hpm

10:28 pm ctsinclair: @drpippa maybe @revdoc willl share her notes! #hpm

10:30 pm ewidera: Just arrived in Vancouver - where's the party at? Social media session
tomorrow - that's where it is! #HPM

10:51 pm ctsinclair: @ewidera Good we need more tweeters! #hpm

10:58 pm ctsinclair: Awesome! Every @AAHPM member not registered o be in Vancouver gets a
'Wish you were here' postcard with Save the date for 2012 Denver #hpm

11:00 pm renee_berry: RT @ctsinclair: RT @doclake: Where's the tweets? (from AAHPM
Vancouver) #hpm "and @renee_berry is not here yet"

11:02 pm renee_berry: @ctsinclair @doclake here now, planning the really great live tweets
tomorrow, fun tweets abt meeitng people IRL until then @aahpm #hpm

11:03 pm ctsinclair: Just finished taking annual board pics, reviewing financials and then over to
the conference! #hpm

11:03 pm renee_berry: RT @ewidera: Just arrived in Vancouver - where's the party at? Social media

session tomorrow - that's where it is! #HPM
11:04 pm ctsinclair: Get excited @PracticalWisdom hosting #hpm tweetchat tonight in only 3
hours on #hospice and #palliative topics #hpm

11:05 pm ctsinclair: For everyone watching, the live tweets will really increase tomorrow, hold on
to your hats #hpm

11:05 pm ameritox: Don?t miss Ameritox CMO Dr. Harry Leider?s presentation on improving
health care through clinical leadership @AAHPM http://t.co/F8Ptic4 #hpm

11:06 pm jodyms: @ctsinclair Wish I could join you. Wed. night commitment makes #HPM
impossible until mid-May....

11:07 pm renee_berry: RT @ctsinclair: Get excited @PracticalWisdom hosting #hpm tweetchat
tonight in only 3 hours on #hospice and #palliative topics #hpm

11:10 pm renee_berry: @jodyms that's ok at least this week you will have a very active #hpm
stream all thurs &fri (hi btw :)

11:10 pm quality1: @ctsinclair What time is #hpm tonight?

11:11 pm ctsinclair: @quality1 6p PT / 9p ET same time as usual #hpm

11:15 pm renee_berry: @ctsinclair @ewidera & anyone in #hpm please consider writing about this

2/23/2011
11:15 pm renee_berry: @ctsinclair @ewidera & anyone What the Hashtag?!
Transcript for #hpm - in #hpm please consider writing about this
http://tinyurl.com/4ctu4oh cc @dianeemeier #datamisinterpreted

11:16 pm MatthewsMichele: Excited to see tmw's tweets! RT @ctsinclair: For everyone watching, the live
tweets will really increase tomorrow, hold on to your hats #hpm

11:19 pm renee_berry: RT @ameritox: Don?t miss Ameritox CMO Dr. Harry Leider?s presentation
on improving health care through clinical leadership @AAHPM
http://t.co/F8Ptic4 #hpm

11:37 pm PracticalWisdom: Please join us #hpm tweetchat tonight. 6p PT / 9p ET. Tonight is very
exciting @AAHPM is meeting in Vancouver.

11:42 pm DeathwDignity: Montana's Ban of Death with Dignity Dismissed! http://ht.ly/3XTMc #hpm

11:51 pm PracticalWisdom: Great Ink found in the Brochure #AAHPM/HPNA conf: attendees will discuss
mem. sessions throughout the meetingTwitter (use hashtag #hpm)

11:56 pm PracticalWisdom: @stsinclair excited @AAHPM meeting in Vancouver. He's using Twitter 2
find his Colleagues/Friends. Twitter can be used like 4 Square. #hpm

February 17, 2011

12:16 am PracticalWisdom: Great Sessions: #AAHPM/HPNA conference: What a creative title: SIG
Symposium Career Speed Dating (518) Professionals in training #hpm.

12:24 am PracticalWisdom: #AAHPM/HPNA Conference: SoMe Forum (321) No CME/CE credits will be
offered this session. Wonder when CME or CE credits will be given? #hpm

12:27 am drpippa: RT @PracticalWisdom: #AAHPM/HPNA Conference: SoMe Forum (321) No
CME/CE credits will be offered this session. Wonder when CME or CE
credits will be given? #hpm

12:29 am PracticalWisdom: #hpm is live tonight at 6p PT/9P simply add the #hpm to your tweets. See
you in 90 Minutes! #HPM

12:30 am PracticalWisdom: RT @drpippa: ?@ctsinclair: In @AAHPM Board meeting and not really stuff I
can tweet yet. #hpm? I was wondering why so few tweets from you! See you
@4:30?

12:30 am PracticalWisdom: RT @drpippa: Best advice re: outpt pall care: don't spread yourself too thin
or your program will fail. Easy to say, hard to do. #hpm

12:33 am ctsinclair: Impressed the whole Vancouver taxi fleet are Prius cars #hpm

12:33 am PracticalWisdom: RT @ctsinclair: Any people on Twitter in Vancouver for @AAHPM
conference we will be having Tweetchat at 6p local in exhibit hall #hpm

12:33 am PracticalWisdom: RT @ctsinclair: And I am very excited to debut tomorrow my new creative
writing/blogging workshop for #hpm with Amos Bailey, more info to come!
#hpm

12:49 am PracticalWisdom: 1 hour #hpm! If you're interested in Hospice/Palliative Medicine, we'd love
you to join. Just add the hashtag # hpm 2 your tweets! #HPM

12:57 am hjluks: RT @ctsinclair: And I am very excited to debut tomorrow my new creative
writing/blogging workshop for #hpm with Amos Bailey, more info to come!
#hpm

12:58 am PracticalWisdom: 7 ways to use Twitter at a Medical Conference just in time for @AAHPM
conference.Lots of Practical Wisdom:http://bit.ly/dJVrDt #hpm

1:02 am KathleenPacurar: RT @SanDiegoHospice: @palliativecare Safe travels to our staff and
colleagues attending #AAHPM Conference this week! #hpm

1:07 am doclake: RT @DanielPink: Interesting factoid from THE WEEK: "Nursing homes &
hospices R now among the top 10 employers in 20 difft states." #hpm

1:12 am doclake: RT @KathleenPacurar: (CEO SD Hospice) I just learned how to use Twitter
and look forward to starting to tweet and reading your tweets! #hpm

1:16 am KathleenPacurar: @doclake Thanks for the RT, Scott! #hpm

1:27 am PracticalWisdom: @KathleenPacurar Welcome to #hpm. How Lovely: The way I approach

1:27 am PracticalWisdom: @KathleenPacurar Welcome to #hpm. How Lovely: The way I approach
work is to keep the heart & compassion at the forefront of all we do. #hpm

1:30 am hospice_mktg: RT @PracticalWisdom: @KathleenPacurar Welcome 2 #hpm. The way I
approach work is 2 keep the heart & compassion at the forefront of all we do

1:31 am ctsinclair: RT @doclake: RT @KathleenPacurar: (CEO @SDHospice) just learned how
to use Twitter. Looking forward to tweeting/reading tweets! #hpm #hpm

1:32 am ctsinclair: @KathleenPacurar Heard a great talk from @FrankDFerris to the @AAHPM
board. He loves the international scene #hpm

1:34 am PracticalWisdom: @KathleenPacurar who was your Twitter Teacher? I hope you can stay for
our live chat that takes place in about 30 Min. #hpm

1:38 am ctsinclair: @KathleenPacurar Are you in Vancouver, or did you stay home in SD? I will
be at NHPCO in April. Hope to meet you. #hpm

1:40 am ctsinclair: @PracticalWisdom I bet @mdelacalazada had something to do with
teaching @KathleenPacurar #hpm

1:42 am equijada: Back in Vancouver after a day of playing in pow. Knees hurt, thighs sore,
spirit restored. Ready for #hpm #itson

1:43 am equijada: Whistler pow http://instagr.am/p/BplXA/ Related: self-care #hpm

1:43 am PracticalWisdom: @equijada: Looking forward to your participation. #hpm
1:45 am PracticalWisdom: @equijada: I already was wishing I was having fun with you guys and then
you show a picture like that!!! Thanks for sharing. ;<) #hpm

1:49 am MeetVancouver: We'll be back onsite tomorrow at 9AM! DId you catch the beautiful sunset
outside @VanConventions? @AAHPM #hpm http://twitpic.com/40l2lz

1:51 am PracticalWisdom: Let's get ready to Rumble: We only have 10 minutes before #hpm begins.
Special Night @AAHPM http://bit.ly/as5GqC #hpm

1:55 am hollyby: We wrote, colored, shared, blessed, remembered, breathed, walked, &
rediscovered our heart today during the preconference session! #hpm

1:55 am hvto: Only have about 5 minutes before #hpm begins. Special Night
http://bit.ly/as5GqC #hpm For participation go to: http://tweetchat.com and
at?

1:56 am PracticalWisdom: RT @hollyby: We wrote/colored/shared/blessed/remembered/breathed/
walked rediscovered our heart today during the preconference session! #hpm

1:56 am MeredithGould: @hollyby Sounds like a wonderful and necessary respite. #hpm

1:56 am hollyby: If you are at the @AAHPM mtg, don't forget to check out the labyrinth in the
quiet space sometime during the conference. Rms 221-222. #hpm

1:56 am dockj: RT @hollyby: We wrote, colored, shared, blessed, remembered, breathed,
walked, & rediscovered our heart today during the preconference session!
#hpm

1:57 am MeredithGould: @hollyby LOVE walking the labyrinth. An opportunity has always emerged
at the exact right time for spirit by Spirit. #hpm

1:58 am hollyby: @MeredithGould It was lovely and much needed, all with a view of the water
and the mountains just outside the room. #hpm

1:59 am MeredithGould: @hollyby Don't tell me you had sushi for lunch. I want to be lovingly
supportive not jealous! #hpm

1:59 am hollyby: @hollyby The labyrinth has tiles that our preconference participants made to
share with everyone at the mtg, each w/ its own intention #hpm

2:00 am PracticalWisdom: Welcome 2Hospice& Palliative Medicine #hpm. If you are joining please
introduce yourself! (Practical Wisdom-Lisa Fields moderating) #hpm

2:00 am hvto: @hollyby Wow - what a great experience! #hpm

2:01 am hospice_mktg: Hello! I'm Emily Barry with Transcend Hospice Marketing #hpm

2:02 am hvto: Robin Watts - Hospice Volunteer Training Online #hpm

2:02 am hvto: Robin Watts - Hospice Volunteer Training Online #hpm

2:02 am dockj: Kevin Johnson, family medicine educator and HPM in Wilmington NC #hpm

2:03 am PracticalWisdom: @hospice_mktg: Welcome Emily. Are you attending the @AAHPM
Conference/Vancouver? #hpm

2:03 am PracticalWisdom: @hvto: Robin glad you are here. #hpm

2:04 am hollyby: Thanks for hosting @PracticalWisdom! #hpm

2:04 am hospice_mktg: @PracticalWisdom No I'm not at the conference but following everyone's
tweets! Wish I was there! #hpm

2:04 am ctsinclair: Hey everyone, I am manning the booth and teaching people to use Twitter
@AAHPM in Vancouver #hpm

2:04 am PracticalWisdom: @dockj: Glad you could also join tonight. #hpm

2:05 am hvto: @PracticalWisdom @hvto Thank you. I am silently sitting in jealousy of
those at the @AAHPM Conference! #hpm

2:05 am PracticalWisdom: @hollyby: My pleasure, I've already enjoyed your Tweets. #hpm

2:05 am hollyby: Hey all you there with @ctsinclair! Glad you are joining the tweetchat!!!
#hpm

2:05 am drpippa: Greetings from Vancouver! Pippa Shulman here, tweeting from exhibit hall.
meeting folks IRL! #hpm

2:06 am equijada: Thx for hosting Lisa! #hpm

2:06 am ctsinclair: @hollyby Where are you? in the exhibit hall? #hpm

2:06 am dockj: Having Vancouver-envy. #hpm

2:06 am PracticalWisdom: Multi-Tasking!RT @ctsinclair: Hey everyone, I am manning the booth and
teaching people to use Twitter @AAHPM in Vancouver #hpm

2:06 am PracticalWisdom: @equijada: My pleasure. Enjoyed the snow picture. #hpm

2:06 am equijada: @ctsinclair @AAHPM awesome! #hpm

2:07 am joshgriffin: RT @dockj: Having Vancouver-envy. #hpm

2:07 am hollyby: @ctsinclair Back at the hotel celebrating the completion of the
preconference with wine and friends. And showing them twitter! #hpm

2:07 am PracticalWisdom: It?s a special night. ?Shout out? goes to all those attending the @AAHPM
Conference/Vancouver. If your 1st visit to #hpm welcome. #hpm

2:08 am RickCaffeinated: Following #hpm here at the end of the week, e-watching conference in
Vancouver, BC from Columbia, SC. #tweetchat

2:08 am PracticalWisdom: If your First Experience Tweeting Congrats! #hpm

2:09 am equijada: @RickCaffeinated hi rick. welcome. #hpm

2:09 am PracticalWisdom: @RickCaffeinated: Rick Welcome. Java Guy? #hpm

2:09 am PracticalWisdom: We presume all tweets within #hpm during this hour are you own and not
those of your employer (unless specifically expressed) #hpm

2:09 am MeredithGould: @KathleenPacurar Welcome to the wild, wonderful illuminating world of
Twitter! #hpm

2:10 am hospice_mktg: Love it! RT @hollyby: @ctsinclair Back at hotel celebrating the completion of
preconf with wine and friends. And showing them twitter! #hpm

2:10 am RickCaffeinated: @equijada thanks - looks like y'all are having fun. Hope the weather goes
well for everyone. #hpm

2:10 am PracticalWisdom: Wonderful group tonight. Let's get started with our first discussion. #hpm

2:11 am PracticalWisdom: T1: What is the role of patient/family/public in attending medical
conferences? #hpm

conferences? #hpm

2:12 am RickCaffeinated: @practicalwisdom coffee snob, yes :) #hpm
2:12 am MeredithGould: T1 Are patients/caregivers/public generally allowed to attend medical
conferences?!? #hpm

2:13 am hvto: @PracticalWisdom Applying sound communication principles w/pts,
families, & IDT teams is an objective - need the end users input #hpm

2:13 am hospice_mktg: T1 - learning how to serve patients/families better, ensure u provide highest
quality care, support #hpm

2:14 am ctsinclair: T1: There are guest registrations, but since they are not marketed to, they
probably dont think about coming #hpm

2:14 am dspacl: T1 Patients/families can attend the #AAHPM conference tweetchat for free
#hpm

2:15 am ctsinclair: I know @rawarrior has gone to a #rheum conference and was well recd
#hpm

2:15 am joshgriffin: Good evening all. Josh - Pastor/Chaplain, late to the party. Also won't be
tweeting much, shoulder/hand killing me tonight. #hpm

2:16 am ctsinclair: @renee_berry is here at @AAHPM conf and she is not a palliative
professional, so she might tell you her perspective #hpm

2:16 am dspacl: There is a potential ePatient audience out there #hpm

2:16 am ctsinclair: RT @dspacl: T1 Patients/families can attend the #AAHPM conference
tweetchat for free "excellent point" #hpm

2:16 am PracticalWisdom: @joshgriffin: Glad you are here. LIstening is always valuable. #hpm

2:16 am MeredithGould: @ctsinclair She (@rawarrior) also had to fight to attend that conference as
Press. #hpm

2:17 am PracticalWisdom: She also is an advocate, Subject Matter Expert. RT @ctsinclair: I know
@rawarrior has gone to a #rheum conference and was well recd #hpm

2:17 am MeredithGould: @dspacl Speaks to the value of learning & using Twitter. I've been able to
attend conferences virtually for 3 yrs! #AAHPM #hpm

2:18 am PracticalWisdom: @ctsinclair: Was she a speaker? #hpm

2:19 am ctsinclair: @PracticalWisdom Not that I know of? RE: @rawarrior as speaker #hpm

2:20 am hvto: As a hospice advocate, I would love to attend to better understand the
current trends, challenges, and successes in #hpm #hpm

2:22 am MeredithGould: T1 I'd like to see conference organizers get into the best practice of inviting
experienced #hcsm folks to tweet sessions in real time. #HPM

2:22 am PracticalWisdom: RT @ctsinclair: T1: There are guest registrations, but they are not marketed
to. Do you think this might change in the future? #hpm

2:22 am hvto: RT @MeredithGould: @dspacl Speaks to the value of learning & using
Twitter. Been able 2 attend conferences virtually for 3 yrs! #AAHPM #hpm

2:22 am drpippa: RT @MeredithGould: @dspacl Speaks to the value of learning & using
Twitter. I've been able to attend conferences virtually for 3 yrs! #AAHPM
#hpm

2:22 am dspacl: What offerings are directed at caregivers? The appeal such offerings to
professionals, would be limited #hpm
2:23 am DrSnit: @MeredithGould #hpm hey cats hope the conference goers are having a
lovely time. missing you! having a birthday thinger with the fam. MUAH!

2:23 am PracticalWisdom: @DrSnit: Happy B Day @DrSnit! #hpm

2:23 am hollyby: RT @MeredithGould: T1 Id like to see conf organizers get into inviting
experienced #hcsm folks to tweet sessions in real time. #hpm

2:24 am dspacl: Perhaps microblogging the topics contemporaneously would be of value to

2:24 am dspacl: Perhaps microblogging the topics contemporaneously would be of value to
#hcsm users #hpm

2:24 am dockj: T1. The other issue is non-member costs are higher for most conferences.
Added burden for PT/family. #hpm

2:24 am PracticalWisdom: Great Discussion for T1: Now getting ready for T2: #hpm

2:24 am DrSnit: @PracticalWisdom Thank you! it is not till tomorrow!!! But you know -
birthday season... ;) #hpm

2:24 am hvto: RT @dspacl: Perhaps microblogging the topics contemporaneously would
be of value to #hcsm users. I really like that idea. #hpm

2:25 am PracticalWisdom: T2: What are the Pros/Cons of live Tweeting during Keynote or Presenters
talks during medical Conferences? #hpm

2:25 am MeredithGould: @hollyby I've done it as an invited "press" and just because I've been
attending. Very intense & difficult at times. #hpm

2:25 am hollyby: @DrSnit A very happy birthday to you!!! #hpm

2:26 am MeredithGould: T2 Essential, IMO. Takes nothing away from the speaker & provides much
for the audience. #hpm

2:27 am hollyby: T2: People who are not on twitter think you are ignoring them, when in fact
you are really paying attention in order to tweet! #hpm

2:27 am dockj: RT @MeredithGould: T2 Essential, IMO. Takes nothing away from the
speaker & provides much for the audience. #hpm

2:27 am MeredithGould: @hollyby Just like they think people who doodle aren't paying attention
when, in fact, kinesthetic learners need to be doing something #hpm

2:28 am dockj: T2 you can use transcripts from live tweets as crib sheet for your own notes.
#hpm

2:28 am hvto: @PracticalWisdom T2: Twitter becomes the tool for supreme note taking -
only lots of people sharing your notes. #hpm

2:28 am dspacl: A recent conference (might of been MASCC) projected the live tweets during
the talk and disparaging comments caused them to stop #hpm

2:28 am equijada: @PracticalWisdom heard a lecturer open "please do not give me your
undivided attention please tweet to #hashtag" #hpm

2:28 am MeredithGould: RT @hvto: @PracticalWisdom T2: Twitter becomes the tool for supreme
note taking - only lots of people sharing your notes. #hpm

2:29 am drpippa: RT @hollyby: T2: People who are not on twitter think you are ignoring them,
when in fact you are really paying attention in order to tweet! #hpm

2:29 am ctsinclair: RT @PracticalWisdom: T2: What are the Pros/Cons of live Tweeting during
Keynote or Presenters talks during medical Conferences? #hpm
2:30 am MeredithGould: @dspacl Was at a conf 2 yrs ago where projected live tweets caused
somewhat of a fuss but I still think color commentary is impt. #hpm

2:30 am joshgriffin: RT @MeredithGould Just like think people who doodle rnt paying attention
when, in fact kinesthetic learners need 2 b doing something #hpm

2:30 am mpalko: @ctsinclair the pros are that folks NOT at the conference get the benefit of
virtual participation #hpm

2:30 am MeredithGould: @dspacl If a speaker is SO unresponsive to the audience that lots o' people
are yawning or tweeting comments, so what? Feedback! #hpm

2:31 am MeredithGould: RT @mpalko: @ctsinclair the pros are that folks NOT at the conference get
the benefit of virtual participation #hpm

2:31 am hughstephens: @PracticalWisdom what is #hpm? Haven't heard of it before!

2:31 am dockj: RT @mpalko: @ctsinclair the pros are that folks NOT at the conference get

2:31 am MeredithGould: @hughstephens Hospice and Palliative Medicine #hpm

2/23/2011
2:31 am MeredithGould: @hughstephens Hospice and Palliativethe Hashtag?!
Transcript for #hpm - What Medicine #hpm

2:31 am ctsinclair: I am not sure I think broadcasting live tweets works unless you have a
critical mass of tech lovers in audience #hpm

2:31 am hospice_mktg: RT @mpalko: @ctsinclair the pros are that folks NOT at the conference get

2:31 am mpalko: The sound of typing is the new applause #hpm

2:31 am MeredithGould: RT @mpalko: The sound of typing is the new applause #hpm

2:31 am PracticalWisdom: T2(A) Do you think the experience of the speaker/Type of Conference/Age of
the audience impacts the pros/cons. #hpm

2:31 am rawarrior: #hpm Eek, what have I missed?

2:31 am ctsinclair: [sidenote] I am getting some commentary from the crowd watching me type
#hpm

2:31 am kikilitalien: RT @mpalko: The sound of typing is the new applause #hpm

2:31 am MeredithGould: @mpalko Ok, I just favorited that tweet!!! #hpm

2:32 am revrevwine: RT @mpalko: The sound of typing is the new applause #hpm

2:32 am PracticalWisdom: @rawarrior: Nice complements about you. #hpm

2:32 am RickCaffeinated: Exactly (from SC!) //RT @mpalko: @ctsinclair the pros are that folks NOT at
the conference get the benefit of virtual participation #hpm

2:32 am rawarrior: RT @PracticalWisdom: @rawarrior: Nice complements about you. #hpm
//Hehe. glad to catch that. ;)

2:32 am hollyby: *clap clap clap* RT @mpalko: The sound of typing is the new applause
#hpm

2:33 am equijada: @ctsinclair always (mostly) good to be an early adapter #hpm

2:33 am hughstephens: ah of course. RT @MeredithGould: @hughstephens Hospice and Palliative
Medicine #hpm

2:33 am MeredithGould: T2(A) While age cohort may have an impact, I say tough darts -- get with the
21st century! #hpm

2:33 am equijada: @ctsinclair yo crowd. tweet away. #hpm

2:33 am joshgriffin: RT @MeredithGould: T2(A) While age cohort may have an impact, I say
tough darts -- get with the 21st century! #hpm

2:33 am RickCaffeinated: Can I get a crossstitch of this? :) //RT @hollyby: *clap clap clap* RT
@mpalko: The sound of typing is the new applause #hpm

2:34 am PracticalWisdom: Interview on NPR Biz Stone reported one speaker was so boring a large # of
the group left to go across the hall for another speaker. #hpm

2:34 am dspacl: @hughstephens Do you attend many tweetchats? #hpm

2:34 am MeredithGould: @equijada Did you mean that double entendre? (adapter/adopter) #hpm

2:35 am SheyontheBay: RT @MeredithGould: T1 I'd like to see conference organizers get into the
best practice of inviting experienced #hcsm folks to tweet sessions in real
time. #HPM

2:35 am PracticalWisdom: Rascal in me: http://www.youtube.com/watch?v=m-prl07CaOI #hpm

2:35 am dspacl: @PracticalWisdom There's an idea! You can monitor the tweetage from the
room before you decide to attend #hpm

2:35 am MeredithGould: @hughstephens If you can, attend the Sunday night #hcsm chat #hpm

2:36 am hlherrington: Hi! @CTSinclair just signed me up! just learning... #hpm

2:36 am FeliciaChapman: @hvto Hey Robin, what's #hpm?

2:36 am equijada: @MeredithGould nope! i used the wrong word. #hpm


2:37 am MeredithGould: @hlherrington Hi! Hang in there, it can be confusing at first. #hpm

2:37 am MeredithGould: @equijada You should've said "yes" and then everyone would marvel that
you're so clever! #hpm

2:37 am equijada: @MeredithGould you editors and writer types! ha! #hpm

2:37 am PracticalWisdom: T(3) Have you seen Speakers take questions or change their talk when they
are receiving feedback from the Tweeters in the Room? #hpm

2:37 am mcamp41: RT @mpalko: The sound of typing is the new applause #hpm

2:38 am equijada: @hlherrington welcome! #hpm

2:38 am MeredithGould: T3 Yes & it's very effective --enhances interactive, participatory, collaborative
nature of event #hpm

2:38 am PracticalWisdom: RT @equijada: @hlherrington welcome! #hpm

2:38 am kgtyson: RT @mpalko: The sound of typing is the new applause #hpm

2:38 am equijada: @MeredithGould it did cross my mind... #hpm

2:39 am drpippa: @hlherrington welcome! Perfect intro. #hpm

2:40 am SheyontheBay: RT @ctsinclair: RT @mpalko: The sound of typing is the new applause. "I
am putting that on a t-shirt" #hpm

2:40 am hlherrington: @equijada @meredithgould @drpippa- thanks, guys! #hpm

2:40 am PracticalWisdom: Opps sorry if I made it more confusing with T(3). Sorry. #hpm

2:40 am PracticalWisdom: T3: If someone asked you why you use Twitter or other Social Media tools
during Medical Conferences what would you tell them. #hpm

2:40 am MeredithGould: @equijada Yeah, the absolute nerve of us demanding craft! Could be worse,
we could be demanding good handwriting too! #hpm

2:41 am drpippa: T3 - wow! That would be great. Haven't seen a speaker change based on
feedback yet. Perhaps at SoMe preso tomorrow?@PracticalWisdom #hpm

2:41 am MeredithGould: @drpippa I've seen it and it's very compelling! #hpm

2:42 am PracticalWisdom: @drpippa: Ev Williams gets Feedback from Chris right after his TED Speech
Re: Twitter. Ev looks very uncomfortable. #hpm

2:42 am MeredithGould: T3 I'd say, "I'm using social media as a tool to make healthcare education &
information to as broad an audience as possible." #HPM

2:42 am joshgriffin: RT @ctsinclair: RT @mpalko: The sound of typing is the new applause. "I
am putting that on a t-shirt" < I'd wear that each time I speak #hpm

2:42 am hollyby: T3: Twitter is an important way to get the word out, share, learn, connect!
When I'm reading, it helps me broaden my view! #hpm

2:43 am equijada: @PracticalWisdom t3: changes your life. weak bonds may become strong
bonds. Plus it's the Guttenberg press. #hpm

2:43 am PracticalWisdom: RT @MeredithGould: T3 "Im using social media as a tool to make
healthcare education & information to as broad an audience as possible."
#hpm

2:43 am joshgriffin: RT @equijada: @PracticalWisdom t3: changes your life. weak bonds may
become strong bonds. Plus its the Guttenberg press. #hpm

2:43 am ssmithaahpm: Attending #HPNF reception - happy anniversay #HPNA! #HPM #AAHPM

2:44 am rawarrior: RT @MeredithGould: T3 I'd say, "I'm using social media as a tool to make
healthcare education & information to as broad an audience as possible."
#HPM

2:44 am MeredithGould: T3 I've found, met & learned from my most valued colleagues via social
media. #hcsm #hpm #mccsm

2:45 am MeredithGould: T3 (and then I'd mutter something under my breath like, "you should try it,
bud") #HPM

bud") #HPM

2:45 am dockj: RT @hollyby: T3: Twitter is an important way to get the word out, share,
learn, connect! When I'm reading, it helps me broaden my view! #hpm

2:45 am joshgriffin: RT @MeredithGould: T3 (and then Id mutter something under my breath like,
"you should try it, bud") #hpm

2:46 am ctsinclair: RT @MeredithGould: T3 Ive found, met & learned from my most valued
colleagues via social media. #hcsm #hpm #mccsm #hpm

2:46 am MeredithGould: @JoshGriffin I <3 you for RT'ng that! #hpm

2:46 am mpalko: @MeredithGould agreed, it's like finding a 1000 co-workers you might not
otherwise have known about #hcsm #hpm

2:46 am PracticalWisdom: @ctsinclair: Are you seeing an increase in SoMe during this conference?
#hpm

2:46 am ctsinclair: I like using twitter at a med conf for taking notes to review afterwards and
discuss with my colleagues #hpm

2:46 am joshgriffin: @MeredithGould I <3 you for tweeting it :-) #hpm

2:47 am ctsinclair: RT @PracticalWisdom: @ctsinclair: Are you seeing an increase in SoMe
during this conference? "you guys have helped a bunch" #hpm

2:47 am MeredithGould: RT @ctsinclair: I like using twitter at a med conf for taking notes to review
afterwards and discuss with my colleagues #hpm

2:47 am ctsinclair: @PracticalWisdom The wi-fi has made it a little daunting as well as intl data
plans being $$$, but we will overcome these challenges #hpm

2:47 am MeredithGould: @PracticalWisdom My sense is --> @ctsinclair is dressed up like the
Twitter bird to recruit tweeple! #hpm

2:47 am dspacl: @ctsinclair How do you review the notes? Can you call up a transcript.
Forgive my novice ways #hpm

2:47 am ctsinclair: RT @mpalko: @MeredithGould agreed, its like finding a 1000 co-workers
you might not otherwise have known about #hcsm #hpm

2:48 am hollyby: RT @ctsinclair: I like using twitter at a med conf for taking notes to review
afterwards and discuss with my colleagues #hpm

2:48 am ctsinclair: RT @MeredithGould: @PracticalWisdom My sense is @ctsinclair is
dressed up like the Twitterbird to recruit tweeple! "i'll photshop that' #hpm

2:48 am MeredithGould: @dspacl There are a number of technologies you can use to archive stuff.
#hpm

2:48 am joshgriffin: RT @MeredithGould: @PracticalWisdom My sense is --> @ctsinclair is
dressed up like the Twitter bird to recruit tweeple! #hpm

2:48 am ctsinclair: RT @dspacl: @ctsinclair How do you review the notes? Can you call up a
transcript. 'Yeah, you can get pdf of your tweets or a hashtag' #hpm

2:49 am ctsinclair: @dspacl Will write up a blog post on @pallimed tonight on how to get your
twitter posts neatly organized #hpm

2:49 am hvto: btw, what was one of the tweetable insights that came from today's preconf?
#hpm

2:49 am dockj: @ctsinclair @PracticalWisdom we had same wifi problem at Wall Center in
Vancouver for STFM last year. #hpm

2:49 am PracticalWisdom: @ctsinclair: http://4.bp.blogspot.com/_UU2D6Y0X8_k/S9Iz-
8okvbI/AAAAAAAACGc/Q4IHv-ZF9ag/s1600/1229031072_bigbird.png
teasing #hpm

2:49 am MeredithGould: @ctsinclair Better than being the Fail Whale (a moment of reverent silence)
#hpm

2:49 am dspacl: @MeredithGould @ctsinclair Cool, thanks #hpm

2:49 am hollyby: Ha!!! RT @MeredithGould: @PracticalWisdom My sense is --> @ctsinclair

2:49 am hollyby: Ha!!! RT @MeredithGould: @PracticalWisdom My sense is --> @ctsinclair
is dressed up like the Twitter bird to recruit tweeple! #hpm

2:50 am drpippa: This is great - was just chatting with a guy who has been in practice 41
years, wants to learn about "the twitter." he is loving it! #hpm

2:50 am ctsinclair: RT @MeredithGould: @dspacl There are a number of technologies you can
use to archive stuff. 'any that you know of off top of head?" #hpm

2:51 am thehealthmaven: RT @ctsinclair: RT @MeredithGould: @dspacl There are a number of
technologies you can use to archive stuff. 'any that you know of off top of
head?" #hpm

2:51 am joshgriffin: @drpippa "the twitter" is becoming such a powerful tool, even to the elder
generation, as the reach is incredible. #hpm

2:51 am ctsinclair: @drpippa teach him now! #hpm

2:51 am dspacl: RT @drpippa: This' great - chatting with a guy who has been in practice 41
years, wants to learn about "the twitter." he is loving it! #hpm

2:52 am PracticalWisdom: @joshgriffin @drpippa: I prefer the term Spicy generation~Please #hpm

2:52 am drpippa: done and done! RT @ctsinclair: @drpippa teach him now! #hpm

2:53 am PracticalWisdom: @ctsinclair: Do you have any final thoughts tonight? #hpm

2:53 am joshgriffin: @PracticalWisdom Spicy generation it is. Although I use elder with all
respect. #hpm

2:53 am mpalko: Thanks for letting me crash the #hpm conference. I've got a BIG interest in
#hcsm. Let me know how I can help

2:53 am MeredithGould: Social media adoption by "older" cohorts is driven by children &
grandchildren who use this stuff as a matter of course. #HPM

2:54 am PracticalWisdom: @joshgriffin: When in doubt I always give benefit of doubt. Thanks #hpm

2:54 am MeredithGould: @mpalko Love your Twitter bio. #hpm #hcsm

2:54 am ctsinclair: RT @PracticalWisdom: Any final thoughts tonight? "Thanks to all of you
who are not here for the beg of a great socmed story" #hpm

2:54 am ctsinclair: @mpalko Would love for some of your RT and interaction tomorrow thru Sat
when #hpm tweets go into overdrive #hpm

2:55 am ctsinclair: RT @mpalko: Thanks for letting me crash the #hpm conference. Ive got a
BIG interest in #hcsm. Let me know how I can help #hpm

2:55 am hvto: @ctsinclair What was your best take away from today's pre-conf? #hpm

2:55 am PracticalWisdom: Final thoughts from the rest of our community. #hpm

2:55 am MeredithGould: #HPM Final thoughts: Live tweeting in real time at conferences needs to
become the new best practice.

2:55 am ctsinclair: RT @hvto: @ctsinclair What was your best take away from todays pre-conf?
"I wish I would have gone, but I was at @AAHPM board meeting' #hpm

2:56 am PracticalWisdom: @ctsinclair: Thank you for serving and for helping to bring WiFi to the
conference. #hpm

2:56 am dspacl: I'll listen for the tweets before choosing my concurrent session (; #hpm

2:56 am drpippa: RT @PracticalWisdom: Final thoughts - Twitter made it easier to walk into a
room of 2000 people I don't know. #hpm
2:57 am mpalko: @ctsinclair appreciate the invitation! I'll be "lurking" as much as I am able.
Just added the #hpm tag as a column in TweetDeck

2:57 am drpippa: me too! RT @dspacl: Ill listen for the tweets before choosing my concurrent
session (; #hpm

2:57 am PracticalWisdom: Final Thoughts from @ctsinclair's the new students? #hpm

2:57 am MeredithGould: @mpalko Check out the #hcsm chat on Sunday nights. 9:00 PM ET. #hpm

2:57 am MeredithGould: @mpalko Check out the #hcsm chat on Sunday nights. 9:00 PM ET. #hpm

2:57 am hvto: @drpippa What was your greatest take away from today's conf? #hpm

2:59 am rawarrior: @ctsinclair mention someone = nice way to get new participants in chat lol.
#hpm

2:59 am drpippa: RT @hvto: @drpippa What was your take away from today? Don't spread
yourself or your program too thin too quick. expand thoughtfully. #hpm

2:59 am PracticalWisdom: Best wishes for all who are attending~@AAHPM Conference/Vancouver. It's
almost time for a wrap. #hpm

2:59 am daleview: the posters are amazing @AAHPM. great one on primary care physicians
think they should refer to hospice BEFORE palliative care. #hpm

2:59 am dockj: @PracticalWisdom thanks for hosting! #hpm

2:59 am PracticalWisdom: RT @rawarrior: @ctsinclair mention someone = nice way to get new
participants in chat lol. #hpm

2:59 am MeredithGould: @mpalko If you use Tweetdeck, you can set up a column to capture tweets
from multiple hashtags. #hpm

3:00 am PracticalWisdom: @dockj: My pleasure it was a blast. #hpm

3:00 am MeredithGould: @PracticalWisdom Great chat topics! Thanks!! #hpm

3:00 am joshgriffin: Great chat, as always. And great job moderating by @PracticalWisdom
Maybe next week there will be some tipics I know more about :-D #hpm

3:00 am dspacl: I'll be one of those to receive a wish you were here card. Have fun and
WARM Regards to all #hpm

3:00 am P_Suelen: Pensei que ia ta estagiando em pleno #Carnaval... Pq ano passado,sabado
e domingo de carnaval estava eu dentro do #HPM... hehehhe

3:00 am hvto: @drpippa Don't spread yourself or your program too thin too quick. expand
thoughtfully. Sort of represents a life plan, doesn't it? TY #hpm

3:00 am ctsinclair: @PracticalWisdom Great chat. Sorry i could not be more involved. #hpm

3:00 am drpippa: Agreed! Esp on a night when lots of attention is focused other places. Great
chat! RT @dockj: @PracticalWisdom thanks for hosting! #hpm

3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via
@nathankottkamp @hfahospice @ameritox @palliativecare @zarakramer

3:01 am ctsinclair: RT @rawarrior: @ctsinclair mention someone = nice way to get new ppl in
chat lol. 'you inspire me, remembered you went to the conf' #hpm

3:01 am PracticalWisdom: @ctsinclair: My pleasure. As a teacher I know First things First. #hpm

3:01 am eyoste: RT @PracticalWisdom: RT @MeredithGould: T3 "Im using social media as
a tool to make healthcare education & information to as broad an audience
as possible." #hpm
3:01 am PracticalWisdom: Good NIght everyone: http://bit.ly/dIX6oo #hpm

3:02 am hvto: @PracticalWisdom TY - Wonderful hosting, enjoyed it. #hpm

3:02 am ctsinclair: RT @drpippa: RT @PracticalWisdom: Final thoughts - Twitter made it easier
to walk into a room of 2000 people I dont know. #hpm

3:03 am PracticalWisdom: NIght everybody. Thank you for all your wisdom.
http://www.youtube.com/watch?v=cp7_u0kcQRo #hpm

3:03 am ctsinclair: Night everyone, going to mingle in person! #hpm

3:04 am drpippa: RT @hvto: Sort of represents a life plan, doesnt it? TY *prob why it sticks
with me! #hpm

3:04 am drpippa: Yes! Looking forward to tomorrow night. RT @ctsinclair: Night everyone,
going to mingle in person! #hpm

3:08 am mdelacalzada: @ctsinclair @PracticalWisdom I am proud to say @KathleenPacurar is

quite the Twitter savvy one all on her own! #hpm

3:11 am KathyKastner: RT @dockj: non-member costs are higher for most conferences. Added
burden for PT/family. #hpm #MDChat

3:11 am KathyKastner: RT @MeredithGould: @hollyby I've done it as an invited "press" and just
because I've been attending. Very intense & difficult at times. #hpm

3:12 am KathyKastner: RT @hollyby: Ppl not on twitter think you are ignoring them, when in fact
you are really paying attention in order to tweet! #hpm #MDchat

3:13 am KathyKastner: Nice one ! RT @dockj: you can use transcripts from live tweets as crib sheet
for your own notes. #hpm #hcsmca

3:13 am KathyKastner: Love it.RT @hvto: @PracticalWisdom Twitter becomes the tool for supreme
note taking - only lots of people sharing your notes. #hpm #hcsmca

3:14 am KathyKastner: Gr8 RT @equijada: @PracticalWisdom heard lecturer open "please do not
give me yr undivided attention please tweet to #hashtag" #hpm #hcsmca

3:18 am KathyKastner: I'm virtual at 2 conf in Van: RT @mpalko: @ctsinclair the pros r that folks
NOT at conference get the benefit of virtual participation #hpm

3:19 am KathyKastner: @MeredithGould I'm feeling smart: I see, as I go through #hpm, I'm RT same
things as you.

3:19 am westr: RT @ctsinclair: RT @drpippa: RT @PracticalWisdom: Final thoughts -
Twitter made it easier to walk into a room of 2000 people I dont know. #hpm

3:22 am KathyKastner: RT @ctsinclair:[sidenote] getting commentary from crowd watching me
type.@mpalko:The sound of typing is the new applause #hpm #hcsmca
#hpm

3:24 am KathyKastner: RT @dspacl: @PracticalWisdom There's an idea! You can monitor the
tweetage from the room before you decide to attend #hpm #hcsmca

3:26 am ssmithaahpm: Joy Buck RN MSN PhD keynote at #HPNF dinner #HPNA #HPM discusses
the importance of archiving the history of the field

3:29 am KathyKastner: Gr8 ans 2 Why use sm at med conf RT @MeredithGould:"I use sm as tool 2
get healthcare ed & information 2 as broad audience possible." #HPM
3:30 am KathyKastner: RT @ctsinclair: I like using twitter at a med conf for taking notes to review
afterwards and discuss with my colleagues #hpm #MDchat #hcsmca

3:30 am ssmithaahpm: Buck: Much of captured history focuses on a few key leaders in visible and
privileged positions #HPM #AAHPM

3:33 am KathyKastner: RT @joshgriffin: @drpippa "the twitter" is becoming such a powerful tool,
even to the elder generation, as the reach is incredible. #hpm

3:35 am KathyKastner: RT @MeredithGould: #HPM Final thoughts: Live tweeting in real time at
conferences needs to become the new best practice. #MdChat #hcsmca

3:36 am KathyKastner: RT @dockj: @PracticalWisdom thanks for hosting! #hpm

3:37 am KathyKastner: RT @PracticalWisdom: @ctsinclair: Thank you for serving and for helping to
bring WiFi to the conference. #hpm

3:37 am westr: RT @KathyKastner: RT @ctsinclair: I like using twitter at a med conf for
taking notes to review afterwards and discuss with my colleagues #hpm
#MDchat #hcsmca

3:47 am ssmithaahpm: Buck: Saunders, Wald and Kubler-Ross were the pioneers of hospice and
palliative care #HPM

3:52 am ssmithaahpm: Buck: Saunders was portrayed as Lady MacBeth in editorial cartoons in the
US as hospice gained in popularity #HPM # AAHPM

3:58 am ssmithaahpm: Happy 25th anniversary #HPNA! #AAHPM and it's members are proud of all
you have accomplished! #HPM

4:01 am ewidera: RT @ssmithaahpm: Happy 25th anniversary #HPNA! #AAHPM and it's
members are proud of all you have accomplished! #HPM


4:24 am daitpcg: RT @ctsinclair: @dspacl Will write up a blog post on @pallimed tonight on
how to get your twitter posts neatly organized #hpm

4:25 am daitpcg: RT @daleview: the posters are amazing @AAHPM. great one on primary
care physicians think they should refer to hospice BEFORE palliative care.
#hpm

4:27 am daitpcg: RT @ssmithaahpm: Happy 25th anniversary #HPNA! #AAHPM and it's
members are proud of all you have accomplished! #HPM

4:32 am OlkinComm: RT @mpalko: The sound of typing is the new applause #hpm

4:36 am khudak11: RT @mpalko: The sound of typing is the new applause #hpm

4:42 am gcooneymd: MUST TRY Bella Gelateria, corner of Burrard and Cordova, right across from
the convention center - blood orange, lavander honey, more #hpm

4:46 am m57lyra: RT @mpalko: The sound of typing is the new applause #hpm

5:07 am GeriPalBlog: GeriPal Wins the 'Best Clinical Weblog of 2010' http://goo.gl/fb/glgAj #blogs
#hpm

5:10 am melissaglassey: RT @ctsinclair: RT @mpalko: The sound of typing is the new applause. "I
am putting that on a t-shirt" #hpm

5:14 am melissaglassey: That's awesome! RT @ctsinclair: Hey everyone, I am manning the booth and
teaching people to use Twitter @AAHPM in Vancouver #hpm

5:23 am ewidera: Mad props 2 @ctsinclair @geri_doc @pallimed @lisamarieblaski @hollyby
@daitpcg @renee_berry @GriefHealing for http://goo.gl/fb/glgAj #HPM

5:24 am ewidera: More props @ShelleyWebbRN, @emarnold14, @CompAndChoices,
@OLDCOLNYHOSPICE, @Adeuxmains, @KathyKastner for
http://goo.gl/fb/glgAj #HPM

5:27 am ewidera: Even more 2 @MatthewsMichele @dianeemeier @hospicevalley
@brimcmike @suzanakm 4 the win http://goo.gl/fb/glgAj #HPM

5:42 am ctsinclair: at dinner (chinese food!) With @suzanakm @hollyby @renee_berry yum!
#hpm

6:10 am melissacolleen: RT @mpalko: The sound of typing is the new applause #hpm

6:14 am sfriebert: @ctsinclair Finally making this thing work - thanks for the tutorial! #HPM

6:23 am ezpsych: spent entire day flying across the county. hate cramped airline seats. hi
vancouver! #hpm

6:56 am elderpages: RT @hollyby: *clap clap clap* RT @mpalko: The sound of typing is the new
applause #hpm

7:39 am renee_berry: RT @ewidera: Mad props 2 @ctsinclair @geri_doc @pallimed
@lisamarieblaski @hollyby @daitpcg @renee_berry @GriefHealing for
http://goo.gl/fb/glgAj #HPM

7:52 am HospiScript: Wonderful 1st day at the AAHPM Conference! Stop by and see us in the
exhibit hall and sign up for HospiLink. #hpm #hospice

8:59 am westr: Lucky you! RT @ctsinclair: at dinner (chinese food!) With @suzanakm
@hollyby @renee_berry yum! #hpm

11:18 am PracticalWisdom: @ctsinclair For everyone watching, the live tweets will really increase (now,
today) hold on to your ttp://bit.ly/dGDHf4 h #hpm #hpm

11:23 am PracticalWisdom: @ctsinclair says "For everyone watching, the live tweets will really increase
(now, today) hold on to your http://bit.ly/ibcKTw" #hpm

11:33 am PracticalWisdom: Me too! RT@hospice_mktg @PracticalWisdom No I'm not at the conference
but following everyone's tweets! Wish I was there! #hpm

11:43 am PracticalWisdom: @ctsinclair Thank you for teaching/helping folks use Twitter @AAHPM in
Vancouver. You gathered a great group! http://bit.ly/geTAr8 #hpm

12:04 pm PracticalWisdom: Why Twitter@Med Conf RT@equijada @PracticalWisdom changes your life.
weak bonds may become strong bonds. (+) it's the Guttenberg press. #hpm

weak bonds may become strong bonds. (+) it's the Guttenberg press. #hpm

12:07 pm RickCaffeinated: RT @PracticalWisdom @equijada Why Twitter changes your life. weak
bonds may become strong bonds. (+) it's the Guttenberg press. #hpm

12:13 pm PracticalWisdom: @equijada http://bit.ly/dY4jI7 is so much easier than http://bit.ly/fuB6ig re:
@AAHPM Plus Twitter is http://bit.ly/fnnGTB #HPM

12:14 pm PracticalWisdom: RT @ctsinclair: RT @rawarrior: @ctsinclair mention someone = nice way to
get new ppl in chat lol. 'you inspire me, remembered you went to the conf'
#hpm

12:18 pm PracticalWisdom: RT@MeredithGould #HPM Final thoughts: Live tweeting in real time at
conferences needs to become the new best practice.

12:18 pm PracticalWisdom: RT @KathyKastner: RT @ctsinclair:[sidenote] getting commentary from
crowd watching me type.@mpalko:The sound of typing is the new applause
#hpm #hcsmca #hpm
12:36 pm PracticalWisdom: @RickCaffeinated I"m so glad 2 have met you through the wires last night
#hpm. Hey local Boy next Java is on me! Cheers.

12:57 pm LVADone: RT @ctsinclair: Our Core Purpose: To improve care of patients w/ serious or
#hpm

12:57 pm LVADone: RT @mpalko: The sound of typing is the new applause #hpm

1:17 pm RickCaffeinated: @practicalwisdom same here - thanks for connecting. I'll be loosely
eavesdropping on the #hpm tag today - y'all have fun.

1:23 pm RickCaffeinated: RT @practicalwisdom: RT@MeredithGould #HPM Final thoughts: Live
tweeting in real time at conferences needs to become the new best practice.

2:12 pm haslingerppc: RT @ctsinclair: Hey everyone, I am manning the booth and teaching people
to use Twitter @AAHPM in Vancouver #hpm

2:23 pm hospice_mktg: RT @pkassner: Painting the backdrop of pts & families final days together
@horizonHCH Listen wuwm.com/listen 10:45a cst #hospice #art #hpm

2:29 pm hospice_mktg: Fabulous video - a must see! RT @HelptheHospices: Want to know more
about how hospices change lives? http://bit.ly/hbXJRK #hospice #hpm

2:29 pm ameritox: At the @AAHPM and @HPNAinfo assembly? 15 minutes until Dr. Harry
Leider discusses improving health care through clinical leadership. #hpm

2:40 pm equijada: RT @mpalko: The sound of typing is the new applause #hpm

2:44 pm Adeuxmains: RT @mpalko: The sound of typing is the new applause #hpm

2:47 pm equijada: via @HelptheHospices - Adding life to days: http://bit.ly/ebvYr0 UK gets it.
Captures the passion w/o the sap #hpm

2:47 pm brimcmike: RT @mpalko: The sound of typing is the new applause #hpm

2:53 pm emilybarryPR: Agree! Powerful RT @equijada: via @HelptheHospices - Adding life to days:
http://bit.ly/ebvYr0 UK gets it. Captures the passion w/o sap #hpm

2:58 pm PracticalWisdom: In Apple Store. White coat MD is here buying lots of stuff. Asked him about
social media & hospital. Kinda gave me a blank look. #HCSM #hpm

3:01 pm andrewspong: RT @PracticalWisdom: In Apple Store. White coat MD is here buying lots of
stuff. Asked him about social media & hospital. Kinda gave me a blank look.
#HCSM #hpm

3:02 pm RickCaffeinated: #Doh! //RT @practicalwisdom: Apple Store. White coat MD buying lots.
Asked him about social media & hospital, gave me blank look. #HCSM
#hpm

3:09 pm equijada: Thank you @ssmithaahpm and @aahpm for hard work planning #hpm.
Looking forward to the day

3:13 pm ctsinclair: Talking to Amy Kelley - just published in AnnalsIntMed Determinants of Med
Expenditures in Last 6 Months of Life http://bit.ly/helncF #hpm

3:15 pm ctsinclair: Thursday Sessions are starting. Yes we get up early in the morning for
education in palliative medicine #hpm

3:17 pm emilybarryPR: Great info! Make your hospital's #Facebook page a conversation not
monologue http://bit.ly/hpX4F7 #hpm #hcmktg #hcpr

3:19 pm ctsinclair: Ira Byock from @Dartmouth @DHMC announced as receiving the @AAHPM
PDIA Community Leadership Award #hpm

3:21 pm ctsinclair: Byock "we can contribute by bringing clinical excellence, caring concern to
affirm essential core values in every patient we meet" #hpm

3:25 pm ctsinclair: Now up - Bob Arnold (@rabob) to receive the @AAHPM PDIA National
Leadership Award #hpm

3:25 pm ssmithaahpm: Toasting PC-FACS editor Amy Abernethy and team with sparkling cider for
100+ great issues #aahpm #hpm

3:26 pm ctsinclair: Arnold - Pretty funny speaker - he clarified his suit is not rented and not his
bat mitzvah suit #hpm

3:29 pm VirtualHospice: RT @ctsinclair: Byock "we can contribute by bringing clinical excellence,
caring concern to affirm essential core values in every patient we meet"
#hpm

3:30 pm ctsinclair: Arnold (@rabob) thanking Tony Back who he worked on @Oncotalk helping
#Oncology fellows w/ communication skills http://bit.ly/hlyAqd #hpm

3:30 pm ctsinclair: RT @ssmithaahpm: Toasting @AAHPM PC-FACS editor Amy Abernethy
and team with sparkling cider for 100+ great issues 'love pc-facs' #hpm

3:31 pm ctsinclair: Arnold's subject - Things that I thought were true that are not #hpm

3:32 pm GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for 2010!!!
http://goo.gl/fb/glgAj via @ewidera #HPM #hospice

3:33 pm AAHPM: RT @GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for
2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice

3:33 pm ctsinclair: Arnold reading 'The Journey Down the Sidewalk of Life' http://bit.ly/hggOCm
good poem for mistakes in health care #hpm

3:34 pm ctsinclair: Mistakes help one see how the future might be different. -Arnold #hpm

3:36 pm hospice_mktg: ! RT @GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for

3:36 pm mdpathways: RT @griefhealing: Congratulations to GeriPal: Best Clinical Weblog for

3:36 pm RNpathways: RT @griefhealing: Congratulations to GeriPal: Best Clinical Weblog for

3:36 pm ctsinclair: RT @GriefHealing: Congratulations to @GeriPalBlog: Best Clinical Weblog
for 2010!!! http://goo.gl/fb/glgAj via @ewidera #HPM #hospice #hpm

3:38 pm ctsinclair: Arnold - Talent is overrated - what you need is intense practice, intentional
and focused, immediate feedback with a coach #hpm

3:41 pm ctsinclair: Arnold - Focus on the role of behavioral economics and the role of emotions
influencing preferences #hpm

3:42 pm ctsinclair: Affect functions as info; spotlights certain info, motivates gathering more
info, serves as common currency - Arnold #hpm

3:48 pm ctsinclair: As clinicians, it is impossible to be neutral, we have walked these roads
many times before, patients often look for advice from us #hpm
3:51 pm AAHPM: Good morning, attendees! The exhibit hall is all abuzz with positive
feedback. What's been your best experience at the Assembly so far? #hpm

3:52 pm ctsinclair: Arnold - Teaching is about creating a space where learning can occur -
motivate and catalyze, make explicit connections #hpm #meded #hpm

3:56 pm ctsinclair: Arnold @rabob rec for medical teachers: Teach Like a Champion

3:56 pm ctsinclair: Arnold @rabob rec for medical teachers: Teach Like a Champion
http://amzn.to/gxrdqh #meded #hpm

3:57 pm ctsinclair: Another book rec from @rabob: How Learning Works: Seven Research-
Based Principles for Smart Teaching http://amzn.to/fFHZCr #meded #hpm

3:59 pm apjonas: RT @ctsinclair: As clinicians, it is impossible to be neutral, we have walked
these roads many times before, patients often look for advice from us #hpm

4:01 pm ctsinclair: Walker Percy "If you listen carefully to your patients they will tell you not
only what is wrong with them but what is wrong with you." #hpm

4:06 pm ctsinclair: Arnold read a short excerpt from David Foster Wallace on Life and Work -
WSJ.com http://on.wsj.com/gCrNAy #meded #hpm

4:07 pm ctsinclair: It is not about the single error but about learning from any error and not
making it again. - Arnold (paraphrase) #hpm

4:10 pm hospice_mktg: Excellent advice esp for #hpm orgs RT @ElenaVerlee: Don?t be afraid to
test your msg to make sure it?s understood. http://fb.me/tdzTokAW #PR

4:23 pm westr: RT @MeredithGould: T3 I've found, met & learned from my most valued
colleagues via social media. #hcsm #hpm #mccsm

4:37 pm VirtualHospice: Congratulations! RT @GeriPalBlog: GeriPal Wins the 'Best Clinical Weblog
of 2010' http://goo.gl/fb/glgAj #blogs #hpm

4:40 pm ctsinclair: Sean Morrison, President of @AAHPM is from Canada and had to put on a
Canadian Hockey jersey before speaking #hpm

4:41 pm Life_Quality: Improving EOL Ed for IM Residnets by using Death Rounds. Focus on
emotional needs - Journal of Palliative Medicine http://bit.ly/f7lhfE #hpm

4:41 pm MeredithGould: @ctsinclair Maple Leafs?? #hpm

4:43 pm ctsinclair: @AAHPM Presidential Award to Canadian Sen Sharon Carstairs who is
appointed Federal Cabinet post responsible for #Palliative Care #hpm

4:44 pm ctsinclair: RT @MeredithGould: @ctsinclair Maple Leafs?? "Canada National Team
Olympics 2010" #hpm

4:44 pm hospicepharmacy: The New York State?s #Palliative Care Information Act now in effect
http://bit.ly/h8LICj #NewYork #hospice #hpm

4:45 pm hospicepharmacy: Legislation filed to legalize medical marijuana in #Kansas
http://bit.ly/fHOsbZ #cancer #hospice #hpm

4:45 pm ctsinclair: Amazing work Senator Carstairs http://bit.ly/f1A5W9 'Raising the Bar A
Roadmap for the Future of Palliative Care in Canada' #hpm

4:47 pm ctsinclair: nearly all 16 past presidents of @HPNA here today for the 25th anniversary
of the group. #RNchat #nursing #hospice #hpm

4:47 pm ctsinclair: RT @hospicepharmacy: Legislation filed to legalize medical marijuana in
#Kansas http://bit.ly/fHOsbZ #cancer #hospice #hpm
4:49 pm ewidera: RT @ctsinclair: nearly all 16 past presidents of @HPNA here today for the
25th anniversary of the group. #RNchat #nursing #hospice #hpm

4:51 pm ctsinclair: Now for the @HPNAinfo awards - Leading the Way award - Madalon O'Rawe
Amenta PhD, MN, RN, leader in hospice in Penn/U.S. #hpm

4:54 pm renee_berry: RT @ctsinclair @HPNAinfo awards - Leading the Way award - Madalon
ORawe Amenta PhD, MN, RN, leader in hospice in Penn/U.S. #hpm

4:57 pm ctsinclair: 2010 @HPNAinfo Distinguished Career Achievement Award to Patricia
Murphy, PhD APN FAAN FPCN from UMDNJ #RNChat @nursingworld
#hpm

4:57 pm renee_berry: Most of what I know about resilience and spirit has been from the families I
have worked with -Murphy, PhD APN FAAN FPCN #hpm

4:59 pm MeetVancouver: Beautiful day for a @capsuspbridge & @grousemountain adventure. Get
exclusive discounts at our onsite booth! @AAHPM @HPNAInfo #hpm

5:01 pm renee_berry: Detmer, MD Partnering Informatics & Continuing Professional Edu for
Performance Improvement & Improved Patient Care #hpm

5:02 pm ctsinclair: Don Detmer now doing Plenary . He is past pres for American Medical
Informatics Assoc @AMIAinformatix #hpm

5:02 pm renee_berry: "there's an opportunity to reform processes for valute driven gains & better
outcomes to improve communities' Detmer, MD #hpm

5:03 pm equijada: Detmer: Ancient reluctant conscript and EMR http://bit.ly/fCsUTl #hpm

5:04 pm MeetVancouver: Hope it's the city ;) RT @AAHPM Exhibit hall is all abuzz with (+) feedback.
What's been your best experience at the Assembly so far? #hpm

5:04 pm renee_berry: "The growth of the knowledge base in medicine is exploding" Detmer, MD
#hpm

5:04 pm ctsinclair: Detmer - Demise of expert-based practice is inevitable, the information blows
past ability for human cognition #hpm

5:05 pm ctsinclair: Detmer - Wonder if he will talk about the Singularity?
http://www.singularity.com/ #hpm

5:05 pm RossJeanette: Medicine used to be simple and ineffective #Hpm

5:06 pm ctsinclair: When all else fails, lower your standards - Roy Underhill, Woodwright's Shop
- Detmer says that is not the answer #hpm

5:06 pm equijada: Detmer paraphrased - Moore's law doesn't apply to the human brain #hpm

5:06 pm renee_berry: "We've got to move past the craftmanship standard" Detmer, MD #hpm

5:07 pm ewidera: "Medicine used to be simple, ineffective, & relatively safe. Now it is complex,
effective, & potentially dangerous." Sir Cyril Chantler #HPM

5:07 pm renee_berry: "We don't just want to know what works, we want to know what works best"
Detmer, MD #hpm

5:08 pm ctsinclair: The Learning Healthcare System in 2010 and Beyond: Institute of Medicine
http://bit.ly/hDizHz Referenced by Detmer #hpm

5:08 pm ctsinclair: Detmer is a fast speaker lots of info! Glad there are multiple tweeters #hpm
5:08 pm elderpages: RT @renee_berry: Most of what I know about resilience and spirit has been
from the families I have worked with -Murphy, PhD APN FAAN FPCN #hpm

5:09 pm ctsinclair: RT @renee_berry: "We dont just want to know what works, we want to know
what works best" Detmer, MD #hpm

5:09 pm renee_berry: RT @ctsinclair: Detmer is a fast speaker lots of info! Glad there are multiple
tweeters #hpm

5:10 pm suzanakm: Informatics aims to enhance use of knowledge base of health sciences to
improve health outcomes and research. Detmer #hpm

5:10 pm equijada: Detmer - informatics: not about technology, about communication. Me:
amen #hpm

5:10 pm renee_berry: RT @suzanakm: Informatics aims to enhance use of knowledge base of
health sciences to improve health outcomes and research. Detmer #hpm

5:10 pm suzanakm: RT @elderpages @renee_berry: Most of what I know about resilience and
spirit has been from the families I have worked with -Murphy #hpm

5:11 pm elderpages: Cutting pills in half to save money or lower doses may be hazardously
inaccurate. http://on.fb.me/hwWMQp #caregiving #hpm

5:12 pm suzanakm: Translational bioinformatics, imagine & simulation, public health info, clinical
research, clinical care - domains of #healthIT #hpm

5:12 pm equijada: Detmer on translational bioinformatics - two words. Awe.some. #hpm

5:12 pm renee_berry: "Doing things right is not the same as doing the right things" Detmer, MD
#hpm


5:13 pm renee_berry: So great to have a tweeting team!!! (Hi everyone) #hpm

5:13 pm ctsinclair: Well done is better than Well said - Ben Franklin from Detmer talk #hpm

5:13 pm suzanakm: Change in #healthIT is like changing the engine while driving the car...
Detmer #hpm

5:13 pm equijada: Well done is better than well said - T. Jefferson #woops #hpm

5:13 pm RossJeanette: detmer we need to change culture to employ informatics, it's like working on
your car while it is running #Hpm

5:13 pm ctsinclair: Whoops meant #HealthIT not #HIT @Ahier #hpm

5:14 pm VanConventions: RT @meetvancouver: onsite tomorrow at 9AM! Did you catch the beautiful
sunset outside @VanConventions? @AAHPM #hpm
http://twitpic.com/40l2lz

5:14 pm renee_berry: HITC is not about technology, its about communications & bringing people
together -Detmer, MD #HealthIT #hpm

5:14 pm ctsinclair: "Everyone complains of his memory, but no one complains of his
judgement." - Duc De La Rochefoucauld from Detmer #hpm

5:15 pm revdoc: Dr. Detmer-clinicians need training in utilizing informatics (science of use of
info) #hpm

5:15 pm renee_berry: "In a complex system #Leadership is more important than management"
Detmer, MD #hpm

5:16 pm suzanakm: RT @ctsinclair: "Everyone complains of his memory, but no one complains
of his judgement." - Duc De La Rochefoucauld from Detmer #hpm

5:16 pm hospicepharmacy: Death with dignity advocates to unveil #Vermont bill http://bit.ly/fvg0UX
#hospice #hpm #cancer #eldercare

5:16 pm revdoc: RT @ctsinclair: "Everyone complains of his memory, but no one complains
of his judgement." - Duc De La Rochefoucauld from Detmer #hpm

5:16 pm RossJeanette: Clinical professional informatician .. I like that... Wonder what it takes to do
it #Hpm

5:16 pm MDTalk: Whoops meant #HealthIT not #HIT #hpm http://bit.ly/hk7gJf

5:17 pm ctsinclair: Wondering about integration of #hcsmsv @GoogleHealth #Hpm and
@AMIamiainformatix #hpm

5:18 pm renee_berry: Informatics in #healthcare today is a dynamic field -Detmer #hpm

5:18 pm ctsinclair: Detmer referenceed the AMIA 10x10 conference http://bit.ly/ePo2tN
http://bit.ly/ePo2tN #hpm

5:19 pm Pallimed: Medical computer standards mentioned bby Detmer MedBiquitous
Consortium http://bit.ly/g0pw2Z #hpm #healthIT

5:20 pm ctffox: When the Battle With #Cancer Can?t Be Won http://ow.ly/3XWnc #hpm

5:20 pm klxmedia: make sure to follow @ctsinclair and @renee_berry who are part of our team
live tweeting from @AAHPM Annual Assembly (follow #hpm)

5:20 pm equijada: Health care partnerships: Need to create tight feedback loops. See:
@massivehealth #hpm

5:20 pm renee_berry: "Communications standards need to supplement the information standards"
-Detmer #hpm

5:20 pm renee_berry: "We really need to be focusing on the people side of this far more than what
we're doing" -Detmer #hpm

5:21 pm ctsinclair: RT @renee_berry: "We really need to be focusing on the people side of this
far more than what were doing" -Detmer #hpm

5:21 pm ctsinclair: RT @equijada: Health care partnerships: Need to create tight feedback
loops. See: @massivehealth #hpm


5:22 pm Pallimed: Confused by HIBBs mentioned by Detmer? Health Informatics Building
Blocks (HIBBs) http://bit.ly/iin1V1 #hpm #healthIT

5:22 pm renee_berry: Detmer talked about the crucial importance of #AdvanceDirectives for patient
centered care #HaveTheTalk cc @NHDD #hpm

5:22 pm ctsinclair: Detmer - "We've talked about working as teams (in health care) more than
we have actually done it" #hpm

5:23 pm renee_berry: RT @ctsinclair Detmer - "Weve talked about working as teams (in health
care) more than we have actually done it" #hcsm #hcr #hpm

5:23 pm RossJeanette: Detmer " useful knowledge is power - Jefferson " #Hpm

5:24 pm equijada: Detmer informatics priorities 1. EBM -> 5. IDT #hmm Knowledge is power
but context is now god. #engagement #hpm

5:26 pm ctsinclair: RT @equijada: Detmer informatics priorities 1. EBM -> 5. IDT #hmm
Knowledge is power but context is now god. #engagement #healthIT #hpm

5:26 pm quality1: RT @ctsinclair: Detmer - "We've talked about working as teams (in health
care) more than we have actually done it" #hpm

5:27 pm ameritox: At the @AAHPM and @HPNAinfo assembly? 15 minutes until Dr. Harry
Leider discusses improving health care through clinical leadership. #hpm

5:27 pm ctsinclair: Hey @Ameritox, your Chief Medical Officer Harry Leider is now talking at
@AAHPM Assembly #hpm

5:28 pm Pallimed: Don E. Detmer - Wikipedia, the free encyclopedia http://bit.ly/gw4oCm #hpm
#healthIT

5:28 pm renee_berry: Improving #Healthcare through Effective Clinical #Leadership w/ @Ameritox
CMO Harry Leider http://ow.ly/3YoK8 #hcsm #hpm

5:29 pm suzanakm: @ACPE featured at @AAHPM conference! Leider speaks on leadership,
herding cats, change #hpm

5:30 pm Pallimed: John Kotter on What Leaders Really Do from @HarvardBiz
http://bit.ly/fynuPP Rerenced by Leider @Ameritox CMO #hpm

5:30 pm renee_berry: RT @Pallimed: John Kotter on What Leaders Really Do from @HarvardBiz
http://bit.ly/fynuPP Rerenced by Leider @Ameritox CMO #hpm

5:31 pm suzanakm: RT @renee_berry: Improving #Healthcare through Effective Clinical
#Leadership w/ @Ameritox CMO Harry Leider http://ow.ly/3YoK8 #hcsm
#hpm

5:32 pm renee_berry: (challenge) "Attracting young talent to your field, where it's about really
caring for people" -Leider cc @Y_A_H_A #hpm

5:32 pm VirtualHospice: Congratulations to Senator Sharon Carstairs who received @AAHPM?s
President?s Citation. #hpm

5:33 pm ctsinclair: Leider - Why is it so hard to influence clinicians? - MD defect - 'trained to
think we run the show, smart ones know they are not' #hpm

5:33 pm renee_berry: "Why is it so hard to influence physicians? Physicians have a defect that
nurses do not.. Thinking they run the show" Leider #hpm

5:33 pm RossJeanette: Leider " why is it son hard to influence clinicians ... We are trained to run he
show not so much in practicing as a team #Hpm

5:34 pm ctsinclair: If you want to improve care it is about reducing variations in care. - Leider
#hpm

5:34 pm renee_berry: RT @ctsinclair Leider "smart ones know they are not" (there to run the
show) #hpm

5:35 pm Pallimed: Know everyone at @AAHPM can be linked to @Ameritox CMO Dr. Harry
Leider http://linkd.in/gezG4l #hpm

5:35 pm RossJeanette: Leider Physicians practice alone together #Hpm

5:36 pm revdoc: Leider: quality care is systematic, pop health, attends 2 cost, works as

5:36 pm revdoc: Leider: quality care is systematic, pop health, attends 2 cost, works as
team #hpm

5:36 pm renee_berry: "cost has always been a secondary issue in medicine" -Leider (re: not being

trained to analyze cost factors in medicine) #hpm
5:36 pm ctsinclair: Leider - Quote from Dr. Marc Bard from Harvard - "Physicians practice alone,
together" #MDchat #RNchat #hpm

5:36 pm equijada: Leider - physicians practice alone together #myownhashtag #hpm

5:36 pm suzanakm: Leider - "physicians practice alone, together." #hpm - we need to change
this culture. How?

5:36 pm revdoc: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD
defect - 'trained to think we run the show, smart ones know they are not'
#hpm

5:36 pm renee_berry: RT @revdoc: Leider: #quality care is systematic, pop health, attends 2 cost,
works as team #hpm

5:37 pm suzanakm: RT @renee_berry: RT @revdoc: Leider: #quality care is systematic, pop
health, attends 2 cost, works as team #hpm

5:37 pm ctsinclair: Trust between clinicians and payors is poor and without an EMR the payors
have the data - Challenge to improve quality #healthIT #hcr #hpm

5:38 pm amcunningham: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD
#hpm

5:39 pm ctsinclair: Any of my followers just FYI, live tweeting from Vancouver @AAHPM
conference see http://slidesha.re/fh5kKy or pallimed.org for details #hpm

5:39 pm suzanakm: Traditional strategies for influencing clinicians: education, input, feedback,
admin barriers, positive/negative reinforcement -Leider #hpm

5:40 pm zacksholem: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD
#hpm

5:40 pm ctsinclair: "One more grand rounds and we'll fix this problem is not a way to improve
care.' - Leider #hpm

5:41 pm suzanakm: In reality, evidence shows that education, guidelines, economic incentives
don't influence physician behavior - Leider #hpm #mdchat

5:41 pm renee_berry: #advocate RT @ctsinclair re: live tweeting from Vancouver @AAHPM
conference see http://slidesha.re/fh5kKy or @Pallimed for details #hpm

5:42 pm ahier: RT @ctsinclair: Any of my followers just FYI, live tweeting from Vancouver
@AAHPM conference see http://slidesha.re/fh5kKy or pallimed.org for
details #hpm

5:44 pm Pallimed: Ref by @Ameritox CMO Leider Translating Guidelines Into Clinical Practice*
? @accpchest http://bit.ly/fYu9LY (Free PDF) #OA #hpm #hcr

5:44 pm RossJeanette: Leider strategies for influence physicians acquire them, manage them,
incentivice them #Hpm

5:44 pm equijada: Change behavior with relationships http://zd.net/hOMLTH #hpm #connected

5:45 pm renee_berry: RT @equijada: Change behavior with relationships http://zd.net/hOMLTH
#hpm #connected #hcsm #healthcare #hpm

5:46 pm renee_berry: "most #physicians are really entrepreneurs" -Leider #hpm

5:48 pm equijada: Lieder - Stephen JObs? #hpm

5:48 pm ctsinclair: Current models to influence docs: Acquire, Manage, Incentivize. None have
led to success they have set out to achieve #hpm

5:49 pm suzanakm: Leider- "clash of cultures" - doctors don't like to be managed - so providing a
manager does not solve all problems #hpm


5:50 pm suzanakm: RT @ctsinclair: Current models to influence docs: Acquire, Manage,
Incentivize. None have led to success they have set out to achieve #hpm

5:50 pm ctsinclair: RT @equijada: Lieder - Stephen Jobs? 'funny mixup' #hpm

5:51 pm ctsinclair: RT @equijada: Change behavior with relationships http://zd.net/hOMLTH
#hpm #connected #hpm

5:51 pm equijada: It's hard to grow a garden #thatisall #hpm

5:51 pm revdoc: Leider: it is easier to incent productivity/utiliz than to incent quality #hpm

5:52 pm doclake: RT @ctsinclair: Current models to influence docs: Acquire, Manage,
Incentivize. None have led to success they have set out to achieve #hpm

5:52 pm renee_berry: "Improving quality is harder to measure" -Leider #hpm

5:53 pm doclake: RT @renee_berry: "Improving quality is harder to measure" -Leider #hpm

5:53 pm doclake: RT @taraparkerpope: A Doctor at the Funeral http://nyti.ms/edcM0h #hpm

5:54 pm doclake: RT @suzanakm: Leider - "physicians practice alone, together." #hpm - we
need to change this culture. How?

5:54 pm doclake: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD
#hpm

5:54 pm renee_berry: RT @doclake RT @taraparkerpope A Doctor at the Funeral
http://nyti.ms/edcM0h #hpm

5:55 pm VirtualHospice: Virtual Hospice M&Ms big hit with @AAHPM crowd - should have brought
another bag! #hpm

5:55 pm renee_berry: "Incentives get attention but not always the results that are wanted" Leider,
MD #hcr #HealthCare #hpm

5:55 pm doclake: RT @ewidera: "Medicine used to be simple, ineffective, & relatively safe.
Now it is complex, effective, & potentially dangerous." Sir Cyril Chantler
#HPM

5:56 pm suzanakm: RT @revdoc: Leider: it is easier to incent productivity/utiliz than to incent
quality #hpm

5:56 pm renee_berry: "Incentives are part of the solution, not the solution" -Leider, MD #hpm

5:56 pm ctsinclair: RT @revdoc: Leider: it is easier to incent productivity/utiliz than to incent
quality #hcr #hpm

5:56 pm revdoc: Leider: you can't work harder to improve quality as a long-term strategy
#hpm

5:57 pm doclake: RT @ctsinclair: Walker Percy "If you listen carefully to your patients they
will tell you not only what is wrong with them but what is wrong with you."

#hpm
5:57 pm ctsinclair: New strategies for changing behavior in HealthCare: Strong Clinical
Leadership, Effective Incentives, Tools for Improving Performances #hpm

5:58 pm suzanakm: Leider's model for herding cats (managing physicians): strong clinical
leadership, effective incentives, performance improvement tools #hpm

5:58 pm ctsinclair: Wondering if Leider is alienating half the audience who are cat lovers with
the herding cats v herding dogs analogy? :) #hpm

5:59 pm ctsinclair: RT @dalehammond: @ctsinclair Are you tweeting from Vancouver @
AAHPM? "Yes come join us online with #hpm!"

6:00 pm MeredithGould: @ctsinclair Cat people are used to such analogies & are proud that kitties
refuse to be shoved around like dogs. #hpm

6:00 pm Colleen_Young: @VirtualHospice's handing out Virtual Hospice M&Ms to @AAHPM crowd.
Not all connecting tools are sm-based ;) #hpm #hcsmca

6:00 pm renee_berry: RT @mpalko: The sound of typing is the new applause #hpm

6:00 pm renee_berry: RT @ctsinclair: Walker Percy "If you listen carefully to your patients they
will tell you not only what is wrong with them but what is wrong with you."
#hpm

6:00 pm VirtualHospice: Gold medal for Sean! RT @ctsinclair: Sean Morrison, President of
@AAHPM is from Canada and had put on Cdn Hockey jersey before
speaking #hpm

6:01 pm suzanakm: Leider strong clinical leadership: clinical credibility, skills in: communication,
group leadership, team building, negotiation, QI, $ #hpm

6:01 pm Pallimed: Managing for Excellence: Guide to Developing High Performance in
Contemporary Organizations http://amzn.to/hpF2wx ref'd by Leider #hpm

6:02 pm ctsinclair: Strong Clinical Leadership needs a Group leadership approach. We are in a
'post-heroic' era. - Leider #hpm

6:02 pm LeeAase: Check out what @ctsinclair is doing this week at the #hpm conference -
Can't wait to see what he reports on in for #MCCSM

6:03 pm ctsinclair: RT @suzanakm: Leider strong clin leadership: clinical credibility, skills in:
comm, group leadership, team building, negotiation, QI, $ #hpm

6:03 pm renee_berry: Great! #LiveTweet RT @dalehammond @ctsinclair Our DNS & two RNs are
up there. Nice to see some of what's going on without being there! #hpm

6:03 pm DeathwDignity: RT @hospicepharmacy: #DeathwithDignity advocates to unveil #Vermont bill
http://bit.ly/fvg0UX #hospice #hpm #cancer #eldercare

6:03 pm SarahVarga: RT @mpalko: The sound of typing is the new applause #hpm

6:04 pm AAHPM: RT @suzanakm: Leiders: Manage physicians through strong clinical
leadership, effective incentives, performance improvement tools #hpm #hpm

6:04 pm ctsinclair: @LeeAase Thanks Lee! Have a lot of ideas to blog about for #MCCSM
Looking forward to engagement from SocMed community with #hpm #hpm

6:05 pm renee_berry: @LeeAase cool, thanks for saying hi Lee! #hpm

6:05 pm suzanakm: RT @VirtualHospice: Gold medal for Sean! @ctsinclair: Sean Morrison
Canadian @AAHPM President put on Cdn Hockey jersey before speaking
#hpm

6:05 pm mpalko: @renee_berry @ctsinclair Sounds like there is a lot of "applause in the room
today! #hpm

6:05 pm lglcommunity: RT @ctsinclair: Strong Clinical Leadership needs a Group leadership
approach. We are in a 'post-heroic' era. - Leider #hpm

6:06 pm Pallimed: Why Don't Physicians Follow Clinical Practice Guidelines?, form 1999 by
Cabana @JAMA http://bit.ly/ez2gyF ref'd by Leider #OA #hcr #hpm

6:08 pm ctsinclair: RT @renee_berry: RT @mpalko: The sound of typing is the new applause
#hpm

6:08 pm revdoc: RT @renee_berry: we have a lot of advocates for #hospice & #Palliative care
in the audience! re: RT @mpalko Sounds like theres a lot of "applause"
today #hpm

6:09 pm amcunningham: RT @suzanakm: In reality, evidence shows that education, guidelines,
economic incentives don't influence physician behavior - Leider #hpm
#mdchat

6:09 pm ctsinclair: RT @mpalko: @renee_berry @ctsinclair Sounds like there is a lot of
'applause' in the room today! "It is so loud!" #hpm

6:09 pm suzanakm: Leider's study on influencing behavior: clinical leadership & clinical tools get
A's, financial incentives get an F #hpm #hcleadership #acpe

6:09 pm ctsinclair: Have heard three times in last 24 hours from speakers - we are spending
more but not getting quality outcomes #hcr #hpm

6:09 pm renee_berry: US system we spend more with out improving outcomes -Leider #hcr
#Healthcare #hpm

#Healthcare #hpm

6:10 pm Pallimed: RT @GeriPalblog GeriPal Wins the 'Best Clinical Weblog of 2010'
http://bit.ly/f0iBdm #hpm

6:11 pm renee_berry: RT @ewidera: "Medicine used to be simple, ineffective, & relatively safe.
Now it is complex, effective, & potentially dangerous." Sir Cyril Chantler
#HPM

6:11 pm ctsinclair: Dr. Mark Werner from Carilion Clinic "Only clinicians can adequately lead
change around cost and #quality" #hcr #hpm

6:12 pm Pallimed: Leider highlights @CarilionClinic as example of quality and success in
medical care http://bit.ly/gOgJb9 #hcr #hpm

6:13 pm renee_berry: Falls: New guidelines frm American Geriatrics Society discussed @
#NewOldAge: http://nyti.ms/dWlrPq via @AmJNurs @ewidera &
@paula_span #hpm

6:13 pm renee_berry: RT @Pallimed: Leider highlights @CarilionClinic as example of quality and
success in medical care http://bit.ly/gOgJb9 #hcr #hpm

6:13 pm suzanakm: Mark Werner "only clinicians can [ultimately] influence cost & quality in
healthcare." @carilionclinic via Leider #hpm

6:14 pm RossJeanette: Leider " you are never done when you are trying to improve quality #Hpm

6:15 pm Colleen_Young: RT @suzanakm: In reality, evidence shows that education, guidelines,
economic incentives don't influence physician behavior - Leider #hpm
#mdchat
6:15 pm renee_berry: great that you're here! @nhpco_news re: Excited to have @Kathy_Brandt &
other staff in Vancouver for #HPNA & @AAHPM Annual Assembly! #hpm

6:16 pm Colleen_Young: @amcunningham @suzanakm: Does Leider suggest what does influence
physician behavior? #hpm #mdchat

6:16 pm renee_berry: yes! RT @RossJeanette: Leider " you are never done when you are trying to
improve quality #hpm

6:16 pm suzanakm: On herding cats: know when you are dealing with lions! Leider on physician
leadership #hpm #mdchat #acpe

6:16 pm Colleen_Young: RT @suzanakm: Leider's study on influencing behavior: clinical leadership &
clinical tools get A's, financial incentives get an F #hpm #hcleadership
#acpe

6:16 pm ssmithaahpm: Great coverage of #aahpm #hpna opening plenary by the tweet team! #hpm

6:17 pm renee_berry: RT @ssmithaahpm: Great coverage of #aahpm #hpna opening plenary by
the tweet team! #hpm

6:18 pm renee_berry: Any guesses on the number of tweets just this morning @AAHPM ?
http://ow.ly/3YrgU 555!!! #awesome #hpm

6:21 pm doclake: RT @renee_berry: US system we spend more with out improving outcomes -
Leider #hcr #Healthcare #hpm

6:21 pm doclake: RT @suzanakm: Mark Werner "only clinicians can [ultimately] influence
cost & quality in healthcare." @carilionclinic via Leider #hpm

6:22 pm doclake: RT @suzanakm: On herding cats: know when you are dealing with lions!
Leider on physician leadership #hpm #mdchat #acpe

6:24 pm LilMissMktg: Awesome- #aahpm continues to rock at social media! RT @ssmithaahpm:
Great coverage of #aahpm #hpna opening plenary by the tweet team! #hpm

6:26 pm VintiShah: Excited to be at the #hpm assembly.

6:31 pm VTinaB: RT @renee_berry: Detmer talked about the crucial importance of
#AdvanceDirectives for patient centered care #HaveTheTalk cc @NHDD
#hpm

6:33 pm VTinaB: RT @renee_berry: #advocate RT @ctsinclair re: live tweeting from Vancouver
@AAHPM conference see http://slidesha.re/fh5kKy or @Pallimed for details

@AAHPM conference see http://slidesha.re/fh5kKy or @Pallimed for details
#hpm

6:34 pm a_singledrop: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD
#hpm

6:34 pm VTinaB: RT @renee_berry: yes! RT @RossJeanette: Leider " you are never done
when you are trying to improve quality #hpm

6:39 pm dwensel: Ok I freely admit that I am a cat and I need to learn how to be more like a
dog. Great plenary on leadership #hpm

6:44 pm haslingerppc: RT @renee_berry: Any guesses on the number of tweets just this morning
@AAHPM ? http://ow.ly/3YrgU 555!!! #awesome #hpm

6:48 pm gcooneymd: Finally! Got my iPad connected to the vcc wifi. Great coffee in the exhibit

hall and I am choosy about my coffee!! #Hpm
6:49 pm gcooneymd: @dwensel Maybe a cocker spaniel and not an Akita Dave! #Hpm

6:54 pm hospicepharmacy: The New York State #Palliative Care Information Act is now in effect!
http://bit.ly/h8LICj #NewYork #hospice #hpm

6:54 pm ctsinclair: RT @dwensel: Ok I freely admit that I am a cat and I need to learn how to be
more like a dog. Great plenary on leadership #hpm

6:55 pm ctffox: RT @hospicepharmacy: Death with dignity advocates to unveil #Vermont bill
http://bit.ly/fvg0UX #hospice #hpm #cancer #eldercare

6:56 pm hospicepharmacy: RT @renee_berry: Any guesses on the number of tweets just this morning
@AAHPM ? http://ow.ly/3YrgU 555!!! #awesome #hpm

6:57 pm hospicepharmacy: RT @ctsinclair: Dr. Mark Werner from Carilion Clinic "Only clinicians can
adequately lead change around cost and #quality" #hcr #hpm

6:57 pm MyrnaB23: Christian@ctsinclair is teaching a twaddle to tweet! #hpm

6:58 pm ctsinclair: @MyrnaB23 Glad to have a patient learner. Everyone meet the great Martha
Twaddle #hpm

7:01 pm RedefineHospice: First Palliative Care Dept for Cancer Patients in South of Vietnam opens.
http://bit.ly/dUStcx #hpm #hospice

7:03 pm drpippa: Beth Clark quoting Dylan Thomas to open her dementia & pall med talk.
"rage, rage against the dying of the light." apt description. #hpm

7:07 pm drpippa: Nice comparison of geriatric approach vs palliative care approach to
dementia. Like a venn diagram, need both. #hpm

7:07 pm dwensel: http://www.aahpmblog.org/ come follow me for discussion about dementia
and palliative care #hpm

7:07 pm MyrnaB23: Jocelyn White speaks of being like water - going with the flow, and providing
her message "drop by drop" . #hpm

7:10 pm MyrnaB23: JW's comments are profound - water can wear away a rock... #hpm

7:11 pm doclake: RT @dwensel: http://www.aahpmblog.org/ come follow me for discussion
about dementia and palliative care #hpm

7:11 pm doclake: RT @MyrnaB23: Jocelyn White speaks of being like water - going with the
flow, and providing her message "drop by drop" . #hpm

7:11 pm ameritox: Thanks @ctsinclair. Dr. Leider's presentation on clinical leadership was
great. Thanks again to @AAHPM and @HPNAInfo. #HPM

7:11 pm doclake: RT @drpippa: Beth Clark quoting Dylan Thomas to open her dementia & pall
med talk. "rage, rage against the dying of the light." apt description. #hpm

7:12 pm gcooneymd: 208-209 ALF regs and staff - making the most of the system to care for
patients #Hpm

7:14 pm doclake: RT @gcooneymd: 208-209 ALF regs and staff - making the most of the
system to care for patients #Hpm


7:14 pm Pallimed: Ref'd by Moss Online calculator to estimate prognosis in patients with
ESRD http://bit.ly/hLPhHN #renal #hpm

7:14 pm ctsinclair: We will be working on a pic for @MyrnaB23 soon #hpm

7:15 pm renee_berry: "Early goals of care conversations are a key quality indicator" Jocelyn
White, MD #HaveTheTalk #hpm

7:15 pm doclake: RT @renee_berry: "Early goals of care conversations are a key quality
indicator" Jocelyn White, MD #HaveTheTalk #hpm

7:15 pm gcooneymd: 211 dementia behavioral disturbances: more touch, fewer drugs, no benzos
#Hpm

7:16 pm doclake: RT @Pallimed: Ref'd by Moss Online calculator to estimate prognosis in
patients with ESRD http://bit.ly/hLPhHN #renal #hpm

7:16 pm ctsinclair: In Dr Alvin Moss' (from @wvuhealth) talk on Kidney Disease update: New
Guidelines on #Dialysis #renal #hpm

7:16 pm renee_berry: "Make an assessment of patients goals a routine" Jocelyn White, MD
#HaveTheTalk #hpm

7:16 pm Life_Quality: RT @renee_berry: "Early goals of care conversations are a key quality
indicator" Jocelyn White, MD #HaveTheTalk #hpm

7:17 pm renee_berry: "Have conversations about goals of care at admission to have a plan of care
that matches patients goals" Jocelyn White MD #HaveTheTalk #hpm

7:18 pm hollyby: In "Community-Based Opportunites for Extending the Palliative Care
Continuum," Spragens and Jones #hpm

7:18 pm ctsinclair: Moss - Presenting this same slidedeck to nephrologists v. palliative
audience leads to diff discussions #hpm

7:18 pm gcooneymd: Non-pharm mgmt dementia. Mitigate triggers, change focus, change cg
expectations #Hpm

7:19 pm renee_berry: Jocelyn White, MD talking about the checklist for goals of care
conversations for people w/serious illness (#HaveTheTalk b4illness!) #hpm

7:19 pm renee_berry: so glad you're there! RT @hollyby: In "Community-Based Opportunites for
Extending the Palliative Care Continuum," Spragens and Jones #hpm

7:20 pm equijada: @renee_berry thx for the stream. wanted to hear that one. #hpm

7:20 pm ctsinclair: "Would I be surprised if this patient died in next year" accurate for
prognostication from #renal docs in dialysis patients. #hpm

7:20 pm renee_berry: @hollyby was trying to decide between this session & that, now w/your live
tweets I can feel like I get the best of both worlds! #hpm

7:20 pm gcooneymd: Delirium - most common atypical presentation of dementia, missed by docs
90 % of time, high mortality #Hpm

7:21 pm renee_berry: cool no prob! Benefits of twitter! RT @equijada: @renee_berry thx for the
stream. wanted to hear that one. #hpm

7:21 pm doclake: RT @gcooneymd: Delirium - most common atypical presentation of
dementia, missed by docs 90 % of time, high mortality #Hpm

7:21 pm doclake: RT @ctsinclair: "Would I be surprised if this patient died in next year"
accurate for prognostication from #renal docs in dialysis patients. #hpm

7:22 pm equijada: HD mortality predictor touchcalc.com/calculators/sq http://bit.ly/fe89VQ
#hpm

7:22 pm Pallimed: Predicting Six-Month Mortality for Patients Who Are on Maintenance
Hemodialysis ? CJASN http://bit.ly/emveRs cc @RenalFellowNtwk #renal
#hpm

7:22 pm gcooneymd: AMA Guide to assessing older drivers very valuable, cannot relyon self
regulation #Hpm


7:23 pm hollyby: ID pt & family needs by asking them, health care profs, admin/leadership,
community orgs, SNFs, hospices, EMS, pharmacies, & payers #hpm

7:23 pm gcooneymd: Higher rate of mva per mile driven than 16-24 year olds #Hpm

7:23 pm nhdd: "Have conversations about goals of care at admission to have a plan of care
that matches patients goals" Jocelyn White MD #HaveTheTalk #hpm

7:23 pm ctsinclair: Moss - increasing evidence showing even in the elderly dialysis may not be
better than conservative/med management in survival #renal #hpm

7:24 pm nhdd: awesome!!! Thanks for being an advocate! RT @hospicevalley: We're excited
to get planning for Natl Health Care Decisions Day, Apr 16! #hpm

7:24 pm gcooneymd: Easier to talk to older patients about sex or death than about driving #Hpm

7:24 pm ctsinclair: RT @equijada: @renee_berry thx for the stream. wanted to hear that one.
"With Twitter you can be in two places at once!" #hpm

7:25 pm Kaviraj2: RT @renee_berry: Jocelyn White, MD talking about the checklist for goals of
care conversations for people w/serious illness (#HaveTheTalk b4illness!)
#hpm

7:25 pm Kaviraj2: RT @renee_berry: "Make an assessment of patients goals a routine"
Jocelyn White, MD #HaveTheTalk #hpm

7:26 pm drpippa: Remember "In assessing older pt, things aren't always what they seem" -
atypical preso of symptoms/conditions->leads to insuff tx #hpm

7:26 pm renee_berry: The surrogate decisions maker gets to have a goals of care conversation as
part of the system policy Jocelyn White, MD #HaveTheTalk #hpm

7:27 pm equijada: Moss - Utility of the ?Surprise? Question to Identify Dialysis Patients with
High Mortality ? CJASN http://bit.ly/eTdbHH #hpm

7:28 pm ctsinclair: Moss highlighting Advanced Care Planning focused on patients initiating
dialysis #Renal CC @nhdd #havetheTalk #hpm

7:28 pm equijada: 3/4 of dialysis patients chose the shorter time to avoid suffering - Moss
#hpm

7:28 pm PalMedConnect: Dr. Jeremy Hirst currently sharing pediatric #palliative depression case and
symptom management options room 205. #hpm

7:28 pm ctsinclair: Anyone following the #hpm stream, you may notice lots of different subjects.
We are in the concurrent sessions, so lots of topics. #hpm

7:29 pm renee_berry: "comfort measures & full code doesn't really make sense to have together"
Jocelyn White, MD (language=interesting) #hpm

7:29 pm gcooneymd: Canadiens require reporting of driving impairment, most US states do not. In
FL, you can renew by mail :)) #Hpm

7:29 pm equijada: @PalMedConnect thx for the stream. #hpm

7:31 pm renee_berry: (important) Jocelyn White MD talking abt bumps in the road for system wide
implementation for goals of care conversations @ admission #hpm

7:32 pm equijada: Moss: Hospice patients can receive dialysis. Me: Yes, but... #hpm

7:32 pm ctsinclair: Nearly 80,000 patients died with End Stage Renal Disease (had been on
HD), only 21% received hospice services - Moss #hpm

7:32 pm nhdd: RT @ctsinclair: Moss highlighting Advanced Care Planning focused on
patients initiating #dialysis #Renal #havetheTalk #hpm #hospitalist

7:32 pm hollyby: Palliative care continuum issues: post discharge follow-up, lack of tight link
btwn inpt and outpt systems, keeping the plan of care #hpm

7:33 pm ctsinclair: Moss - You can get hospice (under Medicare Hospice Benefit) and
hemodialysis at the same time #hpm

7:34 pm ctsinclair: Moss - "Only about a dozen nephrologists in US that are certified in hospice
and palliative medicine" Love to meet them #renal #hpm

2/23/2011 and palliative medicine" #hpm - meet them Hashtag?!
Transcript for Love to What the #renal #hpm

7:34 pm renee_berry: (maybe we can convince to blog?! & tweet!) "All of the learning material is
available by email" Jocelyn White, MD #HaveTheTalk #hpm

7:34 pm ctsinclair: RT @equijada: Moss: Hospice patients can receive dialysis. Me: Yes, but...
"yes but what? You need another diagnosis to qualify" #hpm

7:34 pm PalMedConnect: PAL-MED CONNECT is available at booth 305, at #AAHPM #HPNA conf to
answer #palliative questions regarding challenging cases. #HPM

7:35 pm renee_berry: "it's one thing to implement this policy & another to turn it loose to the entire
organization" Erik Fromme, MD re #HaveTheTalk #hpm

7:36 pm renee_berry: "teach the goals of care conversations to a brad audience to make it simple"
Erik Fromme, MD, Oregon Health & Science University #hpm

7:36 pm PalMedConnect: Dr. Hirst currently discussing titration for pediatric patients. #HPM

7:36 pm equijada: @ctsinclair Yes but...goals of care in context of narrative and sometimes
aggressive rx in 1 area leads to checklist. #hpm

7:37 pm gcooneymd: GeriPal won!! What an honor!! #Hpm

7:37 pm equijada: @renee_berry go Erik go! #heisawesome #hpm

7:37 pm renee_berry: "there better statements than do you want CPR or not?" Erik Fromme, MD,
Oregon Health & Science University #HaveTheTalk #hpm

7:38 pm renee_berry: YES! I wish this was video recorded, so cool! RT @equijada: @renee_berry
go Erik go! #heisawesome #hpm

7:39 pm Pallimed: Moss cites: Clinical Algorithm and Preferred Management to Treat Pain in
#Dialysis Patients http://bit.ly/e6Fu2v #renal #hpm

7:40 pm hollyby: Pt care continuum issues: Less than 1/2 of PCPs were provided discharge
info/meds after hospitalization. NEJM art http://bit.ly/frh1Ll #hpm

7:41 pm renee_berry: "watching video re: language in conversations about goals of care"
#HaveTheTalk ...this is great!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! #hpm

7:41 pm HospiScript: Proposed rules to cut waste in Medicare Part D. The proposed rules require
7-day or shorter fills. http://tinyurl.com/4rukw7x #hpm #hospice

7:42 pm PalMedConnect: Rosene Pirrello, RPh currently sharing case about children with insomnia
and self-soothing strategies. #HPM
7:42 pm ggramels: Clark speaking on palliative care for dementia patients just referred to Florida
as "God's waiting room." Sunshine state not so sunny. #HPM

7:43 pm drpippa: Clark - Barrier to excellent end of life care for dementia pts --> hard for
families, docs, etc to view dementia as a terminal illness #hpm

7:43 pm ctsinclair: RT @renee_berry: "teach the goals of care conversations to a broad
audience to make it simple" - Fromme From @ohsuinthenews #hpm

7:44 pm drpippa: RT @hollyby: Pt care continuum issues: <1/2 PCPs were provided
discharge info/meds after hospitalization. NEJM http://bit.ly/frh1Ll #hpm

7:44 pm equijada: Framing goals of care Fromme -UFO: Understand, Fill in, Outcomes,
Feasible Outcomes #hpm

7:44 pm drpippa: RT @ctsinclair: Anyone following the #hpm stream, you may notice lots of
different subjects. We are in the concurrent sessions, so lots of topics.
#hpm

7:45 pm ctsinclair: RT @equijada: Framing goals of care Fromme -UFO: Understand, Fill in,
Outcomes, Feasible Outcomes cc @FIMDM #hpm

7:45 pm equijada: Fromme Feasible outcome -> the.bomb (the good kind of bomb) #hpm

7:45 pm hollyby: Potential benefits of outpt PC: increase continuity, earlier involvement,
decrease hosptitalizations, pre-crisis relationships #hpm

7:45 pm renee_berry: Thanks!!! haha RT @equijada Framing goals of care Fromme -UFO:
Understand, Fill in, Outcomes, Feasible Outcomes #HaveTheTalk #hpm


7:46 pm dwensel: @ctsinclair @equijada @FIMDM Clark is also talking about advanced
directives and goals of care discussions in Dementia #hpm

7:46 pm hollyby: Potential benefits of outpt. PC: Increase skills of other caregivers and
providers, increase consumer awareness #hpm

7:46 pm equijada: @ctsinclair -> thx for streaming #renal #hpm

7:47 pm nhdd: Aim for shared understanding RT @equijada Framing GoalsOfCare Fromme
-UFO Understand, Fill in, Outcomes, Feasible Outcomes #HaveTheTalk
#hpm

7:47 pm MyrnaB23: For Pt conversations - "what are you hoping your life will be like as a result
of all this medical care?" #hpm

7:47 pm ctsinclair: Morphine not recc chronic/continuous basis in chronic kidney disease and
patients on hemodialysis from published guidelines - Moss #hpm

7:47 pm equijada: Fromme "what do you think might happen" #hpm

7:48 pm ctsinclair: RT @equijada: Fromme Feasible outcome -> the.bomb (the good kind) "I
use 'feasible outcome' language a lot. 'What can medicine acheive' #hpm

7:48 pm ewidera: @ctsinclair Alex just pointed out that you are sitting behind us at Moss talk
#HPM

7:48 pm equijada: @ctsinclair any data oxycodone v hydromorphone #renal #hpm

7:48 pm renee_berry: could you hear the typing?! haha RT @ewidera: @ctsinclair Alex just
pointed out that you are sitting behind us at Moss talk #hpm

7:48 pm gcooneymd: VAMC template for physician documentation of AD discussion - great tool!
#Hpm

7:49 pm equijada: @ctsinclair yup, me too. #hpm

7:49 pm ctsinclair: RT @ewidera: @ctsinclair Alex just pointed out that you are sitting behind
us at Moss talk 'Keep it down up there, sheesh!' #hpm

7:49 pm renee_berry: RT @MyrnaB23 For Pt conversations - "what are you hoping your life will be
like as a result of all this medical care?" #HaveTheTalk #hpm

7:49 pm MDTalk: Alex just pointed out that you are sitting behind us at Moss talk 'Keep it
down up there, sheesh!' #hpm http://bit.ly/g3hltL

7:49 pm renee_berry: RT @gcooneymd: Easier to talk to older patients about sex or death than
about driving #hpm

7:50 pm drpippa: Clark - pts w/ dementia less likely to report pain. With behav changes, r/o
other causes, try APAP, can work wonders. Simple but true. #hpm

7:51 pm drekw: #HPM

7:51 pm equijada: IMPORTANT: Can't promise outcome. Thanks Erik, that's key and we don't
teach that often. #hpm

7:51 pm ctsinclair: RT @equijada: @ctsinclair any data oxycodone v hydromorphone #renal "no
head to head, use oxycodone with caution" http://bit.ly/e6Fu2v #hpm

7:51 pm renee_berry: great !! welcome-->RT @MyrnaB23: Christian @ctsinclair is teaching a
twaddle to tweet! #hpm

7:51 pm ctsinclair: RT @MyrnaB23: For Pt conversations - "what are you hoping your life will be
like as a result of all this medical care?" 'nice tweet' #hpm

7:51 pm bleep13: RT @Pallimed: Ref'd by Moss Online calculator to estimate prognosis in
patients with ESRD http://bit.ly/hLPhHN #renal #hpm

7:52 pm renee_berry: great, thanks for tweeting here @AAHPM !! RT @VintiShah: Excited to be at
the #hpm assembly. #hpm

7:53 pm equijada: "I don't want to die" #hpm

7:53 pm ctsinclair: RT @VintiShah: Excited to be at the #hpm assembly. "Glad you are here
and on Twitter! Everyone meet Vinti!" #hpm

and on Twitter! Everyone meet Vinti!" #hpm

7:53 pm hollyby: Spragens on PC continuum planning: Ask 'Who are the people you are
trying to serve?' Then identify at least one community partner. #hpm

7:54 pm hollyby: Hello Vinti! RT @ctsinclair RT @VintiShah: Excited to be @ the #hpm
assembly. "Glad you are here and on Twitter! Everyone meet Vinti!" #hpm

7:55 pm drpippa: RT @MyrnaB23: For Pt conversations - "what are you hoping your life will be
like as a result of all this medical care?" #hpm

7:57 pm ctsinclair: If anyone at the #hpm conference goes to a pediatric session make sure to
cc/alert @seattlemamadoc @haslingerppc @KUkidsHP #hpm

7:58 pm ctsinclair: RT @hollyby: Spragens on PC continuum: Ask who are the people you are
trying to serve? Then identify at least one community partner. #hpm

7:59 pm ctsinclair: Question in session on #Renal: Wouldn't methadone be preferred over
Fentanyl given incr chance of neuropathic pain? Moss (and me) Yes #hpm
8:00 pm hollyby: Spragens: Plan for growth ahead of time. Don't be surprised when your
program gets busy. #hpm

8:02 pm hollyby: RT @ctsinclair: Nearly 80,000 patients died with End Stage Renal Disease
(had been on HD), only 21% received hospice services - Moss #hpm

8:02 pm MeetVancouver: Delegates are a hungry bunch! Go to @GiovaneCafe, @Carderos_Van, Oru
at @FairmontPacific, @panpacificvan.. Ask us for more food recs! #hpm

8:03 pm MeetVancouver: @giovanecafe @millbistro @FairmontPacific get ready for another rush!
#hpm delegates seem to reallyyyy like their food.

8:03 pm smhcs: @renee_berry awesome tweets today. #hpm

8:04 pm hollyby: RT @renee_berry: "Have convos abt goals of care at admit to have a plan of
care that matches pts' goals" Jocelyn White MD #HaveTheTalk #hpm

8:06 pm DeathwDignity: @seniors4living Thanks for the RT! You can also learn more about Vermont's
bill on our website: http://ht.ly/3Ywif #DeathwithDignity #hpm

8:06 pm hospice_mktg: RT @renee_berry: "Have convos abt goals of care at admit to have plan of
care that matches pts' goals" Jocelyn White MD #HaveTheTalk #hpm

8:08 pm hospice_mktg: Be strategic! RT @hollyby: Spragens: Plan for growth ahead of time. Don't
be surprised when your program gets busy. #hpm #hospice

8:08 pm HealthIsSocial: RT @ctsinclair A request to my social media peers to help this week for
#hpm conference http://slidesha.re/dLHLBT #hcsm

8:13 pm CompAndChoices: Concern about my vulnerability should not be used to deprive others of their
end-of-life rights. http://ow.ly/3YwD2 #MTLeg #hpm

8:14 pm jwrenaud: RT @CompAndChoices: Concern about my vulnerability should not be used
to deprive others of their end-of-life rights. http://ow.ly/3YwD2 #MTLeg #hpm

8:16 pm Adeuxmains: RT @suzanakm: RT @ctsinclair: "Everyone complains of his memory, but
no one complains of his judgement." - Duc De La Rochefoucauld from
Detmer #hpm

8:19 pm drpippa: Paper sessions on quality starting in rooms 205-207! Come join. #hpm

8:21 pm drpippa: 1st paper - national survey of. hospice quality (Carlson) - are they following
quality guidelines? #hpm

8:22 pm equijada: Hydromorphone -> H3G 4x level in renal failure compared with normal. No
adverse effects? Depends on study (insert your own emoticon) #hpm

8:22 pm Kaviraj2: RT @renee_berry: RT @gcooneymd: Easier to talk to older patients about
sex or death than about driving #hpm

8:22 pm Kaviraj2: RT @renee_berry: RT @MyrnaB23 For Pt conversations - "what are you
hoping your life will be like as a result of all this medical care?"
#HaveTheTalk #hpm

8:22 pm PeterJenkin: RT @Life_Quality: RT @renee_berry: "Early goals of care conversations are

8:22 pm PeterJenkin: RT @Life_Quality: RT @renee_berry: "Early goals of care conversations are
a key quality indicator" Jocelyn White, MD #HaveTheTalk #hpm

8:24 pm Kaviraj2: RT @renee_berry: "teach the goals of care conversations to a brad audience
to make it simple" Erik Fromme, MD, Oregon Health & Science University
#hpm

8:24 pm ctsinclair: Only one hour until we present 2010 Social Media Year in Review @AAHPM
HPNA http://slidesha.re/hEStls #hpm #hcsm #hcmktg

8:24 pm jsperber: RT @hospice_mktg: Be strategic! RT @hollyby: Spragens: Plan for growth
ahead of time. Don't be surprised when your program gets busy. #hpm
#hospice

8:24 pm Kaviraj2: RT @renee_berry: (important) Jocelyn White MD talking abt bumps in the
road for system wide implementation for goals of care conversations @
admission #hpm

8:24 pm melanoma_mama: RT @CompAndChoices: Concern about my vulnerability should not be used
to deprive others of their end-of-life rights. http://ow.ly/3YwD2 #MTLeg #hpm

8:25 pm drpippa: RT @renee_berry: "Early goals of care conversations are a key quality
indicator" Jocelyn White, MD #HaveTheTalk #hpm yes!

8:28 pm MyrnaB23: Cassel's presentation - PC consultations show decrease in ICU LOS in 12
different studies #hpm

8:29 pm equijada: Adverse effects from hydromorphone infusion (mainly agitation, change
mental status) related to dose and duration more than GFR #hpm

8:32 pm drpippa: Carlson - larger hospices better at implementing NQF guidelines. Does this
translate to better care? #hpm

8:34 pm Pallimed: *Updated* List of #Hospice & #Palliative Medicine Blogs (Current & Inactive)
http://bit.ly/4tSruO Am I missing any? #hpm #hcsm

8:34 pm renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations show decrease in
ICU LOS in 12 different studies #hpm

8:35 pm renee_berry: RT @ctsinclair: Only one hour until we present 2010 Social Media Year in
Review @AAHPM HPNA http://slidesha.re/hEStls #hpm #hcsm #hcmktg

8:36 pm renee_berry: @SMHCS thanks! awesome @AAHPM presenters really! #hpm

8:37 pm CathrynHrudicka: RT @HealthIsSocial: RT @ctsinclair A request to my social media peers to
help this week for #hpm conference http://slidesha.re/dLHLBT #hcsm

8:38 pm Life_Quality: RT @renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations
show decrease in ICU LOS in 12 different studies #hpm

8:38 pm drpippa: Goldstein - ntl study of hospice & pall med physicians about accessions of
hastening pt death - response to death panel smears. #hpm

8:39 pm gcooneymd: @drpippa And how will we measure that? #Hpm

8:39 pm renee_berry: @Pallimed how about us 'microbloggers?) -->
www.tweetchat.com/room/hpm #hpm

8:39 pm ctsinclair: Now up: Nathan Goldstein: National Study of #Hospice #Palliative
physicians about accusations of hastening a Patient's Death #ethics #hpm

8:40 pm renee_berry: @ctsinclair um, I think I'm in the wrong room! shoot that's where I wanted to
be! Tweet well!! #hpm

8:41 pm renee_berry: RT @ctsinclair: Now up: Nathan Goldstein: National Study of #Hospice
#Palliative physicians abt accusations of hastening Death #ethics #hpm

8:43 pm renee_berry: @drpippa glad you're there too, please tweet up a storm! :) (I went in the
wrong room, and sat in the front row) #hpm

8:43 pm drpippa: And that, dear Watson, is the question. no answer today. Alas.
@gcooneymd: @drpippa And how will we measure that? #Hpm

8:43 pm Pallimed: @renee_berry You'll get your due. #hpm

8:43 pm gcooneymd: In the last 5 years, how often has someone characterized a PC tx as

8:43 pm gcooneymd: In the last 5 years, how often has someone characterized a PC tx as
euthanasia or murder? 53% #Hpm

8:44 pm ssmithaahpm: On FourSqurare? Be sure to check in at AAHPM/HPNA Annual Assembly
#aahpm #hpm

8:45 pm ctsinclair: My session does not lend it self to tweets, but longer discussions.
Concerned data may be misrepresented #hpm

8:45 pm gcooneymd: 4% formally investigated on patient's death #Hpm

8:45 pm AAHPM: Stop by the booth and tell us why you're here, what you've learned, or why
you heart #AAHPM and we'll put your photo on facebook. #hpm #hcsm

8:45 pm renee_berry: (Unveilling the Complexity of Home #Hospice #Nurse Communication" with
Lee Ellington #hpm

8:46 pm drpippa: Goldstein - 50% of respondents reported being accused of hastening death,
25% from friend/fam member. 4% formally accused/investigated. #hpm

8:46 pm renee_berry: will do! RT @AAHPM Stop by our booth & tell us why youre here or why you
heart #AAHPM #hpm

8:46 pm ctsinclair: 53% of Hospice physicians felt that other people misperceived actions as
hastening death in natl survey - Goldstein #hpm

8:48 pm renee_berry: RT @drpippa: Goldstein - 50% of respondents reported being accused of
hastening death, 25% from friend/fam member. 4% formally
accused/investigated. #hpm

8:48 pm doclake: RT @renee_berry: RT @MyrnaB23: Cassels presentation - PC consultations
show decrease in ICU LOS in 12 different studies #hpm

8:48 pm kathyrutz: RT @AAHPM: Stop by the booth and tell us why you're here, what you've
learned, or why you heart #AAHPM and we'll put your photo on facebook.
#hpm #hcsm

8:48 pm ctsinclair: Goldstein - 25 docs had some investigation about possible hastening death.
Mostly by other health care team members, hospital based #hpm

8:48 pm Mtnmd: RT @drpippa: Goldstein - 50% of respondents reported being accused of
hastening death, 25% from friend/fam member. 4% formally
accused/investigated. #hpm

8:48 pm drpippa: Goldstein - respondents underestimated risk, of those investigated 40%
hospital 32% in hospice, 16% NH, many knew accuser. #hpm

8:49 pm ctsinclair: RT @doclake: RT @renee_berry: RT @MyrnaB23: Cassels presentation -
PC consultations show decrease in ICU LOS in 12 different studies #hpm

8:49 pm AAHPM: Wow! We're at more than 750 tweets for #hpm today! Let's work on more
than 1000. We can do it! #hcsm

8:51 pm ctsinclair: Goldstein's presentation->sobering. Palliative docs underestimate the risk of
being investigate and practices likely to be investigated #hpm

8:51 pm drpippa: Goldstein- the narratives are powerful, moving, also frightening.
Misinterpretation of actions is unbelievable. Documentation critical #hpm
8:52 pm ctsinclair: Goldstein recs: open lines of comm with other HC staff, meticulous
documentation (document opioid calculations), mediation efforts #hpm

8:52 pm doclake: RT @ctsinclair: Goldstein's presentation->sobering. Palliative docs
underestimate the risk of being investigate and practices likely to be
investigated #hpm

8:52 pm drpippa: RT @ctsinclair: Goldstein's presentation->sobering. Palliative docs
investigated #hpm

8:52 pm renee_berry: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff,
meticulous documentation (document opioid calculations), mediation efforts
#hpm

8:52 pm renee_berry: RT @drpippa: Goldstein- the narratives are powerful, moving, also

frightening. Misinterpretation of actions is unbelievable. Documentation
critical #hpm

8:52 pm renee_berry: RT @ctsinclair: Goldstein's presentation->sobering. Palliative docs
investigated #hpm

8:53 pm MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for the complexity of
care & severity of illness #hpm

8:53 pm ctsinclair: @MyrnaB23 Nice pic! #hpm

8:53 pm ctsinclair: RT @MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for
the complexity of care & severity of illness. "PPS?" #hpm

8:54 pm katekson: How medical students should present patients to their attendings
http://t.co/vD2Uawa via @kevinmd #hpm

8:54 pm gcooneymd: RT @renee_berry: Goldsteins presentation->sobering. Palliative docs
underestimate risk of investigate, practices likely investigated #Hpm

8:54 pm renee_berry: RT @MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for
the complexity of care & severity of illness #hpm

8:55 pm gcooneymd: RT @MyrnaB23: Dr. Starks: LOS can be a process metric and a proxy for
the complexity of care & severity of illness #Hpm

8:55 pm AAHPM: Have you shared the #hpm video with your friends and colleagues yet?
http://bit.ly/f9kefo

8:57 pm renee_berry: Ellington w/ U of Utah College of Nursing reviewing analysis of #Hospice
#Nurse conversations with patients @ Home ..interesting #hpm

8:58 pm drpippa: Goldstein's presentation def makes one assess how we communicate with
HC team, document in chart - med reasoning/calculations/consent #hpm

8:59 pm ctsinclair: Goldstein - Publishing this study needs to be done with measured caution
because of significant risk of misunderstanding/soundbites #hpm

9:00 pm drpippa: Agree with Goldstein that figuring out how to present his paper is a
challenge, but very important. tread carefully #hpm

9:00 pm renee_berry: RT @NHPCO_news " #HCR will change #hospice " Schumacher
http://fb.me/IeRGbZmI #hpm
9:01 pm renee_berry: It is feasible to audio record RN visits at home to capture dialoge w/o
interrupting care -Ellington #hpm

9:04 pm ctsinclair: RT @renee_berry: RT @NHPCO_news " #HCR will change #hospice "
Schumacher http://fb.me/IeRGbZmI #hpm

9:08 pm GetPalliative: RT @drpippa RT @renee_berry "Early goals of care conversations are a key
quality indicator" Jocelyn White, MD #HaveTheTalk #hpm yes!

9:09 pm nhdd: RT @hospice_mktg Don Berwick says let phys have #eolc discussions w/
their pts w/o gov't involvement http://bit.ly/i90tVq #hpm #HaveTheTalk

9:10 pm ssmithaahpm: Attending meeting with all #AAHPM SIG Chairs and Community Cimmittee.
Great ideas and collaboration! #hpm

9:11 pm AAHPM: Session on social media up next #hpm.

9:11 pm hollyby: Don't forget to take time out for yourself and check out the quiet space and
labyrinth in rms 221-222 #hpm

9:12 pm MeredithGould: Grateful to all who are tweeting #aahpm. You're providing a "you are there"
experience. I'm very grateful & probably smarter now. #HPM

9:12 pm hollyby: 15 minutes until the Social Media for Palliative Care Advocacy talk. Rm.
212-214. See you there! :) #hpm

9:13 pm RickCaffeinated: Very cool - already lots of #SoMe out there from the conf //RT @aahpm:
Session on social media up next #hpm.

9:19 pm 2healthguru: @MeredithGould yea for the virtual world! spread the luv! #aahpm #HPM

9:19 pm 2healthguru: @MeredithGould yea for the virtual world! spread the luv! #aahpm #HPM

9:25 pm drpippa: Good crowd already! @hollyby: 15 minutes until the Social Media for
Palliative Care Advocacy talk. Rm. 212-214. See you there! :) #hpm

9:27 pm renee_berry: RT @hollyby: 5 minutes until the Social Media for Palliative Care Advocacy
talk. Rm. 212-214. See you there! :) #hpm

9:28 pm jsperber: Wishing I was there! @drpippa: Good crowd already! @hollyby: 15 min until
Social Media for Palliative Care Advocacy talk. Rm. 212-214. #hpm

9:28 pm renee_berry: @drpippa where are you? I'm plugged into the wall to the right of the stage
#hpm

9:29 pm drpippa: Already mesmerized by the tweets + word clouds on the screen at the
social media preso(hasn't started yet! Come to rm 212!). Very cool. #hpm

9:29 pm hospicepharmacy: Providing #hospice in the womb http://bit.ly/gyamD3 #palliative #hpm

9:29 pm revdoc: HCSM presentation beginning at Assembly #hpm

9:30 pm renee_berry: Social Media for Advocacy - Rockstar Panel... @Hollyby @ctsinclair
@ewidera @DianeEMeier @Suzanakm #Awesome #hpm

9:31 pm emilybarryPR: All rock stars! RT @renee_berry: Social Media for Advocacy - Rockstar
Panel @Hollyby @ctsinclair @ewidera @DianeEMeier @Suzanakm #hpm
#hcsm

9:33 pm dalehammond: Thx 4 the lineup. Now following them all! RT @renee_berry: SoMe for
Advocacy Panel @Hollyby @ctsinclair @ewidera @DianeEMeier
@Suzanakm #hpm

9:33 pm renee_berry: @ctsinclair introducing the rockstars, twitter bio's on the screen! #hpm

9:34 pm renee_berry: @AlexSmith & @Ewidera win best clinical blog with @GeriPalblog !!!
Congrats! #hpm #hpm

9:35 pm gcooneymd: Giovane in Fairmont, great easy lunch #Hpm

9:35 pm dwensel: @renee_berry @ctsinclair where can we get the slides #hpm

9:35 pm drpippa: Thanks @suzanakm for pointing out @renee_berry! Now sitting next to her.
Next up: to meet @hollyby after presentation. #hpm

9:35 pm renee_berry: Social Media is all about access to information, get over the sill names &
understand this as an advocacy tool! - @ctsinclair #hcsm #hpm

9:35 pm emilybarryPR: Thanks for live tweeting! Feel like I'm there! RT @renee_berry: @ctsinclair
introducing the rockstars, twitter bio's on the screen! #hpm

9:35 pm renee_berry: :) RT @drpippa: Thanks @suzanakm for pointing out @renee_berry! Now
sitting next to her. Next up: to meet @hollyby after presentation. #hpm

9:35 pm revdoc: @ctsinclair: electronic social media as a digital printing press #hpm

9:36 pm equijada: @drpippa @suzanakm @renee_berry @hollyby where are you sitting? #hpm

9:36 pm renee_berry: great!! access to information!!! #Advocate RT @emilybarryPR: Thanks for live
tweeting! Feel like Im there! #hpm

9:37 pm renee_berry: What has social media taught you @DianeEMeier ? #hpm

9:37 pm planetary_: RT @hollyby: RT @ctsinclair: Nearly 80,000 patients died with End Stage
#Renal Disease, only 21% received hospice services - Moss #hpm

9:38 pm renee_berry: "decided to try social media to engage a broader community" -
@DianeEMeier #hpm

9:39 pm drpippa: love hearing @dianeemeier reflecting on her twitter hesitation 1 year ago,
now a champion tweeter. Great way to advance field of #hpm

9:39 pm AAHPM: RT @renee_berry: Social Media is all about access to information, get over
the sill names & understand this as an advocacy tool! - @ctsinclair #hcsm
#hpm

9:40 pm SheyontheBay: RT @ctsinclair: RT @MyrnaB23: For Pt conversations - "what are you

9:40 pm SheyontheBay: RT @ctsinclair: RT @MyrnaB23: For Pt conversations - "what are you
hoping your life will be like as a result of all this medical care?" 'nice tweet'
#hpm

9:40 pm renee_berry: @DianeEMeier says she still learning about metrics, but still important to
embrace this as a way to have an impact #hpm

9:40 pm SheyontheBay: RT @ctsinclair: Now up: Nathan Goldstein: National Study of #Hospice
#Palliative physicians about accusations of hastening a Patient's Death
#ethics #hpm

9:41 pm SheyontheBay: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff,
#hpm

9:41 pm drpippa: Sounds like I might need to enroll in @ctsinclair's twitter 202 lecture. #hpm

9:42 pm renee_berry: "show me the data on impact of this' @DianeEMeier we can start here:

www.whatthehashtag.com/hpm #hpm
9:42 pm renee_berry: @AlexSmithMD up now @GeriPalBlog writer takes the stage @AAHPM
#hpm

9:43 pm renee_berry: Review of #hcsm in the past year, reviewing some basic definitions of web
1.0 vs 2.0 etc - @AlexSmithMD #hpm

9:44 pm doclake: RT @renee_berry: Social Media is all about access to information, get over
#hpm

9:44 pm renee_berry: @AlexSmithMD talking about #SFGiants Lincecum being a pitching freak :)
#SanFrancisco #hpm

9:45 pm renee_berry: @AlexSmithMD reviewing @MedNetworks Nicholas Christakis & integrating
innovative concepts for health #hcsm #hpm

9:47 pm revdoc: I have used email correspondence to help form a differential dx with a nurse
in Haiti #hpm

9:47 pm SadiaChoudhury: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff,
#hpm

9:47 pm SadiaChoudhury: RT @ctsinclair: RT @doclake: RT @renee_berry: RT @MyrnaB23: Cassels
presentation - PC consultations show decrease in ICU LOS in 12 different
studies #hpm

9:48 pm CAPCpalliative: RT @renee_berry: @DianeEMeier says she still learning about metrics, but
still important to embrace this as a way to have an impact #hpm

9:49 pm CAPCpalliative: RT @renee_berry: "show me the data on impact of this' @DianeEMeier we
can start here: www.whatthehashtag.com/hpm #hpm

9:49 pm revdoc: Alex Smith reviewing some cool start up med sites from 2010 #hpm

9:49 pm RossJeanette: Alex smith showcased Eprognosis can help you calculate prognosis for your
patients #Hpm

9:49 pm CAPCpalliative: RT @ctsinclair: Goldstein recs: open lines of comm with other HC staff,
#hpm

9:50 pm renee_berry: @AlexSmithMD highlighting @UCSF 's use of #hcsm & Twitter @AAHPM
#hcsmSV #hpm

9:50 pm RachelleNorman: RT @drpippa Barrier to excellent end of life care for dementia pts: hard for
families, docs, etc to view dementia as a terminal illness #hpm

9:52 pm renee_berry: "The drunk medical students comment got me thinking, there is a party
tonight" - @ctsinclair haha awesome #hpm

9:52 pm drpippa: Nice review of health care & social media in 2010 by Alex Smith. appreciate
his commentary on the tensions of hc providers & soc media #hpm

9:53 pm renee_berry: @ctsinclair presenting the awesome #hpm community @AAHPM !!

9:53 pm renee_berry: @ctsinclair presenting the awesome #hpm community @AAHPM !!
Tweetchat people, you're on stage! #hpm

9:53 pm renee_berry: "Who is talking about the stuff that we care about? Lets be advocates
together" - @ctsinclair #hpm

9:54 pm AAHPM: @ctsinclair and #aahpm staff can help you with Twitter 202 at the exhibit
hall. #hpm
9:54 pm CAPCpalliative: RT @renee_berry: @ctsinclair presenting the awesome #hpm community
@AAHPM !! Tweetchat people, you're on stage! #hpm

9:54 pm revdoc: @ctsinclair talking about the powerful HPM stories from last year spreading
beyond our own "borders" #hpm

9:54 pm renee_berry: @ctsinclair talking about the @NYTimes article about Dr. Pardi (link here
http://ow.ly/3YABB ) a fascinating conversation #hpm

9:55 pm renee_berry: About 29 active #hpm blogs @ctsinclair "We need more voices" calling on
the @AAHPM community & orgs to tell their story #hpm

9:55 pm drpippa: now @ctsinclair following up @alexsmithmd reviewing #hpm & social media
in 2010. Where have all the blogs gone?

9:56 pm emacartney: RT @renee_berry: "Who is talking about the stuff that we care about? Lets
be advocates together" - @ctsinclair #hpm #hospice

9:56 pm renee_berry: "Tweetchats, publicly talking about #hospice & #palliative care issues in a
planned meeting once a week" - @ctsinclair #hpm

9:58 pm emilybarryPR: RT @renee_berry: @DianeEMeier says she still learning abt metrics, but
still important to embrace this as a way to have an impact #hpm #hcsm

9:58 pm drpippa: RT @renee_berry: "show me the data on impact of this' @DianeEMeier we

9:58 pm renee_berry: By doing this publicly we can show people how amazing #hospice &
#palliative medicine is - @ctsinclair #hpm

9:58 pm RossJeanette: @ctsinclair I hope people spy on me when I'm tweeting on HPM #Hpm

9:58 pm hospice_mktg: Absolutely! RT @renee_berry: By doing this publicly we can show people
how amazing #hospice & #palliative medicine is - @ctsinclair #hpm

9:59 pm drpippa: Tweets and contributors have exploded in 2011! Already 1200 from 1st 1/2
day of @aahpm from 170 contributors. #hpm

9:59 pm renee_berry: "boring @YouTube videos, yes I'm a doctor I'm nodding, you can do more"
@ctsinclair #hpm

10:00 pm renee_berry: @ewidera "how do you do this in a very busy day, don't start off being
@ctsinclair who's bigger than Obama" hahaha #hpm

10:00 pm dwensel: we can all spare 8 minutes per day #hpm

10:00 pm renee_berry: @ewidera calls on the audience to "do 8minutes of online advocacy per day
to advocate for #palliative care" @AAHPM #hpm

10:01 pm revdoc: RT @renee_berry: @ewidera "how do you do this in a very busy day, don't
start off being @ctsinclair who's bigger than Obama" hahaha #hpm

10:01 pm RossJeanette: @ewidera " help spread the word can you tweet once a day? #Hpm

10:01 pm AAHPM: RT @renee_berry: @ewidera "how do you do this in a very busy day, don't
start off being @ctsinclair who's bigger than Obama" hahaha #hpm

10:01 pm renee_berry: "stir the conversation, don't try to put every thing in 140 characters"
@ewidera @UCSF @GeriPalBlog #hpm

10:01 pm drpippa: can you spend 8 minutes a day advocating for #hospice & #palliative med
asks @ewidera - YES! #hpm
10:01 pm dwensel: @RossJeanette @ewidera yes we can #hpm

10:01 pm AAHPM: RT @renee_berry: @ewidera calls on the audience to "do 8minutes of online
advocacy per day to advocate for #palliative care" @AAHPM #hpm


10:02 pm Kaviraj2: RT @renee_berry: By doing this publicly we can show people how amazing
#hospice & #palliative medicine is - @ctsinclair #hpm

10:02 pm renee_berry: @ewidera talking about how @Twitter has connected him to a @NYTimes
reporter & how engaging that new relationship has been #hpm

10:02 pm renee_berry: :) RT RT RT @dwensel: @RossJeanette @ewidera yes we can #hpm

10:02 pm revdoc: @ewidera: 8 minute advocacy re our specialty--one tweet, one like, a
comment, a post #hpm

10:02 pm Kaviraj2: RT @renee_berry: Key questions: "How to use social media effectively?
How much effort, for what reward? @AlexSmithMD #hcsmSV #hpm

10:03 pm drpippa: RT @revdoc: @ewidera: 8 minute advocacy re our specialty--one tweet, one
like, a comment, a post #hpm

10:03 pm renee_berry: "impact is really created by driving content & increasing readers, a
community alive & thriving online" @ewidera #palliative #hospice #hpm

10:03 pm PalMedConnect: RT @renee_berry: @ewidera calls on the audience to "do 8minutes of online

10:03 pm renee_berry: "issues like death panels are wrong & this is why it's wrong, make your
voice heard from a national perspective" @ewidera #hpm

10:03 pm AAHPM: Social media shows our community is alive and thriving #hpm

10:04 pm renee_berry: @ewidera highlighting the importance of how you don't always have to agree,
but have the conversation #hpm

10:04 pm RossJeanette: @ewidera when using facebook you can stir the community to get our
voices heards #Hpm

10:04 pm revdoc: RT @renee_berry: "issues like death panels are wrong & this is why it's
wrong, make your voice heard from a national perspective" @ewidera #hpm

10:04 pm drpippa: Not just twitter, fb - goal of 1 comment per week on blog/news article/gov
regs/fb pages. I will take @ewidera's challenge. #hpm

10:05 pm renee_berry: "develop novel content that you're passionate about" @ewidera #hpm

10:05 pm mamaier262: RT @renee_berry: Social Media is all about access to information, get over
#hpm

10:05 pm drpippa: RT @renee_berry: "issues like death panels are wrong & this is why it's
wrong, make your voice heard from a national perspective" @ewidera #hpm

10:05 pm mamaier262: RT @renee_berry: "stir the conversation, don't try to put every thing in 140
characters" @ewidera @UCSF @GeriPalBlog #hpm

10:05 pm renee_berry: "one small voice can make an impact that's the goal of social media, to
spread our voice" @ewidera @GeriPalBlog @AAHPM #Advocate #hpm

10:05 pm mamaier262: RT @renee_berry: @ewidera talking about how @Twitter has connected him
to a @NYTimes reporter & how engaging that new relationship has been
#hpm
10:05 pm mamaier262: RT @renee_berry: @ewidera highlighting the importance of how you don't
always have to agree, but have the conversation #hpm

10:06 pm mamaier262: RT @renee_berry: "one small voice can make an impact that's the goal of
social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM
#Advocate #hpm

10:06 pm RossJeanette: @hollyby web2.0 using the web to interact with each other. How can we be
efficient? #Hpm

10:06 pm renee_berry: "how can you be efficient with this? A common large fear is the idea that it's
too much time" @Hollyby w/ @SanDiegoHospice #hpm

10:07 pm emilybarryPR: RT @renee_berry: "one small voice can make an impact that's the goal of

2/23/2011
10:07 pm emilybarryPR: RT @renee_berry: "one#hpm voice can make an impact that's the goal of
Transcript for small - What the Hashtag?!
social media, to spread our voice" @ewidera @GeriPalBlog @AAHPM #hpm

10:07 pm RachelleNorman: I really appreciate all the tweets from folks at @AAHPM. Keep it up! #hpm

10:08 pm ssmithaahpm: Listening to the pioneers of the #HPM social media movement -- thanks for
your leadership and increasing visibility for our field #aahpm

10:08 pm AAHPM: @hollyby web 2.0 isn't another time commitment, it can save you time.
#hpm

10:08 pm MatthewsMichele: RT @renee_berry: "one small voice can make an impact that's the goal of
#Advocate #hpm

10:08 pm mamaier262: RT @renee_berry: "how can you be efficient with this? A common large fear
is the idea that it's too much time" @Hollyby w/ @SanDiegoHospice #hpm

10:08 pm renee_berry: "Social media can actually save you time" - @Hollyby w/
@SanDiegoHospice #hospice #palliative #hpm

10:08 pm revdoc: @hollyby demonstrating how RSS can save time for your practice while
keeping you better informed #hpm

10:09 pm revdoc: RT @renee_berry: "Social media can actually save you time" - @Hollyby w/

10:09 pm Kaviraj2: RT @renee_berry: "one small voice can make an impact that's the goal of
#Advocate #hpm

10:09 pm mamaier262: @renee_berry @Hollyby @SanDiegoHospice #hpm Docs already use
internet for research... more likely to get them to answers faster...

10:09 pm dwensel: @revdoc @hollyby it is a time saving way to get information at a faster rate
and the information I need. #hpm

10:10 pm renee_berry: I can't read every newspaper out there, but I can scan a twitter page of
someone in our #hpm community & see what's relevant - @Hollyby #hpm

10:11 pm revdoc: RT @renee_berry: I can't read every newspaper out there, but I can scan a
twitter page of someone in our #hpm community & see what's relevant -
@Hollyby #hpm

10:11 pm renee_berry: @Hollyby referencing the National #Hospice Month Video as a way to
connect the community http://ow.ly/3YBfB #hpm

10:12 pm dwensel: RT @renee_berry: @Hollyby referencing the National #Hospice Month Video
as a way to connect the community http://ow.ly/3YBfB #hpm

10:12 pm drpippa: perfect example @renee_berry: @Hollyby referencing the National #Hospice
Month Video as a way to connect community http://ow.ly/3YBfB #hpm

10:15 pm renee_berry: Talking about using social media guide our independent learning goals"
@Suzanakm @AAHPM #hpm

10:15 pm drpippa: personal learning networks v diff than virtual learning (ie blackboard). They
are dynamic, a conversation - @suzanakm #hpm

10:16 pm renee_berry: @Suzanakm discussing the Louis Green Learning Community
http://ow.ly/3YBr3 @AAHPM #hpm

10:17 pm drpippa: Very cool. RT @renee_berry: @Suzanakm discussing the Louis Green
Learning Community http://ow.ly/3YBr3 @AAHPM #hpm

10:18 pm renee_berry: This is a venue to create learning networks @Suzanakm (Lets help people
learn about #palliative care!) #Advocate #hpm

10:18 pm revdoc: @suzanakm demonstrating about personal learning networks pulling from
variety of social media outlets #hpm

10:18 pm gcooneymd: Lois Green Learning Community - it's my 'what I can use on Tuesday' from
the social media talk -thanks!! #Hpm

10:19 pm AAHPM: @suzanakm : use social media to create a PLE, personal learning network.

2/23/2011
10:19 pm AAHPM: @suzanakm : use social media What theaHashtag?!
Transcript for #hpm - to create PLE, personal learning network.
IE Lois Green #hpm

10:20 pm AAHPM: RT @gcooneymd: Lois Green Learning Community - it's my 'what I can use
on Tuesday' from the social media talk -thanks!! #Hpm

10:21 pm PalMedConnect: Looking forward to attending the dementia-related agitation workshop on
Saturday #HPM

10:21 pm kgtyson: RT @renee_berry: "one small voice can make an impact that's the goal of
#Advocate #hpm

10:28 pm drpippa: How to learn about social media- "just get online, you can't screw up that
much."@ewidera #hpm

10:28 pm renee_berry: "if you try to memorize the social media language in 5min it will be
overwhelming, just get online, be patient & learn" @ewidera @AAHPM #hpm

10:30 pm hospicepharmacy: RT @renee_berry: I can't read every newspaper out there, but I can scan a
twitter page of someone in our #hpm community & see what's relevant -
@Hollyby #hpm

10:30 pm renee_berry: Question from the audience "Continuous partial attention" great question!
#hpm

10:30 pm ssmithaahpm: Abernethy on mentors: Assess you needs, seek multiple mentors for
specific areas @aahpm #hpm

10:30 pm mamaier262: @renee_berry @ewidera @AAHPM #hpm can't be told what social media
is...learn by doing... it is not a spectator sport... =)

10:31 pm renee_berry: "Social Media just like medicine, if it's effective, there are side effects... and
there are side effects" @ctsinclair #hcsm #hpm
10:32 pm renee_berry: audience member "pull in teen volunteers to help your team learn the social
media language" #hospice #volunteer #hpm

10:33 pm GroundSwellAus: RT @drpippa: can you spend 8 minutes a day advocating for #hospice &
#palliative med asks @ewidera - YES! #hpm

10:34 pm GroundSwellAus: RT @renee_berry: "stir the conversation, don't try to put every thing in 140
characters" @ewidera @UCSF @GeriPalBlog #hpm

10:34 pm PracticalWisdom: RT @renee_berry: audience member "pull in teen volunteers to help your
team learn the social media language" #hospice #volunteer #hpm

10:38 pm GroundSwellAus: enjoying reading the #hpm stream from down here in OZ @renee_berry

10:44 pm EOLnavigator: RT @TalentCulture: RT @ralphrwatson: True Leaders are not looking for
followers. They are looking for the next Leaders. #hpm

10:45 pm melanoma_mama: RT @renee_berry: "one small voice can make an impact that's the goal of
#Advocate #hpm

10:47 pm doclake: RT @renee_berry: "Social media can actually save you time" - @Hollyby w/

10:47 pm doclake: RT @ssmithaahpm: Listening to the pioneers of the #HPM social media
movement -- thanks for your leadership and increasing visibility for our field
#aahpm

10:49 pm ronaldpetrovich: RT @LeeAase: Check out what @ctsinclair is doing this week at the #hpm
conference - Can't wait to see what he reports on in for #MCCSM

10:50 pm doclake: RT @renee_berry: "Social Media just like medicine, if it's effective, there are
side effects... and there are side effects" @ctsinclair #hcsm #hpm

10:53 pm dwensel: I am intoxicated by my illness expressed through poetry and music #hpm

10:56 pm EOLnavigator: RT @ctsinclair: Nearly 80,000 patients died with ESRD (on HD), only 21%
received hospice services - Moss #hpm. That's a shameful number.

10:57 pm dwensel: Tolstoy wrote just before he died, "I don't understand what I am suppose to
do." #hpm

do." #hpm

10:57 pm AliveHospice: @ctsinclair What was the most thought-provoking question you received
during your presentation, and what was the answer? #hpm

10:57 pm EOLnavigator: Yes it does! RT @renee_berry: "comfort measures & full code doesn't make
sense to have together" Jocelyn White, MD #hpm

11:00 pm dwensel: "Soul Loss" a sense of terrible emptiness. #hpm

11:01 pm AliveHospice: @hollyby Thanks for using @AliveHospice's photo collage from the "Hospice
is..." video in your presentation! http://slidesha.re/hEStls #hpm

11:01 pm hospicepharmacy: Validation of something #hospice #hpm sees every day - Family caregivers
mitigate #Medicare costs http://bit.ly/fw0mPF

11:03 pm hospicehouse: RT @renee_berry: "Tweetchats, publicly talking about #hospice & #palliative
care issues in a planned meeting once a week" - @ctsinclair #hpm

11:04 pm equijada: 1/2 pt that smoked cannabis experienced 30% reduction in neuropathic pain

Me: similar to TCA and antiseizure meds #hpm
11:06 pm drpippa: Communicating bad news- 3 techniques to discuss diff prognosis w/ pts -
hypothetical questions, hope/worry statements, name the dilemma #hpm

11:06 pm equijada: In the spirit of saving twitter characters, "cannabis" will be referred to as
"chronic" #hpm

11:07 pm RossJeanette: Jane Thomas difficult conversations strategies: what if, hope/worry strategies
#Hpm

11:09 pm equijada: Boyer-Kollas - "how many of you have used pot?", "how many have
progressed to heroin" re: gateway drug myth #hpm

11:12 pm equijada: Boyer-Kollas - why are alcohol and nicotine legal when they are more
addictive than marijuana? #hpm

11:13 pm doclake: RT @drpippa: Communicating bad news- 3 techniques to discuss diff
prognosis w/ pts - hypothetical questions, hope/worry statements, name the
dilemma #hpm

11:13 pm doclake: RT @equijada: Boyer-Kollas - "how many of you have used pot?", "how
many have progressed to heroin" re: gateway drug myth #hpm

11:13 pm equijada: Boyer-Kollas - Cannabis facts - low abuse potential in comparison to other
recreational and medical drugs #hpm

11:13 pm doclake: RT @equijada: Boyer-Kollas - Cannabis facts - low abuse potential in
comparison to other recreational and medical drugs #hpm

11:14 pm doclake: RT @GetPalliative: RT @drpippa RT @renee_berry "Early goals of care
conversations are a key quality indicator" Jocelyn White, MD #HaveTheTalk
#hpm yes!

11:15 pm doclake: RT @EOLnavigator: RT @ctsinclair: Nearly 80,000 patients died with ESRD
(on HD), only 21% received hospice services - Moss #hpm. That's a
shameful number.

11:15 pm VirtualHospice: Thanks Dr. Fraser Black for doing a superb job presenting @virtualhospice
at Showcase Canada. #hpm

11:16 pm equijada: Kollas - RCTs: modest anti-emetic effect, small inc in caloric intake,
reduction in neuropathic pain. #kindaworks #hpm

11:17 pm ctsinclair: At Rushton's Talk on "Transforming Parental Suffering: Role of Being a Good
Parent" #peds cc: @haslingerppc @KUkidsHP @seattlemamadoc #hpm

11:18 pm equijada: Kollas - take home: medical marijuana modest improvement in seriously ill
#hpm

11:19 pm ctsinclair: RT @equijada: Kollas - RCTs: modest anti-emetic effect, small inc in caloric
intake, reduction in neuropathic pain. #hpm

11:20 pm ctsinclair: @equijada Wondering if @NORML or other Marijuana advocates will watch
your tweets today with your subject #hpm

2/23/2011 your tweets today with your subject #hpm Hashtag?!
Transcript for #hpm - What the

11:20 pm ctsinclair: RT @doclake: RT @equijada: Boyer-Kollas - Cannabis facts - low abuse
potential in comparison to other recreational and medical drugs #hpm

11:21 pm Pallimed: Legislation filed to legalize medical marijuana in #Kansas
http://bit.ly/gsHGbz @equijada don't know if you saw this earlier #hpm

11:21 pm dwensel: The language that docs use to define prognosis should emphasize living not
dying #hpm
11:22 pm ctsinclair: Thanks to all who are RTing for the @AAHPM @HPNAinfo conference from
#hcsm and other networks online #hpm

11:22 pm equijada: Kollas - Should HPC have a position statement on MJ? Kollas - would
should we do? Q&A time #hpm

11:22 pm ctsinclair: RT @dwensel: The language that docs use to define prognosis should
emphasize living not dying. 'Example?' #hpm

11:24 pm equijada: Participant comment: (in rebuttal to prior MJ w/glaucoma) "MJ doesn't
decrease the time to blindness" #hpm

11:24 pm ctsinclair: @AliveHospice Q: RE continuous attention syndrome with social media. A:
All effective tools have side effects, manage the side effect #hpm

11:24 pm equijada: Kollas - "the answer is cannabinoids" #hpm

11:24 pm dwensel: @ctsinclair @dwensel "you will be living for another few days, weeks, or
months not dying in days, weeks, or months" #hpm

11:24 pm jodyms: @ctsinclair "losing the battle" needs to be eliminated from all cancer talk.
#hpm

11:25 pm ctsinclair: @equijada did speaker highlight semantic diff between 'cannabis' and
'marijuana''? Is there one? #hpm

11:26 pm ctsinclair: @dwensel gotcha, thanks #hpm

11:26 pm equijada: Mel Sterling: "it is true they go blind at the same time, they're just not
unhappy about it" crowd laughs #hpm

11:26 pm djsampson: RT @jodyms: @ctsinclair "losing the battle" needs to be eliminated from all
cancer talk. #hpm

11:27 pm equijada: @ctsinclair no he didn't. I'm not sure if there is one. Perhaps
cannabis:marijuana is to opioid:narcotic ? #hpm

11:27 pm ctsinclair: RT @drpippa: Communicating bad news- 3 tech to discuss diff prognosis w/
pts- hypothetical q's, hope/worry statements, name the dilemma #hpm

11:27 pm jodelancey: Amen. RT @djsampson: RT @jodyms: @ctsinclair "losing the battle" needs
to be eliminated from all cancer talk. #hpm

11:28 pm ctsinclair: Rushton - Avoid labeling parents as 'difficult' or 'uncaring' get to know their
challenges, their view point #peds #hpm

11:28 pm ctsinclair: @equijada That is what I was wondering #hpm

11:28 pm melanoma_mama: RT @ctsinclair: Rushton - Avoid labeling parents as 'difficult' or 'uncaring' get
to know their challenges, their view point #peds #hpm

11:28 pm ctsinclair: RT @jodyms: "losing the battle" needs to be eliminated from all cancer talk.
"Great point" #hpm

11:29 pm dwensel: Davis, Cothren expression of terminal illness through music, art and poetry
#hpm

11:29 pm equijada: Mel Sterling: "we need to take the handcuffs off of research...we need to
distinguish between medical and recreational use" #hpm

11:29 pm drpippa: Audience member "it was great to watch you squirm" re: role play of pt-
clinician discussion of poor prognosis. We've all been there! #hpm
11:31 pm dwensel: The expression of human kindness through the use of hands in art. #hpm


11:31 pm ctsinclair: Staff labeled mother as uncaring. Her response- I'm home getting life in order
in case he gets discharged. He is safe w/ you -Rushton #hpm

11:31 pm equijada: Audience: "thanks that we are a bunch of lefty pot smokers" Me:
#cantspeakforthat #hpm

11:31 pm ctsinclair: RT @dwensel: Davis, Cothren expression of terminal illness through music,
art and poetry 'wanted to go to that session' #hpm

11:32 pm equijada: Crowd laughs when the word "high" is used #hpm

11:32 pm MeetVancouver: Need a tasty place for dinner or dessert? We're onsite till 430pm today!
@AAHPM @HPNAInfo #hpm

11:33 pm ctsinclair: RT @dwensel: Tolstoy wrote just before he died, "I dont understand what I
am suppose to do." #quote #hpm

11:33 pm dwensel: The Hands of Death and the Faces of Death series are wonderful #hpm

11:33 pm ctsinclair: RT @equijada: Crowd laughs when the word "high" is used. 'not very
academic of everyone, suspect tension breaker?' #hpm

11:33 pm equijada: @sandiegohospice fellow Beth speaking: taking it back clinically, are there
other preparations. Kollas: in brownies. Crowd laughs #hpm

11:34 pm ctsinclair: RT @dwensel: The Hands of Death and the Faces of Death series are
wonderful 'links, online?' #hpm

11:34 pm equijada: Kollas - smoking avoids 1st pass effect #hpm

11:34 pm equijada: @ctsinclair yes #hpm

11:35 pm Nurse2103: RT @renee_berry: Ellington w/ U of Utah College of Nursing reviewing
analysis of #Hospice #Nurse conversations with patients @ Home
..interesting #hpm

11:36 pm Nurse2103: RT @renee_berry: "show me the data on impact of this' @DianeEMeier we

11:36 pm equijada: @sandiegohospice fellow Beth: Q: synergy with opiates? A: not sure #hpm

11:37 pm ctsinclair: Thanks for joining us today @melanoma_mama We hope you'll stick around
for some more tweets from #hpm

11:37 pm Mtnmd: RT @dwensel The expression of human kindness through the use of hands
in art. #hpm

11:38 pm MatthewsMichele: hmm; Not sure pros use is it the same as teens RT @renee_berry: (para)
audience: "pull in teens to help your team learn social media" #hpm

11:38 pm Nurse2103: RT @renee_berry: About 29 active #hpm blogs @ctsinclair "We need more
voices" calling on the @AAHPM community & orgs to tell their story #hpm

11:38 pm AAHPM: More than 1000 tweets today for #hpm Now, how about some well thought
out comments for our thoughtful bloggers http://bit.ly/av8ctS ?!

11:38 pm ctsinclair: RT @AAHPM: @ctsinclair and #aahpm staff can help you with Twitter 202
at the exhibit hall. #hpm 'Yes We Can!"

11:39 pm lmockford: RT @VirtualHospice: Thanks Dr. Fraser Black for doing a superb job
presenting @virtualhospice at Showcase Canada. #hpm

11:39 pm Mtnmd: RT @dwensel The language that docs use to define prognosis should
emphasize living not dying #hpm

11:40 pm hospicedave: That's wht she said! RT @ctsinclair: Rushton - Avoid labeling parents as
'difficult' or 'uncaring' get to know their challenges #peds #hpm

11:41 pm AAHPM: RT @ctsinclair: Thanks to all who are RTing for the @AAHPM @HPNAinfo
conference from #hcsm and other networks online #hpm

11:41 pm equijada: Kollas - "we are already labeled 'the death doctor' can't get much worse than
that" re: label of 'pot doctor' #hpm

11:41 pm Mtnmd: RT @ctsinclair @doclake @equijada Boyer-Kollas - Cannabis facts - low

abuse potential in comparison 2 other recreational & med drugs #hpm

11:43 pm ctsinclair: Rushton - How to support parents: language of non-abandonment, give and
respect choices, foster authentic hope, and build trust #peds #hpm

11:43 pm equijada: Boyer-Kollas - we have patients dying in pain, that's not ok. #hpm

11:44 pm drpippa: Take home re diff convos: patients often hear something different than what
was said for many reasons. Important to honor them! #hpm

11:45 pm renee_berry: RT @mamaier262: @renee_berry @ewidera @AAHPM #hpm can't be told
what social media is...learn by doing... it is not a spectator sport... =)

11:45 pm melanoma_mama: Interesting tweets! @ctsinclair Thanks for joining us today
@melanoma_mama We hope you'll stick around for some more tweets from
#hpm

11:47 pm ctsinclair: "One of the most beautiful compensations of this life that no man can
sincerely try to help another without helping himself." -Emerson #hpm

11:50 pm MDTalk: Boyer-Kollas - Cannabis facts - low abuse potential in comparison 2 other
recreational & med drugs #hpm http://bit.ly/hTcfgy

11:50 pm davidkroll: This. RT @djsampson: RT @jodyms: @ctsinclair "losing the battle" needs
to be eliminated from all cancer talk. #hpm

11:56 pm gcooneymd: Why is cancer a 'war' and not other terminal ilness??RT @davidkroll: "losing
the battle" needs to be eliminated from all cancer talk. #Hpm

11:57 pm gcooneymd: Let's not tell my kids tho! RT @MDTalk: Cannabis facts - low abuse
potential in comparison 2 other recreational & med drugs #Hpm

February 18, 2011

12:01 am ctsinclair: New session Lynn Mcpherson covering new drugs approved/introduced to
the market in 2010. Listen up #pharma #fda fans #hpm

12:02 am DianeEMeier: RT @dwensel: Tolstoy wrote just before he died, "I don't understand what I
am suppose to do." #hpm

12:03 am ctsinclair: Mcpherson - Dalfasmpridine (Ampyra) for #MultipleSclerosis Can help with
function, but Cots $1000 for 30d, watch out for seizures #hpm

12:04 am gcooneymd: I'd pay that! RT @ctsinclair: Mcpherson - Dalfasmpridine (Ampyra) for
#MultipleSclerosis Can help with function but costs $1000 for 30d #Hpm

12:05 am dwensel: RT @ctsinclair: Mcpherson - Dalfasmpridine for #MultipleSclerosis Can help
with function but Cots $1000 for 30d, watch out for seizures #hpm

12:05 am ctsinclair: Macpherson - Tocilizumab (Actemra) for #RA Q4weeks; Modest effect in
#RA if not responding to TNF inhib #pharma #hpm

12:05 am kevhen63: RT @gcooneymd: Why is cancer a war and not other terminal illness?
"losing the battle" needs to be eliminated from all cancer talk. #Hpm

12:06 am DianeEMeier: RT @Health_Affairs: Blog: Defining Essential Benefits: Congress?Role
http://bit.ly/dZxV6e #palliative care is THE essential benefit #hpm

12:06 am ctsinclair: Macpherson - Dabigatran etexilate mesylate (Pradaxa) new competitor with
Warfarin, stroke embolism risk reducer #pharma #hpm

12:07 am dockj: RT @equijada: Kollas - "we are already labeled 'the death doctor' can't get
much worse than that" re: label of 'pot doctor' #hpm

12:08 am ctsinclair: Macpherson - Pradaxa fewer drug interactions, no INR checks like
coumadin, but at what cost. $7/day vs. 50cents for coumadin #hpm

12:09 am hollyby: In dexmedetomidine talk for refractory symptoms talk... #hpm

12:09 am gcooneymd: At new drug session b/o great tweets! Thanks guys! #Hpm

12:09 am ctsinclair: Macpherson - Must be careful in storing Pradaxa - once opened only good
for 30days #pharma #hpm

12:10 am ctsinclair: Everyone say hi to Kevin Henning @kevhen63 He is tweeting right next to
me! #hpm

12:11 am MyrnaB23: Hi Kevin Henning@kevhen63 #hpm

12:11 am RossJeanette: Hi @kevhen63 welcome to twitter HPM #Hpm

12:11 am ctsinclair: Macpherson - Fentanyl SL tablet (Abstral) 5th rapid acting trans mucosal
(actiq, gen actiq, Onsolis, Fentora) #pharma #hpm

12:11 am gcooneymd: Opioid tolerant defined as 60 MG OMS daily for one week #Hpm

12:12 am dwensel: Hi Kevin #hpm

12:12 am ctsinclair: RT @gcooneymd: Opioid tolerant defined as 60 MG OMS daily for one week
#hpm

12:13 am DianeEMeier: In room 205 #hpm talking about the place of #palliative care in health reform
efforts. Come by!

12:13 am renee_berry: Welcome Kevin! RT @ctsinclair: Everyone say hi to Kevin Henning
@kevhen63 He is tweeting right next to me! #hpm

12:13 am ctsinclair: Macpherson - REMS strategy for Abstral - good preview for other opioids in
future. Prescriber are specially certified - Adoption rate? #hpm

12:14 am renee_berry: sounds awesome RT @DianeEMeier: In room 205 #hpm talking about the
place of #palliative care in health reform efforts. Come by! #hpm

12:14 am dwensel: @ctsinclair @gcooneymd That sounds high? #hpm

12:14 am thehealthmaven: RT @ctsinclair: Talking my language! "One of the most beautiful

compensations of this life that no man can sincerely try" -Emerson #hpm
12:14 am gcooneymd: RT @DianeEMeier: In room 205 #hpm talking about the place of #palliative
care in health reform efforts. Come by! #Hpm

12:14 am dockj: @dwensel not attending but catching up on the flood of #hpm tweets. Good
stuff!

12:14 am ctsinclair: Macpherson - Abstral REMS the pharmacist and wholeseller also has to be
specially certified. Good luck with getting all 3 in your town #hpm

12:15 am DianeEMeier: RT @renee_berry: "show me the data on impact of twitter' @DianeEMeier
we can start here: www.whatthehashtag.com/hpm #hpm

12:15 am renee_berry: @DianeEMeier is it more on payment models? or health reform? (or both?)
#hpm

12:16 am ctsinclair: Macpherson - Propxyphene (Darvocet) being pulled off market - Very good
thing. My take from @pallimed http://bit.ly/fkMVEl #pharma #hpm

12:16 am hollyby: Dexmedetomidine (Precedex) alpha-2 agonist used for sedation and
analgesia, often used in ICU and surgery settings #hpm

12:17 am gcooneymd: The death of propoxyphene! Long overdue. #Hpm

12:17 am RossJeanette: 3 day Happy dance for propoxyphene out of the market- macpherson #Hpm

12:18 am gcooneymd: Propoxyphene 'and yet, why do so many little old laid swear by it?' #Hpm

12:19 am gcooneymd: RT @gcooneymd: Propoxyphene and yet, why do so many little old ladies
swear by it? #Hpm

12:20 am ctsinclair: RT @gcooneymd: Propoxyphene ineffective and yet, why do so many little
old laid swear by it? "beats me" #hpm

12:20 am equijada: Alternatives to propoxyphene -> methadone. Begs the question of NMDA
effect #hpm

12:21 am ctsinclair: Macpherson - FDA def of opioid tolerant - 60mg morphine, 24mcg fent patch,
30mg oxycodone, or 8mg hydromorphone per day #hpm

12:21 am dwensel: I have never prescribed propoxyphene has anyone here? #hpm


12:21 am ctsinclair: Macpherson - Exalgo (once daily hydromorphone) - Wish she spent more
time on this one #hpm

12:21 am gcooneymd: Butrans transdermal buprenorphine #Hpm

12:21 am renee_berry: Peg Nelson, MSN NP Talked about staff completing survey, high turn in after
patient death saying "we're not prepared" #hpm

12:22 am gcooneymd: Yes, for the LOL with propoxyphene receptor RT @dwensel: I have never
prescribed propoxyphene has anyone here? #Hpm

12:22 am dwensel: @ctsinclair Does that seem high to anyone for opioid tolerant? #hpm

12:23 am ctsinclair: Macpherson - BuTrans Transdermal buprenorphine - patch worn for 7 days,
need to titrate patient down before starting #hpm

12:23 am dwensel: @ctsinclair me too! #hpm

12:23 am ctsinclair: @dwensel I thought it sounded kind of low for opioid tolerant doses #hpm

12:24 am ctsinclair: RT @dwensel: I have never prescribed propoxyphene has anyone here?
'rarely in the past, always continuing, not initiating' #hpm

12:24 am FIMDM: RT @ctsinclair: Any of my followers just FYI, live tweeting from Vancouver
@AAHPM conference see http://slidesha.re/fh5kKy or pallimed.org for
details #hpm

12:24 am DianeEMeier: #hpm no clarity postacute care settings (hospice, home care, LTC) in
accountable care orgs. #palliative care is key 2 #aco success.

12:24 am ctsinclair: Macpherson - Primary care providers have warm/fuzzy feeling towards
transdermal systems -"Totally agree, but variable understanding' #hpm

12:25 am gcooneymd: Am I emotionally incontinent?? #Hpm

12:25 am hollyby: Dexmedetomidine in palliative care: Prommer - http://bit.ly/gqpwTs , Coyne -
http://bit.ly/ejGUQA , Roberts - http://bit.ly/e2hKNb #hpm

12:25 am westr: RT @ctsinclair: FDA def of opioid tolerant - 60mg morphine, 24mcg fent
patch, 30mg oxycodone, or 8mg hydromorphone per day #hpm #pm101

12:26 am dwensel: @gcooneymd Am I emotionally incontinent?? I know I am #hpm

12:26 am westr: I also swear by it. RT @ctsinclair @gcooneymd: Propoxyphene ineffective
and yet, why do so many little old laid swear by it? "beats me" #hpm

12:27 am dwensel: For you Seinfeld fans "she is a fast talker" #hpm

12:27 am ctsinclair: Macpherson - Nuedexta (Dextromethorphan/Quinidine) for uncontrolled
laughing/crying in multiple neurological diseases #ALS #MS #hpm

12:27 am gcooneymd: RT @dwensel: @gcooneymd Am I emotionally incontinent?? I know I am.
Let's all be emotionally incontinent! #Hpm

12:28 am ctsinclair: Nuedexta - $600/month, "wow! but if you have these symptoms of
uncontrolled laughing/crying, could be helpful' #hpm

12:28 am renee_berry: I came in just in time for @DianeEMeier #hpm

12:28 am hollyby: Dexmedetomidine also called "dex". Confusing... I use "dex" for
dexamethasone. Will need to be careful if we start to use it more. #hpm

12:29 am MyrnaB23: Meier: Success of the new payment models are critically dependent on our
field - on us. #hpm

12:29 am gcooneymd: Fingolimod = IM interferon in decreasing MS relapses #Hpm

12:29 am ctsinclair: RT @dwensel: For you Seinfeld fans "she is a fast talker" - "Don't you mean
'sheisafasttalker' #hpm

12:29 am ctsinclair: RT @hollyby: Dexmedetomidine also called "dex". Confusing... "Do not like.
Need better name...'deto'" #hpm

12:29 am dwensel: RT @ctsinclair: RT @dwensel: For you Seinfeld fans "she is a fast talker" -
"Dont you mean sheisafasttalker Yea thats it #hpm


12:29 am renee_berry: we ( #palliative care) are central to the success of those models
(Accountable Care Organizations) @DianeEMeier #hpm

12:29 am chemosabe: @gcooneymd define emotional inco pls? aussie not up on the term #hpm

12:30 am hollyby: Lots of questions for dexmedetomidine. Best dose, best duration, and best
symptom palliated not clear for palliative care population. #hpm

12:30 am ctsinclair: RT @MyrnaB23: From @DianeEMeier: Success of the new payment
models are critically dependent on our field - on us. #hpm
12:30 am gcooneymd: Fingolimod second line, if fails/intolerant of interferon #Hpm

12:30 am ctsinclair: RT @chemosabe: @gcooneymd define emotional inco pls? aussie not up on
the term. "FDA term for uncontrolled laughing/crying" #hpm

12:31 am gcooneymd: RT @chemosabe: @gcooneymd define emotional inco pls? aussie not up on
the term. Neuro syndrome. Uncontrolled laughter/crying :)) #Hpm

12:31 am ctsinclair: RT @gcooneymd: Am I emotionally incontinent?? 'Who came up with that
term, it actually sounds pretty insulting, if I had it' #hpm

12:31 am hollyby: Dexmedetomidine may be useful for intractable pain, agitation and/or
delirium #hpm

12:32 am chemosabe: @hollyby imsp just published list of drugs with CAPITALISATION for like
sounding or looking drug names #hpm

12:32 am ctsinclair: @gcooneymd Didn't mean to scoop you on the answer to @chemosabe
(best twitter handle ever) #hpm

12:32 am MyrnaB23: Diane likes to be on sx in July as there is still neurologic plasticity on the
part of the house staff. #hpm

12:32 am ctsinclair: Macpherson - Acetaminophen IV (Ofirmev) - Finally I have wanted to have
this so many times #hpm

12:33 am westr: RT @ctsinclair: Propxyphene being pulled off market - Very good thing. My
take from @pallimed http://bit.ly/fkMVEl #pharma #hpm #pm101

12:33 am chemosabe: @ctsinclair @gooneymd so u guys are saying it is a recognised and
accepted diagnosis up there? #hpm

12:33 am ctsinclair: @MyrnaB23 That is reverse thinking from many attendings! #hpm

12:33 am gcooneymd: FDA investigating acetaminophen combination products #Hpm

12:33 am renee_berry: @DianeEMeier tells story of an intern missing the big picture... we need to
pause & consider goals of care #hpm

12:33 am hjluks: RT @ctsinclair: RT @gcooneymd: Am I emotionally incontinent?? 'Who
came up with that term, it actually sounds pretty insulting, if I had it' #hpm

12:34 am kevhen63: Who knows what APAP stands for? #Hpm

12:34 am ctsinclair: @chemosabe I just heard it for the first time today RE: Emotional
incontinence #hpm

12:34 am RossJeanette: Macpherson FDA decrease acetaminophen (APAP) so combos don't have
more than 325mg of APAP #Hpm

12:34 am dwensel: @ctsinclair what did she just say we did not get it in the back of the room
#hpm

12:34 am ctsinclair: RT @kevhen63: Who knows what APAP stands for? 'not anti-pain, anti-
pyretic' #hpm

12:35 am equijada: Duloxetine for chronic msk pain #ididnotknowthat #hpm

12:35 am kevhen63: Who knows what APAP stands for? Not what Christian said... #Hpm

12:35 am chemosabe: @ctsinclair agree with u that it sounds pretty derogatory #hpm
12:35 am gcooneymd: RT @ctsinclair: @chemosabe I just heard it for the first time today RE:
Emotional incontinence- think it's pharma jargon #Hpm

Emotional incontinence- think it's pharma jargon #Hpm

12:35 am ctsinclair: @dwensel Missed it too #hpm

12:35 am equijada: #ididnotknowthat for lots of things in this talk #hpm

12:36 am ctsinclair: RT @equijada: #ididnotknowthat for lots of things in this talk 'Agreed, this is
an essential talk every year' #hpm

12:36 am hollyby: Isn't it also called pseudobulbar affective disorder? re: emotional
incontinence @chemosabe @ctsinclair @gooneymd #hpm

12:36 am gcooneymd: Abuse deterrent Oxycontin #Hpm

12:36 am MyrnaB23: APAP = An antipyretic and analgesic, with potency similar to that of aspirin.
#hpm

12:36 am chemosabe: @gcooneymd ah pharma's making up diagnosis to fit there drug, now I get it!
#hpm

12:37 am chemosabe: @hollyby that sounds like a real dx #hpm

12:37 am gcooneymd: RT @hollyby: Isnt it also called pseudobulbar affective disorder? re:
emotional incontinence - But not as funny, Holly #Hpm

12:37 am ctsinclair: Macpherson - OxyContin Reformulation-60 tab AWP $375, insoluable in
alcohol, forms viscous gel with water, some pts say not effective #hpm

12:37 am gcooneymd: RT @MyrnaB23: APAP = An antipyretic and analgesic, with potency similar
to that of aspirin. Is that true?? #Hpm

12:37 am thehealthmaven: RT @ctsinclair: Macpherson - REMS strategy for Abstral - good preview for
other opioids in future. Prescriber are specially certified - Adoption rate?
#hpm

12:38 am hollyby: True RT @gcooneymd & @hollyby: Isnt it also called pseudobulbar affective
disorder? re emotional incontinence - But not as funny, Holly #hpm

12:39 am ctsinclair: Woo hoo Macpherson referenced @Pallimed on her slides
http://www.pallimed.org/2010/12/opioids-on-chopping-block.html #pharma
#hpm

12:39 am chemosabe: the whole emoinco discussion takes me down medicolegal path of flk, fith
syndrome, lolnad, etc #hpm #rnchat

12:39 am ctsinclair: RT @kevhen63: Who knows what APAP stands for? Not what Christian
said...'wikipedia: N-acetyl-p-aminophenol' #hpm

12:40 am kevhen63: @gcooneymd. Nope, not antipyretic and analgesic. #Hpm

12:40 am DrRobie: RT @gcooneymd: Why is cancer a 'war' and not other terminal ilness??RT
@davidkroll: "losing the battle" needs to be eliminated from all cancer talk.
#Hpm

12:40 am renee_berry: "OCD level of attention to communication is key to success" @DianeEMeier
(YES!) #hpm

12:40 am ctsinclair: @chemosabe Yes, I think we should just stop saying emotional
incontinence, funny or not to us it is not funny to the patients #hpm

12:40 am renee_berry: "patients get confused with who to listen to with many specialists that don't
talk to each other" @DianeEMeier #hpm

12:41 am ctsinclair: RT @renee_berry: "OCD level of attention to communication is key to
success" @DianeEMeier (YES!) [with breaks for milk and cookies] #hpm

12:41 am renee_berry: "coordinating of care with out goal assessment is not effective"
@DianeEMeier #HaveTheTalk #hpm

12:41 am DrRobie: RT @ctsinclair: Macpherson - Must be careful in storing Pradaxa - once
opened only good for 30days #pharma #hpm

12:41 am renee_berry: @ctsinclair or sushi in Vancouver :) #hpm

12:42 am chemosabe: @ctsinclair u must be pretty clever to be listening to presentation and
chatting #hpm

chatting #hpm

12:42 am ctsinclair: Macpherson - medical #Marijuana - Allowed in 14 states, Maryland and
Kansas have legislation pending, others? cc @NORML #hpm

12:42 am renee_berry: "Even @CMS defines #palliative care with out reference to prognosis, rather
defined based on need" @DianeEMeier #hpm

12:43 am ctsinclair: RT @chemosabe: @ctsinclair u must be pretty clever to be listening to
presentation and chatting 'Some may call it that... ;)' #hpm

12:43 am equijada: Macpherson talk <fire hose on> will need to review twitter notes and I'm
acutally going to download her handout #wow #hpm

12:44 am ctsinclair: RT @equijada: Macpherson talk <fire hose on> will need to review twitter
notes and Im acutally going to download her handout "Ditto" #hpm

12:44 am chemosabe: @renee_berry u also must be pretty clever to be listening to presentation
and chatting #hpm

12:44 am ctsinclair: @equijada I'm spent. end of day and lots of info. brain is getting tired. #hpm

12:44 am renee_berry: "Fee for service is going to go away, so we need to study who's doing it,
what they're doing well & what they're not" @DianeEMeier #hpm

12:45 am dwensel: @ctsinclair @equijada we need a pallimed/geripal gathering stat #hpm

12:45 am hospicedave: That she is. But love Macpherson! RT @ctsinclair: RT @dwensel: For you
Seinfeld fans "she is a fast talker"' #hpm

12:45 am DrRobie: RT @gcooneymd: Propoxyphene 'and yet, why do so many little old laid
swear by it?' #Hpm

12:45 am renee_berry: :) just takes practice RT @chemosabe: @renee_berry u also must be pretty
clever to be listening to presentation and chatting #hpm

12:46 am renee_berry: @chemosabe & I read about palliative care enough that I have some
flexibility, have a much harder time doing it at tech conferences! #hpm

12:46 am equijada: @dwensel yes indeed. #hpm

12:47 am ctsinclair: Macpherson - Speaking out against EMR's and nurse communication in ml's
instead of milligrams when working with opioids #hpm

12:47 am chemosabe: who is this macpherson #hpm goddess that isn't Elle?

12:48 am renee_berry: @Aetna has implemented a 12month model for #hospice where patients
don't need to forgo curative treatment - @DianeEMeier #hpm
12:48 am gcooneymd: Oral morphine 20 MG/ml only for 'opioid tolerant' patients. Yikes!! #Hpm

12:48 am renee_berry: @DianeEMeier highlighting various innovative models of implementation of
integrated palliative care .. #Fascinating #hpm

12:49 am chemosabe: @ctsinclair thought accepted abbreviations was ACCEPTABLE? #hpm

12:49 am ctsinclair: Macpherson - Cryostat - Most important palliative care therapy I am talking
about - cold pack for hemorrhoid relief #hpm

12:49 am equijada: CryoSTAT #needsomenow #hpm

12:49 am dwensel: can you repeat the joke we missed it in the back. #hpm

12:50 am renee_berry: None of the new models in healthcare reform will work with out us (
#Palliative care) @DianeEMeier #hpm

12:50 am renee_berry: "This is our moment & we need to grab it" @DianeEMeier #hpm

12:50 am PracticalWisdom: RT @ctsinclair: Rushton - Avoid labeling parents as 'difficult' or 'uncaring' get
to know their challenges, their view point #peds #hpm

12:50 am ctsinclair: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier
#hpm

12:51 am gcooneymd: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier
#Hpm

#Hpm

12:51 am PracticalWisdom: RT @ctsinclair: Rushton - How to support parents: language of non-
abandonment, give and respect choices, foster authentic hope, and build
trust #peds #hpm

12:51 am hollyby: RT @renee_berry: None of the new models in healthcare reform will work
with out us ( #Palliative care) @DianeEMeier #hpm

12:51 am gcooneymd: RT @renee_berry: None of the new models in healthcare reform will work
with out us ( #Palliative care) @DianeEMeier #Hpm

12:51 am ctsinclair: RT @dwensel: can you repeat the joke we missed it in the back. 'she has
too many cant keep up' #hpm

12:51 am kevhen63: What does orphan drug status mean? #Hpm

12:51 am chemosabe: @ctsinclair did u just change speakers or rooms? #hpm

12:51 am dwensel: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier
#hpm

12:52 am ctsinclair: Macpherson Palliative related med Pipeline Ereska, Fentora Long Acting,
Posidur, Rylomine 'get used to these names' #hpm

12:52 am PracticalWisdom: RT @ctsinclair: @LeeAase Thanks Lee! Have a lot of ideas to blog about for
#MCCSM Looking forward to engagement from SocMed community with
#hpm #hpm

12:52 am ctsinclair: @chemosabe Nope still in macpherson, but rt a few from @renee_berry,
must remember that could be confusing for people watching! #hpm

12:53 am chemosabe: @ctsinclair in North America only! #hpm

12:53 am equijada: <fire hose off> Time for #yoga #hpm

12:53 am kevhen63: Orphan drugs are for rare diseases http://en.wikipedia.org/wiki/Orphan_drug
#Hpm

12:54 am chemosabe: @ctsinclair Where did Rushton come from then, did Macpherson cite him?
#hpm

12:55 am chemosabe: @equijada enjoy your pretzelling #yoga #hpm

12:55 am renee_berry: @DianeEMeier highlighting the amount of time & challenges for new studies
to be funded & published #hpm

12:55 am westr: RT @ctsinclair: Macpherson - Fentanyl SL tablet (Abstral) 5th rapid acting
trans mucosal (actiq, gen actiq, Onsolis, Fentora) #pharma #hpm

12:56 am renee_berry: @DianeEMeier talks about how the @CAPCpalliative program took an
unproven model & made it work #entrepreneurship #innovation #hpm

12:57 am renee_berry: it's the job of our field to get primary #palliative care competencies out to
other disciplines across systems - @DianeEMeier #hpm

1:00 am renee_berry: "the effective models of #palliative care integration require close oversight &
quality assurance" @DianeEMeier #hpm

1:01 am subatomicdoc: RT @renee_berry: "the effective models of #palliative care integration require
close oversight & quality assurance" @DianeEMeier #hpm

1:05 am westr: RT @Mtnmd: RT @dwensel The language that docs use to define prognosis
should emphasize living not dying #hpm

1:19 am innerspirit: RT @RedefineHospice: Though Latinos prefer having families care for loved
ones they desire to reduce caretaker burden via JPM #hospice #hpm

1:20 am PracticalWisdom: Great Point!RT@hvto As a hospice advocate, I would love to attend to better
understand the current trends, challenges, and successes in #hpm

1:21 am innerspirit: RT @Pallimed: *Updated* List of #Hospice & #Palliative Medicine Blogs
(Current & Inactive) http://bit.ly/4tSruO Am I missing any? #hpm #hcsm

1:21 am erlanovation: @DianeEMeier talks about how the @CAPCpalliative program took an

unproven model & made it work #entrepreneurship #innovation #hpm

1:22 am mdelacalzada: RT @renee_berry: "how can you be efficient with this? A common large fear
is idea that it's too much time" @Hollyby w/ @SanDiegoHospice #hpm

1:27 am PracticalWisdom: Great Point RT@dockj T1. The other issue is non-member costs are higher
for most conferences. Added burden for PT/family. #hpm

1:28 am DianeEMeier: Come hang out with us at the Mount Sinai jobs booth at the reception! #hpm

1:28 am PracticalWisdom: I"m going through the #hpm Transcript and finding even more Gems from last
night. Hope this is not confusing.

1:29 am drpippa: RT @equijada: Macpherson talk <fire hose on> will need to review twitter
notes and I'm acutally going to download her handout #wow #hpm

1:30 am drpippa: RT @renee_berry: "This is our moment & we need to grab it" @DianeEMeier
#hpm

1:31 am Dr_Butin: #hpm oops- missed this hashtag attended EthicsSIG, medical marijuana,
social media talks today at Day 1 AAHPM conference in Vancouver

1:35 am PracticalWisdom: Witty & True! RT@hvto @PracticalWisdom T2: Twitter becomes the tool for
supreme note taking - only lots of people sharing your notes. #hpm
1:41 am AAHPM: Dr. Kimberly Johnson's session on Race and Residence originally sched. for
2/17 will take place 2/18 in room 215-216 at 2:15pm. #hpm

1:42 am MeredithGould: RT @AAHPM: More than 1000 tweets today for #hpm Now, how about some
well thought out comments for our thoughtful bloggers http://bit.ly/av8ctS ?!

1:43 am PracticalWisdom: Love This Line!RT@hollyby T2: People who R not on twitter think U R
ignoring them, when U R really paying attention in order to tweet! #hpm

1:51 am gcooneymd: Help! Cannot find leadership reception #hpm

2:07 am hvto: RT @Pallimed: *Updated* List of #Hospice & #Palliative Medicine Blogs
(Current & Inactive) http://bit.ly/4tSruO Am I missing any? #hpm #hcsm

2:09 am AAHPM: @gcooneymd 19th floor of Renaissance Hotel, the Vistas Room. Have fun!
#hpm

2:09 am PracticalWisdom: Dennis, great idea. RT@dspacl Perhaps microblogging the topics
contemporaneously would be of value to #hcsm users #hpm

2:10 am hvto: RT @renee_berry: @Aetna has implemented a 12month model for #hospice
where patients don't need to forgo curative treatment - @DianeEMeier #hpm

2:11 am AAHPM: RT@hvto@PracticalWisdom: Twitter becomes the tool for supreme note
taking - only lots of people sharing your notes. #hpm #hpm

2:11 am hvto: @renee_berry "pull teen volunteers 2 help team learn social media
language" #hospice #volunteer #hpm I know a Great online training site!

2:12 am hvto: RT @drpippa: can you spend 8 minutes a day advocating for #hospice &
#palliative med asks @ewidera - YES! #hpm

2:12 am hvto: RT @emacartney: RT @renee_berry: "Who is talking about the stuff that we
care about? Lets be advocates together" - @ctsinclair #hpm #hospice

2:17 am JA_Carpenter: Can you spend 8 minutes a day advocating for #hospice & #palliative med
asks @ewidera @drpippa - ABSOLUTELY! #hpm

2:19 am JA_Carpenter: RT @renee_berry: "Who is talking about the stuff that we care about? Lets
be advocates together" - @ @emacartney #hpm #hospice

2:19 am stales: RT @PracticalWisdom: RT@MeredithGould Just like they think people who
doodle aren't paying attention when, kinesthetic learners need to be doing
something #hpm

2:30 am PracticalWisdom: Agree RT@dockj T2 you can use transcripts from live tweets as crib sheet
for your own notes. #hpm

2:33 am PracticalWisdom: I"m in NC wish @AAHPM RT@hvto @PracticalWisdom @hvto Thank you. I
am silently sitting in jealousy of those at the @AAHPM Conference! #hpm

am silently sitting in jealousy of those at the @AAHPM Conference! #hpm

2:35 am VirtualHospice: RT @gcooneymd: RT @renee_berry: None of the new models in healthcare
reform will work with out us ( #Palliative care) @DianeEMeier #Hpm

2:37 am PracticalWisdom: RT @hvto: Robin Watts - Hospice Volunteer Training Online #hpm

2:43 am drpippa: trying out my first AAHPM blog post - A quick summary of Lynn
McPherson's even quicker drug review. http://tinyurl.com/5vr3zem #hpm

2:50 am PracticalWisdom: It happensRT@dspacl A rec. conference ( ____) projected the live tweets
during the talk and disparaging comments caused them to stop #hpm
2:51 am drpippa: Thanks @ctsinclair @renee_berry @doclake @Mtnmd @PracticalWisdom
@RachelleNorman @getpalliative @dspacl for the RTs! What a day! #hpm

2:54 am PracticalWisdom: RT @equijada: Kollas - Should HPC have a position statement on MJ?
Kollas - would should we do? Q&A time #hpm

2:58 am PracticalWisdom: 5 Star Post!! RT@PracticalWisdom heard a lecturer open "please do not
give me your undivided attention please tweet to #hashtag" #hpm

3:00 am PracticalWisdom: Sorry Earl's post 5 Stars! RT@equijada heard a lecturer open "please do not
give me your undivided attention please tweet to #hashtag" #hpm

3:01 am hvto: RT @PracticalWisdom: 5 Star Post!! RT@PracticalWisdom heard a lecturer
open "please do not give me your undivided attention please tweet to
#hashtag" #hpm

3:14 am hvto: Check out the Hospice Twitter list I've added to Listorious
http://bit.ly/h1XQSj #volunteering #activism #spirituality #hpm

3:21 am olsonkd: In Vancouver BC for palliatve care mtg. #hpm

3:22 am Stberns: making waves with my first palliative tweet. #hpm

3:26 am NHPCO_news: Another change to catch NHPCO's Judi Lund Person in the exhibit hall on
Friday from 7am - noon at the NHPCObooth at #hpm

3:30 am doclake: RT @drpippa: trying out my first AAHPM blog post - A quick summary of
Lynn McPherson's even quicker drug review. http://tinyurl.com/5vr3zem
#hpm

3:36 am renee_berry: RT @drpippa: Thanks @ctsinclair @renee_berry @doclake @Mtnmd
@PracticalWisdom @RachelleNorman @getpalliative @dspacl for the RTs!
What a day! #hpm

3:53 am PracticalWisdom: Best reason Health Care Professionals might consider SoMe is so their pt's
can see spot the Mensch's #HSCM #HPM Amazed by the Depth/Caring

4:01 am drpippa: the word clouds the social media presentation today came from
http://bit.ly/eY2LFD #hpm on my homescreen now! very cool.

5:43 am DrJESimon: @ctsinclair Congrats another new convert from your Tweet Talk. I'm a
newbee, signing in for the virtual palliative team #hpm

6:38 am drpippa: just left most excellent @Pallimed party - still going strong! Great to meet
folks including @drbeffy - welcome to the twitterverse! #hpm

6:40 am drpippa: @DrJESimon welcome to the twitterverse! Glad you are trying it out. Virtual
palliative team is fantastic! #hpm

8:27 am suzanakm: The art of medicine Medicine without pretence - via @Lancet
http://bit.ly/e2fkf0 #hpm #humanism #humanities

8:37 am renee_berry: RT @doctatum Missouri finally has its out-of-hospital Advanced care
directive functioning! I think we are the 43rd state #HaveTheTalk #hpm

12:38 pm PracticalWisdom: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD
#hpm

12:42 pm CureT1Diabetes: RT @ctsinclair: Leider - Why is it so hard to influence clinicians? - MD
#hpm

#hpm

12:46 pm mkarina: RT ^@suzanakm: ... evidence shows that education, guidelines, economic
incentives don't influence physician behavior - Leider #hpm #mdchat

12:59 pm PracticalWisdom: @DocForeman: Thought of You. Value Change behavior with relationships
http://zd.net/hOMLTH #hpm #connected #hpm Via @ctsinclair @equijada

1:14 pm FIMDM: RT @DianeEMeier: RT @Health_Affairs: Blog: Defining Essential Benefits:
Congress?Role http://bit.ly/dZxV6e #palliative care is THE essential benefit
#hpm

1:16 pm FIMDM: RT @drpippa: Take home re diff convos: patients often hear something
different than what was said for many reasons. Important to honor them!
#hpm

2:16 pm DrFelipeBarreto: Passei visita a um paciente na Clínica São Lucas às 07:30h ,depois #hpm e
agora partindo pro Rio direto pra #FGV . #UFAaaaa...

2:25 pm LiebertPubsPete: RT @renee_berry: None of the new models in healthcare reform will work
with out us ( #Palliative care) @DianeEMeier #hpm

2:26 pm GriefHealing: Agreed! Preparatory #Grief: What an appropriate term! http://bit.ly/f7vxFg via
@DianaSebzda #hpm #hospice

2:33 pm AAHPM: Pls RT: Dr. Kimberly Johnson's session on Race and Residence originally
sched. for 2/17 will take place 2/18 in room 215-216 at 2:15pm. #hpm

2:33 pm DrFelipeBarreto: Só acho que ainde que haja um financiamento considerável do estado com
a prefeitura para o #hpm ,precisamos avaliar com muito pé no chão...

2:41 pm CAPCpalliative: RT @AAHPM: Pls RT: Dr. Kimberly Johnson's session on Race and
Residence originally sched. for 2/17 will take place 2/18 in room 215-216 at
2:15pm. #hpm

3:13 pm hollyby: In Leedy and Tatum's "Redefining the Hospice and Palliative Care Patient for
Primary Care" talk. Good morning! #hpm

3:15 pm hollyby: Leedy and Tatum using an audience response system as part of their
teaching tools this morning. Nice! #hpm

3:17 pm RougaRell57: So many ppl out here so aint on my level step ur #hpm's up #slowazz

3:18 pm hospice_mktg: Could supercomputers like IBM's Watson improve #hospice referrals?
@hospiceguy shares his thoughts http://bit.ly/faptqN #hpm

3:21 pm hollyby: From Labyak (MSW), 10 Myths and Facts about Hospice Care"
http://bit.ly/dKbUcp #hpm

3:27 pm VirtualHospice: @sinclairshane article "Impact of death and dying on professionals" put
#hpm on cover of @CMAJ_News! http://bit.ly/bmWGNw

3:28 pm RossJeanette: Tatum we need the primary care foundation to provide palliative care to
patients #Hpm

3:31 pm hollyby: Leedy & Tatum describe how primary palliative care (PC) will be delivered by
primary care docs, w/ secondary/tertiary PC by specialists #hpm

3:32 pm NHPCO_news: #hpm Stop by booth 101 at @AAHPM and learn about @HospiceAction

2011 Capitol Hill Day!!!
3:32 pm RossJeanette: Leedy and Tatum describe levels of providing palliative care
http://bit.ly/gc7LpV #Hpm

3:42 pm equijada: Watson & hospice via @hospice_mktg http://bit.ly/hIdf2G Related: The heart
has its reasons of which reason knows nothing - B. Pascal #hpm

3:46 pm hospicedave: RT @NHPCO_news: #hpm Stop by booth 101 at @AAHPM and learn about
@HospiceAction 2011 Capitol Hill Day!!!

3:46 pm SanDiegoHospice: RT @KathleenPacurar RT @Atul_Gawande Must read. Invaluably clear
concise chart on status of health reform rollout http://nyti.ms/hnuUrD #hpm

3:47 pm CAPCpalliative: #hpm Media training at 10 am Sat. Rm. 217-219 @AAHPM

3:48 pm CAPCpalliative: RT @SanDiegoHospice: RT @KathleenPacurar RT @Atul_Gawande Must

3:48 pm CAPCpalliative: RT @SanDiegoHospice: RT @KathleenPacurar RT @Atul_Gawande Must
read. Invaluably clear concise chart on status of health reform rollout
http://nyti.ms/hnuUrD #hpm

3:49 pm hollyby: Leedy & Tatum used the Temel paper to help primary care docs see the
benefit of palliative care. http://bit.ly/bbRF9n #hpm

3:50 pm hospice_mktg: RT @KathleenPacurar @Atul_Gawande: Must read. Invaluably clear,
concise chart on status of hlth ref rollout http://nyti.ms/hnuUrD #hpm #hcr

3:58 pm DrFelipeBarreto: @carlosemir precisamos primeiro reestruturar os prontos socorros p
posteriormente pensarmos em receber pacientes só referenciados no #hpm

4:02 pm hollyby: Anyone else having their tweets not show up in TweetChat although it does
in Twitter? TweetChat must need more caffeine this morning! #hpm

4:07 pm hollyby: Tatum often provides the #palliative care reference, "Fast Facts" through
EPERC to primary care docs. http://bit.ly/gVWP5j #hpm

4:13 pm equijada: Windsor, Ont., parents lose fight to take terminally ill baby son home to die -
http://yhoo.it/idTeKX #hpm

4:14 pm hollyby: Nice job @doctatum (Paul Tatum) and Stephen Leedy on introducing
palliative care and hospice to primare care! #hpm

4:17 pm hollyby: Please congratulate @doctatum on his talk, and give him a big Twitter
welcome! #hpm

4:19 pm hospice_mktg: So sad. RT @equijada: Windsor, Ont., parents lose fight to take terminally
ill baby son home to die - http://yhoo.it/idTeKX #hpm

4:20 pm hollyby: Please welcome @doctatum @DrJESimon @birensaraiya @toddsauer
@drbeffy to Twitter all you #hospice and #palliative medicine tweeps! #hpm

4:20 pm MeredithGould: RT @CAPCpalliative: #hpm Media training at 10 am Sat. Rm. 217-219
@AAHPM

4:21 pm MeredithGould: @hospice_mktg Sad and disturbing and infuriating. #hpm

4:21 pm hospice_mktg: Great insights coming from @AAHPM conf! RT @RossJeanette: Tatum we
need the primary care foundation to provide #palliative care to pts #hpm

4:24 pm hospicepharmacy: #Hospice is changing for #pediatric patients - #Monterey program is on the
cutting edge http://bit.ly/eyrGnI #hpm

4:33 pm hospice_mktg: Hello! RT @hollyby: Welcome @doctatum @DrJESimon @birensaraiya
@toddsauer @drbeffy to Twitter you #hospice and #palliative med tweeps!
#hpm
4:35 pm hollyby: Official start to Day 2 of the @AAHPM and @HPNA Annual Assembly now!
Over 2000 people here from 15 countries! Hooray!!! #hpm

4:35 pm ctsinclair: At the Friday opening for the @AAHPM @HPNAinfo Annual Assembly, over
2000 people in attendance from over 15 countries #hpm

4:35 pm PalMedConnect: Looking forward to attending the dementia-related agitation workshop on
Saturday #HPM

4:35 pm mpf2011: RT @hollyby: Official start to Day 2 of the @AAHPM and @HPNA Annual
Assembly now! Over 2000 people here from 15 countries! Hooray!!! #hpm

4:36 pm ctsinclair: RT @equijada: Windsor, Ont., parents lose fight to take terminally ill baby
son home to die - http://yhoo.it/idTeKX #hpm

4:36 pm gcooneymd: Hooray, Judy Lentz! #Hpm

4:36 pm ctsinclair: @hollyby Mine is showing up in Tweetchat so far #hpm

4:39 pm hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine Nurses
Association) on 25 years! #hpm

4:39 pm hospice_mktg: #FF #hpm rocks stars we love 2 follow @ctsinclair @hollyby @renee_berry
@nhdd @MeredithGould @RossJeanette @nhpco_news
@PracticalWisdom

4:41 pm ctsinclair:Sean Morrison to award @AAHPM Magno Distinguished #Hospice

4:41 pm ctsinclair: Sean Morrison to award @AAHPM Magno Distinguished #Hospice
Physician Award to Charles Wellman, MD FAAHPM from @HospiceWR. Go
Cleveland! #hpm

4:43 pm NHPCO_news: RT @hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine
Nurses Association) on 25 years! #hpm

4:43 pm ctsinclair: Wellman sopeech focusing on Magno's contributions to founding @AAHPM,
IAHPC and other key initiatives #hpm

4:43 pm NHPCO_news: RT @hospice_mktg: #FF #hpm rocks stars we love 2 follow @ctsinclair
@hollyby @renee_berry @nhdd @MeredithGould @RossJeanette
@nhpco_news @PracticalWisdom

4:43 pm RossJeanette: Welcome to twitter @doctatum @DrJESimon @birensaraiya @toddsauer
@drbeffy #Hpm

4:45 pm ctsinclair: RT @RossJeanette: Welcome to twitter @doctatum @DrJESimon
@birensaraiya @toddsauer @drbeffy 'Hooray more people to play with' #hpm

4:47 pm ctsinclair: Morrison now presenting Charles Sasser, MD, FACP, FAAHPM with
Distinguished Service Award #hpm

4:47 pm birensaraiya: RT @hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine

4:48 pm JWebbDNP: Where are the photos from AAHP? #hpm

4:52 pm DianeEMeier: RT @ctsinclair: RT @equijada: Windsor, Ont., parents lose fight to take
terminally ill baby son home to die - http://yhoo.it/idTeKX #hpm

4:52 pm gcooneymd: RT @hospice_mktg rocks stars we love 2 follow @ctsinclair @hollyby
@renee_berry @nhdd @MeredithGould @RossJeanette @nhpco_news
#Hpm

4:53 pm ctsinclair: Morrison 'It's a really good morning to be named Charles. (all three award
winners named Charles) #hpm

4:53 pm DianeEMeier: RT @ctsinclair: At the Friday opening for the @AAHPM @HPNAinfo Annual
Assembly, over 2000 people in attendance from over 15 countries #hpm

4:53 pm daitpcg: RT @hollyby: Please congratulate @doctatum on his talk, and give him a
big Twitter welcome! #hpm

4:54 pm daitpcg: RT @hollyby: Nice job @doctatum (Paul Tatum) and Stephen Leedy on
introducing palliative care and hospice to primare care! #hpm

4:54 pm hollyby: Dr. Charles von Gunten ( @CvonGunten ) from @SanDiegoHospice is
awarded the @AAHPM Lifetime Achievement Award! Congratulations!!!
#hpm

4:55 pm ctsinclair: Morrison now awarding Lifetime Achievement Award Dr. Charles Von Gunten
@cvongunten from @SanDiegoHospice Editor @PalliativeMed_J #hpm

4:55 pm RossJeanette: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) from
@SanDiegoHospice is awarded the @AAHPM Lifetime Achievement Award!
#Hpm

4:55 pm birensaraiya: Congratulations Charles von Gunten for lifetime achievement award #hpm

4:55 pm mpf2011: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) from
@SanDiegoHospice is awarded the @AAHPM Lifetime Achievement Award!
Congratulations!!! #hpm

4:55 pm suzanakm: RT @hollyby: @CvonGunten from @SanDiegoHospice is awarded the
@AAHPM Lifetime Achievement Award! Congratulations!!! #hpm #Hpm

4:56 pm gcooneymd: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) is awarded the
@AAHPM Lifetime Achievement Award! Congratulations!!! #Hpm

4:56 pm DianeEMeier: RT @CDCgov: Chronic disease is leading cause of death for 7 of 10
Americans. Learn about ACHIEVE communities. http://go.usa.gov/g5K
#hpm


4:56 pm CAPCpalliative: RT @ctsinclair: Morrison now awarding Lifetime Achievement Award Dr.
Charles Von Gunten @cvongunten from @SanDiegoHospice Editor
@PalliativeMed_J #hpm

4:57 pm mpf2011: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of
death for 7 of 10 Americans. Learn about ACHIEVE communities.
http://go.usa.gov/g5K #hpm

4:57 pm PalMedConnect: Congratulations to Dr. Charles F. von Gunten, awarded @AAHPM Lifetime
Achievement Award #HPM

4:57 pm elderpages: What would Buddha Tweet? 10 mindful ways to use social media.
http://on.fb.me/hwWMQp #hpm #hcsm

4:57 pm suzanakm: Dr. Charles Sasser received distinguished service award: a doc w/
commitment & heart! #hpm #Hpm

4:57 pm daitpcg: RT @ctsinclair: At the Friday opening for the @AAHPM @HPNAinfo Annual
Assembly, over 2000 people in attendance from over 15 countries #hpm

5:00 pm DianeEMeier: RT @BreneBrown: Einstein's Princeton office "Not everything that counts
can be counted and not everything that can be counted counts."#hpm

5:01 pm daitpcg: RT @ctsinclair: Morrison 'It's a really good morning to be named Charles. (all
three award winners named Charles) #hpm

5:02 pm Pallimed: Now speaking Sandra Bertman, PhD biosketch from her website Grief and
the Healing Arts http://bit.ly/eY7Fej #hpm

5:02 pm daitpcg: RT @ctsinclair: Morrison now awarding Lifetime Achievement Award Dr.
Charles Von Gunten @cvongunten from @SanDiegoHospice Editor
@PalliativeMed_J #hpm

5:03 pm daitpcg: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of

5:03 pm daitpcg: RT @suzanakm: Dr. Charles Sasser received distinguished service award: a
doc w/ commitment & heart! #hpm #Hpm

5:05 pm CompAndChoices: Check it out RT @pallimed: Sandra Bertman, PhD biosketch from her
website Grief and the Healing Arts http://bit.ly/eY7Fej #hpm

5:06 pm ctsinclair: "Art is about arresting life and making it available for contemplation" -
Bertman #hpm

5:06 pm suzanakm: http://bit.ly/ehw4l4 Dr. Sandra Bertman speaks now of art, spirit, and soul:
the awe and mystery of our work. #hpm what a beautiful start

5:07 pm NHPCO_news: Regulatory and Compliance expert Judi Lund Person will be at booth 101
during the coffee break. Stop by! @AAHPM #hpm

5:07 pm ctsinclair: Powerful video from Bertman, cant find it online...yet #hpm

5:07 pm DeathwDignity: Thanks for sharing! RT @tennpianoman: I have recorded an instrumental CD
of music for #hospice facilities: http://tinyurl.com/27zpbw9 #hpm

5:07 pm suzanakm: RT @ctsinclair: "Art is about arresting life and making it available for
contemplation" - Bertman #Hpm

5:08 pm Pallimed: From the @Pallimed Archives: from Dr. Amy Clarkson "Ars Moriendi"
http://bit.ly/dXqUn8 #hpm

5:08 pm ctsinclair: Love the focus of Bertman's confluence of art and hospice care, especially
the use of Ars Moriendi #hpm

5:09 pm suzanakm: Rembrandt painting: perhaps first evidence of an ethical will... #hpm #Hpm

5:09 pm daitpcg: RT @hospice_mktg: RT @KathleenPacurar @Atul_Gawande: Must read.
Invaluably clear, concise chart on status of hlth ref rollout
http://nyti.ms/hnuUrD #hpm #hcr

5:10 pm daitpcg: RT @RossJeanette: Leedy and Tatum describe levels of providing palliative
care http://bit.ly/gc7LpV #Hpm


5:11 pm suzanakm: Bertman: movies and art showing the ability to die "wearing silver slippers!"
#hpm #Hpm

5:11 pm Pallimed: Emily Dickinson: The Heart Asks Pleasure First http://bit.ly/fRq3YF #hpm
quoted by Bertman

5:12 pm RossJeanette: Bertman Art speaks to our need to reveal and transform #Hpm

5:13 pm Pallimed: Poem cited by Bertman 'My Death' by Raymond Carver
http://mysp.ac/fxd1Z0 "If I'm lucky I'll be wired every which way.' #hpm

5:15 pm ctsinclair: Really wish @Pallimed Arts and Humanities editors Amy Clarkson and
Amber Wollesen were here #hpm

5:15 pm ctsinclair: Bertman using Maxine cartoons as examples of art and living wills #hpm

5:16 pm hospicepharmacy: Physician-assisted death bill introduced in #Vermont but with slim prospects
this year http://bit.ly/fiTZdQ #hospice #hpm

5:17 pm Pallimed: Bertman used this 'Bats and Angels' Image to ask what the audience really
saw first #hpm http://bit.ly/gVHMQC

5:17 pm suzanakm: Emily Dickinson and Raymond Carver http://mysp.ac/hXUAK4 poems - so
different #Hpm

5:18 pm ctsinclair: My favorite quote from Bertman (so far) "We are Body and biography" #hpm

5:18 pm ctsinclair: "Death is about continuing bonds of attachments not severing them" -
Bertman #hpm

5:19 pm suzanakm: RT @ctsinclair: "Death is about continuing bonds of attachments not
severing them" - Bertman #Hpm

5:20 pm RossJeanette: Bertman we only see what we want. We need to see how others see. Bats
and angels http://bit.ly/glG9IH #Hpm

5:20 pm suzanakm: Religion is for people who are afraid of going to he'll, spirituality is for people
who have been there. -Bertman #Hpm

5:20 pm ctsinclair: Religion is for people afraid of going to hell and spirituality is for those who
have been there.- #quote from anon patient #hpm

5:22 pm Pallimed: I shall be diffused in great Nature, in the soil, in the air, in the sunshine,
http://bit.ly/hjCA6K Burroughs (Cited by bertman) #hpm

5:23 pm suzanakm: Give my kidneys t one who depends on a machine to exist... Boston Globe
2/78 #Hpm

5:23 pm suzanakm: RT @Pallimed: I shall be diffused in great Nature, in the soil, in the air, in the
sunshine, http://bit.ly/hjCA6K Burroughs #Hpm

5:24 pm Adeuxmains: RT @hollyby: From Labyak (MSW), 10 Myths and Facts about Hospice
Care" http://bit.ly/dKbUcp #hpm

5:25 pm GriefHealing: "Religion is for people afraid of going to hell and spirituality is for those who
have been there" -Robert G. Ingersoll RT @ctsinclair #hpm

5:26 pm DianeEMeier: RT @JAMA_current:Hi Costs@ Children's Hospitals due2 Patients W/ Freq
Readmits http://bit.ly/ewEbdF #hpm #palliative these are our patients!

5:26 pm ctsinclair: Humor is such a healing modality. We meaning making creatures and art at
its best remind us of the contradictions that plague us all #hpm

5:27 pm birensaraiya: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is
for those who have been there.- #quote from anon patient #hpm

5:27 pm ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to hell and
spirituality is for those who have been there" -R. G. Ingersoll #hpm

5:27 pm mpalko: #hpm RT @HealthStandards: Interesting! "verifying Twitter accounts for
doctors" RT @crossassociates: The Docto? (cont) http://deck.ly/~RAzet

5:28 pm ctsinclair: @GriefHealing Thanks so much for citing that quote. Two cheers for the
power of crowdsourcing/correction and social media #hpm

power of crowdsourcing/correction and social media #hpm
5:28 pm suzanakm: Aesthetic competency: the ability to absorb, interpret and respond to to the
meaning of stories and images. -Bertman #Hpm

5:28 pm holisticnurses: RT @ctsinclair: Humor is such a healing modality. We meaning making
creatures and art at its best remind us of the contradictions that plague us
all #hpm

5:29 pm suzanakm: Every patient invites the doctor to combine the role of the priest, the
philosopher, the poet, the lover. -Bertman #Hpm

5:29 pm Life_Quality: RT @dianeemeier: RT @JAMA_current:Hi Costs@ Children's Hospitals
due2 Patients W/ Freq Readmits http://bit.ly/ewEbdF #hpm #palliative...

5:29 pm ctsinclair: Every patient invites the doctor to combine the role of the priest the
philosopher the poet the lover - Anatole Brovard from Bertman #hpm

5:30 pm ctsinclair: @holisticnurses Just FYI that quote was by Sandra Bertman - ran out of
twitter space! Thanks for the RT #hpm

5:30 pm emilybarryPR: Could supercomputers like IBM's Watson impr #hospice referrals? via
@hospice_mktg @hospiceguy shares his thoughts http://bit.ly/faptqN #hpm

5:31 pm suzanakm: We cannot perform miracles, but what we might be able to do is to create
and hold the space where miracles can occur. - Kearney #Hpm

5:34 pm hospicevalley: RT @hospice_mktg: RT @KathleenPacurar @Atul_Gawande: Must read.
Invaluably clear, concise chart on status of hlth ref rollout
http://nyti.ms/hnuUrD #hpm #hcr

5:35 pm suzanakm: How can we teach interns to create that space for miracles, where we can
transform horrific moments into sacred ones? - Bertman #Hpm

5:38 pm Adeuxmains: RT @suzanakm: Emily Dickinson and Raymond Carver
http://mysp.ac/hXUAK4 poems - so different #Hpm

5:38 pm hollyby: RT @suzanakm: We cannot perform miracles, but what we might be able 2
do is 2 create & hold the space where miracles can occur. Kearney #hpm

5:38 pm DianeEMeier: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is

5:38 pm suzanakm: Art unlocks our valves of feeling, to return us to life more forcefully, more
authentically. -Bertman #Hpm

5:39 pm ctsinclair: Excellent inspiring talk by Sandra Bertman - Recommended for any medical
conference. #hpm

5:40 pm equijada: Bertman: Art offers a space for the who, what, where, and how. #hpm

5:41 pm renee_berry: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is

5:41 pm HospiScript: Showing folks HospiLink at our HospiScript booth on the iPad. #hpm
#hospice

5:41 pm renee_berry: RT @ctsinclair: Excellent inspiring talk by Sandra Bertman - Recommended
for any medical conference. #hpm

5:41 pm ctsinclair: Sherry Showalter is on Twitter @DrSES now up and speaking 'looking
through different eyes: weaving stories of hope and healing' #hpm
5:42 pm suzanakm: Now Sherry Sowalter, storyteller #Hpm

5:43 pm ctsinclair: RT @DrSES #aahpm good morning friends! Best to all thoughts for ya!
Morning In Vancouver http://bit.ly/gZkkvz 'speaking now' #hpm

5:43 pm renee_berry: RT @Life_Quality: RT @dianeemeier: RT @JAMA_current:Hi Costs@
Children's Hospitals due2 Patients W/ Freq Readmits http://bit.ly/ewEbdF
#hpm #palliative...

5:43 pm renee_berry: RT @ctsinclair: Sherry Showalter is on Twitter @DrSES now up and
speaking 'looking through different eyes: weaving stories of hope and healing'
#hpm


5:44 pm ctsinclair: "That which is to provide light must endure burning" - Victor Frankl - Great
#quote from Showalter #hpm

5:44 pm renee_berry: RT @suzanakm: RT @ctsinclair: "Death is about continuing bonds of
attachments not severing them" - Bertman #Hpm

5:44 pm suzanakm: "That which is to provide light must endure burning." Victor Frankl via
@DrSES #Hpm

5:45 pm renee_berry: RT @suzanakm: Rembrandt painting: perhaps first evidence of an ethical
will... #hpm #Hpm

5:46 pm renee_berry: RT @suzanakm: "That which is to provide light must endure burning." Victor
Frankl via @DrSES #Hpm

5:46 pm ctsinclair: 'Why didn't you tell the taxi driver what you do (#hospice)? You had 40
minutes and you paid them $50' - Showalter @DrSES #hpm

5:46 pm dalehammond: RT @ctsinclair: "That which is to provide light must endure burning" - Victor
Frankl - Great #quote from Showalter #hpm

5:47 pm renee_berry: RT @DianeEMeier: RT @BreneBrown: Einstein's Princeton office "Not
everything that counts can be counted and not everything that can be
counted counts."#hpm

5:48 pm renee_berry: RT @ctsinclair: 'Why didn't you tell the taxi driver what you do (#hospice)?
You had 40 minutes and you paid them $50' - Showalter @DrSES #hpm

5:51 pm doclake: RT @suzanakm: Art unlocks our valves of feeling, to return us to life more
forcefully, more authentically. -Bertman #Hpm

5:51 pm doclake: RT @suzanakm: How can we teach interns to create that space for
miracles, where we can transform horrific moments into sacred ones? -
Bertman #Hpm

5:52 pm doclake: RT @ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to
hell and spirituality is for those who have been there" -R. G. Ingersoll #hpm

5:52 pm doclake: RT @ctsinclair: "Death is about continuing bonds of attachments not
severing them" - Bertman #hpm

5:53 pm ugofast: RT @ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to

5:55 pm RossJeanette: ?You matter because you are you,and you matter to the end of your life.
cicely Saunders #Hpm

5:55 pm ugofast: RT @ctsinclair: "That which is to provide light must endure burning" - Victor
5:58 pm mamaier262: @palidoc hmmm...sorry...just seeing this now... probably this hashtag
#hpm... include in your posts to participate... clik on 2C thread...

5:58 pm suzanakm: RT @equijada: Bertman: Art offers a space for the who, what, where, and
how. #humanities #Hpm

5:59 pm mamaier262: RT @BreneBrown: Einstein's Princeton office "Not everything that counts
can be counted and not everything that can be counted counts."#hpm

6:00 pm mamaier262: RT @ctsinclair: Sherry Showalter is on Twitter @DrSES now up and
speaking 'looking thru different eyes: weaving stories o'hope+healing' #hpm

6:00 pm lfettig: RT @ctsinclair: Excellent inspiring talk by Sandra Bertman - Recommended
for any medical conference. #hpm agree-inspiring

6:00 pm suzanakm: @palidoc Welcome to twitter: yes, follow #hpm - one way is to go to the
website: http://tweetchat.com/room/Hpm login with your twitter...

6:01 pm suzanakm: RT @lfettig: RT @ctsinclair: Excellent inspiring talk by Sandra Bertman -
Recommended for any medical conference. #hpm agree-inspiring

6:03 pm lfettig: Bertman-"Purpose of art is to resuscitate our imagination." #hpm

6:05 pm gcooneymd: #AAHPM attendees: MUST try Bella Gelateria. Amazing gelato! Try the

2/23/2011
6:05 pm
Transcript for #hpm - What the Hashtag?!
gcooneymd: #AAHPM attendees: MUST try Bella Gelateria. Amazing gelato! Try the
blood orange. Tell them that twitter sent you! Burnard and Cordova #HPM

6:05 pm suzanakm: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination."
#humanities #Hpm

6:06 pm doclake: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination."
#hpm

6:07 pm suzanakm: RT @gcooneymd: #AAHPM attendees: MUST try Bella Gelateria. Amazing
gelato! Tell them that twitter sent you! -will do #Hpm

6:07 pm danasaur82: RT @ctsinclair: Religion is for people afraid of going to hell and spirituality is

6:07 pm VTinaB: RT @hollyby: Congrats to @HPNAinfo (Hospice and Palliative Medicine

6:08 pm doclake: RT @ctsinclair: "That which is to provide light must endure burning" - Victor

6:10 pm doclake: RT @MyrnaB23: Meier: Success of the new payment models are critically
dependent on our field - on us. #hpm

6:10 pm VirtualHospice: Congratulations to Terry Altilio and Shirley Otis-Green on the launch of the
Oxford Textbook of Palliative Social Work! #hpm #palliative

6:16 pm elderpages: RT @suzanakm: "That which is to provide light must endure burning." Victor
Frankl via @DrSES #Hpm

6:16 pm elderpages: RT @suzanakm: Rembrandt painting: perhaps first evidence of an ethical
will... #hpm #Hpm

6:17 pm elderpages: RT @hollyby: RT @suzanakm: We cannot perform miracles, but what we
might be able 2 do is 2 create & hold the space where miracles can occur.
Kearney #hpm

6:17 pm elderpages: RT @ctsinclair: Every patient invites the doctor to combine the role of the
priest the philosopher the poet the lover - Anatole Brovard from Bertman
#hpm

6:20 pm drpippa: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination."
#hpm

6:22 pm jodylivingak: RT @Pallimed: Bertman used this 'Bats and Angels' Image to ask what the
audience really saw first #hpm http://bit.ly/gVHMQC

6:23 pm jodylivingak: RT @Pallimed: I shall be diffused in great Nature, in the soil, in the air, in the
sunshine, http://bit.ly/hjCA6K Burroughs (Cited by bertman) #hpm

6:24 pm jodylivingak: Angels @Pallimed 'Bats and Angels' Image to ask what the audience really
saw first #hpm http://bit.ly/gVHMQC

6:26 pm RachelleNorman: Interesting concept RT @suzanakm Aesthetic competency: ability to
absorb, interpret and respond to the meaning of stories and images #Hpm

6:31 pm equijada: Where my labyrinth led #hpm http://twitpic.com/414vk8

6:33 pm SheyontheBay: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination."
#hpm

6:33 pm hollyby: RT @equijada: Where my labyrinth led #hpm http://twitpic.com/414vk8
#hpm

6:34 pm SheyontheBay: RT @ctsinclair: "That which is to provide light must endure burning" - Victor

6:34 pm SheyontheBay: RT @equijada: Bertman: Art offers a space for the who, what, where, and
how. #hpm

6:34 pm SheyontheBay: RT @suzanakm: Art unlocks our valves of feeling, to return us to life more
forcefully, more authentically. -Bertman #Hpm

6:35 pm SheyontheBay: RT @suzanakm: Aesthetic competency: the ability to absorb, interpret and
respond to to the meaning of stories and images. -Bertman #Hpm

respond to to the meaning of stories and images. -Bertman #Hpm

6:42 pm CompAndChoices: Obama Administration guts Bush-era "conscience" regs for HHS:
http://ow.ly/3ZdU6 #hpm #choice

6:45 pm Pallimed: RT @GeriPalblog Future of Geriatric Education is in Peril
http://bit.ly/eSmU1y #hpm

6:48 pm CompAndChoices: New video: Death With Dignity in Oregon, from the perspective of
Oregonians living w/ disabilities http://ow.ly/3Ze82 #disabilityrights #hpm

6:52 pm hollyby: In session "Pain Theater: How to Talk to Your Patients When their Pills are
'Stolen' ...Again." presented by Wood, Childers, Barnett #hpm

6:55 pm ctsinclair: In the big ballroom with Dr. David Russell on 'How Long Doc? Prediction and
Communication: What we know, what we dont know.." #hpm

6:56 pm ctsinclair: Prognosis is what I find MOST interesting about medicine, and it is least
studied area when compared to treatments, or diagnostics #hpm

6:56 pm MeetVancouver: Beautiful day to take @aquabus & @falsecreekferry to @granville_isle.. Or a
flight with @HarbourAirLtd! Ask us how! #yvr #hpm

6:56 pm ctsinclair: Russell - Prognosis allows for informed decision making in
medical/personal/social issues #hpm
6:57 pm hollyby: Risk assessment for substance abuse: Ask abt pt's personal and family
history of substance abuse, mood disorders, legal problems #hpm

7:00 pm ctsinclair: Russell - Biggest reason to talk abt prognosis w/ patients is not Medicare
#Hospice eligibility but to help patients plan their future #hpm

7:01 pm ctsinclair: Curious if Russell will emphasize limits of prognostication without making a
call for more studies/research dollars, which is needed #hpm

7:01 pm hollyby: Risk assessment tool: Screener and Opioid Assessment for Patients with
Pain (SOAPP) http://bit.ly/gkYWev #hpm

7:01 pm doclake: RT @ctsinclair: Russell - Biggest reason to talk abt prognosis w/ patients is
not Medicare #Hospice eligibility but to help patients plan their future #hpm

7:01 pm doclake: RT @ctsinclair: Curious if Russell will emphasize limits of prognostication
without making a call for more studies/research dollars, which is needed
#hpm

7:01 pm ctsinclair: RT @equijada: Where my labyrinth led #hpm http://twitpic.com/414vk8 'I
need to go do that' #hpm

7:02 pm doclake: RT @ctsinclair: Prognosis is what I find MOST interesting about medicine,
and it is least studied area when compared to treatments, or diagnostics
#hpm

7:02 pm ctsinclair: RT @hollyby: Risk assessment tool: Screener/Opioid Assessment for
Patients w/Pain (SOAPP) http://bit.ly/gkYWev 'seen but havent used' #hpm

7:04 pm hollyby: Opioid Risk Tool calculator (ORT) http://bit.ly/aS7buy #hpm

7:04 pm drpippa: Moving the health care system off addiction to fee for service - bending the
cost curve. How? Stop paying or capitation. @DianeEMeier #hpm

7:04 pm ctsinclair: Russell covering the Palliative Prognostic Score (PaP) - Personally I think it
has too many problems to even be considered. So does he #hpm

7:04 pm equijada: Pain theater: Risk assessment in rx opioids. #hpm I use this tool -> Opioid
Risk Tool (ORT)http://bit.ly/ggFntB

7:05 pm ctsinclair: Confidence diminishes with longer term predictions; wider confidence limits -
Russell #hpm

7:05 pm drpippa: RT @ctsinclair: Prognosis is what I find MOST interesting about medicine,
#hpm

7:06 pm melanoma_mama: RT @suzanakm: RT @ctsinclair: "Death is about continuing bonds of
attachments not severing them" - Bertman #Hpm

7:07 pm CompAndChoices: #FF #HPM @ctsinclair @DeathwDignity @renee_berry @ewidera
@hospicepharmacy @ctffox @daitpcg @hollby @equijada

7:07 pm RossJeanette: Placovick ask your oncologist:what are Rx related toxicities? How long do
they last? #Hpm

7:08 pm Pallimed: Here is a Prognosis slidedeck on Evidence Based Prognostication
presented by @ctsinclair in Peoria 2010 http://slidesha.re/bCpyzD #hpm

7:08 pm ctsinclair: RT @RossJeanette: Placovick - ask your oncologist: what are Rx related
toxicities? How long do they last? #cancer #hpm
7:09 pm MDTalk: Confidence diminishes with longer term predictions; wider confidence limits -
Russell #hpm http://bit.ly/elqSgf

7:09 pm ctsinclair: Monitoring eGFR is more accurate than function (PPS) in prognosticating
#Renal patients #hpm

7:09 pm FIMDM: MT @pallimed: Here is a Prognosis slidedeck on Evidence Based
Prognostication presented by @ctsinclair http://slidesha.re/bCpyzD #hpm

7:09 pm gcooneymd: Abernethy: palliative care database project #HPM

7:10 pm MeredithGould: RT @FIMDM: MT @pallimed: Here is a Prognosis slidedeck on Evidence
Based Prognostication presented by @ctsinclair http://slidesha.re/bCpyzD
#hpm

7:10 pm MeredithGould: RT @ctsinclair: "Death is about continuing bonds of attachments not

7:10 pm drpippa: listening to @DianeEMeier talk makes me appreciate my training at
Dartmouth/#TDI/#LPMR. Folks here should consider @DartmouthMHCDS
#hpm #hcr

7:10 pm gcooneymd: Bull: how do we collect data on palliative care patients? #HPM

7:11 pm ctsinclair: Russell - cases made for anyone on the liver transplant waiting list is
#hospice eligible since high mortality. Make sure goals align. #hpm

7:11 pm drpippa: RT @Pallimed: Here is a Prognosis slidedeck on Evidence Based
Prognostication presented by @ctsinclair in Peoria 2010
http://slidesha.re/bCpyzD #hpm

7:12 pm ctsinclair: RT @gcooneymd: Bull: how do we collect data on palliative care patients?
"Wish we had symptom registries w/ easy access from community" #hpm

7:12 pm FIMDM: #FF For lots of conversation on hospice and palliative medicine, #hpm is a
must follow this week!

7:13 pm gcooneymd: Bull: barriers to data collection includes limited Internet access in field,
dropped signal. Success with electronic pens #HPM

7:13 pm Pallimed: Survival after Initial Diagnosis of #Alzheimer Disease ? Ann Intern Med
http://bit.ly/gwLr2f Cited by Russell #hpm

7:14 pm hollyby: Establishing rules for opioid prescribing: 1 doc, 1 pharmacy. Clear guidelines
on how much, how often, what to do if continued pain #hpm

7:15 pm Pallimed: Prediction of 6-Month Survival in #Dementia Using ADEPT vs #Hospice
Guidelines @JAMA http://bit.ly/fV0C3o cited by Russell #hpm

7:16 pm ctsinclair: Russell - Adv age, anorexia were stronger predictors of survival than current
hospice guideliens for #dementia #hpm

7:17 pm ctsinclair: RT @hollyby: Estab rules for opioid prescribing: 1 doc, 1 pharmacy. Clear
guidelines on how much, how often, action w/ poor pain #hpm

7:18 pm ctsinclair: Optimistic and pessimistic should not be used when describing research
data on prognosis. Those words assign bias/emotion #hpm

7:20 pm ctsinclair: Russell says Best prognosticator knows the patient least. Loss of
objectivity? IMHO data supporting this claim is weak #hpm

7:20 pm doclake: RT @ctsinclair: Russell says Best prognosticator knows the patient least.

2/23/2011
7:20 pm doclake: RT @ctsinclair: Russell#hpmBest prognosticator knows the patient least.
Transcript for says - What the Hashtag?!
Loss of objectivity? IMHO data supporting this claim is weak #hpm

7:20 pm doclake: RT @ctsinclair: RT @hollyby: Estab rules for opioid prescribing: 1 doc, 1
pharmacy. Clear guidelines on how much, how often, action w/ poor pain
#hpm

7:21 pm doclake: RT @ctsinclair: Russell - Adv age, anorexia were stronger predictors of
survival than current hospice guideliens for #dementia #hpm

7:21 pm hollyby: Urine immunoassay for opioids only reliably picks up morphine & codeine.
Gas chromatography is more sensitive for different opioids #hpm

7:22 pm doclake: RT @ctsinclair: Monitoring eGFR is more accurate than function (PPS) in
prognosticating #Renal patients #hpm

7:22 pm RossJeanette: Bablonic ask radoncologist what is best fractionation strategy for the pt
considering prognosis? #Hpm

7:22 pm ctsinclair: Russell - "We set up failure when we are overly optimistic with
prognostication" agreed #hpm

7:23 pm doclake: RT @hollyby: Opioid Risk Tool calculator (ORT) http://bit.ly/aS7buy #hpm

7:23 pm doclake: RT @ctsinclair: Russell covering the Palliative Prognostic Score (PaP) -
Personally I think it has too many problems to even be considered. So does
he #hpm

7:23 pm ctsinclair: @doclake Yes but how often do we measure eGFR as a prognostic tool.
Rarely. Maybe factual but not functional data. #hpm

7:23 pm doclake: RT @Pallimed: Here is a Prognosis slidedeck on Evidence Based

7:24 pm drpippa: High quality, well integrated palliative care critical to #hcr - should be a
requirement to any #ACO. @DianeEMeier #hpm

7:24 pm melanoma_mama: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination."
#hpm

7:24 pm renee_berry: our policy should be to insist that access to #hospice & #palliative care is a
requirement for #ACO 's - @DianeEMeier #hpm

7:25 pm FIMDM: RT @drpippa: High quality, well integrated palliative care critical to #hcr -
should be a requirement to any #ACO. @DianeEMeier #hpm

7:25 pm jsperber: RT @drpippa: High quality, well integrated palliative care critical to #hcr -

7:25 pm melanoma_mama: RT @ctsinclair: RT @GriefHealing: "Religion is for people afraid of going to

7:25 pm ctsinclair: Russell - Data shows patients want honest prognostic info 80% of the time,
families want patient to hear 55% of the time. #hpm

7:25 pm kevhen63: 20% of patients don't want to discuss prognosis. #HPM

7:25 pm renee_berry: RT @drpippa: High quality, well integrated palliative care critical to #hcr -

7:25 pm gcooneymd: Bull 'COPD lowest rate of advanced directives' #HPM

7:26 pm drpippa: 0.01% of NIH funding is for palliative care research. "as if no one suffers and
no one dies" @DianeEMeier #hpm

7:26 pm hollyby: RT @drpippa: High quality, well integrated palliative care critical to #hcr -

7:26 pm renee_berry: @drpippa isn't it hard to live tweet w/ @dianeemeier ?! Everything she says
is tweetable! #hpm

7:26 pm melanoma_mama: RT @ctsinclair: "Death is about continuing bonds of attachments not

7:26 pm gcooneymd: RT @drpippa: High quality, well integrated palliative care critical to #hcr -

2/23/2011
7:26 pm Transcript for #hpm - What the Hashtag?!
gcooneymd: RT @drpippa: High quality, well integrated palliative care critical to #hcr -
should be a requirement to any #ACO. @DianeEMeier #HPM

7:26 pm renee_berry: RT @drpippa: 0.01% of #NIH funding is for palliative care research. "as if no
one suffers and no one dies" @DianeEMeier #hcr #hpm

7:27 pm drpippa: @renee_berry: @drpippa isn't it hard to live tweet w/ @dianeemeier ?!
Everything she says is tweetable! #hpm 'totally! But still fun'

7:27 pm rsm2800: RT @ctsinclair Optimistic & pessimistic should not be used when describing
research data on prognosis. Those words assign bias/emotion #hpm

7:27 pm gcooneymd: RT @drpippa: 0.01% of #NIH funding is for palliative care research. "as if no
one suffers and no one dies" @DianeEMeier #hcr #HPM

7:27 pm MedicalNotice: RT @renee_berry: our policy should be to insist that access to #hospice &
#palliative care is a requirement for #ACO 's - @DianeEMeier #hpm

7:27 pm ctsinclair: RT @renee_berry: RT @drpippa: 0.01% of #NIH funding is for #palliative care
research. "as if no one suffers and no one dies" #hcr #hpm

7:27 pm renee_berry: ?the perspective of the government is that long stay #hospice is abuse & a
misuse of medicare dollars? - @DianeEMeier #hpm

7:28 pm gcooneymd: RT @renee_berry: ?the perspective of the government is that long stay
#hospice is abuse & a misuse of medicare dollars? - @DianeEMeier #HPM

7:28 pm renee_berry: "We need to be in there as providers of people that take care of these
people, because it's not just an engine for profit" @DianeEMeier #hpm

7:29 pm gcooneymd: Bull 'data collection teaches us more about symptom burden for different
diagnoses' #HPM

7:29 pm RossJeanette: Vonn Roem presentation of palliative care to other specialties "passion
without pressure" #Hpm

7:30 pm renee_berry: "submit your data to @CAPCpalliative 's registry so that we can raise our
quality together" - @DianeEMeier #palliative #hpm

7:30 pm gcooneymd: RT @renee_berry: "submit your data to @CAPCpalliative s registry so that
we can raise our quality together" - @DianeEMeier #palliative #HPM

7:31 pm hollyby: RT @renee_berry: "submit your data to @CAPCpalliative s registry so that
we can raise our quality together" - @DianeEMeier #palliative #hpm

7:31 pm drpippa: RT @renee_berry: ?the perspective of the government is that long stay
#hospice is abuse & a misuse of medicare dollars? - @DianeEMeier #hpm

7:33 pm drpippa: Palliative care is about matching treatment to patient goals - as a field we
must have consistency of language. @DianeEMeier #hpm

7:33 pm drpippa: RT @renee_berry: "submit your data to @CAPCpalliative 's registry so that
we can raise our quality together" - @DianeEMeier #palliative #hpm

7:34 pm renee_berry: "most #palliative care is needed by people that are NOT dying" -
@DianeEMeier #hpm

7:34 pm drpippa: "Patients not only deserve and need palliative care, they live longer when
they get it" @DianeEMeier #hpm

7:35 pm RossJeanette: Vonn Roemm you can use SPIKES model to talk to the clinician consulting
us. #Hpm

7:35 pm renee_berry: "one thing that @CAPCpalliative tries to do is shine a light on successful
models for managing chronically ill" - @DianeEMeier #hpm

7:35 pm ctsinclair: Russell-How do we meet the patients need in prognositcation? Know the
data/tools; know the bias, know the uncertainty #hpm

7:36 pm hollyby: Take homes from Pain Theatre (1/3): Risk stratify pt's for opioid misuse or
abuse #hpm

7:36 pm renee_berry: "the fact is the people that show up, get what they want, the people that
have those relationships, we need to show up." @DianeEMeier #hpm

7:37 pm drpippa: Block into your calendar time to meet with your congressional rep - lobby

7:37 pm drpippa: Block into your calendar time to meet with your congressional rep - lobby
and advocate for palliative care- @DianeEMeier #hpm #hcr

7:37 pm DONALDHTAYLORJR: RT @renee_berry: our policy should be to insist that access to #hospice &

7:37 pm hollyby: Take homes from Pain Theatre (2/3): For high risk - Express concern for
medical risks of abuse or addiction. Avoid argumentation. #hpm

7:38 pm drpippa: RT @renee_berry: "the fact is the people that show up, get what they want,
the people that have those relationships, we need to show up."
@DianeEMeier #hpm

7:38 pm hollyby: Take homes from Pain Theatre (3/3): For high risk pts - Set clear limits
based on risks & benefits. Commit to treating pain. #hpm

7:39 pm ctsinclair: Russell - Avoid 'Truth Dumping' on patients. It is not communciation.
#epatient #hpm

7:39 pm RachelleNorman: RT @drpippa: 0.01% of NIH funding is for palliative care research. "as if no
one suffers and no one dies" @DianeEMeier #hpm

7:39 pm drpippa: RT @ctsinclair: Russell - Avoid 'Truth Dumping' on patients. It is not
communciation. #epatient #hpm

7:41 pm renee_berry: "this is a universal issue, it's a bi-partisan issue, just get a seat at the table"
#palliative care policy - @DianeEMeier #hcr #hpm

7:41 pm VirtualHospice: RT @gcooneymd: RT @hollyby: Dr. Charles von Gunten ( @CvonGunten) is
awarded the @AAHPM Lifetime Achievement Award! Congratulations!!!
#hpm

7:42 pm ctsinclair: Hey @DianeEMeier - Dont have your cell. Call/Text for your Twitter 202
lesson. Will be in @AAHPM Biz Meeting #hpm

7:42 pm renee_berry: "I came to Washington as a cynic & I left an optimist" - @DianeEMeier
#hpm

7:42 pm drpippa: The entire birth of the field of palliative care has been about the art of the
possible - @DianeEMeier #hpm #hcr

7:43 pm ctsinclair: Q From Audience to Russell - Important to consider functional prognosis as
much as mortality prognosis in patient centered care #hpm

7:43 pm ctsinclair: RT @renee_berry: "I came to Washington as a cynic & I left an optimist" -
@DianeEMeier #gov20 #hpm

7:43 pm drpippa: I came to Washington as a cynic & I left an optimist" - @DianeEMeier I
know I'm still a believer! #hpm #hcr

7:44 pm doclake: RT @drpippa: I came to Washington as a cynic & I left an optimist" -
@DianeEMeier I know I'm still a believer! #hpm #hcr

7:44 pm doclake: RT @drpippa: The entire birth of the field of palliative care has been about
the art of the possible - @DianeEMeier #hpm #hcr

7:44 pm stales: SO TRUE!!! ---> RT @ctsinclair Russell - Avoid 'Truth Dumping' on patients.
It is not communciation. #epatient #hpm

7:44 pm doclake: RT @drpippa: "Patients not only deserve and need palliative care, they live
longer when they get it" @DianeEMeier #hpm

7:44 pm stales: RT @ctsinclair: RT @renee_berry: RT @drpippa: 0.01% of #NIH funding is
for #palliative care research. "as if no one suffers and no one dies" #hcr
#hpm

7:45 pm FIMDM: #FF @compandchoices @ctsinclair @DeathwDignity @renee_berry
@ewidera @drpippa @pallimed @hollby @equijada @doclake #HPM

7:45 pm doclake: RT @drpippa: Palliative care is about matching treatment to patient goals -
as a field we must have consistency of language. @DianeEMeier #hpm

7:45 pm renee_berry: RT @doclake RT @drpippa The entire birth of the field of palliative care has
been about the art of the possible- @DianeEMeier #hpm #hcr #hpm

7:45 pm doclake: RT @gcooneymd: Bull 'data collection teaches us more about symptom

7:45 pm doclake: RT @gcooneymd: Bull 'data collection teaches us more about symptom
burden for different diagnoses' #HPM

7:45 pm doclake: RT @renee_berry: ?the perspective of the government is that long stay
#hospice is abuse & a misuse of medicare dollars? - @DianeEMeier #hpm

7:45 pm renee_berry: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination."
#hpm

7:46 pm doclake: RT @gcooneymd: Bull 'COPD lowest rate of advanced directives' #HPM

7:46 pm doclake: RT @ctsinclair: Russell - Data shows patients want honest prognostic info
80% of the time, families want patient to hear 55% of the time. #hpm

7:46 pm renee_berry: RT @drpippa: The entire birth of the field of palliative care has been about

7:46 pm Pallimed: Pallimed's Public Timeline of recent links shared at #hpm conference in
case you missed any http://bit.ly/dVHN81

7:46 pm doclake: RT @drpippa: High quality, well integrated palliative care critical to #hcr -

7:46 pm renee_berry: RT @VirtualHospice: RT @gcooneymd: RT @hollyby: Dr. Charles von

Gunten ( @CvonGunten) is awarded the @AAHPM Lifetime Achievement
Award! Congratulations!!! #hpm
7:47 pm stales: For more info on the #hpm hash tag check out --> http://www.pallimed.org/

7:47 pm renee_berry: RT @rsm2800: RT @ctsinclair Optimistic & pessimistic should not be used
when describing research data on prognosis. Those words assign
bias/emotion #hpm

7:48 pm DONALDHTAYLORJR: RT @drpippa: Palliative care is about matching treatment to patient goals -

7:49 pm ssmithaahpm: #aahpm members .. Don't forget the AAHPM Business Meeting at 12 noon
in 211 #hpm

7:51 pm doclake: RT @renee_berry: "most #palliative care is needed by people that are NOT
dying" - @DianeEMeier #hpm

7:52 pm hollyby: Pain Theatre (Childers, Wood, Barnett) - Nice use of roleplay to engage the
audience in a challenging #communication case. #hpm

7:53 pm LVADone: RT @ctsinclair: Prognosis is what I find MOST interesting about medicine,
#hpm

7:54 pm LVADone: RT @ctsinclair: Russell - Biggest reason to talk abt prognosis w/ patients is
not Medicare #Hospice eligibility but to help patients plan their future #hpm

7:55 pm LVADone: RT @Pallimed: Here is a Prognosis slidedeck on Evidence Based

7:57 pm LVADone: RT @ctsinclair: Russell - Avoid 'Truth Dumping' on patients. It is not
communciation. #epatient #hpm

7:59 pm peds_id_doc: RT @ctsinclair: Russell - Data shows patients want honest prognostic info

8:00 pm mizzeck: RT @renee_berry: RT @drpippa: 0.01% of #NIH funding is for palliative care
research. "as if no one suffers and no one dies" @DianeEMeier #hcr #hpm

8:00 pm dockj: RT @Pallimed: RT @GeriPalblog Future of Geriatric Education is in Peril
http://bit.ly/eSmU1y #hpm

8:01 pm hospicepharmacy: ASCO report offered no surprises for those of us who work daily in #palliative
care and #hospice http://bit.ly/hrmdMo #hpm

8:04 pm PR4DEHOSPICE: RT @hospicepharmacy: ASCO report offered no surprises for those of us
who work daily in #palliative care and #hospice http://bit.ly/hrmdMo #hpm


8:05 pm mamaier262: RT @klxmedia: make sure to follow @ctsinclair and @renee_berry who are
part of our team live tweeting from @AAHPM Annual Assembly (follow
#hpm)

8:05 pm doclake: Enjoy lunch #hpm

8:06 pm hollyby: Now in the @AAHPM business mtg... a big THANKS to the board of
directors and the directors at large!!! #hpm

8:06 pm doclake: RT @hospicepharmacy: ASCO report offered no surprises for those of us
who work daily in #palliative care and #hospice http://bit.ly/hrmdMo #hpm

8:07 pm hollyby: Another big THANKS to the @AAHPM staff for all their hard work! #hpm
8:09 pm hollyby: And... another big THANKS to all the volunteers! #hpm

8:09 pm equijada: @renee_berry @suzanakm up for lunch? #hpm

8:09 pm LVADone: @ctsinclair 55%=92 yo F neighbr lived alone died of cancer.Family knew
1year. days b4 passing. said she was "pissedoff" 2findout late #hpm

8:10 pm LVADone: RT @ctsinclair: RT @renee_berry: "I came to Washington as a cynic & I left
an optimist" - @DianeEMeier #gov20 #hpm

8:11 pm kevdnguyen: I am sitting next to Christian Sinclair @ctsinclair at the @AAHPM business
meeting. #hpm

8:11 pm kevdnguyen: Learning to tweet. I've arrived. #hpm

8:12 pm hollyby: @kevdnguyen Hooray! Welcome to twitter! #hpm

8:12 pm kevdnguyen: RT @LVADone: RT @ctsinclair: Russell - Avoid Truth Dumping on patients.
It is not communciation. #epatient #hpm

8:13 pm doclake: RT @NEJM: How did full coverage of treatment for one specific disease
become U.S. law? (hemodialysis) http://bit.ly/eTOwJJ #hpm

8:13 pm kevdnguyen: @hollyby Thanks Holly! Great preconference workshop on Rediscovering
Our Heart! My heart is full. #hpm

8:15 pm renee_berry: RT @FIMDM: RT @drpippa: 0.01% of NIH funding is for palliative care
research. "as if no one suffers and no one dies" @DianeEMeier #hpm

8:15 pm hollyby: @AAHPM Fellowship Summit will be Sept. 8-9, 2011 in Grapevine, TX #hpm

8:15 pm kevdnguyen: Wow! There are now 77 accredited HPM fellowship programs! #hpm

8:17 pm drpippa: Blue sky day in Vancouver! What a gorgeous city. #hpm
http://yfrog.com/h4fnezj

8:18 pm renee_berry: interesting updates on @AAHPM ! RT @ssmithaahpm: #aahpm members ..
Don't forget the AAHPM Business Meeting at 12 noon in 211 #hpm

8:23 pm ctsinclair: The @AAHPM just announced they will be moving forward with the #Hospice
Medical Directors Certification Pathway, ready by 2013 #hpm

8:24 pm ctsinclair: RT @kevdnguyen: Learning to tweet. Ive arrived. 'Hey Kevin, nice to meet
you, and glad you arrived! Everyone say hi to Kevin' #hpm

8:25 pm hollyby: RT @ctsinclair: The @AAHPM just announced they will be moving forward
with the #Hospice Medical Directors Certification Pathway... 2013 #hpm

8:26 pm ctsinclair: The @AAHPM certified by ACCME for 4-6 years (longest avail extension) for
its educational programs #hpm

8:28 pm ctsinclair: Great job @Suzanakm Announed to be chairing a Quality Task force. you
are going to be busy next year #hpm

8:28 pm hollyby: HPM PASS, 2nd edition was approved by American Board of Internal
Medicine for Maintenance of Certification credit #hpm

8:29 pm emilybarryPR: Potential for phys in #socialmedia is great, sharing health info & advocacy
via @SBoSM http://bit.ly/hfAswf #hcsm #hpm

8:30 pm ctsinclair: Morrison highlighting social media efforts for @AAHPM - Blogs, Twitter,

Facebook LinkedIn, they have it covered #hpm
8:31 pm daleview: RT @hollyby: HPM PASS, 2nd edition was approved by American Board of
Internal Medicine for Maintenance of Certification credit #hpm

8:32 pm hollyby: Talking about increased tweets, blogs and other social media use by
@AAHPM and its members! Strong work guys! #hpm

8:33 pm hospice_mktg: Keep it up! RT @hollyby: Talking abt increased tweets, blogs and other
social media use by @AAHPM and its members! Strong work guys! #hpm

8:35 pm ctsinclair: Bummed that @Atul_Gawande won't be in Vancouver tomorrow to receive
@AAHPM humanities award tomorrow #hpm

8:36 pm Dr_Butin: RT @ctsinclair: The @AAHPM just announced they will be moving forward
with the #Hospice Medical Directors Certification Pathway, ready by 2013
#hpm

8:36 pm LVADone: RT @ctsinclair: Morrison highlighting social media efforts for @AAHPM -
Blogs, Twitter, Facebook LinkedIn, they have it covered #hpm

8:37 pm hollyby: @daleview Hi Dale! Glad you are tweeting!!! #hpm

8:37 pm doclake: Once we understand something-even if we don?t like it-we can begin to
accept it. ex post by RN c new dx. breast ca http://bit.ly/gCl6de #hpm

8:38 pm Dr_Butin: RT @doclake: Once we understand something-even if we don?t like it-we
can begin to accept it. ex post by RN c new dx. breast ca
http://bit.ly/gCl6de #hpm

8:38 pm doclake: RT @daleview: RT @hollyby: HPM PASS, 2nd edition was approved by
American Board of Internal Medicine for Maintenance of Certification credit
#hpm

8:39 pm doclake: RT @ctsinclair: Great job @Suzanakm Announed to be chairing a Quality
Task force. you are going to be busy next year #hpm

8:39 pm hollyby: Developing country scholarship recipients to the @AAHPM Assembly:
Khanh Quach - Vietnam, Eddie Mwebesa - Uganda, Bishnu Paudel - Nepal
#hpm

8:42 pm aaroncohenpr: RT @FIMDM: RT @drpippa: 0.01% of NIH funding is for palliative care

8:44 pm ctsinclair: The @AAHPM is on good financial footing thanks to smart investing and
wise budgeting and growth. #hpm

8:46 pm doclake: RT @ctsinclair: @AAHPM is on good financial footing thanks to smart
investing & wise budgeting & growth. #hpm "good-buy wifi next yr Denver"

8:47 pm ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year. Number of tweets
almost matching - 2011 so far 1 tweet per person! #hpm

8:48 pm DrJESimon: At CSPCP AGM thats the Canadian AAHPM equivalent. We're small but
vibrant. Glad we can share in the AAHPM energy #hpm

8:48 pm ctsinclair: @doclake I think things have gone better than i expected even without free
wi-fi this year. But I will push hard for it. #hpm

8:49 pm hollyby: Nice! RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this
year. # of tweets almost matching - 2011 so far 1 tweet per person! #hpm

8:49 pm ctsinclair: RT @DrJESimon: At CSPCP AGM (Canadian @AAHPM equiv) small but
vibrant. Glad we can share in the energy 'Glad to work together' #hpm
8:51 pm ctsinclair: Q from Lynn Oneill about @AAHPM LEAD program in future years. A:
@ssmithaahpm - 'Commitment to leadership, board to review' #hpm

8:54 pm Dr_Butin: @doclake Diane Meier's got the whole group fired up to get involved
politically- I will when I can #hpm #aahpm

8:55 pm hollyby: Very important program! RT @ctsinclair: Q abt @AAHPM LEAD program in
future. A: @ssmithaahpm - Commitment to leadership, board 2 review #hpm

8:59 pm hollyby: Lynn Spragens, recipient @AAHPM Presidential Citation Award for

8:59 pm hollyby: Lynn Spragens, recipient @AAHPM Presidential Citation Award for
developing sustainable business models for palliative care in hospitals #hpm

9:00 pm Dr_Butin: RT @hollyby: Talking about increased tweets, blogs and other social media
use by @AAHPM and its members! Strong work guys! #hpm

9:02 pm SanDiegoHospice: Excellent! RT @hollyby: Talking about increased tweets, blogs and other
social media use by @AAHPM and its members! Strong work guys! #hpm

9:02 pm SanDiegoHospice: RT @Pallimed: Pallimed's Public Timeline of recent links shared at #hpm
conference in case you missed any http://bit.ly/dVHN81

9:05 pm Dr_Butin: interesting discuss in EthicsSIG- tweets etc too brief for depth of discussion
Need to redirect to blogs #hpm #AAHPM #AAHPMethics #ethicsSIG

9:10 pm DeathwDignity: Thank you RT @fimdm: #FF @CompAndChoices @ctsinclair
@DeathwDignity @renee_berry @ewidera @drpippa @Pallimed @Hollby
@equijada @doclake #HPM

9:10 pm hollyby: Sean Morrison hands over the @AAHPM presidency to Ron Crossno. Thank
you Sean! #hpm

9:11 pm SanDiegoHospice: Go Suzana! RT @ctsinclair: Great job @Suzanakm Announed to be chairing
a Quality Task force. you are going to be busy next year #hpm

9:13 pm dwensel: advocacy update waiting for business meetings to close so members can
come #hpm

9:14 pm Dr_Butin: past few days have been "fire hydrant days" for me with info #hpm Afraid
once I get home won't come back to it #wishIhadaphotographicmemory

9:15 pm dwensel: advocacy is application of pressure and influence #hpm

9:16 pm dwensel: public policy committee recommends priorities to AAHPM board #hpm

9:18 pm dwensel: Priorities 1. Expand access to palliative care and hospice #hpm

9:20 pm FIMDM: MT @dr_butin: RT @doclake: Once we understand something-even if we
don?t like it-we can begin to accept it. http://bit.ly/gCl6de #hpm

9:20 pm dwensel: 2. Growing HPM workforce by asking for workforce study by support of
PACHETA #hpm

9:22 pm dwensel: Regulatory Concerns: FDA REMS #hpm

9:23 pm dwensel: increasing funding for palliative care research #hpm

9:23 pm dwensel: ChrisRorick from HPNA to discuss priorities #hpm

9:24 pm dwensel: Develop relationships on Capitol Hill #hpm

9:28 pm dwensel: HPNA guiding Principles and priorities BudgetBudgetBudget, CMS FTF rule,
hospice & palliative care coalition #hpm

9:30 pm hospicepharmacy: AARP Enters #Idaho Freedom of Conscience Bill Battle due to concerns abt
#eolc http://bit.ly/h9orDY AND http://yhoo.it/ez1pdb #hospice #hpm

9:31 pm PracticalWisdom: RT @ctsinclair: @AAHPM Presidential Award to Canadian Sen Sharon
Carstairs who is appointed Federal Cabinet post responsible for #Palliative
Care #hpm

9:32 pm dwensel: HP care coalition Susan Cox HPCC established in 2001 wiht
hpna,nhpco,aahpm #hpm

9:33 pm mdelacalzada: YAY! RT @hollyby: Dr. Charles von Gunten ( @CvonGunten ) from
@SanDiegoHospice awarded @AAHPM Lifetime Achievement Award!
Congrats! #hpm

9:39 pm renee_berry: so important! RT @dwensel: Develop relationships on Capitol Hill #hpm

9:39 pm dwensel: 112 congress house 94 new members and 35 never held office senate 51-2-
47 #hpm

9:40 pm dwensel: house repeal of ACA but senate will never pass so moving to repeal and
replace #hpm


9:42 pm dwensel: medical liability reform big in the senate for now, SGR 6 short term fixes in
the last year if not fixed docs face a 25% cut #hpm

9:42 pm ewidera: RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year.
Number of tweets almost matching - 2011 so far 1 tweet per person! #hpm

9:42 pm dwensel: new budget has a 2 year fix #hpm

9:43 pm renee_berry: & congrats Ron! RT @hollyby: Sean Morrison hands over the @AAHPM
presidency to Ron Crossno. Thank you Sean! #hpm

9:43 pm dwensel: RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year.

9:44 pm dwensel: PACHETA wyden is hoping for a republican to co sign it #hpm

9:45 pm renee_berry: "The part that is most important is what you can do as individuals, reach out
to your policy makers" - Koller #palliative care advocacy #hpm

9:46 pm renee_berry: "passion counts & individual effort counts" -Kollas #palliative care #advocacy
#hpm

9:46 pm dwensel: Questions and answers coming up #hpm

9:48 pm dwensel: match up between number of people aging and dying and workforce #hpm

9:50 pm dwensel: how do we combat medical misinformation? direct language around ACP
and AAHPM advocacy #hpm

9:52 pm renee_berry: RT @dwensel: how do we combat medical misinformation? direct language
around ACP and AAHPM advocacy #hpm

9:52 pm dwensel: concurrent care project has no funding and will be tough in the current budgt
#hpm

9:54 pm dwensel: ACS reports support for HPM and improving quality of care under patient
centered care #hpm

9:55 pm renee_berry: We need to realize as a field that we do not need to wait for a traditional
publication to 'say something' about an issue #advocate #hpm

9:55 pm dwensel: health care reform is about increase in quality and efficiency #hpm

9:57 pm renee_berry: Statement from a woman in the audience who worked w/ @AmericanCancer
Society & Advocacy 'we need to focus on quality of life' #hpm

9:58 pm dwensel: All politics are local and contact matters call your representatives NOW
#hpm

10:00 pm dwensel: Howard Tuck ask question about AAHPM support at the state level #hpm

10:01 pm dwensel: Jackie answers: develop key contacts within states to identify priorities
#hpm

10:02 pm dwensel: RT @renee_berry: We need to realize as a field that we do not need to wait
for traditional publication to say something about an issue #hpm

10:04 pm renee_berry: Reach out & tell your story about why #palliative care is important w/
@AAHPM Local Legislative Advocacy Tool http://ow.ly/3ZmBx #hpm

10:06 pm dwensel: great session on advocacy and policy #hpm

10:08 pm ewidera: RT @hollyby: Sean Morrison hands over the @AAHPM presidency to Ron
Crossno. Thank you Sean! #hpm

10:10 pm doclake: RT @renee_berry: Statement from a woman in the audience who worked w/
@AmericanCancer Society & Advocacy 'we need to focus on quality of life'
#hpm

10:10 pm doclake: RT @renee_berry: We need to realize as a field that we do not need to wait
for a traditional publication to 'say something' about an issue #advocate
#hpm

10:11 pm doclake: RT @renee_berry: & congrats Ron! RT @hollyby: Sean Morrison hands over
the @AAHPM presidency to Ron Crossno. Thank you Sean! #hpm

the @AAHPM presidency to Ron Crossno. Thank you Sean! #hpm

10:12 pm ewidera: Trouble is brewing for GACA junior faculty members in geriatrics and
palliative care http://ow.ly/3ZmTi #HPM

10:12 pm DianeEMeier: RT @FIMDM: RT @drpippa: 0.01% of NIH funding is for palliative care

10:13 pm DianeEMeier: RT @renee_berry: RT @doclake RT @drpippa The entire birth of the field of
palliative care has been about the art of the possible- @DianeEMeier #hpm
#hcr #hpm

10:14 pm DianeEMeier: RT @ctsinclair: RT @renee_berry: "I came to Washington as a cynic & I left
an optimist" - @DianeEMeier #gov20 #hpm

10:14 pm PracticalWisdom: RT @CAPCpalliative: #hpm Media training at 10 am Sat. Rm. 217-219
@AAHPM

10:14 pm DianeEMeier: RT @renee_berry: "this is a universal issue, it's a bi-partisan issue, just get
a seat at the table" #palliative care policy - @DianeEMeier #hcr #hpm

10:14 pm DianeEMeier: RT @drpippa: Block into your calendar time to meet with your congressional
rep - lobby and advocate for palliative care- @DianeEMeier #hpm #hcr

10:15 pm DianeEMeier: RT @renee_berry: "one thing that @CAPCpalliative tries to do is shine a

light on successful models for managing chronically ill" - @DianeEMeier
#hpm
10:16 pm DianeEMeier: RT @drpippa: "Patients not only deserve and need palliative care, they live

10:16 pm DianeEMeier: RT @renee_berry: "most #palliative care is needed by people that are NOT

10:16 pm DianeEMeier: RT @hollyby: RT @renee_berry: "submit your data to @CAPCpalliative s
registry so that we can raise our quality together" - @DianeEMeier
#palliative #hpm

10:17 pm DianeEMeier: RT @gcooneymd: RT @drpippa: 0.01% of #NIH funding is for palliative care
research. "as if no one suffers and no one dies" @DianeEMeier #hcr #HPM

10:17 pm DianeEMeier: RT @gcooneymd: RT @drpippa: High quality, well integrated palliative care
critical to #hcr - should be a requirement to any #ACO. @DianeEMeier
#HPM

10:18 pm KathleenPacurar: Congrats to our Provost @CvonGunten honored w/ #AAHPM Lifetime
Achievement Award today in Vancouver-Bravo! #health #hospice #palliative
#hpm

10:18 pm DianeEMeier: RT @renee_berry: our policy should be to insist that access to #hospice &

10:18 pm DianeEMeier: RT @drpippa: Moving the health care system off addiction to fee for service -
bending the cost curve. How? Stop paying or capitation. @DianeEMeier
#hpm

10:19 pm DianeEMeier: RT @PalliativeMed_j: RT @renee_berry: None of the new models in
healthcare reform will work with out us ( #Palliative care) @DianeEMeier
#hpm

10:21 pm equijada: Whidden - wound pain is the most distressing symptom #hpm

10:22 pm DianeEMeier: RT @KathleenPacurar: Congrats to our Provost @CvonGunten honored w/
#AAHPM Lifetime Achievement Award today in Vancouver-Bravo! #health
#hospice #palliative #hpm

10:24 pm ctsinclair: RT @equijada: Whidden - wound pain is the most distressing symptom 'to
some people, individual is the gold standard. ;-)' #hpm

10:25 pm equijada: Whidden: MS04 topically in wound bed works. BUT MS 60 mg with sulfadine
is expensive $200/tub (don't ask me the size of the tub) #hpm

10:25 pm equijada: RT @ctsinclair: RT @equijada: Whidden - wound pain is the most
distressing symptom 'to some people, individual is the gold standard. ;-)'
#hpm

#hpm

10:26 pm equijada: @ctsinclair let me guess...you're going to moral distress next. #hpm

10:26 pm ctsinclair: In paper session - use of dermafil cellulose wound care dressing
management of pain in wounds - Whidden from @suncoasthospice #hpm

10:27 pm equijada: Whidden- topical preparations: EMLA - no, MS - yes, ibuprofen - no,
lidocaine - yes. -> for wound pain #hpm

10:28 pm ctsinclair: @equijada Moral Distress session looks intriguing, but thinking about
Sanders session on fraud investigation in #hospice #hpm

10:28 pm a_singledrop: Beautiful post from RN w/lung #cancer on the impt knowing your enemy &
the doc communication in terminal illness http://bit.ly/gCl6de #hpm

10:30 pm renee_berry: ?outpatient #palliative care co-management is feasible & effective? - Rabow,
MD @UCSF #hpm

10:31 pm renee_berry: Q from the audience "what questions are you asking to screen for spiritual
distress? #hpm

10:32 pm equijada: Dermafil - cost effective, $30 for approx 15 cm x 15 cm, generally can be
applied only once till wound healed or prn if infected #hpm

10:32 pm ctsinclair: RT @equijada: Whidden- topical preps: EMLA - no, MS - yes, ibuprofen -
no, lidocaine - yes. -> for wound pain; "dermafil best of all" #hpm

10:33 pm renee_berry: Rabow, MD @UCSF fascinating discussion about asking men about their
sexuality as a way to understand their spirituality #hpm

10:33 pm HospiScript: In peds paper session- only 10% of children receive hospice. #hpm #hospice

10:33 pm renee_berry: "what we're really doing is giving people a safe space to talk about their
spiritual issues & mortality concerns" Rabow, MD @UCSF #hpm

10:34 pm mchwistek: RT @PalliativeMed_j: RT @renee_berry: None of the new models in
healthcare reform will work with out us ( #Palliative care) @DianeEMeier
#hpm

10:34 pm renee_berry: "there really is something to say about patients feeling they have a safe
space" Rabow, MD @UCSF #hpm

10:34 pm equijada: Dermafil Tissue Builder http://bit.ly/eCsdDZ #hpm

10:34 pm msceofx: @ctsinclair @kevdnguyen Hi Kevin, welcome to Twitter! #hpm

10:35 pm DeathwDignity: RT @drnancyhoffman: RT @kevinmd: Every American deserves the right to
have a #DeathwithDignity http://goo.gl/fb/PydDd #hpm #hospice...

10:35 pm kevhen63: Declan Walsh - Fatigue/anorexia-cachexia, aero-digestive, debility symptom
clusters correlates with worse survival. #HPM

10:36 pm mchwistek: RT @kevhen63: Declan Walsh - Fatigue/anorexia-cachexia, aero-digestive,
debility symptom clusters correlates with worse survival. #HPM

10:36 pm hcsmSV: #hcsmSV RT @renee_berry "there really is something to say about patients
feeling they have a safe space" Rabow, MD @UCSF #hpm #SiliconValley

10:36 pm sthrane: RT @renee_berry: our policy should be to insist that access to #hospice &

10:37 pm mchwistek: RT @renee_berry: our policy should be to insist that access to #hospice &

10:37 pm kevhen63: Declan Walsh - 3 or more symptom clusters correlates with worse survival.
#HPM

10:38 pm ctsinclair: Now up Dr. Victor Chang talking about Patient rated weight loss,
Performance scale and Prognosis: An RPA algorithim #hpm

10:39 pm renee_berry: Symptom Burden #Gynecologic #Oncology Out pts w/Carolyn Casey, MD
MPH @UCSF #Obstetrics #Gynecology & #Reproductive Science #hcsmSV
#hpm

10:40 pm FIMDM: RT @drpippa: "Patients not only deserve and need palliative care, they live

2/23/2011
10:40 pm FIMDM: RT @drpippa: "Patients#hpm - What the Hashtag?!
Transcript for not only deserve and need palliative care, they live

10:41 pm ctsinclair: What's a RPA you may ask? Recursive partitioning algorithm. Long form
explanation here: http://bit.ly/iddKeV #hpm

10:42 pm ctsinclair: RT @drpippa: "Patients not only deserve/need pall care, they live longer
when they get it" @DianeEMeier 'bold given fair evidence' #hpm

10:43 pm ctsinclair: @drpippa, have to watch out for overpromising results #hpm

10:43 pm AAHPM: AAHPM Board approves development of Hospice Medical Director
Certification that will launch in 2014. #hpm

10:43 pm HospiScript: RT @ctsinclair: What's a RPA you may ask? Recursive partitioning
algorithm. Long form explanation here: http://bit.ly/iddKeV #hpm

10:44 pm ctsinclair: RT @AAHPM: Board approves development of Hospice Medical Director
Certification that will launch in 2014. 'not 2013? Did I hear wrong?' #hpm

10:45 pm ctsinclair: RT @kevhen63: Declan Walsh - Fatigue/anorexia-cachexia, aero-digestive,
debility symptom clusters correlates with worse survival. #hpm

10:45 pm equijada: RT @ctsinclair: Whats a RPA you may ask? Recursive partitioning
algorithm. http://bit.ly/iddKeV Huh? Still asking. I need it simplerer #hpm

10:47 pm ctsinclair: @equijada agreed, RPA seems very complex yet simple once you get it I
am sure. Still working on understanding. #hpm

10:48 pm doclake: RT @ctsinclair: Hoping that future prognostication research takes into
account the dynamic nature of prognosis. Example, changing func status
#hpm

10:48 pm doclake: RT @kevhen63: Declan Walsh - 3 or more symptom clusters correlates with
worse survival. #HPM

10:48 pm HospiScript: Peds paper session- Massachusetts survey said hospices struggled with
1)census 2)language barriers 3)parents/family resource #hpm

10:50 pm renee_berry: Casey, MD MPH @UCSF highlighting how sometimes there is the simple
concept of 'asking the patient' that can be effective #hpm

10:50 pm ctsinclair: Would love feedback from ppl watching #hpm tweetstream here/not here on
good things, improvements, etc. ctsinclair@gmail.com #hcsm #hpm

10:51 pm ctsinclair: RT @HospiScript: Peds session- Massachusetts survey said #hospice
struggled w/ 1)census 2)language barriers 3)parents/family resource #hpm

10:52 pm renee_berry: Casey, MD MPH @UCSF Has heard other specialists say ?oh that?s a
#palliative care service, she?s not dying? #misunderstanding #hpm

10:53 pm doclake: RT @renee_berry: Casey, MD MPH @UCSF Has heard other specialists
say ?oh that?s a #palliative care service, she?s not dying?
#misunderstanding #hpm

10:53 pm ctsinclair: @DianeEMeier You got a lot of RT's in today! #hpm

10:53 pm lfettig: Blackhall: hospices should have policy to screen every pt/cg 4 substance
abuse, & plan for safety plan when concerns arise #hpm

10:53 pm doclake: RT @lfettig: Blackhall: hospices should have policy to screen every pt/cg 4
substance abuse, & plan for safety plan when concerns arise #hpm

10:54 pm ctsinclair: RT @lfettig: Blackhall: #hospice orgs should have policy: screen every pt/cg
4 substance abuse, & plan for safety when concerns arise #hpm
10:54 pm ctsinclair: RT @lfettig: Blackhall: screen every pt/cg 4 substance abuse 'Screen every
caregiver? that could be hard to do/invasive' #hpm

10:55 pm renee_berry: q re:" web based education on symptom management?" Casey, MD MPH
@UCSF response " no but that would be great" #hcsmSV #hpm

10:56 pm ctsinclair: New paper Wygart on Childhood Sexual Abuse (CSA) in Pallaitive Care: 1 in
3 women and 1 in 6 men have had CSA #hpm

10:56 pm equijada: Wygant: 1/3 of girls 1/6 boys have had childhood sexual abuse Me: #wow

2/23/2011
10:56 pm
equijada: Wygant: 1/3 of girls 1/6 boys have had childhood sexual abuse Me: #wow
that's a lot #hpm

10:57 pm ctsinclair: Wygart - CSA impacts adherence to medical treatment, increased co-
morbidities. Exacerbated by decline in physical/cognitive fxn #hpm

10:57 pm kevhen63: Del Fabbro. Cachexia may be masked in obese cancer patients. CT can
reveal "sarcopenia" #hpm

10:57 pm jodyms: RT @ctsinclair: New paper Wygart on Childhood Sexual Abuse (CSA) in
Pallaitive Care: 1 in 3 women and 1 in 6 men have had CSA #hpm

10:57 pm renee_berry: ?access to #hospice is a major issue? Solomon Liao, MD @UCSF
#hcsmSV #hpm

10:57 pm ctsinclair: Only one study to date looking at CSA in #palliative care/advanced #cancer
settings #hpm

10:58 pm ctsinclair: RT @kevhen63: Del Fabbro. Cachexia may be masked in obese cancer
patients. CT can reveal "sarcopenia" - 'interesting' #hpm

10:58 pm jodyms: @ctsinclair Both y ou and @renee_berry are doing an incredible job. Thanks
for sharing so much terrific info - #hpm #hcsm

10:59 pm ctsinclair: CSA may be revealed by another family member and not the patient. -
Wygart #hpm

11:00 pm ctsinclair: @jodyms Thanks so much for the feedback Jody. Let us know if you have
any conferences/issues we can return the tweets for! #hpm

11:01 pm lfettig: RT @lfettig: 'Screen every caregiver? that could be hard to do/invasive' #hpm
Concern that some take on cg role 4 diversion. Provocative.

11:02 pm equijada: How do address childhood sexual abuse: validate and provide safety...then
consciously change subject till pt ready #hpm

11:02 pm doclake: RT @kevhen63: Del Fabbro. Cachexia may be masked in obese cancer
patients. CT can reveal "sarcopenia" #hpm

11:03 pm equijada: Childhood sexual abuse - shame and blame. #youarenotalone #hpm

11:03 pm hvto: RT @jodyms: @ctsinclair Both y ou and @renee_berry are doing an
incredible job. Thanks for sharing so much terrific info - #hpm #hcsm

11:03 pm hvto: RT @renee_berry: ?access to #hospice is a major issue? Solomon Liao,
MD @UCSF #hcsmSV #hpm

11:03 pm ctsinclair: CSA survivors may repress, history of victim blaming/shaming, no safe place
to report; Health care staff not sure how to respond. #hpm

11:04 pm jodyms: @ctsinclair One issue for sure is addressing end-of-life/palliative care issues

in young adults w/cancer. Is anyone discussing this? #hpm
11:04 pm brigid22: RT @equijada: Childhood sexual abuse - shame and blame.
#youarenotalone #hpm

11:04 pm brigid22: RT @ctsinclair: CSA survivors may repress, history of victim
blaming/shaming, no safe place to report; Health care staff not sure how to
respond. #hpm

11:06 pm ctsinclair: RT @jodyms: impt issue: young adults w/cancer. Is anyone discussing
this? 'actually in the next session good thing you asked!, i'll go' #hpm

11:06 pm hollyby: RT @ctsinclair: Would love feedback from ppl on #hpm tweets here/not here,
on good things, improvements, etc ctsinclair@gmail.com #hcsm #hpm

11:08 pm kevhen63: Del Fabbro - metoclopramide a first choice for N/V and cachexia in advanced
cancer #hpm

11:10 pm kevhen63: Del Fabbro Megace increases thromboembolism. They use less than 480
mg and only for patients who want appetite and accept risk of DVT. #hpm

11:10 pm ctsinclair: RT @kevhen63: Del Fabbro - metoclopramide a first choice for N/V and
cachexia in advanced #cancer 'i dont prescribe much' #hpm

11:11 pm renee_berry: ?Encourage inclusion not isolation for a Volunteer Hospice Network,

11:11 pm renee_berry: ?Encourage inclusion not isolation for a Volunteer Hospice Network,
because we can learn from them? Solomon Liao, MD #hpm

11:15 pm renee_berry: Solomon Liao, MD @UCSF calls on the #hospice & #palliative care
community to increase engagement of #PublicHealth professionals
#hcsmSV #hpm

11:15 pm renee_berry: ?look more towards ourselves & what we can do rather than relying just on
medicare? Solomon Liao, MD @UCSF #hcsmSV #hpm

11:27 pm GroundSwellAus: RT @renee_berry: Solomon Liao MD @ucsf calls #hospice & #palliative care
community to increase engagement of #PublicHealth prof #hcsmSV #hpm

11:30 pm MORELAND18: #HPM looking for the woman who said she would be a Hospice or Palliative
care "Doula" this morning: fascinating! moreland18@comcast.net

11:30 pm PracticalWisdom: RT @drpippa: great topic for the newbie - social media can be efficient and
even save you time! nice preso @hollyby #hpm

11:31 pm ctsinclair: Hey @jodyMS, @Renee_Berry is here, so I am going to another session....
#hpm

11:32 pm MeaningComfort: Read the latest news on spirit-centered palliative care http://bit.ly/ebAJoP
#hpm

11:33 pm renee_berry: The Role of #Palliative Medicine in Young Adulthood w/Kelly Cooke, DO,
Central Texas Veterans Healthcare System #hpm

11:33 pm jodyms: @ctsinclair Great - thanks for letting me know about the session.
@renee_berry & I are long overdue for a phone chat anyway:) #hpm

11:33 pm gcooneymd: Fraud & Abuse in HPM - if it makes good business sense, it's probably
illegal #HPM

11:34 pm GroundSwellAus: Guidelines for Health Promoting Palliative Care in Australia
http://ow.ly/3Zp0M #hpm @renee_berry

11:34 pm gcooneymd: MC Fraud Control Strike Team - multiple arrests nationally yesterday #HPM

11:35 pm ctsinclair: Now in Educational Exchange, developed by my friend Laura Morrison.
Looking at innovative ways to educ professionals #hpm

11:36 pm ctsinclair: RT @gcooneymd: Fraud & Abuse in HPM - if it makes good business
sense, its probably illegal 'yikes, that is broad' #hpm

11:36 pm renee_berry: Population Lost: Spectrum of Young Adulthood, Illness & the Role of
#Palliative Medicine w/ Jennifer Clark, MD, U of #Oklahoma ?Tulsa #hpm

11:36 pm gcooneymd: Ate more gelatto after lunch: Akbar Mashti, Black Sesame, Tahitian Vanilla.
They're out ofBlood Orange... #HPM

11:37 pm ctsinclair: RT @gcooneymd: MC Fraud Control Strike Team - multiple arrests
nationally yesterday 'here is the @latimes link: http://lat.ms/idZwb6' #hpm

11:37 pm westr: RT @jodyms: @ctsinclair Both y ou and @renee_berry are doing an
incredible job. Thanks for sharing so much terrific info - #hpm #hcsm

11:38 pm MeaningComfort: RT @ctsinclair: RT @drpippa: "Patients not only deserve/need pall care,
they live longer when they get it" @DianeEMeier 'bold given fair evidence'
#hpm

11:38 pm ctsinclair: @MORELAND18 Wasn't that the past president from @HPNAinfo? #hpm

11:38 pm MeaningComfort: RT @renee_berry: "there really is something to say about patients feeling
they have a safe space" Rabow, MD @UCSF #hpm

11:39 pm ctsinclair: Dr. Amy Doshi from @radychildrens presenting on Comfort Care Modules
(CCM's); interactive and reproducible for teaching #hpm

11:40 pm ctsinclair: Comfort care module are exercises based on PALS (ped adv life support
modules) - mult scenarios - pain, dyspnea. delivering bad news #hpm

11:41 pm norskedoc: RT @DianeEMeier: RT @renee_berry: None of the new models in healthcare
reform will work with out us ( #Palliative care) @DianeEMeier #hpm

11:42 pm ctsinclair: Residents found CCM's helpful/very helpful for future interactions with
patients and families; like safe/supportive environment #hpm

11:43 pm renee_berry: (chronic illness, serious conditions) ?weather or not you want to deal with it,
you have to deal with it? Jennifer Clark, MD #hpm

11:44 pm ctsinclair: Now up Dr. Jeff Myers from @UToronto on "De novo development of
interprofessional HPC Case Based Simulation" #hpm

11:44 pm renee_berry: " #Oncology has done a great job at recognizing young adults managing
their serious illness" Jennifer Clark, MD #hpm

11:45 pm hollyby: Me too! RT @ctsinclair: Now in Educational Exchange, developed by Laura
Morrison. Looking at innovative ways to educ professionals #hpm

11:46 pm renee_berry: "if there?s a specific group of #oncologists there needs to be a specific
group of us" ( #palliative care) Jennifer Clark MD #su2c #hpm

11:48 pm renee_berry: ?30% of young adults do not have health insurance? Jennifer Clark MD
#SU2C #hpm

11:48 pm ctsinclair: @DeathwDignity thanks for the #FF #HPM

11:49 pm MeaningComfort: RT @renee_berry: "The part that is most important is what you can do as
individuals, reach out to your policy makers" - Koller #palliative care

advocacy #hpm
11:50 pm renee_berry: fascinating discussion of the support network for young adult decision
making w/ Jennifer Clark MD @AAHPM #SU2C #hpm

11:50 pm ctsinclair: RT @LVADone: she was "pissedoff" 2findout late "#hpm "I have seen that
reaction too'

11:51 pm drpippa: Smart abx use in hospice/pall care. Avg hospice pt on >20 meds - make
sure you have a good reason for adding another. #hpm

11:52 pm renee_berry: "have them tell their story & allow them to embrace possibilities" re: Young
Adults - Jennifer Clark MD @AAHPM #SU2C #hpm

11:52 pm kevhen63: Maxwell in Abx utilization at EOL. Very few Abx are absorbed rectally. Avoid
this route. #Hpm

11:52 pm jodyms: RT @renee_berry fascinating discussion of the support network for young
adult decision making w/ Jennifer Clark MD #hpm cc: @hayeslat

11:53 pm jodyms: RT @renee_berry: ?30% of young adults do not have health insurance?
Jennifer Clark MD #SU2C #hpm

11:54 pm renee_berry: ?Young Adults have the capacity to discuss advance directives for
decisions? Jennifer Clark MD #SU2C cc @NHDD #hpm

11:54 pm Mtnmd: RT @drpippa Smart abx use in hospice/pall care. Avg hospice pt on >20
meds - make sure you have a good reason for adding another. #hpm

11:55 pm Doctor_V: Wow RT @renee_berry: ?Young Adults have the capacity to discuss
advance directives for decisions? Jennifer Clark MD #SU2C cc @NHDD
#hpm

11:56 pm MeaningComfort: RT @ctsinclair: @AAHPM Annual Assembly Attendance 2048 this year.

11:56 pm ctsinclair: Now up Nancy Sharp BSN CHPN on 'The Notebook' an educational
innovation to help with training when their may be turnover #hpm

11:56 pm renee_berry: ?decisions need to be reassessed frequently? Jennifer Clark MD @AAHPM
#SU2C #hpm

11:57 pm renee_berry: ?create an environment of trust for young adults? Jennifer Clark MD
@AAHPM #SU2C #hpm

11:57 pm MeaningComfort: RT @drpippa: Palliative care is about matching treatment to patient goals -

11:57 pm MeaningComfort: RT @drpippa: The entire birth of the field of palliative care has been about


11:58 pm ctsinclair: Now up Dr. Gordon Wood from University of Pittsburgh on "CODE: Chronic
Opioid Documentation Evaluation" innovative teaching #hpm

11:58 pm renee_berry: Jennifer Clark MD @AAHPM discussing crucial importance of discussing
sexuality with young adults experiencing serious illness #SU2C #hpm

11:59 pm emarnold14: Call for Submissions: Death, dying, and end-of-life care
http://conta.cc/f62s5O #hpm #humanities #palliative

11:59 pm ctsinclair: @renee_berry seems sexuality has been showing up in a few sessions
today regarding palliative care #hpm

11:59 pm emarnold14: RT @drpippa: The entire birth of the field of palliative care has been about

February 19, 2011

ctsinclair: Conference Tip: You can turn off the scrolling noise on your blackberry. Your
neighbors will be happier. #hpm

12:03 am jodyms: RT @emarnold14: Call for Submissions: Death, dying, and end-of-life care
http://conta.cc/f62s5O #hpm #humanities #palliative

12:03 am ctsinclair: Now up Dr. Susan Glod from @PennStHershey on 'Experiencing Loss
Through Patients Eyes.' #hpm

12:04 am ctsinclair: Glod describes the 'Grim Reaper' exercise to help medical students
recognize loss. #hpm

12:05 am ctsinclair: Glod - Students write on paper valuable goals, roles, person, possessions,
1st remove 1 from each category, then whole category then... #hpm

12:06 am ctsinclair: Glod - random student pre-selected comes in as 'Grim Reaper;' and removes
random slips of paper from each student. #hpm

12:07 am ctsinclair: Glod - Wow - I am totally going to use that exercise with learners. Glod
points out learners find this harder than you think #hpm

12:07 am comalliwrites: RT @renee_berry: ?30% of young adults do not have health insurance?
Jennifer Clark MD #SU2C #hpm

12:08 am renee_berry: Kelly Cooke, DO @AAHPM - importance of retaining sense of normality -
assessing who they are & whats important to YoungAdults #SU2C #hpm

12:08 am ctsinclair: Now up Lynn Macpherson - fastest talking speaker I've heard yet on
Pharmacist didactic/experiential educ on pain and palliative care #hpm

12:08 am GroundSwellAus: sounds interesting!! RT @ctsinclair: Glod describes the 'Grim Reaper'
exercise to help medical students recognize loss. #hpm

12:08 am renee_berry: "remind Young Adults of their identity before the illness? Kelly Cooke, DO
@AAHPM #SU2C (so important) #hpm

12:09 am renee_berry: ?Young Adults with serious illness often grieve the loss of education? Kelly
Cooke, DO @AAHPM #SU2C #hpm

12:09 am renee_berry: ?sometimes survivorship issues are worse than the disease for the
experience of the young adult patient? Kelly Cooke, DO @AAHPM #SU2C
#hpm

12:10 am renee_berry: ?support non-traditional support groups for young adults to prevent isolation?
Kelly Cooke, DO @AAHPM #SU2C #hpm

12:10 am drpippa: RT @renee_berry: "remind Young Adults of their identity before the illness?
Kelly Cooke, DO @AAHPM #SU2C (so important) #hpm

12:11 am kevhen63: Maxwell - nothing new, but it bears repeating. "50% of Abx are likely
prescribed unnecessarily." #Hpm

12:11 am ctsinclair: @GroundSwellAus My tweets probably didn't do it justice, but it is a
fantastic exercise. #hpm

fantastic exercise. #hpm

12:11 am renee_berry: Kelly Cooke, DO @AAHPM discusses @PlanetCancer & online support
groups as great tools for engaging young adults in support communities
#hpm
12:12 am DianeEMeier: RT @ctsinclair: RT @gcooneymd: MC Fraud Control Strike Team - multiple
arrests nationally yesterday 'here is the @latimes link: http://lat.ms/idZwb6'
#hpm

12:12 am GroundSwellAus: RT @ctsinclair: can you share it? love to hear more... #hpm

12:12 am MeaningComfort: RT @renee_berry: "this is a universal issue, it's a bi-partisan issue, just get
a seat at the table" #palliative care policy - @DianeEMeier #hcr #hpm

12:13 am MeaningComfort: RT @renee_berry: "most #palliative care is needed by people that are NOT

12:13 am renee_berry: "people have a different level of death awareness based on their experience
of death" Kelly Cooke, DO @AAHPM #partoflife #hpm

12:13 am MeaningComfort: RT @ctsinclair: Russell - Data shows patients want honest prognostic info

12:14 am jodyms: RT @renee_berry: Kelly Cooke, DO @AAHPM discusses @PlanetCancer &
online support groups as great tools for engaging young adults in support
communities #hpm

12:14 am renee_berry: #SU2C RT @MeaningComfort "most #palliative care is needed by people
that are NOT dying" - @DianeEMeier #hpm

12:14 am PracticalWisdom: RT @ctsinclair: Now in Educational Exchange, developed by my friend Laura
Morrison. Looking at innovative ways to educ professionals #hpm

12:14 am kevhen63: Maxwell suggests an Antibiotic Stewardship Program to increase the
appropriate use of Abx. #Hpm

12:22 am renee_berry: my Q: 'how do we improve access to #palliative care for young adults?" A:
"education" Kelly Cooke, DO @AAHPM #su2c #hpm

12:24 am renee_berry: @ctsinclair please ask abt encouraging link w/in hospital website for local
#palliative care team to improve public access vs brochures #hpm

12:26 am renee_berry: Kelly Cooke, DO @AAHPM ?young law student w/breast cancer said she
felt so disempowered in our medical system? #hcr #healthcare #hpm

12:29 am kevinmd: @ctsinclair is live-tweeting from the American Academy of Hospice and
Palliative Medicine Annual Assembly at #hpm

12:30 am PracticalWisdom: In about 2 hours i'll be posting a Slide Deck documenting our #hmp chat this
Wed. The comments were so impressive, can't wait to post. #hpm

12:30 am hollyby: Educational Exchange: Wood and Childers presenting a very cool way to
teach residents/fellows about Chronic Opioid Documentation #hpm

12:30 am SanDiegoHospice: RT @Dr_Butin: interesting discuss in EthicsSIG-tweets etc 2 brief 4 depth of
discussion-redirect 2 blogs #hpm #AAHPM #AAHPMethics #ethicsSIG

12:32 am DrSnit: Love to #hpm cats! RT @kevinmd: @ctsinclair is live-tweeting from American
Academy of Hospice & Palliative Medicine Annual Assembly at #hpm

12:38 am ctsinclair: Hey @hollyby I just signed @elisecarey up for a twitter account. You can do
the advanced lessons! #hpm

12:39 am hollyby: Nice! Will do! RT @ctsinclair: Hey @hollyby I just signed @elisecarey up for
a twitter account. You can do the advanced lessons! #hpm

12:39 am ctsinclair: RT @kevinmd: @ctsinclair is live-tweeting from American Academy of
Hospice and Palliative Medicine Annual Assembly at #hpm 'thanks kevin!'

12:46 am MDTalk: is live-tweeting from American Academy of Hospice and Palliative Medicine
Annual Assembly at #hpm 'thanks... http://bit.ly/dUPHxj

12:47 am LJaneTn: RT @lfettig: Bertman-"Purpose of art is to resuscitate our imagination."
#hpm

#hpm

12:51 am klxmedia: RT @kevinmd @ctsinclair is live-tweeting from the American Academy of
Hospice and Palliative Medicine Annual Assembly at #hpm

12:51 am renee_berry: RT @kevinmd @ctsinclair is live-tweeting from the American Academy of

12:52 am jodyms: @renee_berry @ctsincalir -- thanks to you both:) #hpm

12:54 am hollyby: Rockstar! RT @kevinmd: @ctsinclair is live-tweeting from the American
Academy of Hospice and Palliative Medicine Annual Assembly at #hpm

1:02 am MeaningComfort: RT @ctsinclair: Every patient invites the doctor to combine the role of the
priest the philosopher the poet the lover - Anatole Brovard from Bertman
#hpm

1:03 am MeaningComfort: RT @ctsinclair: "Death is about continuing bonds of attachments not

1:06 am MeaningComfort: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of

1:09 am KathyKastner: Good background on FDA/EHR regulation http://tinyurl.com/49qhsy3 #hcsm
#hcsmca #MDchat #hpm

1:09 am suzanakm: RT @hollyby: Rockstar! RT @kevinmd: @ctsinclair is live-tweeting from the
American Academy of Hospice and Palliative Medicine Annual Assembly at
#hpm

1:21 am elisecarey: Nearing end of 2nd of 3 days at the @AAHPM Annual Assembly. Check out
the tweetstream from last 2 days at: http://bit.ly/fQWBVu #hpm

1:25 am Catalyst4Growth: RT @renee_berry: "remind Young Adults of their identity before the illness?
Kelly Cooke, DO @AAHPM #SU2C (so important) #hpm

1:26 am Catalyst4Growth: RT @renee_berry: ?sometimes survivorship issues are worse than the
disease for the experience of the young adult patient? Kelly Cooke, DO
@AAHPM #SU2C #hpm

1:30 am hollyby: RT @elisecarey: Nearing end of 2nd of 3 days at the @AAHPM Annual
Assembly. Check out the tweetstream at: http://bit.ly/fQWBVu #hpm

1:33 am Doctor_V: RT @renee_berry: RT @kevinmd @ctsinclair is live-tweeting from the
American Academy of Hospice and Palliative Medicine Annual Assembly at
#hpm

1:47 am sophiasgarden: Follow RT @kevinmd @ctsinclair is live-tweeting from the American
Academy of Hospice and Palliative Medicine Annual Assembly at #hpm

1:56 am MeredithGould: @renee_berry Interesting...at first I read that tweet as "based on their
experience of life" !! #partoflife #hpm
2:16 am hollyby: RT @KathleenPacurar - @SanDiegoHospice is 34 years old this month.
Thank you Dr. Doris Howell for your vision. @palliativecare #hpm

2:23 am ctsinclair: Gong to buy tickets to see canucks sat night #hpm

2:35 am equijada: @ctsinclair count me in if less than $150. #hpm

2:53 am PracticalWisdom: @equijada @ctsinclair @hollyby @MeredithGould This is a slide deck
showing our #HPMChat this Wed. http://slidesha.re/hewb6c #hpm

2:55 am PracticalWisdom: I'm adding more names of those who contributed 2/16/2011 If you have any
corrections, would like to (-) your slide, etc. Please email #hpm

3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/czPwM9 ? Top stories today via
@dianeemeier @compandchoices @emarnold14 @rossjeanette @fimdm

3:02 am daleview: all ABHPM certified docs - YES, you must sit for the 2012 ABMS exam if
you want to get ABMS certification. http://bit.ly/gHyk1h #hpm

3:05 am PracticalWisdom: @hvto @ehospice_mktg @dspacl @dockj @mpalko @drpippa @rawarrior
Please let me know if there are any ?'s, comments or concerns. #hpm

2/23/2011 Please let me knowfor #hpm - any ?'s, comments or concerns. #hpm
Transcript if there are What the Hashtag?!

3:10 am toptwideos: #HPM 2/16/2011 http://naza.be/hAJCre

3:12 am PracticalWisdom: Honored and humbled to have been included with your rock stars. Blushing
RT@hospice_mktg #FF #hpm rocks stars we love 2 follow

3:17 am PracticalWisdom: So many others to thank #hpm. I'll catch you all later.

3:24 am Dr_Butin: RT @renee_berry: @ctsinclair please ask abt encouraging link w/in hospital
website for local #palliative care team to improve public access vs brochures
#hpm

3:32 am Dr_Butin: RT @ctsinclair: Glod - Students write on paper valuable goals, roles, person,
possessions, 1st remove 1 from each category, then whole category then...
#hpm

3:32 am Dr_Butin: RT @ctsinclair: Glod - random student pre-selected comes in as 'Grim
Reaper;' and removes random slips of paper from each student. #hpm

3:32 am Dr_Butin: RT @ctsinclair: Glod - Wow - I am totally going to use that exercise with
learners. Glod points out learners find this harder than you think #hpm

3:48 am melanoma_mama: RT @kevinmd: @ctsinclair is live-tweeting from the American Academy of

3:49 am melanoma_mama: RT @renee_berry: my Q: 'how do we improve access to #palliative care for
young adults?" A: "education" Kelly Cooke, DO @AAHPM #su2c #hpm

3:52 am joshgriffin: RT @renee_berry: my Q: 'how do we improve access to #palliative care for
young adults?" A: "education" Kelly Cooke, DO @AAHPM #su2c #hpm

3:54 am melanoma_mama: RT @renee_berry: Jennifer Clark MD @AAHPM discussing crucial
importance of discussing sexuality with young adults experiencing serious
illness #SU2C #hpm

4:18 am renee_berry: Early Career Professionals @AAHPM thinking abt karaoke
http://tinyurl.com/6hn9ed6 any takers #hpm ?

4:46 am DianeEMeier: RT @renee_berry: #SU2C RT @MeaningComfort "most #palliative care is
needed by people that are NOT dying" - @DianeEMeier #hpm
4:53 am ctsinclair: At Miko with @revdoc @suzanakm @hollby @kpw22 I love coming to conf
#hpm

4:59 am daitpcg: RT @daleview: all ABHPM certified docs - YES, you must sit for the 2012
ABMS exam if you want to get ABMS certification. http://bit.ly/gHyk1h
#hpm

4:59 am daitpcg: RT @ctsinclair: The #hpm Daily is out! http://bit.ly/czPwM9 ? Top stories
today via @dianeemeier @compandchoices @emarnold14 @rossjeanette
@fimdm

5:39 am lfettig: RT @hollyby: Educational Exchange: Wood and Childers presenting a very
cool way to teach residents/fellows about Chronic Opioid Documentation
#hpm

7:11 am doctatum: RT @hollyby: Very important program! RT @ctsinclair: Q abt @AAHPM
LEAD program in future. A: @ssmithaahpm - Commitment to leadership,
board 2 review #hpm

7:52 am GroundSwellAus: Fantastic more people to tweet with!!! RT @saifsabil: Social media wksp
starts 1.30 pm today at Institute of Palliative Med #IPM #WHOCC #HPM

8:26 am drpippa: appropriate that the week of @AAHPM assembly the Pulse essay is a
reflection on the importance of palliative care http://t.co/lpgnza9 #hpm

8:28 am fbfukushima: RT @palliativecare: New resource for pain in non-communicative patients
http://bit.ly/hvJtwu #palliative #hpm #caregiving?

9:08 am drpippa: Wish you were at @DianeEMeier's Healthcare Reform talk today? I wrote up
a quick summary for @aahpm blog http://tinyurl.com/5un7ytp #hpm

11:56 am doclake: RT @kevinmd: @ctsinclair is live-tweeting from the American Academy of


11:59 am doclake: RT @drpippa: Smart abx use in hospice/pall care. Avg hospice pt on >20
meds - make sure you have a good reason for adding another. #hpm

12:05 pm emarnold14: MT @drpippa Here's my quick summary of @DianeEMeier 's Healthcare
Reform talk @aahpm conference http://tinyurl.com/5un7ytp #hpm /
Excellent!

12:28 pm PracticalWisdom: So impressed w/learning, sharing, fellowship that's going on @aahpm. As an
Adult Educ. would love to hear more re: 'Grim Reaper. #hpm

12:30 pm PracticalWisdom: Since I'm a Curious George type of Girl have any of the PowerPoints/Slide
Decks used clips inserted directly into them? #hpm

12:31 pm PracticalWisdom: Are some of the presenters staying away from Bullet point Hell by using
more media clips/images? #hpm

12:35 pm PracticalWisdom: Grim Reaper;' Ex. slips of paper from each student. Perfect example of
Androgogy. Adults Attention spans R shorter. Don't just lecture! #hpm

2:24 pm EllenRichter: Difficult but necessary chat! "Oncologists shouldn't delay frank talk with
patients" amednews http://goo.gl/4AybZ #hpm #hcsm #MDchat #RNchat

2:28 pm AAHPM: Good morning, #aahpm and #hpna ... last day in Vancouver. We have a full
day of great sessions. See you there and here #hpm

2:31 pm jsperber: RT @drpippa: Wish you were at @DianeEMeier's Healthcare Reform talk
today? I wrote up a quick summary for @aahpm blog
http://tinyurl.com/5un7ytp #hpm
2:32 pm MeaningComfort: Hear what Anderson Cooper says about HealthCare Chaplaincy
http://bit.ly/9vve0H #hpm

2:52 pm ClearMedNetwork: RT @EllenRichter: Difficult but necessary chat! "Oncologists shouldn't delay
frank talk with patients" amednews http://goo.gl/4AybZ #hpm #hcsm
#MDchat #RNchat

3:31 pm ssmithaahpm: Breakfast with the #aahpm past presidents -- wow --- what a group! #hpm

3:50 pm daleview: in Research SIG - Jean Kutner describes new Palliative Care Research
Collaboration funded by NINR. #hpm

3:51 pm MeredithGould: RT @MeaningComfort: Hear what Anderson Cooper says about HealthCare
Chaplaincy http://bit.ly/9vve0H #hpm

4:04 pm hollyby: At the Education - Developing Special Interest Group, great group of people
very interested in all kinds of palliative care education #hpm

4:05 pm MeredithGould: RT @drpippa: appropriate that the week of @AAHPM assembly the Pulse
essay is a reflection on the importance of palliative care http://t.co/lpgnza9
#hpm

4:08 pm hollyby: At the @AAHPM Education SIG, everyone very interested in collaboration &
sharing of educ. resources. This will be a generative group! #hpm

4:10 pm suzanakm: RT @ctsinclair: At Miko with @revdoc @suzanakm @hollby @kpw22 I love
coming to conf #hpm

4:12 pm hollyby: My tweets from today will be from the @AAHPM and @HPNAinfo Annual
Assembly in Vancouver. Last day, so thx to everyone for the RTs on #hpm

4:35 pm ctsinclair: RT @hollyby: My tweets from today will be from the @AAHPM and
@HPNAinfo Annual Assembly in Vancouver. Last day, so thx everyone for
RTs #hpm

4:36 pm ctsinclair: Rodney Tucker just announced the prelim Twitter numbers from 1st 2 days
of conference.... #hpm

4:37 pm ctsinclair: Prelim Twitter #'s from @AAHPM conf - 300+users, 2000+ tweets, 300k+
accounts reached, 2.3M potential impressions - thanks to all #hpm

4:39 pm renee_berry: RT @ctsinclair: Prelim Twitter #'s from @AAHPM conf - 300+users, 2000+
tweets, 300k+ accounts reached, 2.3M potential impressions - thanks to all
#hpm

#hpm

4:40 pm ctsinclair: Distinguished Researcher Award for @HPNAinfo to Neville Strumpf PhD,
RN, FAAN - focused on individualized care in nursing home #RNchat #hpm

4:40 pm renee_berry: RT @drpippa: appropriate that the week of @AAHPM assembly the Pulse
essay is a reflection on the importance of palliative care http://t.co/lpgnza9
#hpm

4:41 pm ctsinclair: Morrison presenting Harvey Max Chochinov MD, PhD, FRCPC FRSC with
@AAHPM Excellence in Research Award. focused on dignity for patients
#hpm

4:42 pm Pallimed: Biosketch on Harvey M. Chochinov, MD, PhD http://bit.ly/f546Gr from
National Palliative Care Research Center #hpm
4:42 pm ctsinclair: Chochinov - 'going to sing a little ditty, that may undermine my dignity...'
#hpm

4:46 pm equijada: Chochinov rocking the house. "Heaven knows we're trying hard to make your
dying more fun" Related: @SteveMartinToGo #hpm

4:46 pm daleview: Best award acceptance ever - Dr. Chochinov sings and plays guitar - "we're
working hard to make your dying more fun" #hpm

4:47 pm gcooneymd: RT @hollyby: My tweets from today will be from the @AAHPM and
@HPNAinfo Annual Assembly in Vancouver. Last day! Great meeting!!
#HPM

4:47 pm ctsinclair: Congratulations to @AmericanCancer society for @AAHPM Presidential
Citation award for funding many palliative care initiatives #Cancer #hpm

4:47 pm jodyms: RT @ctsinclair: Congratulations to @AmericanCancer society for @AAHPM
Presidential Citation award for funding many palliative care initiatives
#Cancer #hpm

4:47 pm renee_berry: RT @daleview: Best award acceptance ever - Dr. Chochinov sings and plays
guitar - "we're working hard to make your dying more fun" #hpm

4:47 pm emarnold14: RT @ctsinclair Prelim Twit #'s from @AAHPM conf 300+users, 2000+
tweets, 300k+ accounts reached, 2.3M potential impressions #hpm
/Awesome!

4:49 pm hollyby: RT @ctsinclair: Prelim Twitter #s from @AAHPM conf - 300+users, 2000+
tweets, 300k+ accts reached, 2.3M potential impressions - thanks! #hpm

4:49 pm gcooneymd: RT @ctsinclair: Congratulations to @AmericanCancer for @AAHPM
Presidential Citation award for funding palliative care initiatives #HPM

4:50 pm ctsinclair: Dr. Otis Brawley, CMO from @AmericanCancer Society here to accept
award. Here is their Palliative Research page: http://bit.ly/h6uA63 #hpm

4:50 pm renee_berry: 'The @AmericanCancer Society is committed to promoting your ( #palliative
) research" Otis Webb Brawley MD #hpm

4:51 pm ssmithaahpm: Chochinov acceptance song most catchy tune since "Hey Soul Sister"
#aahpm #hpm

4:51 pm ctsinclair: Glad to hear new Quality of Life bills for health care that also address
payment reform being supported by @AmericanCancer #hcr #cancer #hpm

4:52 pm LZeefe: RT @ctsinclair: Glad to hear new Quality of Life bills for health care that also
address payment reform being supported by @AmericanCancer #hcr
#cancer #hpm

4:52 pm renee_berry: Otis Webb Brawley MD CMO of @AmericanCancer Society talks about
public policy collaboration improving access to pt centered care #hpm

4:53 pm ctsinclair: "We truly appreciate marching sidebyside w/ such great orgs as we move
forward to improve health care." - Brawley @AmericanCancer #hpm

4:53 pm gcooneymd: State of the Science: Goldstein and Anderson. Always a hit!! #HPM

4:53 pm ssmithaahpm: Thank you American Cancer Society for your support of palliative care and
survivorship initiatives #aahpm #hpm

survivorship initiatives #aahpm #hpm

4:54 pm MyrnaB23: Thanks to the ACS for their groundbreaking support!!! #hpm
4:54 pm renee_berry: Nathan Goldstein MD takes the stage @AAHPM for the state of the science
http://ow.ly/3ZDb7 #hpm

4:54 pm hollyby: RT @ctsinclair: Congrats @AmericanCancer for @AAHPM Presidential
Citation for funding palliative care initiatives #Cancer cc @djsampson #hpm

4:55 pm renee_berry: YES! RT @ssmithaahpm: Thank you @AmericanCancer Society for your
support of #palliative care and survivorship initiatives #aahpm #hpm

4:55 pm ctsinclair: Now up the @AAHPM State of the Science presented by Dr. Nathan
Goldstein (Mt. Sinai) and Dr. Wendy Anderson @UCSF #hpm

4:55 pm renee_berry: absolutely! RT @MyrnaB23: Thanks to the ACS for their groundbreaking
support!!! #hpm

4:56 pm dwensel: RT @ctsinclair: Now up the @AAHPM State of the Science presented by
Dr. Nathan Goldstein (Mt. Sinai) and Dr. Wendy Anderson @UCSF #hpm

4:56 pm ctsinclair: Goldstein - Canadians care about the 'U' and we highlight in our talk today.
"just like palliative care cares about the 'you'" #hpm

4:56 pm sophiasgarden: RT @ctsinclair: Congratulations to @AmericanCancer society for @AAHPM
#Cancer #hpm

4:57 pm MyrnaB23: The NEJM article re advanced NCSLCA and PC had more than 400 million
media impressions! #hpm

4:58 pm daleview: State of Science - Goldstein reports that Temel article on impact of pal care
on lung CA patients got 419 million media impressions #hpm

4:58 pm ctsinclair: 419 million media impressions for the Early #Palliative Care in Lung #Cancer
study published in @NEJM - holy cow! #hpm

4:59 pm dwensel: RT @ctsinclair: 419 million media impressions for the Early #Palliative Care
in Lung #Cancer study published in @NEJM - holy cow! #hpm

4:59 pm Pallimed: From the @Pallimed archives: Game Changer: Early PC for Lung #Cancer
Patients Improves QOL AND Median Survival http://bit.ly/drzChC #hpm

4:59 pm ssmithaahpm: RT @ctsinclair: 419 million media impressions for the Early #Palliative Care

5:00 pm renee_berry: RT @Pallimed: From the @Pallimed archives: Game Changer: Early PC for
Lung #Cancer Patients Improves QOL AND Median Survival
http://bit.ly/drzChC #hpm

5:01 pm Pallimed: Early #PalliativeCare for Patients w/ Metastatic Non?Small-Cell Lung
#Cancer- @NEJM http://bit.ly/bGnsyx via Goldstein #hpm freepdf

5:01 pm renee_berry: RT @ctsinclair: 419 million media impressions for the Early #Palliative Care

5:01 pm equijada: Goldstein: Palliative Care Extends Life of Lung Cancer Patients
http://nyti.ms/hw1aM0 Related: http://bit.ly/gMZ4uu #hpm

5:01 pm MyrnaB23: Would be very interesting to repeat the NSCLCA study with a more
ethnically diverse population. #hpm

5:02 pm MyrnaB23: PC arm patients in the study had decrease in depression - improvement in
QofL #hpm

5:02 pm ctsinclair: RT @MyrnaB23: Would be very interesting to repeat the NSCLCA study with
a more ethnically diverse population. "agreed" #hpm

5:02 pm hollyby: RT @ctsinclair: 419 M media impressions for the Early #Palliative Care in
Lung #Cancer study published in @NEJM - http://bit.ly/bbRF9n #hpm

5:03 pm ctsinclair: This study is important because it demonstrates benefit AND lack of harm to
the wider health care audience - Goldstein #hpm


5:03 pm dwensel: RT @MyrnaB23: PC arm patients in the study had decrease in depression -
improvement in QofL #hpm

5:03 pm drpippa: RT @ctsinclair: Prelim Twitter #'s from @AAHPM conf - 300+users, 2000+
#hpm

5:03 pm MyrnaB23: This study grabbed the attention outside our immediate constituency. Early
#Palliative Care in Lung #Cancer study published in @NEJM #hpm

5:03 pm ctsinclair: RT @MyrnaB23: PC arm patients in the study had decrease in depression -
improvement in QofL - 'and the primary endpoint' #hpm

5:03 pm CAPCpalliative: @AmericanCancer Society has been at forefront of efforts to ensure
palliative and patient-centered care. Bravo! #palliative #aahpm #hpm

5:04 pm ctsinclair: Goldstein - Be careful not to overgeneralize this study. "Agree we can set up
false hope, which would not be in our nature" #hpm

5:04 pm renee_berry: 'early palliative care integrated w/standard oncologic care = important'
@AAHPM #hpm

5:05 pm renee_berry: RT @ctsinclair: Goldstein - Be careful not to overgeneralize this study.
"Agree we can set up false hope, which would not be in our nature" #hpm

5:05 pm LZeefe: RT @CAPCpalliative: @AmericanCancer Society has been at forefront of
efforts to ensure palliative and patient-centered care. Bravo! #palliative
#aahpm #hpm

5:05 pm renee_berry: RT @CAPCpalliative: @AmericanCancer Society has been at forefront of
#aahpm #hpm

5:06 pm DianeEMeier: RT @emarnold14: MT @drpippa Here's my quick summary of
@DianeEMeier 's Healthcare Reform talk @aahpm conference
http://tinyurl.com/5un7ytp #hpm / Excellent!

5:06 pm jodyms: RT @emarnold14: MT @drpippa Here's my quick summary of
@DianeEMeier 's Healthcare Reform talk @aahpm conference
http://tinyurl.com/5un7ytp #hpm / Excellent!

5:07 pm ctsinclair: Conference tip: big ballroom slides should not be white/yellow font on dark
slides. Brightness is never enough it seems #hpm

5:07 pm renee_berry: RT @DianeEMeier: RT @CDCgov: Chronic disease is leading cause of

5:07 pm DianeEMeier: RT @CAPCpalliative: @AmericanCancer Society has been at forefront of
#aahpm #hpm

5:07 pm Pallimed: From the @Pallimed Archives: RCT of Oxygen vs. Room Air (Delivered by a
Concentrator) http://bit.ly/bLtj9d - study cited by Goldstein #hpm

5:08 pm MyrnaB23: Breathlessness did not differ in a study of oxygen vs room air. #hpm

5:09 pm ctsinclair: Breathlessness did not differ between those who got oxygen or free air.
Oxygen may not be the key component. #hpm

5:09 pm hollyby: RT @Pallimed: @Pallimed Archives: RCT of Oxygen vs. Room Air (Delivered
by Concentrator) http://bit.ly/bLtj9d - cited by Goldstein #hpm

5:09 pm MyrnaB23: QofL did not differ between those who used Room Air vs Oxygen #hpm

5:10 pm DianeEMeier: RT @hollyby: RT @ctsinclair: 419 M media impressions for the Early
#Palliative Care in Lung #Cancer study published in @NEJM -
http://bit.ly/bbRF9n #hpm

5:10 pm MyrnaB23: Oxygen is often used at EOL without proven benefit. Anecdotally it may also
prolong the death. #hpm

5:10 pm dwensel: RT @ctsinclair: Breathlessness did not differ between those who got oxygen
or free air. Oxygen may not be the key component. #hpm

or free air. Oxygen may not be the key component. #hpm

5:10 pm renee_berry: Awesome Slides for the #hpm Tweetchat Wed 2/16/11 via
@PracticalWisdom http://ow.ly/3ZDqd #hospice #palliative

5:10 pm equijada: Goldstein: Refractory breathlessness: o2 v RA The Lancet : Volume 376,
Number 9743, 4 September 2010 http://bit.ly/gqQPfv #hpm

5:11 pm dwensel: RT @equijada: Goldstein: Refractory breathlessness: o2 v RA The Lancet :
Volume 376, Number 9743, 4 September 2010 http://bit.ly/gqQPfv #hpm

5:11 pm renee_berry: Wendy Anderson, MD Wendy Anderson, MD. Assistant Clinical Professor
Department of Medicine @UCSF #hcsmSV #hpm

5:12 pm equijada: Goldstein: Room Air Matches 02 for dyspnea relief http://bit.ly/hBmaLv
#hpm

5:13 pm melissaglassey: RT @ctsinclair: Prelim Twitter #'s from @AAHPM conf - 300+users, 2000+
#hpm

5:14 pm MyrnaB23: Study in prolonged ventilation - prior to admission, median dependency for
ADLs was 0. Very sobering on which to reflect #hpm

5:14 pm Pallimed: From @Pallimed Archives: Prognosis of prolonged mech ventilation
http://bit.ly/cjjQNv '3 for 3 so far on state of the science!' #hpm

5:14 pm hollyby: Unroe article in Annals of Internal Medicine, on one-year trajectory of
prolonged mechanical ventilation patients- http://bit.ly/eQd5MR #hpm

5:15 pm MyrnaB23: Of the 56% of patients that survived on long term ventilation - 49% reported
poor quality of life #hpm

5:15 pm dwensel: From @Pallimed Archives: Prognosis of prolonged mech ventilation
http://bit.ly/cjjQNv 3 for 3 so far on state of the science! #hpm

5:16 pm ctsinclair: RT @hollyby: Unroe article in @AnnalsofIM , on 1-year trajectory of
prolonged mechanical ventilation patients- http://bit.ly/eQd5MR #hpm

5:16 pm renee_berry: RT @MyrnaB23: Of the 56% of patients that survived on long term ventilation

- 49% reported poor quality of life #hpm
5:17 pm DianeEMeier: RT @dwensel: RT @equijada: Goldstein: Refractory breathlessness: o2 v
RA The Lancet : Volume 376, Number 9743, 4 September 2010
http://bit.ly/gqQPfv #hpm

5:17 pm equijada: One Year Trajectories of Care and Resource Utilization for Recipients of
Prolonged Mechanical Ventilation http://bit.ly/fb70Uu #hpm

5:17 pm ctsinclair: Given high expectations from patients/families on outcomes from prolonged
mech ventilation - impt to understand morbidity/mortality #hpm

5:17 pm dwensel: RT @MyrnaB23: Of the 56% of patients that survived on long term ventilation
- 49% reported poor quality of life #hpm

5:17 pm ctsinclair: Anderson - One important weakness of the study is financial impact to the
family. #hpm

5:20 pm equijada: "It's not just what the doctor tells me:" Factors that influ... : Critical Care
Medicine http://bit.ly/dS4xWX #hpm

5:20 pm hollyby: Previously functional pts who recieved prolonged mechanical ventilation -
high mortality (44%) and poor quality of life after one year. #hpm

5:20 pm suzanakm: RT @dwensel: RT @MyrnaB23: Of the 56% of patients that survived on long
term ventilation - 49% reported poor quality of life #Hpm

5:20 pm dwensel: RT @equijada: "Its not just what the doctor tells me:" Factors that influ... :
Critical Care Medicine http://bit.ly/dS4xWX #hpm

5:20 pm DianeEMeier: RT @ctsinclair: RT @hollyby: Unroe article in @AnnalsofIM , on 1-year
trajectory of prolonged mechanical ventilation patients- http://bit.ly/eQd5MR
#hpm

5:21 pm Pallimed: "It's not just what the doctor tells me:" Factors influence surrogate decision

5:21 pm Pallimed: "It's not just what the doctor tells me:" Factors influence surrogate decision
makers from CriticalCareMedicine http://bit.ly/eAzWRR #hpm

5:21 pm emacartney: RT @capcpalliative: @AmericanCancer Society has been at forefront of
efforts to ensure #palliative and patient-centered care. Bravo! #hpm

5:21 pm Pallimed: Dang. We missed the last one. 3 for 4. #hpm

5:21 pm suzanakm: RT @equijada: "Its not just what the doctor tells me:" Factors that influ... :
Critical Care Medicine http://bit.ly/dS4xWX #Hpm

5:21 pm MyrnaB23: Surrogates estimated the patients likely survival at 69% - higher than actual
CriticalCareMedicine http://bit.ly/eAzWRR #hpm

5:21 pm DianeEMeier: RT @dwensel: From @Pallimed Archives: Prognosis of prolonged mech
ventilation http://bit.ly/cjjQNv 3 for 3 so far on state of the science! #hpm

5:22 pm ctsinclair: 79% rec'd prognostic info from docs, only 47% of families partially used that
info to help with dec making #hpm

5:22 pm dwensel: RT @Pallimed: Dang. We missed the last one. 3 for 4. That is still great
odds congrats #hpm

5:22 pm suzanakm: RT @DianeEMeier: RT @dwensel: From @Pallimed Archives: Prognosis of
prolonged mech ventilation http://bit.ly/cjjQNv #Hpm

5:22 pm suzanakm: RT @ctsinclair: 79% recd prognostic info from docs, only 47% of families
partially used that info to help with dec making #Hpm

5:23 pm ctsinclair: Multiple sources of information besides doctors prognostic info. Optimism,
intuition, faith, patient's appearance, responses #hpm

5:23 pm suzanakm: Surrogates want to be optimistic: perceive that this improves survival #Hpm

5:23 pm equijada: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% -
higher than actual CriticalCareMedicine http://bit.ly/eAzWRR #hpm

5:24 pm suzanakm: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% -
higher than actual CriticalCareMedicine http://bit.ly/eAzWRR #Hpm

5:24 pm ctsinclair: Patient's History of Survival, intrinsic qualities, perceived will to live, power of
support played role in surrogate decision making #hpm

5:24 pm renee_berry: RT @Pallimed: "It's not just what the doctor tells me:" Factors influence
surrogate decision makers from CriticalCareMedicine http://bit.ly/eAzWRR
#hpm

5:24 pm ctsinclair: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% -

5:25 pm renee_berry: RT @MyrnaB23: Surrogates estimated the patients likely survival at 69% -

5:25 pm suzanakm: Power of support was believed to help people get better: interesting that in
physiatry literature supports this in brain injured pts. #Hpm

5:25 pm ctsinclair: Important take home about this study - we need to better
understand/support/listen how family/surrogates make medical decisions
#hpm

5:25 pm MyrnaB23: Provider-surrogate concordance about prognosis is often very poor. Info from
providers is only one source fam usehttp://bit.ly/eAzWRR #hpm

5:26 pm Doctor_V: Dayyyy-am, these palliative folks are social #hpm

5:26 pm suzanakm: Conceptual model of prognostic communication: sharing understanding
between parties. #Hpm

5:26 pm ctsinclair: Anderson - this data should inform the conceptual model of prognostic
communication. Shared understanding v. unidirectional #hpm

5:26 pm suzanakm: Surrogates bring in multiple sources for their perceived prognosis of patient -
far beyond what the doctor says. #Hpm

5:27 pm ctsinclair: RT @Doctor_V: Dayyyy-am, these palliative folks are social. "Yes we are!
We do like to communicate after all." #hpm

We do like to communicate after all." #hpm

5:27 pm nhdd: RT @ctsinclair - we need to better understand/support/listen how
family/surrogates make medical decisions #hpm #HaveTheTalk

5:27 pm drpippa: Discussing prognosis with patients should not be unidirectional, but rather a
discussion with pt and family. #hpm

5:27 pm equijada: Blood -- End-of-life experience of children undergoing stem cell
transplantation for ... http://bit.ly/hgZ4nm #hpm

5:28 pm dwensel: RT @drpippa: Discussing prognosis with patients should not be
unidirectional, but rather a discussion with pt and family. #hpm

5:28 pm ctsinclair: Everyone in #hpm go read @Doctor_V blog 33 Charts ? medicine. health.
(social) media. http://bit.ly/eSgL9x You will learn a lot.I have. #hpm

5:28 pm suzanakm: RT @equijada: Blood -- End-of-life experience of children undergoing stem
cell transplantation for ... http://bit.ly/hgZ4nm #Hpm

5:28 pm drpippa: RT @ctsinclair: Multiple sources of information besides doctors prognostic
info. Optimism, intuition, faith, patient's appearance, responses #hpm

5:29 pm ctsinclair: RT @equijada: Blood-End-of-life experience of children undergoing stem cell
transplantation for ... http://bit.ly/hgZ4nm 'thanks Earl' #hpm

5:29 pm klxmedia: Increasing Public Access To Quality Online Health Info RT @Doctor_V
Dayyyy-am, these #palliative folks are social #hpm #HealthLit

5:29 pm jodyms: RT @ctsinclair: RT @Doctor_V: Dayyyy-am, these palliative folks are social.
"Yes we are! We do like to communicate after all." #hpm

5:29 pm hollyby: RT @ctsinclair: Everyone in #hpm go read @Doctor_V blog 33 Charts ?
medicine. health. (social) media. http://bit.ly/eSgL9x #hpm

5:30 pm Pallimed: Alright missed the last two articles in State of the Science. 3 for 5. #hpm

5:30 pm renee_berry: @Doctor_V :) thanks for the shout out Bryan! We #hpm folks appreciate it!

5:30 pm suzanakm: RT @klxmedia RT @Doctor_V Dayyyy-am, these #palliative folks are social
#hpm #HealthLit #Hpm

5:31 pm dwensel: RT @equijada: Blood -- End-of-life experience of children undergoing stem
cell transplantation for ... http://bit.ly/hgZ4nm #hpm

5:31 pm klxmedia: yes! RT @hollyby RT @ctsinclair Everyone in #hpm --> read @Doctor_V
blog 33 Charts ? medicine. health. (social) media. http://bit.ly/eSgL9x

5:32 pm LZeefe: RT @ctsinclair: Everyone in #hpm go read @Doctor_V blog 33 Charts ?
medicine. health. (social) media. http://bit.ly/eSgL9x You will learn a lot.I
have. #hpm

5:55 pm suzanakm: RT @drpippa: Volandes work on dementia & cancer: patients who see realty
of life prolonging care make different decisions. #Hpm

5:55 pm nhdd: RT @MyrnaB23: Compare: pts who received verbal narrative vs pts who
viewed a video re EOL care options were more likely to prefer comfort care
#hpm

5:55 pm MyrnaB23: Imagine carrying the videos on our IPads and watching WITH pts and
families - observing and companioning #hpm

5:55 pm stales: RT @ctsinclair: Multiple sources of information besides doctors prognostic
info. Optimism, intuition, faith, patient's appearance, responses #hpm

5:56 pm stales: RT @ctsinclair: 79% rec'd prognostic info from docs, only 47% of families
partially used that info to help with dec making #hpm

5:56 pm stales: RT @ctsinclair ctsinclair 419 mil. media impressions for the Early #Palliative
Care in Lung #Cancer study published in @NEJM, holy cow #hpm

5:57 pm drpippa: Absolutely @nhdd: 'videos are meant to supplement conversations not
replace' Wendy Anderson MD @UCSF http://ow.ly/3ZEgG #hpm
#HaveTheTalk

6:00 pm DianeEMeier: RT @Pallimed: Fantastic slidedeck made by @practicalWisdom for #HPM

6:00 pm DianeEMeier: RT @Pallimed: Fantastic slidedeck made by @practicalWisdom for #HPM
Tweetchat 2/16/2011 http://slidesha.re/hauJUz #hcsm

6:00 pm MyrnaB23: Tribble quote: Rxment of pneumonia in adv dementia confers av survival of 9
more mo; rendering hospice "inelgible" #hpm
6:00 pm dwensel: RT @DianeEMeier: RT @Pallimed: Fantastic slidedeck made by
@practicalWisdom for #HPMTweetchat 2/16/2011 http://slidesha.re/hauJUz
#hcsm #hpm

6:00 pm MyrnaB23: Twaddle and Tribble really need to publish together - but who would take it
seriously? #hpm

6:02 pm hollyby: Video use in advance care planning in glioma pts. significantly impacted
decisions - Volandes art in J Clin Onc http://bit.ly/gLtPMg #hpm

6:02 pm MyrnaB23: intr.v. twad·dled, twad·dling, twad·dles. To talk foolishly; prate. n. Foolish,
trivial, or idle talk or chatter. #hpm

6:05 pm MeetVancouver: Today's our last day onsite for @AAHPM @HPNAInfo #hpm. We're here till
3pm; come by & tell us what you loved most about Vancouver!

6:05 pm comalliwrites: RT @suzanakm: RT @hollyby: Kids who die after stem cell transplant have
more symptom burden and less end of life planning than non-SCT kids.
#Hpm

6:05 pm MeaningComfort: Geriatric education?s future imperiled in Congress! Act now to help! (per
Geripal) http://bit.ly/hxAFSJ #hpm

6:07 pm drpippa: RT @hollyby: Video use in advance care planning in glioma pts. significantly
impacted decisions - Volandes art in J Clin Onc http://bit.ly/gLtPMg #hpm

6:09 pm nhdd: It is so great to see so many advance care planning tweets from the #hpm
conference

6:12 pm drpippa: Challenge to evaluate evidence on agitation in dementia bc no clear
agreement on definitions - mood/behavior/psychosis/etc #hpm

6:13 pm ctsinclair: @suzanakm I want the videos too #hpm

6:14 pm daleview: hey quality task force peeps - we need you over in rm 115 for committee
meeting #hpm

6:16 pm equijada: @MyrnaB23 Twaddles Tweets are Twantanstic #fastlearner #hpm

6:17 pm AAHPM: Congrats PDIA Ntnl Leadership Award Winner Robert M. Arnold, MD,
FAAHPM; PDIA Community Leadership Award Winner Ira Byock, MD,
FAAHPM #hpm

6:19 pm AAHPM: Congrats to Distinguished Service Award Winner Charles Sasser, MD FACP
FAAHPM #hpm

6:20 pm AAHPM: Congrats, Josefina B. Magno Distinguished Hospice Phys. Award Winner
Charles V. Wellman, MD FAAHPM #hpm

6:21 pm AAHPM: Congrats to Lifetime Achievement Award Winner Charles F. von Gunten, MD
PhD FACP FAAHPM #hpm

6:21 pm RossJeanette: Gonzalez extubation at home: we need to get commitment from Family and
clinicians #HPM

6:22 pm AAHPM: Congrats to Excellence in Scientific Research in Palliative Care Award
Winner Harvey M. Chochinov, MD PhD FRCPC FRSC #hpm

6:23 pm AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD MPH MA #hpm

6:23 pm drpippa: link for info on Volandes ACP videos - www.acpdecisions.org @equijada
@myrnaB23 @ctsinclair @suzanakm #hpm

6:23 pm MyrnaB23: Award Winner Harvey M. Chochinov, MD PhD FRCPC FRSC is a
Renaissance man #hpm

6:26 pm AAHPM: Congrats to AAHPM Presidential Citation Award Winners Senator Sharon
Carstairs, Lynn Spragens and the American Cancer Society #hpm

Carstairs, Lynn Spragens and the American Cancer Society #hpm

6:26 pm renee_berry: yes, congratulations RT @AAHPM Congrats to Humanities Award Winner
@Atul_Gawande MD MPH MA #hpm

6:27 pm RossJeanette: Gonzalez home extubation: is autonomy respected? How and who are we
helping? Do goals of care match? #HPM

6:29 pm renee_berry: Listening to @LisaDMorgan w/ @CAPCPalliative discussing the crucial
importance of the language of #palliative care & staying on message #hpm

6:29 pm AAHPM: Special thanks to Developing Countries Scholars Quach Thanh Khanh, MD
MS, Eddie Mwebesa, MMed MD ChB and Bishnu Dutta Paudel MD #hpm

6:30 pm renee_berry: "Stories resonate & that we have a lot of compelling ones to tell in #palliative
care? - @LisaDMorgan w/ @CAPCPalliative #hpm

6:31 pm hollyby: RT @AAHPM: Special thx to Developing Countries Scholars Quach Thanh
Khanh, MD MS, Eddie Mwebesa, MMed MD ChB & Bishnu Dutta Paudel
MD #hpm

6:31 pm renee_berry: ?it?s easy to get into the jargon of the field, try to use every day language?
@LisaDMorgan w/ @CAPCPalliative #palliative #hpm

6:31 pm RossJeanette: Gonzalez home extubation: cost to consider ventilator, nursing,RT, MD time
and may need to check electric circuit of home #HPM

6:32 pm ssmithaahpm: Attending planning session for #AAHPM #HPNA Annual Assembly in
Denver. Great leadership and ideas! #hpm

6:33 pm hollyby: Media training boot camp @AAHPM: Stay on message. Avoid jargon. Use
plain language. Be confident. #hpm

6:36 pm RossJeanette: Gonzalez home extubation: have all IDT at time of withdrawing the ventilator,
prepare family for postextubation scenarios #HPM

6:36 pm hollyby: Media training boot camp: "Bridging" = Transition from the media question,
back to what you want to talk about. #hpm

6:41 pm DrJESimon: RT @ctsinclair: CPR preferences after having video viewing. #hpm (there
may be some biases in patient selection) http://twitpic.com/41imdy

6:42 pm DrJESimon: @ctsinclair anyone found the ACP video on internet? They mentioned non-
profit is producing it would be good to widely available utube?#hpm

6:43 pm RossJeanette: Home extubation: consider Proportional palliative sedation. As discussed in
Ann int med 2009:151:421-424 #HPM

6:44 pm drpippa: Good advice for all communication! MT @hollyby: Media training @AAHPM:
Stay on message. Avoid jargon. Use plain language. Be confident. #hpm

6:45 pm equijada: Scott Irwin @SanDiegoHospice : 9 - 25 pt helped : 1 pt harmed re:
antipsychotics benefits v. risks #hpm

6:48 pm westr: RT @renee_berry: yes, congratulations RT @AAHPM Congrats to
Humanities Award Winner @Atul_Gawande MD MPH MA #hpm
6:48 pm DrLaura04: Prelim Twitter #'s from @AAHPM conf- 300+users, 2000+ tweets, 300k+
accts reached, #hpm @ctsinclair "thanks from those of us stuck at home!"

6:52 pm ctsinclair: RT @drpippa: link for info on Volandes ACP videos - www.acpdecisions.org
cc @DrJESimon #hpm

6:53 pm drpippa: "black box warnings (on drugs) are not a do not enter sign, they are a
proceed with caution sign." Scott Irwin @Sandiegohospice #hpm

6:56 pm KathleenPacurar: RT @AAHPM: Congrats to Lifetime Achievement Award Winner Charles F.
von Gunten, MD PhD FACP FAAHPM #hpm

6:58 pm MyrnaB23: I remember when Charles was a Fellow - he dazzled us even then. Congrats
my dear friend! #hpm

7:00 pm hollyby: Media training boot camp: Carefully choose which interviews you want to do,
be very cautious with those that may be antagonistic. #hpm

7:00 pm DianeEMeier: RT @ctsinclair: RT @drpippa: link for info on Volandes ACP videos -

2/23/2011
7:00 pm Transcript for #hpm - What the Hashtag?!
DianeEMeier: RT @ctsinclair: RT @drpippa: link for info on Volandes ACP videos -
www.acpdecisions.org cc @DrJESimon #hpm

7:02 pm hollyby: Media relations toolkit on @CAPCpalliative website http://bit.ly/dEWfXd
#hpm

7:02 pm DianeEMeier: RT @hollyby: Media training boot camp: "Bridging" = Transition from the
media question, back to what you want to talk about. #hpm

7:02 pm DianeEMeier: RT @hollyby: Media training boot camp @AAHPM: Stay on message. Avoid
jargon. Use plain language. Be confident. #hpm

7:03 pm DianeEMeier: RT @AAHPM: Congrats to AAHPM Presidential Citation Award Winners
Senator Sharon Carstairs, Lynn Spragens and the American Cancer Society
#hpm

7:06 pm dwensel: go over to http://www.aahpmblog.org/ and read about Facing Death. Just
finished blog about session. #hpm

7:07 pm dwensel: please leave comments while you visit. #hpm

7:08 pm DianeEMeier: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD
MPH MA #hpm

7:10 pm sgriz: Great news-congrats! RT @KathleenPacurar RT @AAHPM: Congrats to
Lifetime Achievement Award Winner @CvonGunten, MD PhD FACP
FAAHPM #hpm

7:11 pm DianeEMeier: RT @ctsinclair: CPR preferences after having video viewing. #hpm (there
may be some biases in patient selection) http://twitpic.com/41imdy

7:11 pm gcooneymd: Agitation in dementia patients - wish there were better answers! Great
presentation- check out slides if you missed it. #HPM

7:12 pm lfettig: Pallimed list of AAHPM "State of Science" Studies http://ow.ly/3ZFG2 #hpm

7:12 pm gcooneymd: Bella Gelaterria: tonight is 'Persian Night' - can you imagine the flavors???
#HPM

7:15 pm LVADone: RT @hollyby: Media training boot camp: Prepare by finding out about the
interview beforehand. Think about the common questions for HPM. #hpm

7:15 pm LVADone: RT @hollyby: Media relations toolkit on @CAPCpalliative website
http://bit.ly/dEWfXd #hpm
7:17 pm dwensel: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies
http://ow.ly/3ZFG2 #hpm

7:21 pm dwensel: Now in physician leadership with Bull and Twaddle #hpm

7:22 pm dwensel: Leadership involves integrating, and delegating. #hpm

7:23 pm dwensel: Leadership models: The Servant Leader is a good model for our field. One
who inspires, speak to vision and align goals. #hpm

7:24 pm gcooneymd: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies
http://ow.ly/3ZFG2 #HPM

7:24 pm dwensel: It is not about control and management. Not about being the BOSS but
being present for others and letting go of our ego. #hpm

7:25 pm dwensel: Leadership is about paying attention, and requires love of our organizations
and people. #hpm

7:26 pm dwensel: Situational Leader: no single best style, most effective are those who adapt
to bring out the best in others. #hpm

7:28 pm dwensel: Telling, selling, participating, and delegating are the characters of the
situational leader. #hpm

7:28 pm DONALDHTAYLORJR: RT @drpippa: Wish you were at @DianeEMeier's Healthcare Reform talk
today? I wrote up a quick summary for @aahpm blog
http://tinyurl.com/5un7ytp #hpm

7:29 pm MeaningComfort: #hpm advocate says "Palliative care can start with diagnosis & allows
restorative/curative treatment" gets people to want to know more.

restorative/curative treatment" gets people to want to know more.

7:31 pm dwensel: Role of CEO and CMO. Critical relationship and good understanding of
where the organization is going. #hpm

7:32 pm dwensel: CEO perspective: understanding the challenges they face and making the
argument that Docs make a difference. #hpm

7:33 pm suzanakm: Listening to #Chochinov - Dignity and qualitative approaches... The rigor of
doing qualitative analysis is remarkable! #Hpm

7:34 pm suzanakm: RT @dwensel: Telling, selling, participating, and delegating are the
characters of the situational leader. #Hpm

7:34 pm dwensel: FourSeasons census of 250 with 5.5 FTE's and bill about 90% of FTF visits.
#hpm

7:34 pm suzanakm: Chochinov: if you are doing qualitative research and haven't gotten to the
point that you hate the data, you haven't looked deep enough #Hpm

7:35 pm ctsinclair: RT @dwensel: FourSeasons census of 250 with 5.5 FTEs and bill about
90% of FTF visits. 'Wow' #hpm

7:36 pm ctsinclair: In case conferences session. Nice to see it thriving after starting from the
PITSIG in 2006/7? #hpm

7:36 pm bachinsky: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD
MPH MA #hpm

7:36 pm dwensel: Can build a model to support physicians by setting clear expectations about
role and goal setting. #hpm

7:36 pm dwensel: RT @ctsinclair: In case conferences session. Nice to see it thriving after
starting from the PITSIG in 2006/7? Thanks to You!!! #hpm

7:37 pm ctsinclair: Now up Dr. Christian Chen from @VCUMedicalNews "The guy who came in
from the cold: Inaccurate prognostication with induced hypothermia" #hpm

7:39 pm ctsinclair: Induced/Therapeutic Hypothermia for patients after cardiac arrest first
published in 2002. 55% v 39% favorable neuro outcome NNT 6 #hpm

7:39 pm dwensel: Having a job description is key. Sets clear expectations and base them on
the ACGME competencies. #hpm

7:40 pm suzanakm: The most frequently downloaded article on @virtualhospice 'When death is
near' http://bit.ly/dZlOFX #Hpm

7:40 pm suzanakm: RT @ctsinclair: Dr. C. Chen @VCUMedicalNews "The guy who came in
from the cold: Inaccurate prognostication with induced hypothermia" #Hpm

7:41 pm ctsinclair: RT @drpippa: Wish you were at @DianeEMeiers Healthcare Reform talk
Fri? Quick summary for @aahpm blog http://tinyurl.com/5un7ytp #hpm

7:43 pm dwensel: To be effective in role of CMO must have time to lead with administrative
support. #hpm

7:45 pm ctsinclair: Reliability of 2006 @AANMember guidelines may not reflect the current
practice and outcomes of current post-cardiac arrest care - Chen #hpm

7:45 pm suzanakm: ABCDs: Humanities of care as core competencies in healthcare: attitude, ...
#Hpm

7:45 pm degamuna: RT @hollyby: Media training boot camp @AAHPM: Stay on message. Avoid
jargon. Use plain language. Be confident. #hpm

7:46 pm suzanakm: Chochinov: patients shared loss of purpose: this is the definition, of being an
inanimate burdensome object - to be there w/o meaning. #Hpm

7:46 pm ctsinclair: Malignant EEG findings: Triphasic waves, burst suppression,
alpha/theta/spindle, generalized suppression #hpm

7:46 pm suzanakm: RT @degamuna: RT @hollyby: Media training boot camp @AAHPM: Stay
on message. Avoid jargon. Use plain language. Be confident. #Hpm

7:47 pm DrRobie: RT @ctsinclair: Induced/Therapeutic Hypothermia for patients after cardiac

2/23/2011
7:47 pm
DrRobie: RT @ctsinclair: Induced/Therapeutic Hypothermia for patients after cardiac
arrest first published in 2002. 55% v 39% favorable neuro outcome NNT 6
#hpm

7:47 pm suzanakm: RT @ctsinclair @drpippa: Wish you were at @DianeEMeiers Healthcare
Reform talk Fri? summary for @aahpm blog http://tinyurl.com/5un7ytp #Hpm

7:47 pm ctsinclair: Hypothermia may decrease the clearance of sedatives by effects on P450,
decreased distribution volume - Chen #hpm

7:49 pm suzanakm: What does it take to have a reflective practice? To question and to
have/practice humility CMAJ2010 182(11) #compassion #Hpm

7:49 pm equijada: RT @suzanakm: What does it take to have a reflective practice? To question
and to have/practice humility CMAJ2010 182(11) #compassion #Hpm

7:50 pm Pallimed: Here is the free pdf to the 2006 @AANmember post cardiac arrest comatose
survivors guidelines http://bit.ly/gWqZjk #hpm
7:50 pm suzanakm: RT @Pallimed: Here is the free pdf to the 2006 @AANmember post cardiac
arrest comatose survivors guidelines http://bit.ly/gWqZjk #Hpm

7:51 pm dwensel: Now reviewing a plan to reduce cost of medications per day per participant
from 8.50 down to 7.50. #hpm

7:51 pm suzanakm: #compassion is the deep acknowledgement of suffering in another partnered
with the will to relief it. -Chochinov #Hpm

7:52 pm ctsinclair: @equijada @suzanakm I love that @CMAJ_News articles are all
#openaccess free pdfs! #OA #hpm

7:52 pm PracticalWisdom: RT @suzanakm: #compassion is the deep acknowledgement of suffering in
another partnered with the will to relief it. -Chochinov #Hpm

7:52 pm suzanakm: Chochinov- pathways to compassion: humanities, social sciences, arts...
We are all different, we arrive there in unique ways. #Hpm

7:52 pm dwensel: After putting plan in place was able to get cost down to 6.86 and was a
savings of 171k in one year. #hpm

7:53 pm suzanakm: RT @ctsinclair: @equijada @suzanakm I love that @CMAJ_News articles
are all #openaccess free pdfs! #OA #Hpm

7:53 pm ctsinclair: Now up "Why hasn't my loved one died yet?" - Dr. Quy Tran fellow
@Stanford - may sound callous, but families struggle w/ this often #hpm

7:54 pm ebonyjwriter: RT @ctsinclair: Congratulations to @AmericanCancer society for @AAHPM
#Cancer #hpm

7:54 pm ctsinclair: Tran - Much of the problem may come from accuracy/estimates of
prognostication. 'I need to get him connected with me and Paul Glare" #hpm

7:54 pm thedarkyew: RT @ctsinclair: Now up "Why hasn't my loved one died yet?" - Dr. Quy Tran
fellow @Stanford - may sound callous, but families struggle w/ this often
#hpm

7:54 pm Adeuxmains: RT @suzanakm: RT @ctsinclair: @equijada @suzanakm I love that
@CMAJ_News articles are all #openaccess free pdfs! #OA #Hpm

7:55 pm suzanakm: RT @ctsinclair: "Why hasnt my loved one died yet?" - Dr. Tran fellow
@Stanford - may sound callous, but families struggle w/ this often #Hpm

7:56 pm equijada: RT @suzanakm: RT @ctsinclair: "Why hasnt my loved one died yet?" - Dr.
Tran fellow @Stanford - may sound callous, but families struggle w/ this
often #Hpm

7:57 pm ctsinclair: Tran - Used many diff prognostic indices - "may tend to be less accurate,
apply to groups, output not in helpful way to communicate" #hpm

7:57 pm suzanakm: RT @ctsinclair: Congrats @AmericanCancer society for @AAHPM
Presidential Citation award for funding palliative care initiatives #Cancer
#Hpm

7:58 pm ctsinclair: @ctsinclair Thanks for your RT from the #hpm conference. Much

7:58 pm ctsinclair: @ctsinclair Thanks for your RT from the #hpm conference. Much
appreciated.

7:59 pm suzanakm: Advice from Dr. Foley to Chochinov: just put in your article 'physicians

should just not be jerks' -lessons from #Osler #Hpm
7:59 pm dwensel: Performance evaluation: Identify issues, set a plan, and have the person tell
you how they will address issues and when. #hpm

8:00 pm ctsinclair: RT @suzanakm: Advice from Foley to Chochinov: just put in article
physicians should just not be jerks-lessons from Osler #epatient #hpm

8:00 pm Nurse2103: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD
MPH MA #hpm

8:00 pm suzanakm: Great questions: "what should I know about you as a person to help me take
the best care of you that i can?" #Hpm

8:01 pm ctsinclair: Tran- "Make new survival estimates based on a change in patient status -
most important to understand this is an iterative process" #hpm

8:02 pm jodyms: RT @suzanakm: Advice from Dr. Foley to Chochinov: just put in your article
'physicians should just not be jerks' -lessons from #Osler #Hpm

8:02 pm ctsinclair: RT @Nurse2103: RT @AAHPM: Congrats to Humanities Award Winner Atul
Gawande, MD 'also online @Atul_Gawande and a fan of Radiohead!' #hpm

8:02 pm suzanakm: Chochinov #Dignity question: "What should I know about you as a person to
help me take the best care of you that I can?" #MDChat #Hpm

8:02 pm ctsinclair: @suzanakm would find many people may not know how to answer that
question #hpm

8:02 pm suzanakm: RT @Nurse2103: RT @AAHPM: Congrats to Humanities Award Winner Atul
Gawande, MD MPH MA #Hpm

8:04 pm suzanakm: Congrats @Atul_Gawande #Hpm

8:04 pm MeaningComfort: Patient-centered care needs health insurers? compliance. 2 sobering
NYTimes pieces http://nyti.ms/f4M1NN http://nyti.ms/fV7yBD #hpm

8:05 pm dwensel: We need to do behavioral interviews to help place the right person in the
right job. #hpm

8:06 pm equijada: @suzanakm yes, I use this and yes @ctsinclair difficult to answer. I don't
use this phrasing regularly #hpm

8:06 pm ctsinclair: Wow, this assembly helped me zoom past 11,000 tweets and I didn't even
celebrate! ;-) #hpm

8:07 pm MeredithGould: @ctsinclair *confetti* (as @DrSnit would tweet!) #hpm

8:07 pm dwensel: RT @ctsinclair: Wow, this assembly helped me zoom past 11,000 tweets
and I didnt even celebrate! ;-) YEA!!! #hpm

8:07 pm Nutrition4IBS: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD
MPH MA #hpm

8:08 pm suzanakm: @equijada @ctsinclair - what wording do you use? #Hpm

8:08 pm suzanakm: RT @dwensel: We need to do behavioral interviews to help place the right
person in the right job. #Hpm

8:08 pm equijada: @suzanakm I use this phrasing sometimes, "what makes you famous?"
#hpm

8:09 pm dwensel: What does it mean to be a physician leader? Find the skill set, build

relationship with CEO, servant leadership is best model. #hpm
8:09 pm annemiekeh: RT @suzanakm: Advice from Dr. Foley to Chochinov: just put in your article
'physicians should just not be jerks' -lessons from #Osler #Hpm

8:11 pm equijada: @suzanakm @ctsinclair I use it how Chochinov states: "anything I should
know about you to take better care of you..." #hpm

8:11 pm suzanakm: @equijada really? How does that work? Think it is Southern Cali specific

8:11 pm suzanakm: @equijada really? How does that work? Think it is Southern Cali specific
question? #Hpm

8:12 pm PracticalWisdom: Thank You! RT@renee_berry Awesome Slides for the #hpm Tweetchat Wed
2/16/11 via @PracticalWisdom http://ow.ly/3ZDqd #hospice #palliative

8:13 pm EllenRichter: The waters are so muddied! "Administration Seeks Clarity From Judge on
#Health Ruling" http://nyti.ms/dK1qOW #HCR #hcsm #RNchat #MDchat
#hpm

8:17 pm equijada: @suzanakm M e"what makes you famous?" Pt "I don't know" Me "everyone
is famous for something.." Pt "I'm a great mom" #hpm #somethinglikethat

8:17 pm PracticalWisdom: RT @equijada: @suzanakm M e"what makes you famous?" Pt "I don't
know" Me "everyone is famous for something.." Pt "I'm a great mom" #hpm
#somethinglikethat

8:19 pm PracticalWisdom: @DianeEMeier:Thank you for the RT. Fantastic slidedeck made by
@practicalWisdom for #HPM Tweetchat 2/16/2011 http://slidesha.re/hauJUz
#hcsm

8:26 pm DianeEMeier: RT @suzanakm: #compassion is the deep acknowledgement of suffering in
another partnered with the will to relief it. -Chochinov #Hpm

8:27 pm PracticalWisdom: @dwensel: Thank you for the RT of my Slides: #HPM Tweetchat 2/16/2011
http://slidesha.re/hauJUz #hcsm Wanted 2 show the 5 Star folks #HPM

8:28 pm PracticalWisdom: RT @equijada: @suzanakm @ctsinclair I use it how Chochinov states:
"anything I should know about you to take better care of you..." #hpm

8:28 pm DianeEMeier: RT @gcooneymd: RT @lfettig: Pallimed list of AAHPM "State of Science"
Studies http://ow.ly/3ZFG2 #HPM

8:45 pm PracticalWisdom: @suzanakm: Susan, what makes you famous. : < ) #hpm

8:49 pm DianeEMeier: BBC on adv care planning and our own Bud Hammes! #hpm #palliative
http://news.bbc.co.uk/2/hi/programmes/world_news_america/9402281.stm

8:53 pm daitpcg: RT @suzanakm: The most frequently downloaded article on @virtualhospice
'When death is near' http://bit.ly/dZlOFX #Hpm

8:53 pm PracticalWisdom: So touched by the Ink coming @AAHPM. We often chat #HCSM & #HPM
why MD's would Benefit from SoMe. These Tweets would make MD decision
easy!

8:56 pm ssmithaahpm: Spectacular views at #AAHPM #HPNA closing plenary. Don't miss it! #HPM

8:57 pm daitpcg: RT @ctsinclair: RT @Nurse2103: RT @AAHPM: Congrats to Humanities
Award Winner Atul Gawande, MD 'also online @Atul_Gawande and a fan of
Radiohead!' #hpm

9:00 pm daitpcg: RT @dwensel: What does it mean to be a physician leader? Find the skill
set, build relationship with CEO, servant leadership is best model. #hpm

9:02 pm daitpcg: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes!
#hpm #palliative

9:12 pm lfettig: Highly rec using Canada line train to airport. Close to conv ctr, efficient, was
2.50 today. #hpm #vancouver

9:13 pm daitpcg: RT @dwensel: FourSeasons census of 250 with 5.5 FTE's and bill about
90% of FTF visits. #hpm

9:15 pm Vancouver_RT: RT @lfettig Highly rec using Canada line train to airport. Close to conv ctr,
efficient, was 2.50 today. #hpm #vancouver

9:16 pm daitpcg: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD
MPH MA #hpm

9:18 pm dwensel: Check out post at http://www.aahpm.org/apps/blog/?p=1031 just starting
with session #hpm

9:27 pm Adeuxmains: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes!
#hpm #palliative


9:28 pm Adeuxmains: RT @gcooneymd: RT @lfettig: Pallimed list of AAHPM "State of Science"
Studies http://ow.ly/3ZFG2 #HPM

9:38 pm hollyby: RT @lfettig: @Pallimed list of @AAHPM "State of Science" Studies

9:59 pm hollyby: Coming up... closing plenary for the @AAHPM and @HPNAinfo Annual
Assembly! #hpm

10:06 pm StacyRemke: #hpm: peds highlights include tours of canuck pl, competencies shared,
considering impact of dd on decision making.

10:29 pm maggiemahar: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD
MPH MA #hpm

10:30 pm wbgleason: RT @AAHPM: Congrats to Humanities Award Winner Atul Gawande, MD
MPH MA #hpm

10:36 pm renee_berry: RT @maggiemahar: RT @AAHPM: Congrats to Humanities Award Winner
Atul Gawande, MD MPH MA #hpm

10:39 pm ctsinclair: At the last session of @AAHPM @HPNAinfo conference. Great times, good
friends, good info. Reinvigorated to do good work at home. #hpm

10:39 pm revdoc: RT @ctsinclair: At the last session of @AAHPM @HPNAinfo conference.
Great times, good friends, good info. Reinvigorated to do good work at home.
#hpm

10:40 pm ctsinclair: Congrats @hollyby on your new letters. Holly Yang is now FAAHPM #hpm

10:42 pm ctsinclair: Now being awarded: @Atul_Gawande (in absentia) w/ @AAHPM Humanities
award for article Letting Go and other efforts in palliative care #hpm

10:43 pm dwensel: It has been so much fun to follow all of you this year on twitterchat! #hpm

10:43 pm Pallimed: 'Letting Go: #Hospice medical care for dying patients' in The New Yorker
http://nyr.kr/dNGfSM from @atul_gawande #hpm

10:43 pm renee_berry: RT @Pallimed: 'Letting Go: #Hospice medical care for dying patients' in The
New Yorker http://nyr.kr/dNGfSM from @atul_gawande #hpm

10:43 pm ctsinclair: RT @dwensel: It has been so much fun to follow all of you this year on
twitterchat! 'i'll second that' #hpm

10:44 pm dwensel: RT @Pallimed: Letting Go: #Hospice medical care for dying patients in The

10:45 pm dwensel: Can we get the final stats after the meeting? #hpm

10:46 pm ctsinclair: Now up @DianeEMeier from @CAPCPalliative presenting on "#Palliative
Care: The View From The Hill" #gov20 #hpm

10:46 pm gcooneymd: Diane Meier: My year in Washington. Be at the table oe be on the menu!
#HPM

10:46 pm ctsinclair: Funny! @DianeEMeier retitled her talk: "My Year in Washington: Be at the
table or be on the menu" #hpm

10:47 pm hollyby: "The secret of the care of the patient is caring for the patient." - Francis
Peabody 1921 quoted by @DianeEMeier #hpm

10:48 pm LVADone: RT @Pallimed: 'Letting Go: #Hospice medical care for dying patients' in The

10:48 pm ctsinclair: "The secret of the care of the patient is caring for the patient," - Francis
Peabody Harvard University 1921 via @DianeEMeier #hpm

10:48 pm dwensel: RT @hollyby: "The secret of the care of the patient is caring for the patient."
- Francis Peabody 1921 quoted by @DianeEMeier #hpm

10:48 pm gcooneymd: Optics matter and language matters #HPM

10:48 pm renee_berry: 'there is no policy change with out public engagement' - @DianeEMEier
#hpm

#hpm

10:48 pm ctsinclair: "We are not the audience; no public engagement, no policy change." -
@DianeEMeier #hpm

10:48 pm revdoc: RT @hollyby: "The secret of the care of the patient is caring for the patient."

10:49 pm renee_berry: 'there is no policy change with out public engagement - @DianeEMeier
#palliative care advocacy #hpm

10:50 pm renee_berry: RT @revdoc RT @hollyby "The secret of the care of the patient is caring for
the patient." - Francis Peabody 1921 quoted by @DianeEMeier #hpm

10:50 pm ctsinclair: American Nurses Association: Nurses advance our profession to improve
health for all - Meier #RNchat #hpm

10:50 pm renee_berry: "together we will play an active role in shaping the future of medicine"
@DianeEMEier #palliative #hpm

10:51 pm LVADone: RT @hollyby: "The secret of the care of the patient is caring for the patient."

10:51 pm LVADone: RT @ctsinclair: American Nurses Association: Nurses advance our
profession to improve health for all - Meier #RNchat #hpm

10:52 pm ctsinclair: @maggiemahar thanks for tweeting/following from the AAHPM conference
on #hpm Hospice and Palliative Medicine. Very appreciated

10:52 pm hollyby: The ends of U.S. medicine should be "To cure sometimes, relieve often,
comfort always." - Meier #hpm
10:52 pm LVADone: RT @renee_berry: "together we will play an active role in shaping the future
of medicine" @DianeEMEier #palliative #hpm

10:52 pm dwensel: RT @ctsinclair: American Nurses Association: Nurses advance our
profession to improve health for all - Meier #RNchat #hpm

10:52 pm renee_berry: 'reasonable people can disagree' @DianeEMeier #hpm

10:52 pm hollyby: RT @maggiemahar: RT @AAHPM: Congrats to Humanities Award Winner
Atul Gawande, MD MPH MA #hpm

10:53 pm gcooneymd: Value = Quality/Cost #HPM

10:53 pm JEAlford: RT @renee_berry: 'reasonable people can disagree' @DianeEMeier #hpm

10:53 pm dwensel: RT @gcooneymd: Value = Quality/Cost #hpm

10:53 pm ssmithaahpm: Congratulations to all of the new #AAHPM Fellows! #hpm

10:54 pm renee_berry: '1/5 of GDP is spent on healthcare' @DianeEMeier #hpm

10:54 pm ctsinclair: RT @gcooneymd: Value = Quality/Cost 'and changes in both quality and
cost are needed!' #hpm

10:54 pm renee_berry: "healthcare spending is the number one threat to American's quality of life &
way of life" @DianeEMeier #hpm

10:54 pm renee_berry: RT @ssmithaahpm: Congratulations to all of the new #AAHPM Fellows!
#hpm

10:54 pm LVADone: RT @AAHPM: Social media shows our community is alive and thriving #hpm

10:55 pm ctsinclair: 82-83 90-94 2001-4 all were big increase in total expenditures of health care
on GDP. Wonder what the causes were? #hpm

10:55 pm mpf2011: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes,
relieve often, comfort always." - Meier #hpm

10:55 pm ctsinclair: FYI, slides from @DianeEMeier for closing session not on @AAHPM
website. Will try to encourage her to post online, open access. #hpm

10:55 pm LVADone: RT @GriefHealing: Congratulations to GeriPal: Best Clinical Weblog for


10:56 pm ctsinclair: 'no reform can be adequate without budgetary framework to consider both
benefit and costs.' Steurle and Bovbjerg - @HealthAffairs #hpm

10:56 pm dwensel: It would be great to get her stats and slides. #hpm

10:57 pm gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for service system
#HPM

10:57 pm renee_berry: ?we are addicted to fee for service & we need to detox? @DianeEMeier #hcr
#healthcare #hpm

10:57 pm ctsinclair: RT @gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for
service system 'so we don't have seizures!' #hcr #hpm

10:58 pm LVADone: RT @AAHPM: Sundance film features difficult and complex end-of-life
issues http://nyti.ms/hn2D8i #hpm

10:58 pm ctsinclair: FYI to #hpm tweeters can add #hcr if your tweet is very reform minded or
#gov20 if about new ways for govt to work #hpm

11:00 pm renee_berry: ?patients suffer, Charles Van Gunten says it?s ?medical torture? -
@DianeEMeier #hpm

11:00 pm renee_berry: @DianeEMeier calls on the audience @AAHPM Assembly to engage the
public w/social media for advocacy #hpm #advocate (open to all!) #hpm

11:00 pm ctsinclair: Conflict about use of term 'medical torture' when suffering is not addressed in
medicine - 'i dont like it myself, politics of fear' #hpm

11:00 pm renee_berry: RT @ctsinclair FYI to #hpm tweeters can add #hcr if your tweet is very
reform minded or #gov20 if about new ways for govt to work #hpm

11:00 pm ewidera: RT @ctsinclair: 'no reform can be adequate without budgetary framework to
consider both benefit and costs.' Steurle and Bovbjerg - @HealthAffairs
#hpm

11:00 pm equijada: RT @ctsinclair: Conflict about use of term 'medical torture' when suffering is
not addressed in medicine - 'i dont like it myself, politics of fear' #hpm

11:01 pm gcooneymd: Bend the cost curve: stop paying for things that don't work and capitation
(ACOs, bundling) #HPM

11:01 pm renee_berry: @ctsinclair "medical torture" is very strong language & there is a strong
situation (though I agree, may be too fear driven) #hpm

11:01 pm joshgriffin: RT @ctsinclair: FYI, slides from @DianeEMeier for closing session not on
@AAHPM website. Will try to encourage her to post online, open access.
#hpm

11:01 pm dwensel: RT @gcooneymd: Bend the cost curve: stop paying for things that dont work
and capitation (ACOs, bundling) #hpm

11:01 pm ctsinclair: Compariative Effecitveness Research - became politcal football - rationing,
death panels. #hpm

11:02 pm renee_berry: comparative effectiveness research helps us understand what is working &
what is not working for quality patient care #hpm

11:03 pm ctsinclair: ?US political discourse not yet mature enough to support realistic
discussion abt difficult subjects.? @Bob_Wachter via @DianeEMeier #hpm

11:03 pm renee_berry: @DianeEMeier discussing that 'doing nothing' language is NOT helpful to
anyone, it is simply not true #hpm

11:03 pm renee_berry: RT @ctsinclair: ?US political discourse not yet mature enough to support
realistic discussion abt difficult subjects.? @Bob_Wachter via
@DianeEMeier #hpm

11:04 pm gcooneymd: Detoxing in Affordable Care Act: bundled payment for an episode of care
#HPM

11:04 pm ctsinclair: I would enourage #HPM Tweeters to follow @Bob_Wachter as a key leader
in the hospitalist field. We need to work well with them. #hpm

in the hospitalist field. We need to work well with them. #hpm

11:05 pm joshgriffin: RT @renee_berry: ?patients suffer, Charles Van Gunten says it?s ?medical
torture? - @DianeEMeier #hpm

11:05 pm gcooneymd: More attn to quality, paying more for better quality #HPM
11:05 pm dwensel: @ctsinclair @Bob_Wachter Thanks for all the tweets to watch. It helps to
know where to look. #hpm

11:06 pm hollyby: 'We need to think of ourselves as the solution to our health care system
problem, not the stigmatized victim.' - Meier #hpm

11:06 pm renee_berry: "these new delivery & payment models need us (#palliative care) or they will
fail" @DianeEMeier #ACO #hpm

11:06 pm gcooneymd: RT @hollyby: We need to think of ourselves as the solution to our health
care system problem, not the stigmatized victim. - Meier #HPM

11:07 pm renee_berry: RT @hollyby We need to think of ourselves as the solution to our health
care system problem, not the stigmatized victim - @DianeEMeier #hpm

11:07 pm ctsinclair: Policy Goal: Add hospice and palliative care to the implementation of
accountable care orgs and medical homes #hcr #hpm

11:07 pm dwensel: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the
implementation of accountable care orgs and medical homes #hcr #hpm

11:08 pm hollyby: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the

11:08 pm renee_berry: 'improve access to #palliative care through persistence' @DianeEMeier
#hpm

11:08 pm gcooneymd: Joint Commision should require hospital to have a palliative care program
and a contract with one or more hospices #HPM

11:08 pm renee_berry: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the

11:09 pm consultdoc: @ctsinclair Kind of tough to have a continuum of care without Hospice and
palliative care if the goal is truly improved outcomes! #hpm #hcr

11:09 pm ctsinclair: Clarity and Consistency of Language that speaks to the Concerns of our
Audiences is Needed! - @DianeEMeier #hpm

11:10 pm renee_berry: "talking about 'the good death' is completely ineffective communications for
#hospice & #palliative care' @DianeEMeier #hpm

11:10 pm gcooneymd: Palliative care and hospice are all about matching treatment to patient goals
#HPM

11:10 pm hollyby: "Palliative care and hospice are about matching treatment to patient goals."
- @DianeEMeier #hpm

11:10 pm ctsinclair: RT @gcooneymd: @JointCommision should require hospital to have a
#palliative care program and a contract w/ #hospice #hcr #hpm

11:11 pm renee_berry: "it?s all about patient centered care, and not the throw away term, the
actuality of it" - @DianeEMeier #hpm

11:11 pm ctsinclair: @consultdoc Exactly! Thanks for joining in. Feel free to stick around. #hpm

11:11 pm ctsinclair: @gcooneymd Cool @JointCommission is on Twitter. Hope they are
listening. #hpm

11:11 pm gcooneymd: We need to work together and we need to speak with one voice #HPM

11:12 pm mpf2011: RT @hollyby: RT @ctsinclair: Policy Goal: Add hospice and palliative care
to the implementation of accountable care orgs and medical homes #hcr
#hpm
11:13 pm hollyby: RT @ctsinclair & @gcooneymd: @JointCommision should require hospital
to have a #palliative care program & a contract w/ #hospice #hcr #hpm

11:13 pm gcooneymd: Action: submit public comments when asked #HPM

11:13 pm gcooneymd: Action: submit public comments when asked #HPM

11:13 pm ctsinclair: So glad that @DianeEMeier made a strong ask to this audience to engage
online and in Social media. #hpm

11:13 pm renee_berry: "we need to use social media, this is how we create the movement that will
change policy" @DianeEMeier #hcsm #HealthLit #healthcare #hpm

11:13 pm renee_berry: #advocate RT @ctsinclair: So glad that @DianeEMeier made a strong ask
to this audience to engage online and in Social media. #hpm

11:13 pm gcooneymd: Action: establish a relationship with your representatives #HPM

11:14 pm dwensel: RT@ctsinclair:So glad that @DianeEMeier made a strong ask to this
audience to engage online and in Socialmedia.Not possible without you
#hpm

11:14 pm ctsinclair: Submit public comments when asked - they are taken extremely seriously
in Washington. Dont delete them like we all do - @DianeEMeier #hpm

11:14 pm hollyby: "Submit public comments when asked - they are taken extremely seriously
in Washington." via @DianeEMeier #hcr #hpm

11:14 pm renee_berry: "our issue is more bipartisan than any other" - @DianeEMeier #palliative
care advocacy #hcr #hpm

11:15 pm renee_berry: #BestPractice ?yes you should be tweeting AND yes you should meet in
person? @DianeEMeier (create meaningful relationships!) #hpm

11:15 pm ctsinclair: I totally agree w/ @DianeEMeier online relationships are enhanced with
offline meeting. Starting online can be a social lubricant #hpm

11:16 pm gcooneymd: Action: email your representatives when asked to do so. Don't delete that
message, even on a busy day! #HPM

11:16 pm renee_berry: @ctsinclair @DianeEMeier also agree, but it's not about 'schmooze' it's
about collaboration to increase public access to quality info #hpm

11:17 pm myhealthsocial: RT @renee_berry: "we need to use social media, this is how we create the
movement that will change policy" @DianeEMeier #hcsm #HealthLit
#healthcare #hpm

11:17 pm hollyby: RT @renee_berry: ?yes you should be tweeting AND yes you should meet
in person? @DianeEMeier (create meaningful relationships!) #hpm

11:17 pm Pallimed: Found alternative version of slides from @DianeEMeier http://bit.ly/h2IATi
#hpm #hcr #reform

11:18 pm dwensel: RT @Pallimed: Found alternative version of slides from @DianeEMeier
http://bit.ly/h2IATi #hpm #hcr #reform #hpm

11:18 pm gcooneymd: RT @renee_berry: "our issue is more bipartisan than any other" -
@DianeEMeier #palliative care advocacy #hcr #HPM

11:18 pm ctsinclair: RT @renee_berry: #BestPractice ?yes you should tweet AND meet in

person? @DianeEMeier (create meaningful relationships!) #hpm
11:19 pm renee_berry: ?the voice of the people is determinative so social media is a top priority?
@DianeEMeier #hcr #HealthLit #hpm

11:19 pm equijada: Weak links -> strong links. Connect even if all connections are not
meaningful. #letpassionfigureitout #hpm

11:19 pm ctsinclair: RT @suzanakm: @equijada @ctsinclair - what wording do you use? #Hpm
'not sure, more in the moment'

11:19 pm klxmedia: RT @equijada: Weak links -> strong links. Connect even if all connections
are not meaningful. #letpassionfigureitout #hpm

11:21 pm gcooneymd: HPM growth is an example of 'the art of the possible' @dianeemeier #HPM

11:21 pm hollyby: What has happened in hospice and palliative care in the last 25 years is an
example of the "art of the possible". via @DianeEMeier #hpm

11:22 pm ctsinclair: RT @hollyby: #Hospice and palliative care in the last 25yrs is example of
the "art of the possible" via @DianeEMeier #hpm

the "art of the possible" via @DianeEMeier #hpm

11:23 pm ctsinclair: Closing plenary speaker Dr. Jim Block "Gaining Institutional Understanding
and Support for Palliative Care" #hpm

11:24 pm ctsinclair: Need to be addressing Long Term Care issues in @DianeEMeier talk and
hopefully Dr. Jim Block's talk will. #hpm

11:24 pm renee_berry: RT @hollyby #Hospice & palliative care in the last 25yrs is example of the
"art of the possible" via @DianeEMeier #hpm

11:25 pm KatieBe_NC: RT @ctsinclair: Funny! @DianeEMeier retitled her talk: "My Year in
Washington: Be at the table or be on the menu" #hpm

11:25 pm ctsinclair: RT @cmeadvocate: Top 100 learning tools for 2009 - http://slidesha.re/bo7Jd
#ACMEETC cc @suzanakm @clsaarinen #MedEd #hpm

11:26 pm renee_berry: Dear @DianeEMeier thank you for such a strong call to action @AAHPM for
our community to engage the public w/ social media -> #empower #hpm

11:27 pm ctsinclair: Block - Talking about the Flexner Report - "I was concerned that it had been
lost. Glad to see many of you know about it." #hpm

11:27 pm Pallimed: Flexner Report - Wikipedia, the free encyclopedia http://bit.ly/eW9Mnb
#hpm

11:28 pm ctsinclair: Flexner rec'd the adjusted 2011 equivalent of $6M to reform medical
education from the Rockefellers - Block #hpm

11:28 pm hollyby: Flexner report pdf - http://bit.ly/hBCqlS Helped to change medical education
in the US at the turn of the century. #hpm

11:29 pm dwensel: RT @hollyby: Flexner report pdf - http://bit.ly/hBCqlS Helped to change
medical education in the US at the turn of the century. #hpm

11:31 pm renee_berry: #hpm Welcome Twitter Newbie--> @Stberns !! RT @Stberns making waves
with my first palliative tweet

11:32 pm hollyby: RT @renee_berry: #hpm Welcome Twitter Newbie--> @Stberns !! RT
@Stberns making waves with my first palliative tweet #hpm

11:33 pm ctsinclair: RT @stberns making waves with my first palliative tweet. #hpm "Awesome!
Keep it up." #hpm

11:33 pm revdoc: RT @renee_berry: Dear @DianeEMeier thank you for such a strong call to
action @AAHPM for our community to engage the public w/ social media ->
#empower #hpm

11:34 pm joshgriffin: RT @ctsinclair: RT @stberns making waves with my first palliative tweet.
#hpm "Awesome! Keep it up." #hpm

11:34 pm comalliwrites: RT @hollyby: "The secret of the care of the patient is caring for the patient."

11:34 pm ctsinclair: Health care system moving into 40's/50's: had Blue Cross/Shield, stronger
medical schools. Health care was a community affair - Block #hpm

11:34 pm gcooneymd: Jim Block 'we used to believe that healthcare is a community affair' #HPM

11:35 pm gcooneymd: RT @renee_berry: Dear @DianeEMeier thank you for such strong call to
action @AAHPM for our community to engage public w/ social media #HPM

11:35 pm renee_berry: RT @nhdd: It is so great to see so many advance care planning tweets from
the #hpm conference

11:35 pm renee_berry: RT @nhdd: 'These videos are meant to supplement conversations not
replace' Wendy Anderson MD @UCSF http://ow.ly/3ZEgG #hpm
#HaveTheTalk

11:36 pm ctsinclair: Blue Cross used to be 'community-rated' everyone got insurance at same
price. - Block #hpm

11:37 pm DrJerath: RT @hollyby: "The secret of the care of the patient is caring for the patient."

11:38 pm renee_berry: @ctsinclair is about to tweet his 500th #hospice & #palliative care tweet for

11:38 pm renee_berry: @ctsinclair is about to tweet his 500th #hospice & #palliative care tweet for
@AHHPM ---> Thank you for such commitment! #hpm

11:39 pm joshgriffin: RT @ctsinclair: Health care system moving into 40's/50's: had Blue
Cross/Shield, stronger medical schools. Health care was a community affair
- Block #hpm

11:40 pm ctsinclair: RT @renee_berry: @ctsinclair abt to tweet 500th #hospice #palliative care
tweet 'now I have to think of something smart to say. d'oh!' #hpm

11:40 pm Catalyst4Growth: RT @renee_berry: 'reasonable people can disagree' @DianeEMeier #hpm

11:40 pm Catalyst4Growth: RT @renee_berry: "healthcare spending is the number one threat to
American's quality of life & way of life" @DianeEMeier #hpm

11:40 pm joshgriffin: RT @gcooneymd: RT @renee_berry: Dear @DianeEMeier thank you for
such strong call to action @AAHPM for our community to engage public w/
social media #HPM

11:41 pm ctsinclair: Block - "I remember so clearly the discussions about the decisions to make
the first for-profit hospital" #hpm

11:41 pm ctsinclair: Block - It doesn't matter whether you are For profit or Non Profit, it matters
how well you do the job. #hpm

11:42 pm joshgriffin: RT @renee_berry: @ctsinclair is about to tweet his 500th #hospice &
#palliative care tweet for @AHHPM ---> Thank you for such commitment!
#hpm

11:42 pm renee_berry: RT @ctsinclair Block - It doesnt matter whether you are For profit or Non

Profit, it matters how well you do the job. #hpm
11:43 pm joshgriffin: RT @ctsinclair: Block - "I remember so clearly the discussions about the
decisions to make the first for-profit hospital" #hpm

11:43 pm joshgriffin: RT @ctsinclair: Block - It doesn't matter whether you are For profit or Non
Profit, it matters how well you do the job. #hpm

11:43 pm renee_berry: 'the healthcare system became a marketplace, a destructive dance that has
no value' Block #hpm

11:43 pm renee_berry: "I promise you, I will never call you a consumer" Block (THANK YOU!!!!)
#hpm

11:44 pm ctsinclair: "When I first heard 'providers' or 'consumers' I felt it in my gut. I will never use
those terms to describe you or patients" Block #hpm

11:44 pm gcooneymd: RT @renee_berry: the healthcare system became a marketplace, a
destructive dance that has no value Block #HPM

11:44 pm joshgriffin: RT @ctsinclair: "When I first heard 'providers' or 'consumers' I felt it in my
gut. I will never use those terms to describe you or patients" Block #hpm

11:45 pm equijada: Profit v non-profit. #meh Stack.cheddar (the good kind) #hpm

11:45 pm dwensel: RT @ctsinclair: "When I first heard 'providers' or 'consumers' I felt it in my
gut. I will never use those terms to describe you or patients" Block #hpm

11:45 pm equijada: RT @renee_berry: "I promise you, I will never call you a consumer" Block
(THANK YOU!!!!) #hpm

11:46 pm renee_berry: Block calls on #healthcare to run a hospital for your patients not a business
for consumers #hpm

11:46 pm ctsinclair: RT @equijada: Profit v non-profit. #meh Stack.cheddar (the good kind)
"huh?" #hpm

11:46 pm dwensel: Thanks @renee_berry it worked! #hpm

11:46 pm joshgriffin: RT @renee_berry: Block calls on #healthcare to run a hospital for your
patients not a business for consumers #hpm

11:47 pm equijada: Urban Dictionary: stack cheddar http://bit.ly/h2w9aX = get the job done cc:
@ctsinclair #hpm


11:47 pm renee_berry: cool glad I could help!! Thanks so much for participating! RT @dwensel:
Thanks @renee_berry it worked! #hpm

11:47 pm AlisynGayle: RT @renee_berry: Block calls on #healthcare to run a hospital for your

11:48 pm ctsinclair: Block - Historical test sites for payment systems - NJ had DRG system.
Rochester had lowest cost and good quality. DRG system won. #hpm

11:49 pm renee_berry: AMAZING to see everyone IRL! (got to go start head to grab my flight! Thank
you everyone I'm signing off) #hpm

11:49 pm dwensel: @renee_berry great to meet you and thanks again #hpm

11:49 pm joshgriffin: RT @renee_berry: AMAZING to see everyone IRL! (got to go start head to
grab my flight! Thank you everyone I'm signing off) #hpm

11:49 pm ctsinclair: RT @equijada: Urban Dict: stack cheddar http://bit.ly/h2w9aX = get job
done. "I have no Financial disclosures, must stack cheddar" #hpm
11:50 pm ctsinclair: RT @dwensel: @renee_berry great to meet you and thanks again "she
closed her computer she says good to meet you too" #hpm

11:51 pm dwensel: we need a few4serviceectomy in this country #hpm

11:52 pm ctsinclair: "Tell me your story" the four most important words in the English language -
Block via Conway #hpm

11:52 pm dwensel: "The container for meaning is a person's story" Naomi Racheal Riemen
#hpm

11:52 pm kevdnguyen: RT @ctsinclair: "Tell me your story" the four most important words in the
English language - Block via Conway #Hpm

11:53 pm joshgriffin: RT @ctsinclair: "Tell me your story" the four most important words in the
English language - Block via Conway #hpm

11:53 pm dwensel: RT @ctsinclair: "Tell me your story" the four most important words in the

11:54 pm dwensel: We have the community but do we have the courage? #hpm

11:55 pm ctsinclair: @kevdnguyen Hey Kevin thanks for the RT. Everyone say Hi to Kevin. And
follow him. He will have important things to say in the future #hpm

11:55 pm ctsinclair: RT @dwensel: We have the community but do we have the courage? "I do."
#hpm

11:55 pm hollyby: 'Yes we do!!!' RT @dwensel: We have the community but do we have the
courage? #hpm

11:55 pm melanoma_mama: RT @renee_berry: @ctsinclair is about to tweet his 500th #hospice &
#hpm

11:55 pm ssmithaahpm: Enjoyed connecting with everyone throughout the #AAHPM #HPNA
Assembly. You inspire me. See you in Denver. #hpm

11:55 pm dwensel: @ctsinclair @kevdnguyen Hi Kevin #hpm

11:56 pm dwensel: @ssmithaahpm can't wait #hpm

11:56 pm hollyby: See you all in 2012 in Denver, Colorado at the @AAHPM and @HPNAinfo
Annual Assembly!!! Thanks everyone!!! #hpm

11:57 pm dwensel: see you all in Denver can't wait for Wednesday nights now! #hpm

11:57 pm ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly Twitter Flurry in
Denver March 7-10, 2012. Thanks again everyone for your tweeting! #hpm

11:58 pm equijada: RT @ctsinclair: "Tell me your story" the four most important words in the

11:58 pm equijada: @dwensel see you then. thx. Earl #hpm

11:59 pm annpetry: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes!

11:59 pm annpetry: RT @DianeEMeier: BBC on adv care planning and our own Bud Hammes!
#hpm #palliative

11:59 pm equijada: <fire hose off> #hpm Thanks @AAHPM

11:59 pm LVADone: RT @ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly
Twitter Flurry in Denver March 7-10, 2012. Thanks again everyone for your
tweeting! #hpm
11:59 pm joshgriffin: RT @ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly
tweeting! #hpm

February 20, 2011

12:03 am fbfukushima: RT @equijada: Goldstein: Refractory breathlessness: o2 v RA The Lancet :
Volume 376, Number 9743, 4 September 2010 http://bit.ly/gqQPfv #hpm

12:03 am PracticalWisdom: David, look forward to your Tweets on Wed. nights RT@dwensel see you all
in Denver can't wait for Wednesday nights now! #hpm

12:04 am joshgriffin: RT @PracticalWisdom: David, look forward to your Tweets on Wed. nights
RT@dwensel see you all in Denver can't wait for Wednesday nights now!
#hpm

12:05 am mad100: RT @ctsinclair: "Tell me your story" the four most important words in the

12:05 am ctsinclair: We now have a new @AAHPM president Ron Crossno. Great Job Sean.
Good luck Ron! #hpm

12:08 am westr: RT @ctsinclair: @cmeadvocate: Top 100 learning tools for 2009 -
http://slidesha.re/bo7Jd #ACMEETC #MedEd #hpm #pm101

12:08 am annpetry: ?@AAHPM: Congrats to AAHPM Presidential Citation Award Winners
#hpm?

12:12 am annpetry: RT @AAHPM: Congrats to AAHPM Presidential Citation Award Winners
#hpm

12:16 am daitpcg: RT @hollyby: What has happened in hospice and palliative care in the last
25 years is an example of the "art of the possible". via @DianeEMeier #hpm

12:19 am ctsinclair: Signing off. Thanks again all who participated. Going to enjoy some
#Canucks Hockey tonight with @dwensel #hpm

12:19 am daitpcg: RT @ctsinclair: Flexner rec'd the adjusted 2011 equivalent of $6M to reform
medical education from the Rockefellers - Block #hpm

12:20 am ctsinclair: @PracticalWisdom looking at the stats this weekend. Will have things to
blog about forever from this conference #hpm

12:23 am daitpcg: RT @gcooneymd: Jim Block 'we used to believe that healthcare is a
community affair' #HPM

12:24 am daitpcg: RT @renee_berry: @ctsinclair is about to tweet his 500th #hospice &
#hpm

12:24 am westr: RT @gcooneymd @renee_berry: the healthcare system became a
marketplace, a destructive dance that has no value Block #HPM #pm101

12:30 am DianeEMeier: RT @ctsinclair: "Tell me your story" the four most important words in the
12:31 am dspacl: RT @ctsinclair: We now have a new @AAHPM president Ron Crossno.
Great Job Sean. Good luck Ron! #hpm

12:32 am daitpcg: ?@ctsinclair: Block - It doesn't matter whether you r For profit or Non Profit,
it matters how well you do the job. #hpm? Jobs Are Different

it matters how well you do the job. #hpm? Jobs Are Different

12:32 am daitpcg: RT @renee_berry: 'the healthcare system became a marketplace, a
destructive dance that has no value' Block #hpm

12:34 am DianeEMeier: RT @hollyby: What has happened in hospice and palliative care in the last

12:34 am annpetry: ?@ctsinclair: "Tell me your story" the four most important words in the
English language - Block via Conway #hpm?-this is SO true.

12:34 am daitpcg: ?@renee_berry: Block calls on #healthcare to run a hospital for your
patients not a business for consumers #hpm? Quaint Notion?

12:35 am DianeEMeier: RT @dwensel: RT @Pallimed: Found alternative version of slides from
@DianeEMeier http://bit.ly/h2IATi #hpm #hcr #reform #hpm

12:35 am DianeEMeier: RT @hollyby: "Submit public comments when asked - they are taken
extremely seriously in Washington." via @DianeEMeier #hcr #hpm

12:36 am DianeEMeier: RT @hollyby: RT @ctsinclair & @gcooneymd: @JointCommision should
require hospital to have a #palliative care program & a contract w/ #hospice
#hcr #hpm

12:37 am DianeEMeier: RT @hollyby: "Palliative care and hospice are about matching treatment to
patient goals." - @DianeEMeier #hpm

12:38 am DianeEMeier: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the

12:40 am DianeEMeier: RT @gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for
service system #HPM

12:41 am DianeEMeier: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes,

12:47 am dspacl: New oncogene in aggressive form of breast cancer @bbcnews
http://www.bbc.co.uk/news/health-12503798 #hpm

12:51 am daitpcg: ?@renee_berry: Block calls on #healthcare to run hospital for patients not
business for consumers #hpm? Seems like profiteers have prevailed

12:52 am daitpcg: RT @renee_berry: ?the voice of the people is determinative so social media
is a top priority? @DianeEMeier #hcr #HealthLit #hpm

12:53 am daitpcg: RT @ctsinclair: So glad that @DianeEMeier made a strong ask to this
audience to engage online and in Social media. #hpm

12:54 am daitpcg: ?@gcooneymd: Palliative care and hospice are all about matching treatment
to patient goals #HPM? Stay on Message.

12:55 am drpippa: RT @hollyby: See you all in 2012 in Denver, Colorado at the @AAHPM and
@HPNAinfo Annual Assembly!!! Thanks everyone!!! #hpm

12:57 am daitpcg: RT @ctsinclair: ?US political discourse not yet mature enough to support
realistic discussion abt difficult subjects.? @Bob_Wachter via

@DianeEMeier #hpm
1:00 am djsampson: We're proud! RT @hollyby: RT @ctsinclair: Congrats to ACS for @AAHPM
Presidential Citation for palliative care http://is.gd/a0GXf0 #hpm

1:00 am ACSNews: We're proud! RT @hollyby: RT @ctsinclair: Congrats to ACS for @AAHPM
Presidential Citation for palliative care http://is.gd/a0GXf0 #hpm

1:00 am daitpcg: ?@renee_berry: ?we are addicted to fee for service & we need to detox?
@DianeEMeier #hpm Will capitation be new addiction?

1:03 am Catalyst4Growth: RT @renee_berry: #BestPractice ?yes you should be tweeting AND yes you
should meet in person? @DianeEMeier (create meaningful relationships!)
#hpm

1:03 am daitpcg: RT @ctsinclair: Now being awarded: @Atul_Gawande (in absentia) w/
@AAHPM Humanities award for article Letting Go and other efforts in
palliative care #hpm

1:04 am VeryKaree: RT @ACSNews: We're proud! RT @hollyby: RT @ctsinclair: Congrats to

1:04 am VeryKaree: RT @ACSNews: We're proud! RT @hollyby: RT @ctsinclair: Congrats to
ACS for @AAHPM Presidential Citation for palliative care http://is.gd/a0GXf0
#hpm

1:09 am sthrane: RT @hollyby: "Submit public comments when asked - they are taken
extremely seriously in Washington." via @DianeEMeier #hcr #hpm

1:12 am sthrane: RT @renee_berry: ?the voice of the people is determinative so social media
is a top priority? @DianeEMeier #hcr #HealthLit #hpm

1:14 am sthrane: RT @renee_berry: comparative effectiveness research helps us understand
what is working & what is not working for quality patient care #hpm

1:21 am sthrane: RT @renee_berry: "healthcare spending is the number one threat to

1:23 am Kaviraj2: RT @renee_berry: Block calls on #healthcare to run a hospital for your

1:23 am Kaviraj2: RT @renee_berry: 'the healthcare system became a marketplace, a
destructive dance that has no value' Block #hpm

1:24 am Kaviraj2: RT @nhdd: It is so great to see so many advance care planning tweets from
the #hpm conference

1:24 am sthrane: RT @hollyby: Previously functional pts who recieved prolonged mechanical
ventilation - high mortality (44%) and poor quality of life after one year. #hpm

1:25 am Kaviraj2: RT @renee_berry: #BestPractice ?yes you should be tweeting AND yes you
should meet in person? @DianeEMeier (create meaningful relationships!)
#hpm

1:35 am FIMDM: RT @ctsinclair: Graph of medical decisions before and after video assisted
advanced care planning #hpm #HaveTheTalk http://twitpic.com/41ilqo

1:41 am lfettig: RT @dwensel: "The container for meaning is a person's story" Naomi
Racheal Riemen #hpm

1:48 am morganbain: Gorgeous day in Vancouver today. Nice way to end a great AAHPM/HPNA
conference. See y'all in Denver in 2012 #hpm

2:05 am DrLaura04: RT @gcooneymd: HPM growth is an example of 'the art of the possible'
@dianeemeier #HPM

2:18 am DrLaura04: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the

2:20 am DrLaura04: Palliative care and hospice are all about matching treatment to patient goals
#HPM /via @gcooneymd "Exactly!"

2:24 am lfettig: Well deserved RT @ctsinclair: @AAHPM Humanities award awarded to
@Atul_Gawande (in absentia) for article Letting Go/other efforts in #hpm

2:27 am nm_roadrunner: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes,

2:28 am nm_roadrunner: RT @gcooneymd: Healthcare Reform: gradual withdrawal from toxic fee for
service system #HPM

2:38 am Kanzius: RT @ACSNews: We're proud! RT @hollyby: RT @ctsinclair: Congrats to
ACS for @AAHPM Presidential Citation for palliative care http://is.gd/a0GXf0
#hpm

2:48 am drosielle: 'What's palliative care?' Leaving BC #HPM I had a 5min chat with customs
officer about him going to Philippines to b w dying father.

3:01 am ctsinclair: The #hpm Daily is out! http://bit.ly/gJpc2i ? Top stories today via
@fbfukushima @dwensel @djsampson @drpippa

3:01 am MeredithGould: RT @ctsinclair: "Tell me your story" the four most important words in the

3:04 am MeredithGould: RT @hollyby: "Palliative care and hospice are about matching treatment to


3:20 am xshortyxRN: "Hey @ctsinclair, won't be in Vancouver, but will be watching #hpm from
afar"

3:28 am xshortyxRN: #Hpm"Tell me your story" the four most important words in the English
language - Block v#hpmonway #hpm

3:33 am DrSureshKumar: RT @hollyby: What has happened in hospice and palliative care in the last

4:02 am mchwistek: RT @MeredithGould: RT @ctsinclair: "Tell me your story" the four most
important words in the English language - Block via Conway #hpm

4:04 am mchwistek: RT @lfettig: Well deserved RT @ctsinclair: @AAHPM Humanities award
awarded to @Atul_Gawande (in absentia) for article Letting Go/other efforts
in #hpm

4:05 am mchwistek: RT @ctsinclair: We now have a new @AAHPM president Ron Crossno.
Great Job Sean. Good luck Ron! #hpm

4:06 am mchwistek: RT @gcooneymd: RT @renee_berry: the healthcare system became a
marketplace, a destructive dance that has no value Block #HPM

4:07 am mchwistek: RT @Pallimed: Flexner Report - Wikipedia, the free encyclopedia
http://bit.ly/eW9Mnb #hpm

4:07 am mchwistek: RT @hollyby: What has happened in hospice and palliative care in the last

4:17 am WysWoods: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes,

4:46 am StacyRemke: RT @ctsinclair: RT @dwensel: We have the community but do we have the
courage? "I do." #hpm

4:47 am StacyRemke: RT @ctsinclair: "Tell me your story" the four most important words in the

4:55 am equijada: RT @drosielle: 'What's palliative care?' Leaving BC #HPM I had a 5min chat
with customs officer about him going to Philippines to b w dying father.

4:56 am alicesdada: RT @drosielle: 'What's palliative care?' Leaving BC #HPM I had a 5min chat
with customs officer about him going to Philippines to b w dying father.

5:03 am marveleise: RT @ctsinclair: Policy Goal: Add hospice and palliative care to the

5:28 am renee_berry: @hollyby absolutely! So fun for all of us 'friends' to become friends. #hpm

5:33 am suzanakm: RT @ctsinclair: RT @cmeadvocate: Top 100 learning tools for 2009 -
http://slidesha.re/bo7Jd #ACMEETC cc @suzanakm @clsaarinen #MedEd
#hpm

6:11 am Nurse2103: RT @renee_berry: "together we will play an active role in shaping the future
of medicine" @DianeEMEier #palliative #hpm

6:11 am Nurse2103: RT @renee_berry: "healthcare spending is the number one threat to

6:13 am CreatingBrains: RT @ctsinclair: "Tell me your story" the four most important words in the

6:14 am lfettig: Determinants of Medical Expenditures in the Last 6 Months of Life from
Annals of IM http://bit.ly/foofM9 #HPM

6:16 am lfettig: Estimating Typical, Best-Case, and Worst-Case Scenarios for Patients with
Metastatic Breast Cancer http://bit.ly/ed1d6V #hpm

6:26 am DianeEMeier: RT @lfettig: Determinants of Medical Expenditures in the Last 6 Months of
Life from Annals of IM http://bit.ly/foofM9 #HPM

6:36 am suzanakm: Just discovered an iPad app for twitter: @tweetlibrary curates my tweets. I
collected all from the #hpm conference http://bit.ly/dKkYcl #hpm

6:36 am suzanakm: RT @MyrnaB23: I remember when Charles was a Fellow - he dazzled us

6:36 am suzanakm: RT @MyrnaB23: I remember when Charles was a Fellow - he dazzled us
even then. Congrats my dear friend! #hpm

6:37 am suzanakm: RT @lfettig: Pallimed list of AAHPM "State of Science" Studies

6:41 am suzanakm: #hpm bookclub was a success: all enjoyed @cuttingforstone - what book do
you nominate for 2012? Use #hpmbook and submit your pick!

6:42 am suzanakm: RT @renee_berry: @hollyby absolutely! So fun for all of us 'friends' to
become friends. #hpm

6:43 am suzanakm: RT @lfettig: Determinants of Medical Expenditures in the Last 6 Months of

6:43 am suzanakm: RT @lfettig: Estimating Typical, Best-Case, and Worst-Case Scenarios for
Patients with Metastatic Breast Cancer http://bit.ly/ed1d6V #hpm

10:18 am hosp_memorial: RT @ctsinclair: Now being awarded: @Atul_Gawande (in absentia) w/
@AAHPM Humanities award for article Letting Go and other efforts in
palliative care #hpm

11:43 am doclake: RT @lfettig: Estimating Typical, Best-Case, and Worst-Case Scenarios for
Patients with Metastatic Breast Cancer http://bit.ly/ed1d6V #hpm

11:43 am doclake: RT @lfettig: Determinants of Medical Expenditures in the Last 6 Months of

12:54 pm GriefHealing: Best from this week's Twitter stream: #Caregiving and #Hospice
http://bit.ly/ha1CoI #hpm

12:58 pm suganthibala: RT @westr RT @ctsinclair: @cmeadvocate: Top 100 learning tools for 2009
- http://slidesha.re/bo7Jd #ACMEETC #MedEd #hpm #pm101

1:59 pm cmeadvocate: Top 100 Tools for Learning in 2010 http://slidesha.re/dlKuxN (for @ctsinclair
@westr and the #hpm #pm101 crowd )

2:12 pm westr: RT @cmeadvocate: Top 100 Tools for Learning in 2010
http://slidesha.re/dlKuxN (for @ctsinclair @westr and the #hpm #pm101
crowd ) #hcsm

2:17 pm NetworkingCEO: If it's all about who you know, isn't it time you met them? Dallas Networking
Mixer http://bit.ly/gggNC4 #HPM

3:04 pm HearMeRoaring: RT @ctsinclair: "Tell me your story" the four most important words in the

3:05 pm HearMeRoaring: RT @hollyby: "Palliative care and hospice are about matching treatment to

3:09 pm cduncan18: RT @ctsinclair: RT @kevhen63: Del Fabbro. Cachexia may be masked in
obese cancer patients. CT can reveal "sarcopenia" - 'interesting' #hpm

3:09 pm ctsinclair: So excited that the Denver Convention Center has Free Wifi for 2012
@AAHPM Meeting. cc @iknowdenver #hpm

3:13 pm DONALDHTAYLORJR: @ctsinclair great job letting folks who weren't there follow #aahpm annual
mtg #hpm

3:15 pm cduncan18: @ctsinclair. I love this exercise- sounds like a great conf! Ctsinclair- is
everyone using slideshare? #hpm

3:18 pm cduncan18: RT @renee_berry: #SU2C RT @MeaningComfort "most #palliative care is
needed by people that are NOT dying" - @DianeEMeier #hpm

3:27 pm cduncan18: RT @hollyby: The ends of U.S. medicine should be "To cure sometimes,

3:28 pm cduncan18: RT @hollyby: RT @ctsinclair & @gcooneymd: @JointCommision should
require hospital to have a #palliative care program & a contract w/ #hospice
#hcr #hpm

3:30 pm cduncan18: RT @ctsinclair: Stay tuned for the next @AAHPM @HPNAinfo Assembly
tweeting! #hpm

tweeting! #hpm

3:44 pm MeaningComfort: RT @ctsinclair: RT @hollyby: #Hospice and palliative care in the last 25yrs
is example of the "art of the possible" via @DianeEMeier #hpm

3:44 pm MeaningComfort: RT @renee_berry: "it?s all about patient centered care, and not the throw
away term, the actuality of it" - @DianeEMeier #hpm

3:56 pm jodyms: RT @hjluks A Doctor at the Funeral - http://nyti.ms/fOISfX #hpm cc:
@danielleorfi

3:57 pm doclake: RT @ctsinclair: So excited that the Denver Convention Center has Free Wifi
for 2012 @AAHPM Meeting. cc @iknowdenver #hpm

4:17 pm PracticalWisdom: westr westr Thanks Bob RT @cmeadvocate:100 Tools/Learning in 2010
http://slidesha.re/dlKuxN (for @ctsinclair @westr and the #hpm #hcsm)

4:36 pm CTrivalle: RT @suzanakm: RT @equijada: Survival and Comfort After Treatment of
Pneumonia in Advanced Dementia, Givens et al. 170 (13): 1102
http://bit.ly/fApNex #Hpm

4:59 pm MeetVancouver: Thanks #hpm delegates for a great meeting, hope you all had a fun time in
Vancouver! Drop us a tweet when you're in town again! @AAHPM

6:00 pm suzanakm: How Doctors Should Deliver Bad News http://huff.to/dRh7Le via
@huffingtonpost #mdchat #hpm

6:20 pm mpalko: What say YOU? RT @TheGr8Chalupa RT @ahier: Is social media &
healthcare bad medicine? http://bit.ly/eLcnns #hcsm #hpm

6:50 pm keiko_kitayama: Acompanhando um caso de Síndrome Neuroléptica Maligna no plantão aqui
do #HPM Que sorte, pra nunca mais esquecer viu. ;-)

7:58 pm daitpcg: RT @suzanakm: How Doctors Should Deliver Bad News
http://huff.to/dRh7Le via @huffingtonpost #mdchat #hpm

8:07 pm dwensel: RT @suzanakm: How Doctors Should Deliver Bad News
http://huff.to/dRh7Le via @huffingtonpost #mdchat #hpm

8:09 pm dwensel: @mpalko it's like any information you get online. Just because someone
claims to be and expert does not mean they are. Reader beware! #hpm

8:26 pm myvancouver: RT @MeetVancouver: Thanks #hpm delegates for a great meeting, hope you
all had a fun time in Vancouver! Drop us a tweet when you're in town again!
@AAHPM

8:27 pm klxmedia: RT @HealthSocMed New to #hcsm? (Sun 8pm CT) & view some of the prev
topics discussed here: http://bit.ly/hcsmabout "try this #hpm peeps"

8:30 pm mpalko: @dwensel very true. This echoes your sentiment: http://ht.ly/3Z2jo #hpm

9:14 pm suzanakm: ?@PracticalWisdom: thanks for pointing it out! A lot of #hpm featured
@PJ_medigital The Medigital Daily is out! http://bit.ly/c80GxI ??

9:16 pm suzanakm: RT @ewidera: RT @hollyby: RT @DianeEMeier: Easing living with serious
illness - latimes.com http://lat.ms/fPhRXg #palliative care is the answer
#hpm

9:21 pm magarg: Que bueno es encontrarse con grandes y verdaderas amistades #HPM

9:24 pm magarg: entiéndase #HPM como Hijas del Patrocinio de Maria! ?

10:30 pm ctsinclair: RT @lfettig RT @mnt_cancer: @ASTROorg Palliative Rad For Bone Met
Guideline http://mnt.to/3Rkq #cancer #hpm single frac? @subatomicdoc

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Transcript for #hpm from 2011 aahpm annual assembly

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Transcript for #hpm from 2011 aahpm annual assembly