#HPM TweetChat 1/16/13

#hpm - Healthcare Social Media Transcript
1/17/13 9:58 AM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Jan 16 18:00:00 PST 2013 Wed Jan 16 19:15:00 PST 2013 change time period
Who were the influencers during this time period? #hpm analytics Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics What is #hpm?
ravipm2000
Hello everyone and welcome to the #hpm tweet chat! I'm Ravi Maharaj, Palliative Care lecturer @UWI_StAugustine in #Trinidad. #hpm
Wed Jan 16 18:00:36 PST 2013
ravipm2000
@ctsinclair NO probs! #hpm

Wed Jan 16 18:00:46 PST 2013
ravipm2000
We'll give everyone a few minutes to check in and introduce themselves. #hpm
Wed Jan 16 18:01:17 PST 2013
ravipm2000
I have the great honor of hosting tonight so I hope all goes well! #hpm
Wed Jan 16 18:01:41 PST 2013
GailZahtz
@ctsinclair @ravipm2000 Is it #hpm time?

Wed Jan 16 18:01:56 PST 2013
VirtualHospice
RT @BuddhishMD: Taking a Zen Approach to Caregiving http://t.co/Qym3zMqZ #hpm #pedpc

Wed Jan 16 18:02:27 PST 2013
enBloomMedia
Alisa in DC, I'm happy to join in after a bit of hiatus. #hpm

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http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=01-16-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
1/17/13 9:58 AM
Wed Jan 16 18:02:33 PST 2013
ravipm2000
@GailZahtz Yes it is! Welcome! Excuse the flurry of tweets from me and my most excellent #hpm colleagues for the next hour. #hpm
Wed Jan 16 18:02:58 PST 2013
rfberry
Hi, Renee Berry here! From the Bay Area but tweeting from Las Vegas tonight. Passion for hospice & palliative care, Good evening! #hpm
Wed Jan 16 18:03:01 PST 2013
ravipm2000
@enBloomMedia Thanks for stopping by! #hpm

Wed Jan 16 18:03:22 PST 2013
CTACorg
RT @Pallimed: New @Pallimed Post:: Committee on Transforming End of Life Care is Incomplete http://t.co/rSZdOyml #hpm
Wed Jan 16 18:03:23 PST 2013
ctsinclair
Hello everyone. Christian Sinclair here, normally from Kansas City, coming to you tonight from the Detroit Motor City #hpm
Wed Jan 16 18:03:23 PST 2013
BillPfohl
Hey Hospice hippies where is the protest tonight? I'm Abbey Hoffman in for Bill from HospiceCNY #hpm
Wed Jan 16 18:03:39 PST 2013
ravipm2000
@rfberry Welcome to one of the pioneers! #hpm

Wed Jan 16 18:03:46 PST 2013
nursefriendly
@ShahinaLakhani Not a problem, #hpm #addictionchat #mhealth are starting now at 9p :) #ivchat
Wed Jan 16 18:04:02 PST 2013
ravipm2000
@ctsinclair Sorry you missed the car show! #hpm

Wed Jan 16 18:04:07 PST 2013
ctsinclair
Wish we had a way for everyone to point out where they are tweeting from so we could mark it on the map. Is there an app for that? #hpm
Wed Jan 16 18:04:12 PST 2013
rfberry
RT @Pallimed: Committee on Transforming End of Life Care is Incomplete http://t.co/fFSGb8jR via @nurse2103 #hpm
Wed Jan 16 18:04:20 PST 2013
ravipm2000
@BillPfohl Welcome! #hpm

Wed Jan 16 18:04:39 PST 2013
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enBloomMedia
RT @rfberry: RT @Pallimed: Committee on Transforming End of Life Care is Incomplete http://t.co/j5txw7H1 via @nurse2103 #hpm
Wed Jan 16 18:05:01 PST 2013
ravipm2000
@nursefriendly Hope you can join us tonight! #hpm

Wed Jan 16 18:05:03 PST 2013
ctsinclair
@BillPfohl Are you going to nominate Pigasus for President as well? #hpm
Wed Jan 16 18:05:10 PST 2013
nursefriendly
Join us :) Wednesday #Healthcare #Tweetchats (ET) 9p #premeded #hpm #dsma #addictionchat #mhealth #DPTStudent #rnchat #cphc #nurseup #hpm
Wed Jan 16 18:05:11 PST 2013
ravipm2000
@ctsinclair I'm sure one exists somewhere. #hpm

Wed Jan 16 18:05:16 PST 2013
colleen_young
@ctsinclair I think there is an app to map location of all chat participants. I swa @chimoose do it with #hcsm eons ago. #hpm
Wed Jan 16 18:05:38 PST 2013
ShahinaLakhani
Never a dull moment here :) MT @nursefriendly: @ShahinaLakhani Not a problem #hpm #addictionchat #mhealth r starting now at 9p :) #ivchat
Wed Jan 16 18:05:40 PST 2013
ctsinclair
@BillPfohl No protest here, although I think there is some planning in the works to help support LA hospice orgs. #hpm
Wed Jan 16 18:05:41 PST 2013
ravipm2000
@nursefriendly Wow. #hpm

Wed Jan 16 18:05:54 PST 2013
ctsinclair
RT @ravipm2000: @ctsinclair Sorry you missed the car show! "So bummed." #hpm
Wed Jan 16 18:06:00 PST 2013
colleen_young
@ctsinclair I think it maps the location in your bio though, not where you are. #hpm
Wed Jan 16 18:06:03 PST 2013
ctsinclair
@colleen_young Amazing. I hope @chimoose can help us out and point us to the tweetchat map app. #hpm
Wed Jan 16 18:06:26 PST 2013
rfberry
@ravipm2000 ha, you're too kind! #hpm

Wed Jan 16 18:06:32 PST 2013
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colleen_young
Oh hello #hpm. It's Colleen here. Community manager from @VirtualHopsice

Wed Jan 16 18:06:35 PST 2013
colleen_young
@ctsinclair I'll try to find it as we chat. #hpm

Wed Jan 16 18:06:51 PST 2013
jfclearywisc
Jim Cleary @uwhealth #Palliative care & Director PPSG (@painpolicy) joining #Hpm chat for next hr discussing hospice & palliative care
Wed Jan 16 18:06:58 PST 2013
ctsinclair
Hey @rfberry @gailzahtz @colleen_young Great to see you all! #hpm

Wed Jan 16 18:07:13 PST 2013
ravipm2000
@colleen_young Welcome! #hpm

Wed Jan 16 18:07:13 PST 2013
nursefriendly
Hello Everyone, Andrew Lopez, RN from #NewJersey popping in/out :) #hpm

Wed Jan 16 18:07:25 PST 2013
ravipm2000
@jfclearywisc G'day! Sorry about the spam! #hpm

Wed Jan 16 18:07:39 PST 2013
ravipm2000
@nursefriendly Hi and welcome! #hpm

Wed Jan 16 18:08:04 PST 2013
Kamiyamay
Greetings, hpm nurse, etc #HPM

Wed Jan 16 18:08:23 PST 2013
KathyKastner
Greetings #hpm-ers! gr8 to be here!

Wed Jan 16 18:08:28 PST 2013
ravipm2000
Ok, let's start with the first topic. #hpm

Wed Jan 16 18:08:34 PST 2013
BillPfohl
@ctsinclair How many people in this group actually remember Hoffman? #hpm
Wed Jan 16 18:08:59 PST 2013
ctsinclair
@nursefriendly Hi Andrew! and @kathykastner What a long lost treat! #hpm

Wed Jan 16 18:09:06 PST 2013
ravipm2000
T1: If you had the ultimate power to change the system, what would you keep or delete 2 provide better palliative/ end of life care. #hpm
Wed Jan 16 18:09:08 PST 2013
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ravipm2000
@Kamiyamay Hello! #hpm

Wed Jan 16 18:09:18 PST 2013
ravipm2000
@KathyKastner Welcome! #hpm

Wed Jan 16 18:09:26 PST 2013
janecarols
RT @doclake: Article on @Cvongunten new #palliative adventure @OhioHealth (with video) http://t.co/9sgBziWY #hpm
Wed Jan 16 18:09:31 PST 2013
aliciabloom
hi #hpm! alicia bloom, msw lsw from philadelphia tweeting from the gola arena after a #LaSalleMBB win.
Wed Jan 16 18:09:34 PST 2013
GailZahtz
Trying to be at #hpm in and out! Intro- still advocating, still patient, caregiver, health comm, now #CPHC founder, wife of MD, y'know ;-)
Wed Jan 16 18:10:03 PST 2013
colleen_young
@ctsinclair Haha Google search brought me to a my blog about geo-spatial mapping. I'm in Toronto, Canada BTW #hpm
Wed Jan 16 18:10:09 PST 2013
ctsinclair
T1: Change the system....hmmmm that is a broad question. Must reflect on it. #hpm
Wed Jan 16 18:10:19 PST 2013
nursefriendly
MT @ravipm2000: T1: If you had the ultimate power to change the system, what would you keep or delete 2 provide better palliative/ #hpm
Wed Jan 16 18:10:19 PST 2013
ravipm2000
@aliciabloom Hello! My #hpm guide is here! #hpm

Wed Jan 16 18:10:37 PST 2013
Kamiyamay
T1-triplicates....cause delays getting goods where they need to be fast #HPM

Wed Jan 16 18:10:44 PST 2013
KathyKastner
Awriiight @ctsinclair @nursefriendly @colleen_young @jfclearywisc @aliciabloom @ravipm2000 #hpm

Wed Jan 16 18:11:06 PST 2013
colleen_young
T1: Introduce palliative care earlier and make palliative approach universal to health care delivery. #hpm
Wed Jan 16 18:11:10 PST 2013
nursefriendly
T1 Would make it much more common knowledge. Teach it early in the #healthcare game, increase utiization when time came. #hpm
Wed Jan 16 18:11:12 PST 2013
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jfclearywisc
@ravipm2000 T1 Delete Hospice Medicare Benefit. Introduce UHC that included palliative care in all settting incl home #hpm
Wed Jan 16 18:11:50 PST 2013
ctsinclair
T1: I would level the billing mechanisms (if we couldnt have outright single payer access for all) to support cognitive medical work #hpm
Wed Jan 16 18:11:53 PST 2013
Ojamae
RT @colleen_young: T1: Introduce palliative care earlier and make palliative approach universal to health care delivery. #hpm
Wed Jan 16 18:11:54 PST 2013
nursefriendly
T1 Would delete, work to eradicate the #stigma that death and dying have among the general public, ease the #hesitation to discuss it. #hpm
Wed Jan 16 18:12:13 PST 2013
ravipm2000
@ctsinclair I was made familiar with all the rules/ regulations in the US and was curious with what could be better if we could change. #hpm
Wed Jan 16 18:12:19 PST 2013
aliciabloom
T1- i would love to see better reimbursement mechanisms in place for #palliative care clinicians, including LSWs #hpm
Wed Jan 16 18:12:28 PST 2013
ravipm2000
RT @jfclearywisc:T1 Delete Hospice Medicare Benefit. Introduce UHC that included palliative care in all settting incl home #hpm
Wed Jan 16 18:12:32 PST 2013
enBloomMedia
RT @ravipm2000: T1 If U had the ultimate power 2 change the system what would U keep or delete 2 provide better palliative/#EOL care. #hpm
Wed Jan 16 18:12:35 PST 2013
ctsinclair
T1: Meaning that when you think, talk and listen with patients it is as valuable to the system (read: money) as a colonoscopy/surgery #hpm
Wed Jan 16 18:12:35 PST 2013
Kamiyamay
RT @jfclearywisc: @ravipm2000 T1 Delete Hospice Medicare Benefit. Introduce UHC that included palliative care all settting incl home #HPM
Wed Jan 16 18:12:36 PST 2013
rfberry
RT @aliciabloom: T1- i would love to see better reimbursement mechanisms in place for #palliative care clinicians, including LSWs #hpm
Wed Jan 16 18:12:59 PST 2013
nursefriendly
T1 Would have #doctors, #nurses #consumers #caregivers learn about #hospice, #palliative care long before they needed it. #hpm
Wed Jan 16 18:13:09 PST 2013
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ravipm2000
MT @ctsinclair: T1:When you think, talk and listen with patients it is as valuable to the system (read: money) as a colonoscopy/surgery #hpm
Wed Jan 16 18:13:23 PST 2013
survivornetca
Wed Jan 16 18:13:24 PST 2013
KathyKastner
#hpm OK I know this is radical but I'd like to have palliative care concepts taught in schools. Not just med school.
Wed Jan 16 18:13:35 PST 2013
ctsinclair
T1: @jfclearywisc In deleting the #Hospice benefit, you lose a major workforce, instead of delete what about rework/transition, etc. #hpm
Wed Jan 16 18:13:42 PST 2013
ctsinclair
RT @aliciabloom: T1- i would love to see better reimbursement mechanisms in place for #palliative care clinicians, including LSWs #hpm
Wed Jan 16 18:13:55 PST 2013
enBloomMedia
Agree should b standard of care RT @colleen_young: T1: Introduce palliative care earlier, make it universal to health care delivery. #hpm
Wed Jan 16 18:13:57 PST 2013
ravipm2000
RT @rfberry:@aliciabloom:T1-i would love 2 see better reimbursement mechanisms in place for #palliative care clinicians, including LSWs #hpm
Wed Jan 16 18:13:58 PST 2013
KathyKastner
+1 RT @colleen_young: T1: Introduce palliative care earlier and make palliative approach universal to health care delivery. #hpm
Wed Jan 16 18:14:01 PST 2013
ctsinclair
RT @KathyKastner: #hpm OK I know this is radical but Id like to have palliative care concepts taught in schools. Not just med school. #hpm
Wed Jan 16 18:14:08 PST 2013
ravipm2000
RT @KathyKastner: #hpm OK I know this is radical but Id like to have palliative care concepts taught in schools. Not just med school. #hpm
Wed Jan 16 18:14:26 PST 2013
ctsinclair
@KathyKastner Would love to see a cultural change towards illness and mortality #hpm
Wed Jan 16 18:14:36 PST 2013
jfclearywisc
@ctsinclair don't lose a work force at all. Notice I included home #palliative care (aka hospice) #hpm
Wed Jan 16 18:14:43 PST 2013
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nursefriendly
T1 Would increase education so that #hospice admissions average much longer than just a few weeks before death. #hpm
Wed Jan 16 18:14:47 PST 2013
rfberry
T1 I would ensure hospital based palliative care had interdisciplinary teams. (Ensure the teams also had appropriate resources) #hpm
Wed Jan 16 18:14:53 PST 2013
enBloomMedia
How better to Xform culture! RT @KathyKastner: #hpm Id like to have palliative care concepts taught in schools. Not just med school. #hpm
Wed Jan 16 18:15:02 PST 2013
ravipm2000
@KathyKastner Interesting! Change society's culture around death starting from young. #hpm
Wed Jan 16 18:15:12 PST 2013
ravipm2000
RT @nursefriendly: T1 Would increase education so that #hospice admissions average much longer than just a few weeks before death. #hpm
Wed Jan 16 18:15:25 PST 2013
KathyKastner
Amen brother! RT @ctsinclair: @KathyKastner Would love to see a cultural change towards illness and mortality #hpm
Wed Jan 16 18:15:27 PST 2013
ctsinclair
@jfclearywisc Saying 'Delete Hospice Medicare Benefit' really sells your broader concept short. Strong self-preservation drive. #hpm
Wed Jan 16 18:15:32 PST 2013
Kamiyamay
T1 - Have Palliative care considered part of the life cycle but more than that available at any age to all. End life is early for some! #HPM
Wed Jan 16 18:15:44 PST 2013
ravipm2000
RT@rfberry:T1 I wld ensure hospital based palliative care had interdisciplinary teams. (Ensure teams also had appropriate resources) #hpm
Wed Jan 16 18:15:54 PST 2013
KathyKastner
Yep cuz young'uns seeing grandprensRT @ravipm2000: @KathyKastner Interesting! Change society'culture around death starting frm young. #hpm
Wed Jan 16 18:16:25 PST 2013
nursefriendly
It didn't always carry the Stigma RT @ravipm2000: @KathyKastner Interesting! Change societys culture around death starting from young. #hpm
Wed Jan 16 18:16:28 PST 2013
Bonnycastle
T1 birthing units have beds for mum and dad to room in with baby. Why not set up more family friendly palliative care #hpm
Wed Jan 16 18:16:39 PST 2013
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jfclearywisc
@ctsinclair And I think that self-preservation drive has to change if we are really going to bring abt significant change! #hpm
Wed Jan 16 18:16:41 PST 2013
ctsinclair
@jfclearywisc You did say that, but to all the people in the field who have identified with hospice (not palliative) they may bolt #hpm
Wed Jan 16 18:16:42 PST 2013
rfberry
Wed Jan 16 18:16:44 PST 2013
ravipm2000
MT @Kamiyamay: T1 - Have Palliative care considered part of life cycle and available at any age to all. End life is early for some! #hpm
Wed Jan 16 18:16:45 PST 2013
enBloomMedia
RT @Kamiyamay: T1 - Have Palliative care considered part of the life cycle & available at any age to all. End life is early for some! #hpm
Wed Jan 16 18:16:56 PST 2013
ravipm2000
@nursefriendly True #hpm

Wed Jan 16 18:17:09 PST 2013
Kamiyamay
RT @rfberry: RT @colleen_young: T1: Introduce palliative care earlier and make palliative approach universal to health care delivery. #HPM
Wed Jan 16 18:17:15 PST 2013
ctsinclair
@jfclearywisc So do you also suggest eliminating the name hospice? Just curious. #hpm
Wed Jan 16 18:17:21 PST 2013
VirtualHospice
RT @Bonnycastle: T1 birthing units have beds for mum and dad to room in with baby. Why not set up more family friendly palliative care #hpm
Wed Jan 16 18:17:34 PST 2013
aliciabloom
T1- an expanded #hospice benefit, or development of a #palliative care benefit to better support patients with serious illness #hpm
Wed Jan 16 18:17:40 PST 2013
KathyKastner
+1RT @nursefriendly: It didn't always carry the Stigma RT @ravipm2000:Change societys culture around death starting from young. #hpm
Wed Jan 16 18:17:54 PST 2013
jfclearywisc
@ctsinclair So one of the T1 changes: Recognize that "hospice services" r in fact delivering #palliative care #hpm
Wed Jan 16 18:18:09 PST 2013
KathyKastner
RT @jfclearywisc: @ctsinclair So one of the T1 changes: Recognize that "hospice services"
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r in fact delivering #palliative care #hpm

Wed Jan 16 18:18:18 PST 2013
ctsinclair
RT @jfclearywisc: @ctsinclair So one of the T1 changes: Recognize that "hospice services" r in fact delivering #palliative care #hpm
Wed Jan 16 18:18:22 PST 2013
nursefriendly
Come up with new terminology :) RT @ctsinclair: @jfclearywisc So do you also suggest eliminating the name hospice? Just curious. #hpm
Wed Jan 16 18:18:32 PST 2013
ravipm2000
MT @VirtualHospice: @Bonnycastle: T1 birthing units have beds for parents 2 room with baby.Y not set up more family friendly pall care #hpm
Wed Jan 16 18:18:39 PST 2013
ctsinclair
@jfclearywisc But to be an effective change agent must balance the shock with the empathy for those to be changed #hpm
Wed Jan 16 18:18:47 PST 2013
BillPfohl
Independent agency that evaluates healthcare organizations, facilities & doctors and then rewards them for earlier referrals to Hos/Pal #hpm
Wed Jan 16 18:18:50 PST 2013
Kamiyamay
@jfclearywisc Excellent!!! #HPM

Wed Jan 16 18:19:22 PST 2013
nursefriendly
@ctsinclair Public Relations companies do it all the time, renaming, repackaging goods/services to make more palatable, attractive. #hpm
Wed Jan 16 18:19:31 PST 2013
ctsinclair
@BillPfohl great idea!! #hpm

Wed Jan 16 18:19:38 PST 2013
aliciabloom
@KathyKastner @nursefriendly @ravipm2000 evolution of medicine has reinforced our aversion to death & helped many delay or defy it #hpm
Wed Jan 16 18:19:44 PST 2013
ravipm2000
RT@BillPfohl:Independent agency that evaluates healthcare organizations, facilities & doctors & rewards 4 earlier referrals to Hos/Pal #hpm
Wed Jan 16 18:19:49 PST 2013
ctsinclair
@nursefriendly But new names for anything dying related end of feeling like a shell game. Need to deal with the realities. #hpm
Wed Jan 16 18:20:12 PST 2013
Kamiyamay
RT @BillPfohl: Independent agency evaluates HC organizations, facilities & doctors and then rewards them for earlier referrals Hos/Pal #HPM
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=01-16-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
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Wed Jan 16 18:20:14 PST 2013
jfclearywisc
@ctsinclair Since the 80/s WIsconsin law has said "hospice is an organization licensed to provide #palliative care" #hpm
Wed Jan 16 18:20:27 PST 2013
ravipm2000
MT @aliciabloom:@KathyKastner @nursefriendly evolution of medicine has reinforced our aversion 2 death & helped many delay or defy it #hpm
Wed Jan 16 18:20:36 PST 2013
rfberry
RT @ctsinclair jfclearywisc Saying 'Delete Hospice Medicare Benefit' really sells the @ broader concept short. #hpm
Wed Jan 16 18:21:04 PST 2013
BillPfohl
Don't you think the AMA would go for that? #hpm

Wed Jan 16 18:21:13 PST 2013
ctsinclair
@jfclearywisc That is good to know. I would love to get our hospice site doing non-hospice palliative care in WI #hpm
Wed Jan 16 18:21:25 PST 2013
RannPatterson
@nursefriendly It's Rann, patient, survivor, lurking & RTg tonite. Hi Andrew! #hpm
Wed Jan 16 18:21:31 PST 2013
KathyKastner
RT @ctsinclair: @jfclearywisc That is good to know. I would love to get our hospice site doing non-hospice palliative care in WI #hpm
Wed Jan 16 18:21:40 PST 2013
RannPatterson
RT @KathyKastner: #hpm OK I know this is radical but I'd like to have palliative care concepts taught in schools. Not just med school.
Wed Jan 16 18:21:40 PST 2013
Kamiyamay
RT @rfberry: RT @ctsinclair jfclearywisc Saying Delete Hospice Medicare Benefit really @ sells the broader concept short. #HPM
Wed Jan 16 18:21:46 PST 2013
ravipm2000
@RannPatterson Welcome! #hpm

Wed Jan 16 18:21:59 PST 2013
Garlicloves
Wed Jan 16 18:22:06 PST 2013
jfclearywisc
@ctsinclair What shock! THis discussion has been going on 4 20 years. You can still have hospices. Incorp benefit into UHC!! #hpm
Wed Jan 16 18:22:07 PST 2013
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rfberry
@BillPfohl I like that. Looks like that might be a good overall quality meausure for institutions. #hpm
Wed Jan 16 18:22:17 PST 2013
nursefriendly
@ctsinclair Lots of ways to describe #death/#dying/#eolchat. Just a change in terminology. Basic premise remains the same. #hpm
Wed Jan 16 18:22:19 PST 2013
RannPatterson
RT @nursefriendly: T1 Would increase education so that #hospice admissions average much longer than just a few weeks before death. #hpm
Wed Jan 16 18:22:22 PST 2013
enBloomMedia
@KathyKastner @nursefriendly Excellent point. Public must better understand what technologies can/cannot do. #hpm
Wed Jan 16 18:22:24 PST 2013
GailZahtz
@ctsinclair @rfberry @colleen_young Great to see y'all though I am multi-tasking and tweeting!! #hpm
Wed Jan 16 18:22:27 PST 2013
ctsinclair
@jfclearywisc would you support an expanded Medicare Hospice Benefit that allows for concurrent palliative care #hpm
Wed Jan 16 18:22:38 PST 2013
nursefriendly
Hey Rann :) Glad you stopped by. RT @RannPatterson: @nursefriendly Its Rann, patient, survivor, lurking & RTg tonite. Hi Andrew! #hpm
Wed Jan 16 18:22:53 PST 2013
nursefriendly
Hello Gail :) RT @GailZahtz: @ctsinclair @rfberry @colleen_young Great to see yall though I am multi-tasking and tweeting!! #hpm
Wed Jan 16 18:23:11 PST 2013
ctsinclair
@jfclearywisc shock? I don't usually read Wisconsin Law. Appreciate the local input. #hpm
Wed Jan 16 18:23:12 PST 2013
aliciabloom
@ctsinclair @jfclearywisc i've seen it work well for some of our pediatric patients #hpm
Wed Jan 16 18:23:29 PST 2013
ctsinclair
RT @enBloomMedia: @KathyKastner @nursefriendly Excellent point. Public must better understand what technologies can/cannot do. #hpm
Wed Jan 16 18:23:35 PST 2013
rfberry
@GailZahtz it happens :) Hi. #hpm

Wed Jan 16 18:23:51 PST 2013
RannPatterson
Thank you! @ravipm2000: @RannPatterson Welcome! #hpm

Wed Jan 16 18:23:55 PST 2013
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ctsinclair
RT @RannPatterson: @nursefriendly Its Rann, patient, survivor, lurking & RTg tonite. Hi Andrew! "Welcome!" #hpm
Wed Jan 16 18:23:55 PST 2013
ravipm2000
I asked T1 to lead to my selfish reasons for T2. Lol I'll post T2 in 2 mins or so. #hpm
Wed Jan 16 18:23:56 PST 2013
ctsinclair
@aliciabloom @jfclearywisc Yes, I do like the concurrent care model for pediatrics. Wish it would be the same for adults. #hpm
Wed Jan 16 18:24:28 PST 2013
rfberry
@ctsinclair that question is interesting on so many levels. #hpm

Wed Jan 16 18:24:35 PST 2013
RannPatterson
RT @jfclearywisc: @ctsinclair So one of the T1 changes: Recognize that "hospice services" r in fact delivering #palliative care #hpm
Wed Jan 16 18:24:38 PST 2013
GailZahtz
@nursefriendly @ctsinclair @rfberry @colleen_young Waving hi Andrew! What is topic? #hpm

Wed Jan 16 18:24:44 PST 2013
ctsinclair
@jfclearywisc thinking you and I need to have a good face to face discussion in NOLA. #hpm
Wed Jan 16 18:24:50 PST 2013
ctsinclair
@ravipm2000 I like it when the host connects the questions! #hpm

Wed Jan 16 18:25:15 PST 2013
GailZahtz
@rfberry hi rennee! i was so excited with ideas from moving up the motion of #hpm this year!
Wed Jan 16 18:25:32 PST 2013
jfclearywisc
@ctsinclair Agree. But even peds concurrent care model applies to those children who are hospice eligible. #hpm
Wed Jan 16 18:25:41 PST 2013
ravipm2000
@GailZahtz T1: If you had the ultimate power to change the system, what would you keep or delete 2 provide better palliative/EOL care #hpm
Wed Jan 16 18:25:58 PST 2013
GailZahtz
@colleen_young Colleen!!!!! It's been tooooo long. Skype soon? ;-)) #hpm
Wed Jan 16 18:26:09 PST 2013
April918
@AAHPM: Slowly Dying Patients, An Audit And A Hospice's Undoing - Kaiser Health News
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http://t.co/QfMipgYL via @khnews #hpm #devastating

Wed Jan 16 18:26:42 PST 2013
jfclearywisc
@nursefriendly THe rest of the world seems to be using 'palliative care" pretty comfortably. #hpm
Wed Jan 16 18:26:48 PST 2013
ravipm2000
Any final thoughts on T1? Many excellent ideas so far #hpm

Wed Jan 16 18:26:52 PST 2013
equijada
Are there any pilot studies looking at hospice medicare benefit not limited to 6 m prognosis? #hpm
Wed Jan 16 18:26:58 PST 2013
nursefriendly
Just discussed changes we'd make in #hospice RT @GailZahtz: @ctsinclair @rfberry @colleen_young Waving hi Andrew! What is topic? #hpm
Wed Jan 16 18:26:59 PST 2013
ctsinclair
@jfclearywisc It's a start. Don't see the health care system moving in big fits and starts. More like a glacier. #hpm
Wed Jan 16 18:27:17 PST 2013
ravipm2000
@April918 Hi! #hpm

Wed Jan 16 18:27:18 PST 2013
RannPatterson
Thank you! @ctsinclair: RT @RannPatterson: @nursefriendly Its Rann, patient, survivor, lurking & RTg tonite. Hi Andrew! "Welcome!" #hpm
Wed Jan 16 18:27:37 PST 2013
AnkurB_MD
Hi All, joining in late from Boston! #hpm

Wed Jan 16 18:27:41 PST 2013
nursefriendly
@GailZahtz If the perfect world, if we made policy, what would we change about #hospice #palliative care #hpm
Wed Jan 16 18:27:48 PST 2013
ctsinclair
@April918 Hey April, you should come join us. Always nice to have newly board certified #HPM docs #hpm
Wed Jan 16 18:27:49 PST 2013
RossJeanette
Hi all! joining in late.. but ready to tweet #hpm

Wed Jan 16 18:27:49 PST 2013
ravipm2000
RT @ctsinclair: @jfclearywisc Its a start. Dont see the health care system moving in big fits and starts. More like a glacier. #hpm
Wed Jan 16 18:27:49 PST 2013
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jfclearywisc
@ctsinclair Agree but it is fascinating with Accountable Care orgs are doing. #Palliative care all over our plan! #hpm
Wed Jan 16 18:28:05 PST 2013
ravipm2000
@AnkurB_MD Welcome! #hpm

Wed Jan 16 18:28:11 PST 2013
ctsinclair
@RossJeanette Hey Jeanette! #HPM Hello @AnjurB_MD

Wed Jan 16 18:28:15 PST 2013
AnkurB_MD
Busy tonite! But will try not to just be lurking! #hpm

Wed Jan 16 18:28:25 PST 2013
ravipm2000
OK here's T2: If you could give advice to a developing country with a new palliative care program, what would you recommend? #hpm
Wed Jan 16 18:28:44 PST 2013
ctsinclair
@jfclearywisc Agree those models should be replicated many times over, since UHC is still a ways off. #hpm
Wed Jan 16 18:28:59 PST 2013
ravipm2000
@RossJeanette Hi! #hpm

Wed Jan 16 18:29:04 PST 2013
ShahinaLakhani
Hello Shahina Lakhani Advocate for holistic care #hpm

Wed Jan 16 18:29:20 PST 2013
GailZahtz
@ravipm2000 T1 make beautiful and safe environments for people to live and die inwhether home or hospice! #universaldesign #hpm #sensory
Wed Jan 16 18:29:36 PST 2013
enBloomMedia
RT @ravipm2000: OK heres T2 If you could give advice to a developing country with new palliative care program what would you recommend? #hpm
Wed Jan 16 18:29:52 PST 2013
KathyKastner
Wow Hi ALl !@RossJeanette @rfberry @RannPatterson @GailZahtz @ShahinaLakhani #hpm

Wed Jan 16 18:29:54 PST 2013
ravipm2000
My dream is to take the best from what I learned in the US and apply it to #Trinidad and #Tobago #hpm
Wed Jan 16 18:30:09 PST 2013
ravipm2000
@GailZahtz Sounds good! #hpm

Wed Jan 16 18:30:28 PST 2013
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colleen_young
@ravipm2000 Great T2. I'm looking forward to the answers. #hpm

Wed Jan 16 18:30:35 PST 2013
AnkurB_MD
Great Q! Been thinking abut it! RT @ravipm2000: T2: What advice to give to a developing country with a new palliative care program? #hpm
Wed Jan 16 18:30:36 PST 2013
nursefriendly
RT @ravipm2000: T2: If you could give advice to a developing country with a new palliative care program, what would you recommend? #hpm
Wed Jan 16 18:30:38 PST 2013
BillPfohl
T2 is tough...different cultural beliefs etc. it would be hard unless I knew specifics #hpm
Wed Jan 16 18:30:46 PST 2013
colleen_young
@ravipm2000 What is that best? #hpm

Wed Jan 16 18:30:55 PST 2013
ravipm2000
I'm adding a little Caribbean #hpmglobal flavor to the chat for the next few minutes! :-) #hpm
Wed Jan 16 18:31:13 PST 2013
GailZahtz
@KathyKastner @rfberry @rannpatterson @shahinalakhani Woot and its Kathy. Like a reunion! #hpm
Wed Jan 16 18:31:16 PST 2013
rfberry
meet @matthewsmichele RT @ravipm2000: My dream is to take the best from what I learned in the US and apply it to #Trinidad and #Tobago #hpm
Wed Jan 16 18:31:18 PST 2013
colleen_young
Exactly my thought. RT @BillPfohl: T2 is tough...different cultural beliefs etc. it would be hard unless I knew specifics #hpm
Wed Jan 16 18:31:23 PST 2013
enBloomMedia
T2 Seems like one option could be to include palliative professionals at the point of diagnosis of a catostrophic illness #hpm
Wed Jan 16 18:31:26 PST 2013
RannPatterson
Hello! @KathyKastner: Wow Hi ALl !@RossJeanette @rfberry @RannPatterson @GailZahtz @ShahinaLakhani #hpm
Wed Jan 16 18:31:28 PST 2013
GailZahtz
@ravipm2000 This has become my passion- the sick and dying, caregivers...deserve MORE beauty and ease not less! #hpm #universaldesign
Wed Jan 16 18:32:20 PST 2013
rfberry
T2 Talk about quality of life as often as possible. Avoid language about 'good deaths' #hpm
Wed Jan 16 18:32:24 PST 2013
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colleen_young
T2: Need first to understand culture's attitude to death, family, health, health care and technology. #hpm
Wed Jan 16 18:32:25 PST 2013
ShahinaLakhani
@enbloommedia I'd recommend to address physical as well as spiritual, psychosocial existential issues #holistic care #hpm
Wed Jan 16 18:32:28 PST 2013
ravipm2000
@colleen_young Universal coverage for the dying and seriously ill for starters. We have universal health care but knowledge lacks #hpm
Wed Jan 16 18:32:32 PST 2013
ravipm2000
RT @rfberry: T2 Talk about quality of life as often as possible. Avoid language about good deaths #hpm
Wed Jan 16 18:32:56 PST 2013
rfberry
MT @enBloomMedia T2 Seems like one option could be to include palliative professionals at the point of diagnosis of a serious illness #hpm
Wed Jan 16 18:33:05 PST 2013
aliciabloom
RT @rfberry: T2 Talk about quality of life as often as possible. Avoid language about 'good deaths' #hpm
Wed Jan 16 18:33:10 PST 2013
enBloomMedia
RT @colleen_young: T2: Need first to understand cultures attitude to death, family, health, health care and technology. #hpm
Wed Jan 16 18:33:19 PST 2013
colleen_young
@ravipm2000 We have universal health care in Canada too, but not universal understanding of palliative care, hospice or access. #hpm
Wed Jan 16 18:33:24 PST 2013
ravipm2000
@colleen_young Most people here are accepting of death but symptom control is poor. #hpm
Wed Jan 16 18:33:30 PST 2013
GailZahtz
@RannPatterson Must check out your site! @kathykastner @rfberry @shahinalakhani #hpm
Wed Jan 16 18:33:33 PST 2013
ShahinaLakhani
RT @GailZahtz: @KathyKastner @rfberry @rannpatterson @shahinalakhani Woot and its Kathy. Like a reunion! #hpm
Wed Jan 16 18:33:34 PST 2013
ravipm2000
RT @aliciabloom: RT @rfberry: T2 Talk about quality of life as often as possible. Avoid language about good deaths #hpm
Wed Jan 16 18:33:38 PST 2013
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Kamiyamay
T2-National Education Program #HPM

Wed Jan 16 18:33:46 PST 2013
ShahinaLakhani
RT @RannPatterson: Hello! @KathyKastner: Wow Hi ALl !@RossJeanette @rfberry @RannPatterson @GailZahtz @ShahinaLakhani #hpm
Wed Jan 16 18:33:59 PST 2013
AnkurB_MD
T2: Would hear 'em out first about local perceptions re Palliative care @ravipm2000: Advice to give to a developing country? #hpm
Wed Jan 16 18:34:00 PST 2013
jfclearywisc
@ravipm2000 T2: Where to start? Not Carribean but try this example from INdia http://t.co/kMFdmXIm WHat advice? #hpm #hpmglobal
Wed Jan 16 18:34:03 PST 2013
ShahinaLakhani
RT @GailZahtz: @RannPatterson Must check out your site! @kathykastner @rfberry @shahinalakhani #hpm
Wed Jan 16 18:34:15 PST 2013
ravipm2000
MT @rfberry: @enBloomMedia T2 Seems like 1 option could b 2 include palliative professionals @ point of diagnosis of serious illness #hpm
Wed Jan 16 18:34:22 PST 2013
rfberry
Good point. RT @BillPfohl: T2 is tough...different cultural beliefs etc. it would be hard unless I knew specifics #hpm
Wed Jan 16 18:34:37 PST 2013
ravipm2000
RT @jfclearywisc:T2: Where to start? Not Carribean but try this example from INdia http://t.co/aa5li4O0 WHat advice? #hpm #hpmglobal #hpm
Wed Jan 16 18:34:40 PST 2013
aliciabloom
T2- position your #palliative care service as a collaborator that can be supportive from the time of diagnosis of serious illness #hpm
Wed Jan 16 18:34:46 PST 2013
mdTalk
Are there any pilot studies looking at hospice medicare benefit not limited to 6 m prognosis? http://t.co/DFDrAQBK #hpm
Wed Jan 16 18:34:52 PST 2013
KathyKastner
T2..some would say as far as #hpm, we are still a developing country ;)

Wed Jan 16 18:35:02 PST 2013
RossJeanette
T2 to incorporate HPM education in medical school. #hpm

Wed Jan 16 18:35:03 PST 2013
rfberry
RT @colleen_young: T2: Need first to understand cultures attitude to death, family, health, health care and technology. #hpm
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Wed Jan 16 18:35:04 PST 2013
ravipm2000
MT @AnkurB_MD: T2: Would hear em out 1st about local perceptions re Pall care @ravipm2000: Advice to give to a developing country? #hpm
Wed Jan 16 18:35:06 PST 2013
jfclearywisc
RT @ravipm2000: My dream is to take the best from what I learned in the US and apply it to #Trinidad and #Tobago #hpm
Wed Jan 16 18:35:12 PST 2013
colleen_young
@ravipm2000 So true. Understanding that pain & suffering does not have to be accepted as inevitable at end of life or when palliative. #hpm
Wed Jan 16 18:35:14 PST 2013
enBloomMedia
RT @mdTalk: Are there any pilot studies looking at hospice medicare benefit not limited to 6 m prognosis? http://t.co/VVqDh9FE #hpm
Wed Jan 16 18:35:27 PST 2013
rfberry
RT @RossJeanette: T2 to incorporate HPM education in medical school. #hpm

Wed Jan 16 18:35:33 PST 2013
ShahinaLakhani
@ravipm2000 yes! good death is a byproduct of increased quality of life during #EOL phase thru addressing all aspects of human life #hpm
Wed Jan 16 18:35:43 PST 2013
Kamiyamay
RT @aliciabloom: T2- position #palliative care service as a collaborator that can be supportive time of diagnosis of serious illness #HPM
Wed Jan 16 18:35:49 PST 2013
enBloomMedia
Spot on there! RT @KathyKastner: T2..some would say as far as #hpm, we are still a developing country ;) #hpm
Wed Jan 16 18:35:56 PST 2013
KathyKastner
RT @rfberry: RT @RossJeanette: T2 to incorporate HPM education in all schools not just medical school. #hpm
Wed Jan 16 18:36:15 PST 2013
RannPatterson
@nursefriendly @ravipm2000 T2: Make sure the citizens knew it existed- not just #hc staff. I just learned abt it recently on TW. #hpm
Wed Jan 16 18:36:19 PST 2013
ravipm2000
RT @rfberry: RT @RossJeanette: T2 to incorporate HPM education in medical school. #hpm

Wed Jan 16 18:36:20 PST 2013
jfclearywisc
@enBloomMedia But many countries have few MDs. More med graduates leave Ethiopia than stay in country! #hpm
Wed Jan 16 18:36:21 PST 2013
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KathyKastner
:) RT @enBloomMedia: Spot on there! RT @KathyKastner: T2..some would say as far as #hpm, we are still a developing country ;) #hpm
Wed Jan 16 18:36:28 PST 2013
ravipm2000
RT @enBloomMedia: Spot on there! RT @KathyKastner: T2..some would say as far as #hpm, we are still a developing country ;) #hpm
Wed Jan 16 18:36:30 PST 2013
ravipm2000
RT @KathyKastner: RT @rfberry: RT @RossJeanette: T2 to incorporate HPM education in all schools not just medical school. #hpm
Wed Jan 16 18:36:41 PST 2013
April918
#hpm T2: start collecting data from the get-go

Wed Jan 16 18:36:58 PST 2013
GraniteDoc
Hello all, joining late from NH! This is my first #hpm tweet chat, glad to be here.
Wed Jan 16 18:37:18 PST 2013
colleen_young
always! RT @April918: #hpm T2: start collecting data from the get-go
Wed Jan 16 18:37:20 PST 2013
enBloomMedia
Exactly! RT @aliciabloom: T2 position #palliative care service as a collaborator that can be supportive time of dx of serious illness #hpm
Wed Jan 16 18:37:21 PST 2013
ShahinaLakhani
RT @ravipm2000: RT @enBloomMedia: Spot on there! RT @KathyKastner: T2..some would say as far as #hpm, we are still a developing country ...
Wed Jan 16 18:37:33 PST 2013
ravipm2000
Will try!RT @April918: #hpm T2: start collecting data from the get-go #hpm
Wed Jan 16 18:37:33 PST 2013
enBloomMedia
Good point! RT @April918: #hpm T2: start collecting data from the get-go #hpm
Wed Jan 16 18:37:43 PST 2013
VirtualHospice
Welcome! RT @GraniteDoc: Hello all, joining late from NH! This is my first #hpm tweet chat, glad to be here.
Wed Jan 16 18:37:51 PST 2013
ShahinaLakhani
Hello! RT @granitedoc: Hello all, joining late from NH! This is my first #hpm tweet chat, glad to be here.
Wed Jan 16 18:37:58 PST 2013
CarolynMcC
@enBloomMedia @mdTalk That stupid 6 month prognosis thing for hospice needs to go the way of the dinosaurs #hpm
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Wed Jan 16 18:38:08 PST 2013
rfberry
wohoo welcome! RT @GraniteDoc: Hello all, joining late from NH! This is my first #hpm tweet chat, glad to be here. #hpm
Wed Jan 16 18:38:10 PST 2013
RossJeanette
@GraniteDoc welcome to tweetchat #hpm

Wed Jan 16 18:38:20 PST 2013
jfclearywisc
RT @aliciabloom: T2- position your #palliative care service as collaborator that can be supportive from diagnosis of serious illness #hpm
Wed Jan 16 18:38:21 PST 2013
rhgerard
Hi tweeters! My suggestion for T2 is to rewrite legal restrictions about use of opiates. There is a big drop off from major countries #Hpm
Wed Jan 16 18:38:26 PST 2013
KathyKastner
@CarolynMcC Carolyn! gr8 to see you! #hpm

Wed Jan 16 18:38:42 PST 2013
RannPatterson
@GailZahtz @kathykastner @rfberry @shahinalakhani If ur talking abt my #cancer site, pls do- all welcome! #hpm
Wed Jan 16 18:38:43 PST 2013
ravipm2000
As you can see T2 was all about me. T3 will be all about you. I'll give you a few minutes for any other closing points about T2. #hpm
Wed Jan 16 18:38:46 PST 2013
AnkurB_MD
T2 Understanding Local Barriers To Effective Palliative Care Delivery Imp!! Re Advancing Palliative care in developing world! #hpm
Wed Jan 16 18:38:58 PST 2013
KathyKastner
@AnkurB_MD Ha! love it. #hpm

Wed Jan 16 18:39:07 PST 2013
aliciabloom
@granitedoc welcome! #hpm

Wed Jan 16 18:39:14 PST 2013
April918
#hpm t2: and never give up. Everyday is a rollercoaster

Wed Jan 16 18:39:20 PST 2013
ShahinaLakhani
RT @aliciabloom: T2- position your #palliative care service as collaborator that can be supportive from diagnosis of serious illness #hpm
Wed Jan 16 18:39:20 PST 2013
ravipm2000
True! RT @rhgerard:My suggestion 4 T2 is 2 rewrite legal restrictions re: use of opiates.

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There is a big drop off from major countries #hpm

Wed Jan 16 18:39:26 PST 2013
jfclearywisc
RT @rhgerard: Hi tweeters! My suggestion T2 "rewrite legal restrictions abt opiate use. There is a big drop off from major countries #Hpm
Wed Jan 16 18:39:28 PST 2013
Psychgallica
RT @ChelseaHanson: The 2012 #HPM Year on Twitter via Pallimed: A Hospice and Palliative Medicine Blog - Ed. - Please ... http://t.co/sX8 ...
Wed Jan 16 18:39:29 PST 2013
CarolynMcC
@KathyKastner Just popping in... I'm always happy when I pop in on this group. #hpm
Wed Jan 16 18:39:34 PST 2013
ravipm2000
MT @AnkurB_MD: T2 Understanding Local Barriers 2 Effective Pall Care Delivery Imp!! Re Advancing Palliative care in developing world! #hpm
Wed Jan 16 18:39:55 PST 2013
ravipm2000
@CarolynMcC Welcome! #hpm

Wed Jan 16 18:40:04 PST 2013
KathyKastner
Me2 and Me2 ! RT @CarolynMcC: @KathyKastner Just popping in... I'm always happy when I pop in on this group. #hpm
Wed Jan 16 18:40:14 PST 2013
enBloomMedia
RT @rhgerard Hi tweeters! T2 is to rewrite legal restrictions about use of opiates. There is a big drop off from major countries #hpm
Wed Jan 16 18:40:17 PST 2013
aliciabloom
T2- it's an uphill battle sometimes, be prepared to capitalized on teachable moments with patients/families & other providers #hpm
Wed Jan 16 18:40:32 PST 2013
enBloomMedia
@CarolynMcC @mdTalk You know it. #hpm

Wed Jan 16 18:41:05 PST 2013
rfberry
interesting. RT @rhgerard: T2 "rewrite legal restrictions abt opiate use. There is a big drop off from major countries. #hpm
Wed Jan 16 18:41:18 PST 2013
aliciabloom
@carolynmcc wonderful to have you here again! #hpm

Wed Jan 16 18:41:31 PST 2013
ravipm2000
MT @aliciabloom: T2- its an uphill battle sometimes, b prepared 2 capitalize on teachable moments w patients/families/other providers #hpm
Wed Jan 16 18:41:48 PST 2013
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nursefriendly
RT @rfberry: T2 Talk about quality of life as often as possible. Avoid language about 'good deaths' #hpm
Wed Jan 16 18:41:54 PST 2013
GraniteDoc
T2: understand cultural ideas of what actually comprises suffering & the value placed on presence/absence of suffering in illness/death #hpm
Wed Jan 16 18:41:55 PST 2013
AnkurB_MD
Great Mantra! RT @aliciabloom: Place yur #palliative care service as collaborator tht can b supportive frm diagnosis of seriousillness #hpm
Wed Jan 16 18:41:56 PST 2013
ShahinaLakhani
@rannpatterson looking now #hpm

Wed Jan 16 18:42:06 PST 2013
CarolynMcC
@colleen_young @enBloomMedia @mdTalk ... a palliative care consult should be obtained at the beginning of any life threatening illness #hpm
Wed Jan 16 18:42:08 PST 2013
nursefriendly
RT @colleen_young: T2: Need first to understand culture's attitude to death, family, health, health care and technology. #hpm
Wed Jan 16 18:42:10 PST 2013
aliciabloom
@rhgerard great point. in 2009 i did some work in Botswana & learned access to opioids is a major barrier to providing #palliative care #hpm
Wed Jan 16 18:42:53 PST 2013
CarolynMcC
@colleen_young @enBloomMedia @mdTalk I'll be controversial here - we should replace the term "hospice" with palliative care and. forgot #hpm
Wed Jan 16 18:43:01 PST 2013
enBloomMedia
@colleen_young @CarolynMcC @mdTalk Perhaps 1st 3 months into dx then review/ consider for later as prognosis may change? #hpm
Wed Jan 16 18:43:04 PST 2013
ShahinaLakhani
RT @colleen_young: T2: Need first to understand culture's attitude to death, family, health, health care and technology. #hpm
Wed Jan 16 18:43:04 PST 2013
nursefriendly
Encourage early discussion of #EndOfLife issues, #estateplanning, making your wishes known #hpm
Wed Jan 16 18:43:25 PST 2013
RannPatterson
THIS ==> RT @rfberry: T2 Talk about quality of life as often as possible. Avoid language about 'good deaths' #hpm
Wed Jan 16 18:43:27 PST 2013
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TexasKidDoc
Just joining in for the tail end... #hpm

Wed Jan 16 18:43:33 PST 2013
jfclearywisc
T2: First steps even in poorest country: Develope a plan incorporating #Palliative care with other disease management! #Hpm
Wed Jan 16 18:43:37 PST 2013
ravipm2000
We're going to start T3 in 2 mins. It's an idea I stole from one of our British Palliative Care colleagues, @kesleeman #hpm
Wed Jan 16 18:43:39 PST 2013
colleen_young
@CarolynMcC I like that @enBloomMedia @mdTalk #hpm

Wed Jan 16 18:43:57 PST 2013
ravipm2000
Working on making it legal RT @nursefriendly: Encourage early discussion of #EndOfLife issues, #estateplanning, making ur wishes known #hpm
Wed Jan 16 18:44:07 PST 2013
ravipm2000
RT@jfclearywisc: T2: First steps even in poorest country: Develope a plan incorporating #Palliative care with other disease management! #hpm
Wed Jan 16 18:44:18 PST 2013
nursefriendly
RT @GailZahtz: @RannPatterson Must check out your site! @kathykastner @rfberry @shahinalakhani #hpm
Wed Jan 16 18:44:18 PST 2013
colleen_young
@enBloomMedia Also good. @CarolynMcC @mdTalk #hpm

Wed Jan 16 18:44:26 PST 2013
ravipm2000
@TexasKidDoc Hello! #hpm

Wed Jan 16 18:44:35 PST 2013
ShahinaLakhani
@carolynmcc I would say at the beginning of any chronic illness as pal med addresses symptoms so brilliantly #hpm
Wed Jan 16 18:44:42 PST 2013
nursefriendly
Starting early in life :) RT @Kamiyamay: T2-National Education Program #HPM

Wed Jan 16 18:44:53 PST 2013
KathyKastner
RT @ShahinaLakhani: @carolynmcc I would say at the beginning of any chronic illness as pal med addresses symptoms so brilliantly #hpm
Wed Jan 16 18:44:55 PST 2013
enBloomMedia
@colleen_young Ooo, thanks (and blushes). #hpm

Wed Jan 16 18:44:58 PST 2013
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ravipm2000
Any final thoughts on T2? #hpm

Wed Jan 16 18:45:01 PST 2013
ravipm2000
Wed Jan 16 18:45:10 PST 2013
enBloomMedia
@ShahinaLakhani Yes, I like that too. #hpm

Wed Jan 16 18:45:29 PST 2013
CarolynMcC
Even better @ShahinaLakhani I would say at the beginning of any chronic illness as pal med addresses symptoms so brilliantly #hpm
Wed Jan 16 18:45:29 PST 2013
ravipm2000
Here's T3... #hpm

Wed Jan 16 18:45:51 PST 2013
ravipm2000
T3: What was your first experience with death as a professional in your field? #hpm
Wed Jan 16 18:46:18 PST 2013
ShahinaLakhani
@ravipm2000 you mean have death panels :) This term did most demage to the cause of pal med and hospice #hpm
Wed Jan 16 18:46:24 PST 2013
aliciabloom
@ravipm2000 @nursefriendly discussions need to happen w/ appropriate people. living wills made in lawyer's office = often not well done #hpm
Wed Jan 16 18:46:25 PST 2013
aliciabloom
RT @ravipm2000: T3: What was your first experience with death as a professional in your field? #hpm
Wed Jan 16 18:46:50 PST 2013
enBloomMedia
Wed Jan 16 18:46:58 PST 2013
colleen_young
@ravipm2000 T3: And if you're not a professional does that mean I go to bed earlier? #hpm
Wed Jan 16 18:47:05 PST 2013
nursefriendly
@AnkurB_MD T2 Yes, must know the cultural norms, attitudes & perceptions surrounding #dying, #Endoflife first. #hpm
Wed Jan 16 18:47:17 PST 2013
TexasKidDoc
RT @aliciabloom: discussions need to happen w/ appropriate people. living wills made in lawyers office = often not well done #hpm
Wed Jan 16 18:47:20 PST 2013
Page 25 of 37
1/17/13 9:58 AM
ravipm2000
Working on the language!RT @ShahinaLakhani: you mean have death panels :) This term did most demage to the cause of pal med and hospice #hpm
Wed Jan 16 18:47:22 PST 2013
TexasKidDoc
Wed Jan 16 18:47:37 PST 2013
ravipm2000
The idea was from an old article in the Student BMJ http://t.co/fmfdHNxa #hpm
Wed Jan 16 18:47:59 PST 2013
BillPfohl
@colleen_young I guess we get to stay out late and party! #hpm

Wed Jan 16 18:48:07 PST 2013
rfberry
you are a professional. RT @colleen_young: @ravipm2000 T3: And if youre not a professional does that mean I go to bed earlier? #hpm
Wed Jan 16 18:48:18 PST 2013
Lincokila
@theenne666 #ILinfoEstArrivAMoi j'avais pas mon phone,jt"explique le #TRIP demain... wa sav #HPM
Wed Jan 16 18:48:25 PST 2013
ShahinaLakhani
@aliciabloom T# as a student nurse I found a pt dead in his bed had no clue what to do :( #hpm
Wed Jan 16 18:48:26 PST 2013
colleen_young
hee hee RT @BillPfohl: @colleen_young I guess we get to stay out late and party! #hpm
Wed Jan 16 18:48:36 PST 2013
enBloomMedia
RT @aliciabloom @ravipm2000 @nursefriendly discussions need 2 happen w/ appropriate ppl living wills made in esq office=not well done #hpm
Wed Jan 16 18:48:41 PST 2013
RannPatterson
@ravipm2000 @colleen_young LESS suffering- but NO unnecessary prolonged, "life" on a machine. Let's get those 2 separated. #hpm
Wed Jan 16 18:48:58 PST 2013
RannPatterson
RT @ravipm2000: @colleen_young Most people here are accepting of death but symptom control is poor. #hpm
Wed Jan 16 18:49:03 PST 2013
ravipm2000
@colleen_young I consider a professional anyone who is in health care/ health education. I'm all inclusive lol! #hpm
Wed Jan 16 18:49:04 PST 2013
AnkurB_MD
Yes especially #NCDs! MT @jfclearywisc: T2 Even in poorest country: Develope a plan
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1/17/13 9:58 AM
incorporating #Palliative care w other disease Mx #hpm

Wed Jan 16 18:49:18 PST 2013
TexasKidDoc
T3: first pt in med school died of COPD, never got intubated, all wishes respected, stayed in hospital with DNR. Good first (adult). #hpm
Wed Jan 16 18:49:22 PST 2013
colleen_young
True, I took it to mean medical professional. My bad MT @rfberry: you are a professional. RT @colleen_young: ...#hpm cc @ravipm2000
Wed Jan 16 18:49:29 PST 2013
rfberry
T3 I'll answer this as my first experience w/EOL as a VOL since I'm not a clinician, that was my first (non-personal) death experience #hpm
Wed Jan 16 18:49:31 PST 2013
GraniteDoc
T3: intern yr, pt w/ sepsis died from pulm edema, he was DNR which inc no BiPAP here. Felt#hpm
Wed Jan 16 18:49:45 PST 2013
April918
#hpm T3: I was an intern, scared, running a code on a pt I didn't know, family watching
Wed Jan 16 18:49:45 PST 2013
Kamiyamay
T3- First in hospital-CodeBlue overboard. #HPM

Wed Jan 16 18:49:51 PST 2013
colleen_young
Wed Jan 16 18:49:52 PST 2013
ShahinaLakhani
RT @ravipm2000: @colleen_young I consider a professional anyone who is in health care/ health education. I'm all inclusive lol! #hpm
Wed Jan 16 18:50:05 PST 2013
ravipm2000
For T3 I mean seeing death happen to someone you were caring for outside of familial memories. #hpm
Wed Jan 16 18:50:19 PST 2013
rfberry
T3 I remember the patient breathing 2x/minute. I was scared. I didn't totally understand how close to the end he was. I was humbled. #hpm
Wed Jan 16 18:50:24 PST 2013
BillPfohl
RT @colleen_young: True, I took it to mean medical professional. My bad MT @rfberry: you are a professional. #hpm
Wed Jan 16 18:50:25 PST 2013
GailZahtz
I am feeling very dissociative being in #hpm #pinchat #cphc and dm at same time! Love you all though!
Page 27 of 37
1/17/13 9:58 AM
Wed Jan 16 18:50:40 PST 2013
Kamiyamay
RT @rfberry: T3 I remember the patient breathing 2x/minute. Scared. I didnt totally understand how close to end he was. I was humbled. #HPM
Wed Jan 16 18:51:30 PST 2013
RannPatterson
RT @nursefriendly: Encourage early discussion of #EndOfLife issues, #estateplanning, making your wishes known #hpm
Wed Jan 16 18:51:30 PST 2013
KathyKastner
had convo today with #hpm hcp who pointed out many non hcp have never witnessed death. Not like past generations.
Wed Jan 16 18:51:31 PST 2013
RossJeanette
T3 go called to pronounce someone in the "death wing" as an intern. I wasn't sure how to do it #hpm
Wed Jan 16 18:51:32 PST 2013
TexasKidDoc
First as doctor: 23 week premie, parents wanted trial of resuscitation, then held baby #hpm
Wed Jan 16 18:51:40 PST 2013
aliciabloom
T3- my first experience with a dying patient was in Oncology & she was one of my first patients. it was emotional for me & a challenge #hpm
Wed Jan 16 18:51:42 PST 2013
nursefriendly
RT @RannPatterson: @GailZahtz @kathykastner @rfberry @shahinalakhani If ur talking abt my #cancer site, pls do- all welcome! #hpm
Wed Jan 16 18:51:56 PST 2013
rfberry
@BillPfohl @colleen_young I read it that way too at first :) Just value you, was quick to try to communicate your professional value! #hpm
Wed Jan 16 18:52:37 PST 2013
GraniteDoc
T3: intern year, pt w/ pulm edema, DNR which means no BiPAP here, died fast with me holding his hand. Felt utterly helpless. #hpm
Wed Jan 16 18:52:37 PST 2013
ravipm2000
T3: As a student I saw a quiet diaphoretic man on a trolley who started to vomit and then have a caridac arrest. If only I knew more. #hpm
Wed Jan 16 18:52:42 PST 2013
TexasKidDoc
Explained to intern on my most recent call how to pronounce death ... fortunately in pediatrics very unfrequent for intern to be alone #hpm
Wed Jan 16 18:53:15 PST 2013
ctsinclair
Sorry all - had a phone call I had to take for last 20 minutes. I didn't drop off the face of the earth. #hpm
Wed Jan 16 18:53:37 PST 2013
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April918
#hpm T3: no matter how many deaths I witness, I am still in total awe of the process patients and families go thru
Wed Jan 16 18:53:59 PST 2013
ravipm2000
@ctsinclair Welcome back! #hpm

Wed Jan 16 18:54:04 PST 2013
Kamiyamay
@rfberry First good experience I had..arrived at home just moments before..gathered all...there was silent awe.sacred #HPM
Wed Jan 16 18:54:13 PST 2013
ShahinaLakhani
@rannpatterson sx control is poor bcuz of focus physical care Cancer Studies show bette sx control when existential issues r resolved #hpm
Wed Jan 16 18:54:24 PST 2013
enBloomMedia
RT @April918: #hpm T3: no matter how many deaths I witness, I am still in total awe of the process patients and families go thru #hpm
Wed Jan 16 18:54:47 PST 2013
aliciabloom
T3- being present at time of death still feels sacred, even after nearly 7 years of work in #hpm
Wed Jan 16 18:54:51 PST 2013
ShahinaLakhani
RT @April918: #hpm T3: no matter how many deaths I witness, I am still in total awe of the process patients and families go thru
Wed Jan 16 18:54:52 PST 2013
nursefriendly
@CarolynMcC: @colleen_young @enBloomMedia @mdTalk Yes, instead of waiting till #patient is literally at Death's door :( #hpm
Wed Jan 16 18:55:07 PST 2013
ravipm2000
There is the concern that students in training are being shielded from death more nowadays in the UK. Is it the same in the US? #hpm
Wed Jan 16 18:55:12 PST 2013
rfberry
RT @April918: #hpm T3: no matter how many deaths I witness, I am still in total awe of the process patients and families go through. #hpm
Wed Jan 16 18:55:24 PST 2013
KathyKastner
Appreciate u sharing RT @aliciabloom: T3- being present at time of death still feels sacred, even after nearly 7 years of work in #hpm
Wed Jan 16 18:55:24 PST 2013
Kamiyamay
RT @aliciabloom: T3- being present at time of death still feels sacred, even after nearly 7 years of work in #HPM
Wed Jan 16 18:55:25 PST 2013
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TexasKidDoc
RT @aliciabloom: T3- being present at time of death still feels sacred, even after nearly 7 years of work in #hpm
Wed Jan 16 18:55:34 PST 2013
ShahinaLakhani
RT @Kamiyamay: RT @aliciabloom: T3- being present at time of death still feels sacred, even after nearly 7 years of work in #HPM
Wed Jan 16 18:55:54 PST 2013
enBloomMedia
T3 can only speak from the family perspective. My brother had to be declared brain dead (we (nuclear family) were all there. #hpm
Wed Jan 16 18:55:55 PST 2013
BillPfohl
While I never saw a death while at Hospice I have been appalled at the number of HC professionals that wait until the end to refer pts. #hpm
Wed Jan 16 18:56:05 PST 2013
aliciabloom
T3- interesting to see so many of us use words like: sacred, awe. speaks to the power of presence at end of life #hpm
Wed Jan 16 18:56:05 PST 2013
ravipm2000
MT @ShahinaLakhani: @April918: #hpm T3: no matter how mny deaths I witness,I am still in total awe of the process pts/ families go thru #hpm
Wed Jan 16 18:56:12 PST 2013
nursefriendly
RT @ravipm2000: We're going to start T3 in 2 mins. It's an idea I stole from one of our British Palliative Care colleagues, @kesleeman #hpm
Wed Jan 16 18:56:29 PST 2013
ravipm2000
RT @aliciabloom: T3- interesting to see so many of us use words like: sacred, awe. speaks to the power of presence at end of life #hpm
Wed Jan 16 18:56:36 PST 2013
rfberry
Wed Jan 16 18:56:36 PST 2013
rhgerard
RT @ShahinaLakhani: RT @April918: #hpm T3: no matter how many deaths I witness, I am still in total awe of the process..agree with that #Hpm
Wed Jan 16 18:56:37 PST 2013
rfberry
Wed Jan 16 18:56:42 PST 2013
enBloomMedia
Wed Jan 16 18:56:43 PST 2013
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1/17/13 9:58 AM
Kamiyamay
RT @aliciabloom: T3- interesting to see so many of us use words like: sacred, awe. speaks to the power of presence at end of life #HPM
Wed Jan 16 18:56:54 PST 2013
nursefriendly
Wed Jan 16 18:57:06 PST 2013
ravipm2000
MT @BillPfohl: I have been appalled at the number of HC professionals that wait until the end to refer pts. #hpm
Wed Jan 16 18:57:21 PST 2013
KathyKastner
RT @ravipm2000: MT @BillPfohl: I have been appalled at the number of HC professionals that wait until the end to refer pts. #hpm
Wed Jan 16 18:57:31 PST 2013
ShahinaLakhani
@ravipm2000 much needed #hpm

Wed Jan 16 18:57:34 PST 2013
ravipm2000
MT @TexasKidDoc: Many deaths in ICU, students less frequently there. All seems like most at night and students dont often take call #hpm
Wed Jan 16 18:57:43 PST 2013
enBloomMedia
Maybe they don't understand death is a process RT @BillPfohl: appalled at the number of HC prof wait until the end 2 refer pts. #hpm
Wed Jan 16 18:58:05 PST 2013
Kamiyamay
RT @ravipm2000: MT @BillPfohl: I have been appalled at the number of HC professionals that wait until the end to refer pts. #HPM
Wed Jan 16 18:58:13 PST 2013
nursefriendly
Code Blue in Med/Surg/Tele Lost them. RT @ravipm2000: T3: What was your first experience with death as a professional in your field? #hpm
Wed Jan 16 18:58:29 PST 2013
TexasKidDoc
@ravipm2000 Many deaths in ICU, students less frequently there. Also seems like most at night and students don't often take call #hpm
Wed Jan 16 18:58:35 PST 2013
jfclearywisc
@ravipm2000 Many MDs in my training excused students from seeing dying patients! V good surg onc always took us with him! #hpm
Wed Jan 16 18:58:39 PST 2013
RossJeanette
@aliciabloom agree every death is a intimate special encounter #hpm

Wed Jan 16 18:58:48 PST 2013
RannPatterson
@ShahinaLakhani Agree! For that reason, #survivors cd prolly help a lot w/policies. We
Page 31 of 37
1/17/13 9:58 AM
MUST balance the existential or we go downhill. #hpm

Wed Jan 16 18:58:59 PST 2013
RannPatterson
Wed Jan 16 18:59:16 PST 2013
ravipm2000
MT @jfclearywisc: Many MDs in my training excused students from seeing dying patients! V good surg onc always took us with him! #hpm
Wed Jan 16 18:59:28 PST 2013
ravipm2000
RT @RossJeanette: @aliciabloom agree every death is a intimate special encounter #hpm

Wed Jan 16 18:59:38 PST 2013
GraniteDoc
@ravipm2000 I saw one pt die in med school, during a code. More a fxn of general cultural avoidance of death than active shielding #hpm
Wed Jan 16 18:59:51 PST 2013
RannPatterson
RT @nursefriendly: @AnkurB_MD T2 Yes, must know the cultural norms, attitudes & perceptions surrounding #dying, #Endoflife first. #hpm
Wed Jan 16 19:00:15 PST 2013
ravipm2000
RT @GraniteDoc: I saw one pt die in med school, during a code. More a fxn of general cultural avoidance of death than active shielding #hpm
Wed Jan 16 19:00:27 PST 2013
Kamiyamay
@enBloomMedia Death is truly an intimate process. Significant difference when Hospice/Palliative early! #HPM
Wed Jan 16 19:00:33 PST 2013
April918
#hpm gotta put the kiddo to bed, good to tweet again!!

Wed Jan 16 19:00:52 PST 2013
KathyKastner
RT @Kamiyamay: @enBloomMedia Death is truly an intimate process. Significant difference when Hospice/Palliative early! #HPM
Wed Jan 16 19:00:54 PST 2013
TexasKidDoc
Remember being a med student and doing chest compressions... & then 1hr later being in grocery store produce section like it was normal #hpm
Wed Jan 16 19:00:54 PST 2013
ravipm2000
I think we all survived the hour! Whew! Any closing thoughts? #hpm
Wed Jan 16 19:01:02 PST 2013
RannPatterson
@nursefriendly @ankurb_md Agree with you both. Know the culture; know the mindsets, belief systems. #hpm
Wed Jan 16 19:01:07 PST 2013
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ShahinaLakhani
Wed Jan 16 19:01:12 PST 2013
enBloomMedia
@Kamiyamay Yes. #hpm

Wed Jan 16 19:01:27 PST 2013
aliciabloom
T3- our #palliative care service engages interns/residents in family meetings & terminal extubations. great learning opportunity #hpm
Wed Jan 16 19:01:41 PST 2013
jfclearywisc
@ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #hpm
Wed Jan 16 19:01:42 PST 2013
ravipm2000
MT @ShahinaLakhani: @Kamiyamay: @enBloomMedia Death is truly an intimate process. Significant difference when Hospice/Palliative early! #hpm
Wed Jan 16 19:01:49 PST 2013
GraniteDoc
@jfclearywisc: @ravipm2000 "Many MDs in my training excused students from seeing dying patients!" yes, told "no learning value" #hpm
Wed Jan 16 19:02:04 PST 2013
enBloomMedia
THX 4 moderating such a provocative talk RT @ravipm2000: I think we all survived the hour! Whew! Any closing thoughts? #hpm
Wed Jan 16 19:02:07 PST 2013
KathyKastner
Awesome! RT @jfclearywisc: @ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #hpm
Wed Jan 16 19:02:09 PST 2013
rfberry
Fantastic! RT @jfclearywisc: @ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #hpm
Wed Jan 16 19:02:18 PST 2013
CarolynMcC
We had many deaths when I was in med school. Codes almost every day. 3rd years were the "baggers" Maybe I was in a bad hospital. :) #hpm
Wed Jan 16 19:02:18 PST 2013
aliciabloom
@ravipm2000: I think we all survived the hour! Whew! Any closing thoughts? #hpm we more than survived. great job!
Wed Jan 16 19:02:22 PST 2013
jfclearywisc
@aliciabloom Agree Med students residents often come out amazed by family meetings! #palliative #hpm
Wed Jan 16 19:02:26 PST 2013
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1/17/13 9:58 AM
ravipm2000
Thank you, kindly! RT @jfclearywisc: @ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #hpm
Wed Jan 16 19:02:28 PST 2013
BillPfohl
@ravipm2000 1st off...great job! Where do all these great ideas go? Are they just lost in the cloud forever? #hpm
Wed Jan 16 19:02:35 PST 2013
ShahinaLakhani
@kamiyamay yes death is intimate, multifaceted, inspiring and humbling. it is an honor to be allowed to witness it #hpm
Wed Jan 16 19:02:39 PST 2013
Kamiyamay
RT @jfclearywisc: @ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #HPM
Wed Jan 16 19:02:41 PST 2013
AnkurB_MD
Agree! Great chat! RT @jfclearywisc: @ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #hpm
Wed Jan 16 19:02:43 PST 2013
nursefriendly
RT @ravipm2000: For T3 I mean seeing death happen to someone you were caring for outside of familial memories. #hpm
Wed Jan 16 19:02:49 PST 2013
colleen_young
@ravipm2000 Great topics. Stellar moderation. thank you #hpm

Wed Jan 16 19:02:58 PST 2013
ShahinaLakhani
RT @AnkurB_MD: Agree! Great chat! RT @jfclearywisc: @ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #hpm
Wed Jan 16 19:03:22 PST 2013
CarolynMcC
Thanks for letting me drop in! Great chat as always. #hpm

Wed Jan 16 19:03:25 PST 2013
GailZahtz
RT @Kamiyamay RT @aliciabloom: T3- being present at time of death still feels sacred, even after nearly 7 years of work in #HPM
Wed Jan 16 19:03:36 PST 2013
rhgerard
RT @Kamiyamay: @enBloomMedia Death is truly an intimate process. Significant difference when Hpm is early! Helps Create a "good" death #Hpm
Wed Jan 16 19:03:44 PST 2013
OutlierByDegree
T3: stable pt w/ abd pain, nl exam. Intubated & in OR w/in 3 hrs. Bowel was dead. Strong lesson in what could we have done better? #hpm
Wed Jan 16 19:03:46 PST 2013
ravipm2000
@BillPfohl They are stored at http://t.co/NQZLyBNq methinks #hpm

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Wed Jan 16 19:03:46 PST 2013
nursefriendly
RT @KathyKastner: had convo today with #hpm hcp who pointed out many non hcp have never witnessed death. Not like past generations.
Wed Jan 16 19:04:15 PST 2013
nursefriendly
RT @RossJeanette: T3 go called to pronounce someone in the "death wing" as an intern. I wasn't sure how to do it #hpm
Wed Jan 16 19:04:37 PST 2013
ravipm2000
Thank you all for a great turnout and active conversation...Thank you to the lurkers too...Maybe next time jump in the convo! #hpm
Wed Jan 16 19:04:47 PST 2013
RannPatterson
Fickle are we? Lol @GailZahtz: I am feeling very dissociative being in #hpm #pinchat #cphc and dm at same time! Love you all though!
Wed Jan 16 19:05:05 PST 2013
GraniteDoc
@ravipm2000 Thank you all, look forward to more of these! #hpm

Wed Jan 16 19:05:11 PST 2013
ShahinaLakhani
RT @KathyKastner: had convo today with #hpm hcp who pointed out many non hcp have never witnessed death. Not like past generations.
Wed Jan 16 19:05:17 PST 2013
ShahinaLakhani
@nursefriendly that is why we have a death fearing society #hpm

Wed Jan 16 19:05:44 PST 2013
RossJeanette
@ravipm2000 thanks for hosting. Goodnight all. Tweet you next week #hpm
Wed Jan 16 19:05:50 PST 2013
BillPfohl
@ravipm2000 Thanks! #hpm

Wed Jan 16 19:06:08 PST 2013
RannPatterson
No way?! @KathyKastner: had convo today with #hpm hcp who pointed out many non hcp have never witnessed death. Not like past generations.
Wed Jan 16 19:06:17 PST 2013
nursefriendly
RT @April918: #hpm T3: no matter how many deaths I witness, I am still in total awe of the process patients and families go thru
Wed Jan 16 19:06:31 PST 2013
ravipm2000
Thank you all again. Have a great night and better tomorrow! #hpm
Wed Jan 16 19:06:51 PST 2013
Page 35 of 37
1/17/13 9:58 AM
rhgerard
Enjoyed the chat. Good work hosting tonite @ravipm2000 ! #Hpm

Wed Jan 16 19:07:12 PST 2013
ChelseaHanson
RT @DianeEMeier: North Iowa Neighbor: A holistic, family-oriented approach to medicine http://t.co/crkX3xQK #palliative #hpm
Wed Jan 16 19:07:27 PST 2013
AnkurB_MD
Yup! RT @TexasKidDoc: Remember being a med student -doing chest compressions & then 1hr later in grocery produce section like it was NL #hpm
Wed Jan 16 19:07:40 PST 2013
ChelseaHanson
RT @edubru: Severe body image problems in palliative care patients worse with weight loss and depression http://t.co/uZsi72HK #hpm #pall ...
Wed Jan 16 19:07:44 PST 2013
nursefriendly
Wed Jan 16 19:07:45 PST 2013
ravipm2000
@rhgerard Thanks for joining us! I always enjoy your tweets! #hpm
Wed Jan 16 19:08:07 PST 2013
RannPatterson
RT @ravipm2000: MT @BillPfohl: I have been appalled at the number of HC professionals that wait until the end to refer pts. #hpm
Wed Jan 16 19:08:45 PST 2013
ShahinaLakhani
RT @chelseahanson RT @DianeEMeier: North Iowa Neighbor A holistic family-oriented approach to medicine http://t.co/Qe1qox3L #palliative #hpm
Wed Jan 16 19:08:50 PST 2013
nursefriendly
Wed Jan 16 19:09:13 PST 2013
RannPatterson
RT @KathyKastner: Awesome! RT @jfclearywisc: @ravipm2000 Well done on your first hosting, Ravi. Well done, Dr Tirinnie! #hpm
Wed Jan 16 19:10:15 PST 2013
AnkurB_MD
Can Totally Relate! RT @April918: #hpm T3: I was an intern, scared, running a code on a pt I didnt know, family watching #hpm
Wed Jan 16 19:11:09 PST 2013
nursefriendly
Wed Jan 16 19:12:03 PST 2013
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ChelseaHanson
RT @DianeEMeier: Preparing to care for a seriously ill Loved One at Home http://t.co/OpHiwXkc #palliative #hpm
Wed Jan 16 19:12:15 PST 2013
Page 37 of 37

#HPM TweetChat 1/16/13

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#HPM TweetChat 1/16/13

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#hpm - Healthcare Social Media Transcript

@ctsinclair NO probs! #hpm

@ctsinclair @ravipm2000 Is it #hpm time?

RT @BuddhishMD: Taking a Zen Approach to Caregiving http://t.co/Qym3zMqZ #hpm #pedpc

Alisa in DC, I'm happy to join in after a bit of hiatus. #hpm

#hpm - Healthcare Social Media Transcript

Wed Jan 16 18:02:33 PST 2013

@enBloomMedia Thanks for stopping by! #hpm

@rfberry Welcome to one of the pioneers! #hpm

@ctsinclair Sorry you missed the car show! #hpm

@BillPfohl Welcome! #hpm

#hpm - Healthcare Social Media Transcript

@nursefriendly Hope you can join us tonight! #hpm

@ctsinclair I'm sure one exists somewhere. #hpm

@nursefriendly Wow. #hpm

@ravipm2000 ha, you're too kind! #hpm

#hpm - Healthcare Social Media Transcript

Oh hello #hpm. It's Colleen here. Community manager from @VirtualHopsice

@ctsinclair I'll try to find it as we chat. #hpm

Hey @rfberry @gailzahtz @colleen_young Great to see you all! #hpm

@colleen_young Welcome! #hpm

Hello Everyone, Andrew Lopez, RN from #NewJersey popping in/out :) #hpm

@jfclearywisc G'day! Sorry about the spam! #hpm

@nursefriendly Hi and welcome! #hpm

Greetings, hpm nurse, etc #HPM

Greetings #hpm-ers! gr8 to be here!

Ok, let's start with the first topic. #hpm

@nursefriendly Hi Andrew! and @kathykastner What a long lost treat! #hpm

#hpm - Healthcare Social Media Transcript

@Kamiyamay Hello! #hpm

@KathyKastner Welcome! #hpm

@aliciabloom Hello! My #hpm guide is here! #hpm

T1-triplicates....cause delays getting goods where they need to be fast #HPM

Awriiight @ctsinclair @nursefriendly @colleen_young @jfclearywisc @aliciabloom @ravipm2000 #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

@nursefriendly True #hpm

RT @jfclearywisc: @ctsinclair So one of the T1 changes: Recognize that "hospice services"

#hpm - Healthcare Social Media Transcript

r in fact delivering #palliative care #hpm

@jfclearywisc Excellent!!! #HPM

@BillPfohl great idea!! #hpm

#hpm - Healthcare Social Media Transcript

Wed Jan 16 18:20:14 PST 2013

Don't you think the AMA would go for that? #hpm

@RannPatterson Welcome! #hpm

#hpm - Healthcare Social Media Transcript

@GailZahtz it happens :) Hi. #hpm

Thank you! @ravipm2000: @RannPatterson Welcome! #hpm

#hpm - Healthcare Social Media Transcript

@ctsinclair that question is interesting on so many levels. #hpm

@nursefriendly @ctsinclair @rfberry @colleen_young Waving hi Andrew! What is topic? #hpm

@ravipm2000 I like it when the host connects the questions! #hpm

#hpm - Healthcare Social Media Transcript

http://t.co/QfMipgYL via @khnews #hpm #devastating

Any final thoughts on T1? Many excellent ideas so far #hpm

@April918 Hi! #hpm

Hi All, joining in late from Boston! #hpm

Hi all! joining in late.. but ready to tweet #hpm

#hpm - Healthcare Social Media Transcript

@AnkurB_MD Welcome! #hpm