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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

#hpm transcript
Healthcare Social Media Transcript
From: To: Wed May 11 18:00:00 PDT 2011 Wed May 11 19:15:00 PDT 2011 change time period

New ! Explore analytics for this time period: #hpm analytics Explore the world of healthcare social media: Healthcare Conferences - Healthcare Tweet Chats - Disease Hashtags Learn more about #hpm at The Healthcare Hashtag Project

ctsinclair

Few days left: #Hospice is trouncing Electronic health records 68 to 32% in Modern Healthcare's (fake) tourney http://hpm.md/jytCpf #hpm
Wed May 11 18:00:20 PDT 2011

MeredithGould

@DNRstories Ugh...feel better. Migraine headaches bite. #hpm


Wed May 11 18:00:21 PDT 2011

MatthewsMichele

@DNRstories sorry to hear that; Hope you feel better! You'll join us next week then? #hpm
Wed May 11 18:00:44 PDT 2011

hollyby

For the next hour, I'm tweeting from the #Hospice and #Palliative Medicine Tweetchat. Learn how http://bit.ly/dcA3ic via @ctsinclair #hpm
Wed May 11 18:00:47 PDT 2011

hollyby

Welcome to the #Hospice and #Palliative Medicine Tweetchat! Lets get started with some introductions. I'm hosting tonight. #hpm
Wed May 11 18:01:36 PDT 2011

aliciabloom

time for the #hospice and #palliative medicine tweetchat! #hpm


Wed May 11 18:01:40 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould

<--sociologist, keen on communicating health & building community; author; writer; gadfly. Also tweet as @HealthFaith #hpm
Wed May 11 18:02:12 PDT 2011

drpippa

<---family doc, HPM doc, tweeting life and work from Boston. #hpm
Wed May 11 18:02:49 PDT 2011

ctsinclair

Christian Sinclair, palliative MD @KCHospice, editor @Pallimed, CEO @KLXmedia, fan of sports not liked in US (soccer, hockey, #F1) #hpm
Wed May 11 18:03:28 PDT 2011

hollyby

Hello! Holly Yang, HPM doc from @SanDiegoHospice. All tweets are my own. #hpm
Wed May 11 18:03:38 PDT 2011

ctsinclair

RT @MeredithGould: Hey friends, will be chatting about hospice & palliative medicine for the next hr. All welcome to follow hashtag--> #hpm
Wed May 11 18:04:14 PDT 2011

MeredithGould

@ctsinclair Ooo! I love soccer & hockey! #hpm


Wed May 11 18:04:30 PDT 2011

ctsinclair

Hey @MeredithGould, @HollyBy, @Drpippa #hpm


Wed May 11 18:04:39 PDT 2011

drpippa

@ctsinclair @MeredithGould @HollyBy @Drpippa hey yourself! #hpm


Wed May 11 18:05:09 PDT 2011

ctsinclair

Might be typing slow tonight. My right thumb needs to be soaked from a pus draining wound. Dumb bike. #hpm
Wed May 11 18:05:15 PDT 2011

aliciabloom

<-- hpm msw, lsw & clinical educator @VITASHospice in Philadelphia #hpm
Wed May 11 18:05:28 PDT 2011

hollyby

Welcome @SheyontheBay @aliciabloom @MeredithGould @drpippa @ctsinclair @MatthewsMichele ! Great to see you! #hpm
Wed May 11 18:05:31 PDT 2011

hollyby

@ctsinclair Gross. Hope you feel better. #hpm


Wed May 11 18:05:48 PDT 2011

ctsinclair

@MedreditGould Are you going to Rochester in the fall? #hpm


Wed May 11 18:05:54 PDT 2011

MeredithGould

Slipping in a mention that tomorrow is Fibromyalgia Awareness Day. #FibroAware #hpm


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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

Wed May 11 18:06:03 PDT 2011

MatthewsMichele

<--- Dir. of media and public policy comm @KLXMedia, #hpm/ #healthpolicy and #socialmedia enthusiast out of DC #hpm
Wed May 11 18:06:12 PDT 2011

PracticalWisdom

Lisa, Speaker, Trainer, Presentation Designer, Rascal. Really glad to be with wonderful, Smart #HPM Group. #HPM
Wed May 11 18:06:28 PDT 2011

MeredithGould

@ctsinclair Yes! You're going to make it, yes?? #hpm


Wed May 11 18:06:34 PDT 2011

ctsinclair

I just want to say I really like @Aliciabloom and her tweets. Everyone else's too, but alicia always seems to be on when I am looking. #hpm
Wed May 11 18:06:34 PDT 2011

MatthewsMichele

Took the words right out of mouth! RT @hollyby: @ctsinclair Gross. Hope you feel better. #hpm
Wed May 11 18:06:42 PDT 2011

hollyby

@DNRstories See you next week! Hope you feel better. #hpm
Wed May 11 18:07:09 PDT 2011

PracticalWisdom

I'll be learning and chatting with #HPM for the next hour. #HPM
Wed May 11 18:07:15 PDT 2011

hollyby

@PracticalWisdom Hi Lisa! #hpm


Wed May 11 18:07:26 PDT 2011

ctsinclair

@hollyby I forgot HPM docs usually are not fond of gross out medical stuff. My ER wife on the other hand makes me quesy with stories #hpm
Wed May 11 18:07:35 PDT 2011

SheyontheBay

@MeredithGould @ctsinclair That's how rumors start.... #hpm


Wed May 11 18:07:38 PDT 2011

ePatientDave

RT @MeredithGould: Slipping in a mention that tomorrow is Fibromyalgia Awareness Day. #FibroAware #hpm
Wed May 11 18:07:49 PDT 2011

PracticalWisdom

Holly Hi, looking forward to your topics tonight. Thanks!RT @hollyby: @PracticalWisdom Hi Lisa! #HPM
Wed May 11 18:08:06 PDT 2011

@ctsinclair Who doesn't like gross out medical stuff?? LOVE it! As @drsnit would add:
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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould

*confetti* #hpm
Wed May 11 18:08:38 PDT 2011

ctsinclair

@MeredithGould Will be there. Only Monday though, debating if I can stay longer. (Conference BTW @Sheyonthebay) #hpm
Wed May 11 18:08:48 PDT 2011

PracticalWisdom

Ying/Yang=G8 RT @ctsinclair: @hollyby I forgot HPM MD usually are not fond gross out med. stuff. ER wife makes me quesy with stories #HPM
Wed May 11 18:09:01 PDT 2011

Kaviraj2

RT @ctsinclair: RT @MeredithGould: Hey friends, will be chatting about hospice & palliative medicine for the next hr. All welcome to follow hashtag--> #hpm
Wed May 11 18:09:04 PDT 2011

Kaviraj2

RT @ctsinclair: Christian Sinclair, palliative MD @KCHospice, editor @Pallimed, CEO @KLXmedia, fan of sports not liked in US (soccer, hockey, #F1) #hpm
Wed May 11 18:09:08 PDT 2011

EldrcareConsult

I'll be learning and chatting with #HPM for the next hour. #HPM
Wed May 11 18:09:25 PDT 2011

ctsinclair

@ePatientDave You are welcome to join us in #HPM tweetchat! #hpm


Wed May 11 18:09:26 PDT 2011

renee_berry

Hi everyone! ---rb here, love this community, passionate about early palliative care, hospice volunteerism & advance care planning #hpm
Wed May 11 18:09:26 PDT 2011

chemosabe

hey y'all, keeping an eye on it today, but mostly stalking... #hpm


Wed May 11 18:09:34 PDT 2011

Kaviraj2

RT @ctsinclair: Few days left: #Hospice is trouncing Electronic health records 68 to 32% in Modern Healthcare's (fake) tourney http://hpm.md/jytCpf #hpm
Wed May 11 18:09:44 PDT 2011

PracticalWisdom

Look who is here. Long time no chat? @ePatientDave #HPM


Wed May 11 18:09:50 PDT 2011

SheyontheBay

@ctsinclair @hollyby those gross ER stories shared by the parentsare great ways to teach your children by osmosis, ie,STDs and condoms #hpm
Wed May 11 18:10:00 PDT 2011

drpippa

@renee_berry hello! has been so long! #hpm


Wed May 11 18:10:10 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

hollyby

@Kaviraj2 @renee_berry @chemosabe @EldrcareConsult Welcome! #hpm


Wed May 11 18:10:16 PDT 2011

PracticalWisdom

@chemosabe: So glad you R Here~from one chat to another right? #HPM


Wed May 11 18:10:17 PDT 2011

hollyby

Moving to Topic #1 soon #hpm


Wed May 11 18:10:33 PDT 2011

MeredithGould

How cool am I? I finally get to meet -->@renee_berry in a couple of weeks! #hpm


Wed May 11 18:10:56 PDT 2011

chemosabe

@PracticalWisdom thanks Lisa quite right, checked out of #ivchat and here I am #hpm
Wed May 11 18:11:01 PDT 2011

renee_berry

:) yes! happy to see you!! RT @drpippa: @renee_berry hello! has been so long! #hpm
Wed May 11 18:11:02 PDT 2011

EldrcareConsult

Hey there everyone....Shon from Knoxville here....serving seniors and all of humanity..... #hpm
Wed May 11 18:11:03 PDT 2011

PracticalWisdom

@hollyby @Kaviraj2 @renee_berry @chemosabe @EldrcareConsult G8 Crew on the Ship tonight. Clear sailing ahead!! #HPM
Wed May 11 18:11:04 PDT 2011

MatthewsMichele

Just FYI...Lurking (mostly) is my beat tonight too. RT @chemosabe: hey yall, keeping an eye on it today, but mostly stalking... #hpm
Wed May 11 18:11:30 PDT 2011

hollyby

@SheyontheBay @ctsinclair Somehow scare tactics don't seem to work. :) #hpm


Wed May 11 18:11:30 PDT 2011

jessicajohanna

Hi! Work @klxmedia. First tweetchat, may be lurking :) #hpm


Wed May 11 18:11:31 PDT 2011

renee_berry

yes & @jessicajohanna & matthewsmichele! RT @MeredithGould: How cool am I? I finally get to meet -->@renee_berry in a couple of weeks! #hpm
Wed May 11 18:11:32 PDT 2011

PracticalWisdom

@EldrcareConsult Our Southern Gentleman. #HPM


Wed May 11 18:11:54 PDT 2011

ctsinclair

Hey @Chemosabe I always tell people about how you asked ?'s from our tweets at @AAHPM conference in Feb from 1/2 way around the world #hpm
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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

Wed May 11 18:11:55 PDT 2011

hollyby

Pre-T1: HPM providers (and others) think a lot about how our care impacts patients and families. #hpm
Wed May 11 18:12:06 PDT 2011

drpippa

Welcome! RT @jessicajohanna: Hi! Work @klxmedia. First tweetchat, may be lurking :) #hpm
Wed May 11 18:12:19 PDT 2011

hollyby

@jessicajohanna Welcome! #hpm


Wed May 11 18:12:20 PDT 2011

PracticalWisdom

Welcome! How exciting. RT @jessicajohanna: Hi! Work @klxmedia. First tweetchat, may be lurking :) #HPM
Wed May 11 18:12:20 PDT 2011

MatthewsMichele

@jessicajohanna good to see you here!! :) WELCOME! #hpm


Wed May 11 18:12:26 PDT 2011

ctsinclair

@EldrcareConsult Hey Shon. I didn't realize your name was spelled so uniquely. #hpm
Wed May 11 18:12:26 PDT 2011

MeredithGould

RT @hollyby: Pre-T1: HPM providers (and others) think a lot about how our care impacts patients and families. #hpm
Wed May 11 18:12:34 PDT 2011

chemosabe

@ctsinclair thanks Christian, nest best thing to being there! #hpm


Wed May 11 18:12:43 PDT 2011

renee_berry

RT @hollyby Pre-T1: HPM providers (& others) think a lot about how our care impacts patients & families #hpm
Wed May 11 18:12:48 PDT 2011

EldrcareConsult

@PracticalWisdom oh stop (ya'll) #hpm


Wed May 11 18:12:48 PDT 2011

bentleystewart

RT @hollyby: Pre-T1: HPM providers (and others) think a lot about how our care impacts patients and families. #hpm
Wed May 11 18:12:50 PDT 2011

chemosabe

anyone going to European Pallimed conference next week? #hpm


Wed May 11 18:13:12 PDT 2011

hollyby

T1: Ive been thinking abt patient/family feedback to docs/teams. What info from patients would be useful to make care better? #hpm
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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

Wed May 11 18:13:20 PDT 2011

hollyby

@BentleyStewart Hi there! #hpm


Wed May 11 18:13:36 PDT 2011

aliciabloom

@ctsinclair wow...thank you so much! i'm thrilled to have found the #hpm community. love tweeting & learning!
Wed May 11 18:13:49 PDT 2011

MeredithGould

RT @hollyby: T1: What info from patients would be useful to make care better? #hpm
Wed May 11 18:13:51 PDT 2011

PracticalWisdom

If you send the Jet! I'll pitch in for Gas!RT @chemosabe: anyone going to European Pallimed conference next week? #HPM
Wed May 11 18:13:57 PDT 2011

renee_berry

RT @hollyby: T1: Ive been thinking abt patient/family feedback to docs/teams. What info from patients would be useful to make care better? #hpm
Wed May 11 18:14:00 PDT 2011

EldrcareConsult

@hollyby T-1 A good view of the family dynamics..... #hpm


Wed May 11 18:14:13 PDT 2011

Pallimed

Would love for any @Pallimed Twitter followers to join us right now in #HPM Tweetchat. http://tweetchat.com/room/hpm #hospice
Wed May 11 18:14:17 PDT 2011

PracticalWisdom

1 of the best!RT @aliciabloom: @ctsinclair wow...thank you ! im thrilled to have found the #hpm community. love tweeting & learning! #HPM
Wed May 11 18:14:40 PDT 2011

renee_berry

T1 Understanding that simply... #palliative care is comfort focused care (& that hospice is not one thing, but many organizations) #hpm
Wed May 11 18:14:48 PDT 2011

Pallimed

RT @hollyby: T1: Ive been thinking abt patient/family feedback to docs/teams. What info from pts would be useful to make care better? #hpm
Wed May 11 18:14:55 PDT 2011

hollyby

@chemosabe I can't go, but a poster and a presentation will be there. Look for @FrankDFerris #hpm
Wed May 11 18:15:10 PDT 2011

MatthewsMichele

RT @EldrcareConsult: @hollyby T-1 A good view of the family dynamics..... #hpm


Wed May 11 18:15:51 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

ctsinclair

It seems to me in times of stress any help is appreciated, so average care might be seen as outstanding. Need critical feedback. #hpm
Wed May 11 18:15:51 PDT 2011

MeredithGould

T1 Families should be prepared & able to give docs/team info about how the patient communicates: auditory? visual? kinesthetic? #hpm
Wed May 11 18:15:52 PDT 2011

chemosabe

Oh I'm not going but the director of our Pall Care Service is #hpm
Wed May 11 18:16:03 PDT 2011

renee_berry

T1 Listen to patient & family goals of care, before anything else #hpm
Wed May 11 18:16:12 PDT 2011

PracticalWisdom

T1: Respect 4 all Health Care providers. Each is an important piece to build a solid foundation. PT Satisfaction can be impacted + or - #HPM
Wed May 11 18:16:25 PDT 2011

aliciabloom

just today, a family said that the doctors often just "come in, talk at us, & leave." they were so grateful to have a dialogue & ask ? #hpm
Wed May 11 18:16:51 PDT 2011

hollyby

Example: I got a survey from my doc's office. Survey questions are not always helpful to improve care, but what questions would be? #hpm
Wed May 11 18:16:58 PDT 2011

MatthewsMichele

agree! T1 Families should be prepared & able to give docs/team info about how the patient communicates via @MeredithGould #hpm
Wed May 11 18:17:23 PDT 2011

hollyby

RT @ctsinclair: ... in times of stress any help is appreciated, so avg care might be seen as outstanding. Need critical feedback. #hpm
Wed May 11 18:17:26 PDT 2011

MeredithGould

T1 Thought the question was what should families provide for providers? Did I get this wrong? #hpm
Wed May 11 18:17:27 PDT 2011

renee_berry

RT @hollyby: Example: I got a survey from my doc's office. Survey questions are not always helpful to improve care, but what questions would be? #hpm
Wed May 11 18:17:32 PDT 2011

hollyby

@MeredithGould You are spot on. #hpm


Wed May 11 18:17:50 PDT 2011

ctsinclair

T1: hearing 'you are all angels' frequently can lead to poor self-analysis of skills, might be a weakness of feedback to #hospice staff #hpm
Wed May 11 18:17:51 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

hillaryboucher

@PracticalWisdom what is #hpm ?


Wed May 11 18:17:56 PDT 2011

EldrcareConsult

@renee_berry That is a great point....LISTEN #hpm


Wed May 11 18:18:11 PDT 2011

PracticalWisdom

@hollyby: Holly are the questions open ended or not. Need Specific Feedback in order to Feed Forward. #HPM
Wed May 11 18:18:13 PDT 2011

renee_berry

@hollyby @ctsinclair that is such a crucial aspect to understand, #hospice CEO's please see this comment... #hpm
Wed May 11 18:18:24 PDT 2011

renee_berry

RT @hollyby: RT @ctsinclair: ... in times of stress any help is appreciated, so avg care might be seen as outstanding. Need critical feedback. #hpm
Wed May 11 18:18:30 PDT 2011

ctsinclair

@hollyby I find many surveys about medical care have to deal with the delivery/mechanics, not necessarily deliver/humanity #hpm
Wed May 11 18:18:38 PDT 2011

drpippa

T1 - I want to hear whether they understand/agree with/are comfortable with the plan of care. particularly in crisis. #hpm
Wed May 11 18:18:49 PDT 2011

MeredithGould

T1 Families should be prepared & able to provide info about the patient's spiritual perspective, religious practices, faith & beliefs #hpm
Wed May 11 18:18:50 PDT 2011

PracticalWisdom

@hillaryboucher Hospice and Palliative Medicine. Great group. Good to see you. #HPM
Wed May 11 18:19:01 PDT 2011

chemosabe

T1 reponsiveness of staff 2 admit requirements. availablitiy of allied health staff. time to spend with client & family non-clinically #hpm
Wed May 11 18:19:19 PDT 2011

renee_berry

agree RT @EldrcareConsult @renee_berry That is a great point....LISTEN #hpm


Wed May 11 18:19:38 PDT 2011

MeredithGould

T1 Let docs/teams know if there are estranged family members who might be brought back into conversation/relationship at this point. #hpm
Wed May 11 18:19:45 PDT 2011

@aliciabloom it's rare. though today my doctor asked me about my job, hobbies and love
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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

jessicajohanna

life #hpm
Wed May 11 18:19:54 PDT 2011

bgood64

RT @MeredithGould: Slipping in a mention that tomorrow is Fibromyalgia Awareness Day. #FibroAware #hpm
Wed May 11 18:19:58 PDT 2011

LVADone

RT @ctsinclair: It seems to me in times of stress any help is appreciated, so average care might be seen as outstanding. Need critical feedback. #hpm
Wed May 11 18:20:02 PDT 2011

ctsinclair

On the flipside, HPM staff can often be criticized heavily by pts/families b/c of high emotional stress, not b/c of poor skills #hpm
Wed May 11 18:20:17 PDT 2011

renee_berry

@drpippa that is so important, so many families I think are not prepared to simply say what they think or are feeling #hpm
Wed May 11 18:20:21 PDT 2011

renee_berry

RT @drpippa: T1 - I want to hear whether they understand/agree with/are comfortable with the plan of care. particularly in crisis. #hpm
Wed May 11 18:20:27 PDT 2011

EldrcareConsult

RT @MeredithGould: estranged family members who might be brought back into conversation/relationship at this point. EXACTLY! #hpm
Wed May 11 18:20:43 PDT 2011

drpippa

I also want to hear about the patient/family before the illness. Helps with goals/plans/preserving dignity and humanity. #hpm
Wed May 11 18:20:59 PDT 2011

Pallimed

RT @MeredithGould: T1 Let teams know if estranged family members who might be brought back into conversation/relationship #hpm
Wed May 11 18:21:03 PDT 2011

MatthewsMichele

t-1. patient general temperament, mood, the way they prefer to communicate...things that are intuitive to family members... #hpm
Wed May 11 18:21:12 PDT 2011

hollyby

RT @ctsinclair: On the flipside, HPM staff can often be criticized heavily by pts/families b/c of high stress, not b/c of poor skills #hpm
Wed May 11 18:21:13 PDT 2011

PracticalWisdom

Might be in Shock RT @renee_berry: @drpippa so many families I think R not prepared e simply say what they think or are feeling #HPM
Wed May 11 18:21:25 PDT 2011

RT @drpippa: T1 - I want to hear whether they understand/agree with/are comfortable


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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

SheyontheBay

with the plan of care. particularly in crisis. #hpm


Wed May 11 18:21:41 PDT 2011

ctsinclair

@MeredithGould This is such a touchy area. I often will ask about other family who cannot be present. Can be a touchy area. #hpm
Wed May 11 18:21:43 PDT 2011

ctsinclair

@MeredithGould Sorry my record player skipped. My record player skipped! ;-) #hpm
Wed May 11 18:22:08 PDT 2011

MeredithGould

@ctsinclair Very very touchy area, which is why chaplains should be involved & on the team. #hpm
Wed May 11 18:22:13 PDT 2011

EldrcareConsult

RT @PracticalWisdom: Might be in Shock Good point Lisa..... #hpm


Wed May 11 18:22:23 PDT 2011

MeredithGould

@ctsinclair s'ok s'ok #hpm


Wed May 11 18:22:24 PDT 2011

Pallimed

RT @drpippa: T1 - I want to hear whether they understand/agree with/are comfortable with the plan of care. particularly in crisis. #hpm
Wed May 11 18:22:29 PDT 2011

jessicajohanna

RT @drpippa: I also want to hear about the patient/family before the illness. Helps with goals/plans/preserving dignity and humanity. #hpm
Wed May 11 18:22:39 PDT 2011

aliciabloom

the patient/family narrative before & throughout illness is helpful-- builds rapport, provides insight into values. #hpm
Wed May 11 18:22:44 PDT 2011

PracticalWisdom

@hollyby @ctsinclair: When people really feel they are listened to the scores many times go up. Think Social Workers/Clergy can help #HPM
Wed May 11 18:22:49 PDT 2011

PracticalWisdom

RT @aliciabloom: the patient/family narrative before & throughout illness is helpful-builds rapport, provides insight into values. #HPM
Wed May 11 18:23:03 PDT 2011

MeredithGould

RT @drpippa: I also want to hear about the patient/family before the illness. Helps with goals/plans/preserving dignity and humanity. #hpm
Wed May 11 18:23:07 PDT 2011

drpippa

RT @aliciabloom: the patient/family narrative before & throughout illness is helpful-builds rapport, provides insight into values. #hpm
Wed May 11 18:23:09 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

hollyby

Wonderful! Getting two things from this 1) quality improvement help from pts, 2) questions to ask pts to ensure complete picture. #hpm
Wed May 11 18:23:10 PDT 2011

LVADone

@HPHHospice: Nursing encompasses an art, a humanistic orientation, a feeling for the value of the individual... http://t.co/tUdDd49 #hpm
Wed May 11 18:23:11 PDT 2011

EldrcareConsult

@ctsinclair Its very touchy...hardest conversation I have to have with my families....who to/who not to include in the decisions #hpm
Wed May 11 18:23:19 PDT 2011

ctsinclair

Interesting that many medical providers choose to survey AFTER care is delivered. Not always during. #hpm
Wed May 11 18:23:25 PDT 2011

MatthewsMichele

@ctsinclair @MeredithGould Very touchy! Caused my fam to close ranks & not open up as much to docs when our matriarch was ill #hpm
Wed May 11 18:23:29 PDT 2011

hollyby

RT @ctsinclair: Interesting that many medical providers choose to survey AFTER care is delivered. Not always during. #hpm
Wed May 11 18:23:43 PDT 2011

renee_berry

RT @drpippa: I also want to hear about the patient/family before the illness. Helps with goals/plans/preserving dignity and humanity. #hpm
Wed May 11 18:23:45 PDT 2011

MatthewsMichele

RT @ctsinclair: Interesting that many medical providers choose to survey AFTER care is delivered. Not always during. #hpm
Wed May 11 18:23:46 PDT 2011

SheyontheBay

often pts/family have difficulty HEARing in crisis, understand also difficult to articulate values and goals without gentle guidance #hpm
Wed May 11 18:23:46 PDT 2011

PracticalWisdom

RT @jessicajohanna: RT @drpippa: want 2 hear re: patient/family b4 illness. Helps with goals/plans/preserving dignity and humanity. #HPM
Wed May 11 18:23:49 PDT 2011

LVADone

RT @ctsinclair: On the flipside, HPM staff can often be criticized heavily by pts/families b/c of high emotional stress, not b/c of poor skills #hpm
Wed May 11 18:24:00 PDT 2011

renee_berry

RT @aliciabloom: the patient/family narrative before & throughout illness is helpful-builds rapport, provides insight into values. #hpm
Wed May 11 18:24:01 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MatthewsMichele

@ctsinclair seems counter intuitive doesnt it? #hpm


Wed May 11 18:24:16 PDT 2011

ctsinclair

@MatthewsMichele @MeredithGould Yes i have seen the discussion of 'estranged family' alienate communication ability #hpm
Wed May 11 18:24:20 PDT 2011

chemosabe

@ctsinclair we do during care...but my client base is not post terminal event! #hpm
Wed May 11 18:24:24 PDT 2011

MeredithGould

Touchy subjects: all the more reason to Have the Talk! #hpm
Wed May 11 18:24:29 PDT 2011

PracticalWisdom

RT @SheyontheBay: often pts/family have dif. HEARing crisis, understand also difficult to articulate values/goals without gentle guid #HPM
Wed May 11 18:24:37 PDT 2011

drpippa

RT @MeredithGould: Touchy subjects: all the more reason to Have the Talk! #hpm
Wed May 11 18:24:52 PDT 2011

EldrcareConsult

RT @MeredithGould: Touchy subjects: all the more reason to Have the Talk! Yep! #hpm
Wed May 11 18:24:57 PDT 2011

ctsinclair

@MatthewsMichele Patients and families don't take lessons on how to communicate best. Many HC profs dont either though... #hpm
Wed May 11 18:25:00 PDT 2011

MatthewsMichele

YES! RT @MeredithGould: Touchy subjects: all the more reason to Have the Talk! #hpm
Wed May 11 18:25:02 PDT 2011

renee_berry

always yes on advance care planning! RT @MeredithGould: Touchy subjects: all the more reason to #HaveTheaTalk! #hpm
Wed May 11 18:25:13 PDT 2011

PracticalWisdom

@ctsinclair @MatthewsMichele @MeredithGould Families are complex and now often live many miles away #HPM
Wed May 11 18:25:17 PDT 2011

aliciabloom

"@ctsinclair: Interesting that many medical providers choose to survey AFTER care is delivered. Not always during." puzzling, really. #hpm
Wed May 11 18:25:19 PDT 2011

MeredithGould

@ctsinclair @MatthewsMichele Ok, so do NOT say: "Who does your loved one despise who should nevertheless be here?" #hpm
Wed May 11 18:25:34 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MatthewsMichele

@hollyby I had plans to lurk but your T1 has drawn me in! #hpm
Wed May 11 18:25:38 PDT 2011

mojonimbus

RT @aliciabloom: "@ctsinclair: Interesting that many medical providers choose to survey AFTER care is delivered. Not always during." puzzling, really. #hpm
Wed May 11 18:25:44 PDT 2011

ctsinclair

Clarify last statement,not to say that patients and families should improve or change their comm styles, just that we need to adjust #hpm
Wed May 11 18:25:48 PDT 2011

hollyby

We are going to get started with Topic #2 soon #hpm


Wed May 11 18:26:07 PDT 2011

renee_berry

hahaha! great!!!! RT @MatthewsMichele: @hollyby I had plans to lurk but your T1 has drawn me in! #hpm
Wed May 11 18:26:11 PDT 2011

ctsinclair

RT @MatthewsMichele: @hollyby I had plans to lurk but your T1 has drawn me in! "Like a vaudville lasso....invisible but powerful." #hpm
Wed May 11 18:26:27 PDT 2011

PracticalWisdom

T1: It's been my experience that most organization need better survey tools. Filling in the bubbles is not Valuable feedback #HPM
Wed May 11 18:26:31 PDT 2011

hollyby

Agree! RT @PracticalWisdom: T1: ... most organization need better survey tools. Filling in the bubbles is not Valuable feedback #hpm
Wed May 11 18:27:00 PDT 2011

hollyby

Hooray! RT @MatthewsMichele: @hollyby I had plans to lurk but your T1 has drawn me in! #hpm
Wed May 11 18:27:10 PDT 2011

PracticalWisdom

T1: Feedback would be great through the entire process. Are families debriefed by Pall care teams afterward? #HPM
Wed May 11 18:27:18 PDT 2011

EldrcareConsult

RT @PracticalWisdom: Families are complex and now often live many miles away When the end is near they come out of the woodwork #hpm
Wed May 11 18:27:21 PDT 2011

MatthewsMichele

@ctsinclair so true! #hpm


Wed May 11 18:27:27 PDT 2011

@ctsinclair Really...simply knowing how everyone best communicates is big, i.e., don't
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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould

yak endlessly at someone who prefers reading #hpm


Wed May 11 18:27:37 PDT 2011

MeredithGould

@MatthewsMichele Yeah, I always mean to lurk and get totally sucked in by this great group & convo! #hpm
Wed May 11 18:28:06 PDT 2011

hollyby

Topic #2: How does a life-threatening diagnosis change the management of chronic disease? For the patient? For the doc/team? #hpm
Wed May 11 18:28:09 PDT 2011

LVADone

RT @PracticalWisdom: @ctsinclair @MatthewsMichele @MeredithGould Families are complex and now often live many miles away #HPM
Wed May 11 18:28:16 PDT 2011

Pallimed

RT @PracticalWisdom: T1:my experience that most orgs need better survey tools. Filling in the bubbles does not = Valuable feedback #hpm
Wed May 11 18:28:31 PDT 2011

renee_berry

RT @hollyby: Topic #2: How does a life-threatening diagnosis change the management of chronic disease? For the patient? For the doc/team? #hpm
Wed May 11 18:28:36 PDT 2011

PracticalWisdom

@EldrcareConsult: Hopefully come for good reasons. Have seen when was a clergy Family Member the Good, Bad and ugly reasons! #HPM
Wed May 11 18:28:37 PDT 2011

MatthewsMichele

RT @MeredithGould: @ctsinclair Simply knowing how everyone communicates is big, i.e., dont yak endlessly at someone who prefers reading #hpm
Wed May 11 18:28:38 PDT 2011

hollyby

@PracticalWisdom Not always, and not always well, but that goes for most of medical care I think #hpm
Wed May 11 18:28:51 PDT 2011

mojonimbus

#HPM I think concurrent Feedback could prevent misunderstanding and sone patient hostility toward health care workers, better care for all
Wed May 11 18:28:59 PDT 2011

MatthewsMichele

RT @hollyby: T2: How does a life-threatening diagnosis change the management of chronic disease? For the patient? For the doc/team? #hpm
Wed May 11 18:29:08 PDT 2011

aliciabloom

if we just ask patients & families if they feel heard & have any questions/concerns/fears, it can open up the lines of communication. #hpm
Wed May 11 18:29:14 PDT 2011

T2 Think it would depend on the chronic disease? #hpm


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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould EldrcareConsult

Wed May 11 18:29:20 PDT 2011

RT @PracticalWisdom: Hopefully come for good reasons. Have seen when was a clergy Family Member the Good, Bad and ugly reasons! Me 2! #hpm
Wed May 11 18:29:25 PDT 2011

ctsinclair

T2: may free of some of the medical limitations to control the chronic disease as in the case of cholesterol or diabetes meds #hpm
Wed May 11 18:29:51 PDT 2011

drpippa

You assume it does - often it doesn't - that is the problem. How does life-threatening dx change the mgmt of chronic dis? For the team? #hpm
Wed May 11 18:29:57 PDT 2011

hollyby

Example: A diabetic person with new advanced cancer diagnosis. #hpm


Wed May 11 18:30:09 PDT 2011

RossJeanette

Hi all joining late t2 goals for chronic illnesses such as Diabetes & high cholesterol dont need to be tight #HPM
Wed May 11 18:30:14 PDT 2011

PracticalWisdom

RT @mojonimbus:#HPM think concurrent Feedback could prev. misunderstanding/sone pt hostility 2ward health care folks, better care 4 all #HPM
Wed May 11 18:30:34 PDT 2011

hollyby

True! RT @drpippa: You assume it does - often it doesnt - that is the problem. #hpm
Wed May 11 18:30:47 PDT 2011

MeredithGould

Won't change it at all if the chronic disease is basically unmanageable/untreatable to begin with (e.g., #fibro) #hpm
Wed May 11 18:30:52 PDT 2011

ctsinclair

T2: 1 of most intriguing discussions: how to safely minimize burdensome treatments for preventing long term complications of disease #hpm
Wed May 11 18:30:57 PDT 2011

MatthewsMichele

RT @aliciabloom: if we just ask patients & families if they feel heard & have any questions/concerns/fears, it can open up the lines of communication. #hpm
Wed May 11 18:30:57 PDT 2011

hollyby

@mojonimbus Thanks for joining us! #hpm


Wed May 11 18:31:01 PDT 2011

aliciabloom

it should be about the benefits vs burdens of on-going management of the chronic condition. #hpm
Wed May 11 18:31:11 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould

RT @aliciabloom: it should be about the benefits vs burdens of on-going management of the chronic condition. #hpm
Wed May 11 18:31:24 PDT 2011

PracticalWisdom

RT @drpippa: You assume it does often it doesnt that's the problem. How does lifethreatening dx change mgmt chronic dis? 4 team? #HPM
Wed May 11 18:31:28 PDT 2011

hollyby

RT @aliciabloom: it should be about the benefits vs burdens of on-going management of the chronic condition. #hpm
Wed May 11 18:31:30 PDT 2011

ctsinclair

RT @mojonimbus: concurrent Feedback could prevent misunderstanding, some hostility toward health care workers-> better care for all #hpm
Wed May 11 18:31:46 PDT 2011

hollyby

@RossJeanette Welcome Jeanette! Glad you could make it! #hpm


Wed May 11 18:31:50 PDT 2011

PracticalWisdom

@ctsinclair; Like Feeding Tube Issue? #HPM


Wed May 11 18:32:02 PDT 2011

RossJeanette

T2 I like to put patients in the everything you want to eat diet as opposed to the diabetic renal cardiac... Diet it's about QOL #HPM
Wed May 11 18:32:04 PDT 2011

drpippa

must tread lightly - often can be traumatic to patients to stop doing the things we have spent so much time telling them to do #hpm
Wed May 11 18:32:25 PDT 2011

MeredithGould

@RossJeanette Gee, may I be on that diet now??? #HPM


Wed May 11 18:32:31 PDT 2011

renee_berry

RT @aliciabloom: it should be about the benefits vs burdens of on-going management of the chronic condition. #hpm
Wed May 11 18:32:45 PDT 2011

chemosabe

T2 shouldn't the focus be the clients decisions about there death and dying and therefore symptom management that complies with this? #hpm
Wed May 11 18:32:58 PDT 2011

ctsinclair

Hi @RossJeanette Hello @mojonimbus glad to meet you! #hpm


Wed May 11 18:32:59 PDT 2011

PracticalWisdom

Practical Wis.RT @RossJeanette:T2 I like 2 put pt's everything U want 2 eat diet as opposed 2 diabetic renal cardiac Diet its about QOL #HPM
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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

Wed May 11 18:33:12 PDT 2011

drpippa

absolutely! RT @renee_berry: RT @aliciabloom: it should be about the benefits vs burdens of on-going mgmt of the chronic condition. #hpm
Wed May 11 18:33:16 PDT 2011

renee_berry

@aliciabloom for that particular person, & not necessarily how the family perceives benefits vs burdens #hpm
Wed May 11 18:33:19 PDT 2011

MeredithGould

I'd like to be told to eat massive amounts of high quality dark chocolate & bags of Cheez Doodles. Oh wait, this isn't about me? #hpm
Wed May 11 18:33:28 PDT 2011

ctsinclair

@PracticalWisdom Yes even feeding tube goals can be readdressed, are we aiming for long term nutrion goals or short term pleaure #hpm
Wed May 11 18:33:45 PDT 2011

MatthewsMichele

RT @drpippa: must tread lightly - often can be traumatic to patients to stop doing the things we have spent so much time telling them to do #hpm
Wed May 11 18:33:46 PDT 2011

PracticalWisdom

RT @chemosabe: T2 shouldnt focus b clients dec. re:t their death and dying and therefore symptom management that complies with this? #HPM
Wed May 11 18:33:53 PDT 2011

renee_berry

RT @RossJeanette: T2 I like to put patients in the everything you want to eat diet as opposed to the diabetic renal cardiac... Diet it's about QOL #HPM
Wed May 11 18:33:58 PDT 2011

ctsinclair

@MeredithGould Oh its all about you! Autonomy rules in American Health Care System. #hpm
Wed May 11 18:34:15 PDT 2011

hollyby

Goals of care are always important. RT @chemosabe: T2 shouldnt the focus be the clients decisions... #hpm
Wed May 11 18:34:51 PDT 2011

ctsinclair

RT @drpippa: must tread lightly - can be traumatic to patients to stop doing the things we have spent so much time telling them to do #hpm
Wed May 11 18:34:56 PDT 2011

EldrcareConsult

BRB guys...work calls! #hpm


Wed May 11 18:35:19 PDT 2011

aliciabloom

@renee_berry excellent point! although, patients often make treatment decisions for their families. #hpm
Wed May 11 18:35:29 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

renee_berry

really?! I hope it does, not sure though.. RT @ctsinclair @MeredithGould Oh its all about you! Autonomy rules in US Health Care System #hpm
Wed May 11 18:35:32 PDT 2011

hollyby

@drpippa Agree that there is a huge emotional component of changing management of long-standing illness #hpm
Wed May 11 18:36:08 PDT 2011

MeredithGould

@renee_berry I think he's goofing on me. How unusual, right? #hpm


Wed May 11 18:36:10 PDT 2011

SheyontheBay

@RossJeanette We call that the diet of the dying. I remember a dying chocoholic, couldnt eat - we swabbed Hershey syrup on her lips #hpm
Wed May 11 18:36:25 PDT 2011

PracticalWisdom

Bat Phone must have Rang! Batman to the Rescue! Dedicated to his Clients RT @EldrcareConsult: BRB guys...work calls! #HPM
Wed May 11 18:36:36 PDT 2011

RossJeanette

Agree with @drpippa be careful with readdressing goals and being perceived as "doing nothing" #HPM
Wed May 11 18:36:59 PDT 2011

ctsinclair

@renee_berry In many ways Autonomy can trump other key ethical principles of beneficence, Nonmaleficence and fairness. #hpm
Wed May 11 18:37:08 PDT 2011

Pallimed

RT @drpippa: must tread lightly - can be traumatic to patients to stop doing the things we have spent so much time telling them to do #hpm
Wed May 11 18:37:18 PDT 2011

MeredithGould

@SheyontheBay Now THAT is compassionate care. Absolutely! But Hershey's? Not Godiva? #hpm
Wed May 11 18:37:21 PDT 2011

renee_berry

RT @ctsinclair: @renee_berry In many ways Autonomy can trump other key ethical principles of beneficence, Nonmaleficence and fairness. #hpm
Wed May 11 18:37:35 PDT 2011

chemosabe

T2 don't know about mx up there, but, separation of client on physician for chronic illness mx down here v diff. attachment issues #hpm
Wed May 11 18:37:37 PDT 2011

PracticalWisdom

Loving RT @SheyontheBay: @RossJeanette Diet of the dying.Remember a dying chocoholic, couldnt eat we swabbed Hershey syrup on lips #HPM
Wed May 11 18:38:02 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

LVADone

RT @ctsinclair: @renee_berry In many ways Autonomy can trump other key ethical principles of beneficence, Nonmaleficence and fairness. #hpm
Wed May 11 18:38:10 PDT 2011

EldrcareConsult

@PracticalWisdom Its not the Bat Phone I mind, but these flashing strobe lights kill me! #hpm I may be a while..................
Wed May 11 18:38:12 PDT 2011

RossJeanette

@SheyontheBay I'll have to remember thatchocolaye syrup swab good idea #HPM
Wed May 11 18:38:13 PDT 2011

SheyontheBay

@MeredithGould @SheyontheBay Does Godiva make syrup? Too risky to melt chips #hpm
Wed May 11 18:38:17 PDT 2011

mojonimbus

#hpm nice to meet you all too


Wed May 11 18:38:17 PDT 2011

drpippa

RT @ctsinclair: @renee_berry In many ways Autonomy can trump other key ethical principles of beneficence, Nonmaleficence and fairness. #hpm
Wed May 11 18:38:32 PDT 2011

MeredithGould

@SheyontheBay I believe Ghiradelli (sp?) makes syrup. #hpm


Wed May 11 18:38:58 PDT 2011

ctsinclair

It is interesting many HC professionals feel autonomy overrides often, whereas patients often note feeling powerless cc @renee_berry #hpm
Wed May 11 18:38:58 PDT 2011

PracticalWisdom

@EldrcareConsult: It's the piercing Alarm Sound that gets me! #HPM
Wed May 11 18:39:04 PDT 2011

renee_berry

@ctsinclair agree though think OFTEN the case- autonomy is not possible w/o informed medical decision making... which I think is often #hpm
Wed May 11 18:39:13 PDT 2011

hollyby

@chemosabe Can you say more? #hpm


Wed May 11 18:39:26 PDT 2011

renee_berry

RT @ctsinclair: It is interesting many HC professionals feel autonomy overrides often, whereas patients often note feeling powerless cc @renee_berry #hpm
Wed May 11 18:39:29 PDT 2011

MeredithGould

@renee_berry @ctsinclair Or patients can't even conceive of Autonomy? #hpm


Wed May 11 18:39:56 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

PracticalWisdom

RT @ctsinclair: nteresting HC profess. feel autonomy overrides often, whereas patients often note feeling powerless cc @renee_berry #HPM
Wed May 11 18:40:00 PDT 2011

MatthewsMichele

RT @renee_berry: @ctsinclair agree though think OFTEN the case- autonomy is not possible w/o informed medical decision making... which I think is often #hpm
Wed May 11 18:40:04 PDT 2011

thinkalot

RT @PracticalWisdom: Practical Wis.RT @RossJeanette:T2 I like 2 put pt's everything U want 2 eat diet as opposed 2 diabetic renal cardiac Diet its about QOL #HPM
Wed May 11 18:40:38 PDT 2011

ctsinclair

RT @MeredithGould: @renee_berry @ctsinclair Or patients cant even conceive of Autonomy? "foreign concept?" #hpm
Wed May 11 18:40:46 PDT 2011

chemosabe

@hollyby attachment to treating team, difficult to trust new hpm team to mx dz appropriately. particular if goal of care now comfort #hpm
Wed May 11 18:40:51 PDT 2011

renee_berry

yes, how can they w/o clear information RT @MeredithGould @renee_berry @ctsinclair Or patients cant even conceive of Autonomy? #hpm
Wed May 11 18:41:15 PDT 2011

aliciabloom

@ctsinclair HC providers often respect autonomy when pts make decisions they think are right. otherwise, they order psych consults. #hpm
Wed May 11 18:41:39 PDT 2011

MatthewsMichele

@MeredithGould @renee_berry @ctsinclair Good point! I'd guess pts often don't think they are in the drivers seat of their #healthcare. #hpm
Wed May 11 18:41:44 PDT 2011

drpippa

great point. RT @chemosabe: attachment to treating team, diff to trust new hpm team. particularly if goal of care now comfort #hpm
Wed May 11 18:41:57 PDT 2011

PracticalWisdom

RT @chemosabe: @hollyby attachment 2 treating team, difficult 2 trust new hpm team 2 mx dz approp.. partic if goal of care now comfort #HPM
Wed May 11 18:41:59 PDT 2011

EOLnavigator

Hey there. 20 mins is better than 0 mins #hpm


Wed May 11 18:42:01 PDT 2011

ctsinclair

@chemosabe Agree with you. Have had patients say they went for more chemo in part because they like the staff, same with dialysis. #hpm
Wed May 11 18:42:06 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

hollyby

@chemosabe:Thx... so they actually switch care teams. That could be challenging. #hpm
Wed May 11 18:42:07 PDT 2011

LVADone

RT @ctsinclair: It is interesting many HC professionals feel autonomy overrides often, whereas patients often note feeling powerless cc @renee_berry #hpm
Wed May 11 18:42:10 PDT 2011

ctsinclair

RT @EOLnavigator: Hey there. 20 mins is better than 0 mins "Glad you are here before the buzzer!" #hpm
Wed May 11 18:42:29 PDT 2011

renee_berry

RT @MatthewsMichele: @MeredithGould @renee_berry @ctsinclair Good point! I'd guess pts often don't think they are in the drivers seat of their #healthcare. #hpm
Wed May 11 18:42:31 PDT 2011

MatthewsMichele

Definitely! You made it...glad you're here! RT @EOLnavigator: Hey there. 20 mins is better than 0 mins #hpm
Wed May 11 18:43:02 PDT 2011

HerHealthySelf

RT @PracticalWisdom: Loving RT @SheyontheBay: @RossJeanette Diet of the dying.Remember a dying chocoholic, couldnt eat we swabbed Hershey syrup on lips #HPM
Wed May 11 18:43:14 PDT 2011

PracticalWisdom

Remarkable. RT @ctsinclair: @chemosabe Agree Have had pt's say they went 4# chemo because they like the staff, same with dialysis. #HPM
Wed May 11 18:43:24 PDT 2011

ctsinclair

@aliciabloom RE: Disagree with the doc = psych consult. See this less with good integration of a palliative care team. #hpm
Wed May 11 18:43:37 PDT 2011

MeredithGould

How could patients possibly think they have any control/say? The entire system is set up to disabuse them of that notion. #hpm
Wed May 11 18:43:38 PDT 2011

aliciabloom

@ctsinclair @chemosabe agreed. they don't want to "disappoint" their physician & care team. #hpm
Wed May 11 18:43:43 PDT 2011

chemosabe

@hollyby yep we tried models we called shared care where pt still sees both teams. can be just as difficult to mx as hand over #hpm
Wed May 11 18:44:19 PDT 2011

LVADone

RT @aliciabloom: @ctsinclair HC providers often respect autonomy when pts make decisions they think are right. otherwise, they order psych consults. #hpm
Wed May 11 18:44:20 PDT 2011

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

hollyby

True. RT @ctsinclair: @aliciabloom RE: Disagree with the doc = psych consult. See this less with good integration of palliative care. #hpm
Wed May 11 18:44:26 PDT 2011

renee_berry

RT @MeredithGould: How could patients possibly think they have any control/say? The entire system is set up to disabuse them of that notion. #hpm
Wed May 11 18:44:44 PDT 2011

PracticalWisdom

@aliciabloom @ctsinclair @chemosabe: Sounds like some Boundary Issues or some other challenging dynamics at play. #HPM
Wed May 11 18:45:08 PDT 2011

hollyby

Moving on to Topic #3 soon ready to jump frames a bit? #hpm


Wed May 11 18:45:22 PDT 2011

aliciabloom

good point. RT @ctsinclair: RE: Disagree with the doc = psych consult. See this less with good integration of a palliative care team. #hpm
Wed May 11 18:45:38 PDT 2011

lugstew

At hbo screening of dying in Oregon. #hpm #hospice


Wed May 11 18:45:51 PDT 2011

EOLnavigator

This is why open access is a better idea for hospice care RT @hollyby: @chemosabe:..switch care teams......challenging. #hpm
Wed May 11 18:45:52 PDT 2011

renee_berry

patients deserve to know RT @aliciabloom @ctsinclair @chemosabe agreed. they dont want to "disappoint" their physician & care team #hpm
Wed May 11 18:45:59 PDT 2011

PracticalWisdom

RT @chemosabe: @hollyby we tried models we called shared care where pt still sees both teams. can be just difficult 2 mx as hand over #HPM
Wed May 11 18:46:16 PDT 2011

EOLnavigator

Clinicians don't know how to discuss options. RT @MeredithGould: The entire system is set up to disabuse them of that notion. #hpm
Wed May 11 18:46:44 PDT 2011

hollyby

T3: I recently learned about threshold choirs, volunteers who sing for the dying. Any experience with them? http://bitly.com/lEjzfQ #hpm
Wed May 11 18:46:50 PDT 2011

PracticalWisdom

RT @renee_berry: pts' deserve 2 know RT @aliciabloom @ctsinclair @chemosabe agreed. they dont want 2 disappoint" physician & care team #HPM
Wed May 11 18:46:58 PDT 2011

ctsinclair

@MeredithGould spend some time rounding with your local doc and you will see the
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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

amount of deference to patient wishes #hpm


Wed May 11 18:47:03 PDT 2011

LVADone

RT @hollyby: True. RT @ctsinclair: @aliciabloom RE: Disagree with the doc = psych consult. See this less with good integration of palliative care. #hpm
Wed May 11 18:47:28 PDT 2011

apjonas

RT @MeredithGould: T1 Families should be prepared & able to provide info about the patient's spiritual perspective, religious practices, faith & beliefs #hpm
Wed May 11 18:47:39 PDT 2011

MeredithGould

@ctsinclair May that be so! #hpm


Wed May 11 18:47:56 PDT 2011

ctsinclair

T3: Threshold Choirs? Interesting name. Makes me think of Memorex...like you are testing a threshold of hearing. #hpm
Wed May 11 18:47:57 PDT 2011

renee_berry

RT @ctsinclair: @MeredithGould spend some time rounding with your local doc and you will see the amount of deference to patient wishes #hpm
Wed May 11 18:47:58 PDT 2011

drpippa

yes! truly extraordinary. music can help in ways that I can not. RT @hollyby: T3: I recently learned about threshold choirs #hpm
Wed May 11 18:48:01 PDT 2011

MeredithGould

RT @hollyby: T3: Learned about threshold choirs, volunteers who sing for the dying. Any experience with them? http://bitly.com/lEjzfQ #hpm
Wed May 11 18:48:17 PDT 2011

RossJeanette

T3 one of the hospice agencies has a harp player. She apparently plays tunes that calm patients. #HPM
Wed May 11 18:48:20 PDT 2011

PracticalWisdom

@apjonas @MeredithGould: G8 Points I'd also include understanding of culture. #HPM


Wed May 11 18:48:28 PDT 2011

renee_berry

RT @drpippa: yes! truly extraordinary. music can help in ways that I can not. RT @hollyby: T3: I recently learned about threshold choirs #hpm
Wed May 11 18:48:31 PDT 2011

ctsinclair

@MeredithGould And you will also see some steamrolling of patient preferences and dignity. Sadly. #hpm
Wed May 11 18:48:49 PDT 2011

aliciabloom

autonomy requires informed consent for which effective communication with patients & families is essential. #hpm
Wed May 11 18:48:56 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 24 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould

T3 Sounds wonderful. So many ways to ease transition. One pt I was with wanted to hold a kitty again before he died. #hpm
Wed May 11 18:49:04 PDT 2011

PracticalWisdom

Know harp not choir RT @RossJeanette: T3 one of the hospice agencies has a harp player. She apparently plays tunes that calm patients. #HPM
Wed May 11 18:49:10 PDT 2011

MatthewsMichele

@renee_berry @MeredithGould lets face it: takes lots of tenacity to get over 'doc knows best' mentality to inform your own #healthcare #hpm
Wed May 11 18:49:19 PDT 2011

ctsinclair

Any #MBTC or #MusicTherapy people want to come comment on Threshold Choirs? #hpm
Wed May 11 18:49:27 PDT 2011

SheyontheBay

T3 I ve worked at a hospital where both a chaplain and a hospice nurse sang - sooooo soothing #hpm
Wed May 11 18:49:32 PDT 2011

apjonas

RT @MeredithGould: T1 Let docs/teams know if there are estranged family members who might be brought back into conversation/relationship at this point. #hpm
Wed May 11 18:49:42 PDT 2011

PracticalWisdom

T3: Our church has ladies who knit Prayer Shawls for very sick or dying. #HPM
Wed May 11 18:49:47 PDT 2011

MeredithGould

@ctsinclair Which is why I liked serving as a patient advocate, especially in hospice situations. #hpm
Wed May 11 18:49:52 PDT 2011

ctsinclair

Any #MTBC or #MusicTherapy people want to come comment on Threshold Choirs? (fixed hashtag) #hpm
Wed May 11 18:50:03 PDT 2011

renee_berry

absolutely @MatthewsMichele @renee_berry @MeredithGould #hpm


Wed May 11 18:50:05 PDT 2011

renee_berry

RT @MatthewsMichele: @renee_berry @MeredithGould lets face it: takes lots of tenacity to get over 'doc knows best' mentality to inform your own #healthcare #hpm
Wed May 11 18:50:12 PDT 2011

aliciabloom

@ a hospital where i do #palliative care consults there are music therapists and "musicians on-call." our #hospice unit has a harpist. #hpm
Wed May 11 18:50:16 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 25 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

SheyontheBay

T3 Calvary's music therapy does flute work for dyspnea #hpm


Wed May 11 18:50:19 PDT 2011

MatthewsMichele

T3 havent heard about it, what has been the response from patients and families? #hpm
Wed May 11 18:50:43 PDT 2011

hollyby

@MeredithGould One of the most powerful moments I had was with a pt who ignored me and just held his cat, who came to the hospital #hpm
Wed May 11 18:50:50 PDT 2011

chemosabe

@SheyontheBay does it work... what is the science? #hpm


Wed May 11 18:51:05 PDT 2011

drpippa

could have so much discussion on music - I have patients who are unresponsive to everyone/everything except music therapist. #hpm
Wed May 11 18:51:12 PDT 2011

hollyby

@MatthewsMichele Haven't hear the threshold choir here in San Diego yet. Hope to see them soon. #hpm
Wed May 11 18:51:31 PDT 2011

EOLnavigator

T3. Need to embrace what is appropriate for the patient / family. Seen alot of things on an AIDS unit far off my Irish Cath mindset. #hpm
Wed May 11 18:51:35 PDT 2011

ctsinclair

RT @drpippa: I have patients who are unresponsive to everyone/everything except music therapist. #MTBC #hpm
Wed May 11 18:52:05 PDT 2011

MeredithGould

I'd so love to be part of that kind of choir. What a blessing to sing in that context. #hpm
Wed May 11 18:52:15 PDT 2011

renee_berry

RT @hollyby: T3: I recently learned about threshold choirs, volunteers who sing for the dying. Any experience with them? http://bitly.com/lEjzfQ #hpm
Wed May 11 18:52:28 PDT 2011

MatthewsMichele

RT @ctsinclair: RT @drpippa: I have patients who are unresponsive to everyone/everything except music therapist. #MTBC #hpm
Wed May 11 18:52:33 PDT 2011

EOLnavigator

We had a "llama" request....had to settle for a goat. RT @MeredithGould: T3 One pt I was with wanted to hold a kitty again. #hpm
Wed May 11 18:52:38 PDT 2011

PracticalWisdom

T3: Again be aware of the Pt's preference. Some might want Lenard Skynard vs. A choir. #HPM
Page 26 of 35

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#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

Wed May 11 18:52:52 PDT 2011

MeredithGould

@EOLnavigator Oh my! #hpm


Wed May 11 18:52:57 PDT 2011

hollyby

@MeredithGould There are many groups forming across the US. Anyone know of community group that are doing this internationally? #hpm
Wed May 11 18:53:07 PDT 2011

ctsinclair

Just looked on Wikipedia for the disambiguation page for Threshold - lots of different connections. Esp Pain Threshold. #hpm
Wed May 11 18:53:36 PDT 2011

MeredithGould

@hollyby I should check that out. (Like I have the energy.) Loved having opportunities to sing at funerals. #hpm
Wed May 11 18:54:15 PDT 2011

drpippa

for sure! have heard some rousing tunes! RT @PracticalWisdom: T3: Some might want Lenard Skynard vs. A choir. #hpm
Wed May 11 18:54:18 PDT 2011

ctsinclair

I wish I had a singing voice that could work in a small group like a Threshold Choir. Sounds like a rewarding experience. #hpm
Wed May 11 18:54:26 PDT 2011

hollyby

They would have to have a wide repertoire :) RT @PracticalWisdom: T3: ... Some might want Lenard Skynard vs. A choir. #hpm
Wed May 11 18:54:28 PDT 2011

ctsinclair

RT @hollyby: There are many Threshold Choirs forming across the US. Anyone know of community group internationally? #hpm
Wed May 11 18:54:56 PDT 2011

katfulton

@renee_berry @ctsinclair I have a #MusicTherapy friend who runs a threshold choir in Flagstaff! #hpm
Wed May 11 18:55:04 PDT 2011

EOLnavigator

Staff wouldn't mind Lenard Skynard either! RT @PracticalWisdom: T3: Some might want Lenard Skynard vs. A choir. #hpm
Wed May 11 18:55:10 PDT 2011

MatthewsMichele

@MeredithGould ditto! if only i were blessed with good vocals! Singing is def not my ministry! #hpm
Wed May 11 18:55:23 PDT 2011

aliciabloom

hearing is often the sense that stays w/ patients the longest. music can be soothing & powerful way to communicate with a patient @ EOL #hpm
Wed May 11 18:55:37 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 27 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould

@ctsinclair Always felt better after choir rehearsal and singing for worship, even if I felt like crap going in. #HPM
Wed May 11 18:56:08 PDT 2011

renee_berry

@ctsinclair when I started as a #hospice volunteer, they asked what do you do to deStress, I said sing in the car..but I have no voice #hpm
Wed May 11 18:56:16 PDT 2011

SheyontheBay

@chemosabe @SheyontheBay dont know the science behind it - it sure seems to work! I bet Andy at Calvary could tell you #hpm
Wed May 11 18:56:17 PDT 2011

RachelleNorman

@ctsinclair I'm just catching the tail end of this chat, but I can say that I've actually never heard of Threshold Choirs. #googlingnow #hpm
Wed May 11 18:56:17 PDT 2011

MeredithGould

@MatthewsMichele I miss it a lot. #hpm


Wed May 11 18:56:26 PDT 2011

ctsinclair

@PracticalWisdom You could always make your own 'Last Playlist' via Life Before Death http://hpm.md/lN2fKH #hpm
Wed May 11 18:56:26 PDT 2011

renee_berry

RT @ctsinclair: I wish I had a singing voice that could work in a small group like a Threshold Choir. Sounds like a rewarding experience. #hpm
Wed May 11 18:56:29 PDT 2011

apjonas

@aliciabloom Hearing stays longer than touch? #HPM


Wed May 11 18:56:33 PDT 2011

katfulton

Just arrived at #hpm. Thx for the invite, @ctsinclair =) I'm a board-certified #MusicTherapy -ist. Loving this discussion so far!
Wed May 11 18:56:44 PDT 2011

LVADone

:-) @hollyby: They would have to have a wide repertoire :) RT @PracticalWisdom: T3: ... Some might want Lenard Skynard vs. A choir. #hpm
Wed May 11 18:56:51 PDT 2011

drpippa

RT @aliciabloom: hearing often sense that stays w/ patients longest. music can be soothing, powerful way to communicate with a patient #hpm
Wed May 11 18:56:54 PDT 2011

MatthewsMichele

Wish I had a singing voice that could work in a small group like a Threshold Choir. Sounds like a rewarding exp. via @ ctsinclair. #hpm
Wed May 11 18:56:57 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 28 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

JordanEM EOLnavigator

@RachelleNorman @ctsinclair Me either. More info please on Threshold choir #hpm


Wed May 11 18:57:18 PDT 2011

All kinds of music does it for me too! RIP Bob Marley. RT @MeredithGould: @ctsinclair #hpm
Wed May 11 18:57:28 PDT 2011

katfulton

True! RT @aliciabloom: hearing often sense that stays w/ patients longest. music can be soothing, powerful way to communicate with a pt #hpm
Wed May 11 18:57:35 PDT 2011

MeredithGould

@apjonas @aliciabloom That's my question, too. I'd think both hearing & touch last equally long. #hpm
Wed May 11 18:57:42 PDT 2011

PracticalWisdom

RT @drpippa: RT @aliciabloom: hearing often sense stays w/ patients longest. music can b soothing, powerful way 2 communicate w/ PT #HPM
Wed May 11 18:57:54 PDT 2011

aliciabloom

@apjonas hard to know for sure, but have seen patients completely comatose have increase in respiratory rate when a loved one speaks. #hpm
Wed May 11 18:58:00 PDT 2011

SheyontheBay

My daughter's 1 st complete sentence was "no sing mama" She STILL says it (she's 33) #hpm
Wed May 11 18:58:06 PDT 2011

MatthewsMichele

RT @PracticalWisdom: RT @drpippa: RT @aliciabloom: hearing often sense stays w/ patients longest. music can b soothing, powerful way 2 communicate w/ PT #HPM
Wed May 11 18:58:22 PDT 2011

PracticalWisdom

T3: Asked a PT who was actively dying about music preference. She looked me in the eye and said we will not discuss this! #HPM
Wed May 11 18:58:40 PDT 2011

ctsinclair

@renee_berry Hopefully you have not had to sing too much lately! ;-) #hpm
Wed May 11 18:58:43 PDT 2011

hollyby

Ok all! Thanks so much for the wonderful conversation! Last thoughts? FYIs? Twitter hugs? #hpm
Wed May 11 18:58:46 PDT 2011

MatthewsMichele

LOL! RT @SheyontheBay: My daughters 1 st complete sentence was "no sing mama" She STILL says it (shes 33) #hpm
Wed May 11 18:58:47 PDT 2011

aliciabloom

@renee_berry i love to belt it out in the car, too...but i know it sounds terrible! #hpm
Wed May 11 18:58:51 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 29 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

PracticalWisdom

RT @SheyontheBay: My daughters 1 st complete sentence was "no sing mama" She STILL says it (shes 33) #HPM
Wed May 11 18:58:53 PDT 2011

ctsinclair

RT @SheyontheBay: My daughters 1 st complete sentence was "no sing mama" She STILL says it (shes 33) "Sounds like my kids" #hpm
Wed May 11 18:59:07 PDT 2011

renee_berry

T3 My first hospice patient used to sing a song so loud that doors would be slammed shut when I would visit & he would sing for me :) #hpm
Wed May 11 18:59:12 PDT 2011

RachelleNorman

Wow, Threshold Choir looks like a beautiful ministry. As @PracticalWisdom said, the repertoire might be a bit narrow to meet all needs. #hpm
Wed May 11 18:59:16 PDT 2011

Pallimed

Make sure to check out Palliative Care Grand Rounds (it's back!) with @Daitpcg at Palliative Care Success http://hpm.md/lxIYWv #hpm
Wed May 11 18:59:17 PDT 2011

drpippa

great tweetchat this evening! Many thanks @hollyby! now lets all go sing together. have a great night all. #hpm
Wed May 11 18:59:32 PDT 2011

aliciabloom

@hollyby high fives & fist bumps for a great #hospice & #palliative medicine tweet chat! #hpm
Wed May 11 18:59:44 PDT 2011

MatthewsMichele

RT @drpippa: great tweetchat this evening! Many thanks @hollyby! now lets all go sing together. have a great night all. #hpm
Wed May 11 18:59:58 PDT 2011

RachelleNorman

True! RT @aliciabloom: hearing often sense that stays w/ patients longest. music can be soothing, powerful way to communicate with a pt #hpm
Wed May 11 18:59:59 PDT 2011

MeredithGould

Thanks @hollyby! #hpm


Wed May 11 19:00:03 PDT 2011

MatthewsMichele

RT @aliciabloom: @hollyby high fives & fist bumps for a great #hospice & #palliative medicine tweet chat! #hpm
Wed May 11 19:00:11 PDT 2011

renee_berry

RT @drpippa: great tweetchat this evening! Many thanks @hollyby! now lets all go sing together. have a great night all. #hpm
Wed May 11 19:00:16 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 30 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

SheyontheBay

I just took a position at a hospital - thats starting a pall care initiative. May I say....WAHOO!! #hpm
Wed May 11 19:00:21 PDT 2011

jessicajohanna

thanks everyone for a great first tweetchat experience! #hpm


Wed May 11 19:00:28 PDT 2011

hollyby

Thanks you guys! It is a great pleasure to chat with you every time! #hpm
Wed May 11 19:00:50 PDT 2011

katfulton

Thanks @hollyby and everyone at #hpm. I'll have to catch up on the feed. Super fun =) Caught tailend.
Wed May 11 19:00:54 PDT 2011

EOLnavigator

Awww! Can we keep going till midnight? #hpm


Wed May 11 19:00:56 PDT 2011

hollyby

Congrats!!! RT @SheyontheBay: I just took a position at a hospital - thats starting a pall care initiative. May I say....WAHOO!! #hpm
Wed May 11 19:00:59 PDT 2011

ctsinclair

@RachelleNorman @katfulton Glad you could make it! we touch on music therapy occasionally; will try and give you a heads up. #hpm
Wed May 11 19:01:07 PDT 2011

RachelleNorman

RT @ctsinclair: RT @drpippa: I have patients who are unresponsive to everyone/everything except music therapist. #MTBC #hpm
Wed May 11 19:01:07 PDT 2011

PracticalWisdom

@hollyby: Holly great job hosting the Gang tonight. My Music Selection for you guys tonight: http://www.youtube.com/watch?v=vr3x_RRJdd4 #HPM
Wed May 11 19:01:09 PDT 2011

MeredithGould

@SheyontheBay Mazel tov!!!! That's excellent. #hpm


Wed May 11 19:01:19 PDT 2011

renee_berry

hope you enjoyed lurking! RT @jessicajohanna thanks everyone for a great first tweetchat experience! #hpm
Wed May 11 19:01:42 PDT 2011

MatthewsMichele

Congrats!!! RT @SheyontheBay: I just took a position at a hospital - starting a pall care initiative. May I say WAHOO!! via @hollyby #hpm
Wed May 11 19:01:51 PDT 2011

Yukikoufy

hope you enjoyed lurking! RT thanks everyone for a great first tweetchat experience!

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 31 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

#hpm
Wed May 11 19:01:52 PDT 2011

ctsinclair

**confettii** RT @SheyontheBay: I just took a position at a hospital - thats starting a pall care initiative. May I say....WAHOO!! #hpm
Wed May 11 19:01:56 PDT 2011

chemosabe

Sorry clinical work called and somebody else started playing on the pc I was on. Thanx for #hpm chat
Wed May 11 19:02:01 PDT 2011

PracticalWisdom

@hollyby @SheyontheBay: How exciting. This is wonderful! #HPM


Wed May 11 19:02:16 PDT 2011

vWD_Support

RT @MeredithGould: Slipping in a mention that tomorrow is Fibromyalgia Awareness Day. #FibroAware #hpm
Wed May 11 19:02:17 PDT 2011

SheyontheBay

@meredith and holly Thanks! Will be a great challenge. #hpm


Wed May 11 19:02:22 PDT 2011

JordanEM

@PracticalWisdom @hollyby Thanks for the hug. #hpm


Wed May 11 19:02:42 PDT 2011

renee_berry

haha what a love tweetchat lover! (I love it) RT @EOLnavigator Awww! Can we keep going till midnight? #hpm
Wed May 11 19:02:49 PDT 2011

MeredithGould

@SheyontheBay What challenge? Just sing to them! #hpm


Wed May 11 19:02:50 PDT 2011

ctsinclair

Yes @hollyby rocked our LCD screens on Tweetchat tonight! #hpm


Wed May 11 19:02:51 PDT 2011

PracticalWisdom

Thanks 4 coming! RT @chemosabe: Sorry clinical work called and somebody else started playing on the pc I was on. Thanx for #hpm chat #HPM
Wed May 11 19:03:01 PDT 2011

SheyontheBay

@ctsinclair @SheyontheBay Thank you sir! Divine guidance to put me there #hpm
Wed May 11 19:03:04 PDT 2011

hollyby

For those people afraid to sing... check out http://bitly.com/ix5sYx @mstillwater would tell you, you all have a song inside. #hpm
Wed May 11 19:03:32 PDT 2011

ctsinclair

@chemosabe Did you tell them to get off of Facebook and Words with Friends, you have

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 32 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

to use Twitter? #hpm


Wed May 11 19:03:48 PDT 2011

SheyontheBay

@MeredithGould @SheyontheBay Did you not hear of my duaghter's consistent assessment of my singing? #hpm
Wed May 11 19:03:48 PDT 2011

PracticalWisdom

My pleasure. It's how I end all my Talks. RT @JordanEM: @PracticalWisdom @hollyby Thanks for the hug. #HPM
Wed May 11 19:04:20 PDT 2011

SheyontheBay

@hollyby @mstillwater Yes, and best for all around me that it STAYS inside! ;-) #hpm
Wed May 11 19:04:33 PDT 2011

RachelleNorman

Really? How cool! RT @katfulton I have a #MusicTherapy friend who runs a threshold choir in Flagstaff! #hpm cc: @renee_berry @ctsinclair
Wed May 11 19:04:41 PDT 2011

MeredithGould

@SheyontheBay Yes, I read it and all the RTs but...she could be wrong, right? #hpm
Wed May 11 19:04:42 PDT 2011

ctsinclair

RT @EOLnavigator: Awww! Can we keep going till midnight? "people do lurk afterwards to chat, but not that late" #hpm
Wed May 11 19:04:47 PDT 2011

PracticalWisdom

Plus Hard Work! RT @SheyontheBay: @ctsinclair @SheyontheBay Thank you sir! Divine guidance to put me there #HPM
Wed May 11 19:04:56 PDT 2011

aliciabloom

@hollyby i definitely have a song inside, it just doesn't sound so good when it comes out! #hpm
Wed May 11 19:04:56 PDT 2011

hollyby

@PracticalWisdom I love that hug video! #hpm


Wed May 11 19:05:13 PDT 2011

MeredithGould

@aliciabloom Sing in the shower or car! Just sing!! #hpm


Wed May 11 19:05:30 PDT 2011

ctsinclair

RT @Pallimed: check out Palliative Care Grand Rounds (its back!) with @Daitpcg at Palliative Care Success http://hpm.md/lxIYWv #hpm
Wed May 11 19:05:53 PDT 2011

DianeEMeier

RT @ctsinclair: It is interesting many HC professionals feel autonomy overrides often, whereas patients often note feeling powerless cc @renee_berry #hpm
Wed May 11 19:06:19 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 33 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

MeredithGould

Here's my post for #FibroAware day: http://tinyurl.com/3loxmlv (It's a bit long, I know!) #hpm
Wed May 11 19:06:31 PDT 2011

PracticalWisdom

Thanks Holly! Night everybody! RT @hollyby: @PracticalWisdom I love that hug video! #HPM
Wed May 11 19:06:39 PDT 2011

aliciabloom

@MeredithGould absolutely! those are my safe places ;) #hpm


Wed May 11 19:06:53 PDT 2011

MeredithGould

And on that note, I'm logging off! #hpm


Wed May 11 19:07:07 PDT 2011

PracticalWisdom

@DianeEMeier Was just thinking about you and hoped you would join us. #HPM
Wed May 11 19:07:11 PDT 2011

katfulton

@RachelleNorman Yes Hr name is Meghan! =) RT I have a #MusicTherapy frnd w a threshold choir in Flagstaff! #hpm cc: @renee_berry @ctsinclair
Wed May 11 19:07:31 PDT 2011

ctsinclair

Good night everyone! #hpm


Wed May 11 19:07:35 PDT 2011

mojonimbus

#hpm goodnight !
Wed May 11 19:07:37 PDT 2011

ChelseaHanson

RT@MeredithGould MeredithGould Here's my post for #FibroAware day: http://tinyurl.com/3loxmlv (It's a bit long, I know!) #hpm
Wed May 11 19:07:37 PDT 2011

hollyby

Goodnight! Thanks to all! Hope you join us next week. Same time, same hashtag. #hpm
Wed May 11 19:08:08 PDT 2011

renee_berry

RT @DianeEMeier RT @ctsinclair interesting many HC professionals feel autonomy overrides vs pts often note feel powerless #hpm
Wed May 11 19:08:19 PDT 2011

thinkalot

As a hospitalist always fret about informed consent about gtube placement elective admit in pts w dementia #hpm
Wed May 11 19:09:04 PDT 2011

aliciabloom

"so long, farewell, auf wiedersehen, goodbye"...until next week #hpm


Wed May 11 19:09:34 PDT 2011

RT @thinkalot: As a hospitalist always fret about informed consent about gtube


http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 34 of 35

#hpm - Healthcare Social Media Transcript

6/27/12 12:00 PM

ctsinclair aliciabloom

placement elective admit in pts w dementia 'not alone' #hpm


Wed May 11 19:10:18 PDT 2011

@thinkalot clear explanation of benefit vs burden of artificial nutrition in advanced dementia is critical. #hpm
Wed May 11 19:10:31 PDT 2011

AmandaChanguris

RT @MeredithGould: Here's my post for #FibroAware day: http://tinyurl.com/3loxmlv (It's a bit long, I know!) #hpm
Wed May 11 19:11:37 PDT 2011

Kaviraj2

RT @renee_berry: RT @DianeEMeier RT @ctsinclair interesting many HC professionals feel autonomy overrides vs pts often note feel powerless #hpm
Wed May 11 19:12:26 PDT 2011

joshgriffin

I'm so out of it I didn't even realize it's Wednesday and missed #hpm Missed church board mtg yesterday forgetting the day too. Not cool
Wed May 11 19:12:31 PDT 2011

PracticalWisdom

RT @aliciabloom: @thinkalot clear explanation of benefit vs burden of artificial nutrition in advanced dementia is critical. #HPM
Wed May 11 19:12:59 PDT 2011

Kaviraj2

RT @ctsinclair: RT @Pallimed: check out Palliative Care Grand Rounds (its back!) with @Daitpcg at Palliative Care Success http://hpm.md/lxIYWv #hpm
Wed May 11 19:14:28 PDT 2011

SheyontheBay

@aliciabloom @MeredithGould yes, the car! #hpm


Wed May 11 19:14:31 PDT 2011

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

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