9/5/12 TweetChat #hpm

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9/6/12 12:hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Sep 05 18:00:00 PDT 2012

To: Wed Sep 05 19:15:00 PDT 2012

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aliciabloom it's 9pm...so, for the next hour, expect a flurry of #hospice & #palliative care related tweetsfrom me as i host #hpm chat!

Wed Sep 5 18:00:54 PDT 2012

WaywardChad Good evening, folks! A couple minutes late, but I'm here. #hpmWed Sep 5 18:02:49 PDT 2012

BillPfohl To the flock of tweeters foolish enough to follow me...sorry but I'm about to start a hospicepaliative medicine tweetchat. #hpm

Wed Sep 5 18:03:14 PDT 2012

aliciabloom MSW, LSW practicing in #hpm. excited for pumpkin spice latte season & to be your hosttonight! who's here? introduce yourself!

Wed Sep 5 18:03:37 PDT 2012

aliciabloom hi @WaywardChad & @BillPfohl. great to have you both here! #hpmWed Sep 5 18:04:17 PDT 2012

WaywardChad Folks who follow me, pardon the tweet flurry in the next hour as I discuss #hospice palliative care in the weekly #HPM tweetchat.

Wed Sep 5 18:04:35 PDT 2012
http://www.twitter.com/BillPfohlhttp://www.twitter.com/WaywardChadhttp://www.twitter.com/WaywardChadhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media-analytics/http://twitter.com/611173037/status/243515000604467201http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/WaywardChadhttp://twitter.com/24399366/status/243514925723549696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/WaywardChadhttp://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/243514758538612736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/16059326/status/243514663105601536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/611173037/status/243514558331883520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://twitter.com/24399366/status/243514076691566592http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-social-media-analytics/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=09-05-2012&shour=18&smin=0&tdate=09-05-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=09-05-2012&shour=18&smin=0&tdate=09-05-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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Kamiyamay joining in wondering how we fair against Cowboys #hpmWed Sep 5 18:05:00 PDT 2012

BillPfohl @aliciabloom Great to be back...palliative has 2 L's right? #hpmWed Sep 5 18:05:26 PDT 2012

aliciabloom @BillPfohl that's correct. #hpmWed Sep 5 18:06:14 PDT 2012

BerylSchewe Hi folks, pardon the tweet flurry in the next hour as I discuss #hospice & #palliative care inthe weekly #HPM tweetchat. #hpm

Wed Sep 5 18:06:35 PDT 2012

WaywardChad I'm Chad, an MSW & inactive LSW (until I get licensed here in Maryland) and a gradstudent in #thanatology, moving into the #hpm realm. #hpm

Wed Sep 5 18:06:40 PDT 2012

aliciabloom welcome @Kamiyamay! i wonder how we'll do competing against the start of footballseason & the DNC. lots to watch tonight. #hpm

Wed Sep 5 18:07:04 PDT 2012

nursefriendly Hello all, Andrew Lopez, RN from New Jersey, browsing #socialortho#hospice#palliative#hpm, etc

Wed Sep 5 18:07:12 PDT 2012

aliciabloom welcome @BerylSchewe & thanks for joining us! #hpmWed Sep 5 18:07:20 PDT 2012

jfclearywisc JIm Cleary, @uwhealth palliative care and @painpolicy (PPSG, http://t.co/GAzDWcIr)joining #hpm tweetchat for the next hour

Wed Sep 5 18:08:06 PDT 2012

Kamiyamay @aliciabloom Yes indeed!! Hi to all familiar and new faces! #hpmWed Sep 5 18:08:48 PDT 2012

aliciabloom hi @jfclearywisc! i'm going to send out T1 in just a moment. #hpmWed Sep 5 18:08:54 PDT 2012

ctsinclair Christian Sinclair, Natl Hospice Med Dir for Gentiva, and weary traveler, currently inWashington DC - where are all the politicians? #hpm

Wed Sep 5 18:09:06 PDT 2012

aliciabloom pre-T1: this morning, while getting ready for work, i heard the Today show report on newstudy that suggests we need to do CPR longer #hpm

Wed Sep 5 18:11:16 PDT 2012
http://twitter.com/24399366/status/243516682524565504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/243516140846985216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/243516086564302848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/243516061855674368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/27231379/status/243515887813013504http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/GAzDWcIr)http://www.twitter.com/painpolicyhttp://www.twitter.com/uwhealthhttp://www.twitter.com/jfclearywischttp://twitter.com/24399366/status/243515693478334464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BerylSchewehttp://www.twitter.com/aliciabloomhttp://twitter.com/22638297/status/243515660397862912http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/socialortho/http://www.twitter.com/nursefriendlyhttp://twitter.com/24399366/status/243515629297102850http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/aliciabloomhttp://twitter.com/611173037/status/243515525118971904http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/thanatology/http://www.twitter.com/WaywardChadhttp://twitter.com/357255828/status/243515504906629120http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/BerylSchewehttp://twitter.com/24399366/status/243515415999950848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/aliciabloomhttp://twitter.com/16059326/status/243515218293051392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/BillPfohlhttp://twitter.com/196778759/status/243515105495621632http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamay

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of patients who recd 30min+ = unnecessary CPR #hpm

Wed Sep 5 18:19:42 PDT 2012

Kamiyamay @aliciabloom Started working ICU as SR in high school...made mind then DNR now some30 years later technology...has it improved QOL??? #hpm

Wed Sep 5 18:19:43 PDT 2012

aliciabloom hi @MarksPhone-- better late than never! #hpmWed Sep 5 18:19:57 PDT 2012

RyanMadanickMD @ctsinclair I can't count the number of times #hpmWed Sep 5 18:19:57 PDT 2012

ctsinclair @aliciabloom exactly, that is the headline. I could see a family member asking why 'YOU'stopped so soon? #hpm

Wed Sep 5 18:20:23 PDT 2012

nursefriendly T1 At the very least, they will be reviewing #ACLS, #CPR & other resuscitative protocols in#hospitals, #first responders @aliciabloom#hpmWed Sep 5 18:20:27 PDT 2012

Kamiyamay @ctsinclair Way way too many times....heard the cracking too many times #hpmWed Sep 5 18:21:06 PDT 2012

ctsinclair As a professional I have been in probably around 100+ code blue/CPR, but most of thatwas as a resident in 2000-3 #hpm

Wed Sep 5 18:21:13 PDT 2012

nursefriendly T1 Does it have a strong bearing on #EOLChat, usually by the time #hospice, etc is inplace, decision is made not to resuscitate. #hpm

Wed Sep 5 18:21:30 PDT 2012

aliciabloom i've seen CPR several times. mostly, i find it distressing. #hpmWed Sep 5 18:21:37 PDT 2012

MarksPhone I will raise my hand twice but since I am a civilian was throw out #hpmWed Sep 5 18:21:38 PDT 2012

ctsinclair RT @RyanMadanickMD: @ctsinclair I cant count the number of times"Even as a GI doc? What are you doing? ;-)" #hpm

Wed Sep 5 18:21:48 PDT 2012

BerylSchewe @ctsinclair I've observed CPR twice. Both Code Blues in a hospital setting. #hpmWed Sep 5 18:21:50 PDT 2012

RT @MarksPhone: I will raise my hand twice but since I am a civilian was throw out "This
http://www.twitter.com/MarksPhonehttp://twitter.com/357255828/status/243519345303617536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/BerylSchewehttp://twitter.com/17206739/status/243519335702884352http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/RyanMadanickMDhttp://www.twitter.com/ctsinclairhttp://twitter.com/22063766/status/243519291696218112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/24399366/status/243519289049628672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/22638297/status/243519260368961537http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/EOLChat/http://www.twitter.com/nursefriendlyhttp://twitter.com/17206739/status/243519190093418496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/196778759/status/243519159525322753http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/Kamiyamayhttp://twitter.com/22638297/status/243518994848563200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.symplur.com/healthcare-hashtags/first/http://www.symplur.com/healthcare-hashtags/hospitals/http://www.symplur.com/healthcare-hashtags/CPR/http://www.symplur.com/healthcare-hashtags/ACLS/http://www.twitter.com/nursefriendlyhttp://twitter.com/17206739/status/243518980239810560http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/233358828/status/243518868847460352http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/RyanMadanickMDhttp://twitter.com/24399366/status/243518867635335168http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/243518812551524354http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/611173037/status/243518807837118465http://www.symplur.com/healthcare-hashtags/hpm/

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ctsinclair data makes the case for family presence IMHO" #hpmWed Sep 5 18:22:22 PDT 2012

RyanMadanickMD @ctsinclair Well I did IM residency first, remember! #hpmWed Sep 5 18:22:29 PDT 2012

aliciabloom @ctsinclair exactly. or...they say that they heard CPR is beneficial, so of course they wanttheir loved one to have it! #hpmWed Sep 5 18:22:45 PDT 2012

ctsinclair @aliciabloom (Sorry for hijacking your hosting with a question but I figured it was relevantto T1 - Please forgive me!) #hpm

Wed Sep 5 18:23:03 PDT 2012

jfclearywisc @aliciabloom T1; Impt to define population. CPR devised 4 those who have unepecteddeath. #hpm is dealing w those in who death is expected!

Wed Sep 5 18:23:25 PDT 2012

equijada @ctsinclair Interesting question: family presence. #hpmWed Sep 5 18:23:35 PDT 2012

ctsinclair But as we see from main stream media reporting on medical issues, it essentially boilsdown to a headline takeaway point #hpm

Wed Sep 5 18:23:36 PDT 2012

aliciabloom @ctsinclair (umm, no apology necessary! you can hijack anytime) #hpmWed Sep 5 18:23:54 PDT 2012

ctsinclair @jfclearywisc Great point Jim. #hpmWed Sep 5 18:24:16 PDT 2012

gina_LJ @ctsinclair 11 works out nicely at 1 per year though actually none for the last 3. #hpmWed Sep 5 18:24:19 PDT 2012

MarksPhone I just finished the article & what struck me is that it seems even more critical to have healthproxy etc. in place #hpm

Wed Sep 5 18:24:40 PDT 2012

ctsinclair RT @aliciabloom: ive seen CPR several times. mostly, i find itdistressing. "I find CPR exhilarating & distressing" #hpm

Wed Sep 5 18:25:13 PDT 2012

Kamiyamay @jfclearywisc Excellent point! #hpmWed Sep 5 18:25:17 PDT 2012
http://twitter.com/196778759/status/243520212463415296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/Kamiyamayhttp://twitter.com/17206739/status/243520195086405636http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/22063766/status/243520055441256449http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/45562177/status/243519966438125568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/gina_LJhttp://twitter.com/17206739/status/243519956451471361http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/243519865204375552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/243519789669179393http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/243519781846798337http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://twitter.com/27231379/status/243519740058951680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://twitter.com/17206739/status/243519648732168193http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/243519574551691264http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/233358828/status/243519508726304770http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/RyanMadanickMDhttp://twitter.com/17206739/status/243519477378064385http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclair

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jfclearywisc @ctsinclair I have been to three in 18 years. Last was a consult. CPR team indicatedhaving #hpm in room was bad prognostic sign!

Wed Sep 5 18:25:36 PDT 2012

aliciabloom MT "@ctsinclair: media reporting on medical issues, it essentially boils down to a headlinetakeaway point"

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comments relevant to #palliative care? #hpmglobal

Wed Sep 5 18:28:28 PDT 2012

aliciabloom family presence during CPR and/or strong education about what resuscitative efforts entaicould help patients/families make decisions #hpm

Wed Sep 5 18:29:16 PDT 2012

WaywardChad MT @BerylSchewe: most dont understand rib fracture possibilities for frail w/ CPR. Musteducate about quality of life the next morning. #hpmWed Sep 5 18:29:33 PDT 2012

aliciabloom @BerylSchewe that's a critically important point. we are trying to "bring them back" towhat? #hpm

Wed Sep 5 18:29:48 PDT 2012

Kamiyamay MT @BerylSchewe: most dont understand rib fracture possibilities for frail w/ CPR. Wemust educate about quality of life following CPR #hpm

Wed Sep 5 18:29:51 PDT 2012

ctsinclair @equijada family good to have during correct in peds #hpm#pedpcWed Sep 5 18:30:07 PDT 2012

Kamiyamay MT @jfclearywisc:hpm chat is discussing @TheLancet paper on CPR. Any thoughtsrelevant to #palliative care? #hpmglobal#hpm

Wed Sep 5 18:30:43 PDT 2012

aliciabloom how would you respond to patient/family or fellow clinician statements that prolonged CPRis beneficial? #hpm

Wed Sep 5 18:31:23 PDT 2012

BillPfohl Show of hands...how many of you have been approached by a family who doesn't wanthpm care for because of a medial procedure? #hpm

Wed Sep 5 18:32:06 PDT 2012

Kamiyamay @aliciabloom We need more education for CCRN's & Docs...recently received a call fromICU Nurse/friend discussing this issue..when #hpm#hpm

Wed Sep 5 18:32:26 PDT 2012

MarksPhone @aliciabloom The data seems to show it is beneficial but at what cost and is what patient

and family expected or wanted? #hpmWed Sep 5 18:33:12 PDT 2012

aliciabloom @Kamiyamay absolutely. #hpmWed Sep 5 18:33:27 PDT 2012

doctatum But do docs read the fineprint?MT @ctsinclair from main stream media reporting onmedical issues, it boils down to a headline takeaway #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/doctatumhttp://twitter.com/24399366/status/243522268553154560http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/aliciabloomhttp://twitter.com/22063766/status/243522202031489024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/MarksPhonehttp://twitter.com/196778759/status/243522011211632640http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/16059326/status/243521925270351872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/24399366/status/243521748312674304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/243521578766327808http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpmglobal/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/TheLancethttp://www.twitter.com/jfclearywischttp://www.twitter.com/Kamiyamayhttp://twitter.com/17206739/status/243521427339358208http://www.symplur.com/healthcare-hashtags/pedpc/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/196778759/status/243521361472004096http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BerylSchewehttp://www.twitter.com/Kamiyamayhttp://twitter.com/24399366/status/243521347123298304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BerylSchewehttp://www.twitter.com/aliciabloomhttp://twitter.com/611173037/status/243521287295737856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BerylSchewehttp://www.twitter.com/WaywardChadhttp://twitter.com/24399366/status/243521214163849216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/27231379/status/243521010668802048http://www.symplur.com/healthcare-hashtags/hpmglobal/http://www.symplur.com/healthcare-hashtags/palliative/

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Wed Sep 5 18:33:35 PDT 2012

Kamiyamay @BillPfohl No to procedure and/or rejecting therapy! #hpmWed Sep 5 18:33:40 PDT 2012

doctatum Pt selection keyRT @aliciabloom data seems to show it is beneficial but at what cost and what patient and family expected or wanted? #hpm

Wed Sep 5 18:34:14 PDT 2012

equijada @BillPfohl recently had a consult called off as team didn't want me to be "uncomfortable"because pt pursuing chemo #hpm

Wed Sep 5 18:34:16 PDT 2012

ctsinclair @equijada *CPR not 'correct' #AutocorrectFail#hpmWed Sep 5 18:34:58 PDT 2012

aliciabloom CPR is a medical intervention that comes with benefits & burdens. must discuss

appropriateness with each patient & family #hpmWed Sep 5 18:35:09 PDT 2012

ctsinclair @Kamiyamay That had to be so tough. Thanks for sharing your experience. #hpmWed Sep 5 18:35:23 PDT 2012

Kamiyamay MT @doctatum: Pt selection keyRT @aliciabloom data seems to show it is beneficial-atwhat cost & is what patient and family expected ? #hpm

Wed Sep 5 18:35:32 PDT 2012

MarksPhone @doctatum@ctsinclair Newspaper is based on study that must exist somewhere. This isclassic knowledge translation problem #hpmWed Sep 5 18:35:58 PDT 2012

ctsinclair RT @aliciabloom: I worry for seriously ill patient population, messaging around this CPRdata could negatively impact decision making #hpm

Wed Sep 5 18:36:04 PDT 2012

ctsinclair RT @aliciabloom: CPR is a medical intervention with benefits & burdens. must discussappropriateness with each patient & family #hpm

Wed Sep 5 18:36:21 PDT 2012

WaywardChad MT @aliciabloom: CPR = medical intervention that comes with benefits & burdens. mustdiscuss appropriateness w/ each patient & family #hpm

Wed Sep 5 18:36:36 PDT 2012

jfclearywisc RT @aliciabloom: CPR: a medical intervention that comes w benefits & burdens. mustdiscuss appropriateness w each patient & family #hpm

Wed Sep 5 18:36:52 PDT 2012
http://twitter.com/27231379/status/243523125814390785http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://twitter.com/611173037/status/243523061540868096http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/17206739/status/243522997443506177http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/243522924886241281http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/22063766/status/243522900026617856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/doctatumhttp://www.twitter.com/MarksPhonehttp://twitter.com/196778759/status/243522790798548993http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/doctatumhttp://www.twitter.com/Kamiyamayhttp://twitter.com/17206739/status/243522752785547264http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/243522696539934720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/243522646539661312http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/AutocorrectFail/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/243522473071616000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/equijadahttp://twitter.com/33076161/status/243522463026270209http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/doctatumhttp://twitter.com/196778759/status/243522323062333440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/Kamiyamayhttp://twitter.com/33076161/status/243522298693447680

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Kamiyamay @aliciabloom Sometimes CPR started in home by first responders...before everdiscussed.....still when 2 stop and QOL?? #hpm

Wed Sep 5 18:36:53 PDT 2012

ctsinclair @MarksPhone If only I had a blog from which to set things straight. ;-) Guess I better breathis writer's block #hpm

Wed Sep 5 18:37:01 PDT 2012

aliciabloom please share any final thoughts on the CPR data as we prepare to move on to T2. . . #hpmWed Sep 5 18:37:07 PDT 2012

BillPfohl What I'm trying to say is that families looking to get EOL care are looking for help from us...not controversy. #hpm

Wed Sep 5 18:37:11 PDT 2012

ctsinclair RT @doctatum: But do docs read the fineprint? "Less common then I think the publicwould like to believe." #hpm

Wed Sep 5 18:37:38 PDT 2012

Kamiyamay @BillPfohl Education and advocacy! #hpmWed Sep 5 18:38:04 PDT 2012

aliciabloom @BillPfohl that's why it's so important to be transparent & have open/honest discussionsabout benefit vs burden of interventions #hpm

Wed Sep 5 18:38:26 PDT 2012

jfclearywisc @ctsinclair Recently had advanced cancer patient who did not want hospice because shethought she had to be "no CPR" #hpm

Wed Sep 5 18:38:39 PDT 2012

Kamiyamay MT @aliciabloom: @BillPfohl So important to be transparent & have open/honestdiscussions about benefit vs burden of interventions #hpm

Wed Sep 5 18:39:24 PDT 2012

aliciabloom @jfclearywisc@ctsinclair so many misconceptions out there about hospice. DNR status isa major one. #hpm

Wed Sep 5 18:39:46 PDT 2012

Kamiyamay @jfclearywisc Yes many of our pt's can't make that decision...yet or ever! #hpmWed Sep 5 18:40:06 PDT 2012

colleen_young Hi #hpm. Can I drop by for the last few minutes. I assume I'm in time to T3. #hpmWed Sep 5 18:40:11 PDT 2012

aliciabloom i find patients/families can only make so many difficult decisions in one day. sometimes yeto #hospice is a lot, code status can wait #hpm

Wed Sep 5 18:40:28 PDT 2012
http://twitter.com/24399366/status/243524032002150400http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/28366957/status/243523961869172737http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://twitter.com/196778759/status/243523940469858305http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/Kamiyamayhttp://twitter.com/24399366/status/243523855132532736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/243523762715246592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/27231379/status/243523574810419200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://twitter.com/24399366/status/243523522482274304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/243523430698336258http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/Kamiyamayhttp://twitter.com/17206739/status/243523319205347328http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/ctsinclairhttp://twitter.com/16059326/status/243523205623586819http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/24399366/status/243523188007522304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/243523165723164674http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/ctsinclairhttp://twitter.com/196778759/status/243523129933185024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamay

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Kamiyamay RT @aliciabloom: @jfclearywisc@ctsinclair so many misconceptions out there abouthospice. DNR status is a major one. #hpm

Wed Sep 5 18:40:28 PDT 2012

aliciabloom of course you can @colleen_young! we're actually about to move in to T2. lots ofdiscussion on T1. #hpm

Wed Sep 5 18:40:56 PDT 2012

ctsinclair Lost power folks. No more #hpm chat for me tonight.Wed Sep 5 18:41:14 PDT 2012

WaywardChad MT @aliciabloom: so many misconceptions out there about hospice. DNR status is a majoone. #hpm

Wed Sep 5 18:41:28 PDT 2012

jfclearywisc MT @aliciabloom Some patients can only make so many difficult decisions in one day. yesto #hospice can be a lot, code status can wait #hpm

Wed Sep 5 18:41:47 PDT 2012

Kamiyamay @aliciabloom Agree...it is not a condition of participation or eligibility! #hpmWed Sep 5 18:41:51 PDT 2012

colleen_young @aliciabloom great. #hpmWed Sep 5 18:42:10 PDT 2012

aliciabloom T2: with so much buzz about the presidential election, what message (in 140 characters),would you want to share with candidates about #hpm?

Wed Sep 5 18:42:34 PDT 2012

BillPfohl Patients & families have just been thru a battle with cancer, heart problems, etc. They arelooking for confidence in care we offer #hpm

Wed Sep 5 18:42:51 PDT 2012

jfclearywisc MT @Kamiyamay: @aliciabloom Agree...CPR is not a condition of participation or eligibilitfor US hospice! #hpm

Wed Sep 5 18:43:08 PDT 2012

WaywardChad MT @aliciabloom T2: with so much buzz about the presidential election, what messagewould you want to share with candidates about #hpm? #hpm

Wed Sep 5 18:43:46 PDT 2012

Kamiyamay MT @jfclearywisc: MT @aliciabloom Some patients can't make 2 many difficult decisionsin 1 day. yes to #hospice, code status can wait #hpm

Wed Sep 5 18:43:50 PDT 2012
http://twitter.com/196778759/status/243524880878936064http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://www.twitter.com/Kamiyamayhttp://twitter.com/611173037/status/243524864483418112http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/27231379/status/243524704395218945http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://www.twitter.com/jfclearywischttp://twitter.com/16059326/status/243524632496439296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/24399366/status/243524561923092481http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/28366957/status/243524461452746755http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/colleen_younghttp://twitter.com/196778759/status/243524382520135681http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/27231379/status/243524362219708416http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://twitter.com/611173037/status/243524285187117057http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/17206739/status/243524223853801472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/243524150466064384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/243524033575022593http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamay

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WaywardChad T2: #hpm is about choice and personal dignity...don't bind hands or mouths with red tape!#hpm

Wed Sep 5 18:44:58 PDT 2012

jfclearywisc RT @aliciabloom: T2: I want to hear their stories of engagement w EOL issues. Obama'sstory of grandmother's death very powerful #hpm?

Wed Sep 5 18:45:04 PDT 2012

aliciabloom T2: please note, i do not intend for us to get political here. just share important messagesabout #hospice & #palliative care :) #hpm

Wed Sep 5 18:45:55 PDT 2012

MarksPhone Ensure hospice remains an entitlement and HPM becomes part of a national dialoguebecause of its value, personally clinically finically #hpm

Wed Sep 5 18:46:12 PDT 2012

aliciabloom RT @jfclearywisc: I want to hear their stories of engagement w EOL issues. Obama's storof grandmother's death very powerful #hpm#hpm

Wed Sep 5 18:46:30 PDT 2012

doctatum T2 for #hpm to succeed & provide care pts w serious illness want/need US needs PCHETbill. More #palliative training. Better research funds

Wed Sep 5 18:46:41 PDT 2012

Youlo_gy RT @edubru: Name change from palliative to supportive care increases total and earlyreferrals http://t.co/ChDQSmsb#hpm#palliative

Wed Sep 5 18:47:43 PDT 2012

aliciabloom please know that #hospice & #palliative care can improve outcomes & quality of care/life

while incidentally lowering costs #hpmWed Sep 5 18:48:00 PDT 2012

WaywardChad MT @MarksPhone: Ensure hospice remains entitlement & HPM becomes part of natldialogue due to value, personally clinically financially #hpm

Wed Sep 5 18:48:34 PDT 2012

Kamiyamay @aliciabloom Hosp/Pall to allow dignity, entitlement of choice, provide comfort,compassion and hope...to a country that needs hope! #hpm

Wed Sep 5 18:48:58 PDT 2012

BillPfohl In the next 20 years a huge slice of American voters will be seeking EOL care. Do youwant to take their benefits away? #hpm

Wed Sep 5 18:49:01 PDT 2012

WaywardChad MT @aliciabloom: know that #hospice & #palliative care can improve outcomes & quality ocare/life while incidentally lowering costs #hpm

Wed Sep 5 18:49:31 PDT 2012
http://twitter.com/611173037/status/243526308490002433http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/16059326/status/243526182631518209http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/196778759/status/243526169943740416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/611173037/status/243526071092379648http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/WaywardChadhttp://twitter.com/24399366/status/243525927148064768http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/319962895/status/243525857585528832http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/ChDQSmsbhttp://www.twitter.com/edubruhttp://www.twitter.com/Youlo_gyhttp://twitter.com/33076161/status/243525597249302529http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://twitter.com/24399366/status/243525551267119104http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://twitter.com/22063766/status/243525474465247232http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/24399366/status/243525402713276416http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/27231379/status/243525189617455105http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://twitter.com/611173037/status/243525165328248832http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChad

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aliciabloom #palliative care makes sure patient's goals & treatments match, while improving QoL.support clinician education, training & research #hpm

Wed Sep 5 18:50:00 PDT 2012

MarksPhone Actually I would like to see the first lady take up this challenge of #hpm#eol but it is a thirdrail #hpm

Wed Sep 5 18:50:18 PDT 2012

Kamiyamay MT @aliciabloom: #hospice & #palliative care can improve outcomes & quality of care/lifewhile incidentally lowering costs (YES) #hpm

Wed Sep 5 18:50:23 PDT 2012

jfclearywisc RT @ravipm2000: More focus required on hospice care 4 heart failure patients. #hpm#hpmglobalhttp://t.co/FTFQOvJR

Wed Sep 5 18:50:40 PDT 2012

Kamiyamay @MarksPhone That would be a nice chat!!! #hpmWed Sep 5 18:51:14 PDT 2012

aliciabloom expand the #hospice benefit to allow access to terminally ill patients seeking diseasedirected treatment-- better quality, lower costs #hpm

Wed Sep 5 18:51:29 PDT 2012

MarksPhone @Kamiyamay It would be #hpmWed Sep 5 18:52:14 PDT 2012

aliciabloom the hour is coming to a close. please share any final thoughts about either of our topicstonight #hpm

Wed Sep 5 18:54:50 PDT 2012

Kamiyamay @MarksPhone Suppose you just extended an invite..would be interesting to hear #firstladviews! #hpm

Wed Sep 5 18:54:54 PDT 2012

xrisham RT @DianeEMeier: JAMA Network | The Relief of Existential Suffering #palliative#hpmhttp://t.co/pNBBLdJa

Wed Sep 5 18:56:33 PDT 2012

WaywardChad Thanks for a great chat all....Was a bit more of an observer tonight, but it's always

wonderful to learn from your experiences/viewpts #hpmWed Sep 5 18:57:23 PDT 2012

Kamiyamay Lth: Don't wait...talk NOW..make your own decisions NOW.... share/educate/advocate..Best for some not best for all!! #hpm

Wed Sep 5 18:57:26 PDT 2012

WaywardChad RT @Kamiyamay: Lth: Dont wait...talk NOW..make your own decisions NOW....
http://www.twitter.com/Kamiyamayhttp://www.twitter.com/WaywardChadhttp://twitter.com/196778759/status/243528301258366976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/611173037/status/243528288008556546http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://twitter.com/255797769/status/243528079836844032http://t.co/pNBBLdJahttp://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/DianeEMeierhttp://www.twitter.com/xrishamhttp://twitter.com/196778759/status/243527666966360064http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/firstlady/http://www.twitter.com/MarksPhonehttp://www.twitter.com/Kamiyamayhttp://twitter.com/24399366/status/243527647534145536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/22063766/status/243526995596693506http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/MarksPhonehttp://twitter.com/24399366/status/243526807045947393http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/243526742973747201http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/Kamiyamayhttp://twitter.com/27231379/status/243526601059483648http://t.co/FTFQOvJRhttp://www.symplur.com/healthcare-hashtags/hpmglobal/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ravipm2000http://www.twitter.com/jfclearywischttp://twitter.com/196778759/status/243526526258274305http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/22063766/status/243526505475489792http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eol/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/24399366/status/243526433874534401http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/aliciabloom

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share/educate/advocate.. Best for some not best for all!! #hpm

Wed Sep 5 18:58:33 PDT 2012

aliciabloom thank you all for joining #hpm tweetchat tonight! appreciate your participation &perspective. hope to see you all next week!

Wed Sep 5 18:58:43 PDT 2012

jfclearywisc @aliciabloom Good night. Thanks..... #hpmWed Sep 5 18:59:54 PDT 2012

Kamiyamay @aliciabloom Thank you for taking up this topic.....great chat...thx to all! #hpmWed Sep 5 19:00:04 PDT 2012

AdvanceCarePlan RT @Kamiyamay: Lth: Don't wait...talk NOW..make your own decisions NOW....share/educate/advocate.. Best for some not best for all!! #hpm

Wed Sep 5 19:12:38 PDT 2012
http://twitter.com/256234212/status/243532128099393536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/AdvanceCarePlanhttp://twitter.com/196778759/status/243528966567260161http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/27231379/status/243528925249142785http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://twitter.com/24399366/status/243528626010746880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/611173037/status/243528583123959808http://www.symplur.com/healthcare-hashtags/hpm/

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9/5/12 TweetChat #hpm