#Hpm Tweet Chat 12:1:10

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6/27/12 11:0hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Dec 01 18:00:00 PST 2010

To: Wed Dec 01 19:15:00 PST 2010

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equijada @drsnit hey there. thanks for the RT #hpmWed Dec 1 18:00:56 PST 2010

ctsinclair RT @equijada: For the next hour or so, Ill be participating in #hpm tweetchat. Pleasejoin. 'Me too Hi everybody!" #hpmWed Dec 1 18:01:12 PST 2010

ctsinclair Hope everyone had a good Thanksgiving. ours was very quiet. #hpmWed Dec 1 18:01:52 PST 2010

DONALDHTAYLORJR For the next hour I will be participating in hospice and palliative medicine #hpmtweetchat; join in or just lurk #hpm

Wed Dec 1 18:01:56 PST 2010

DrSnit Hey cool cats! Missed you last week! How was your Thanksgiving? PS -it isTOTALLY SNOWING HERE. *shivers* #hpm

Wed Dec 1 18:02:08 PST 2010

ctsinclair @DONALDHTAYLORJR When do we get to see your face? #hpmWed Dec 1 18:02:19 PST 2010
http://www.twitter.com/DrSnithttp://twitter.com/108605734/status/10151649423138816http://www.twitter.com/ctsinclairhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://twitter.com/17206739/status/10151746756157441http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/ctsinclairhttp://twitter.com/11420922/status/10151699750588416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://twitter.com/108605734/status/10151649423138816http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/17206739/status/10151632394264576http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/2326862/status/10151465901359104http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/10151399279042560http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drsnithttp://www.twitter.com/equijadahttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/tweet-chats/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=12-01-2010&shour=18&smin=0&tdate=12-01-2010&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=12-01-2010&shour=18&smin=0&tdate=12-01-2010&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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ctsinclair @DrSnit It was a free chat last week, only a few people showed up. No worries.#hpm

Wed Dec 1 18:02:45 PST 2010

renee_berry For the next hour I'll be doing an #hpm tweetchat about #hospice & #palliative#medicine that is Open to all #NoMorePain#cancer#hpm

Wed Dec 1 18:02:52 PST 2010

DONALDHTAYLORJR when i get better with computers...haha. I will work on it #hpmWed Dec 1 18:03:04 PST 2010

equijada @DONALDHTAYLORJR hi Donald. Good to tweet you #hpmWed Dec 1 18:03:26 PST 2010

ctsinclair @renee_berry Nice new avatar! Maybe we could help @donaldhtaylorjr #hpmWed Dec 1 18:03:47 PST 2010

ctsinclair @DONALDHTAYLORJR The egg makes it look like you are not sure what you aredoing and you are a twitter veteran by now #hpmWed Dec 1 18:04:10 PST 2010

equijada @renee_berry Hi Renee, good to see you again #hpmWed Dec 1 18:04:12 PST 2010

JoshGriffin Evening all! #hpmWed Dec 1 18:04:28 PST 2010

ctsinclair @DONALDHTAYLORJR Plus i have no clue what you look like. #hpmWed Dec 1 18:04:40 PST 2010

equijada @ctsinclair@renee_berry here here. re: avatar for @donaldhtaylorjr#hpmWed Dec 1 18:05:15 PST 2010

RossJeanette Hello all, I missed tweechat x 2 wks #HpmWed Dec 1 18:05:17 PST 2010

renee_berry haha agree Don you are a way more advanced tweeter than the egg :) RT@ctsinclair re Maybe we could help @donaldhtaylorjr w/avatar #hpmWed Dec 1 18:05:26 PST 2010

healthgist http://j.mp/9N4ZkP@ctsinclair Hope everyone had a good Thanksgiving. ours wavery quiet. #hpmWed Dec 1 18:05:27 PST 2010

equijada @joshgriffin Hi Josh #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/joshgriffinhttp://www.twitter.com/equijadahttp://twitter.com/136235194/status/10152533892792320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://j.mp/9N4ZkPhttp://www.twitter.com/healthgisthttp://twitter.com/121558178/status/10152532001169408http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/donaldhtaylorjrhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/renee_berryhttp://twitter.com/117435341/status/10152493556170753http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/RossJeanettehttp://twitter.com/22651861/status/10152484433567744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/donaldhtaylorjrhttp://www.twitter.com/renee_berryhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://twitter.com/17206739/status/10152338010415104http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/ctsinclairhttp://twitter.com/20832563/status/10152288421154816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoshGriffinhttp://twitter.com/22651861/status/10152217952653312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/equijadahttp://twitter.com/17206739/status/10152211694751745http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/10152114080718848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/donaldhtaylorjrhttp://www.twitter.com/renee_berryhttp://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/10152028210728960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/equijadahttp://twitter.com/108605734/status/10151934342205440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/101756517/status/10151885830881280http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/cancer/http://www.symplur.com/healthcare-hashtags/NoMorePain/http://www.symplur.com/healthcare-hashtags/medicine/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/17206739/status/10151855812251648http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/ctsinclair

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Wed Dec 1 18:05:28 PST 2010

renee_berry @equijada good to see you Earl! #hpmWed Dec 1 18:05:40 PST 2010

tymeyer Hi all. Tweeting from new iMac. You all look much better on this than the netbook I'musually on...:) #hpm

Wed Dec 1 18:05:41 PST 2010

DONALDHTAYLORJR @equijada@ctsinclair@renee_berry@donaldhtaylorjr OK OK i will deal with it...#hpm

Wed Dec 1 18:05:45 PST 2010

DrSnit @RossJeanette me too!!! *slinks away in shame!* you were missed!!! :) #hpmWed Dec 1 18:05:58 PST 2010

equijada @RossJeanette Hi Jeanette and Hi @tymeyer. Sweet imac #fanboy#hpm

Wed Dec 1 18:06:15 PST 2010

equijada @renee_berry nice avatar! #hpmWed Dec 1 18:06:42 PST 2010

ctsinclair @tymeyer Congrats on the new computer. My desktop (PC) just lost its power supplthis week. Gradually moving to the cloud. #hpm

Wed Dec 1 18:06:43 PST 2010

LifeHealthDiary hello everyone! #hpm

Wed Dec 1 18:06:51 PST 2010

RBK1217 Hi all. New to tweetchat, but RN interested in this topic. #hpmWed Dec 1 18:07:02 PST 2010

ctsinclair @RossJeanette Do you have your homework since you were gone? (kidding) #hpmWed Dec 1 18:07:10 PST 2010

otherspoon 9 pm already? Hey there y'all! RT @ctsinclair: Hope everyone had a goodThanksgiving. ours was very quiet. #hpm

Wed Dec 1 18:07:24 PST 2010

renee_berry @equijada thanks, was in a wedding a month ago, couldn't help but pull some of thepro pics #hpm

Wed Dec 1 18:07:29 PST 2010

DrSnit @LifeHealthDiary hello!!! :) #hpmWed Dec 1 18:07:34 PST 2010
http://twitter.com/11420922/status/10153068423282689http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/LifeHealthDiaryhttp://www.twitter.com/DrSnithttp://twitter.com/101756517/status/10153045878898688http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/renee_berryhttp://twitter.com/75301452/status/10153025947566080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/otherspoonhttp://twitter.com/17206739/status/10152966581391360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://www.twitter.com/ctsinclairhttp://twitter.com/79044262/status/10152933886787584http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RBK1217http://twitter.com/40027016/status/10152888651227137http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/LifeHealthDiaryhttp://twitter.com/17206739/status/10152855059038208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tymeyerhttp://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/10152849577091072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/equijadahttp://twitter.com/22651861/status/10152736658034688http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/fanboy/http://www.twitter.com/tymeyerhttp://www.twitter.com/RossJeanettehttp://www.twitter.com/equijadahttp://twitter.com/11420922/status/10152664230797313http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://www.twitter.com/DrSnithttp://twitter.com/108605734/status/10152610136850432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/donaldhtaylorjrhttp://www.twitter.com/renee_berryhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/7396586/status/10152591581257728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tymeyerhttp://twitter.com/121558178/status/10152588389392385http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/10152539345395712

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hollyby @RBK1217 Hi there! Welcome! #hpmWed Dec 1 18:07:39 PST 2010

equijada @LifeHealthDiary Hi and welcome and hi @rbk1217 - welcome #hpmWed Dec 1 18:07:41 PST 2010

ctsinclair @RBK1217 Welcome. We need more nursing input for sure! Would love to see morenurses here. Check out #RNchat too #hpmWed Dec 1 18:07:49 PST 2010

renee_berry #awesome#WELCOME ! RT @RBK1217: Hi all. New to tweetchat, but RNinterested in this topic. #hpm

Wed Dec 1 18:07:55 PST 2010

ability4life Kathy Kastner putting final touches on presntation to fam docs on AdvanceDirectives. Wanns see my post abt #hpmhttp://tinyurl.com/26k4kpm

Wed Dec 1 18:08:00 PST 2010

equijada @otherspoon hi and welcome #hpmWed Dec 1 18:08:02 PST 2010

DrSnit @RBK1217 hi!! good to see you here. :) I KNOW YOUR AVI! #hpmWed Dec 1 18:08:08 PST 2010

rebeccacaroe good day glad to be back with you #hpm folks after a short breakWed Dec 1 18:08:14 PST 2010

equijada warming up my fingers for t1 - i'm cold. #hpmWed Dec 1 18:08:18 PST 2010

equijada @ability4life hi kathy. good to see you again #hpmWed Dec 1 18:08:33 PST 2010

equijada @rebeccacaroe hi rebecca #hpmWed Dec 1 18:08:43 PST 2010

ability4life Hi bck at you! RT @equijada: @ability4life hi kathy. good to see you again #hpmWed Dec 1 18:09:14 PST 2010

equijada t1: End of life & holidays: how does that change how you treat your patients/families#hpm

Wed Dec 1 18:09:33 PST 2010
http://twitter.com/22651861/status/10153567591600128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/101386174/status/10153487056773121http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ability4lifehttp://www.twitter.com/equijadahttp://www.twitter.com/ability4lifehttp://twitter.com/22651861/status/10153358266470400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rebeccacaroehttp://www.twitter.com/equijadahttp://twitter.com/22651861/status/10153313718771712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ability4lifehttp://www.twitter.com/equijadahttp://twitter.com/85440711/status/10153252419014656http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/7908642/status/10153234354143233http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rebeccacaroehttp://twitter.com/11420922/status/10153211264499712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RBK1217http://www.twitter.com/DrSnithttp://twitter.com/22651861/status/10153185209487360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/otherspoonhttp://www.twitter.com/equijadahttp://twitter.com/101386174/status/10153174551760896http://tinyurl.com/26k4kpmhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ability4lifehttp://twitter.com/121558178/status/10153155438313472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RBK1217http://www.symplur.com/healthcare-hashtags/WELCOME/http://www.symplur.com/healthcare-hashtags/awesome/http://www.twitter.com/renee_berryhttp://twitter.com/17206739/status/10153131472068608http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/RNchat/http://www.twitter.com/RBK1217http://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/10153095212310528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rbk1217http://www.twitter.com/LifeHealthDiaryhttp://www.twitter.com/equijadahttp://twitter.com/32316055/status/10153087457038336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RBK1217http://www.twitter.com/hollyby

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ctsinclair Intorduction for newbies: Christian Sinclair, #palliative doc @KChospice, newly madeditor of @Pallimed. TweetsAreMyOwn #TAMO#hpm

Wed Dec 1 18:09:39 PST 2010

equijada oh yeah, intros. I'm Earl. #hpm doc vna and hospice of so cal. tweets/opinions are mown #hpm

Wed Dec 1 18:10:25 PST 2010

rebeccacaroe @equijada hey great to be back - you're hosting! no wife today then? #hpmWed Dec 1 18:10:40 PST 2010

DONALDHTAYLORJR I am an assoc prof of public policy at Duke; interested in health policy generally andhospice and palliative medicine #hpm

Wed Dec 1 18:10:54 PST 2010

hollyby Holly Yang here. #hospice and #palliative medicine doc for @SanDiegoHospice, butall tweets are my own. #hpm

Wed Dec 1 18:11:18 PST 2010

equijada @rebeccacaroe wife is with the kids. #hpmWed Dec 1 18:11:19 PST 2010

DONALDHTAYLORJR RT @equijada: t1: End of life & holidays: how does that change how you treat yourpatients/families #hpm

Wed Dec 1 18:11:22 PST 2010

ability4life Now I can say: Hi Earl!! RT @equijada: @ability4life hi kathy. good to see you again#hpmWed Dec 1 18:11:32 PST 2010

RossJeanette Jeanette Ross HPM doc, assoc director HPM fellowship san Antonio Tx #HpmWed Dec 1 18:11:40 PST 2010

equijada RT @DONALDHTAYLORJR: RT @equijada: t1: End of life & holidays: how does thachange how you treat your patients/families #hpm

Wed Dec 1 18:11:41 PST 2010

renee_berry --> advocate for advance care planning & early palliative care, think #socialmedia isan awesome tool to amplify voice of #hpm

Wed Dec 1 18:11:42 PST 2010

joshgriffin I'm Josh, a Pastor and Chaplain. Also work with Student Nurses and Med Studentson Therapeutic Communication. #hpm

Wed Dec 1 18:12:14 PST 2010

renee_berry RT @equijada: T1: End of life & holidays: how does that change how you treat yourpatients/families #eolc#hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eolc/http://www.twitter.com/equijadahttp://www.twitter.com/renee_berryhttp://twitter.com/279235/status/10154243163951105http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/joshgriffinhttp://twitter.com/121558178/status/10154106303811584http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/socialmedia/http://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/10154104064049152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/equijadahttp://twitter.com/117435341/status/10154099903299584http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/RossJeanettehttp://twitter.com/101386174/status/10154064692117504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ability4lifehttp://www.twitter.com/equijadahttp://www.twitter.com/ability4lifehttp://twitter.com/108605734/status/10154024871403520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/22651861/status/10154011743227904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rebeccacaroehttp://www.twitter.com/equijadahttp://twitter.com/32316055/status/10154007834140674http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SanDiegoHospicehttp://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/hollybyhttp://twitter.com/108605734/status/10153908039065600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/58555/status/10153849025200128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/rebeccacaroehttp://twitter.com/85440711/status/10153786374881280http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/17206739/status/10153591327170561http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/TAMO/http://www.twitter.com/Pallimedhttp://www.twitter.com/KChospicehttp://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/ctsinclair

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Wed Dec 1 18:12:32 PST 2010

Tymeyer Ty : HPM doc in Victoria, Tx #hpmWed Dec 1 18:12:45 PST 2010

otherspoon Hi, I'm Ann, I write about religion and EOL, hospice volunteer, blogger at otherspooneditor of a religion pub at NYU #hpm

Wed Dec 1 18:12:57 PST 2010

ctsinclair RT @equijada: t1: End of life & holidays: how does that change how you treat yourpatients/families #hpm

Wed Dec 1 18:13:09 PST 2010

equijada Of the visits I've done since Thanksgiving, families really haven't mentioned holidays1 house decorated. #hpm

Wed Dec 1 18:13:09 PST 2010

rebeccacaroe For the next hour I will be participating in hospice and palliative medicine #hpmtweetchat; join in or just lurkWed Dec 1 18:13:10 PST 2010

mdTalk t1: End of life & holidays: how does that change how you treat your patients/families#hpmhttp://bit.ly/h3DVXj

Wed Dec 1 18:13:42 PST 2010

RossJeanette T1 I wish I could prevent people from dying on a holiday. So sad x died on ... Holiday#HpmWed Dec 1 18:14:26 PST 2010

renee_berry heightened sensitivity about patient & family anxiety about it being the lastThanksgiving together #hpm

Wed Dec 1 18:14:48 PST 2010

ctsinclair A great read by blogger/adovcate for widows @supadupafresh Fresh Widow: ToEngage... or Not? http://bit.ly/fGEd2D#ewg#holidays#hpmWed Dec 1 18:14:58 PST 2010

DrRobie Family doc in wv #hpmWed Dec 1 18:15:03 PST 2010

hollyby T1: It is an esp sensitive time for pts and families so little things help. In our inpt.#hospice there are special holiday meals. #hpm

Wed Dec 1 18:15:08 PST 2010

LifeHealthDiary Hi I work for LifetimeHealthDiary online co-morbidity medication management &personal health record sharing http://is.gd/i4yhn#hpmWed Dec 1 18:15:14 PST 2010
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equijada @renee_berry@rossjeanette do you encourage patients to go "all out"? #hpmWed Dec 1 18:16:13 PST 2010

DrRobie RT @renee_berry: RT @equijada: T1: End of life & holidays: how does that changehow you treat your patients/families #eolc#hpm

Wed Dec 1 18:16:16 PST 2010

revdoc Pam Harris in KC here #hpmWed Dec 1 18:16:22 PST 2010

ctsinclair I was surprised this year about how Thanksgiving didn't seem to be a big deal infamily discussions. Many were practical abt it. #hpm

Wed Dec 1 18:16:25 PST 2010

RBK1217 T1: I've gone to pt's houses to help decorate - they just didn't have the strength to doit but felt it would help #hpm

Wed Dec 1 18:16:31 PST 2010

ctsinclair RT @hollyby: T1: so little things help. In our inpt. #hospice there are special holidaymeals. "We did the same. Very aprpeciated" #hpm

Wed Dec 1 18:17:00 PST 2010

hollyby T1: Its also a good time to be able to have family meetings, because more family is itown. Helps even out understanding. #hpm

Wed Dec 1 18:17:16 PST 2010

revdoc I send a holiday card to newly bereaved families-usually well received but had onevery angry widow this year! #hpm

Wed Dec 1 18:17:25 PST 2010

equijada One year a nurse bought a tree and decorated the house for a patient. I had totalmixed feelings about that #hpmWed Dec 1 18:17:31 PST 2010

ctsinclair T1: I am much more sensitive about communicating a prognosis around the holidaysTrying to think ahead where my prognosis might land. #hpm

Wed Dec 1 18:17:35 PST 2010

RossJeanette T1 I think The VA has some alcoholic beer like we can "prescribe" on holidays for ptthat want it in the inpatient unit #Hpm

Wed Dec 1 18:17:36 PST 2010

otherspoon RT @hollyby: T1: Also a good time to be able to have family meetings, because morfamily is in town. Helps even out understanding. #hpm

Wed Dec 1 18:17:43 PST 2010
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LifeHealthDiary RT @RBK1217: T1: I've gone to pt's houses to help decorate - they just didn't havethe strength to do it but felt it would help #hpm

Wed Dec 1 18:17:59 PST 2010

visitingnurse RT @hollyby: T1: Its also a good time to be able to have family meetings, becausemore family is in town... #hpm

Wed Dec 1 18:18:00 PST 2010

ctsinclair @hollyby But sometimes all the family in town, or family 'having' to leave causessome headaches. #hpmWed Dec 1 18:18:04 PST 2010

ctsinclair RT @RBK1217: T1: Ive gone to pts houses to help decorate - they just didnt havethe strength to do it but felt it would help "nice!" #hpm

Wed Dec 1 18:18:32 PST 2010

hollyby T1: Our nurses also do a lot more education for family members who come into townand sometimes help the primary caregiver. #hpmWed Dec 1 18:18:46 PST 2010

rebeccacaroe @revdoc Interesing. What's your advice dealing with "angry widow"? #hpmWed Dec 1 18:18:48 PST 2010

DONALDHTAYLORJR RT @hollyby: T1: Its also a good time to be able to have family meetings, becausemore family is in town Helps even out understanding #hpm

Wed Dec 1 18:18:51 PST 2010

RBK1217 @equijada I agree. I've helped, but it's been because that's what the pt/familywanted. I try to be where they need me 2 b. #hpm

Wed Dec 1 18:18:58 PST 2010

renee_berry @equijada as a non-clinician its different for me, I think it's just about listening towhere people are & what they want, that its ok #hpm

Wed Dec 1 18:19:04 PST 2010

hollyby No doubt. RT @ctsinclair: @hollyby But sometimes all the family in town, or familyhaving to leave causes some headaches. #hpmWed Dec 1 18:19:05 PST 2010

LifeHealthDiary RT @ctsinclair: T1: I am more sensitive communicating a prognosis around theholidays. Trying to think ahead where it might land. #hpmWed Dec 1 18:19:21 PST 2010

revdoc @rebeccacaroe Let it alone-she was not going to be happy. #hpmWed Dec 1 18:19:30 PST 2010

equijada @RBK1217 my nurse showed up, kind of like a surprise. Good intentions. I think it
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rebeccacaroe @revdoc understood. When I want to be angry / unhappy let me stew and "enjoy"it#hpmWed Dec 1 18:22:07 PST 2010

renee_berry RT @hollyby T1: Its also a good time to be able to have family meetings, becausemore family is in town Helps even out understanding #hpm

Wed Dec 1 18:22:12 PST 2010

equijada Do you think the holidays can catalyze more hope for patients? #hpmWed Dec 1 18:22:18 PST 2010

joshgriffin @DrSnit It's common there as well since it's so much in the public square right now.Many prominent religions have holidays around now #hpmWed Dec 1 18:22:32 PST 2010

ctsinclair RT @DrSnit: @JoshGriffin I find more docs/nurses/hc workers questioning god(s)this time of year as well. "Reason? Why now?" #hpm

Wed Dec 1 18:22:33 PST 2010

RBK1217 @ctsinclair@renee_berry I agree. Communication is important. Sometimes we'remore sensitive to it being a holiday than the family. #hpmWed Dec 1 18:22:33 PST 2010

otherspoon faith always comes up around holidays, already a great issue for EOL patients &families #hpm

Wed Dec 1 18:22:41 PST 2010

DONALDHTAYLORJRmy wife is peds heme/onc nurse. she says it is harder for her at holidays to

watch/care for pts who die; esp after we had kids #hpmWed Dec 1 18:22:49 PST 2010

revdoc @rebeccacaroe Bereavement did contact her to talk it over, but I didn't think hearingfrom me again was going to help #hpm

Wed Dec 1 18:22:55 PST 2010

ctsinclair RT @equijada: Do you think the holidays can catalyze more hope for patients? "Canbut be cautious. Holidays are milestones for many." #hpm

Wed Dec 1 18:23:04 PST 2010

equijada @RBK1217@ctsinclair@renee_berry I think this is very true re: we are moresensitive about holiday than pt #hpmWed Dec 1 18:23:14 PST 2010

renee_berry RT @RBK1217 I agree. Communication is important. Sometimes were moresensitive to it being a holiday than the family. #hpm

Wed Dec 1 18:23:17 PST 2010
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dwensel @ctsinclair@revdoc@dwensel I am here just lurking for now enjoying all thecomments #hpm

Wed Dec 1 18:23:35 PST 2010

ctsinclair @DONALDHTAYLORJR It must be hard for families/survivors to be hit in the facewith the good cheer of the holidays #hpm

Wed Dec 1 18:23:46 PST 2010

renee_berry RT @DONALDHTAYLORJR: my wife is peds heme/onc nurse. she says it is harderfor her at holidays to watch/care for pts who die; esp after we had kids #hpm

Wed Dec 1 18:23:46 PST 2010

equijada RT @ctsinclair: RT @equijada: Do you think the holidays can catalyze more hope fopatients? "Can, but be cautious. Holidays are milestones for many." #hpm

Wed Dec 1 18:23:47 PST 2010

hollyby T1: It is really hard on the bereaved. Remembrace celebrations this time of the yearor special grief groups are important. #hpmWed Dec 1 18:24:26 PST 2010

revdoc @dwensel Hey, how are you?! #hpmWed Dec 1 18:24:35 PST 2010

equijada I think when the holidays are 2 - 3 months away, it seems like a goal. During theholidays, it seems neutral #hpm

Wed Dec 1 18:24:36 PST 2010

ctsinclair @dwensel Glad to see you are here. (everyone welcome David Wensel now tweetinfrom Kansas not Iowa) (he is a palliative doc) #hpm

Wed Dec 1 18:24:50 PST 2010

RBK1217 I was surprised last yr-sweet couple, both dying, decked out the house, verycomfortable with it. Solid in their faith. Me-feeling sad. #hpm

Wed Dec 1 18:24:59 PST 2010

equijada @hollyby my first thanksgiving and Christmas after my niece died sucked. #hpmWed Dec 1 18:25:08 PST 2010

JoshGriffin End of year holidays especially since we tend to reflect as Dec. 31 comes closer

rather than look forward like at midnight into Jan. 1 #hpmWed Dec 1 18:25:09 PST 2010

rebeccacaroe @Angie_stl Future discussion topic for @ctsinclair "Confessions of #hpm team" whoused to have pink hair!

Wed Dec 1 18:25:40 PST 2010

Tymeyer Yes RT @hollyby: T1: It is really hard on the bereaved. Remembrace celebrations
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this time of the year or special grief groups imprtant #hpm

Wed Dec 1 18:25:46 PST 2010

LifeHealthDiary RT @equijada: I think when the holidays are 2 - 3 months away, it seems like a goalDuring the holidays, it seems neutral #hpm

Wed Dec 1 18:26:05 PST 2010

renee_berry @DONALDHTAYLORJR I can relate from when I worked in ED became much moresensitive to parent grief when I became a parent #hpmWed Dec 1 18:26:38 PST 2010

revdoc I can't change the fact that you are dying, but I try to bust my @$$ to make sureevery day is as good as I can make it, holiday or not #hpm

Wed Dec 1 18:26:49 PST 2010

ctsinclair RT @hollyby: T1: really hard on the bereaved. Remembrace celebrations this time othe year or special grief groups are important. #hpm

Wed Dec 1 18:26:57 PST 2010

equijada At the risk of being politically incorrect, I'm taking advent seriously this year (1st timeand trying to bring that spirit to my work #hpmWed Dec 1 18:26:57 PST 2010

RBK1217 T1: Hard 2 if it's the 1st holiday after big loss. Especially if it was the lost one'sfavorite holiday. #hpm

Wed Dec 1 18:27:04 PST 2010

ctsinclair RT @rebeccacaroe: @revdoc understood. When I want to be angry / unhappy let mestew and "enjoy"it #hpmWed Dec 1 18:27:27 PST 2010

equijada moving on to t2 in a few #hpmWed Dec 1 18:27:31 PST 2010

renee_berry RT @hollyby T1 Its really hard on the bereaved. Remembrance celebrations this timof the year or special grief groups are important #hpm

Wed Dec 1 18:27:45 PST 2010

hollyby @equijada My grandpa died around Christmas, I decorated his room with a tinytree.Three years, and it is still really hard on my mom #hpm

Wed Dec 1 18:28:03 PST 2010

ctsinclair @equijada You mean advent is not about chocolate? #hpmWed Dec 1 18:28:07 PST 2010

Tymeyer T1: I had talk with pt yest. who is using holidays as goal. Try to keep other goals inmind, too (short term, in case) #hpm

Wed Dec 1 18:28:22 PST 2010
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ctsinclair RT @RBK1217: T1: Hard 2 if 1st holiday after big loss. Especially if it was the lostones favorite holiday. "Could be Halloween" #hpmWed Dec 1 18:28:39 PST 2010

visitingnurse RT @tymeyer: T1: It is really hard on the bereaved. Remembrace celebrations thistime of the year or special grief groups imprtant #hpm

Wed Dec 1 18:28:39 PST 2010

DrRobie RT @revdoc: I can't change the fact that you are dying, but I try to bust my @$$ tomake sure every day is as good as I can make it, holiday or not #hpmWed Dec 1 18:28:43 PST 2010

ctsinclair RT @tymeyer: T1: I had talk with pt yest. who is using holidays as goal. Try to keepother goals in mind, too (short term, in case) #hpm

Wed Dec 1 18:29:03 PST 2010

dwensel @RBK1217 it does matter how recent the loss has been as the years go by holidayscan become a way of celebrating lost loved ones #hpmWed Dec 1 18:29:13 PST 2010

DONALDHTAYLORJR @ctsinclair@equijada our dalmatian ate 3 advent calendars worth of chocolate lastyear and was very ill..... #hpm

Wed Dec 1 18:29:16 PST 2010

ctsinclair RT @revdoc: I cant change the fact you are dying, but I bust my @$$ to make sureevery day is as good as I can make it, holiday or not #hpm

Wed Dec 1 18:29:35 PST 2010

DrSnit @equijada It is IMPORTANT to share this. It is our VALUES /religion that makes usWHOLE/healed (as long as we don't shove it on others) #hpmWed Dec 1 18:29:43 PST 2010

ability4life RT @DrSnit: @equijada It is IMPORTANT to share this. It is our VALUES /religionthat makes us WHOLE/healed (as long as we don't shove it on others) #hpm

Wed Dec 1 18:29:56 PST 2010

hollyby @DONALDHTAYLORJR Time to buy the ones without chocolate? ;) #hpmWed Dec 1 18:30:12 PST 2010

Tymeyer Great RT: I cant change the fact that you are dying, but I try to bust my @$$ to makesure every day is as good as I can, holiday or no #hpm

Wed Dec 1 18:30:23 PST 2010

DrSnit @ctsinclair@equijada You mean advent is not about chocolate? ->*hoovers all theadvent chocolate* #hpm

Wed Dec 1 18:30:31 PST 2010
http://twitter.com/11420922/status/10158842117627904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://www.twitter.com/DrSnithttp://twitter.com/24710118/status/10158807971794944http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Tymeyerhttp://twitter.com/32316055/status/10158764887908352http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/hollybyhttp://twitter.com/89044445/status/10158697242169344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/DrSnithttp://www.twitter.com/ability4lifehttp://twitter.com/93074700/status/10158640409346048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/DrSnithttp://twitter.com/17206739/status/10158608817848322http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://twitter.com/108605734/status/10158528148799488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/27019627/status/10158517272977408http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RBK1217http://www.twitter.com/dwenselhttp://twitter.com/17206739/status/10158471521505281http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tymeyerhttp://www.twitter.com/ctsinclairhttp://twitter.com/9293098/status/10158388423950337http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/DrRobiehttp://twitter.com/25127891/status/10158374096207873http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tymeyerhttp://www.twitter.com/visitingnursehttp://twitter.com/17206739/status/10158372460437504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RBK1217http://www.twitter.com/ctsinclair

7/31/2019 #Hpm Tweet Chat 12:1:10

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dwensel @ctsinclair@tymeyer it is amazing how patients can wait to die after a major holiday#hpmWed Dec 1 18:30:38 PST 2010

joegormally RT @ctsinclair: RT @revdoc: I cant change the fact you are dying, but I bust my @$to make sure every day is as good as I can make it, holiday or not #hpm

Wed Dec 1 18:30:39 PST 2010

ctsinclair @dwensel@RBK1217 Thoughtful SW and Chaplains often can help find way tointegrate deceased into holiday ritual/memorials #hpmWed Dec 1 18:30:45 PST 2010

ctsinclair @tymeyer Yeah, I just Favorited that tweet by @revdoc#hpmWed Dec 1 18:31:13 PST 2010

RBK1217 @dwensel Yes, it surely can. #hpmWed Dec 1 18:31:31 PST 2010

equijada On my iPhone. Is twitter down? #hpmWed Dec 1 18:31:49 PST 2010

ctsinclair RT @dwensel: amazing how patients can wait to die after a major holiday. "good pt.After reaching your goal/holiday...now what!?" #hpm

Wed Dec 1 18:31:51 PST 2010

ctsinclair @equijada Twitter is a little wonky tonight. #hpmWed Dec 1 18:32:16 PST 2010

equijada I've got a bad connection #hpmWed Dec 1 18:32:40 PST 2010

revdoc @ctsinclair Aw, thanks, buddy! #hpmWed Dec 1 18:32:48 PST 2010

hollyby Do you actually see higher numbers of patients die after the holidays or is that justhospice lore? I know we all have stories... #hpm

Wed Dec 1 18:32:50 PST 2010

equijada RT @ctsinclair: RT @revdoc: I cant change the fact you are dying, but I bust my @$to make sure every day is as good as I can make it, holiday or not #hpm

Wed Dec 1 18:33:04 PST 2010

Tymeyer @equijada Twitter burping everywhere per @ctsinclair#hpmWed Dec 1 18:33:07 PST 2010
http://twitter.com/24710118/status/10159496743620608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://www.twitter.com/Tymeyerhttp://twitter.com/85440711/status/10159482566877184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://twitter.com/32316055/status/10159423829839872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/14231943/status/10159418968637440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/revdochttp://twitter.com/85440711/status/10159383715512320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/17206739/status/10159283127721984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/10159180124004353http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dwenselhttp://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/10159169285922817http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/79044262/status/10159092857307138http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dwenselhttp://www.twitter.com/RBK1217http://twitter.com/17206739/status/10159017271754752http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/tymeyerhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/10158901043400705http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RBK1217http://www.twitter.com/dwenselhttp://www.twitter.com/ctsinclairhttp://twitter.com/4090908/status/10158874317291520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://www.twitter.com/joegormallyhttp://twitter.com/27019627/status/10158870760529920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tymeyerhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/dwensel

7/31/2019 #Hpm Tweet Chat 12:1:10

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DrSnit @equijada *stabs twitter in the eye* #hpmWed Dec 1 18:33:07 PST 2010

dwensel @hollyby it would be a great study #hpmWed Dec 1 18:33:20 PST 2010

hollyby ... but do our stories match with reality? #hpmWed Dec 1 18:33:23 PST 2010

equijada RT @DrSnit: @equijada It is IMPORTANT to share this. It is our VALUES /religionthat makes us WHOLE/healed (as long as we don't shove it on others) #hpm

Wed Dec 1 18:33:23 PST 2010

Tymeyer RT @hollyby: Do you actually see higher numbers of patients die after the holidays"Would be interested in those numbers" #hpm

Wed Dec 1 18:33:53 PST 2010

LifeHealthDiary @equijada Twitter not down here in NZ #hpmWed Dec 1 18:34:01 PST 2010

revdoc @ctsinclair will tell you it is observer bias #hpmWed Dec 1 18:34:13 PST 2010

DONALDHTAYLORJR @dwensel@hollyby easy to do such a study with Medicare claims and decedentswho were enrolled in the hospice benefit #hpm

Wed Dec 1 18:34:21 PST 2010

LifeHealthDiary RT @hollyby: Do you actually see higher numbers of patients die after the holidays ois that just hospice lore? .. #hpm

Wed Dec 1 18:34:26 PST 2010

hollyby Let's go to NZ! RT @LifeHealthDiary: @equijada Twitter not down here in NZ #hpmWed Dec 1 18:34:55 PST 2010

ctsinclair One of my most interesting favorite articles From @JAMA -- Holidays, Birthdays, andPostponement of Cancer Death. http://bit.ly/hbvKMK#hpm

Wed Dec 1 18:34:57 PST 2010

equijada t2: pc and hospice: matching goals and treatments. What do you do when pt don'tlike treatment that are matching goal? #hpm

Wed Dec 1 18:35:03 PST 2010

equijada RT @ctsinclair: One of my most interesting favorite articles From @JAMA --Holidays, Birthdays, and Postponement of Cancer Death. http://bit.ly/hbvKMK#hpm

Wed Dec 1 18:35:11 PST 2010
http://twitter.com/85440711/status/10160016350781440http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/hbvKMKhttp://www.twitter.com/JAMAhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://twitter.com/85440711/status/10159983299657728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/17206739/status/10159958964305920http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/hbvKMKhttp://www.twitter.com/JAMAhttp://www.twitter.com/ctsinclairhttp://twitter.com/12047811/status/10159952068870144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/LifeHealthDiaryhttp://www.twitter.com/hollybyhttp://twitter.com/40027016/status/10159827539984384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/LifeHealthDiaryhttp://twitter.com/108605734/status/10159807105343488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/dwenselhttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/14231943/status/10159773664157696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/revdochttp://twitter.com/40027016/status/10159724859236354http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/LifeHealthDiaryhttp://twitter.com/24710118/status/10159689572552704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/Tymeyerhttp://twitter.com/85440711/status/10159562510303232http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/DrSnithttp://www.twitter.com/equijadahttp://twitter.com/32316055/status/10159564490018816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/27019627/status/10159551949053952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/dwenselhttp://twitter.com/11420922/status/10159497758638080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/DrSnit

7/31/2019 #Hpm Tweet Chat 12:1:10

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Angie_stl My grandma was sick for years, she passed away when my mom (caretaker) left fora few days. Almost like didn't want to put it on mom. #hpmWed Dec 1 18:35:16 PST 2010

ctsinclair RT @revdoc: @ctsinclair will tell you it is observer bias "You know me well." #hpmWed Dec 1 18:35:23 PST 2010

DrSnit @hollyby we could probably do a large scale study just by using census data fromlast decade. love, geek snit (who is also interested) #hpm

Wed Dec 1 18:35:35 PST 2010

DONALDHTAYLORJR RT @ctsinclair: One of my favorite articles From @JAMA -- Holidays, Birthdays, andPostponement of Cancer Death. http://bit.ly/hbvKMK#hpmWed Dec 1 18:35:38 PST 2010

LifeHealthDiary I think @hollyby You're all very welcome in NZ .. it's summer here too #hpmWed Dec 1 18:35:58 PST 2010

ctsinclair JAMA article is FREE PDF!! Hooray for #openaccess#OA Holidays, Birthdays, andPostponement of Cancer Death. http://bit.ly/hbvKMK#hpm

Wed Dec 1 18:36:07 PST 2010

Tymeyer RT @equijada: t2: pc and hospice: matching goals and treatments. What do you dowhen pt dont like treatment that are matching goal? #hpm

Wed Dec 1 18:36:18 PST 2010

revdoc @ctsinclair Yes, it is sad that you don't have room for magic and mystery in yourscientific little heart (said lovingly) :) #hpm

Wed Dec 1 18:36:22 PST 2010

hollyby @ctsinclair I thought you might have an article! #hpmWed Dec 1 18:36:25 PST 2010

ctsinclair RT @equijada: t2: pc and hospice: matching goals and treatments. What do you dowhen pt dont like treatment that are matching goal? #hpm

Wed Dec 1 18:36:28 PST 2010

equijada RT @ctsinclair: RT @revdoc: @ctsinclair will tell you it is observer bias "You know

me well." ha #hpmWed Dec 1 18:36:34 PST 2010

equijada RT @revdoc: Yes, it is sad that you dont have room for magic and mystery in yourscientific little heart (said lovingly) :) double ha! #hpm

Wed Dec 1 18:37:03 PST 2010

ctsinclair @revdoc I loooove mystery, but I am 'in love' with finding answers. ;-) #hpmWed Dec 1 18:37:08 PST 2010
http://twitter.com/2326862/status/10160506165788672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/10160487178174464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/equijadahttp://twitter.com/22651861/status/10160367120416768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://twitter.com/17206739/status/10160338091642880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/32316055/status/10160326297264128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://twitter.com/476265/status/10160313169092608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/revdochttp://twitter.com/24710118/status/10160299407572992http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/Tymeyerhttp://twitter.com/17206739/status/10160252485894144http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/hbvKMKhttp://www.symplur.com/healthcare-hashtags/OA/http://www.symplur.com/healthcare-hashtags/openaccess/http://www.twitter.com/ctsinclairhttp://twitter.com/61152552/status/10160215416639488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/LifeHealthDiaryhttp://twitter.com/108605734/status/10160130179989504http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/hbvKMKhttp://www.twitter.com/JAMAhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/11420922/status/10160118872145920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://twitter.com/17206739/status/10160066908921856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://twitter.com/115146544/status/10160036915449857http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Angie_stl

7/31/2019 #Hpm Tweet Chat 12:1:10

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otherspoon RT @ctsinclair: RT @dwensel: amazing how patients can wait to die after a majorholiday. After reaching your goal/holiday...now what!? #hpm

Wed Dec 1 18:37:49 PST 2010

dwensel @ctsinclair@equijada is it time to revisit goals agian maybe the treatments are not

meeting the goals any longer #hpmWed Dec 1 18:37:53 PST 2010

revdoc @ctsinclair I really did laugh out loud at that one--Tom now thinks I'm possessed!#hpm

Wed Dec 1 18:37:56 PST 2010

ctsinclair @equijada can you elaborate on t2? quick example? #hpmWed Dec 1 18:37:59 PST 2010

LifeHealthDiaryRT @equijada: t2: pc and hospice: matching goals and treatments. What do you dowhen pt dont like treatment that are matching goal? #hpm

Wed Dec 1 18:38:18 PST 2010

ctsinclair RT @revdoc: @ctsinclair I really did laugh out loud at that one--Tom now thinks Impossessed! "Twitter can make you laugh!" #hpm

Wed Dec 1 18:38:35 PST 2010

otherspoon EOL and holidays RT @hollyby: @ctsinclair I thought you might have an article!#hpmWed Dec 1 18:38:59 PST 2010

ctsinclair When treatment and goals dont match it is time for compromise of one or the other.As long as discussion of tx and goals is informed. #hpm

Wed Dec 1 18:39:16 PST 2010

renee_berry ? @equijada T2 #palliative & hospice how do you manage matching goals &treatments #hpm

Wed Dec 1 18:39:20 PST 2010

equijada @ctsinclair goals are to extend life at home as comfortable as possible. Prog monthspt/family still want to take statin, etc... #hpm

Wed Dec 1 18:39:22 PST 2010

ctsinclair I find when treatment and goals dont match, more information and discussion isimportant to add to the equation #hpm

Wed Dec 1 18:39:53 PST 2010

revdoc T2: give pt choice between matching path elements (eg you can have X and Ytogether or A and B together, but not A and Y) #hpmWed Dec 1 18:40:18 PST 2010
http://twitter.com/14231943/status/10161303607844864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/17206739/status/10161201820475392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/10161068068306944http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://twitter.com/121558178/status/10161060862492673http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/equijadahttp://www.twitter.com/renee_berryhttp://twitter.com/17206739/status/10161045159022592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/86072573/status/10160974845714432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://www.twitter.com/otherspoonhttp://twitter.com/17206739/status/10160871690997761http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://twitter.com/40027016/status/10160799532187648http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/LifeHealthDiaryhttp://twitter.com/17206739/status/10160722126307328http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/476265/status/10160708444487680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/revdochttp://twitter.com/27019627/status/10160695018528768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://www.twitter.com/dwenselhttp://twitter.com/86072573/status/10160678002237440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dwenselhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/otherspoon

7/31/2019 #Hpm Tweet Chat 12:1:10

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otherspoon RT @ctsinclair: JAMA article is FREE PDF!! Hooray Holidays, Birthdays, andPostponement of Cancer Death. http://bit.ly/hbvKMK#hpmWed Dec 1 18:40:32 PST 2010

equijada @ctsinclair i'm wondering about treating other illness from cholesterol/infection sprinboarding to addictions #hpm

Wed Dec 1 18:40:39 PST 2010

ctsinclair T2 Statins for patient with prognosis of months may be important for psychologicaleffect/adapting to new goals. #hpm

Wed Dec 1 18:40:55 PST 2010

dockj RT @revdoc: T2: give pt choice between matching path elements (eg you can haveX and Y together or A and B together, but not A and Y) #hpm

Wed Dec 1 18:41:08 PST 2010

ctsinclair RT @revdoc: T2: give pt choice between matching path elements (eg you can haveX and Y together or A and B together, but not A and Y) #hpmWed Dec 1 18:41:17 PST 2010

HattieCastroi89 RT T2: give pt choice between matching path elements (eg you can have X and Ytogether or A and B together, but not A and Y) #hpmWed Dec 1 18:41:22 PST 2010

DrSnit @ctsinclair Is AMAZING to me the difference of $/tx. Some pts are willing to prolonglife by a few years & remortgage house. Others not #hpm

Wed Dec 1 18:41:36 PST 2010

equijada @ctsinclair sometimes pt can have A and Y? #hpmWed Dec 1 18:42:01 PST 2010

hollyby @equijada Do you mean if the tx the doc offers 2 fit the pt's goal is refused by the ptor stopping tx not consistent w/ goal? Either? #hpm

Wed Dec 1 18:42:22 PST 2010

revdoc Realize pt choices may not all be optimum but limit "battles" to most important points(take your statin if you want to swallow it) #hpm

Wed Dec 1 18:42:28 PST 2010

ctsinclair Important to recognize the psych effect of treaments that don't match goal. LTdiabetic taking insulin may be impt as ritual > med tx #hpmWed Dec 1 18:42:46 PST 2010

revdoc @equijada I'm thinking about big ticket items for the plan: rehospitalization,procedures rather than "elective" meds #hpm

Wed Dec 1 18:43:05 PST 2010
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equijada @ctsinclair is that observational bias? re: statins and adjusting to new goals #hpmWed Dec 1 18:43:10 PST 2010

hollyby Agreed RT @ctsinclair: T2 Statins for patient with prognosis of months may beimportant for psychological effect/adapting to new goals. #hpm

Wed Dec 1 18:43:12 PST 2010

renee_berry RT @ctsinclair: I find when treatment and goals dont match, more information anddiscussion is important to add to the equation #hpmWed Dec 1 18:43:13 PST 2010

ctsinclair RT @revdoc: Realize pt choices may not all be optimum but limit "battles" to mostimpt points (take your statin if you want to) #hpm

Wed Dec 1 18:43:13 PST 2010

equijada @hollyby mostly stopping rx #hpmWed Dec 1 18:43:31 PST 2010

LifeHealthDiary RT @ctsinclair: Important to recognize the psych effect of treaments that don't matchgoal. LT diabetic taking insulin impt ritual #hpmWed Dec 1 18:43:45 PST 2010

renee_berry RT @ctsinclair: T2 Statins for patient with prognosis of months may be important forpsychological effect/adapting to new goals #hpm

Wed Dec 1 18:43:46 PST 2010

ctsinclair RT @DrSnit: AMAZING to me the difference of $/tx. Some pts are willing to prolonglife by a few yrs & remortgage house. Others not #hpm

Wed Dec 1 18:43:55 PST 2010

equijada @revdoc for the "big ticket" items, it's usually not a big problem. people like thyroidmeds and vitamins. #hpm

Wed Dec 1 18:44:12 PST 2010

equijada @ctsinclair@DrSnit totally agree. #hpmWed Dec 1 18:44:27 PST 2010

otherspoon RT@ctsinclair Imprtnt to recognize psych effect of treaments that don't match goal.

LT diabetic taking insulin may be impt as ritual #hpmWed Dec 1 18:44:42 PST 2010

renee_berry T2 listen listen listen communication communication #hpmWed Dec 1 18:44:54 PST 2010

ctsinclair @DrSnit But bringing up direct/indirect patient cost is taboo in medicine. The fedsactually passed a law making oncologists discuss. #hpm
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Wed Dec 1 18:44:54 PST 2010

equijada maybe for another chat, but how do you treating addictions in EOL? #hpmWed Dec 1 18:45:03 PST 2010

ctsinclair @equijada Possibly observational bias #hpmWed Dec 1 18:45:14 PST 2010

equijada RT @renee_berry: T2 listen listen listen communication communication #hpmWed Dec 1 18:45:21 PST 2010

dwensel @equijada@ctsinclair@DrSnit what about all the things their taking that they will notell us about #hpm

Wed Dec 1 18:45:35 PST 2010

ctsinclair RT @equijada: maybe for another chat, but how do you treating addictions in EOL?"good for another chat/topic" #hpm

Wed Dec 1 18:45:36 PST 2010

DONALDHTAYLORJR @ctsinclair FYI A Abernethy @Duke and J Kuttner @Denver have a statin-discontinuation RTC for pts with life exp 1-6 months #hpm

Wed Dec 1 18:45:38 PST 2010

joshgriffin @DrSnit We have the same problem in Canada re $/tx and it does impact people'sdecisions. Can also set up for disappointment re tx opt. #hpmWed Dec 1 18:45:56 PST 2010

rebeccacaroe @equijada Would be v interested in eol treating addictions = happend to myGrandmother #hpmWed Dec 1 18:46:09 PST 2010

revdoc For "unnecessary" things that don't "harm" the pt, I give liberty in decisions--vits andthyroid meds aren't worth heartburn #hpm

Wed Dec 1 18:46:12 PST 2010

dockj RT @DONALDHTAYLORJR: @ctsinclair FYI A Abernethy @Duke and J Kuttner@Denver have a statin-discontinuation RTC for pts with life exp 1-6 months #hpm

Wed Dec 1 18:46:22 PST 2010

LifeHealthDiary RT @DONALDHTAYLORJR: FYI A Abernethy @Duke and J Kuttner @Denver havea statin-discontinuation RTC for pts with life exp 1-6 months #hpm

Wed Dec 1 18:46:43 PST 2010

equijada addictions and eol is important. i actually thinking treating improves QOL unlikecholesterol, thyroid etc.. #hpm

Wed Dec 1 18:46:55 PST 2010
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DrSnit @ctsinclair This is so complex. Most pts are already aware of their "indirect costs" &KNOW when they are about to get NO/ worse care #hpmWed Dec 1 18:47:09 PST 2010

ctsinclair @DONALDHTAYLORJR Yup, I am hoping to work with them on getting theirresearch plugged into social media, put in a good word for me! #hpm

Wed Dec 1 18:47:09 PST 2010

RossJeanette T2 If a treatment is so discordant with care then it shouldn't be offered as an option. agree statin, vit not worth fighting #Hpm

Wed Dec 1 18:47:28 PST 2010

equijada @rebeccacaroe tell me about it #hpmWed Dec 1 18:47:34 PST 2010

GailZahtz Hi. Not lurking. Just got here at the tail-end. Will read to catch up. #hpmWed Dec 1 18:48:04 PST 2010

dockj Well my twitter is ornery here. Lurking late. #hpmWed Dec 1 18:48:31 PST 2010

equijada @RossJeanette what about abx? #hpmWed Dec 1 18:48:43 PST 2010

equijada @RossJeanette agree, the super discordant ones are easy #hpmWed Dec 1 18:49:14 PST 2010

rebeccacaroe @equijada not much to tell as I wasn't involved in clinincal decision. Breast Cancer,morphine addiction, withdrawal #hpm

Wed Dec 1 18:49:20 PST 2010

hollyby Well... if a pt's prognosis is months, hypothyroidism isn't fun. Often pts outlive whatwe think, so I'll keep the thyroid meds. #hpmWed Dec 1 18:49:25 PST 2010

rebeccacaroe @equijada I was just an observer #hpmWed Dec 1 18:49:35 PST 2010

dockj RT @equijada: @RossJeanette what about abx? #hpmWed Dec 1 18:49:35 PST 2010

ctsinclair RT @dwensel: it what about all the things their taking that they will not tell us about.Need to ask about #CAM and OTC meds for sure #hpmWed Dec 1 18:49:43 PST 2010
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ctsinclair RT @hollyby: Well... if a pts prognosis is months, hypothyroidism isnt fun. Often ptsoutlive what we think, so Ill keep thyroid meds. #hpm

Wed Dec 1 18:50:02 PST 2010

equijada RT @hollyby: Well... if a pt's prognosis is months, hypothyroidism isn't fun. Often ptsoutlive what we think, so I'll keep the thyroid meds. #hpm

Wed Dec 1 18:50:18 PST 2010

ctsinclair @hollyby And which is why we need more research funding in prognostication. cc@revdoc#hpm

Wed Dec 1 18:50:22 PST 2010

revdoc @ctsinclair Agreed #hpmWed Dec 1 18:50:45 PST 2010

DONALDHTAYLORJR @ctsinclair will do...been trying to get Amy to check out tweet chat #hpmWed Dec 1 18:51:00 PST 2010

ctsinclair @dockj@Pallimed blog post: Antibiotics and Treating Infections in the Elderlyhttp://bit.ly/haVCUI#hpm

Wed Dec 1 18:51:19 PST 2010

equijada wrapping things up. Closing thoughts? Words of wisdom? #hpmWed Dec 1 18:51:23 PST 2010

hollyby Vits are very important to some pts. I have lots of pts who prefer them to the meds Igive them. I don't think its a Cali bias... #hpm

Wed Dec 1 18:51:24 PST 2010

hollyby Agreed! RT @ctsinclair: @hollyby And which is why we need more research fundingin prognostication. cc @revdoc#hpm

Wed Dec 1 18:51:40 PST 2010

LifeHealthDiary RT @dwensel: it what about all the things their taking that they will not tell us about.Need to ask about #CAM and OTC meds for sure #hpm

Wed Dec 1 18:51:44 PST 2010

otherspoon RT @ctsinclair: @hollyby And which is why we need more research funding inprognostication. cc @revdoc#hpm

Wed Dec 1 18:51:45 PST 2010

ctsinclair @DONALDHTAYLORJR Invite her for coffee and dessert. Find it is best to getpeople next to you to teach. #hpmWed Dec 1 18:51:51 PST 2010

dockj Easiest to ask PT goals for keeping meds, and then deeper discussion on thoseworth arguing. #hpm

Wed Dec 1 18:51:56 PST 2010
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