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6/27/12 11:2hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Mar 09 18:00:00 PST 2011

To: Wed Mar 09 19:15:00 PST 2011

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MeredithGould We're about to start this week's chat & I'm delighted to be moderating. @renee_berry will dso next week. #hpm

Wed Mar 9 18:00:11 PST 2011

elderpages @MeredithGould Anyone get to National Journal Event? After http://tinyurl.com/4aocj9u(noperiod) I'm not finding it. #hpm

Wed Mar 9 18:00:40 PST 2011

MeredithGould This chat about hospice and palliative medicine is open to everyone and anyone interestedin the topic. #hpm

Wed Mar 9 18:01:16 PST 2011

GailZahtz Very happy to be spending the next hour back at one of my favorite med chats #HPM onhospice and palliative medicine.

Wed Mar 9 18:01:27 PST 2011

inhousehospice RT @MeredithGould: This chat about hospice and palliative medicine is open to everyoneand anyone interested in the topic. #hpmWed Mar 9 18:01:36 PST 2011

MeredithGould @elderpages Are you saying the link doesn't work? #hpmWed Mar 9 18:01:38 PST 2011
http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/158414469/status/45665538638229504http://www.twitter.com/elderpageshttp://www.twitter.com/MeredithGouldhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-social-media/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://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=03-09-2011&shour=18&smin=0&tdate=03-09-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://twitter.com/1972230/status/45665583081078784http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://www.twitter.com/MeredithGouldhttp://twitter.com/37000484/status/45665574868627456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/inhousehospicehttp://twitter.com/158414469/status/45665538638229504http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/GailZahtzhttp://twitter.com/16733030/status/45665491074813952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/7529714/status/45665340100841473http://www.symplur.com/healthcare-hashtags/hpm/http://tinyurl.com/4aocj9uhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/elderpageshttp://twitter.com/1972230/status/45665218466029568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/MeredithGouldhttp://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=03-09-2011&shour=18&smin=0&tdate=03-09-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=03-09-2011&shour=18&smin=0&tdate=03-09-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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MeredithGould We'll start with brief self-introductions before turning to our first topic. So, who is heretonight? #hpm

Wed Mar 9 18:02:26 PST 2011

PracticalWisdom Yes, it's not working RT @MeredithGould: @elderpages Are you saying the link doesntwork? #hpm

Wed Mar 9 18:02:53 PST 2011

elderpages @MeredithGould First link needed period removed. But reference in article linked toNational Journal, but no event easily evident. :-( #hpmWed Mar 9 18:03:01 PST 2011

elderpages Link with period removed: http://tinyurl.com/4aocj9u#hpmWed Mar 9 18:03:31 PST 2011

inhousehospice

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PracticalWisdom I'm using TweetChat Gail RT @GailZahtz: Okay, one more try to join #hpm throughtweetdeck. #annoyingthingsthatcomeuptweeting #hpm

Wed Mar 9 18:05:33 PST 2011

EldrcareConsult

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GailZahtz Something new I've learned about education re #hpm is that most physicians don't seevalue of palliative physicians. Other docs need info.

Wed Mar 9 18:09:37 PST 2011

PracticalWisdom @RaganHealth: Same as Ragan News? If so love your App on my IPhone!!! #hpmWed Mar 9 18:09:47 PST 2011

EldrcareConsult Glad to see everyone as well #hpmWed Mar 9 18:10:11 PST 2011

inhousehospice RT @MeredithGould: Tonight we continue our ongoing conversation about informing &educating the public about #hpm

Wed Mar 9 18:10:19 PST 2011

PracticalWisdom I see you now on TweetChat. RT @DrSnit: @PracticalWisdom I dont see my tweets comingthrough. Sad times! #hpmWed Mar 9 18:10:33 PST 2011

GailZahtz @MeredithGould somethihng funky is going on- half of my #hpm tweets are not goingthrough.

Wed Mar 9 18:10:37 PST 2011

MeredithGould How about I chat about @HealthFaith at the end of this chat! There's definitely an overlapbut the topics are good ones! #hpm

Wed Mar 9 18:10:42 PST 2011

ellenhoenig all this time i thought palliative care was linked to end of life... @MeredithGould: Good prep

reading http://tinyurl.com/4aocj9u.#HPMWed Mar 9 18:11:33 PST 2011

GailZahtz Something new I've learned about education is that most physicians don't see value ofpalliative physicians. Other docs need info. #hpm

Wed Mar 9 18:11:36 PST 2011

elderpages PC physicians need to be presented not as a failing by the primary MD. I think it helps ifthere is a team. #hpmWed Mar 9 18:11:40 PST 2011

MeredithGould T1How can/should we differentiate hospice from palliative medicine to enhance publicunderstanding? #hpm

Wed Mar 9 18:11:58 PST 2011

elderpages @MeredithGould Let's take last 10 min to talk about @HealthFaith. I would like anyway.#hpmWed Mar 9 18:12:05 PST 2011
http://twitter.com/7529714/status/45668214436409344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/HealthFaithhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/elderpageshttp://twitter.com/16733030/status/45668184140939264http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/24917024/status/45668108106604544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://twitter.com/143294903/status/45668091446833152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://twitter.com/15027780/status/45668079505645568http://www.symplur.com/healthcare-hashtags/HPM/http://tinyurl.com/4aocj9u.http://www.twitter.com/MeredithGouldhttp://www.twitter.com/ellenhoenighttp://twitter.com/1972230/status/45667865164124161http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/HealthFaithhttp://www.twitter.com/MeredithGouldhttp://twitter.com/158414469/status/45667846075858944http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/GailZahtzhttp://twitter.com/25428892/status/45667828107460609http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/DrSnithttp://www.twitter.com/PracticalWisdomhttp://twitter.com/37000484/status/45667771442401280http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/inhousehospicehttp://twitter.com/91193098/status/45667734712889344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://twitter.com/25428892/status/45667637329526784http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RaganHealthhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/143294903/status/45667593528414208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtz

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EldrcareConsult @GailZahtz N o way...more people need to realize its a process not a destination. #hpmWed Mar 9 18:12:24 PST 2011

MeredithGould @ellenhoenig Great that you tweeted that, fab intro to T1! #hpmWed Mar 9 18:12:33 PST 2011

DrSnit @MeredithGould oh yes! would love to hear more about it! #hpmWed Mar 9 18:13:11 PST 2011

GailZahtz T1 The thing is, that in my recent experience, I found that all hospital docs said that apalliative physician consult was "worthless" #hpmWed Mar 9 18:13:13 PST 2011

PracticalWisdom T1: Adults Learners many times understand information with Visuals. We could havecreative images that show the difference. #hpm

Wed Mar 9 18:13:18 PST 2011

elderpages Pall med is available before terminal dx and does not require dropping curative. But howmuch before? Chronic pain in 30 yo? #hpmWed Mar 9 18:13:27 PST 2011

MeredithGould Just from the tweets posted already re: T1, maybe it's not just the "public"?!? #hpmWed Mar 9 18:13:40 PST 2011

GailZahtz T1: And so I found myself educating other doctors on why palliative physicians are essentiafor chronic patients. #hpm

Wed Mar 9 18:13:52 PST 2011

PracticalWisdom T1: Still think Pall is a new term for general public and even those within health care. #hpmWed Mar 9 18:14:02 PST 2011

EOLnavigator Hello there... sorry I'm late...American Idol...what can I say! it's a QOL issue. #hpmWed Mar 9 18:14:37 PST 2011

RaganHealth @PracticalWisdom Wow, that's cool! Glad you like it. Did you hear that, @markraganceo? ) #hpm

Wed Mar 9 18:14:44 PST 2011

MeredithGould T1a What could/should we be communicating so that docs, patients & caregivers don'tperceive palliative care as "worthless"? #hpmWed Mar 9 18:14:48 PST 2011

GailZahtz T1: A 5 page report from a palliative doc consult I insisted on was ignored. And yet, posthospital, a palliative doc diagnosed me. #hpm

Wed Mar 9 18:14:58 PST 2011
http://twitter.com/158414469/status/45668938985644032http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://twitter.com/1972230/status/45668899718569984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/243945443/status/45668882937159680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/markraganceohttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/RaganHealthhttp://twitter.com/138204091/status/45668851681210368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/45668706990297088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/158414469/status/45668665076621313http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://twitter.com/1972230/status/45668611272089600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/24917024/status/45668558260289536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://twitter.com/25428892/status/45668518775095296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/158414469/status/45668501100302336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://twitter.com/11420922/status/45668492346789889http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DrSnithttp://twitter.com/16733030/status/45668333797916672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ellenhoenighttp://www.twitter.com/MeredithGouldhttp://twitter.com/91193098/status/45668295407448066http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/EldrcareConsult

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EOLnavigator Palliative care = symptom mgt. Hospice is pall care at end of life #hpmWed Mar 9 18:15:21 PST 2011

elderpages It also gets confusing because pall med tends to indicate hospital program, but is also theumbrella for all hospice care. #hpm

Wed Mar 9 18:15:24 PST 2011

MeredithGould @EOLnavigator Say/tweet more about QOL (quality of life) issue #hpmWed Mar 9 18:15:25 PST 2011

inhousehospice T1: We talk about the continuum of care - curative>pall>hospice. Pall is the bridge betweencurative & hospice, can be prov w/ curative #hpm

Wed Mar 9 18:15:36 PST 2011

MeredithGould RT @elderpages: It also gets confusing because pall med tends to indicate hospitalprogram, but is also the umbrella for all hospice care. #hpm

Wed Mar 9 18:15:38 PST 2011

MeredithGould RT @EOLnavigator: Palliative care = symptom mgt. Hospice is pall care at end of life #hpmWed Mar 9 18:15:42 PST 2011

PracticalWisdom 1 item I read every morningRT @RaganHealth: @PracticalWisdom Wow, thats cool! Gladyou like it. Did you hear that, @markraganceo? :-) #hpm

Wed Mar 9 18:15:46 PST 2011

GailZahtz T1: The feedback I got was that physicians don't see palliative physicians as pain doctors,chronic help or anything other than rehab #hpm

Wed Mar 9 18:16:05 PST 2011

MeredithGould RT @inhousehospice: T1: We talk about the continuum of care - curative>pall>hospice. Pais the bridge between curative & hospice, #hpm

Wed Mar 9 18:16:10 PST 2011

Visiting_Nurse T1 hospice=end of life w/ care that includes palliative measures, PM=the science ofmeasures that improves quality life & lessens pain #hpm

Wed Mar 9 18:16:34 PST 2011

DrSnit @MeredithGould This is very powerful. Especially with aging, chronic pain, and terminal ptsAdvocacy is important. And med ed! #hpm

Wed Mar 9 18:16:34 PST 2011

elderpages Remember "All cocker spaniels are dogs but not all dogs are cocker spaniels?" Pall Medand hospice have a similar relationship. #hpm

Wed Mar 9 18:16:34 PST 2011

GailZahtz T1: And it makes no sense as anyone in chronic care knows that palliative physicians areESSENTIAL in care. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://twitter.com/24917024/status/45669343886979072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://twitter.com/11420922/status/45669341995343873http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DrSnithttp://twitter.com/134056427/status/45669341026455552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Visiting_Nursehttp://twitter.com/16733030/status/45669243651502080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/inhousehospicehttp://www.twitter.com/MeredithGouldhttp://twitter.com/143294903/status/45669219689431040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://twitter.com/25428892/status/45669143567007744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/markraganceohttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/RaganHealthhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/45669126814969856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/MeredithGouldhttp://twitter.com/1972230/status/45669106808131584http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://www.twitter.com/MeredithGouldhttp://twitter.com/37000484/status/45669100520869888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/inhousehospicehttp://twitter.com/16733030/status/45669051736920064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/MeredithGouldhttp://twitter.com/24917024/status/45669050470236160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://twitter.com/43230251/status/45669036276727808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigator

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EOLnavigator @MeredithGould Pall care is not only about pain. Must include all symptoms & holisticapproach #hpm

Wed Mar 9 18:20:40 PST 2011

GailZahtz @EldrcareConsult I humbly disagree re hospice providers- I think all that palliative care docare seen as hospice & rehab. #hpm

Wed Mar 9 18:20:54 PST 2011

MeredithGould @EldrcareConsult Ah, I figured it would be around possible substance abuse issues. #hpmWed Mar 9 18:20:58 PST 2011

drpippa T- palliative care so much more than just symptoms, would hate to just be marginalized as pain doctor. Support for team, patient, fam #hpm

Wed Mar 9 18:21:07 PST 2011

EldrcareConsult @EOLnavigator@MeredithGould Agreed! #hpmWed Mar 9 18:21:10 PST 2011

MeredithGould @EOLnavigator What's the short list of symptoms? #hpmWed Mar 9 18:21:25 PST 2011

GailZahtz @EOLnavigator Yes, palliative is the answer for chronic because it's all inclusive- this mustbe part of education. #hpm

Wed Mar 9 18:21:28 PST 2011

inhousehospice RT @EOLnavigator: @MeredithGould Pall care is not only about pain. Must include allsymptoms & holistic approach #hpm

Wed Mar 9 18:21:29 PST 2011

EOLnavigator @GailZahtz@MeredithGould Not every pall care clinician is a pain expert. #hpmWed Mar 9 18:21:39 PST 2011

DrSnit @elderpages YES! In addition the science of pain management is NOT widely understoodnor do many docs take the time to learn it well #hpmWed Mar 9 18:21:40 PST 2011

EldrcareConsult @drpippa Doc...that is what the stigma here is......but we as GCM's are trying to change tha:) #hpm

Wed Mar 9 18:21:55 PST 2011

PracticalWisdom Agree!RT @drpippa: T- pal care more than just symptoms, hate 2 just be marginalized as apain doctor. Support for team, patient, fam #hpm

Wed Mar 9 18:22:01 PST 2011

MeredithGould @drpippa What's the short list of what else it's about? #hpmWed Mar 9 18:22:08 PST 2011
http://twitter.com/1972230/status/45670743131963392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/MeredithGouldhttp://twitter.com/25428892/status/45670715936088064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/80264506/status/45670691206475776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/EldrcareConsulthttp://twitter.com/11420922/status/45670624466710528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://www.twitter.com/DrSnithttp://twitter.com/43230251/status/45670623942426624http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/GailZahtzhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/37000484/status/45670581298921472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EOLnavigatorhttp://www.twitter.com/inhousehospicehttp://twitter.com/143294903/status/45670576379015169http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://twitter.com/1972230/status/45670564957913089http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/MeredithGouldhttp://twitter.com/91193098/status/45670499010879488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EOLnavigatorhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/522943/status/45670487782719488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://twitter.com/16733030/status/45670450776387584http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/MeredithGouldhttp://twitter.com/158414469/status/45670435328757760http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/GailZahtzhttp://twitter.com/43230251/status/45670373475368960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EOLnavigator

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EOLnavigator @GailZahtz@EOLnavigator Agree #hpmWed Mar 9 18:22:16 PST 2011

FMDGirl Listening in and learning- RN, Pt Advocate interested in PC #hpmWed Mar 9 18:22:36 PST 2011

GailZahtz @EOLnavigator No, not every palliative doc is a pain expert, but an anesthesiologist is notthe answer for a chronic patient. #hpm

Wed Mar 9 18:22:47 PST 2011

PracticalWisdom T1: So who could help leverage better understanding. Does Pal have a lobby group #hpmWed Mar 9 18:22:54 PST 2011

MeredithGould @FMDGirl Welcome! Feel free to jump in any time! #hpmWed Mar 9 18:23:01 PST 2011

PracticalWisdom @FMDGirl: Hi Dear Friend glad you are here!!!! #hpmWed Mar 9 18:23:24 PST 2011

EldrcareConsult @FMDGirl Welcome! #hpmWed Mar 9 18:23:25 PST 2011

elderpages Agree PC is more than physical pain, but look at the chronic pain epidemic in our country:http://ti.me/hZaaYS. Certainly PC can help! #hpmWed Mar 9 18:23:27 PST 2011

GailZahtz @PracticalWisdom They do have an association, but it's been pretty disregarded, as seen itheir end of the page letter to Wash Post #hpm

Wed Mar 9 18:23:40 PST 2011

inhousehospice @drpippa AGREE! More than pain mgmt - emotional, psychosocial support, fam support,adv directives... #hpm

Wed Mar 9 18:24:10 PST 2011

elderpages @PracticalWisdom More professional groups (AAHPM) although @CAPC has a consumersite: getpalliativecare.org #hpm

Wed Mar 9 18:24:26 PST 2011

EldrcareConsult @elderpages I agree...there is such suffering that could be alleviated. I know I harp on this lot, but if ppl only knew the resources #hpm

Wed Mar 9 18:24:26 PST 2011

EOLnavigator @MeredithGould@EOLnavigator Pain, N/V, depression, anxiety, insomnia, fatigue,anorexia.... #hpmWed Mar 9 18:24:52 PST 2011
http://twitter.com/43230251/status/45671431308189696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/91193098/status/45671321635532800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://www.twitter.com/EldrcareConsulthttp://twitter.com/24917024/status/45671321987842048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CAPChttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/elderpageshttp://twitter.com/37000484/status/45671254195310592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/inhousehospicehttp://twitter.com/143294903/status/45671129171505152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/GailZahtzhttp://twitter.com/24917024/status/45671073907359744http://www.symplur.com/healthcare-hashtags/hpm/http://ti.me/hZaaYS.http://www.twitter.com/elderpageshttp://twitter.com/91193098/status/45671067980800000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/25428892/status/45671060871450624http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/45670966990340096http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://www.twitter.com/MeredithGouldhttp://twitter.com/25428892/status/45670936707481600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/158414469/status/45670905371836416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://twitter.com/26385846/status/45670860249497600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://twitter.com/43230251/status/45670778603184128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://www.twitter.com/EOLnavigator

7/31/2019 #Hpm Tweet Chat 3:9:11

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GailZahtz @drpippa The point is that palliative docs may be the only answer for chronic patients,because all inclusive, but consult needs reason #hpmWed Mar 9 18:25:31 PST 2011

MeredithGould Great to see this convo naturally segueing into the next topic which is: #hpmWed Mar 9 18:25:31 PST 2011

EldrcareConsult @inhousehospice@drpippa And most folks dont know all those companents exist! #hpmWed Mar 9 18:25:32 PST 2011

PracticalWisdom T1: where can we help get them leverage? What is one good bullet point 4 leverage. 1 Poinwe could all make to show Value. #hpm

Wed Mar 9 18:25:34 PST 2011

elderpages @Diane_Meier did an internship of sorts learning advocacy and participating in health carereform. Curious about her insights. #hpm

Wed Mar 9 18:25:51 PST 2011

emilybarryPR Education is HUGE! RT @EldrcareConsult: @elderpages I agree...such suffering that couldbe alleviated. If ppl only knew the resources #hpm

Wed Mar 9 18:26:01 PST 2011

PracticalWisdom Agree.RT @EldrcareConsult: @inhousehospice@drpippa And most folks dont know allthose companents exist! #hpm

Wed Mar 9 18:26:01 PST 2011

MeredithGould T2 How could/should we encourage interdisciplinary conversation that will to lead to earlypalliative care? #hpm

Wed Mar 9 18:26:37 PST 2011

FMDGirl RT @GailZahtz: @drpippa The point is that palliative docs may be the only answer forchronic patients, because all inclusive, but consult needs reason #hpmWed Mar 9 18:26:45 PST 2011

elderpages @PracticalWisdom Perhaps if someone famous uses palliative care, or does for their parenand can speak about it. #hcsm#hpm

Wed Mar 9 18:26:54 PST 2011

GailZahtz With Congress starting investigations, it's going to get harder for palliative docs to do theirjob if their isn't advocacy now. #hpm

Wed Mar 9 18:27:00 PST 2011

PracticalWisdom RT @elderpages: @PracticalWisdom Perhaps if someone famous uses palliative care, ordoes for their parent and can speak about it. #hcsm#hpm

Wed Mar 9 18:27:23 PST 2011
http://twitter.com/25428892/status/45672065705058304http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hcsm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/elderpageshttp://www.twitter.com/PracticalWisdomhttp://twitter.com/143294903/status/45671966950174720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://twitter.com/24917024/status/45671943290093568http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hcsm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/elderpageshttp://twitter.com/8446851/status/45671906841600000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/GailZahtzhttp://www.twitter.com/FMDGirlhttp://twitter.com/16733030/status/45671871609438208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/25428892/status/45671719779835906http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/inhousehospicehttp://www.twitter.com/EldrcareConsulthttp://www.twitter.com/PracticalWisdomhttp://twitter.com/21330503/status/45671719477850112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://www.twitter.com/EldrcareConsulthttp://www.twitter.com/emilybarryPRhttp://twitter.com/24917024/status/45671678054903809http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Diane_Meierhttp://www.twitter.com/elderpageshttp://twitter.com/25428892/status/45671609100550145http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/91193098/status/45671597671059456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/inhousehospicehttp://www.twitter.com/EldrcareConsulthttp://twitter.com/16733030/status/45671596010123264http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/158414469/status/45671594823122945http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/GailZahtz

7/31/2019 #Hpm Tweet Chat 3:9:11

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EOLnavigator @GailZahtz@EOLnavigator True, but they have the expertise to quickly alleviate suffering.#hpm

Wed Mar 9 18:27:31 PST 2011

elderpages T2: Interdisciplinary conversation. I like Alive Hospice's blog. Many people on staff are blogauthors and then also post comments. #hpm

Wed Mar 9 18:27:46 PST 2011

emilybarryPR It has to start at the point of diagnosis...how PC can help with treatments #hpmWed Mar 9 18:27:48 PST 2011

PracticalWisdom Saving $RT @MeredithGould: T2 How could/should we encourage interdisciplinaryconversation that will to lead to early palliative care? #hpm

Wed Mar 9 18:27:49 PST 2011

GailZahtz T2 I am sad to say my conclusions of late are the only answer is going to be patientadvocacy in the hospital for palliative care #hpm

Wed Mar 9 18:27:59 PST 2011

PracticalWisdom RT @elderpages: T2: Interdisciplinary conv. I like Alive Hospices blog. # people on staff areblog authors and then also post comments. #hpm

Wed Mar 9 18:28:18 PST 2011

MeredithGould Who or which organization(s) should take the lead in enrolling spokespeople? #hpmWed Mar 9 18:28:26 PST 2011

inhousehospice RT @MeredithGould: T2 How could/should we encourage interdisciplinary conversation thawill to lead to early palliative care? #hpm

Wed Mar 9 18:28:36 PST 2011

EldrcareConsult

7/31/2019 #Hpm Tweet Chat 3:9:11

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annieandisabel @MeredithGould great 2 find you all talking about pallcare..ICU RN at UCSF here.. I feel sohonored when my role is to provide EOL care #hpm

Wed Mar 9 18:29:04 PST 2011

drpippa T2- prove your worth to the team. Often "non-compliance" is fear, misunderstanding and pacare can help diffuse. #hpm

Wed Mar 9 18:29:12 PST 2011

MeredithGould RT @elderpages: Dr. Denise Waugh and others on @CAPC committee are working on ERdept and palliative care collaboration. #hpm

Wed Mar 9 18:29:13 PST 2011

MeredithGould RT @drpippa: T2- prove your worth to the team. Often "non-compliance" is fear,misunderstanding and pall care can help diffuse. #hpm

Wed Mar 9 18:29:34 PST 2011

drpippa RT @emilybarryPR: It has to start at the point of diagnosis...how PC can help withtreatments #hpmWed Mar 9 18:29:38 PST 2011

PracticalWisdom RT @EldrcareConsult: ries 2 get clients 2 understand all resources b4 they need them. Ifthey start out HH I tell them re hospice 2! #hpm

Wed Mar 9 18:29:41 PST 2011

EOLnavigator T2 keep it in the media & encourage pt.'s to ask for it. #hpmWed Mar 9 18:29:41 PST 2011

EldrcareConsult @emilybarryPR agreed......care coordination is a full time job beleive me! #hpmWed Mar 9 18:29:44 PST 2011

inhousehospice RT @EldrcareConsult Try to get clients to understand all resources b4 need them. If theystart out HH tell about hospice too "YES!" #hpm

Wed Mar 9 18:29:54 PST 2011

GailZahtz @MeredithGould Not sure who you mean by ombudsman in this context. But advocacyneeds to be done within hospital settings. #hpm

Wed Mar 9 18:29:55 PST 2011

PracticalWisdom LIke it!!RT @drpippa: T2- prove your worth to the team. Often "non-compliance" is fear,

misunderstanding/pall care can help diffuse. #hpmWed Mar 9 18:30:05 PST 2011

EOLnavigator palliative homecare programs #hpmWed Mar 9 18:30:10 PST 2011

equijada @MeredithGould@renee_berry thanks for hosting tonight. Lurking. #hpmWed Mar 9 18:30:36 PST 2011
http://twitter.com/22651861/status/45672874010349568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/equijadahttp://twitter.com/43230251/status/45672764660645888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/45672742904795136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/158414469/status/45672700680732672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/GailZahtzhttp://twitter.com/37000484/status/45672699040763904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/inhousehospicehttp://twitter.com/91193098/status/45672657697517569http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/emilybarryPRhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/138204091/status/45672642153422848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/45672644854562816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/PracticalWisdomhttp://twitter.com/522943/status/45672630652637184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/emilybarryPRhttp://www.twitter.com/drpippahttp://twitter.com/16733030/status/45672614504574976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/MeredithGouldhttp://twitter.com/16733030/status/45672527963500544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CAPChttp://www.twitter.com/elderpageshttp://www.twitter.com/MeredithGouldhttp://twitter.com/522943/status/45672522980671488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://twitter.com/108706385/status/45672488792883200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/annieandisabel

7/31/2019 #Hpm Tweet Chat 3:9:11

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EOLnavigator @GailZahtz@EOLnavigator Anaesthesiologists #hpmWed Mar 9 18:30:50 PST 2011

MeredithGould @GailZahtz Showing my age! The Patient Advocate used to be called Ombusman! 20thcentury term #hpm

Wed Mar 9 18:30:54 PST 2011

emilybarryPR Great idea! Like 2 see more of that RT @PracticalWisdom: Alive Hospices blog # ppl onstaff r blog authors and then also post comments. #hpm

Wed Mar 9 18:30:58 PST 2011

drpippa Agree wholeheartedly @GailZahtz:the only answer is going to be patient advocacy in thehospital for palliative care #hpm

Wed Mar 9 18:31:00 PST 2011

FMDGirl T2- Open line of communication with team meetings, inc family and all involved- advocacy,education, communication #hpm

Wed Mar 9 18:31:01 PST 2011

elderpages @EldrcareConsult So I think it would be great for you to do a session at the NAPGCMconference on how GCMs can bring in PC specialists #hpmWed Mar 9 18:31:04 PST 2011

GailZahtz @EOLnavigator Good to see you! I've been ranting about problems with getting andadvocating for palliative docs within hospitals! #hpm

Wed Mar 9 18:31:27 PST 2011

PracticalWisdom T2: Need History lesson. How did Pall get into Hospice name? Is there leverage there. Surethat was not an easy task. #hpm

Wed Mar 9 18:31:28 PST 2011

FMDGirl RT @MeredithGould: @GailZahtz Showing my age! The Patient Advocate used to be calleOmbusman! 20th century term #hpm

Wed Mar 9 18:31:44 PST 2011

PracticalWisdom @equijada: Hi Earl. #hpmWed Mar 9 18:32:07 PST 2011

GailZahtz @MeredithGould Okay- good problem. As a patient with 30 hospitalization minimum and 20surgeries, I've never met a patient advocate #hpmWed Mar 9 18:32:07 PST 2011

EldrcareConsult @inhousehospice I just try to get them to plan ahead to have all their options laid outbeforehand. #hpm

Wed Mar 9 18:32:09 PST 2011
http://twitter.com/91193098/status/45673263648612352http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/inhousehospicehttp://www.twitter.com/EldrcareConsulthttp://twitter.com/143294903/status/45673254987366400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/GailZahtzhttp://twitter.com/25428892/status/45673254370811904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/26385846/status/45673157671129088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/FMDGirlhttp://twitter.com/25428892/status/45673094345539585http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/143294903/status/45673088922296320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://twitter.com/24917024/status/45672990272274432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/elderpageshttp://twitter.com/26385846/status/45672977639014400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://twitter.com/522943/status/45672977131507712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/drpippahttp://twitter.com/21330503/status/45672966452817920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/emilybarryPRhttp://twitter.com/16733030/status/45672951646920704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/MeredithGouldhttp://twitter.com/43230251/status/45672935188471808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://www.twitter.com/EOLnavigator

7/31/2019 #Hpm Tweet Chat 3:9:11

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elderpages I'd like to see #palliative care outpatient clinics. So far, mostly available just for seriously ill(hospital or home care) #hpm

Wed Mar 9 18:32:16 PST 2011

EldrcareConsult @elderpages OMG no pressure there! LOL #hpmWed Mar 9 18:32:28 PST 2011

MeredithGould What are the possibilities/probabilities of getting this info in during medical or nursingschool? #hpmWed Mar 9 18:32:34 PST 2011

GailZahtz RT @drpippa: Agree wholeheartedly @GailZahtz only answer is going to be patientadvocacy in the hospital for palliative care #hpm

7/31/2019 #Hpm Tweet Chat 3:9:11

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EldrcareConsult @MeredithGould Good point...there is so much clincal based teaching and there needs tome a social model as well #hpmWed Mar 9 18:34:18 PST 2011

EOLnavigator @drpippa@GailZahtz Most of patient care occurs at home though. Patients don't get tohospital unless there is an acute event. #hpm

Wed Mar 9 18:34:32 PST 2011

MeredithGould @DrSnit Is the nursing staff a better point of entry for this education and advocacy? #hpmWed Mar 9 18:34:48 PST 2011

FMDGirl @DrSnit@MeredithGould Are we as a nation lacking in Pall trained physicians? #hpmWed Mar 9 18:35:08 PST 2011

MeredithGould @EldrcareConsult Please say more about a "social model." #hpmWed Mar 9 18:35:09 PST 2011

PracticalWisdom @EldrcareConsult@MeredithGould: Need Biopsysocial Model. Whole person. #hpmWed Mar 9 18:35:15 PST 2011

GailZahtz @FMDGirl I can't be stopped. What worries me, why did I have to FIGHT for a pall consult?Why are pall docs not taken seriously? #hpmWed Mar 9 18:35:20 PST 2011

FMDGirl RT @EOLnavigator: @drpippa@GailZahtz Most of patient care occurs at home though.Patients don't get to hospital unless there is an acute event. #hpm

Wed Mar 9 18:35:28 PST 2011

EldrcareConsult @MeredithGould@DrSnit YES! #hpmWed Mar 9 18:35:37 PST 2011

elderpages But most pall care is thru hospital programs or hospice. One reason is so EOL focused. Ifoutpt clinic, would be available earlier. #hpmWed Mar 9 18:35:50 PST 2011

MeredithGould RT @FMDGirl: Are we as a nation lacking in Pall trained physicians? #hpmWed Mar 9 18:35:51 PST 2011

PracticalWisdom So who is recruiting Pall Md's. What benefits are they given by whom that helps themdetermine this is the Med. they want to practice? #hpm

Wed Mar 9 18:36:08 PST 2011

EOLnavigator @inhousehospice@EldrcareConsult Put out the fire before it's raging....so logical....is HPMthe only dept. that get's it? #hpmWed Mar 9 18:36:09 PST 2011
http://twitter.com/138204091/status/45674272819130368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/inhousehospicehttp://www.twitter.com/EOLnavigatorhttp://twitter.com/15173133/status/45674268113117184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/45674197233577984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://www.twitter.com/MeredithGouldhttp://twitter.com/24917024/status/45674191919394817http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://twitter.com/91193098/status/45674138358132737http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/8446851/status/45674099363680256http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/drpippahttp://www.twitter.com/EOLnavigatorhttp://www.twitter.com/FMDGirlhttp://twitter.com/143294903/status/45674067344363520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://www.twitter.com/GailZahtzhttp://twitter.com/25428892/status/45674044640600065http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EldrcareConsulthttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/45674020519153664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/MeredithGouldhttp://twitter.com/26385846/status/45674015548903424http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DrSnithttp://www.twitter.com/FMDGirlhttp://twitter.com/16733030/status/45673929918005248http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/MeredithGouldhttp://twitter.com/138204091/status/45673866433019905http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/drpippahttp://www.twitter.com/EOLnavigatorhttp://twitter.com/91193098/status/45673804235673600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EldrcareConsult

7/31/2019 #Hpm Tweet Chat 3:9:11

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drpippa Yes! A dream. Fully functional with great access and joint visits @elderpages: I'd like to see#palliative care outpatient clinics. #hpmWed Mar 9 18:36:10 PST 2011

GailZahtz @annieandisabel Palliative care does not mean END OF LIFE ONLY!!!! I think this is theperception problem! #hpm

Wed Mar 9 18:36:17 PST 2011

DrSnit @FMDGirl How often have YOU gone to a dr to have them tell you "I only treat x" but notgive you any referrals or help w YOUR ISSUES? #hpm

Wed Mar 9 18:36:39 PST 2011

EldrcareConsult @MeredithGould There needs to be more teaching on the whole person....not just clinical. Amore holistic approach maybe? #hpm

Wed Mar 9 18:36:45 PST 2011

EOLnavigator @GailZahtz@FMDGirl People love to save the day....too many ego's at the patient'sexpense. #hpmWed Mar 9 18:36:50 PST 2011

elderpages @MeredithGould@FMDGirl Yes, we do not have enough pall trained MDs. #hpmWed Mar 9 18:36:58 PST 2011

MeredithGould RT @drpippa: Yes! A dream. Fully functional with great access & joint visits @elderpages:#palliative care outpatient clinics. #hpm

Wed Mar 9 18:37:02 PST 2011

MeredithGould RT @drpippa: Yes! A dream. Fully functional with great access & joint visits @elderpages:#palliative care outpatient clinics. #hpmWed Mar 9 18:37:02 PST 2011

annieandisabel @GailZahtz the thing about "palliative"docs don't get..is it doen't always mean imminentdeath.. just reduction of symptoms... #hpm

Wed Mar 9 18:37:06 PST 2011

GailZahtz @EOLnavigator What occurs in a hospital represents how physicians feel about care,though. It's clear docs don't value pall care #hpm

Wed Mar 9 18:37:13 PST 2011

DrSnit @FMDGirl My answer is YES YES YES. And ones that are disdainful of palliative care andpalliative needs patients. #hpmWed Mar 9 18:37:15 PST 2011

EldrcareConsult @GailZahtz@annieandisabel Agreed...most ppl freak out when they here pallative orhospice. SO much more invollved! #hpm

Wed Mar 9 18:37:20 PST 2011
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DrSnit @annieandisabel RIGHT ON. #hpmWed Mar 9 18:37:51 PST 2011

drpippa RT @elderpages: But most pall care is thru hospital programs or hospice. One reason is soEOL focused. If outpt clinic, would be available earlier. #hpm

Wed Mar 9 18:37:54 PST 2011

emilybarryPR Definitely! RT @GailZahtz: @annieandisabel Palliative care does not mean END OF LIFEONLY!!!! I think this is the perception problem! #hpmWed Mar 9 18:37:55 PST 2011

PracticalWisdom RT @drpippa: Yes! A dream. Fully functional w/great access & joint visits @elderpages:Idlike 2 C #palliative care outpatient clinics. #hpm

Wed Mar 9 18:37:55 PST 2011

EOLnavigator @MeredithGould@DrSnit Depends on the quality of nursing. #hpmWed Mar 9 18:37:58 PST 2011

PracticalWisdom AGREE. RT @GailZahtz: @annieandisabel Palliative care does not mean END OF LIFEONLY!!!! I think this is the perception problem! #hpmWed Mar 9 18:38:12 PST 2011

FMDGirl @GailZahtz Good question- should not have to fight for Pall consult. #hpmWed Mar 9 18:38:26 PST 2011

annieandisabel @GailZahtz that is so funny! we were both writing the same thing to each other!!! I know!!!EOL is not pallative... #hpm

Wed Mar 9 18:38:31 PST 2011

EOLnavigator @elderpages Agree #hpmWed Mar 9 18:38:36 PST 2011

elderpages Some of the problem is reimbursement. Hospice and hospital pall care fundable partlybecause they save CMS $ #hpm

Wed Mar 9 18:38:37 PST 2011

PracticalWisdom RT @EldrcareConsult: @MeredithGould There needs 2 B more teaching on the wholeperson.not just clinical. A more holistic approach. #hpm

Wed Mar 9 18:38:39 PST 2011

MeredithGould And once again, this fantastic convo makes a natural segue into the next topic! This grouprocks!! #hpm

Wed Mar 9 18:38:42 PST 2011

SheyontheBay @MeredithGould@DrSnit YES! My dream "job" #hpmWed Mar 9 18:38:45 PST 2011
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EldrcareConsult @EOLnavigator@MeredithGould@DrSnit True nut as my fiance said tonite. I AM a patienadvocate (She's an RN) #hpm

Wed Mar 9 18:38:48 PST 2011

GailZahtz @annieandisabel@EldrcareConsult Pallitative in dictionary "to ease (as in disease) withoucuring. Anyone chronic should see pall doc #hpm

Wed Mar 9 18:38:53 PST 2011

EldrcareConsult I swear i cant type tonite worth a darn #hpmWed Mar 9 18:39:35 PST 2011

ctsinclair Hey guys, just got back from dinner. Looks like a good group tonight a lot of my favorites areher #hpm

Wed Mar 9 18:39:36 PST 2011

MeredithGould Not really a separate topic but to add to the mix, T3: What's in the way of people

differentiating hospice from palliative medicine? #hpmWed Mar 9 18:39:43 PST 2011

GailZahtz @annieandisabel@FMDGirl I think we've opened up something here- if people think palcare is only EOL, don't include docs in process #hpm

Wed Mar 9 18:39:53 PST 2011

SheyontheBay Currently pall care only reimbursed inpt. $$$$. Always the problem/obstacle. Need lobbying#hpm

Wed Mar 9 18:39:54 PST 2011

ctsinclair RT @GailZahtz: @FMDGirl I cant be stopped. What worries me, why did I have to FIGHTfor a pall consult? #hpm

Wed Mar 9 18:40:06 PST 2011

emilybarryPR Need a major shift in perception away from death and focus on quality of life, symptommgmt, support for pt and fam... #hpm

Wed Mar 9 18:40:09 PST 2011

GailZahtz @ctsinclair Missed you!!!!! Have you heard my rants? I've got a WHOLE lot more to say forpalliative care after last experience #hpmWed Mar 9 18:40:30 PST 2011

annieandisabel @GailZahtz@EldrcareConsult I SO wish it was always addressed early on admission tohospital! so it's always in the background... #hpm

Wed Mar 9 18:40:33 PST 2011

FMDGirl @DrSnit Agreed- been there. #hpmWed Mar 9 18:40:36 PST 2011
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Wed Mar 9 18:41:53 PST 2011

GailZahtz Palliative physicians must be considered in regular rotation, not a request only consult #hpmWed Mar 9 18:41:56 PST 2011

EldrcareConsult @EOLnavigator Maybe because a MD is so focused on HEALING that to them a pallativeconsult is giving up? #hpm

Wed Mar 9 18:42:05 PST 2011

EOLnavigator @SheyontheBay@EOLnavigator@MeredithGould@DrSnit That would be heaven #hpmWed Mar 9 18:42:06 PST 2011

MeredithGould @DrSnit Ever notice how @ctsinclair is out to dinner or at a concert lots of times? Greatsocial life! #hpm

Wed Mar 9 18:42:08 PST 2011

ctsinclair Heard a t hospital"You guys (palliative care) sound great. work on my pain so it doesnt stopmy rehab, why didnt my doc want me 2 c u?" #hpmWed Mar 9 18:42:20 PST 2011

PracticalWisdom T3: Think this confusion might have occured when we combine the terms Hospice and Pallcare. No wonder folks are confused. #hpmWed Mar 9 18:42:38 PST 2011

emilybarryPR T3 - Misperceptions and stigmas, lack of knowledge about PC and hospice from ppl inhealthcare and community as a whole #hpm

Wed Mar 9 18:42:39 PST 2011

GailZahtz @renee_berry Miss you!!! Finally back to be able to chat. Missed all at #hpmWed Mar 9 18:42:42 PST 2011

MeredithGould RT @elderpages: Find out who unresolved pain is costing (besides the patient) and youmay have a path to funding pall care #hpm

Wed Mar 9 18:42:46 PST 2011

MeredithGould @elderpages Ye old political economics of healthcare. #hpmWed Mar 9 18:43:03 PST 2011

ctsinclair RT @SheyontheBay: For quality nsg promote CHPN, more NP pall care programs 'agree,need to have all disciplines qualified' #hpmWed Mar 9 18:43:05 PST 2011

FMDGirl @GailZahtz@annieandisabel@EldrcareConsult I am chronic- but at what point am I readyto need pall? Who decides? #hpm

Wed Mar 9 18:43:07 PST 2011
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MeredithGould RT @PracticalWisdom: T3: Think this confusion might have occured when we combine theterms Hospice and Pall care.

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EldrcareConsult @ctsinclair BAMM! You said it perfectly...Gotta remember that for my education sessions!#hpm

Wed Mar 9 18:46:14 PST 2011

MeredithGould Remember the T3 question is: what's in the way of making the differentiation? Guess Ishould add, "now." #hpm

Wed Mar 9 18:46:22 PST 2011

PracticalWisdom RT @FMDGirl: RT @MeredithGould: RT @elderpages: Some re: problem reimburs.Hospice/hosp pall care fundable partly b/c they save CMS $ #hpm

Wed Mar 9 18:46:31 PST 2011

ctsinclair @DianeEMeier coined the term 'non-hospice palliative care' when talking toprofessionals/policy makers to emphasize difference #hpmWed Mar 9 18:46:35 PST 2011

drpippa And don't want to lose the ideals! @ctsinclair: T3: palliative care was somewhat born fromhospice ideals, so tough to disassociate #hpm

Wed Mar 9 18:46:38 PST 2011

EOLnavigator Renee must be to on call nurse tonight making visits! RT @PracticalWisdom: Not like PrettyWoman though Really?? #hpm

Wed Mar 9 18:46:44 PST 2011

GailZahtz I believe if you are diagnosed with a chronic condition, the 1st call you should make is to aspecializing palliative care doc. #hpm

Wed Mar 9 18:46:52 PST 2011

annieandisabel @MeredithGould I am so bummed, I have to go bath my kids, but will be back later to readall of your tweets! great to find you all #hpmWed Mar 9 18:47:00 PST 2011

MeredithGould RT @ctsinclair: T3: palliative care takes best parts of #hospice: symptom mgmt,patient/family centered & removes time fr equation #hpm

Wed Mar 9 18:47:06 PST 2011

PracticalWisdom RT @ctsinclair:T3:pall. care takes best parts #hospice: symptom management,patient/family centered, and removes time from equation #hpm

Wed Mar 9 18:47:07 PST 2011

inhousehospice RT @ctsinclair: pall care takes the best parts of #hospice: symptom management,patient/family centered, and removes time from equation #hpmWed Mar 9 18:47:11 PST 2011

DrSnit @ctsinclair how does one request a good palliative consult? through which route if they arein need of one? how to find a good one? #hpm

Wed Mar 9 18:47:12 PST 2011
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ctsinclair 'non-hospice palliative care' probably not a great term to explain to families/patients thoughThoughts? #hpm

Wed Mar 9 18:47:16 PST 2011

FMDGirl @inhousehospice 100% agree- I would love to have a doc who was focused on my qualityof life! Never offered to me #hpm

Wed Mar 9 18:47:28 PST 2011

elderpages RT @ctsinclair: T3: palliative care removes time from equation. Question: Will Pall Medaddress chronic pain/distress (e.g., clinic)? #hpmWed Mar 9 18:47:30 PST 2011

SheyontheBay RT @ctsinclair palliative care takes the best parts of #hospice:symptom management,patient/family centered, removes time from equation #hpm

Wed Mar 9 18:47:33 PST 2011

MeredithGould RT @ctsinclair: @DianeEMeier coined term non-hospice palliative care when talking toprofessionals/policy makers to emphasize diff #hpmWed Mar 9 18:47:37 PST 2011

PracticalWisdom RT @ctsinclair: @DianeEMeier coined term non-hospice palliative care when talking 2prof/policy makers to emphasize difference #hpm

Wed Mar 9 18:47:49 PST 2011

ctsinclair @EldrcareConsult Thanks! #hpmWed Mar 9 18:47:59 PST 2011

PracticalWisdom @ctsinclair: Again HUGE P.R. challenge. I think most Gen. Public thinks Hospice/PallaCare! #hpm

Wed Mar 9 18:48:37 PST 2011

DrSnit @ctsinclair the word itself palliative care means what it means. why try to change it? Orshould we? #hpm

Wed Mar 9 18:49:01 PST 2011

ctsinclair RT @DrSnit: how does one request a palliative consult? "Ask your local academic medcenter or large hospice. highest conc of #hpm MD" #hpmWed Mar 9 18:49:21 PST 2011

elderpages In addition to non-hospice, I'd like to see non-hospital palliative care. Palliation is neededwherever you are. #hpmWed Mar 9 18:49:23 PST 2011

PracticalWisdom Let's helpRT @FMDGirl: @inhousehospice 100% agree I would love 2 have a doc who wasfocused on my quality of life! Never offered to me #hpm

Wed Mar 9 18:49:36 PST 2011

@PracticalWisdom It doesnt help that we always refer to them in the same breath either.
http://www.twitter.com/PracticalWisdomhttp://twitter.com/15173133/status/45677655357534208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/inhousehospicehttp://www.twitter.com/FMDGirlhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/7529714/status/45677600345030656http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://twitter.com/17206739/status/45677592497496067http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/ctsinclairhttp://twitter.com/11420922/status/45677508074549249http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/DrSnithttp://twitter.com/25428892/status/45677409978155008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/17206739/status/45677248824614912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/ctsinclairhttp://twitter.com/25428892/status/45677207749795841http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DianeEMeierhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/45677155966918657http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DianeEMeierhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://twitter.com/16857263/status/45677138774458368http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://www.twitter.com/SheyontheBayhttp://twitter.com/24917024/status/45677128750071808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/elderpageshttp://twitter.com/26385846/status/45677117077340160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/inhousehospicehttp://www.twitter.com/FMDGirlhttp://twitter.com/2326862/status/45677070398922754http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclair

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ctsinclair #hpmWed Mar 9 18:49:46 PST 2011

DrSnit @FMDGirl They often tell us what they CANNOT or WILL NOT do but not what they CANdo WITH US. And herein lies the discord in medicine. #hpmWed Mar 9 18:49:50 PST 2011

SheyontheBay @DrSnit@ctsinclair#hpmWed Mar 9 18:49:53 PST 2011

FMDGirl @GailZahtz I know so many patients that would benefit from Pall care- but think they wouldbe scared to ask Md for consult #hpm

Wed Mar 9 18:50:01 PST 2011

EldrcareConsult @PracticalWisdom@FMDGirl@inhousehospice Sounds like a new marketing concept tome! #hpm

Wed Mar 9 18:50:10 PST 2011

MeredithGould @DrSnit Prob is most folks don't know what pall care means. They think it means care for adying person at home. #hpm

Wed Mar 9 18:50:13 PST 2011

elderpages I don't think the general public knows the term "palliative care." Perhaps 10% do. Anystudies done? #hpmWed Mar 9 18:50:17 PST 2011

FMDGirl RT @DrSnit: @ctsinclair how does one request a good palliative consult? through whichroute if they are in need of one? how to find a good one? #hpm

Wed Mar 9 18:50:36 PST 2011

ctsinclair @elderpages Palliative medicine is starting to emerge in outpatient/clinic forms. still rare,and tough reimbursement model to survive #hpmWed Mar 9 18:50:41 PST 2011

PracticalWisdom @ctsinclair@DrSnit Most gen Public would not know to contact local Med center, etc. #hpmWed Mar 9 18:50:50 PST 2011

GailZahtz @FMDGirl This is the issue with patient advocacy, if physicians educated other physicians,and pall doc consult was protocol... #hpm

Wed Mar 9 18:51:04 PST 2011

ctsinclair RT @elderpages: I dont think the general public knows the term "palliative care." Perhaps10% do. Any studies done? 'think so will look #hpmWed Mar 9 18:51:08 PST 2011

MeredithGould RT @elderpages: I dont think the general public knows the term "palliative care." Perhaps10% do. Any studies done? #hpm

Wed Mar 9 18:51:15 PST 2011
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SheyontheBay Local hospice has grant for pc in community - we are referring "early hospice" type pts,notchronic issues #hpm

Wed Mar 9 18:51:19 PST 2011

elderpages Good site by @CAPC for the consumer: http://www.getpalliativecare.org#hpmWed Mar 9 18:51:26 PST 2011

PracticalWisdom Yes, I've tried to say this all evening. RT@elderpages: dont think general public knows theterm "palliative care." Any studies done? #hpmWed Mar 9 18:51:40 PST 2011

DrSnit @MeredithGould True. But even drs often don't recognize it can help chronic or elderly pts.So the word doesn't NEED fixed WE/THEY do #hpm

Wed Mar 9 18:51:46 PST 2011

MeredithGould RT @elderpages: Good site by @CAPC for the consumer: http://www.getpalliativecare.org

#hpmWed Mar 9 18:51:51 PST 2011

FMDGirl @MeredithGould@DrSnit To be honest- that was my impression until tonight. #hpmWed Mar 9 18:51:56 PST 2011

drpippa May change in a aco/pcmh model @ctsinclair: @elderpages Pall med outpatient still rare,and tough reimbursement model to survive #hpm

Wed Mar 9 18:52:19 PST 2011

DrSnit@PracticalWisdom and most doctors don't even bother referring or educating when theygive us our dx. THAT'S THE POINT. #hpmWed Mar 9 18:52:25 PST 2011

GailZahtz @FMDGirl Physicians can be very intimidating, and they can dismiss requests for consults.Great pall care docs can be seen outpatient #hpm

Wed Mar 9 18:52:32 PST 2011

PracticalWisdom T3: Clergy, CPE programs I would think can help get the word out. Oh, so much work todo!!! #hpm

Wed Mar 9 18:52:37 PST 2011

elderpages Any chance for talk on @HealthFaith before we go? Would be lovely way to wrap up. #hpmWed Mar 9 18:52:48 PST 2011

ctsinclair How to find a #palliative doctor in your town: http://bit.ly/e3D27T Palliativedoctors.org sitefrom @AAHPM#hpm

Wed Mar 9 18:52:48 PST 2011
http://twitter.com/17206739/status/45678462480031744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAHPMhttp://bit.ly/e3D27Thttp://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/ctsinclairhttp://twitter.com/24917024/status/45678461330796544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/HealthFaithhttp://www.twitter.com/elderpageshttp://twitter.com/25428892/status/45678415298310145http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/158414469/status/45678394662330368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FMDGirlhttp://www.twitter.com/GailZahtzhttp://twitter.com/93074700/status/45678364689842176http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/DrSnithttp://twitter.com/522943/status/45678340266397697http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://www.twitter.com/ctsinclairhttp://www.twitter.com/drpippahttp://twitter.com/26385846/status/45678242174222336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/FMDGirlhttp://twitter.com/16733030/status/45678223757017088http://www.symplur.com/healthcare-hashtags/hpm/http://www.getpalliativecare.org/http://www.twitter.com/CAPChttp://www.twitter.com/elderpageshttp://www.twitter.com/MeredithGouldhttp://twitter.com/93074700/status/45678201221033984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DrSnithttp://twitter.com/15173133/status/45678177019895808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/elderpageshttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24917024/status/45678116680630273http://www.symplur.com/healthcare-hashtags/hpm/http://www.getpalliativecare.org/http://www.twitter.com/CAPChttp://www.twitter.com/elderpageshttp://twitter.com/16857263/status/45678086833979392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBay

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Palliativedoctors.org site from @AAHPM#hpm

Wed Mar 9 18:54:43 PST 2011

PracticalWisdom T3: All for Education but like all of us can't work for free. #hpmWed Mar 9 18:54:44 PST 2011

EOLnavigator @MeredithGould@elderpages@CAPC We need multiple Pall care champions...not justone major resource. #hpm

Wed Mar 9 18:54:56 PST 2011

peds_id_doc @ctsinclair@drsnit#hpm we have ONE such MD at our academic medical center, for kidsat least. She is awesome :-) works in hemeonc normally

Wed Mar 9 18:54:59 PST 2011

MeredithGould RT @FMDGirl: RT @ctsinclair: How to find a #palliative doctor in your town:http://bit.ly/e3D27T Palliativedoctors.org site from @AAHPM#hpm

Wed Mar 9 18:55:02 PST 2011

DrSnit RT @elderpages: Good site by @CAPC for the consumer: http://www.getpalliativecare.org#hpmWed Mar 9 18:55:08 PST 2011

PracticalWisdom AgreeRT @reckshow:@PracticalWisdom I know many pastors who dont know the term"palliative care." Ive had to explain it again and again. #hpmWed Mar 9 18:55:11 PST 2011

elderpages I like building on existing presence that has infrastructure and clout (e.g., supporthttp://www.getpalliativecare.org/#hpm

Wed Mar 9 18:55:30 PST 2011

ctsinclair Also look at what new terms the public knows: cardiologist, dialysis, Twitter. Palliative is jusas foreign, until it is understood #hpm

Wed Mar 9 18:55:34 PST 2011

DrSnit RT @ctsinclair: RT @DrSnit: how does one request a palliative consult? "Ask your localacademic med center or large hospice. highest conc of #hpm MD" #hpm

Wed Mar 9 18:55:43 PST 2011

annieandisabel Haven't read this in a while.. but, here is some info from UCSF where I work and theresources we have~http://bit.ly/fxWGOi#hpm

Wed Mar 9 18:56:13 PST 2011

ctsinclair RT @EOLnavigator: We need multiple Pall care champions...not just one major resource.#hpmWed Mar 9 18:56:17 PST 2011

drpippa RT @ctsinclair: Also look at what new terms the public knows: cardiologist, dialysis, TwitterPalliative is just as foreign, until it is understood #hpm
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Wed Mar 9 18:56:18 PST 2011

PracticalWisdom @ctsinclair; It's still so new. #hpmWed Mar 9 18:56:23 PST 2011

MeredithGould Guess what? We're coming up on the hour! What a terrific chat tonight, everyone. #hpmWed Mar 9 18:56:35 PST 2011

DrSnit RT @elderpages: Find out who unresolved pain is costing (besides the patient) and youmay have a path to funding pall care #hpm

Wed Mar 9 18:56:37 PST 2011

elderpages RT @DrSnit: RT @ctsinclair: RT @DrSnit: how does one request a palliative consult? Seehttp://www.getpalliativecare.org/howtoget#hpm

Wed Mar 9 18:56:37 PST 2011

DoctorFisher Hello #hpm peeps, a last-second participant here (or should I say, end-stage?)Wed Mar 9 18:56:55 PST 2011

reckshow @PracticalWisdom One thing you could do - talk to local seminaries abt presenting info topastoral care classes. #hpm

Wed Mar 9 18:56:56 PST 2011

ctsinclair RT @reckshow: I know many pastors who dont know the term "palliative care." Ive had toexplain it again and again. 'agreed' #hpm

Wed Mar 9 18:56:57 PST 2011

MeredithGould Probably time to start crafting & tweeting your parting thoughts for this evening. #hpmWed Mar 9 18:57:08 PST 2011

Documents

#Hpm Tweet Chat 3:9:11