#Hpm Tweet Chat 7:13:11

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

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Jul 13 18:00:00 PDT 2011

To: Wed Jul 13 19:15:00 PDT 2011

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doctatum Happy 1 year! Hope to join you after dinner! #HpmWed Jul 13 18:00:30 PDT 2011

colleen_young @KathyKastner Thx for asking @ctsinclair about the archiving of #hpm chats. I need toreference a chat from a few months ago.Wed Jul 13 18:00:48 PDT 2011

ctsinclair Hello and welcome to a very special evening of Hospice and Palliative Medicine Tweetchat#hpm

Wed Jul 13 18:00:52 PDT 2011

KathyKastner @MeredithGould Hi Meredith! I'm determined not to say a single sorry tonite :) #hpmWed Jul 13 18:01:01 PDT 2011

ctsinclair Feel free to introduce yourself be you HPM TC vet or n00b #hpmWed Jul 13 18:01:16 PDT 2011

MeredithGould @KathyKastner Yeah, well, we'll see about that! #hpmWed Jul 13 18:01:19 PDT 2011

colleen_young @ctsinclair What 1 year already? What? Only 1 year? Can't imagine a time without #hpm
http://www.twitter.com/ctsinclairhttp://twitter.com/205752125/status/91311199219748865http://www.twitter.com/ctsinclairhttp://www.symplur.com/healthcare-social-media/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/tweet-chats/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/colleen_younghttp://twitter.com/1972230/status/91311274947919872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://twitter.com/17206739/status/91311262536957952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/205752125/status/91311199219748865http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/17206739/status/91311161194201089http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/28366957/status/91311144710582273http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/KathyKastnerhttp://www.twitter.com/colleen_younghttp://twitter.com/33076161/status/91311070920192001http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://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=07-13-2011&shour=18&smin=0&tdate=07-13-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=07-13-2011&shour=18&smin=0&tdate=07-13-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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chat

Wed Jul 13 18:01:27 PDT 2011

ctsinclair RT @revdoc: For the next hour or so, I will be tweeting on hospice and palliative medicinetopics; opinions are my own. #hpm

Wed Jul 13 18:01:30 PDT 2011

authordhallman #hpm David here. Author of "August Farewell". Happy anniversary all you hpm elders. #hpmWed Jul 13 18:01:38 PDT 2011

MeredithGould Chats... they grow up so quickly! #hpmWed Jul 13 18:01:43 PDT 2011

KathyKastner Haaaapy birthday to #hpm, happppy birthday !Wed Jul 13 18:01:52 PDT 2011

KathyKastner hah RT @MeredithGould: Chats... they grow up so quickly! #hpmWed Jul 13 18:02:07 PDT 2011

hollyby Bummed to be missing the anniversary tweetchat! Have a work dinner 2nite. Huge hugs tothis amazing community!!! #hpm

Wed Jul 13 18:02:12 PDT 2011

colleen_young @KathyKastner Betchya can't do it eh? Bred in the bone. #hpmWed Jul 13 18:02:21 PDT 2011

Pallimed Blast from the past! First Inaugural Tweetchat for #HPM ~ from 2010 Topics and Questionshttp://bit.ly/9rkTKyWed Jul 13 18:02:37 PDT 2011

JoshGriffin RT @ctsinclair: RT @revdoc: For the next hour or so, I will be tweeting on hospice andpalliative medicine topics; opinions are my own. #hpm

Wed Jul 13 18:02:50 PDT 2011

PracticalWisdom I'd love 2 participate #HPM Tonight but unfortunately I will not be able to join tonight.Congrats 1st year. U all R Grand Cheers.

Wed Jul 13 18:02:55 PDT 2011

ctsinclair RT @MeredithGould: Chats... they grow up so quickly! #hpmWed Jul 13 18:03:00 PDT 2011

hollyby Totally agree! RT @colleen_young: @ctsinclair What 1 year already? What? Only 1 year?Can't imagine a time without #hpm chat

Wed Jul 13 18:03:11 PDT 2011

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MeredithGould Value this community a LOT! #hpmWed Jul 13 18:03:15 PDT 2011

KathyKastner (I am NOT sorry, repeat after me, I am NOT..RT @colleen_young: @KathyKastner@MeredithGould Betchya can't do it eh? Bred in the bone. #hpm

Wed Jul 13 18:03:23 PDT 2011

JoshGriffin Happy Birthday #hpm Josh here. Pastor/ChaplainWed Jul 13 18:03:29 PDT 2011

ctsinclair Hello David, Meredith, Kathy, Colleen. Glad to see you all. Thanks for your support for thischat over the years! #hpm

Wed Jul 13 18:03:37 PDT 2011

ctsinclair I meant 'year'!" #hpmWed Jul 13 18:03:47 PDT 2011

DNRstories Hi all. Pulmonary/Critical care fellow and author. #hpmWed Jul 13 18:03:56 PDT 2011

ctsinclair For those new to a Tweetchat see this helpful slide deck to understand:http://slidesha.re/o4vgyz#hpm

Wed Jul 13 18:04:20 PDT 2011

colleen_young @ctsinclair#hpm first chat questions were fantastic. I modelled inaugural #hcsmca afterthem.

Wed Jul 13 18:04:37 PDT 2011

DNRstories RT @ctsinclair: For those new to a Tweetchat see this helpful slide deck to understand:http://slidesha.re/o4vgyz#hpm

Wed Jul 13 18:04:37 PDT 2011

RossJeanette Hi all! happy Birthday HPM. Jeanette HPM Doc, passionate about teaching. #hpmWed Jul 13 18:04:40 PDT 2011

ctsinclair We will get started on the first topic soon... #hpmWed Jul 13 18:05:29 PDT 2011

JoshGriffin @ctsinclair No worries, you're just preparing for the future. Something we encourage #hpmWed Jul 13 18:05:50 PDT 2011

aliciabloom happy birthday to the best hour on twitter, aka #hpm tweetchat! #hpmWed Jul 13 18:05:54 PDT 2011

colleen_young

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of a hospice pall site. #hpm

Wed Jul 13 18:06:01 PDT 2011

ctsinclair @colleen_young It was fun to re-read them... #hpmWed Jul 13 18:06:02 PDT 2011

KathyKastner TrueGood questions make huge difRT @colleen_young: @ctsinclair#hpm 1st chat Q werefantastic. I modelled inaugural #hcsmca after them.Wed Jul 13 18:06:04 PDT 2011

colleen_young I concur. #hpm still my fav. RT @aliciabloom: happy birthday to the best hour on twitter, aka#hpm tweetchat! #hpm

Wed Jul 13 18:06:20 PDT 2011

ctsinclair RT @aliciabloom: happy birthday to the best hour on twitter, aka #hpm tweetchat! "Oh yeah(said in a Kool-aid man voice)" #hpm

Wed Jul 13 18:06:28 PDT 2011

MeredithGould @ctsinclair Did you notice I gave you credit in my iteration of how/why tweetchat? I did!http://tinyurl.com/43a8yad#hpm

Wed Jul 13 18:06:32 PDT 2011

KathyKastner +1 RT @aliciabloom: happy birthday to the best hour on twitter, aka #hpm tweetchat! #hpmWed Jul 13 18:06:54 PDT 2011

DNRstories This is my first tweetchat on tweetDeck. Might have seizure. #hpmWed Jul 13 18:07:01 PDT 2011

ctsinclair I will be plucking your tweets to prepare a back of book praise list for the tweetchat! #hpmWed Jul 13 18:07:03 PDT 2011

colleen_young @ctsinclair I especially appreciate the effort you make to word #hpm topics to be inclusive.Not easy. #hpm

Wed Jul 13 18:07:09 PDT 2011

SheyontheBay Hi all, and happy birthday. Barbara, CHPN hospital-based case manager #hpmWed Jul 13 18:07:10 PDT 2011

ctsinclair @MeredithGould Yes I did! Thanks! #hpmWed Jul 13 18:07:17 PDT 2011

aliciabloom MSW, LSW at @VITASHospice & Palliative Care. clinical educator, consultant. #hpmWed Jul 13 18:07:34 PDT 2011

JoshGriffin RT @aliciabloom: happy birthday to the best hour on twitter, aka #hpm tweetchat! #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/JoshGriffinhttp://twitter.com/24399366/status/91312850194276352http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/VITASHospicehttp://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/91312778480062464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclairhttp://twitter.com/16857263/status/91312748499173376http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/28366957/status/91312745416372225http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/colleen_younghttp://twitter.com/17206739/status/91312718237278211http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/262368526/status/91312709106282496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://twitter.com/101386174/status/91312683143544832http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/KathyKastnerhttp://twitter.com/16733030/status/91312590583635968http://www.symplur.com/healthcare-hashtags/hpm/http://tinyurl.com/43a8yadhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://twitter.com/17206739/status/91312573709955073http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/28366957/status/91312538054164480http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://twitter.com/101386174/status/91312471964528640http://www.symplur.com/healthcare-hashtags/hcsmca/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/colleen_younghttp://www.twitter.com/KathyKastnerhttp://twitter.com/17206739/status/91312462007255040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://www.twitter.com/ctsinclairhttp://twitter.com/28366957/status/91312458152673280http://www.symplur.com/healthcare-hashtags/hpm/

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Wed Jul 13 18:07:37 PDT 2011

MeredithGould This chat proved to be an important anchor & source of community when I started@healthfaith & blog. You helped me find #chaplains#hpm

Wed Jul 13 18:07:56 PDT 2011

donaldhtaylorjr

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ctsinclair @colleen_young I want as wide an audience as possible for this chat. No need to restrict toHC professionals. #hpm

Wed Jul 13 18:11:14 PDT 2011

MeredithGould T1 PM folks are in a unique position to provide accurate, valuable information & educationabout proper opioid use. #hpm

Wed Jul 13 18:11:25 PDT 2011

ctsinclair @authordhallman You can do whatever you want! #hpmWed Jul 13 18:11:28 PDT 2011

doctatum T1: Deaths from illicit use of prescribed opioids are rising, what role for palliative medicine toensure safety but maintain access? #Hpm

Wed Jul 13 18:11:33 PDT 2011

CharlotteElia @MeredithGould@ctsinclair Thanks for the welcome! #hpmWed Jul 13 18:12:04 PDT 2011

MeredithGould @ctsinclair@colleen_young I'd love to see many more #chaplains and clergy involved withpastoral care involved with this chat. #hpm

Wed Jul 13 18:12:05 PDT 2011

ctsinclair RT @SheyontheBay: ... lockboxes, and DAILY deliveries of 1-day supply. "good practicaltips for any hospice staff!" #hpm

Wed Jul 13 18:12:15 PDT 2011

donaldhtaylorjr T1: Deaths from illicit use of prescribed opioids are rising, what role for palliative medicine toensure safety but maintain access? #hpm

Wed Jul 13 18:12:21 PDT 2011

renee_berry RT @ctsinclair: T1: Deaths from illicit use of prescribed opioids are rising, what role forpalliative medicine to ensure safety but maintain access? #hpm

Wed Jul 13 18:12:25 PDT 2011

ssmithaahpm Good evening ... Sorry to join late. Good to be back! #hpm#HPMWed Jul 13 18:12:26 PDT 2011

MeredithGould @authordhallman Not to worry, I have a rep for correcting spelling & grammar duringtweetchats! #hpm

Wed Jul 13 18:12:33 PDT 2011

hollyby RT @MeredithGould: T1 PM folks are in a unique position to provide accurate, valuableinformation & education about proper opioid use. #hpm

Wed Jul 13 18:12:43 PDT 2011

SheyontheBay I interprted "illicit use" as being diverted to other family member's abuse #hpmWed Jul 13 18:12:48 PDT 2011
http://twitter.com/138357015/status/91314166152970240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/32316055/status/91314146842382336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/hollybyhttp://twitter.com/16733030/status/91314105100673026http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://www.twitter.com/MeredithGouldhttp://twitter.com/18299645/status/91314073165242368http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ssmithaahpmhttp://twitter.com/101756517/status/91314071588175874http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/renee_berryhttp://twitter.com/108605734/status/91314052705435650http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/donaldhtaylorjrhttp://twitter.com/17206739/status/91314030068764673http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/91313986443804672http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/chaplains/http://www.twitter.com/colleen_younghttp://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://twitter.com/89010706/status/91313980819247106http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/CharlotteEliahttp://twitter.com/33076161/status/91313853878648833http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/17206739/status/91313831590100992http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://www.twitter.com/ctsinclairhttp://twitter.com/16733030/status/91313816687738880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/17206739/status/91313771544453120http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://www.twitter.com/ctsinclair

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NateOsit T1 I think the ensuring every member of the care team feels accountable is a good place tostart #hpm

Wed Jul 13 18:13:06 PDT 2011

JoshGriffin T1: Think patient education is a great 1st step. Outlining the possibilities of addiction/deathfrom OD Offer possible alts w/ < bens #hpm

Wed Jul 13 18:13:23 PDT 2011

CharlotteElia RT @MeredithGould: @ctsinclair@colleen_young I'd love to see many more #chaplainsand clergy involved with pastoral care involved with this chat. #hpm

Wed Jul 13 18:13:34 PDT 2011

aliciabloom data analysis & education about what defines "illicit use" and who is using opioids that way.#hpm

Wed Jul 13 18:13:51 PDT 2011

ctsinclair Should HPM leadership reach out to groups (besides #FDA, #DEA) to work constructively thelp decrease diversion? If so, how? #hpmWed Jul 13 18:13:57 PDT 2011

MeredithGould @colleen_young Because they, more than other docs, use opioids often and properly andcan help educate about best practices for use. #hpm

Wed Jul 13 18:14:02 PDT 2011

KathyKastner RT @MeredithGould: @colleen_young Because they, more than other docs, use opioidsoften and properly and can help educate about best practices for use. #hpm

Wed Jul 13 18:14:11 PDT 2011

doctatum T1. Hpm should be the go to place for docs when REMS roll out & the go to for review ofbad events. Work with your quality folk #Hpm

Wed Jul 13 18:14:16 PDT 2011

colleen_young @MeredithGould Thank you. #hpmWed Jul 13 18:14:18 PDT 2011

ctsinclair RT @SheyontheBay: I interprted "illicit use" as being diverted to other family membersabuse "that was the intended meaning" #hpm

Wed Jul 13 18:14:24 PDT 2011

revdoc T1 Build relship w pts and families first; labor intensive frequent check-ins re sx; addlockboxes, contracts, pill counts, no early RX #hpm

Wed Jul 13 18:14:32 PDT 2011

authordhallman by "deaths from illicit use..." are you also including intentional overdose i.e. suicide (assistedor otherwise)? #hpm

Wed Jul 13 18:14:35 PDT 2011
http://twitter.com/284885422/status/91314616830926848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/14231943/status/91314600661884928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/17206739/status/91314569032634369http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/ctsinclairhttp://twitter.com/28366957/status/91314542361063426http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/colleen_younghttp://twitter.com/33076161/status/91314533666258944http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/205752125/status/91314515702059008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/16733030/status/91314478012051456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://www.twitter.com/MeredithGouldhttp://twitter.com/17206739/status/91314455295700992http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/DEA/http://www.symplur.com/healthcare-hashtags/FDA/http://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/91314432038289408http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/80255586/status/91314360173072384http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/chaplains/http://www.twitter.com/colleen_younghttp://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/CharlotteEliahttp://twitter.com/20832563/status/91314311783387136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoshGriffinhttp://twitter.com/17974442/status/91314242787082240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/NateOsit

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ctsinclair RT @NateOsit: T1 I think the ensuring every member of the care team feels accountable isa good place to start "accountable for ?" #hpm

Wed Jul 13 18:14:43 PDT 2011

RossJeanette T1 HPM professionals should get involved in institutional pain committees to ensure rulescreated balance opioid safety and access #hpm

Wed Jul 13 18:14:53 PDT 2011

aliciabloom we need to make sure our #hospice & #palliative care patients aren't fearful of using painmedications because of these messages #hpm

Wed Jul 13 18:14:56 PDT 2011

KathyKastner RT @RossJeanette: T1 HPM professionals should get involved in institutional paincommittees to ensure rules created balance opioid safety and access #hpm

Wed Jul 13 18:15:03 PDT 2011

Right2Care4Pain Greetings to all on #hpm. I'm Erika. Sorry to be late, but happy to be here .Wed Jul 13 18:15:06 PDT 2011

ctsinclair RT @MeredithGould: T1 PM folks are in a unique position to provide accurate, valuableinformation & education about proper opioid use. #hpm

Wed Jul 13 18:15:10 PDT 2011

KathyKastner RT @aliciabloom: we need to make sure our #hospice & #palliative care patients aren'tfearful of using pain medications because of these messages #hpm

Wed Jul 13 18:15:20 PDT 2011

chemosabe Hello glen here. Tweeting from conference. Will try to multitask. #hpmWed Jul 13 18:15:44 PDT 2011

ctsinclair RT @RossJeanette: T1 HPM professionals should get involved in institutional paincommittees to ensure balance opioid safety and access #hpm

Wed Jul 13 18:15:48 PDT 2011

renee_berry T1 How much is drug abuse an issue in (physicians any thoughts?) --> #hpmWed Jul 13 18:15:52 PDT 2011

SheyontheBay @aliciabloom Agreed! Our patients wont become addicts! #hpmWed Jul 13 18:16:13 PDT 2011

revdoc T1 account for meds and destroy after the pt dies so that they are not diverted to others#hpm

Wed Jul 13 18:16:14 PDT 2011

JoshGriffin RT @RossJeanette: T1 HPM professionals should get involved in institutional paincommittees to ensure rules created balance opioid safety and access #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://www.twitter.com/JoshGriffinhttp://twitter.com/14231943/status/91315030817116160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/16857263/status/91315027713331201http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/SheyontheBayhttp://twitter.com/121558178/status/91314937032491008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/17206739/status/91314923174506496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://www.twitter.com/ctsinclairhttp://twitter.com/19327875/status/91314902974726144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://twitter.com/205752125/status/91314805654290432http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/KathyKastnerhttp://twitter.com/17206739/status/91314763287642112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclairhttp://twitter.com/192170433/status/91314744291622912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Right2Care4Painhttp://twitter.com/205752125/status/91314732916674561http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://www.twitter.com/KathyKastnerhttp://twitter.com/17634111/status/91314701337755648http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/117435341/status/91314689245593600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://twitter.com/17206739/status/91314647189291008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/NateOsithttp://www.twitter.com/ctsinclair

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Wed Jul 13 18:16:25 PDT 2011

ctsinclair @aliciabloom would showing advocacy against addiction/diversion from HPM orgs/leadershelp gain trust to take meds when needed? #hpm

Wed Jul 13 18:16:26 PDT 2011

MeredithGould RT @SheyontheBay: @aliciabloom Agreed! Our patients wont become addicts! #hpmWed Jul 13 18:16:31 PDT 2011

6thsensewellnes sorry for this late step in #hpmWed Jul 13 18:16:40 PDT 2011

ctsinclair @renee_berry in what? #hpmWed Jul 13 18:16:41 PDT 2011

JoshGriffin RT @aliciabloom: we need to make sure our #hospice & #palliative care patients aren'tfearful of using pain medications because of these messages #hpm

Wed Jul 13 18:16:47 PDT 2011

KathyKastner Can't believe that's still an issueRT @SheyontheBay: @aliciabloom Agreed! Our patientswont become addicts! #hpm

Wed Jul 13 18:16:48 PDT 2011

revdoc @renee_berry Those w substance abuse hx often need more meds or they will selfmedicate; need intense mgmt #hpm

Wed Jul 13 18:16:59 PDT 2011

SheyontheBay RT @RossJeanette: HPM ppl should get involved in institutional pain committees to ensurerules created balance opioid safety and access #hpmWed Jul 13 18:17:14 PDT 2011

apjonas T1 In OH, new law mandates contact w/2nd physician w/in 3 mos of starting chronic opiatesand yrly thereafter. PM folks: be the 2nd doc #hpm

Wed Jul 13 18:17:16 PDT 2011

ctsinclair RT @revdoc: T1 account for meds/destroy after pt dies so they are not diverted to others"doesnt account for diversion before death" #hpm

Wed Jul 13 18:17:22 PDT 2011

MeredithGould @ctsinclair: would showing advocacy against addiction/diversion from HPM orgs/leadershelp gain trust to take meds when needed?/Yes! #hpm

Wed Jul 13 18:17:22 PDT 2011

SheyontheBay RT @revdoc: @renee_berry Those w substance abuse hx often need more meds or theywill self medicate; need intense mgmt #hpm

Wed Jul 13 18:17:24 PDT 2011
http://twitter.com/16857263/status/91315322086363136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/revdochttp://www.twitter.com/SheyontheBayhttp://twitter.com/16733030/status/91315316973518848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://twitter.com/17206739/status/91315313718726657http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://twitter.com/21540353/status/91315290675216384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/apjonashttp://twitter.com/16857263/status/91315281766514688http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://www.twitter.com/SheyontheBayhttp://twitter.com/14231943/status/91315221037199360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/revdochttp://twitter.com/205752125/status/91315173725454336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/SheyontheBayhttp://www.twitter.com/KathyKastnerhttp://twitter.com/279235/status/91315168465788928http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/JoshGriffinhttp://twitter.com/17206739/status/91315143522271232http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/ctsinclairhttp://twitter.com/134335270/status/91315139420237825http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/6thsensewellneshttp://twitter.com/16733030/status/91315103814782977http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://twitter.com/17206739/status/91315081484320768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/279235/status/91315076988010496

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RossJeanette @renee_berry I don't know data but I think in pain clinic addictions can be 30%. I don't knowof any studies in #hospice patients #hpm

Wed Jul 13 18:17:30 PDT 2011

renee_berry @ctsinclair if deaths from illicit use of prescribed opioids are rising, how often is that anissue in --> #hpm

Wed Jul 13 18:18:08 PDT 2011

ctsinclair Clarify: topic isn't so much about the role of addiction in patients, but the role forpolicy/advocacy leadership in diversion issues #hpm

Wed Jul 13 18:18:15 PDT 2011

JoshGriffin @revdoc Destroying and proper disposal are topics rarely talked about. I think that's a greaidea/place to work. #hpm

Wed Jul 13 18:18:30 PDT 2011

colleen_young Awareness key. I had no idea about opioid abuse until commissioned to write thiscommunity guide http://bit.ly/o2VjXk#hpm

Wed Jul 13 18:18:33 PDT 2011

ssmithaahpm #aahpm is working closely with a consortium of medical ed providers to ensure future REMeducatiton adresses our patient's needs #hpm#HPM

Wed Jul 13 18:19:24 PDT 2011

renee_berry T1 I would think #palliative medicine physicians can do what most MD's do which is practicemedicine w/integrity #hpm

Wed Jul 13 18:19:30 PDT 2011

MeredithGould Yes but/and, addiction dx and tx is so misunderstood & I'm routinely shocked at how littlepractitioners know. #hpmWed Jul 13 18:19:31 PDT 2011

ctsinclair @renee_berry don't think it is so much a worry in #HPM but if this is an access point foropioids via family diversion, what do we do? #hpm

Wed Jul 13 18:19:42 PDT 2011

SheyontheBay RT @revdoc: Those w substance abuse hx of5 need more meds or will self medicate; needintense mgmt< + appropriate doses, even w ^ doses #hpm

Wed Jul 13 18:19:49 PDT 2011

KathyKastner +1RT @MeredithGould: Yes but/and, addiction dx and tx is so misunderstood & I'm routineshocked at how little practitioners know. #hpm

Wed Jul 13 18:19:50 PDT 2011

apjonas @JoshGriffin@revdoc great idea. It's been a "secret" #hpmWed Jul 13 18:19:53 PDT 2011
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RossJeanette T1 I think it is difficult to extrapolate strategies established in pain clinics to address HPMpatients needs #hpm

Wed Jul 13 18:20:01 PDT 2011

revdoc @JoshGriffin And it is so sad because they are really, really expensive meds that indigentpts or the developing world could use #hpm

Wed Jul 13 18:20:05 PDT 2011

renee_berry T1 & & #palliative care MD's can edu other physicians & the public on appropriate use ofopioids #hpm

Wed Jul 13 18:20:06 PDT 2011

doctatum Hpm and anesthesia dept and addiction specialist. That would be a powerful coalition foradvocacy/policy #Hpm

Wed Jul 13 18:20:13 PDT 2011

ctsinclair RT @ssmithaahpm: @aahpm is working closely w/ consortium of medical ed providers toensure future #REMS educ adresses our pts needs #hpm

Wed Jul 13 18:20:36 PDT 2011

DNRstories RT @doctatum: Hpm and anesthesia dept and addiction specialist. That would be apowerful coalition for advocacy/policy #Hpm

Wed Jul 13 18:20:49 PDT 2011

ctsinclair RT @revdoc: so sad because they are really, really expensive meds that indigent pts or thedeveloping world could use "yup..." #hpm

Wed Jul 13 18:21:03 PDT 2011

SheyontheBay RT T1 In OH, new law mandates contact w/2nd physician w/in 3 mos of begin hronic opiate

and yrly thereafter. PM ppl be the 2nd doc #hpmWed Jul 13 18:21:06 PDT 2011

MeredithGould @KathyKastner I have a "thing" about this issue: http://tinyurl.com/6y9vp7q#hpmWed Jul 13 18:21:06 PDT 2011

apjonas @MeredithGould correct, many docs are "opiophobic" and hide from any pts w/ pain. #hpmWed Jul 13 18:21:15 PDT 2011

6thsensewellnes RT @DNRstories: RT @doctatum: Hpm and anesthesia dept and addiction specialist. That

would be a powerful coalition for advocacy/policy #hpmWed Jul 13 18:21:17 PDT 2011

renee_berry RT @ctsinclair: @renee_berry don't think it is so much a worry in #HPM but if this is anaccess point for opioids via family diversion, what do we do? #hpm

Wed Jul 13 18:21:19 PDT 2011

MeredithGould @apjonas Alas, yes. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/apjonashttp://www.twitter.com/MeredithGouldhttp://twitter.com/101756517/status/91316308242735104http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/renee_berryhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/renee_berryhttp://twitter.com/134335270/status/91316302186151936http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/DNRstorieshttp://www.twitter.com/6thsensewellneshttp://twitter.com/21540353/status/91316293881434112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/apjonashttp://twitter.com/16733030/status/91316256413716480http://www.symplur.com/healthcare-hashtags/hpm/http://tinyurl.com/6y9vp7qhttp://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://twitter.com/16857263/status/91316255566479360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/17206739/status/91316242547355649http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/ctsinclairhttp://twitter.com/262368526/status/91316184313630720http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/DNRstorieshttp://twitter.com/17206739/status/91316127715700736http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/REMS/http://www.twitter.com/aahpmhttp://www.twitter.com/ssmithaahpmhttp://www.twitter.com/ctsinclairhttp://twitter.com/33076161/status/91316032635023360http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/101756517/status/91316003518169088http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/renee_berryhttp://twitter.com/14231943/status/91315999516803072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoshGriffinhttp://www.twitter.com/revdochttp://twitter.com/117435341/status/91315981300932608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanette

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Wed Jul 13 18:21:49 PDT 2011

doctatum MT @ctsinclair: RT @ssmithaahpm: @aahpm is working w/ consortium of med ed providerto ensure future #REMS educ adresses our pts needs #Hpm

Wed Jul 13 18:21:59 PDT 2011

chemosabe @JoshGriffin@revdoc we work on clients returning unused substances to hosp or commpharmacy #hpm

Wed Jul 13 18:22:00 PDT 2011

ctsinclair Heard about Moms against Methadone? http://bit.ly/pss8Ce They have ZERO tolerance forany prescribed use #hpm

Wed Jul 13 18:22:04 PDT 2011

ctsinclair RT @doctatum: Hpm and anesthesia dept and addiction specialist. That would be apowerful coalition for advocacy/policy 'good idea!' #hpm

Wed Jul 13 18:22:26 PDT 2011

6thsensewellnes @renee_berry@ctsinclair that is hard one to answer #hpmWed Jul 13 18:22:27 PDT 2011

SheyontheBay @RossJeanette@renee_berry MSKCC did study, will try to find #hpmWed Jul 13 18:22:29 PDT 2011

doctatum Yikes!RT @ctsinclair: Heard about Moms against Methadone? http://bit.ly/pss8Ce Theyhave ZERO tolerance for any prescribed use #Hpm

Wed Jul 13 18:22:41 PDT 2011

NateOsit RT @colleen_young: Awareness key. I had no idea about opioid abuse until commissionedto write this community guide http://bit.ly/o2VjXk#hpmWed Jul 13 18:23:03 PDT 2011

KathyKastner Wow @MeredithGould: Iand here I thot u were just a Laura Linney look alike. I have a"thing" abt this issue http://tinyurl.com/6y9vp7q#hpm

Wed Jul 13 18:23:04 PDT 2011

MeredithGould @ctsinclair That's scary...zero tolerance policies obliterate any chance for responsible &sensible pain management. #hpm

Wed Jul 13 18:23:04 PDT 2011

ctsinclair @SheyontheBay Do you have any links to that Ohio law? That could really stress a PMworkforce. #hpm

Wed Jul 13 18:23:12 PDT 2011

KathyKastner RT @MeredithGould: @ctsinclair That's scary...zero tolerance policies obliterate any chancfor responsible & sensible pain management. #hpm

Wed Jul 13 18:23:21 PDT 2011
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revdoc T1 Undertreatment of pain is still a much bigger problem than diversion IMHO #hpmWed Jul 13 18:23:49 PDT 2011

colleen_young RT @MeredithGould: @ctsinclair That's scary...zero tolerance policies obliterate any chancfor responsible & sensible pain management. #hpm

Wed Jul 13 18:24:12 PDT 2011

MeredithGould RT @revdoc: T1 Undertreatment of pain is still a much bigger problem than diversion IMHO#hpm

Wed Jul 13 18:24:13 PDT 2011

KathyKastner Agree RT @revdoc: T1 Undertreatment of pain is still a much bigger problem than diversionIMHO #hpm

Wed Jul 13 18:24:19 PDT 2011

doctatum Mo bill to restrict opioids proposed. Hpm state org + Long-term care org worked together tosave day. Another good combo #Hpm

Wed Jul 13 18:24:22 PDT 2011

myorthodoc @revdoc I see this in my ortho practice especially after surgery. #hpmWed Jul 13 18:24:23 PDT 2011

KathyKastner RT @doctatum: Mo bill to restrict opioids proposed. Hpm state org + Long-term care orgworked together to save day. Another good combo #Hpm

Wed Jul 13 18:24:38 PDT 2011

colleen_young +1 RT @KathyKastner: Agree RT @revdoc: T1 Undertreatment of pain is still a much biggeproblem than diversion IMHO #hpm

Wed Jul 13 18:24:44 PDT 2011

aliciabloom @ctsinclair very scary. i have seen my physician colleagues use methadone verysuccessfully in patients with severe pain. #hpm

Wed Jul 13 18:24:46 PDT 2011

JoshGriffin @revdoc I agree. I personally have my pain undertreated because I am reserved with fearsof personal nature. I don't share but fear. #hpm

Wed Jul 13 18:24:54 PDT 2011

revdoc @myorthodoc However, I was surprised that I did not have more pain after arthroscopicdecompression of shoulder recently! #hpmWed Jul 13 18:25:27 PDT 2011

PSWCanada2007 RT @colleen_young: +1 RT @KathyKastner: Agree RT @revdoc: T1 Undertreatment ofpain is still a much bigger problem than diversion IMHO #hpm

Wed Jul 13 18:25:29 PDT 2011

@doctatum@ctsinclair Many non-physicians are against a lot of what we do. Technical
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7/31/2019 #Hpm Tweet Chat 7:13:11

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apjonas knowledge and skills may/may not be easy 2 share #hpmWed Jul 13 18:25:32 PDT 2011

MeredithGould @JoshGriffin Me too re: undertreating chronic pain. #hpmWed Jul 13 18:25:33 PDT 2011

colleen_young And methadone maintenance treatment? #hpmWed Jul 13 18:25:35 PDT 2011

ctsinclair RT @revdoc: T1 Undertreatment of pain still much bigger problem than diversion IMHO"Can we address both->avoid surprise legislation?" #hpm

Wed Jul 13 18:25:35 PDT 2011

renee_berry RT @MeredithGould: RT @revdoc: T1 Undertreatment of pain is still a much bigger problemthan diversion IMHO #hpm

Wed Jul 13 18:25:40 PDT 2011

gericalls RT @ctsinclair: RT @SheyontheBay: ... lockboxes, and DAILY deliveries of 1-day supply."good practical tips for any hospice staff!" #hpmWed Jul 13 18:25:44 PDT 2011

chemosabe T1 really I missed something. Y is this even an issue for discussion on this forum #hpmWed Jul 13 18:25:49 PDT 2011

DNRstories Is undertx of pain bigger problem in inpatient or outpatient setting do you think? #hpm I havlimited experience tx'ing outpts

Wed Jul 13 18:25:51 PDT 2011

SheyontheBay @ctsinclair moms vs methadone?srsly? Against ANY prescribed use, even in HPM? #hpmWed Jul 13 18:25:56 PDT 2011

KathyKastner #hpm when I workshop managing pain video at md conferences, regularly seen thier ownbaggage gets in the way of proper pain mgmnt

Wed Jul 13 18:26:23 PDT 2011

MeredithGould I'm an advocate for a healthy level of fear that generates respect for what can becomedangerous. #hpm

Wed Jul 13 18:26:24 PDT 2011

JoshGriffin @MeredithGould I don't know why we do that. My doc has offered everything. I stick withnon-working Tylenol 3's. Have thought of 4s. #hpm

Wed Jul 13 18:26:31 PDT 2011

revdoc @aliciabloom We use methadone frequently for adjunctive pain tx or as solo tx forunpredictable incident pain w good success #hpm

Wed Jul 13 18:26:37 PDT 2011
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7/31/2019 #Hpm Tweet Chat 7:13:11

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ctsinclair @chemosabe Wondering if HPM orgs/leaders should collab with others to decrdiversion/maintain access #hpm

Wed Jul 13 18:26:45 PDT 2011

MeredithGould @JoshGriffin I stick w/OTC Tylenol and just act cranky! #hpmWed Jul 13 18:27:06 PDT 2011

ctsinclair RT @revdoc: We use methadone frequently for adjunctive pain tx or as solo tx forunpredictable incident pain w good success 'concur' #hpm

Wed Jul 13 18:27:06 PDT 2011

revdoc @ctsinclair If we don't take the lead, someone else is going to legislate for us--and thatNEVER works well #hpm

Wed Jul 13 18:27:29 PDT 2011

apjonas RT @aliciabloom: @ctsinclair very scary. i've seen my physician colleagues use methadonevery successfully in patients w/ severe pain. #hpm

Wed Jul 13 18:27:32 PDT 2011

ctsinclair @chemosabe This topic not focused on addiction or diversion to hospice patients. But whatabout that access to opioids and dviersion #hpm

Wed Jul 13 18:27:44 PDT 2011

colleen_young Can you give me insight as to why? RT @MeredithGould: @JoshGriffin I stick w/OTCTylenol and just act cranky! #hpm

Wed Jul 13 18:27:47 PDT 2011

SheyontheBay @ctsinclair@SheyontheBay it was a retweet from @apjonas#hpm

Wed Jul 13 18:27:48 PDT 2011

JoshGriffin RT @revdoc: @ctsinclair If we dont take the lead, someone else is going to legislate for us-and that NEVER works well < - I agree #hpm

Wed Jul 13 18:28:09 PDT 2011

ctsinclair MT @SheyontheBay: moms vs methadone? Against ANY prescribed use, even in HPM?"yep, & we need to know abt those feeling in the comm" #hpm

Wed Jul 13 18:28:20 PDT 2011

KathyKastner+1RT @colleen_young: Can you give me insight as to why? RT @MeredithGould:@JoshGriffin I stick w/OTC Tylenol and just act cranky! #hpm

Wed Jul 13 18:28:26 PDT 2011

apjonas RT @ctsinclair: RT @revdoc: We use methadone frequently for adjunctive pain tx or as solotx for unpredictable incident pain w success #hpm

Wed Jul 13 18:28:29 PDT 2011

ctsinclair RT @JoshGriffin: RT @revdoc: If we dont take the lead, someone else is going to legislate
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7/31/2019 #Hpm Tweet Chat 7:13:11

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for us--and that NEVER works well < - I agree #hpm

Wed Jul 13 18:28:32 PDT 2011

chemosabe @ctsinclair as diversion therapy or blocking access to necessary gold standard palliativeanalgesic therapy #hpm

Wed Jul 13 18:28:36 PDT 2011

SheyontheBay RT @MeredithGould: @ctsinclair Thats scary...zero tolerance policies obliterate any chancefor responsible & sensible pain management. #hpm

Wed Jul 13 18:28:40 PDT 2011

ctsinclair @chemosabe I don't follow your last tweet #hpmWed Jul 13 18:29:26 PDT 2011

SheyontheBay @chemosabe how do we as professionals educate, advocate? #hpmWed Jul 13 18:29:43 PDT 2011

JoshGriffin @MeredithGould@ctsinclair Zero tolerance doesn't lend itself to medications very well. Dowe just let people die of pain/rel. stress? #hpm

Wed Jul 13 18:30:10 PDT 2011

ssmithaahpm T1: #aahpm chairs the AMA pain & pall med section; focus is on access and safety #HPMWed Jul 13 18:30:29 PDT 2011

ctsinclair @MeredithGould I only tolerate zero tolerance when people are wrong, because I'm neverwrong! ;-) #hpm

Wed Jul 13 18:30:30 PDT 2011

apjonas RT @MeredithGould: Im an advocate for a healthy level of fear that generates respect forwhat can become dangerous. Healthy= key word #hpm

Wed Jul 13 18:30:45 PDT 2011

doctatum RT @ssmithaahpm: T1: #aahpm chairs the AMA pain & pall med section; focus is on accesand safety #Hpm

Wed Jul 13 18:30:50 PDT 2011

HEALTH_NOTES MT @donaldhtaylorjr: I will participate in hospice and palliative medicine #hpm tweet chat 910pmEST join in --> http://slidesha.re/d4aVII

Wed Jul 13 18:30:51 PDT 2011

ctsinclair RT @ssmithaahpm: T1: #aahpm chairs the AMA pain & pall med section; focus is on accesand safety "Good things!" #hpm

Wed Jul 13 18:31:04 PDT 2011

MeredithGould @ctsinclair I have zero tolerance for THAT! #hpmWed Jul 13 18:31:08 PDT 2011
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7/31/2019 #Hpm Tweet Chat 7:13:11

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chemosabe @ctsinclair so are we talking about diversion as in rx for pain mx or diversion as inalternatives to opioids? #hpm

Wed Jul 13 18:31:19 PDT 2011

aliciabloom we must act locally & globally on the issue before wrong messages impact legislation aboutopioid access. #hpm

Wed Jul 13 18:31:38 PDT 2011

SheyontheBay RT@revdoc: @ctsinclair If we dont take the lead, someone else will legislate for us--and thaNEVER works well < - I agree #hpm

Wed Jul 13 18:31:51 PDT 2011

donaldhtaylorjr @HEALTH_NOTES You should check out #hpm tweet chat; your perspective would begood for group #hpm

Wed Jul 13 18:32:03 PDT 2011

aliciabloom our voice is stronger when joined with other disciplines & their professional organizations,too. #hpm

Wed Jul 13 18:32:06 PDT 2011

JoshGriffin RT @aliciabloom: we must act locally & globally on the issue before wrong messagesimpact legislation about opioid access. #hpm

Wed Jul 13 18:32:08 PDT 2011

myorthodoc @revdoc Yes, that's the beauty of arthroscopy #hpmWed Jul 13 18:32:13 PDT 2011

renee_berry agree RT @aliciabloom we must act locally & globally on the issue before wrong messagesimpact legislation about opioid access. #hpmWed Jul 13 18:32:29 PDT 2011

ctsinclair @chemosabe diversion of legally prescribed opioids for patient going to others - smallsource of overall diversion, but many concerned #hpm

Wed Jul 13 18:32:29 PDT 2011

doctatum @ssmithaahpm aahpm chair AMA pain= good reason to join AMA. #HpmWed Jul 13 18:32:37 PDT 2011

ctsinclair RT @aliciabloom: our voice is stronger when joined with other disciplines & theirprofessional organizations, too. #hpmWed Jul 13 18:32:40 PDT 2011

ctsinclair RT @aliciabloom: we must act locally & globally on the issue before wrong messagesimpact legislation about opioid access. #hpm

Wed Jul 13 18:32:46 PDT 2011

T1: Challenging and complex issues ... Important to work together and share opinions and
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7/31/2019 #Hpm Tweet Chat 7:13:11

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ssmithaahpm concerns with lawmakers #HPMWed Jul 13 18:32:50 PDT 2011

renee_berry Thanks! yes all welcome! RT @donaldhtaylorjr@HEALTH_NOTES should check out #hpmchat; your perspective would be good for group #hpm

Wed Jul 13 18:32:58 PDT 2011

ctsinclair I must say that @AliciaBloom is on fire with some quality tweets tonight! #hpmWed Jul 13 18:33:04 PDT 2011

ctsinclair Getting ready for (a lighter) Topic 2.... #hpmWed Jul 13 18:33:26 PDT 2011

JoshGriffin RT @ctsinclair: I must say that @AliciaBloom is on fire with some quality tweets tonight! < -She'll be the entire back of that book #hpm

Wed Jul 13 18:33:54 PDT 2011

aliciabloom @ctsinclair thank you! no better way to wish the #hpm tweetchat a happy birthday! #hpmWed Jul 13 18:34:06 PDT 2011

MeredithGould @ctsinclair Nice juxtaposition between "on fire" and "lighter" #hpmWed Jul 13 18:34:08 PDT 2011

chemosabe @ctsinclair is it diverted by the prescription recipient or hps? #hpmWed Jul 13 18:34:19 PDT 2011

ctsinclairTopic #2: What is the last book/movie/song/article/entertainment you consumed that made

you think of hospice/palliative themes? #hpmWed Jul 13 18:34:24 PDT 2011

doctatum Meet your local legislators MT @ssmithaahpm: T1: Challenging/complex issues ...shareopinions and concerns with lawmakers #Hpm

Wed Jul 13 18:34:47 PDT 2011

authordhallman "The Hours" #hpmWed Jul 13 18:34:59 PDT 2011

ctsinclair @MeredithGould Wasn't trying, it just came naturally! #hpmWed Jul 13 18:34:59 PDT 2011

renee_berry (fyi on info overload, listening to things at # socialcongress ... while tweetchatting,#brainfreeze !!!) but I'm trying ha #hpm

Wed Jul 13 18:35:05 PDT 2011

donaldhtaylorjr Topic #2: What is the last book/movie/song/article/entertainment you consumed that made
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7/31/2019 #Hpm Tweet Chat 7:13:11

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you think of hospice/palliative themes? #hpm

Wed Jul 13 18:35:10 PDT 2011

ctsinclair RT @doctatum: Meet your local legislators "Yes, yes, yes....and yes!" #hpmWed Jul 13 18:35:17 PDT 2011

JoshGriffin T2: Tuesdays with Morrie. I also used it as an example of why we whould make our health

decisions before NHDD last. #hpmWed Jul 13 18:35:18 PDT 2011

aliciabloom RT @MeredithGould: @ctsinclair Nice juxtaposition between "on fire" and "lighter" #hpmWed Jul 13 18:35:18 PDT 2011

AllYouThink En el penltimo da del #HPM. Extraar el #culogordomode Turbo pero ms aun lamolestadera con @sisita136, @Nery0286 y @kornydw.

Wed Jul 13 18:35:32 PDT 2011

AureliaCotta @KathyKastner@MeredithGould@ctsinclair not just a palliative problem, all over medicinezero tolerance is harming patients. #hpmWed Jul 13 18:35:36 PDT 2011

RossJeanette T2 the rabbit hole movie, made me think about parents grieving lost of child and trying tokeep living. #hpm

Wed Jul 13 18:35:40 PDT 2011

doctatum T2 midnight tomorrow. Harry potter at kings cross station. #HpmWed Jul 13 18:35:41 PDT 2011

ctsinclair (This was Topic 2 from the first ever HPM Tweetchat FYI - Hopefully some of you have newanswers!) #hpm

Wed Jul 13 18:35:42 PDT 2011

donaldhtaylorjr MEDPAC March 2011 report? prolly not what you had in mind.... #hpmWed Jul 13 18:35:43 PDT 2011

RachelleNorman RT @ctsinclair: Topic #2: What is the last book/movie/song/article you consumed that madeyou think of hospice/palliative themes? #hpm

Wed Jul 13 18:35:43 PDT 2011

JoshGriffin @MeredithGould That's just crazy. I had to go beyond just plain Tylenol. #hpmWed Jul 13 18:35:56 PDT 2011

renee_berry T2 If I Die Young http://owl.li/5E4JG#hpmWed Jul 13 18:36:12 PDT 2011

T2: My Sister's Keeper #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/121558178/status/91320053877841920http://www.symplur.com/healthcare-hashtags/hpm/http://owl.li/5E4JGhttp://www.twitter.com/renee_berryhttp://twitter.com/279235/status/91319988861943808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/JoshGriffinhttp://twitter.com/52564318/status/91319934285643777http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/2/http://www.twitter.com/ctsinclairhttp://www.twitter.com/RachelleNormanhttp://twitter.com/108605734/status/91319933065109505http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/donaldhtaylorjrhttp://twitter.com/17206739/status/91319928719802370http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/33076161/status/91319924139638784http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/117435341/status/91319921916645376http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://twitter.com/19055125/status/91319904610951169http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://www.twitter.com/AureliaCottahttp://twitter.com/83061734/status/91319885656883200http://www.twitter.com/kornydwhttp://www.twitter.com/Nery0286http://www.twitter.com/sisita136http://www.symplur.com/healthcare-hashtags/culogordomode/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/AllYouThinkhttp://twitter.com/24399366/status/91319829973311488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/aliciabloomhttp://twitter.com/20832563/status/91319830367580160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoshGriffinhttp://twitter.com/17206739/status/91319824088711169http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/ctsinclairhttp://twitter.com/108605734/status/91319795823288320http://www.symplur.com/healthcare-hashtags/hpm/

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DNRstories Wed Jul 13 18:36:24 PDT 2011

RachelleNorman Movie "Calendar Girls" - dealt with memorializing a loved one, coping through humor #hpmWed Jul 13 18:36:32 PDT 2011

MeredithGould T2 The Bachelorette. #hpmWed Jul 13 18:36:36 PDT 2011

aliciabloom recently watched How to Die in Oregon. very thought provoking. #hpmWed Jul 13 18:36:39 PDT 2011

ctsinclair RT @doctatum: T2 midnight tomorrow. Harry potter at kings cross station. "Harry Potter isripe with themes on living/dying/priorities" #hpm

Wed Jul 13 18:36:45 PDT 2011

ctsinclair Feel free to expand on why those media made you think of HPM themes #hpmWed Jul 13 18:37:03 PDT 2011

KathyKastner Sure, make spit up my tequila RT @MeredithGould: T2 The Bachelorette. #hpmWed Jul 13 18:37:11 PDT 2011

MeredithGould @JoshGriffin I know but I have an extraordinarily high pain threshold. Lucky moi! #hpmWed Jul 13 18:37:12 PDT 2011

MeredithGould @KathyKastner I'm here to serve! #hpmWed Jul 13 18:37:25 PDT 2011

ctsinclair MT @aliciabloom: How to Die in Oregon. very thought provoking. "Yes that was..have adrafted blog post on it...need to finish" #hpm

Wed Jul 13 18:37:28 PDT 2011

RossJeanette T2 Movie last song. I was surprised what seemed a teenage love movie ended up w/ HPMmy daughters and I were crying at the end #hpm

Wed Jul 13 18:37:40 PDT 2011

ctsinclair RT @MeredithGould: T2 The Bachelorette. 'You have to explain that one!" #hpmWed Jul 13 18:37:46 PDT 2011

JoshGriffin @MeredithGould Very. #hpmWed Jul 13 18:37:51 PDT 2011

KathyKastner ok. can you serve me another tequila :)RT @MeredithGould: @KathyKastner I'm here toserve! #hpm

Wed Jul 13 18:37:56 PDT 2011
http://twitter.com/205752125/status/91320490727190528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/20832563/status/91320468564480000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/JoshGriffinhttp://twitter.com/2326862/status/91320448750592001http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclairhttp://twitter.com/117435341/status/91320423630897153http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RossJeanettehttp://twitter.com/17206739/status/91320373383143424http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/91320362503118848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://twitter.com/16733030/status/91320309029933060http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoshGriffinhttp://www.twitter.com/MeredithGouldhttp://twitter.com/101386174/status/91320302407131136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/17206739/status/91320268403912705http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/91320192893861888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/91320167203733504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/16733030/status/91320155308695552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/52564318/status/91320139697487872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RachelleNormanhttp://twitter.com/244922707/status/91320103618093057http://www.twitter.com/DNRstories

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BrendaAKeller RT @MeredithGould: Yes but/and, addiction dx and tx is so misunderstood & I'm routinelyshocked at how little practitioners know. #hpm

Wed Jul 13 18:38:04 PDT 2011

revdoc @MeredithGould Oh, I nearly just aspirated. I burst into insane laughter and my daughter isnow looking like I should be committed #hpm

Wed Jul 13 18:38:10 PDT 2011

MeredithGould @ctsinclair No I don't and you can't make me! #hpmWed Jul 13 18:38:12 PDT 2011

BrendaAKeller @MeredithGould: Yes but/and, addiction dx and tx is so misunderstood & I'm routinelyshocked at how little practitioners know. #hpm /yep

Wed Jul 13 18:38:13 PDT 2011

doctatum Johnny cash. I hurt. End stage parkinsons. Near his death. #HpmWed Jul 13 18:38:14 PDT 2011

JoshGriffin T2: I have been recommended to see How to Die in Oregon. I shall venture to watch it soon#hpm

Wed Jul 13 18:38:46 PDT 2011

revdoc I am a sucker for The Notebook--loved his dedication in retelling their story every day #hpmWed Jul 13 18:39:14 PDT 2011

ctsinclair @doctatum Did you listen to J. Cash's last album published posthumously? Supposed tohave many HPM themes - smae with Paul Simon's last #hpm

Wed Jul 13 18:39:38 PDT 2011

MeredithGould @JoshGriffin Also, #fibro pain is just so weird & oddly impervious to intelligent, systematicmanagement. #hpm

Wed Jul 13 18:39:44 PDT 2011

JoshGriffin RT @revdoc: I am a sucker for The Notebook--loved his dedication in retelling their storyevery day

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BrendaAKeller RT @MeredithGould: I'm an advocate for a healthy level of fear that generates respect forwhat can become dangerous. #hpm

Wed Jul 13 18:40:00 PDT 2011

chemosabe T2 everything by Mitch Albom. RT because I forgot #hpmWed Jul 13 18:40:14 PDT 2011

akroundtree #hpm T2: My Sister's Keeper. Cried like a baby during the scene when the family takes alast trip to the beach.

Wed Jul 13 18:40:14 PDT 2011

RachelleNorman Me, too. RT @revdoc: I am a sucker for The Notebook--loved his dedication in retelling theistory every day #hpm

Wed Jul 13 18:40:17 PDT 2011

aliciabloom @ctsinclair i found myself wondering how #hospice support would have impacted the

patients featured in How to Die in Oregon. #hpmWed Jul 13 18:40:19 PDT 2011

SheyontheBay T2 beth Nielsen Chapman, Beyond the Blue, sand and water. #hpmWed Jul 13 18:40:28 PDT 2011

KathyKastner I realize, most recent book making me think of #hpm is probably @DNRstoriesWed Jul 13 18:40:28 PDT 2011

revdoc @doctatum USA, USA, USA! #hpmWed Jul 13 18:40:33 PDT 2011

JoshGriffin @MeredithGould I am quickly learning that. But, since I'm at a breaking point, I need tomove somewhere. #hpm

Wed Jul 13 18:40:38 PDT 2011

authordhallman Multiple deaths in "The Hours" - all when the pain, in one for or another, became intolerable#hpm

Wed Jul 13 18:40:39 PDT 2011

renee_berry @ssmithaahpm sounds good to me! :) #hpmWed Jul 13 18:40:48 PDT 2011

renee_berry RT @ssmithaahpm: T2: The Big C -- speaking of Laura Linney ... Her character wouldbenefit from some pall care - guest cameo by Dr. Sinclair? #HPM

Wed Jul 13 18:40:50 PDT 2011

doctatum @ctsinclair@doctatum will check em out #HpmWed Jul 13 18:40:56 PDT 2011
http://twitter.com/33076161/status/91321246624657408http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/doctatumhttp://twitter.com/101756517/status/91321223056855041http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ssmithaahpmhttp://www.twitter.com/renee_berryhttp://twitter.com/121558178/status/91321211774177280http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ssmithaahpmhttp://www.twitter.com/renee_berryhttp://twitter.com/284885422/status/91321173593432064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/279235/status/91321171961839617http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/JoshGriffinhttp://twitter.com/14231943/status/91321151896305664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/revdochttp://twitter.com/101386174/status/91321130320805888http://www.twitter.com/DNRstorieshttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://twitter.com/16857263/status/91321127971995649http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/24399366/status/91321092924375040http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/52564318/status/91321084812607488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/RachelleNormanhttp://twitter.com/96869639/status/91321068618383361http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/akroundtreehttp://twitter.com/19327875/status/91321069599866880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://twitter.com/133592264/status/91321009902325760http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/BrendaAKeller

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DNRstories @KathyKastner :) #hpm. I am trying so hard not to self promote on this topic :)Wed Jul 13 18:41:01 PDT 2011

ctsinclair RT @doctatum: Ok. USA win over brazil. That is how to live!!!! "sometimes not heavyemotions, but lighter ones that make me think of #hpm

Wed Jul 13 18:41:23 PDT 2011

aliciabloom @DNRstories certainly raises a host of #hospice & #palliative care issues and how they plaout in acute/intensive care settings. #hpm

Wed Jul 13 18:41:32 PDT 2011

KathyKastner I know. ANd then I come along RT @DNRstories: @KathyKastner :) #hpm. I am trying sohard not to self promote on this topic :)

Wed Jul 13 18:41:37 PDT 2011

JoshGriffin @aliciabloom@ctsinclair I think it would have changed the outcome of the documentary.

#hpmWed Jul 13 18:41:38 PDT 2011

MeredithGould @JoshGriffin Absolutely, getting to the breaking point is NOT good. Understatement orwhat? #hpm

Wed Jul 13 18:41:44 PDT 2011

ctsinclair @authordhallman Well now I am putting that in the Netflix queue #hpmWed Jul 13 18:41:44 PDT 2011

DNRstories RT @aliciabloom: @DNRstories certainly raises a host of #hospice & #palliative care issueand how they play out in acute/intensive care settings. #hpmWed Jul 13 18:41:47 PDT 2011

ctsinclair RT @SheyontheBay: T2 beth Nielsen Chapman, Beyond the Blue, sand and water. 'Explainmore please" #hpm

Wed Jul 13 18:42:03 PDT 2011

chemosabe T2 @BBC series inside the human body #hpmWed Jul 13 18:42:09 PDT 2011

JoshGriffin @MeredithGould Very much so. We just increased the dose of Lyrica and I see her againnext month. If not leveled somewhat, having talk #hpm

Wed Jul 13 18:42:45 PDT 2011

DNRstories 1 thing I will say- writing about death/dying & getting my community to talk about it hasshown me the HUNGER ppl have to talk about it #hpm

Wed Jul 13 18:42:54 PDT 2011
http://twitter.com/262368526/status/91321739799306240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://twitter.com/20832563/status/91321702084132865http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/JoshGriffinhttp://twitter.com/19327875/status/91321551185645568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BBChttp://www.twitter.com/chemosabehttp://twitter.com/2326862/status/91321526288257024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/ctsinclairhttp://twitter.com/244922707/status/91321460529971200http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/DNRstorieshttp://www.twitter.com/aliciabloomhttp://www.twitter.com/DNRstorieshttp://twitter.com/17206739/status/91321448626524160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://www.twitter.com/ctsinclairhttp://twitter.com/16733030/status/91321449024995329http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoshGriffinhttp://www.twitter.com/MeredithGouldhttp://twitter.com/20832563/status/91321422395351041http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/JoshGriffinhttp://twitter.com/101386174/status/91321419304157184http://www.symplur.com/healthcare-hashtags/hpm/http://www.

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#Hpm Tweet Chat 7:13:11