#Hpm - TweetChat - 3/6/13

7/29/2019 #Hpm - TweetChat - 3/6/13

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3/7/13 #hpm - Healthcare Social Media Transcript

hashtags.symplur.com/healthcare-ha shtag-transcript.php?hashtag=hpm&fdate=03-06-2013&shour=18&smin=0&tdate=03-06-2013&thour=19&tmin=15&ssec=0

#hpm transcript

Healthcare Social Media Transcript

From: Wed Mar 06 18:00:00 PST 2013

To: Wed Mar 06 19:15:00 PST 2013

change time period

Who were the influencers during this time period? #hpm analytics

Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics

What is #hpm?

rfberry I'm hosting tonight, I work @goBeMoRe in Menlo Park, passionate about increasingaccess to palliative care. Former hospice volunteer. #hpm

Wed Mar 6 18:01:42 PST 2013

oliverdrDebbie Parker-Oliver University of Missouri- Columbia; researcher and formerhospice Director and social worker #Hpm

Wed Mar 6 18:02:05 PST 2013

KnowYourWishes Hi. LJ Van Scoy, pulmonary critical care physician, founder http://t.co/pgFjeKH0Oe,author of Last Wish and #eol researcher & advocate #hpm

Wed Mar 6 18:03:06 PST 2013

rfberry Hey Debbie, Thanks for joining! RT @oliverdr Debbie Parker, researcher & formerhospice Director and social worker #hpm

Wed Mar 6 18:03:44 PST 2013

KnowYourWishes whoa, not sure why that link was like that. Meant to say founder ofhttp://t.co/EcXsQEHhKj :( #hpm

Wed Mar 6 18:04:31 PST 2013

KnowYourWishes @oliverdr Nice to meet you! #hpmWed Mar 6 18:04:47 PST 2013

rfberry @KnowYourWishes Hey LJ! So happy your joining us tonight! We'll get started with
http://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/KnowYourWisheshttp://t.co/pgFjeKH0Oe,http://t.co/pgFjeKH0Oe,http://t.co/pgFjeKH0Oe,http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/309484744251437056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/262368526/status/309484675066376192http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/EcXsQEHhKjhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/309484480228360192http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/309484319209033729http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eol/http://t.co/pgFjeKH0Oe,http://www.twitter.com/KnowYourWisheshttp://twitter.com/62575849/status/309484064476368897http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/309483968305180672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/goBeMoRehttp://www.twitter.com/rfberryhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-social-media-analytics/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media/http://hashtags.symplur.com/healthcare-hashtag-transcript.php?hashtag=hpm&fdate=03-06-2013&shour=18&smin=0&tdate=03-06-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1#http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=03-06-2013&shour=18&smin=0&tdate=03-06-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=03-06-2013&shour=18&smin=0&tdate=03-06-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/http://hashtags.symplur.com/healthcare-hashtag-transcript.php?hashtag=hpm&fdate=03-06-2013&shour=18&smin=0&tdate=03-06-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1#

7/29/2019 #Hpm - TweetChat - 3/6/13

2/17


hashtags.symplur.com/healthcare-ha shtag-transcript.php?hashtag=hpm&fdate=03-06-2013&shour=18&smin=0&tdate=03-06-2013&thour=19&tmin=15&ssec=0 2

T1 in just a few more minutes. #hpm

Wed Mar 6 18:04:50 PST 2013

MsWZ RT @rfberry: @JHARTFOUND@notesonnursing we'll be discussing this fantasticarticle tonight at #hpmhttp://t.co/YiYDCM8SaM

Wed Mar 6 18:05:24 PST 2013

GraniteDoc Meredith MacMartin, palliative care MD/hospitalist at DHMC #hpmWed Mar 6 18:05:34 PST 2013

oliverdr Diddo!RT @KnowYourWishes: @oliverdr Nice to meet you! #HpmWed Mar 6 18:05:55 PST 2013

rfberry Hi Meredith! RT @GraniteDoc: Meredith MacMartin, palliative care MD/hospitalist atDHMC #hpm

Wed Mar 6 18:06:07 PST 2013

rfberry @MsWZ Hey Whitney! Thanks for the RT, are you joining us for the chat tonight?#hpm

Wed Mar 6 18:06:40 PST 2013

KnowYourWishes @GraniteDoc Hello! #hpmWed Mar 6 18:06:45 PST 2013

rfberry Pre-T1 Elaine Waples shared her story w/@TEDMED#greatchallenges about truthat the #endoflifehttp://t.co/S2uPYimpJP#hpm

Wed Mar 6 18:06:55 PST 2013

GraniteDoc@KnowYourWishes@rfberry@oliverdr Hi all! #hpm

Wed Mar 6 18:08:13 PST 2013

MsWZ RT @rfberry: Pre-T1 Elaine Waples shared her story w/@TEDMED#greatchallenges about truth at the #endoflifehttp://t.co/S2uPYimpJP#hpm

Wed Mar 6 18:08:19 PST 2013

oliverdr RT @rfberry: Pre-T1 Elaine Waples shared her story w/@TEDMED#greatchallenges about truth at the #endoflifehttp://t.co/pMI052JN2I#hpm

Wed Mar 6 18:08:54 PST 2013

rfberry Take a couple mintes to read Elaine's story before we get started w/T1http://t.co/S2uPYimpJP#hpm

Wed Mar 6 18:09:20 PST 2013

ctsinclair RT @rfberry: Take a couple mintes to read Elaine's story before we get started w/T1http://t.co/S2uPYimpJP#hpm

Wed Mar 6 18:11:27 PST 2013

rfberry T1 What does truth at the end of life mean to you? (inspired by Elaine Waples
http://www.twitter.com/rfberryhttp://twitter.com/17206739/status/309486421171896320http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/S2uPYimpJPhttp://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/309485888369487874http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/S2uPYimpJPhttp://www.twitter.com/rfberryhttp://twitter.com/62575849/status/309485779695050752http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/pMI052JN2Ihttp://www.symplur.com/healthcare-hashtags/endoflife/http://www.symplur.com/healthcare-hashtags/greatchallenges/http://www.twitter.com/TEDMEDhttp://www.twitter.com/rfberryhttp://www.twitter.com/oliverdrhttp://twitter.com/12916102/status/309485634253385728http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/S2uPYimpJPhttp://www.symplur.com/healthcare-hashtags/endoflife/http://www.symplur.com/healthcare-hashtags/greatchallenges/http://www.twitter.com/TEDMEDhttp://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/88826066/status/309485607091060736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/GraniteDochttp://twitter.com/121558178/status/309485280195407872http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/S2uPYimpJPhttp://www.symplur.com/healthcare-hashtags/endoflife/http://www.symplur.com/healthcare-hashtags/greatchallenges/http://www.twitter.com/TEDMEDhttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/309485237967151105http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/309485215854768128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MsWZhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/309485080240332801http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/rfberryhttp://twitter.com/62575849/status/309485030181306369http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/oliverdrhttp://twitter.com/88826066/status/309484942830743552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://twitter.com/12916102/status/309484899008647168http://t.co/YiYDCM8SaMhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/notesonnursinghttp://www.twitter.com/JHARTFOUNDhttp://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/121558178/status/309484756054196225http://www.symplur.com/healthcare-hashtags/hpm/

7/29/2019 #Hpm - TweetChat - 3/6/13

3/17



http://t.co/S2uPYimpJP ) #hpm

Wed Mar 6 18:11:52 PST 2013

KnowYourWishes Honest, reflective, brave and inspired MT @rfberry: read Elaines story before we getstarted w/T1 http://t.co/1pL8UN8eeV#hpm

Wed Mar 6 18:11:52 PST 2013

MsWZ @rfberry I can't. It still makes me cry and I had an advanced copy. It's so honest.Elaine is amazing. #hpm

Wed Mar 6 18:12:42 PST 2013

rfberry @KnowYourWishes totally agree. I read i t a couple of times, because I feel there isso much depth in what she is sharing. #hpm

Wed Mar 6 18:12:43 PST 2013

rfberry Agree, it's very powerful. RT @MsWZ: @rfberry It still makes me cry and I had anadvanced copy. Its so honest. Elaine is amazing. #hpm

Wed Mar 6 18:13:24 PST 2013

KnowYourWishes T1: dealing with the uncomfortable issues in a way that does not permit avoidance,sugar coating or unrealistic expectations #hpm

Wed Mar 6 18:13:43 PST 2013

MsWZ @rfberry I'm going to try! Just heard you were picking up on the piece from#GreatChallenges on #EOL being beyond forms. #hpm

Wed Mar 6 18:13:48 PST 2013

KnowYourWishes RT @rfberry: T1 What does truth at the end of life mean to you? (inspired by ElaineWaples http://t.co/1pL8UN8eeV ) #hpm

Wed Mar 6 18:14:08 PST 2013

doctatum Wow!!! RT @oliverdr@rfberry: Elaine Waples shared her story #greatchallengesabout truth at the #endoflifehttp://t.co/BgOyDrVoFS#hpm

Wed Mar 6 18:14:52 PST 2013

rfberry @KnowYourWishes I think that's really insightful. I feel like there are so many angles(&opportunities) for truth in EOL. #hpm

Wed Mar 6 18:15:04 PST 2013

MsWZ T1: Taking a simple "I'm sorry" and not looking for more. #hpm#eolWed Mar 6 18:15:09 PST 2013

oliverdr Truth is about being open and being willing to listen and talk about the reality ratherthan the fantasy #hpm

Wed Mar 6 18:15:53 PST 2013

doctatum You CAN handle the truth! RT @rfberry T1 What does truth at the eol mean to you?(inspired by Elaine Waples http://t.co/BgOyDrVoFS) #hpm

Wed Mar 6 18:16:02 PST 2013
http://twitter.com/33076161/status/309487573397549057http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/BgOyDrVoFShttp://www.twitter.com/rfberryhttp://www.twitter.com/doctatumhttp://twitter.com/62575849/status/309487538324791296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/12916102/status/309487353020432384http://www.symplur.com/healthcare-hashtags/eol/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MsWZhttp://twitter.com/121558178/status/309487332678062080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/rfberryhttp://twitter.com/33076161/status/309487279343288322http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/BgOyDrVoFShttp://www.symplur.com/healthcare-hashtags/endoflife/http://www.symplur.com/healthcare-hashtags/greatchallenges/http://www.twitter.com/rfberryhttp://www.twitter.com/oliverdrhttp://www.twitter.com/doctatumhttp://twitter.com/262368526/status/309487095699890176http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/1pL8UN8eeVhttp://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/12916102/status/309487012140957696http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/EOL/http://www.symplur.com/healthcare-hashtags/GreatChallenges/http://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/262368526/status/309486993216245760http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/309486911154688002http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/309486739372785664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/rfberryhttp://twitter.com/12916102/status/309486734847119361http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/262368526/status/309486527900160001http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/1pL8UN8eeVhttp://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/309486526205681665http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/S2uPYimpJP

7/29/2019 #Hpm - TweetChat - 3/6/13

4/17



rfberry @MsWZ what do you mean? Could you expand a bit? #hpmWed Mar 6 18:16:05 PST 2013

KnowYourWishes T1: Ignoring the "clutter in the closet" and dealing with the most important things#hpm

Wed Mar 6 18:16:07 PST 2013

GraniteDocT1 Full acceptance of self and articulation of personal task-work for life completion#hpm

Wed Mar 6 18:16:11 PST 2013

rfberry T1 I think there are a lot of challenges in dealing with truth at EOL. (for family &clinicians) #hpm

Wed Mar 6 18:16:51 PST 2013

rfberry RT @GraniteDoc: T1 Full acceptance of self and articulation of personal task-work forlife completion #hpm

Wed Mar 6 18:17:05 PST 2013

MsWZ @rfberry Regular life, people take an "I'm sorry" but still want to settle a score.Inappropriate but true. #HPM

Wed Mar 6 18:17:18 PST 2013

rfberry @doctatum that's fantastic. I kind of want to frame that tweet for my office. #hpmWed Mar 6 18:17:27 PST 2013

KnowYourWishes Clinician truth often met with anger MT @rfberry: T1 there are a lot of challenges indealing w truth at EOL. (for family & clinicians) #hpm

Wed Mar 6 18:18:24 PST 2013

rfberry Interesting. RT @MsWZ@rfberry Regular life, people take an "I'm sorry" but still wantto settle a score. Inappropriate but true. #hpm

Wed Mar 6 18:18:25 PST 2013

MsWZ @rfberry Active Dying requires consciousness of action. Accepting that sometimesjust the words will be said and its enough. #hpm

Wed Mar 6 18:18:48 PST 2013

fischmd Brilliant! Generalist plus Specialist Palliative Care Creating a More SustainableModel NEJM http://t.co/5NSIws5hoP#hpm

Wed Mar 6 18:19:15 PST 2013

Kamiyamay @KnowYourWishes That is true, I walk into so much anger, have to learn to calm thefires #hpm

Wed Mar 6 18:19:42 PST 2013

rfberry @MsWZ I think you'd enjoy "The Four Things That Matter Most" - it discusses theimportance of "I'm sorry." http://t.co/IAF9blm1LR#hpm

Wed Mar 6 18:20:06 PST 2013
http://twitter.com/121558178/status/309488598468685824http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/IAF9blm1LRhttp://www.twitter.com/MsWZhttp://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309488499155947520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/Kamiyamayhttp://twitter.com/257010511/status/309488383372181504http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5NSIws5hoPhttp://www.twitter.com/fischmdhttp://twitter.com/12916102/status/309488270549590017http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/121558178/status/309488175682826240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/309488168791580672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/309487929837895680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/rfberryhttp://twitter.com/12916102/status/309487891699077121http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/121558178/status/309487837923921920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/309487780172558337http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/88826066/status/309487610919784449http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://twitter.com/262368526/status/309487595870625793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/309487588484456448http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MsWZhttp://www.twitter.com/rfberry

7/29/2019 #Hpm - TweetChat - 3/6/13

5/17



TurnerWest RT @fischmd: Brilliant! Generalist plus Specialist Palliative Care Creating a MoreSustainable Model NEJM http://t.co/5NSIws5hoP#hpm

Wed Mar 6 18:20:10 PST 2013

MsWZ @rfberry Sort of like how you might be athiest, the person passing bel ieves inHeaven. You recognize their peace. It's not about you. #hpm

Wed Mar 6 18:20:16 PST 2013

GraniteDoc @rfberry I agree, challenge to dealing with the literal truth ("you're dying"), and withthe variety of personal truths that manifest #hpm

Wed Mar 6 18:20:20 PST 2013

KnowYourWishes Yep. Hard to not respond negatively MT @Kamiyamay: @KnowYourWishes That istrue, I walk into so much anger, learn to calm the fires #hpm

Wed Mar 6 18:20:34 PST 2013

rfberry @MsWZ being able to be fully present for patients in families in whatever way theyneed is crucial. #hpm

Wed Mar 6 18:21:03 PST 2013

doctatum RT @oliverdr: Truth is about being open and being willing to listen and talk about thereality rather than the fantasy #hpm

Wed Mar 6 18:21:03 PST 2013

rfberry RT @doctatum: RT @oliverdr: Truth is about being open and being wi lling to listenand talk about the reality rather than the fantasy #hpm

Wed Mar 6 18:21:27 PST 2013

Kamiyamay @KnowYourWishes Amazing to be able to help, calm, comfort, aide, organize, dealwith own feelings afterward too, important #hpmWed Mar 6 18:21:38 PST 2013

doctatum RT @fischmd: Brilliant! Generalist plus Specialist Palliative Care Creating a MoreSustainable Model NEJM http://t.co/5NSIws5hoP#hpm

Wed Mar 6 18:21:44 PST 2013

MsWZ T1 I had to talk a lot about a trip to a beach that wasn't happening. But it was her truth.So I made it as real as we could. #hpm

Wed Mar 6 18:21:52 PST 2013

Kamiyamay (a mustt) RT @rfberry: @MsWZ being able to be fully present for patients in familiesin whatever way they need is crucial. #hpm

Wed Mar 6 18:22:00 PST 2013

GraniteDoc @KnowYourWishes@Kamiyamay Heard a saying recently, "when it's raining, it's notraining ON YOU". Angry response often not personal! #hpm

Wed Mar 6 18:22:20 PST 2013
http://twitter.com/88826066/status/309489158626369537http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/GraniteDochttp://twitter.com/196778759/status/309489077378486272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MsWZhttp://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://twitter.com/12916102/status/309489041643020288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MsWZhttp://twitter.com/33076161/status/309489009120387072http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5NSIws5hoPhttp://www.twitter.com/fischmdhttp://www.twitter.com/doctatumhttp://twitter.com/196778759/status/309488983103139841http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/309488939784368128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/doctatumhttp://www.twitter.com/rfberryhttp://twitter.com/33076161/status/309488839074918400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/doctatumhttp://twitter.com/121558178/status/309488838693236736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MsWZhttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/309488716534132738http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/Kamiyamayhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/88826066/status/309488656631091200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/GraniteDochttp://twitter.com/12916102/status/309488638926942208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/711076460/status/309488613756919808http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5NSIws5hoPhttp://www.twitter.com/fischmdhttp://www.twitter.com/TurnerWest

7/29/2019 #Hpm - TweetChat - 3/6/13

6/17



rfberry We're going to move to T2 soon, please share any final thoughts about what truth atEOL means to you. #hpm

Wed Mar 6 18:22:43 PST 2013

oliverdr No one said the truth is easy to give or to receive- but I believe it is necessary- thealternative is pretending- that violates trust #hpm

Wed Mar 6 18:23:24 PST 2013

Kamiyamay@GraniteDoc You are right but when someone screaming in your face it is a littlehard to gather thoughts, but magical to help #hpm

Wed Mar 6 18:23:34 PST 2013

KnowYourWishes GREAT saying! RT GraniteDoc @KnowYourWishes@Kamiyamay Heard a sayingrecently, "when it's raining, it's not raining ON YOU". #hpm

Wed Mar 6 18:23:54 PST 2013

rfberry @MsWZ that's a humble recogni tion of what her needs were & responding in exactlythe way she needed. Her first, not you. #hpm

Wed Mar 6 18:23:56 PST 2013

DrkKalweit RT @edubru: Early palliative care improves symptoms, lowers cost and may improvesurvival http://t.co/wX502jwbKI#hpm

Wed Mar 6 18:24:22 PST 2013

Kamiyamay MT @oliverdr: No one said the truth is easy 2 give or 2 receive- but I believe it isnecessary-alternative is pretending violates trust #hpm

Wed Mar 6 18:24:25 PST 2013

oliverdr @Kamiyamay key is to remember those screams are for help #hpmWed Mar 6 18:24:43 PST 2013

rfberry @oliverdr from a clinical perspective absolutely. Trust is especially important whenfamily is relying on you for quality information #hpm

Wed Mar 6 18:24:52 PST 2013

GraniteDoc @Kamiyamay Yes! Even if it's not raining on you, you still get wet! #hpmWed Mar 6 18:25:06 PST 2013

Kamiyamay Truth, honesty, humility, assertiveness, self awareness....all so important #hpmWed Mar 6 18:25:24 PST 2013

rfberry RT @Kamiyamay: Truth, honesty, humility, assertiveness, self awareness....all soimportant #hpm

Wed Mar 6 18:25:47 PST 2013

AmandaBinDC RT @fischmd: Brilliant! Generalist plus Specialist Palliative Care Creating a MoreSustainable Model NEJM http://t.co/5NSIws5hoP#hpm

Wed Mar 6 18:25:53 PST 2013
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7/29/2019 #Hpm - TweetChat - 3/6/13

7/17



Kamiyamay @oliverdr They are, and often indicate fear and terror at what is happening, I usuallywalk out with a hug, been an interesting week #hpm

Wed Mar 6 18:26:11 PST 2013

rfberry T2 What challenges & opportunities have you seen with truth at the end of life? (forfamilies & clinicians.. & why) #hpm

Wed Mar 6 18:26:19 PST 2013

oliverdr @GraniteDoc the difference is that you have an umbrella and our role is to share it-hearing the hard truth is tough alone #hpmWed Mar 6 18:26:24 PST 2013

KnowYourWishes RT @rfberry: T2 What challenges & opportunities have you seen with truth at the endof life? (for families & clinicians.. & why) #hpm

Wed Mar 6 18:26:59 PST 2013

CozziePMP2B RT @fischmd: Brilliant! Generalist plus Specialist Palliative Care Creating a MoreSustainable Model NEJM http://t.co/5NSIws5hoP#hpm

Wed Mar 6 18:26:59 PST 2013

KnowYourWishes T2: Truth often not welcomed by unprepared fan members. Fine line 2 walk in beinggentle and being honest. Huge challenge 4 me in ICU #hpm

Wed Mar 6 18:27:52 PST 2013

Kamiyamay T2-challenge: children who have MPOA state they do not want parent (who isdebil itated but still aware) to know they are on hospice #hpm

Wed Mar 6 18:28:06 PST 2013

oliverdr T2 Surgeon dancing around truth- I asked "what is best case scenario" rather than

normal question worse case- he was stumped lol #hpmWed Mar 6 18:28:10 PST 2013

equijada @rfberry Earl Q joining late. t2: truth is relative to context of narrative. Opportunity:obtain narrative. #hpm

Wed Mar 6 18:28:13 PST 2013

GraniteDoc @oliverdr Perfect way to complete that metaphor. Palliare = to cloak or shield,sounds like an umbrella to me! #hpm

Wed Mar 6 18:28:16 PST 2013

rfberry T2 I think there are ethical obligations for clinicians to gain comfort with truth at theend of life. #hpm

Wed Mar 6 18:28:28 PST 2013

oliverdr Love it!RT @GraniteDoc: @oliverdr Perfect way to complete that metaphor. Palliare =to cloak or shield, sounds like an umbrella to me! #hpm

Wed Mar 6 18:28:59 PST 2013

KnowYourWishes Wow. That' a huge challenge! MT @Kamiyamay: T2 children who have MPOA state
http://www.twitter.com/Kamiyamayhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/62575849/status/309490832539529216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/GraniteDochttp://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/309490703275290625http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/88826066/status/309490654365507585http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/GraniteDochttp://twitter.com/22651861/status/309490641488977920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/equijadahttp://twitter.com/62575849/status/309490630093049856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/196778759/status/309490611789127680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/262368526/status/309490551483420672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/701326392/status/309490331076923392http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5NSIws5hoPhttp://www.twitter.com/fischmdhttp://www.twitter.com/CozziePMP2Bhttp://twitter.com/262368526/status/309490329193689088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/62575849/status/309490182913146881http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/309490164256874496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309490130677288963http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/Kamiyamay

7/29/2019 #Hpm - TweetChat - 3/6/13

8/17



they do not want parent to know they are on hospice #hpm

Wed Mar 6 18:29:10 PST 2013

Kamiyamay T2-The truth given in appropriate and compassionate way allows open trust andcommunication. I always look straight into eyes and.... #hpm

Wed Mar 6 18:29:57 PST 2013

rfberry You are a poet. RT @equijada T2: Truth is relative to context of narrative.Opportunity: obtain narrative. #hpm

Wed Mar 6 18:30:08 PST 2013

rfberry @oliverdr interesting. What happened post-being stumped? #hpmWed Mar 6 18:30:38 PST 2013

oliverdr ETHICS!RT @Kamiyamay: T2-challenge: children who have MPOA state they do notwant parent to know they are on hospice #hpm

Wed Mar 6 18:30:41 PST 2013

KnowYourWishes@rfberry Diff clinicians have diff understanding of truth, what fams need/want to hear,

each wi th diff ethical perspectives #hpmWed Mar 6 18:31:02 PST 2013

MsWZ T2 Being told there were weeks le ft, maybe just days, at the busy nurses station in apublic hallway at the hospital. #hpm

Wed Mar 6 18:31:27 PST 2013

oliverdr Promised cure which was not possible-did not have all factsRT @rfberry: @oliverdrinteresting. What happened post-being stumped? #hpm

Wed Mar 6 18:31:39 PST 2013

aliciabloom @rfberry hoping to catch some of #hpm tweetchat tonight-- wearing my#basketballwife hat at the moment.

Wed Mar 6 18:31:55 PST 2013

KnowYourWishes Not always ethics- sometimes cultural MT @oliverdr: ETHICS!RT @Kamiyamay:children who do not want parent to know they are on hospice #hpm

Wed Mar 6 18:31:58 PST 2013

Kamiyamay @oliverdr What is interesting time after time, the children are duped: they one at endof life knows anyway. #hpm

Wed Mar 6 18:31:59 PST 2013

doctatum RT @equijada: @rfberry Earl Q joining late. t2: truth is relative to context of narrative.Opportunity: obtain narrative. #hpm

Wed Mar 6 18:32:00 PST 2013

LGG1 RT @fischmd: Brilliant! Generalist plus Specialist Palliative Care Creating a MoreSustainable Model NEJM http://t.co/YQWrs8wEy0#hpm

Wed Mar 6 18:32:01 PST 2013
http://twitter.com/23313527/status/309491596892729344http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/YQWrs8wEy0http://www.twitter.com/fischmdhttp://www.twitter.com/LGG1http://twitter.com/33076161/status/309491593021374465http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/equijadahttp://www.twitter.com/doctatumhttp://twitter.com/196778759/status/309491588185341952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/Kamiyamayhttp://twitter.com/262368526/status/309491583504498689http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/oliverdrhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/24399366/status/309491571009662976http://www.symplur.com/healthcare-hashtags/basketballwife/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/62575849/status/309491504743866368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://www.twitter.com/oliverdrhttp://twitter.com/12916102/status/309491454311555072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MsWZhttp://twitter.com/262368526/status/309491349244243969http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/62575849/status/309491260744404993http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/309491249893756930http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/309491121648721920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309491075469418498http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/262368526/status/309490879129849856http://www.symplur.com/healthcare-hashtags/hpm/

7/29/2019 #Hpm - TweetChat - 3/6/13

9/17



KnowYourWishes T2: challenge. Telling fam's end is near...sometimes being wrong. #hpmWed Mar 6 18:32:32 PST 2013

MsWZ T2: Opportunity - some way to make sure family is there if patient is getting bad news.Protocol gets confusing in oncology. Messy. #hpm

Wed Mar 6 18:32:41 PST 2013

equijada OH today: "You tell it like it is, I like that" (but before I told it like it is, I had to listen likeit is) #hpm

Wed Mar 6 18:32:42 PST 2013

Kamiyamay (been there)RT @MsWZ: T2 Being told there were weeks left, maybe just days, at thebusy nurses station in a public hallway in hospital. #hpm

Wed Mar 6 18:32:46 PST 2013

rfberry @MsWZ I think it's sometimes challenging for clinicians to remember the context ofan environment for family is different than theirs. #hpm

Wed Mar 6 18:32:52 PST 2013

KnowYourWishes @aliciabloom Basketball and #eol go hand in hand (if your team loses...)

7/29/2019 #Hpm - TweetChat - 3/6/13

10/17


hashtags.symplur.com/healthcare-ha shtag-transcript.php?hashtag=hpm&fdate=03-06-2013&shour=18&smin=0&tdate=03-06-2013&thour=19&tmin=15&ssec= 10

Wed Mar 6 18:34:05 PST 2013

KnowYourWishes Absolutely! MT @Kamiyamay: @KnowYourWishes I tell them I rather call you al l hereand be wrong than not to have called you #hpm

Wed Mar 6 18:34:11 PST 2013

MsWZ @rfberry I agree. But I also remember days later that the sitting room was 11 stepsaway at that hospital. I counted. #hpm

Wed Mar 6 18:34:47 PST 2013

Kamiyamay @rfberry Correct: In fact I tell them in community I am a guest in their home, we areno longer where HC is in charge #hpm

Wed Mar 6 18:34:51 PST 2013

oliverdr Right on! RT @GraniteDoc: to present truth in a way that is digestible, have tounderstand what and when pt/family need to know #hpm

Wed Mar 6 18:35:08 PST 2013

rfberry @MsWZ I think this community would very much embrace that & agree with you.

#hpmWed Mar 6 18:35:25 PST 2013

oliverdr RT @Kamiyamay: @KnowYourWishes I tell them I rather call you al l here and bewrong than not to have called you #hpm

Wed Mar 6 18:35:35 PST 2013

Kamiyamay MT @rfberry: T2 Within families theres a benefit from embracing truth, but itsimportant to be supportive of the inter-family needs. #hpm

Wed Mar 6 18:35:38 PST 2013

rfberry cute. RT @KnowYourWishes: @aliciabloom Basketball and #eol go hand in hand (ifyour team loses...)

7/29/2019 #Hpm - TweetChat - 3/6/13

11/17



Kamiyamay Very last question after done tons of teaching, loving assessing everyone happier,smiling: have to ask-if he goes do U know what to do #hpm

Wed Mar 6 18:39:58 PST 2013

rfberry T2 EOL Truth Challenge: Being present with your own end of life fears so you canreally be fully there for others. #hpm

Wed Mar 6 18:41:01 PST 2013

aliciabloom @rfberry i'm ready to jump in for T3! #hpmWed Mar 6 18:41:26 PST 2013

oliverdr CourageRT @rfberry: T2 EOL Truth Chal lenge: Being present with your own end oflife fears so you can really be fully there for others. #hpm

Wed Mar 6 18:41:50 PST 2013

Kamiyamay (Right) RT @rfberry: T2 EOL Truth Challenge: Being present with your own end of lifefears so you can really be fully there for others. #hpm

Wed Mar 6 18:41:51 PST 2013

rfberry T2 It takes courage to be present with truth. It takes special courage at the end of life.#hpm

Wed Mar 6 18:41:59 PST 2013

KnowYourWishes woot woot! RT @aliciabloom: @rfberry im ready to jump in for T3! #hpmWed Mar 6 18:42:00 PST 2013

Kamiyamay RT @aliciabloom: @rfberry im ready to jump in for T3! #hpmWed Mar 6 18:42:00 PST 2013

rfberry great!! RT @aliciabloom: @rfberry im ready to jump in for T3! #hpmWed Mar 6 18:42:09 PST 2013

Kamiyamay Sounds like a pool party, Ha! #hpmWed Mar 6 18:43:08 PST 2013

rfberry T3 What are your thoughts on this: "Short #hospice stays undermine theeffectiveness of the model" @JHARTFOUNDhttp://t.co/YiYDCM8SaM#hpm

Wed Mar 6 18:43:22 PST 2013

bacigalupe @KnowYourWishes@rfberry Tweetchat read this @TEDMED#greatchallengesarticle for pre-T1 http://t.co/KnoK1GfpKX#hpm

Wed Mar 6 18:44:23 PST 2013

KnowYourWishes RT T3 What are your thoughts on this: "Short #hospice stays undermine theeffectiveness of the model" @JHARTFOUND#hpm

Wed Mar 6 18:44:40 PST 2013
http://twitter.com/262368526/status/309494779392180224http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JHARTFOUNDhttp://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/KnowYourWisheshttp://twitter.com/12808192/status/309494709435375616http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/KnoK1GfpKXhttp://www.symplur.com/healthcare-hashtags/greatchallenges/http://www.twitter.com/TEDMEDhttp://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/bacigalupehttp://twitter.com/121558178/status/309494453020786689http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/YiYDCM8SaMhttp://www.twitter.com/JHARTFOUNDhttp://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309494392920612865http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/309494145586716672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309494111537336322http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/262368526/status/309494107665993730http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/309494105497559040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309494071020359680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://twitter.com/62575849/status/309494068038213632http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/oliverdrhttp://twitter.com/24399366/status/309493965260996608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/309493863184211969http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309493599194726401http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamay

7/29/2019 #Hpm - TweetChat - 3/6/13

12/17



oliverdr T3 understand but short stays still need help- maybe even more! Problem is we needto go upstream of course #hpm

Wed Mar 6 18:45:19 PST 2013

KnowYourWishes T3: agree mostly but sometimes even inpatient hospice, short stays, still quiteeffective and beneficial. Depends on setting and family #hpm

Wed Mar 6 18:45:49 PST 2013

rfberry@oliverdr I totally agree, short stays need help. For sure. #hpm

Wed Mar 6 18:46:10 PST 2013

doctatum RT @oliverdr: T3 understand but short stays still need help- maybe even more!Problem is we need to go upstream of course #hpm

Wed Mar 6 18:46:22 PST 2013

rfberry T3 I appreciated this quote because I think there are many lost opportunities inhaving a late referral to hospice. #hpm

Wed Mar 6 18:46:42 PST 2013

aliciabloom T3 I agree. #Hospice cannot do all that intends i f lengths of stays remain so short. Ofcourse, these patients/families still need help #hpm

Wed Mar 6 18:46:46 PST 2013

Kamiyamay T3-Denial discussed earlier, I admitted 7p and gone 8a....she was kept in hospital,had 12 admits in less year....no time for family #hpm

Wed Mar 6 18:46:58 PST 2013

KnowYourWishes T3: esp from ICU perspective, sometimes end stage illness develops suddenly andwithout warning. #hpm

Wed Mar 6 18:47:13 PST 2013

aliciabloom @KnowYourWishes T3 I believe in the ICU you see the acute phase of dying, mostpatients have entered the dying process months before #hpm

Wed Mar 6 18:48:07 PST 2013

doctatum @oliverdr t1 some families who cant do hospice until very end need thebereavement support more than longer stay pts?? #hpm

Wed Mar 6 18:48:08 PST 2013

rfberry T3 The way the #hospice model is set up though, while it still helps even with a fewdays, it seems underutilized. #hpm

Wed Mar 6 18:48:21 PST 2013

CERNfoundation RT@fischmd: Brilliant! Generalist plus Specialist Palliative Care Creating a MoreSustainable Model NEJM http://t.co/Ojlcl09c1S#hpm

Wed Mar 6 18:48:21 PST 2013

KnowYourWishes T3: hospice referral timing not one size fits all. Earliest possible referral, however, isalways best if family willing #hpm
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7/29/2019 #Hpm - TweetChat - 3/6/13

13/17



Wed Mar 6 18:48:32 PST 2013

oliverdr RT @KnowYourWishes: T3: esp from ICU perspective, sometimes end stage illnessdevelops suddenly and without warning. #hpm

Wed Mar 6 18:48:33 PST 2013

Kamiyamay T3-families I have served have been angry after fact because they realized they wererobbed of precious family time home with loved one #hpm

Wed Mar 6 18:49:21 PST 2013

aliciabloom T3 #Hospice as a model of care for patients w/ advanced illness cannot impact thehealthcare system with late referral/short LOS #hpm

Wed Mar 6 18:49:23 PST 2013

KnowYourWishes agree! RT @rfberry: T3 The way the #hospice model is set up though, while it stillhelps even with a few days, it seems underutilized. #hpm

Wed Mar 6 18:49:24 PST 2013

oliverdr Must not forget value of bereavement #hpmWed Mar 6 18:49:54 PST 2013

GraniteDoc T3 I think more hospice does not = better necessarily, my bias is that RELATIONSHIP= better, whether it's hospice or other #Hpm

Wed Mar 6 18:49:59 PST 2013

rfberry T3 I think from a 'big picture' policy perspective on the hospice medicare benefit-Short utilization of hospice misses so much. #hpm

Wed Mar 6 18:50:13 PST 2013

aliciabloom T3 I have heard, far too often, "I wish we had done this sooner" or "Why didn't weknow this was an option months ago?" #hpmWed Mar 6 18:50:19 PST 2013

jodyms RT @bacigalupe: @KnowYourWishes@rfberry Tweetchat read this @TEDMED#greatchallenges article for pre-T1 http://t.co/KnoK1GfpKX#hpm

Wed Mar 6 18:50:49 PST 2013

Kamiyamay @aliciabloom How do we invoke change. Frustrated when I see people bruised andbattered, begging me "please I don't want to go back" #hpm

Wed Mar 6 18:50:58 PST 2013

aliciabloom @oliverdr bereavement is absolutely valuable, however many families do not want itor utilize it, even if needed #hpm

Wed Mar 6 18:51:16 PST 2013

oliverdr Never heard a family complain about being in hospice too soon- so true! #hpmWed Mar 6 18:51:22 PST 2013

@GraniteDoc I totally agree. I think it's the relationship being shorter is what breaks
http://www.twitter.com/GraniteDochttp://twitter.com/62575849/status/309496465246527489http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/24399366/status/309496443108999168http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/309496364373524480http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/23389575/status/309496329460129792http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/KnoK1GfpKXhttp://www.symplur.com/healthcare-hashtags/greatchallenges/http://www.twitter.com/TEDMEDhttp://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/bacigalupehttp://www.twitter.com/jodymshttp://twitter.com/24399366/status/309496201122832384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/309496178314203136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/88826066/status/309496118243373056http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/GraniteDochttp://twitter.com/62575849/status/309496099536785408http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/262368526/status/309495970733899778http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/24399366/status/309495968758370304http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/309495958855626752http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/62575849/status/309495759642959872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/oliverdrhttp://twitter.com/262368526/status/309495752009347072

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rfberry my heart. #hpmWed Mar 6 18:51:40 PST 2013

GraniteDoc @aliciabloom@KnowYourWishes Yes! Very hard when pts/families blindsided byEOL that MDs saw coming long ago #hpm

Wed Mar 6 18:51:42 PST 2013

rfberry RT @oliverdr: Never heard a family complain about being in hospice too soon- sotrue! #hpm

Wed Mar 6 18:51:46 PST 2013

aliciabloom @Kamiyamay patient directed education is critical. the growth of #palliative care willmake an impact, too. #hpm

Wed Mar 6 18:52:03 PST 2013

milhealth @rfberry#hpm I just cant wrap my mind around why #hospice is underutilized?Wed Mar 6 18:52:34 PST 2013

rfberry RT @GraniteDoc: @aliciabloom@KnowYourWishes Yes! Very hard whenpts/families blindsided by EOL that MDs saw coming long ago #hpm

Wed Mar 6 18:52:39 PST 2013

Kamiyamay T3 - Education and advocacy. Training for hospitalist. Best practices whenconsidering procedure, rehab and family guidance! #hpm

Wed Mar 6 18:52:54 PST 2013

KnowYourWishes Fear of admitting end is near, i think RT @milhealth: @rfberry#hpm I just cant wrapmy mind around why #hospice is underutilized? #hpm

Wed Mar 6 18:53:23 PST 2013

GraniteDoc @rfberry Yes, reflected in the linked article by increasing # of transitions of care andincreased ICU use, getting worse not better! #hpm

Wed Mar 6 18:53:25 PST 2013

rfberry RT @aliciabloom: @Kamiyamay patient directed education is critical. the growth of#palliative care will make an impact, too. #hpm

Wed Mar 6 18:53:27 PST 2013

Kamiyamay RT @aliciabloom: @Kamiyamay patient directed education is critical. the growth of#palliative care will make an impact, too. #hpmWed Mar 6 18:53:38 PST 2013

RachelleNorman RT @equijada: OH today: "You tell it like it is, I like that" (but before I told it like it is, Ihad to listen like it is) #hpm

Wed Mar 6 18:53:49 PST 2013

rfberry RT @KnowYourWishes: Fear of admitting end is near, i think RT @milhealth:@rfberry#hpm I just cant wrap my mind around why #hospice ...
http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/milhealthhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/rfberryhttp://twitter.com/52564318/status/309497081826000896http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/RachelleNormanhttp://twitter.com/196778759/status/309497039253803008http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/309496992898371584http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/88826066/status/309496980932014080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/GraniteDochttp://twitter.com/262368526/status/309496975307456513http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/milhealthhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/196778759/status/309496854335344640http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/309496791341080577http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/aliciabloomhttp://www.twitter.com/GraniteDochttp://www.twitter.com/rfberryhttp://twitter.com/27807159/status/309496767139954688http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/milhealthhttp://twitter.com/24399366/status/309496638282547201http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/309496566757064705http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/88826066/status/309496548771893250http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/aliciabloomhttp://www.twitter.com/GraniteDochttp://twitter.com/121558178/status/309496541905829889http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberry

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Wed Mar 6 18:54:04 PST 2013

oliverdr Lack of truth or acceptance of itRT @milhealth: @rfberry#hpm I just cant wrap mymind around why #hospice is underutilized? #hpm

Wed Mar 6 18:54:31 PST 2013

aliciabloom @milhealth so many reasons: death denying culture, technological imperative of themedical model, clinician fear of discussing EOL care #hpm

Wed Mar 6 18:54:46 PST 2013

KnowYourWishes Ok, folks. I unfortuantely have to go. Great chat tonight. #hpmWed Mar 6 18:55:02 PST 2013

doctatum @rfberry wow. Great topics #hpmWed Mar 6 18:55:41 PST 2013

oliverdr Agree!RT @GraniteDoc: @KnowYourWishes@milhealth@rfberry Also, some MDsgenuinely dont recognize approaching death in non-CA pts. #hpm

Wed Mar 6 18:55:54 PST 2013

rfberry Thanks!! Had great perspectives shared tonight for sure! RT @doctatum: @rfberrywow. Great topics #hpm

Wed Mar 6 18:56:34 PST 2013

GraniteDoc @rfberry Really thought provoking topics, thank you! #hpmWed Mar 6 18:56:44 PST 2013

bdmoses RT @equijada: OH today: "You tell it like it is, I like that" (but before I told it like it is, I

had to listen like it is) #hpmWed Mar 6 18:56:58 PST 2013

oliverdr Great chat-hope to see everyone in NO! #hpmWed Mar 6 18:57:13 PST 2013

Kamiyamay I also teach the nurses and all come in contact....end of life is not a crisis if handledappropriately, family given time, pt comfort #hpm

Wed Mar 6 18:57:32 PST 2013

oliverdrGoing to be thinking more about "truth" and lack of it! #hpm

Wed Mar 6 18:57:32 PST 2013

SarahVarga RT @KnowYourWishes: Fear of admitting end is near, i think RT @milhealth:@rfberry#hpm I just cant wrap my mind around why #hospice ...

Wed Mar 6 18:57:46 PST 2013

doctatum #hpm chat folk. If you are at @AAHPM in NoLa next wed night 5:30-7:00 drop by thesupport the future campaign booth and say hi!
http://www.twitter.com/AAHPMhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://twitter.com/15912454/status/309498076190609410http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/milhealthhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/SarahVargahttp://twitter.com/62575849/status/309498020708364289http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/196778759/status/309498019928236032http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/62575849/status/309497940492292097http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/174797384/status/309497875681906688http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/bdmoseshttp://twitter.com/88826066/status/309497817079087105http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/GraniteDochttp://twitter.com/121558178/status/309497776251756544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/doctatumhttp://www.twitter.com/rfberryhttp://twitter.com/62575849/status/309497609339404288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/milhealthhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/GraniteDochttp://www.twitter.com/oliverdrhttp://twitter.com/33076161/status/309497553597112322http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/doctatumhttp://twitter.com/262368526/status/309497387834019840http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/24399366/status/309497321043927041http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/milhealthhttp://www.twitter.com/aliciabloomhttp://twitter.com/62575849/status/309497261296070657http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/milhealthhttp://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/309497146204356609

7/29/2019 #Hpm - TweetChat - 3/6/13

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Wed Mar 6 18:57:51 PST 2013

Kamiyamay Yes!!!RT @oliverdr: Great chat-hope to see everyone in NO! #hpmWed Mar 6 18:57:57 PST 2013

aliciabloom excellent topics tonight @rfberry! #hpmWed Mar 6 18:58:07 PST 2013

Kamiyamay Lth: walked in to check pt declining...It was perfect, she took three sweet peacefulbreaths, the family were pleased, such an honor! #hpm

Wed Mar 6 18:59:13 PST 2013

rfberry Me Too, Thanks to Elaine Waples brave @TEDMED#greatchallenges story RT@oliverdr Going to be thinking more about "truth" & lack of it! #hpm

Wed Mar 6 18:59:45 PST 2013

Kamiyamay @GraniteDoc True, and lots of new docs in town....been taking peeps 30+yrs soassessment just part of my life...we live, love, learn!!! #hpm

Wed Mar 6 19:00:21 PST 2013

rfberry Thanks so much for joining the chat tonight! Really great discussion, I so appreciatedeveryone sharing their perspective. #hpm

Wed Mar 6 19:00:42 PST 2013

aliciabloom @GraniteDoc@Kamiyamay clinical criteria for hospice el igibili ty give us niceguidelines to identify symptoms of end-stage illness #hpm

Wed Mar 6 19:00:45 PST 2013

bdmoses RT @fischmd: Brilliant! Generalist plus Specialist Palliative Care Creating a MoreSustainable Model NEJM http://t.co/5NSIws5hoP#hpmWed Mar 6 19:01:00 PST 2013

Kamiyamay @rfberry Humble gratitude....truly learn so much and embrace any change that wecan make for the good...looking forward learning AAHPM #hpm

Wed Mar 6 19:01:45 PST 2013

GraniteDoc @aliciabloom@Kamiyamay Yes, just have to get ppl to think of looking at thoseclinical criteria! (so much work to do!) #hpm

Wed Mar 6 19:02:42 PST 2013

aliciabloom @GraniteDoc yes! much education needed. #hpmWed Mar 6 19:03:20 PST 2013

milhealth @aliciabloom@rfberry#hpm were a mil itary family, Ive had 2 have thatconversation w/my son (about his wishes) Thats very hard! #army

Wed Mar 6 19:03:29 PST 2013

Kamiyamay @GraniteDoc yes work but when I look into the eyes of a dear patient who has been
http://www.twitter.com/GraniteDochttp://www.twitter.com/Kamiyamayhttp://twitter.com/27807159/status/309499517454143488http://www.symplur.com/healthcare-hashtags/army/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/milhealthhttp://twitter.com/24399366/status/309499480019963905http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/aliciabloomhttp://twitter.com/88826066/status/309499320040820736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/GraniteDochttp://twitter.com/196778759/status/309499081183592448http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://twitter.com/174797384/status/309498889302581248http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5NSIws5hoPhttp://www.twitter.com/fischmdhttp://www.twitter.com/bdmoseshttp://twitter.com/24399366/status/309498829743484928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/GraniteDochttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/309498817131192321http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309498726991396865http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/309498576772399105http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.symplur.com/healthcare-hashtags/greatchallenges/http://www.twitter.com/TEDMEDhttp://www.twitter.com/rfberryhttp://twitter.com/196778759/status/309498442055548928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/24399366/status/309498165038571520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/309498123150036994http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/Kamiyamayhttp://twitter.com/33076161/status/309498099917795329

7/29/2019 #Hpm - TweetChat - 3/6/13

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through much and connect: all this vol time worth it! #hpm

Wed Mar 6 19:07:35 PST 2013

milhealth @aliciabloom thanks :-) Its important for families 2 talk about the inevitable. My sonhas-bizarre sense of humor about it all too! #hpm

Wed Mar 6 19:08:15 PST 2013

Kamiyamay @milhealth It takes courage, especially when they are young, had to face choiceswhen my son was in an accident #hpm

Wed Mar 6 19:08:45 PST 2013

ssmithaahpm Examined Lives: Truth at the end of life http://t.co/1JITIv7DM1 #hpmWed Mar 6 19:11:32 PST 2013

milhealth @Kamiyamay that is hard when youre not expecting something to happen to ayoung person, like your son. May I ask about your son? #hpm

Wed Mar 6 19:11:45 PST 2013

kpedmondsPalliative Care Success: A Closer Look at San Diego Hospice

http://t.co/KWnNyN2fnp#hpm#hospiceWed Mar 6 19:13:06 PST 2013
http://twitter.com/16745935/status/309501935281651712http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/KWnNyN2fnphttp://www.twitter.com/kpedmondshttp://twitter.com/27807159/status/309501594645430273http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/milhealthhttp://twitter.com/18299645/status/309501542724145152http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/1JITIv7DM1http://www.twitter.com/ssmithaahpmhttp://twitter.com/196778759/status/309500840509571073http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/milhealthhttp://www.twitter.com/Kamiyamayhttp://twitter.com/27807159/status/309500714114220032http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/milhealthhttp://twitter.com/196778759/status/309500545935241216http://www.symplur.com/healthcare-hashtags/hpm/

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