#HPM Tweet Chat 12:1:10

#hpm - Healthcare Social Media Transcript
6/27/12 11:06 AM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Dec 01 18:00:00 PST 2010 Wed Dec 01 19:15:00 PST 2010 change time period
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equijada
@drsnit hey there. thanks for the RT #hpm

Wed Dec 1 18:00:56 PST 2010
ctsinclair
RT @equijada: For the next hour or so, Ill be participating in #hpm tweetchat. Please join. 'Me too Hi everybody!" #hpm
Wed Dec 1 18:01:12 PST 2010
ctsinclair
Hope everyone had a good Thanksgiving. ours was very quiet. #hpm
Wed Dec 1 18:01:52 PST 2010
DONALDHTAYLORJR
For the next hour I will be participating in hospice and palliative medicine #hpm tweetchat; join in or just lurk #hpm
Wed Dec 1 18:01:56 PST 2010
DrSnit
Hey cool cats! Missed you last week! How was your Thanksgiving? PS -it is TOTALLY SNOWING HERE. *shivers* #hpm
Wed Dec 1 18:02:08 PST 2010
ctsinclair
@DONALDHTAYLORJR When do we get to see your face? #hpm

Wed Dec 1 18:02:19 PST 2010
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=12-01-2010&thour=19&tmin=15&ssec=00&tsec=00&img=1
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ctsinclair
@DrSnit It was a free chat last week, only a few people showed up. No worries. #hpm
Wed Dec 1 18:02:45 PST 2010
renee_berry
For the next hour I'll be doing an #hpm tweetchat about #hospice & #palliative #medicine that is Open to all #NoMorePain #cancer #hpm
Wed Dec 1 18:02:52 PST 2010
DONALDHTAYLORJR
when i get better with computers...haha. I will work on it #hpm

Wed Dec 1 18:03:04 PST 2010
equijada
@DONALDHTAYLORJR hi Donald. Good to tweet you #hpm

Wed Dec 1 18:03:26 PST 2010
ctsinclair
@renee_berry Nice new avatar! Maybe we could help @donaldhtaylorjr #hpm

Wed Dec 1 18:03:47 PST 2010
ctsinclair
@DONALDHTAYLORJR The egg makes it look like you are not sure what you are doing and you are a twitter veteran by now #hpm
Wed Dec 1 18:04:10 PST 2010
equijada
@renee_berry Hi Renee, good to see you again #hpm

Wed Dec 1 18:04:12 PST 2010
JoshGriffin
Evening all! #hpm

Wed Dec 1 18:04:28 PST 2010
ctsinclair
@DONALDHTAYLORJR Plus i have no clue what you look like. #hpm

Wed Dec 1 18:04:40 PST 2010
equijada
@ctsinclair @renee_berry here here. re: avatar for @donaldhtaylorjr #hpm

Wed Dec 1 18:05:15 PST 2010
RossJeanette
Hello all, I missed tweechat x 2 wks #Hpm

Wed Dec 1 18:05:17 PST 2010
renee_berry
haha agree Don you are a way more advanced tweeter than the egg :) RT @ctsinclair re Maybe we could help @donaldhtaylorjr w/avatar #hpm
Wed Dec 1 18:05:26 PST 2010
healthgist
http://j.mp/9N4ZkP very quiet. #hpm

Wed Dec 1 18:05:27 PST 2010
@ctsinclair Hope everyone had a good Thanksgiving. ours was
equijada
@joshgriffin Hi Josh #hpm

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Wed Dec 1 18:05:28 PST 2010
renee_berry
@equijada good to see you Earl! #hpm

Wed Dec 1 18:05:40 PST 2010
tymeyer
Hi all. Tweeting from new iMac. You all look much better on this than the netbook I'm usually on...:) #hpm
Wed Dec 1 18:05:41 PST 2010
DONALDHTAYLORJR
@equijada @ctsinclair @renee_berry @donaldhtaylorjr OK OK i will deal with it... #hpm

Wed Dec 1 18:05:45 PST 2010
DrSnit
@RossJeanette me too!!! *slinks away in shame!* you were missed!!! :) #hpm

Wed Dec 1 18:05:58 PST 2010
equijada
@RossJeanette Hi Jeanette and Hi @tymeyer. Sweet imac #fanboy #hpm

Wed Dec 1 18:06:15 PST 2010
equijada
@renee_berry nice avatar! #hpm

Wed Dec 1 18:06:42 PST 2010
ctsinclair
@tymeyer Congrats on the new computer. My desktop (PC) just lost its power supply this week. Gradually moving to the cloud. #hpm
Wed Dec 1 18:06:43 PST 2010
LifeHealthDiary
hello everyone! #hpm

Wed Dec 1 18:06:51 PST 2010
RBK1217
Hi all. New to tweetchat, but RN interested in this topic. #hpm

Wed Dec 1 18:07:02 PST 2010
ctsinclair
@RossJeanette Do you have your homework since you were gone? (kidding) #hpm
Wed Dec 1 18:07:10 PST 2010
otherspoon
9 pm already? Hey there y'all! RT @ctsinclair: Hope everyone had a good Thanksgiving. ours was very quiet. #hpm
Wed Dec 1 18:07:24 PST 2010
renee_berry
@equijada thanks, was in a wedding a month ago, couldn't help but pull some of the pro pics #hpm
Wed Dec 1 18:07:29 PST 2010
DrSnit
@LifeHealthDiary hello!!! :) #hpm

Wed Dec 1 18:07:34 PST 2010
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hollyby
@RBK1217 Hi there! Welcome! #hpm

Wed Dec 1 18:07:39 PST 2010
equijada
@LifeHealthDiary Hi and welcome and hi @rbk1217 - welcome #hpm

Wed Dec 1 18:07:41 PST 2010
ctsinclair
@RBK1217 Welcome. We need more nursing input for sure! Would love to see more nurses here. Check out #RNchat too #hpm
Wed Dec 1 18:07:49 PST 2010
renee_berry
#awesome #WELCOME ! RT @RBK1217: Hi all. New to tweetchat, but RN interested in this topic. #hpm
Wed Dec 1 18:07:55 PST 2010
ability4life
Kathy Kastner putting final touches on presntation to fam docs on Advance Directives. Wanns see my post abt #hpm http://tinyurl.com/26k4kpm
Wed Dec 1 18:08:00 PST 2010
equijada
@otherspoon hi and welcome #hpm

Wed Dec 1 18:08:02 PST 2010
DrSnit
@RBK1217 hi!! good to see you here. :) I KNOW YOUR AVI! #hpm
Wed Dec 1 18:08:08 PST 2010
rebeccacaroe
good day glad to be back with you #hpm folks after a short break
Wed Dec 1 18:08:14 PST 2010
equijada
warming up my fingers for t1 - i'm cold. #hpm

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

Wed Dec 1 18:08:33 PST 2010
equijada
@rebeccacaroe hi rebecca #hpm

Wed Dec 1 18:08:43 PST 2010
ability4life
Hi bck at you! RT @equijada: @ability4life hi kathy. good to see you again #hpm
Wed Dec 1 18:09:14 PST 2010
equijada
t1: End of life & holidays: how does that change how you treat your patients/families #hpm
Wed Dec 1 18:09:33 PST 2010
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ctsinclair
Intorduction for newbies: Christian Sinclair, #palliative doc @KChospice, newly made editor of @Pallimed. TweetsAreMyOwn #TAMO #hpm
Wed Dec 1 18:09:39 PST 2010
equijada
oh yeah, intros. I'm Earl. #hpm doc vna and hospice of so cal. tweets/opinions are my own #hpm
Wed Dec 1 18:10:25 PST 2010
rebeccacaroe
@equijada hey great to be back - you're hosting! no wife today then? #hpm
Wed Dec 1 18:10:40 PST 2010
DONALDHTAYLORJR
I am an assoc prof of public policy at Duke; interested in health policy generally and hospice and palliative medicine #hpm
Wed Dec 1 18:10:54 PST 2010
hollyby
Holly Yang here. #hospice and #palliative medicine doc for @SanDiegoHospice, but all tweets are my own. #hpm
Wed Dec 1 18:11:18 PST 2010
equijada
@rebeccacaroe wife is with the kids. #hpm

Wed Dec 1 18:11:19 PST 2010
DONALDHTAYLORJR
RT @equijada: t1: End of life & holidays: how does that change how you treat your patients/families #hpm
Wed Dec 1 18:11:22 PST 2010
ability4life
Now I can say: Hi Earl!! RT @equijada: @ability4life hi kathy. good to see you again #hpm
Wed Dec 1 18:11:32 PST 2010
RossJeanette
Jeanette Ross HPM doc, assoc director HPM fellowship san Antonio Tx #Hpm
Wed Dec 1 18:11:40 PST 2010
equijada
RT @DONALDHTAYLORJR: RT @equijada: t1: End of life & holidays: how does that change how you treat your patients/families #hpm
Wed Dec 1 18:11:41 PST 2010
renee_berry
--> advocate for advance care planning & early palliative care, think #socialmedia is an awesome tool to amplify voice of #hpm
Wed Dec 1 18:11:42 PST 2010
joshgriffin
I'm Josh, a Pastor and Chaplain. Also work with Student Nurses and Med Students on Therapeutic Communication. #hpm
Wed Dec 1 18:12:14 PST 2010
renee_berry
RT @equijada: T1: End of life & holidays: how does that change how you treat your patients/families #eolc #hpm
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Wed Dec 1 18:12:32 PST 2010
Tymeyer
Ty : HPM doc in Victoria, Tx #hpm

Wed Dec 1 18:12:45 PST 2010
otherspoon
Hi, I'm Ann, I write about religion and EOL, hospice volunteer, blogger at otherspoon, editor of a religion pub at NYU #hpm
Wed Dec 1 18:12:57 PST 2010
ctsinclair
RT @equijada: t1: End of life & holidays: how does that change how you treat your patients/families #hpm
Wed Dec 1 18:13:09 PST 2010
equijada
Of the visits I've done since Thanksgiving, families really haven't mentioned holidays. 1 house decorated. #hpm
Wed Dec 1 18:13:09 PST 2010
rebeccacaroe
For the next hour I will be participating in hospice and palliative medicine #hpm tweetchat; join in or just lurk
Wed Dec 1 18:13:10 PST 2010
mdTalk
t1: End of life & holidays: how does that change how you treat your patients/families #hpm http://bit.ly/h3DVXj
Wed Dec 1 18:13:42 PST 2010
RossJeanette
T1 I wish I could prevent people from dying on a holiday. So sad x died on ... Holiday #Hpm
Wed Dec 1 18:14:26 PST 2010
renee_berry
heightened sensitivity about patient & family anxiety about it being the last Thanksgiving together #hpm
Wed Dec 1 18:14:48 PST 2010
ctsinclair
A great read by blogger/adovcate for widows @supadupafresh Fresh Widow: To Engage... or Not? http://bit.ly/fGEd2D #ewg #holidays #hpm
Wed Dec 1 18:14:58 PST 2010
DrRobie
Family doc in wv #hpm

Wed Dec 1 18:15:03 PST 2010
hollyby
T1: It is an esp sensitive time for pts and families so little things help. In our inpt. #hospice there are special holiday meals. #hpm
Wed Dec 1 18:15:08 PST 2010
LifeHealthDiary
Hi I work for LifetimeHealthDiary online co-morbidity medication management & personal health record sharing http://is.gd/i4yhn #hpm
Wed Dec 1 18:15:14 PST 2010
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6/27/12 11:06 AM
equijada
@renee_berry @rossjeanette do you encourage patients to go "all out"? #hpm

Wed Dec 1 18:16:13 PST 2010
DrRobie
RT @renee_berry: RT @equijada: T1: End of life & holidays: how does that change how you treat your patients/families #eolc #hpm
Wed Dec 1 18:16:16 PST 2010
revdoc
Pam Harris in KC here #hpm

Wed Dec 1 18:16:22 PST 2010
ctsinclair
I was surprised this year about how Thanksgiving didn't seem to be a big deal in family discussions. Many were practical abt it. #hpm
Wed Dec 1 18:16:25 PST 2010
RBK1217
T1: I've gone to pt's houses to help decorate - they just didn't have the strength to do it but felt it would help #hpm
Wed Dec 1 18:16:31 PST 2010
ctsinclair
RT @hollyby: T1: so little things help. In our inpt. #hospice there are special holiday meals. "We did the same. Very aprpeciated" #hpm
Wed Dec 1 18:17:00 PST 2010
hollyby
T1: Its also a good time to be able to have family meetings, because more family is in town. Helps even out understanding. #hpm
Wed Dec 1 18:17:16 PST 2010
revdoc
I send a holiday card to newly bereaved families-usually well received but had one very angry widow this year! #hpm
Wed Dec 1 18:17:25 PST 2010
equijada
One year a nurse bought a tree and decorated the house for a patient. I had total mixed feelings about that #hpm
Wed Dec 1 18:17:31 PST 2010
ctsinclair
T1: I am much more sensitive about communicating a prognosis around the holidays. Trying to think ahead where my prognosis might land. #hpm
Wed Dec 1 18:17:35 PST 2010
RossJeanette
T1 I think The VA has some alcoholic beer like we can "prescribe" on holidays for pt that want it in the inpatient unit #Hpm
Wed Dec 1 18:17:36 PST 2010
otherspoon
RT @hollyby: T1: Also a good time to be able to have family meetings, because more family is in town. Helps even out understanding. #hpm
Wed Dec 1 18:17:43 PST 2010
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LifeHealthDiary
RT @RBK1217: T1: I've gone to pt's houses to help decorate - they just didn't have the strength to do it but felt it would help #hpm
Wed Dec 1 18:17:59 PST 2010
visitingnurse
RT @hollyby: T1: Its also a good time to be able to have family meetings, because more family is in town... #hpm
Wed Dec 1 18:18:00 PST 2010
ctsinclair
@hollyby But sometimes all the family in town, or family 'having' to leave causes some headaches. #hpm
Wed Dec 1 18:18:04 PST 2010
ctsinclair
RT @RBK1217: T1: Ive gone to pts houses to help decorate - they just didnt have the strength to do it but felt it would help "nice!" #hpm
Wed Dec 1 18:18:32 PST 2010
hollyby
T1: Our nurses also do a lot more education for family members who come into town and sometimes help the primary caregiver. #hpm
Wed Dec 1 18:18:46 PST 2010
rebeccacaroe
@revdoc Interesing. What's your advice dealing with "angry widow"? #hpm
Wed Dec 1 18:18:48 PST 2010
DONALDHTAYLORJR
RT @hollyby: T1: Its also a good time to be able to have family meetings, because more family is in town Helps even out understanding #hpm
Wed Dec 1 18:18:51 PST 2010
RBK1217
@equijada I agree. I've helped, but it's been because that's what the pt/family wanted. I try to be where they need me 2 b. #hpm
Wed Dec 1 18:18:58 PST 2010
renee_berry
@equijada as a non-clinician its different for me, I think it's just about listening to where people are & what they want, that its ok #hpm
Wed Dec 1 18:19:04 PST 2010
hollyby
No doubt. RT @ctsinclair: @hollyby But sometimes all the family in town, or family having to leave causes some headaches. #hpm
Wed Dec 1 18:19:05 PST 2010
LifeHealthDiary
RT @ctsinclair: T1: I am more sensitive communicating a prognosis around the holidays. Trying to think ahead where it might land. #hpm
Wed Dec 1 18:19:21 PST 2010
revdoc
@rebeccacaroe Let it alone-she was not going to be happy. #hpm

Wed Dec 1 18:19:30 PST 2010
equijada
@RBK1217 my nurse showed up, kind of like a surprise. Good intentions. I think it
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6/27/12 11:06 AM
was helpful. #hpm

Wed Dec 1 18:19:41 PST 2010
DrSnit
@equijada please tell me why you had mixed feelings. I have heard of pharmacists driving ppl to/fro apts. I am interested in feelings! #hpm
Wed Dec 1 18:19:49 PST 2010
JoshGriffin
T1: I find that I am doing more of the answering of why God would do X at this time of year, especially from family members reflecting #hpm
Wed Dec 1 18:19:57 PST 2010
equijada
RT @renee_berry: @equijada as a non-clinician its different for me, I think it's just about listening to where people are & what they want, that its ok #hpm
Wed Dec 1 18:20:26 PST 2010
ctsinclair
RT @RossJeanette: T1 Think VA has some beer to "prescribe" on holidays for pt 'not just for the holidays!' #hpm
Wed Dec 1 18:20:29 PST 2010
rebeccacaroe
@DrSnit @Angie_stl yes you don't have to have pink hair to lurk at #hpm
Wed Dec 1 18:20:35 PST 2010
ctsinclair
Think we just had a Twitter hiccup #hpm

Wed Dec 1 18:20:42 PST 2010
hollyby
Sometimes they need to celebrate early. RT @ctsinclair: T1: ... more sensitive about communicating a prognosis around the holidays. #hpm
Wed Dec 1 18:20:50 PST 2010
renee_berry
@equijada ok to go/not go, ok to be tired, ok to grieve this may be their last holiday, ok to be present any way that feels ok to them #hpm
Wed Dec 1 18:20:55 PST 2010
DrSnit
@JoshGriffin I find more docs/nurses/hc workers questioning god(s) this time of year as well. #hpm
Wed Dec 1 18:21:06 PST 2010
Tymeyer
Good Point RT @ctsinclair: T1: ..more sensitive about comm a prognosis around the holidays (and where it) might land. #hpm
Wed Dec 1 18:21:12 PST 2010
ctsinclair
RT @renee_berry: as a non-clinician its different for me, I think its about listening to where people are & what they want, that its ok #hpm
Wed Dec 1 18:21:18 PST 2010
ctsinclair
Welcome @revdoc (guess #DWTS is off we'll see more of you) And where is @dwensel? #hpm
Wed Dec 1 18:22:05 PST 2010
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rebeccacaroe
@revdoc understood. When I want to be angry / unhappy let me stew and "enjoy"it #hpm
Wed Dec 1 18:22:07 PST 2010
renee_berry
RT @hollyby T1: Its also a good time to be able to have family meetings, because more family is in town Helps even out understanding #hpm
Wed Dec 1 18:22:12 PST 2010
equijada
Do you think the holidays can catalyze more hope for patients? #hpm
Wed Dec 1 18:22:18 PST 2010
joshgriffin
@DrSnit It's common there as well since it's so much in the public square right now. Many prominent religions have holidays around now #hpm
Wed Dec 1 18:22:32 PST 2010
ctsinclair
RT @DrSnit: @JoshGriffin I find more docs/nurses/hc workers questioning god(s) this time of year as well. "Reason? Why now?" #hpm
Wed Dec 1 18:22:33 PST 2010
RBK1217
@ctsinclair @renee_berry I agree. Communication is important. Sometimes we're more sensitive to it being a holiday than the family. #hpm
Wed Dec 1 18:22:33 PST 2010
otherspoon
faith always comes up around holidays, already a great issue for EOL patients & families #hpm
Wed Dec 1 18:22:41 PST 2010
DONALDHTAYLORJR
my wife is peds heme/onc nurse. she says it is harder for her at holidays to watch/care for pts who die; esp after we had kids #hpm
Wed Dec 1 18:22:49 PST 2010
revdoc
@rebeccacaroe Bereavement did contact her to talk it over, but I didn't think hearing from me again was going to help #hpm
Wed Dec 1 18:22:55 PST 2010
ctsinclair
RT @equijada: Do you think the holidays can catalyze more hope for patients? "Can, but be cautious. Holidays are milestones for many." #hpm
Wed Dec 1 18:23:04 PST 2010
equijada
@RBK1217 @ctsinclair @renee_berry I think this is very true re: we are more sensitive about holiday than pt #hpm
Wed Dec 1 18:23:14 PST 2010
renee_berry
RT @RBK1217 I agree. Communication is important. Sometimes were more sensitive to it being a holiday than the family. #hpm
Wed Dec 1 18:23:17 PST 2010
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=12-01-2010&thour=19&tmin=15&ssec=00&tsec=00&img=1
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dwensel
@ctsinclair @revdoc @dwensel I am here just lurking for now enjoying all the comments #hpm
Wed Dec 1 18:23:35 PST 2010
ctsinclair
@DONALDHTAYLORJR It must be hard for families/survivors to be hit in the face with the good cheer of the holidays #hpm
Wed Dec 1 18:23:46 PST 2010
renee_berry
RT @DONALDHTAYLORJR: my wife is peds heme/onc nurse. she says it is harder for her at holidays to watch/care for pts who die; esp after we had kids #hpm
Wed Dec 1 18:23:46 PST 2010
equijada
RT @ctsinclair: RT @equijada: Do you think the holidays can catalyze more hope for patients? "Can, but be cautious. Holidays are milestones for many." #hpm
Wed Dec 1 18:23:47 PST 2010
hollyby
T1: It is really hard on the bereaved. Remembrace celebrations this time of the year or special grief groups are important. #hpm
Wed Dec 1 18:24:26 PST 2010
revdoc
@dwensel Hey, how are you?! #hpm

Wed Dec 1 18:24:35 PST 2010
equijada
I think when the holidays are 2 - 3 months away, it seems like a goal. During the holidays, it seems neutral #hpm
Wed Dec 1 18:24:36 PST 2010
ctsinclair
@dwensel Glad to see you are here. (everyone welcome David Wensel now tweeting from Kansas not Iowa) (he is a palliative doc) #hpm
Wed Dec 1 18:24:50 PST 2010
RBK1217
I was surprised last yr-sweet couple, both dying, decked out the house, very comfortable with it. Solid in their faith. Me-feeling sad. #hpm
Wed Dec 1 18:24:59 PST 2010
equijada
@hollyby my first thanksgiving and Christmas after my niece died sucked. #hpm
Wed Dec 1 18:25:08 PST 2010
JoshGriffin
End of year holidays especially since we tend to reflect as Dec. 31 comes closer rather than look forward like at midnight into Jan. 1 #hpm
Wed Dec 1 18:25:09 PST 2010
rebeccacaroe
@Angie_stl Future discussion topic for @ctsinclair "Confessions of #hpm team" who used to have pink hair!
Wed Dec 1 18:25:40 PST 2010
Tymeyer
Yes RT @hollyby: T1: It is really hard on the bereaved. Remembrace celebrations
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this time of the year or special grief groups imprtant #hpm

Wed Dec 1 18:25:46 PST 2010
LifeHealthDiary
RT @equijada: I think when the holidays are 2 - 3 months away, it seems like a goal. During the holidays, it seems neutral #hpm
Wed Dec 1 18:26:05 PST 2010
renee_berry
@DONALDHTAYLORJR I can relate from when I worked in ED became much more sensitive to parent grief when I became a parent #hpm
Wed Dec 1 18:26:38 PST 2010
revdoc
I can't change the fact that you are dying, but I try to bust my @$$ to make sure every day is as good as I can make it, holiday or not #hpm
Wed Dec 1 18:26:49 PST 2010
ctsinclair
RT @hollyby: T1: really hard on the bereaved. Remembrace celebrations this time of the year or special grief groups are important. #hpm
Wed Dec 1 18:26:57 PST 2010
equijada
At the risk of being politically incorrect, I'm taking advent seriously this year (1st time) and trying to bring that spirit to my work #hpm
Wed Dec 1 18:26:57 PST 2010
RBK1217
T1: Hard 2 if it's the 1st holiday after big loss. Especially if it was the lost one's favorite holiday. #hpm
Wed Dec 1 18:27:04 PST 2010
ctsinclair
RT @rebeccacaroe: @revdoc understood. When I want to be angry / unhappy let me stew and "enjoy"it #hpm
Wed Dec 1 18:27:27 PST 2010
equijada
moving on to t2 in a few #hpm

Wed Dec 1 18:27:31 PST 2010
renee_berry
RT @hollyby T1 Its really hard on the bereaved. Remembrance celebrations this time of the year or special grief groups are important #hpm
Wed Dec 1 18:27:45 PST 2010
hollyby
@equijada My grandpa died around Christmas, I decorated his room with a tinytree. Three years, and it is still really hard on my mom #hpm
Wed Dec 1 18:28:03 PST 2010
ctsinclair
@equijada You mean advent is not about chocolate? #hpm

Wed Dec 1 18:28:07 PST 2010
Tymeyer
T1: I had talk with pt yest. who is using holidays as goal. Try to keep other goals in mind, too (short term, in case) #hpm
Wed Dec 1 18:28:22 PST 2010
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ctsinclair
RT @RBK1217: T1: Hard 2 if 1st holiday after big loss. Especially if it was the lost ones favorite holiday. "Could be Halloween" #hpm
Wed Dec 1 18:28:39 PST 2010
visitingnurse
RT @tymeyer: T1: It is really hard on the bereaved. Remembrace celebrations this time of the year or special grief groups imprtant #hpm
Wed Dec 1 18:28:39 PST 2010
DrRobie
RT @revdoc: I can't change the fact that you are dying, but I try to bust my @$$ to make sure every day is as good as I can make it, holiday or not #hpm
Wed Dec 1 18:28:43 PST 2010
ctsinclair
RT @tymeyer: T1: I had talk with pt yest. who is using holidays as goal. Try to keep other goals in mind, too (short term, in case) #hpm
Wed Dec 1 18:29:03 PST 2010
dwensel
@RBK1217 it does matter how recent the loss has been as the years go by holidays can become a way of celebrating lost loved ones #hpm
Wed Dec 1 18:29:13 PST 2010
DONALDHTAYLORJR
@ctsinclair @equijada our dalmatian ate 3 advent calendars worth of chocolate last year and was very ill..... #hpm
Wed Dec 1 18:29:16 PST 2010
ctsinclair
RT @revdoc: I cant change the fact you are dying, but I bust my @$$ to make sure every day is as good as I can make it, holiday or not #hpm
Wed Dec 1 18:29:35 PST 2010
DrSnit
@equijada It is IMPORTANT to share this. It is our VALUES /religion that makes us WHOLE/healed (as long as we don't shove it on others) #hpm
Wed Dec 1 18:29:43 PST 2010
ability4life
RT @DrSnit: @equijada It is IMPORTANT to share this. It is our VALUES /religion that makes us WHOLE/healed (as long as we don't shove it on others) #hpm
Wed Dec 1 18:29:56 PST 2010
hollyby
@DONALDHTAYLORJR Time to buy the ones without chocolate? ;) #hpm

Wed Dec 1 18:30:12 PST 2010
Tymeyer
Great RT: I cant change the fact that you are dying, but I try to bust my @$$ to make sure every day is as good as I can, holiday or no #hpm
Wed Dec 1 18:30:23 PST 2010
DrSnit
@ctsinclair @equijada You mean advent is not about chocolate? ->*hoovers all the advent chocolate* #hpm
Wed Dec 1 18:30:31 PST 2010
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dwensel
@ctsinclair @tymeyer it is amazing how patients can wait to die after a major holiday #hpm
Wed Dec 1 18:30:38 PST 2010
joegormally
RT @ctsinclair: RT @revdoc: I cant change the fact you are dying, but I bust my @$$ to make sure every day is as good as I can make it, holiday or not #hpm
Wed Dec 1 18:30:39 PST 2010
ctsinclair
@dwensel @RBK1217 Thoughtful SW and Chaplains often can help find way to integrate deceased into holiday ritual/memorials #hpm
Wed Dec 1 18:30:45 PST 2010
ctsinclair
@tymeyer Yeah, I just Favorited that tweet by @revdoc #hpm

Wed Dec 1 18:31:13 PST 2010
RBK1217
@dwensel Yes, it surely can. #hpm

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

Wed Dec 1 18:31:49 PST 2010
ctsinclair
RT @dwensel: amazing how patients can wait to die after a major holiday. "good pt. After reaching your goal/holiday...now what!?" #hpm
Wed Dec 1 18:31:51 PST 2010
ctsinclair
@equijada Twitter is a little wonky tonight. #hpm

Wed Dec 1 18:32:16 PST 2010
equijada
I've got a bad connection #hpm

Wed Dec 1 18:32:40 PST 2010
revdoc
@ctsinclair Aw, thanks, buddy! #hpm

Wed Dec 1 18:32:48 PST 2010
hollyby
Do you actually see higher numbers of patients die after the holidays or is that just hospice lore? I know we all have stories... #hpm
Wed Dec 1 18:32:50 PST 2010
equijada
RT @ctsinclair: RT @revdoc: I cant change the fact you are dying, but I bust my @$$ to make sure every day is as good as I can make it, holiday or not #hpm
Wed Dec 1 18:33:04 PST 2010
Tymeyer
@equijada Twitter burping everywhere per @ctsinclair #hpm

Wed Dec 1 18:33:07 PST 2010
Page 14 of 29
6/27/12 11:06 AM
DrSnit
@equijada *stabs twitter in the eye* #hpm

Wed Dec 1 18:33:07 PST 2010
dwensel
@hollyby it would be a great study #hpm

Wed Dec 1 18:33:20 PST 2010
hollyby
... but do our stories match with reality? #hpm

Wed Dec 1 18:33:23 PST 2010
equijada
RT @DrSnit: @equijada It is IMPORTANT to share this. It is our VALUES /religion that makes us WHOLE/healed (as long as we don't shove it on others) #hpm
Wed Dec 1 18:33:23 PST 2010
Tymeyer
RT @hollyby: Do you actually see higher numbers of patients die after the holidays "Would be interested in those numbers" #hpm
Wed Dec 1 18:33:53 PST 2010
LifeHealthDiary
@equijada Twitter not down here in NZ #hpm

Wed Dec 1 18:34:01 PST 2010
revdoc
@ctsinclair will tell you it is observer bias #hpm

Wed Dec 1 18:34:13 PST 2010
DONALDHTAYLORJR
@dwensel @hollyby easy to do such a study with Medicare claims and decedents who were enrolled in the hospice benefit #hpm
Wed Dec 1 18:34:21 PST 2010
LifeHealthDiary
RT @hollyby: Do you actually see higher numbers of patients die after the holidays or is that just hospice lore? .. #hpm
Wed Dec 1 18:34:26 PST 2010
hollyby
Let's go to NZ! RT @LifeHealthDiary: @equijada Twitter not down here in NZ #hpm

Wed Dec 1 18:34:55 PST 2010
ctsinclair
One of my most interesting favorite articles From @JAMA -- Holidays, Birthdays, and Postponement of Cancer Death. http://bit.ly/hbvKMK #hpm
Wed Dec 1 18:34:57 PST 2010
equijada
t2: pc and hospice: matching goals and treatments. What do you do when pt don't like treatment that are matching goal? #hpm
Wed Dec 1 18:35:03 PST 2010
equijada
RT @ctsinclair: One of my most interesting favorite articles From @JAMA -Holidays, Birthdays, and Postponement of Cancer Death. http://bit.ly/hbvKMK #hpm
Wed Dec 1 18:35:11 PST 2010
Page 15 of 29
6/27/12 11:06 AM
Angie_stl
My grandma was sick for years, she passed away when my mom (caretaker) left for a few days. Almost like didn't want to put it on mom. #hpm
Wed Dec 1 18:35:16 PST 2010
ctsinclair
RT @revdoc: @ctsinclair will tell you it is observer bias "You know me well." #hpm
Wed Dec 1 18:35:23 PST 2010
DrSnit
@hollyby we could probably do a large scale study just by using census data from last decade. love, geek snit (who is also interested) #hpm
Wed Dec 1 18:35:35 PST 2010
DONALDHTAYLORJR
RT @ctsinclair: One of my favorite articles From @JAMA -- Holidays, Birthdays, and Postponement of Cancer Death. http://bit.ly/hbvKMK #hpm
Wed Dec 1 18:35:38 PST 2010
LifeHealthDiary
I think @hollyby You're all very welcome in NZ .. it's summer here too #hpm
Wed Dec 1 18:35:58 PST 2010
ctsinclair
JAMA article is FREE PDF!! Hooray for #openaccess #OA Holidays, Birthdays, and Postponement of Cancer Death. http://bit.ly/hbvKMK #hpm
Wed Dec 1 18:36:07 PST 2010
Tymeyer
RT @equijada: t2: pc and hospice: matching goals and treatments. What do you do when pt dont like treatment that are matching goal? #hpm
Wed Dec 1 18:36:18 PST 2010
revdoc
@ctsinclair Yes, it is sad that you don't have room for magic and mystery in your scientific little heart (said lovingly) :) #hpm
Wed Dec 1 18:36:22 PST 2010
hollyby
@ctsinclair I thought you might have an article! #hpm

Wed Dec 1 18:36:25 PST 2010
ctsinclair
Wed Dec 1 18:36:28 PST 2010
equijada
RT @ctsinclair: RT @revdoc: @ctsinclair will tell you it is observer bias "You know me well." ha #hpm
Wed Dec 1 18:36:34 PST 2010
equijada
RT @revdoc: Yes, it is sad that you dont have room for magic and mystery in your scientific little heart (said lovingly) :) double ha! #hpm
Wed Dec 1 18:37:03 PST 2010
ctsinclair
@revdoc I loooove mystery, but I am 'in love' with finding answers. ;-) #hpm
Wed Dec 1 18:37:08 PST 2010
Page 16 of 29
6/27/12 11:06 AM
otherspoon
RT @ctsinclair: RT @dwensel: amazing how patients can wait to die after a major holiday. After reaching your goal/holiday...now what!? #hpm
Wed Dec 1 18:37:49 PST 2010
dwensel
@ctsinclair @equijada is it time to revisit goals agian maybe the treatments are not meeting the goals any longer #hpm
Wed Dec 1 18:37:53 PST 2010
revdoc
@ctsinclair I really did laugh out loud at that one--Tom now thinks I'm possessed! #hpm
Wed Dec 1 18:37:56 PST 2010
ctsinclair
@equijada can you elaborate on t2? quick example? #hpm

Wed Dec 1 18:37:59 PST 2010
LifeHealthDiary
Wed Dec 1 18:38:18 PST 2010
ctsinclair
RT @revdoc: @ctsinclair I really did laugh out loud at that one--Tom now thinks Im possessed! "Twitter can make you laugh!" #hpm
Wed Dec 1 18:38:35 PST 2010
otherspoon
EOL and holidays RT @hollyby: @ctsinclair I thought you might have an article! #hpm
Wed Dec 1 18:38:59 PST 2010
ctsinclair
When treatment and goals dont match it is time for compromise of one or the other. As long as discussion of tx and goals is informed. #hpm
Wed Dec 1 18:39:16 PST 2010
renee_berry
? @equijada T2 #palliative & hospice how do you manage matching goals & treatments #hpm
Wed Dec 1 18:39:20 PST 2010
equijada
@ctsinclair goals are to extend life at home as comfortable as possible. Prog months, pt/family still want to take statin, etc... #hpm
Wed Dec 1 18:39:22 PST 2010
ctsinclair
I find when treatment and goals dont match, more information and discussion is important to add to the equation #hpm
Wed Dec 1 18:39:53 PST 2010
revdoc
T2: give pt choice between matching path elements (eg you can have X and Y together or A and B together, but not A and Y) #hpm
Wed Dec 1 18:40:18 PST 2010
Page 17 of 29
6/27/12 11:06 AM
otherspoon
RT @ctsinclair: JAMA article is FREE PDF!! Hooray Holidays, Birthdays, and Postponement of Cancer Death. http://bit.ly/hbvKMK #hpm
Wed Dec 1 18:40:32 PST 2010
equijada
@ctsinclair i'm wondering about treating other illness from cholesterol/infection spring boarding to addictions #hpm
Wed Dec 1 18:40:39 PST 2010
ctsinclair
T2 Statins for patient with prognosis of months may be important for psychological effect/adapting to new goals. #hpm
Wed Dec 1 18:40:55 PST 2010
dockj
RT @revdoc: T2: give pt choice between matching path elements (eg you can have X and Y together or A and B together, but not A and Y) #hpm
Wed Dec 1 18:41:08 PST 2010
ctsinclair
RT @revdoc: T2: give pt choice between matching path elements (eg you can have X and Y together or A and B together, but not A and Y) #hpm
Wed Dec 1 18:41:17 PST 2010
HattieCastroi89
RT T2: give pt choice between matching path elements (eg you can have X and Y together or A and B together, but not A and Y) #hpm
Wed Dec 1 18:41:22 PST 2010
DrSnit
@ctsinclair Is AMAZING to me the difference of $/tx. Some pts are willing to prolong life by a few years & remortgage house. Others not #hpm
Wed Dec 1 18:41:36 PST 2010
equijada
@ctsinclair sometimes pt can have A and Y? #hpm

Wed Dec 1 18:42:01 PST 2010
hollyby
@equijada Do you mean if the tx the doc offers 2 fit the pt's goal is refused by the pt? or stopping tx not consistent w/ goal? Either? #hpm
Wed Dec 1 18:42:22 PST 2010
revdoc
Realize pt choices may not all be optimum but limit "battles" to most important points (take your statin if you want to swallow it) #hpm
Wed Dec 1 18:42:28 PST 2010
ctsinclair
Important to recognize the psych effect of treaments that don't match goal. LT diabetic taking insulin may be impt as ritual > med tx #hpm
Wed Dec 1 18:42:46 PST 2010
revdoc
@equijada I'm thinking about big ticket items for the plan: rehospitalization, procedures rather than "elective" meds #hpm
Wed Dec 1 18:43:05 PST 2010
Page 18 of 29
6/27/12 11:06 AM
equijada
@ctsinclair is that observational bias? re: statins and adjusting to new goals #hpm
Wed Dec 1 18:43:10 PST 2010
hollyby
Agreed RT @ctsinclair: T2 Statins for patient with prognosis of months may be important for psychological effect/adapting to new goals. #hpm
Wed Dec 1 18:43:12 PST 2010
renee_berry
RT @ctsinclair: I find when treatment and goals dont match, more information and discussion is important to add to the equation #hpm
Wed Dec 1 18:43:13 PST 2010
ctsinclair
RT @revdoc: Realize pt choices may not all be optimum but limit "battles" to most impt points (take your statin if you want to) #hpm
Wed Dec 1 18:43:13 PST 2010
equijada
@hollyby mostly stopping rx #hpm

Wed Dec 1 18:43:31 PST 2010
LifeHealthDiary
RT @ctsinclair: Important to recognize the psych effect of treaments that don't match goal. LT diabetic taking insulin impt ritual #hpm
Wed Dec 1 18:43:45 PST 2010
renee_berry
RT @ctsinclair: T2 Statins for patient with prognosis of months may be important for psychological effect/adapting to new goals #hpm
Wed Dec 1 18:43:46 PST 2010
ctsinclair
RT @DrSnit: AMAZING to me the difference of $/tx. Some pts are willing to prolong life by a few yrs & remortgage house. Others not #hpm
Wed Dec 1 18:43:55 PST 2010
equijada
@revdoc for the "big ticket" items, it's usually not a big problem. people like thyroid meds and vitamins. #hpm
Wed Dec 1 18:44:12 PST 2010
equijada
@ctsinclair @DrSnit totally agree. #hpm

Wed Dec 1 18:44:27 PST 2010
otherspoon
RT@ctsinclair Imprtnt to recognize psych effect of treaments that don't match goal. LT diabetic taking insulin may be impt as ritual #hpm
Wed Dec 1 18:44:42 PST 2010
renee_berry
T2 listen listen listen communication communication #hpm

Wed Dec 1 18:44:54 PST 2010
ctsinclair
@DrSnit But bringing up direct/indirect patient cost is taboo in medicine. The feds actually passed a law making oncologists discuss. #hpm
Page 19 of 29
6/27/12 11:06 AM
Wed Dec 1 18:44:54 PST 2010
equijada
maybe for another chat, but how do you treating addictions in EOL? #hpm
Wed Dec 1 18:45:03 PST 2010
ctsinclair
@equijada Possibly observational bias #hpm

Wed Dec 1 18:45:14 PST 2010
equijada
RT @renee_berry: T2 listen listen listen communication communication #hpm

Wed Dec 1 18:45:21 PST 2010
dwensel
@equijada @ctsinclair @DrSnit what about all the things their taking that they will not tell us about #hpm
Wed Dec 1 18:45:35 PST 2010
ctsinclair
RT @equijada: maybe for another chat, but how do you treating addictions in EOL? "good for another chat/topic" #hpm
Wed Dec 1 18:45:36 PST 2010
DONALDHTAYLORJR
@ctsinclair FYI A Abernethy @Duke and J Kuttner @Denver have a statindiscontinuation RTC for pts with life exp 1-6 months #hpm
Wed Dec 1 18:45:38 PST 2010
joshgriffin
@DrSnit We have the same problem in Canada re $/tx and it does impact people's decisions. Can also set up for disappointment re tx opt. #hpm
Wed Dec 1 18:45:56 PST 2010
rebeccacaroe
@equijada Would be v interested in eol treating addictions = happend to my Grandmother #hpm

Wed Dec 1 18:46:09 PST 2010
revdoc
For "unnecessary" things that don't "harm" the pt, I give liberty in decisions--vits and thyroid meds aren't worth heartburn #hpm
Wed Dec 1 18:46:12 PST 2010
dockj
RT @DONALDHTAYLORJR: @ctsinclair FYI A Abernethy @Duke and J Kuttner @Denver have a statin-discontinuation RTC for pts with life exp 1-6 months #hpm
Wed Dec 1 18:46:22 PST 2010
LifeHealthDiary
RT @DONALDHTAYLORJR: FYI A Abernethy @Duke and J Kuttner @Denver have a statin-discontinuation RTC for pts with life exp 1-6 months #hpm
Wed Dec 1 18:46:43 PST 2010
equijada
addictions and eol is important. i actually thinking treating improves QOL unlike cholesterol, thyroid etc.. #hpm
Wed Dec 1 18:46:55 PST 2010
Page 20 of 29
6/27/12 11:06 AM
DrSnit
@ctsinclair This is so complex. Most pts are already aware of their "indirect costs" & KNOW when they are about to get NO/ worse care #hpm
Wed Dec 1 18:47:09 PST 2010
ctsinclair
@DONALDHTAYLORJR Yup, I am hoping to work with them on getting their research plugged into social media, put in a good word for me! #hpm
Wed Dec 1 18:47:09 PST 2010
RossJeanette
T2 If a treatment is so discordant with care then it shouldn't be offered as an option. I agree statin, vit not worth fighting #Hpm
Wed Dec 1 18:47:28 PST 2010
equijada
@rebeccacaroe tell me about it #hpm

Wed Dec 1 18:47:34 PST 2010
GailZahtz
Hi. Not lurking. Just got here at the tail-end. Will read to catch up. #hpm
Wed Dec 1 18:48:04 PST 2010
dockj
Well my twitter is ornery here. Lurking late. #hpm

Wed Dec 1 18:48:31 PST 2010
equijada
@RossJeanette what about abx? #hpm

Wed Dec 1 18:48:43 PST 2010
equijada
@RossJeanette agree, the super discordant ones are easy #hpm

Wed Dec 1 18:49:14 PST 2010
rebeccacaroe
@equijada not much to tell as I wasn't involved in clinincal decision. Breast Cancer, morphine addiction, withdrawal #hpm
Wed Dec 1 18:49:20 PST 2010
hollyby
Well... if a pt's prognosis is months, hypothyroidism isn't fun. Often pts outlive what we think, so I'll keep the thyroid meds. #hpm
Wed Dec 1 18:49:25 PST 2010
rebeccacaroe
@equijada I was just an observer #hpm

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

Wed Dec 1 18:49:35 PST 2010
ctsinclair
RT @dwensel: it what about all the things their taking that they will not tell us about. Need to ask about #CAM and OTC meds for sure #hpm
Wed Dec 1 18:49:43 PST 2010
Page 21 of 29
6/27/12 11:06 AM
ctsinclair
RT @hollyby: Well... if a pts prognosis is months, hypothyroidism isnt fun. Often pts outlive what we think, so Ill keep thyroid meds. #hpm
Wed Dec 1 18:50:02 PST 2010
equijada
RT @hollyby: Well... if a pt's prognosis is months, hypothyroidism isn't fun. Often pts outlive what we think, so I'll keep the thyroid meds. #hpm
Wed Dec 1 18:50:18 PST 2010
ctsinclair
@hollyby And which is why we need more research funding in prognostication. cc @revdoc #hpm
Wed Dec 1 18:50:22 PST 2010
revdoc
@ctsinclair Agreed #hpm

Wed Dec 1 18:50:45 PST 2010
DONALDHTAYLORJR
@ctsinclair will do...been trying to get Amy to check out tweet chat #hpm
Wed Dec 1 18:51:00 PST 2010
ctsinclair
@dockj @Pallimed blog post: Antibiotics and Treating Infections in the Elderly http://bit.ly/haVCUI #hpm
Wed Dec 1 18:51:19 PST 2010
equijada
wrapping things up. Closing thoughts? Words of wisdom? #hpm

Wed Dec 1 18:51:23 PST 2010
hollyby
Vits are very important to some pts. I have lots of pts who prefer them to the meds I give them. I don't think its a Cali bias... #hpm
Wed Dec 1 18:51:24 PST 2010
hollyby
Agreed! RT @ctsinclair: @hollyby And which is why we need more research funding in prognostication. cc @revdoc #hpm
Wed Dec 1 18:51:40 PST 2010
LifeHealthDiary
RT @dwensel: it what about all the things their taking that they will not tell us about. Need to ask about #CAM and OTC meds for sure #hpm
Wed Dec 1 18:51:44 PST 2010
otherspoon
RT @ctsinclair: @hollyby And which is why we need more research funding in prognostication. cc @revdoc #hpm
Wed Dec 1 18:51:45 PST 2010
ctsinclair
@DONALDHTAYLORJR Invite her for coffee and dessert. Find it is best to get people next to you to teach. #hpm
Wed Dec 1 18:51:51 PST 2010
dockj
Easiest to ask PT goals for keeping meds, and then deeper discussion on those worth arguing. #hpm
Wed Dec 1 18:51:56 PST 2010
Page 22 of 29
6/27/12 11:06 AM
DrSnit
@hollyby especially if they were already dealing w/ thyca etc. #hpm

Wed Dec 1 18:52:09 PST 2010
renee_berry
Interesting to me is the potential for increased clinical effectiveness of early advance care planning, amplify edu w/social media #hpm
Wed Dec 1 18:52:14 PST 2010
ctsinclair
@hollyby What are vitamins, never heard of them here in kansas. (You are right it is not just in California!) #hpm
Wed Dec 1 18:52:21 PST 2010
equijada
@hollyby yes, I emphasize goals, yet I also allow quite a bit of flexibility to treatment, even if it's not "the best" #hpm
Wed Dec 1 18:52:40 PST 2010
RBK1217
T2: communication is key. #hpm

Wed Dec 1 18:52:58 PST 2010
dockj
I firmly believe that some PTs find comfort/palliation in routine. #hpm

Wed Dec 1 18:53:06 PST 2010
ctsinclair
Words of Wisdom: thanks to everyone for donning your #HPM month twibbons. We will be really doing it up next year! #hpm
Wed Dec 1 18:53:18 PST 2010
joegormally
sorry again guys to miss most of the chat but enjoyed reading what you were saying.. esp the T1 stuff.. will read again later #hpm
Wed Dec 1 18:53:19 PST 2010
hollyby
Very true. RT @dockj: Easiest to ask PT goals for keeping meds, and then deeper discussion on those worth arguing. #hpm
Wed Dec 1 18:53:25 PST 2010
equijada
Totally agree RT @dockj: I firmly believe that some PTs find comfort/palliation in routine. #hpm
Wed Dec 1 18:53:40 PST 2010
DrSnit
@ctsinclair Vitamin chocolate works for me!!! #hpm

Wed Dec 1 18:53:41 PST 2010
ctsinclair
Thanks for hosting @equijada! Another quick hour gone by! #hpm
Wed Dec 1 18:53:43 PST 2010
hollyby
So true. Pts often just want to feel "normal". RT @dockj: I firmly believe that some PTs find comfort/palliation in routine. #hpm
Page 23 of 29
6/27/12 11:06 AM
Wed Dec 1 18:54:12 PST 2010
hollyby
Thanks Earl! Great job! RT @ctsinclair: Thanks for hosting @equijada! Another quick hour gone by! #hpm
Wed Dec 1 18:54:36 PST 2010
dockj
If its a $4 med and doesn't interfere with other palliative therapies, let sleeping dogs lie. #hpm
Wed Dec 1 18:54:39 PST 2010
joegormally
stopping meds is probably the last thing we do at the terminal part of care.. most meds we leave in esp cardiac, thyroid etc #hpm
Wed Dec 1 18:54:40 PST 2010
ctsinclair
Transcript for #HPM Tweetchat December 01, 2010 http://bit.ly/e4zFMx

Wed Dec 1 18:54:42 PST 2010
GailZahtz
RT @hollyby: So true.Pts often just want to feel "normal" RT @dockj: I firmly believe that some PTs find comfort/palliation in routine. #hpm
Wed Dec 1 18:55:00 PST 2010
DrSnit
You rock my socks off @equijada! Thanks for such a wonderful chat everyone. As always, very thought provoking! xo #hpm
Wed Dec 1 18:55:01 PST 2010
RBK1217
@equijada Thanks for letting me play in the game tonight! Very informative. Quickest hour ever. #hpm
Wed Dec 1 18:55:02 PST 2010
rebeccacaroe
@ctsinclair you do great work with transcripts. thanks #hpm

Wed Dec 1 18:55:06 PST 2010
renee_berry
T2 http://ow.ly/3iysZ Feldman Phd @SantaClaraUniv radio interview (long) but does a lot of research on hope "more to hope than cure" #hpm
Wed Dec 1 18:55:13 PST 2010
dockj
RT @joegormally: stopping meds is probably the last thing we do at the terminal part of care.. most meds we leave in esp cardiac, thyroid etc #hpm
Wed Dec 1 18:55:22 PST 2010
dwensel
@ctsinclair @equijada great topics thanks for letting me lurk #hpm

Wed Dec 1 18:55:35 PST 2010
equijada
@joegormally I generally prioritize meds and give pts the option of taking/not taking #hpm
Wed Dec 1 18:55:36 PST 2010
Page 24 of 29
6/27/12 11:06 AM
dockj
RT @DrSnit: You rock my socks off @equijada! Thanks for such a wonderful chat everyone. As always, very thought provoking! xo #hpm
Wed Dec 1 18:55:45 PST 2010
brigid22
Not just pts. Families too. RT @dockj: I firmly believe that some PTs find comfort/palliation in routine. #hpm
Wed Dec 1 18:55:54 PST 2010
equijada
@DrSnit @equijada thaanks so much @drsnit #hpm

Wed Dec 1 18:55:55 PST 2010
ctsinclair
My growing list of #HPM tweetchat participants Let me know if you are not on it http://bit.ly/hH7DHS
Wed Dec 1 18:56:03 PST 2010
ctsinclair
TWEETCHAT TIP: Start following other Tweetchatters and keep up the convo all week long. #hpm
Wed Dec 1 18:56:21 PST 2010
joegormally
one thing that needs thought is defibrillator pacemakers and turning them off in the palliative setting.. I've seen this a few times #hpm
Wed Dec 1 18:56:22 PST 2010
equijada
@joegormally please don't tell me it's friday in NZ #hpm

Wed Dec 1 18:56:31 PST 2010
GailZahtz
Looks like I missed a great chat. Well done @equijada! #hpm

Wed Dec 1 18:56:49 PST 2010
DONALDHTAYLORJR
thanks @equijada for hosting. by all #hpm

Wed Dec 1 18:56:58 PST 2010
equijada
@joegormally had a pt that needed deactivation but didn't happen over the holiday #hpm
Wed Dec 1 18:57:01 PST 2010
rebeccacaroe
@dwensel you didn't lurk. I definitely heard you *say* something. You're on the team now! #hpm
Wed Dec 1 18:57:02 PST 2010
dwensel
@ctsinclair if i am not please put me on #hpm

Wed Dec 1 18:57:03 PST 2010
hollyby
@DrSnit Just not the gummy vits with omega 3s. Blech! Fishy gummy bears. #hpm
Wed Dec 1 18:57:05 PST 2010
Page 25 of 29
6/27/12 11:06 AM
equijada
@GailZahtz thanks #hpm

Wed Dec 1 18:57:10 PST 2010
dockj
RT @brigid22: Not just pts. Families too. As long as the palliation is for the patient not the family. Let PT decide. #hpm
Wed Dec 1 18:57:14 PST 2010
hollyby
RT @ctsinclair: TWEETCHAT TIP: Start following other Tweetchatters and keep up the convo all week long. #hpm
Wed Dec 1 18:57:19 PST 2010
joegormally
RT @ctsinclair: TWEETCHAT TIP: Start following other Tweetchatters and keep up the convo all week long. #hpm
Wed Dec 1 18:57:24 PST 2010
Angie_stl
@ctsinclair I am a lurker #hpm

Wed Dec 1 18:57:33 PST 2010
equijada
thanks all for coming. off to another meeting. happy holidays #hpm
Wed Dec 1 18:57:35 PST 2010
revdoc
Thanks for the chat and can anyone tell me why Trev is STILL on Hell's Kitchen??? #hpm
Wed Dec 1 18:57:40 PST 2010
otherspoon
Have a great week all #hpm

Wed Dec 1 18:57:42 PST 2010
LifeHealthDiary
RT @joegormally: one thing that needs thought is defibrillator pacemakers and turning them off in the palliative setting.. #hpm
Wed Dec 1 18:57:56 PST 2010
ctsinclair
@revdoc No I cannot answer your question. #hpm

Wed Dec 1 18:58:12 PST 2010
joegormally
@equijada hehe.. no it's still Thursday.. wish it was Friday :) #hpm

Wed Dec 1 18:58:12 PST 2010
JoshGriffin
Enjoyed the chat. Look forward to the next one. Thanks to @equijada for hosting. #hpm
Wed Dec 1 18:58:36 PST 2010
renee_berry
Have a great night everyone, thanks for participating in tonight's tweetchat about #hospice & #palliative care! See you all next week #hpm
Wed Dec 1 18:58:51 PST 2010
Page 26 of 29
6/27/12 11:06 AM
GailZahtz
RT @ctsinclair: TWEETCHAT TIP: Start following Tweetchatters & keep up the convo all week long<=check you may think ur following & not #hpm
Wed Dec 1 18:58:57 PST 2010
JoshGriffin
@revdoc Miracle? lol #hpm

Wed Dec 1 18:59:08 PST 2010
ability4life
#hpm post about the passion of #hpm peeps http://tinyurl.com/26k4kpm

Wed Dec 1 18:59:11 PST 2010
Tymeyer
Night all. See you next week. Thanks @equijada. #hpm

Wed Dec 1 18:59:17 PST 2010
ctsinclair
@LifeHealthDiary @joegormally From @Pallimed blog post: Implantable Cardiac Defibrillators - Deactivation? http://bit.ly/co5zch #hpm
Wed Dec 1 18:59:22 PST 2010
revdoc
@joshgriffin It has to be--he has been up for elimination about every week! #hpm
Wed Dec 1 18:59:55 PST 2010
ctsinclair
@GailZahtz Yeah, I thought I was following everyone here. Turned out, I was not! #hpm
Wed Dec 1 19:00:00 PST 2010
ctsinclair
The #hpm Daily is out! http://bit.ly/czPwM9 Top stories today by @renee_berry @hospicepharmacy @NursingLink
Wed Dec 1 19:01:18 PST 2010
DrSnit
@hollyby LOL LOL NO FISHY GUMMY BEARS! total scam. :) hehehe #hpm
Wed Dec 1 19:01:36 PST 2010
dockj
RT @renee_berry: Have a great night everyone, thanks for participating in tonight's tweetchat about #hospice & #palliative care! See you all next week #hpm
Wed Dec 1 19:01:37 PST 2010
joshgriffin
@revdoc Haven't watched this season, so don't know. But does he make for entertaining TV? If so, there's your real answer :-) #hpm
Wed Dec 1 19:01:42 PST 2010
joegormally
@ctsinclair @LifeHealthDiary @Pallimed Thanks for the link Christian, once again the scope of your blog amazes me.. thanks #hpm
Wed Dec 1 19:01:54 PST 2010
GailZahtz
RT @ctsinclair I thought I was following everyone here. Turned out, I wasn't!<=I'm going through your list & following anyone I wasn't #hpm
Wed Dec 1 19:02:11 PST 2010
Page 27 of 29
6/27/12 11:06 AM
revdoc
@joshgriffin He certainly makes Ramsey scream--he put Trev in time out twice tonight! #hpm
Wed Dec 1 19:03:02 PST 2010
joshgriffin
@revdoc Then the producers don't want to let him go yet...Such is "reality" TV #hpm
Wed Dec 1 19:03:41 PST 2010
revdoc
Night all! #hpm

Wed Dec 1 19:03:49 PST 2010
ctsinclair
@joegormally Whenever I am curious about something in #hpm I usually google "Pallimed (insert topic here)" and find something. #hpm
Wed Dec 1 19:07:47 PST 2010
GailZahtz
Okay @ctsinclair- I've done my #HPM homework. I've followed each person on your list at http://bit.ly/hH7DHS Thanks Christian! #hpm
Wed Dec 1 19:08:06 PST 2010
ctsinclair
RT @rebeccacaroe: @dwensel you didnt lurk. I definitely heard you *say* something. Youre on the team now! #hpm
Wed Dec 1 19:08:15 PST 2010
ctsinclair
@Angie_stl But you dont have to be! #hpm

Wed Dec 1 19:08:40 PST 2010
GailZahtz
RT @rebeccacaroe: @dwensel you didnt lurk. I definitely heard you. Ur on the team! <=U R on the list! I followed Christian's advice:) #hpm
Wed Dec 1 19:10:27 PST 2010
ctsinclair
@GailZahtz Awesome! #hpm

Wed Dec 1 19:10:42 PST 2010
ability4life
I finished post about the passion of #hpm peeps http://tinyurl.com/26k4kpm

Wed Dec 1 19:11:30 PST 2010
GailZahtz
RT @ctsinclair: @GailZahtz Awesome! <=Right back atcha. I get the joy of following in the clearing you've made. TY. Always great! #hpm
Wed Dec 1 19:11:46 PST 2010
rebeccacaroe
Tweets about #hpm have reached 5,576 people http://t.co/2LIMBYC via @tweetreachapp
Wed Dec 1 19:11:54 PST 2010
GailZahtz
RT @rebeccacaroe: Tweets about #hpm have reached 5,576 people http://t.co/2LIMBYC via @tweetreachapp <=WOO-HOO :)) #hpm
Page 28 of 29
6/27/12 11:06 AM
Wed Dec 1 19:12:31 PST 2010
ability4life
#hpm @ctsinclair oh TY TY TY 4 reading and for gr8 commenthttp://tinyurl.com/26k4kpm

Wed Dec 1 19:14:46 PST 2010
Page 29 of 29

#HPM Tweet Chat 12:1:10

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#HPM Tweet Chat 12:1:10

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#hpm - Healthcare Social Media Transcript

@drsnit hey there. thanks for the RT #hpm

@DONALDHTAYLORJR When do we get to see your face? #hpm

#hpm - Healthcare Social Media Transcript

when i get better with computers...haha. I will work on it #hpm

@DONALDHTAYLORJR hi Donald. Good to tweet you #hpm

@renee_berry Nice new avatar! Maybe we could help @donaldhtaylorjr #hpm

@renee_berry Hi Renee, good to see you again #hpm

Evening all! #hpm

@DONALDHTAYLORJR Plus i have no clue what you look like. #hpm

@ctsinclair @renee_berry here here. re: avatar for @donaldhtaylorjr #hpm

Hello all, I missed tweechat x 2 wks #Hpm

http://j.mp/9N4ZkP very quiet. #hpm

@ctsinclair Hope everyone had a good Thanksgiving. ours was

@joshgriffin Hi Josh #hpm

#hpm - Healthcare Social Media Transcript

Wed Dec 1 18:05:28 PST 2010

@equijada good to see you Earl! #hpm

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

@RossJeanette me too!!! *slinks away in shame!* you were missed!!! :) #hpm

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

@renee_berry nice avatar! #hpm

hello everyone! #hpm

Hi all. New to tweetchat, but RN interested in this topic. #hpm

@LifeHealthDiary hello!!! :) #hpm

#hpm - Healthcare Social Media Transcript

@RBK1217 Hi there! Welcome! #hpm

@LifeHealthDiary Hi and welcome and hi @rbk1217 - welcome #hpm

@otherspoon hi and welcome #hpm

warming up my fingers for t1 - i'm cold. #hpm

@ability4life hi kathy. good to see you again #hpm

@rebeccacaroe hi rebecca #hpm

#hpm - Healthcare Social Media Transcript

@rebeccacaroe wife is with the kids. #hpm

#hpm - Healthcare Social Media Transcript

Wed Dec 1 18:12:32 PST 2010

Ty : HPM doc in Victoria, Tx #hpm

Family doc in wv #hpm

#hpm - Healthcare Social Media Transcript

@renee_berry @rossjeanette do you encourage patients to go "all out"? #hpm

Pam Harris in KC here #hpm

#hpm - Healthcare Social Media Transcript

@rebeccacaroe Let it alone-she was not going to be happy. #hpm

#hpm - Healthcare Social Media Transcript

was helpful. #hpm

Think we just had a Twitter hiccup #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

@dwensel Hey, how are you?! #hpm

Yes RT @hollyby: T1: It is really hard on the bereaved. Remembrace celebrations

#hpm - Healthcare Social Media Transcript

this time of the year or special grief groups imprtant #hpm

moving on to t2 in a few #hpm

@equijada You mean advent is not about chocolate? #hpm

#hpm - Healthcare Social Media Transcript

@DONALDHTAYLORJR Time to buy the ones without chocolate? ;) #hpm

#hpm - Healthcare Social Media Transcript

@tymeyer Yeah, I just Favorited that tweet by @revdoc #hpm

@dwensel Yes, it surely can. #hpm

On my iPhone. Is twitter down? #hpm

@equijada Twitter is a little wonky tonight. #hpm

I've got a bad connection #hpm

@RossJeanette me too!!! slinks away in shame! you were missed!!! :) #hpm

@equijada stabs twitter in the eye #hpm