#Hpm Tweet Chat 7:20:11

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

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Jul 20 18:00:00 PDT 2011

To: Wed Jul 20 19:15:00 PDT 2011

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revdoc For the next hour or so will be participating in HPM tweetchat. Opinions are my own. Joinus! #hpm

Wed Jul 20 18:00:11 PDT 2011

hollyby RT@revdoc: For the next hour or so will be participating in HPM tweetchat. Opinions aremy own. Join us! #hpm

Wed Jul 20 18:00:34 PDT 2011

aliciabloom it's 9pm here on the east coast, so let's get started! introductions. . . #hpmWed Jul 20 18:00:46 PDT 2011

jfclearywisc Jim cleary joining hospice and palliative medicine #hpm tweetchat #hpmWed Jul 20 18:01:45 PDT 2011

FlHospicesPC Good evening #hpm tweet chatters!Wed Jul 20 18:01:53 PDT 2011

revdoc Pam Harris MD with KC Hospice and ordained minister--Hi, all! #hpmWed Jul 20 18:02:21 PDT 2011

authordhallman David. Author of "August Farewell". Hello all. #hpm
http://www.twitter.com/FlHospicesPChttp://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/27231379/status/93848099738484736http://www.twitter.com/hollybyhttp://www.twitter.com/revdochttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=07-20-2011&shour=18&smin=0&tdate=07-20-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/14231943/status/93848251303870464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/320912477/status/93848134060482560http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FlHospicesPChttp://twitter.com/27231379/status/93848099738484736http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/17634111/status/93847852064849921http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/32316055/status/93847801536069632http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/hollybyhttp://twitter.com/14231943/status/93847706019168256http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=07-20-2011&shour=18&smin=0&tdate=07-20-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=07-20-2011&shour=18&smin=0&tdate=07-20-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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Wed Jul 20 18:02:26 PDT 2011

SheyontheBay Hospice nurse case manager #hpmWed Jul 20 18:02:54 PDT 2011

hollyby Holly Yang, hospice and palliative care doc from @SanDiegoHospice, interests in med edcommunication, hcsm and int'l palliative care #hpm

Wed Jul 20 18:02:55 PDT 2011

aliciabloom MSW, LSW @VITASHospice- palliative care consultant, clinical education, programdevelopment, AND your excited host for tonight's chat! #hpm

Wed Jul 20 18:03:09 PDT 2011

MeredithGould Friends: Will be involved with #HPM tweetchat for the next hour. Interested in hospice &palliative medicine? Join the convo!

Wed Jul 20 18:03:19 PDT 2011

DNRstories LJ- Pulm/Critical care fellow, author of DNR: Real Stories of life, death and somewhere inbetween...multitasking while tweetchatting #hpmWed Jul 20 18:03:39 PDT 2011

hollyby @aliciabloom Thanks for hosting, Alicia! #hpmWed Jul 20 18:04:08 PDT 2011

SheyontheBay MT@MeredithGould: I'll be involved with #HPM tweetchat for the next hour. Interested inhospice & palliative medicine? Join the convo! #hpmWed Jul 20 18:04:19 PDT 2011

aliciabloom welcome @hollyby, @MeredithGould, @SheyontheBay, @authordhallman, @revdoc,@jfclearywisc, @FLHospicesPC! #hpm

Wed Jul 20 18:04:44 PDT 2011

MeredithGould @aliciabloom Excited that you are hosting! #hpmWed Jul 20 18:04:48 PDT 2011

aliciabloom thanks @MeredithGould! i'm excited to be hosting! welcome to my multi-tasking colleague@DNRStories! #hpmWed Jul 20 18:05:47 PDT 2011

MeredithGould

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MeredithGould Uh...does anyone NOT multi-task during chats? #hpmWed Jul 20 18:07:02 PDT 2011

PracticalWisdom Good Evening I'm Lisa Transforming the Ho-Hum into Compelling. Adult Educ,Speaker/Trainer. @aliciabloom excited re: Moderating 2night. #hpm

Wed Jul 20 18:07:06 PDT 2011

DNRstories @aliciabloom Haha. Thx. Something tells me I won't be able to stay away...journal clubpresentation will have to wait! #hpmWed Jul 20 18:07:18 PDT 2011

MeredithGould @SheyontheBay #hpmWed Jul 20 18:07:29 PDT 2011

aliciabloom glad you're here, @PracticalWisdom! #hpmWed Jul 20 18:07:49 PDT 2011

MeredithGould @DNRstories Welcome back! #hpmWed Jul 20 18:07:52 PDT 2011

DNRstories @MeredithGould haha. True! And THIS is why i love this group :) #hpmWed Jul 20 18:08:12 PDT 2011

FlHospicesPC @aliciabloom thanks! Glad to be here! #hpmWed Jul 20 18:08:23 PDT 2011

equijada @aliciabloom Earl here. Thanks for hosting #hpmWed Jul 20 18:09:07 PDT 2011

aliciabloom T1: happy birthday to @CAPCPalliative IPAL-ICU project! in the spirit of this: impact? nexsteps? ways to translate to other areas? #hpmWed Jul 20 18:09:24 PDT 2011

PracticalWisdom Thank you. I would not miss it. RT @aliciabloom: glad youre here, @PracticalWisdom!#hpm

Wed Jul 20 18:09:32 PDT 2011

MeredithGould Loving the love fest but what's topic 1? Can you tell I had a bit too much caffeine today??#hpm

Wed Jul 20 18:10:09 PDT 2011

SheyontheBay @MeredithGould@SheyontheBay backatcha! ;-) #hpmWed Jul 20 18:10:30 PDT 2011

jfclearywisc Great interest in ICU pall care at asian pacific hpc network meeting last week #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/16857263/status/93850303782334464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/SheyontheBayhttp://twitter.com/1972230/status/93850212858204160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/25428892/status/93850060726599680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24399366/status/93850026215870465http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CAPCPalliativehttp://www.twitter.com/aliciabloomhttp://twitter.com/22651861/status/93849954191278081http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://twitter.com/320912477/status/93849769218285568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/FlHospicesPChttp://twitter.com/262368526/status/93849724280512512http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DNRstorieshttp://twitter.com/16733030/status/93849642143465474http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://www.twitter.com/MeredithGouldhttp://twitter.com/17634111/status/93849626716798976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/aliciabloomhttp://twitter.com/16733030/status/93849545473142785http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://twitter.com/244922707/status/93849496022290432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/DNRstorieshttp://twitter.com/15173133/status/93849445879394305http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/93849431107055616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGould

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Wed Jul 20 18:10:40 PDT 2011

MDelaCalzada with @SanDiegoHospice - lurking about during my layover in Sacramento. #hpmWed Jul 20 18:10:43 PDT 2011

hollyby Center to Advance Palliative Care (CAPC) Improving Palliative Care in the ICU (IPAL-ICUhttp://bit.ly/fI8XJy#hpm

Wed Jul 20 18:11:37 PDT 2011

aliciabloom RT @hollyby: Center to Advance Palliative Care (CAPC) Improving Palliative Care in theICU (IPAL-ICU) http://bit.ly/fI8XJy#hpm

Wed Jul 20 18:11:57 PDT 2011

equijada ICU Palliative Care Improvements - IPAL-ICU Project http://bit.ly/n3rgHd#hpmWed Jul 20 18:12:36 PDT 2011

FlHospicesPC RT @hollyby: Center to Advance Palliative Care (CAPC) Improving Palliative Care in the

ICU (IPAL-ICU) http://bit.ly/fI8XJy#hpmWed Jul 20 18:12:49 PDT 2011

aliciabloom specifically, how has IPAL-ICU project impacted your practice and/or improved patientcare? how can we expand this to other areas? #hpm

Wed Jul 20 18:13:56 PDT 2011

PracticalWisdom tp://http://bit.ly/hUNWTF RT @MeredithGould: Loving the love fest but whats topic 1? CanU tell I had a bit 2 much caffeine today??? #hpmWed Jul 20 18:14:03 PDT 2011

hollyby T1: We need to continue the good work that has been started to make palliative care morecommonplace in ICUs. #hpm

Wed Jul 20 18:14:08 PDT 2011

PracticalWisdom RT @hollyby: T1: We need to continue the good work that has been started to makepalliative care more commonplace in ICUs. #hpm

Wed Jul 20 18:15:14 PDT 2011

aliciabloom engaging non-physician disciplines in the ICU, like RN & social work, could lead to greateintegration of #palliative care #hpm

Wed Jul 20 18:16:01 PDT 2011

MeredithGould T1 Next steps: Reach out to faith-based organizations & religious institutions...healthcareministries & ministers. #hpm

Wed Jul 20 18:16:12 PDT 2011

MDelaCalzada T1: Professional/peer-to-peer advocacy, education is key in the ICUs #hpmWed Jul 20 18:16:31 PDT 2011
http://twitter.com/15834285/status/93851815476609024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MDelaCalzadahttp://twitter.com/16733030/status/93851736833400832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/24399366/status/93851690679279617http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/aliciabloomhttp://twitter.com/25428892/status/93851492263538689http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/32316055/status/93851218153193472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/25428892/status/93851194497310720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://tp//http//bit.ly/hUNWTFhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24399366/status/93851166093492224http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/320912477/status/93850886392127489http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/fI8XJyhttp://www.twitter.com/hollybyhttp://www.twitter.com/FlHospicesPChttp://twitter.com/22651861/status/93850831094423552http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/n3rgHdhttp://www.twitter.com/equijadahttp://twitter.com/24399366/status/93850666065342464http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/fI8XJyhttp://www.twitter.com/hollybyhttp://www.twitter.com/aliciabloomhttp://twitter.com/32316055/status/93850581738848256http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/fI8XJyhttp://www.twitter.com/hollybyhttp://twitter.com/15834285/status/93850357301645312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SanDiegoHospicehttp://www.twitter.com/MDelaCalzadahttp://twitter.com/27231379/status/93850343779205120

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jfclearywisc Real question: Changing the culture of ICU or just doing consults? Enjoyed recent JudyNelson paper. #hpm

Wed Jul 20 18:16:37 PDT 2011

aliciabloom @MeredithGould reaching people at a community-based level can definitely make animpact. #hpm

Wed Jul 20 18:16:59 PDT 2011

revdoc RT @MeredithGould: T1 Next steps: Reach 2 faith-based orgs & religiousinstitutions...healthcare ministries & ministers. #hpm

Wed Jul 20 18:17:17 PDT 2011

hollyby @jfclearywisc Link? #hpmWed Jul 20 18:17:22 PDT 2011

DNRstories #hpm T1: make sure to continue involving residents/MDs in meetings despite pall careteam. Sometimes we rely on pall care too much

Wed Jul 20 18:17:37 PDT 2011

aliciabloom RT @jfclearywisc: Real question: Changing the culture of ICU or just doing consults?

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aliciabloom @DNRstories excellent point-- participating in family meeting with #palliative care teamcan be so instructive for residents & fellows! #hpmWed Jul 20 18:19:20 PDT 2011

PracticalWisdom First time I've seen their Video with Diane E. Center to Advance Palliative Care (CAPC)Meierhttp://www.youtube.com/user/wwwCAPCorg#hpm

Wed Jul 20 18:19:25 PDT 2011

MeredithGould @hollyby There's an echo! #hpmWed Jul 20 18:19:32 PDT 2011

DNRstories #hpm Differences in family satisfaction pre and post pall care implementation is of greatinterest to me. Suspect quality scores higher nowWed Jul 20 18:19:36 PDT 2011

jfclearywisc From Critical Care MEdicine. http://www.medscape.com/viewarticle/727726#hpmWed Jul 20 18:19:43 PDT 2011

aliciabloom @DNRstories wow, thank you :) #hpmWed Jul 20 18:19:51 PDT 2011

PracticalWisdom RT @hollyby: T1: If there R # ICUs in a hospital (neuro, surgical, med, neonatal, etc) theris likely variable use of palliative care #hpmWed Jul 20 18:20:07 PDT 2011

aliciabloom RT @jfclearywisc: From Critical Care Medicine-http://www.medscape.com/viewarticle/727726

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crime dramas! #hpm

Wed Jul 20 18:22:52 PDT 2011

chemosabe I'm here now, we can commence...what is T1 btw? #hpmWed Jul 20 18:23:13 PDT 2011

aliciabloom please share any final thoughts on topic 1 and we'll move on to the next one in a moment.

#hpmWed Jul 20 18:23:20 PDT 2011

revdoc RT @MeredithGould: T1 Wild, crazy, bold & impossible: get positioned to influence writerfor TV medical & crime dramas! #hpmWed Jul 20 18:23:25 PDT 2011

FlHospicesPC MT @MeredithGould: T1 Outreach to undergrad inst. with courses on Death & Dying;nursing programs; med school. Educate early & often #hpm :)

Wed Jul 20 18:23:29 PDT 2011

hollyby @MeredithGould Are you mixing chats? ;) #hpmWed Jul 20 18:23:30 PDT 2011

DNRstories RT @MeredithGould: T1 Wild, crazy, bold & impossible: get positioned to influence writerfor TV medical & crime dramas! #hpmWed Jul 20 18:23:31 PDT 2011

jodyms Lurking. Count me in RT @MeredithGould T1 Wild, crazy, bold .. get positioned toinfluence writers for TV medical & crime dramas! #hpm

Wed Jul 20 18:23:38 PDT 2011

equijada @jfclearywisc Integrative model. Culture change work by MGH http://bit.ly/r0Tedx#hpm#hpm

Wed Jul 20 18:24:16 PDT 2011

DNRstories @MeredithGould sorry for self promo..but this is EXACT reason i wrote my book. #hpmGet the reality into media!

Wed Jul 20 18:24:20 PDT 2011

aliciabloom @MeredithGould i often wish Grey's Anatomy would consult with the #hpm community topresent more realistic, honest EoL issues. #hpm

Wed Jul 20 18:24:22 PDT 2011

MeredithGould @hollyby No, no joke. I'm thinking @ctsinclair could probably charm...uh...influencewriters. #hpmWed Jul 20 18:24:31 PDT 2011

PracticalWisdom @jodyms Hi Jody. Welcome to the Chat. #hpmWed Jul 20 18:24:34 PDT 2011
http://twitter.com/25428892/status/93853844433408000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jodymshttp://www.twitter.com/PracticalWisdomhttp://twitter.com/1972230/status/93853829908533249http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://www.twitter.com/MeredithGouldhttp://twitter.com/17634111/status/93853793204183040http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/aliciabloomhttp://twitter.com/262368526/status/93853782525493248http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DNRstorieshttp://twitter.com/22651861/status/93853767816060928http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/r0Tedxhttp://www.twitter.com/jfclearywischttp://www.twitter.com/equijadahttp://twitter.com/23389575/status/93853606427631616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/jodymshttp://twitter.com/262368526/status/93853579563110400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DNRstorieshttp://twitter.com/32316055/status/93853573896617985http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/hollybyhttp://twitter.com/320912477/status/93853571350675456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/FlHospicesPChttp://twitter.com/14231943/status/93853554888019968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/revdochttp://twitter.com/17634111/status/93853532050038784http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/3877633/status/93853501880418304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://twitter.com/16733030/status/93853412936007683http://www.symplur.com/healthcare-hashtags/hpm/

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MeredithGould @aliciabloom See???Maybe not so crazy. #hpmWed Jul 20 18:24:57 PDT 2011

hollyby @MeredithGould@ctsinclair I agree. :) #hpmWed Jul 20 18:25:14 PDT 2011

jodyms @PracticalWisdom Hi Lisa, I was multi-tasking ....bad habit. Now I'm here. #hpmWed Jul 20 18:25:20 PDT 2011

hollyby RT @equijada: @jfclearywisc Integrative model. Culture change work by MGHhttp://bit.ly/r0Tedx#hpm#hpmWed Jul 20 18:25:41 PDT 2011

MeredithGould Srsy, we need to go where the people are & they're in front of big screen tubes. Let 'emlearn stuff about --> #hpm

Wed Jul 20 18:25:45 PDT 2011

DNRstories RT @aliciabloom: @MeredithGould i often wish Grey's Anatomy would consult with the#hpm community to present more realistic, honest EoL issues. #hpmWed Jul 20 18:26:04 PDT 2011

aliciabloom T2: "Death & Budgets" in @NYTimes suggested a link between the fiscal crisis & society'sinability to face the reality of death. #hpm

Wed Jul 20 18:26:12 PDT 2011

chemosabe @aliciabloom there's a new career for you, consultant to soapie script writers! #hpmWed Jul 20 18:26:20 PDT 2011

chemosabe T2 no way goes a lot further back than the gfc #hpmWed Jul 20 18:27:03 PDT 2011

MeredithGould True story: it took me from 1987-1996 to get a nat'l slick to print a story aboutbereavement. Rejected for years as "too depressing" #hpm

Wed Jul 20 18:27:12 PDT 2011

aliciabloom T2: this is a hot button issue! how do we address it? how can #hpm community impactperspectives, reduce costs & improve quality? #hpm

Wed Jul 20 18:27:15 PDT 2011

revdoc T2: a local TV reporter interviewed one of my pts who had decided not to have CTX aspart of an article on cost of CA care! #hpmWed Jul 20 18:27:38 PDT 2011

aliciabloom @chemosabe could certainly be fun! #hpmWed Jul 20 18:27:49 PDT 2011
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PracticalWisdom Hi Glen R U (+)ing Drama.RT @chemosabe: @aliciabloom theres a new career for you,consultant to soapie script writers! #hpm

Wed Jul 20 18:28:03 PDT 2011

jodyms RT @aliciabloom: T2: this is a hot button issue! how do we address it? how can #hpmcommunity impact perspectives, reduce costs & improv ...

Wed Jul 20 18:28:15 PDT 2011

PracticalWisdom RT @revdoc: T2: a local TV reporter interviewed 1 of my pts who had decided not to haveCTX as part of an article on cost of CA care! #hpmWed Jul 20 18:28:19 PDT 2011

aliciabloom @revdoc what impacted your patient's decision making? #hpmWed Jul 20 18:28:21 PDT 2011

jfclearywisc T2: "death & budgets" thought Brooks piece was very provocative. Have to ask thesequestions. Uncontrolled medicare is breaking bank #hpm

Wed Jul 20 18:28:30 PDT 2011

hollyby T2: @NYTimes article http://nyti.ms/qqTnHY#hpmWed Jul 20 18:28:40 PDT 2011

MeredithGould T2 Not following that logic. Saying that death is too expensive or living with long termmedical care to fight off death is expensive? #hpm

Wed Jul 20 18:28:40 PDT 2011

DNRstories @aliciabloom@chemosabe Can I help with the writing? :) #hpm

Wed Jul 20 18:29:03 PDT 2011

chemosabe @PracticalWisdom are u asking if I'm calling #greysanatomy a soapie...h to the y #hpmWed Jul 20 18:29:08 PDT 2011

MeredithGould @hollyby Thanks. #hpmWed Jul 20 18:29:43 PDT 2011

PracticalWisdom Just putting it out there U R a Rascal RT @chemosabe: @PracticalWisdom are u asking Im calling #greysanatomy a soapie...h to the y #hpm

Wed Jul 20 18:30:04 PDT 2011

jfclearywisc @MeredithGould T2 Death and Budgets. Basically saying "Value" of therapies has to bemore carefully assessed and shared with patients #hpmWed Jul 20 18:30:07 PDT 2011

FlHospicesPC T2 early education, learn to reach out to diverse culture groups #hpmWed Jul 20 18:30:16 PDT 2011
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revdoc @aliciabloom Decided that side effects would be unacceptable for how long he was likelyto get additional life ; wants 2 eat/enjoy time #hpm

Wed Jul 20 18:30:20 PDT 2011

aliciabloom "Death & Budgets" by David Brooks (http://goo.gl/d47Iy) via @NYTimes#hpmWed Jul 20 18:30:24 PDT 2011

PracticalWisdom RT @jfclearywisc: T2: "death & budgets" Brooks piece very provocative. Have 2 askquestions. Uncontrolled medicare is breaking bank #hpmWed Jul 20 18:30:48 PDT 2011

aliciabloom @revdoc that's an important message to get out into the world! just because we can/haveit, doesn't mean we should use it/give it. #hpm

Wed Jul 20 18:31:17 PDT 2011

jfclearywisc T2: Death & Budgets. I thought Tom smith piece in NEJM on "Bending the cost curve incancer" was equally provocative. #hpm

Wed Jul 20 18:31:25 PDT 2011

jbporter RT @AliveHospice: We want to hear from #hpm professionals: Why did you choose#hospice /#palliative care as your life's work?

Wed Jul 20 18:31:33 PDT 2011

MeredithGould @jfclearywisc Wonder about it from another viewpoint: why do we make it so tough on ppwho base decisions on economic realities? #hpm

Wed Jul 20 18:31:36 PDT 2011

PracticalWisdom@jfclearywisc@MeredithGould T2: Import. factor in all of this is the phrase they usedmarginally extend the lives of the very sick, #hpmWed Jul 20 18:32:12 PDT 2011

SheyontheBay Insurance company execs' salaries and perks packages are what's breaking thr banks.Obscene. #hpm

Wed Jul 20 18:32:17 PDT 2011

aliciabloom society assumes more is better, but this is not always the case with medical care. it's acost & quality issue. #hpmWed Jul 20 18:32:19 PDT 2011

MeredithGould @SheyontheBay Agree gazillion % #hpmWed Jul 20 18:32:36 PDT 2011

chemosabe T2 i may have went off a bit early there...seeing we have uni hc we don't have to considercost of pall cares! #hpm

Wed Jul 20 18:33:05 PDT 2011
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aliciabloom @MeredithGould@SheyontheBay me too! #hpmWed Jul 20 18:33:08 PDT 2011

PracticalWisdom Quality of Life RT @aliciabloom: society assumes # is better not always the case withmedical care. its a cost & quality issue. #hpm

Wed Jul 20 18:33:27 PDT 2011

authordhallmanIs there not a strong economic as well as quality EOL argument to be made for increasedpalliative care access? #hpmWed Jul 20 18:33:35 PDT 2011

jfclearywisc @MeredithGould T2: Death & budgets: But we need informed consent. Explain reality.What does response rate of 40% mean to ca patient #hpm

Wed Jul 20 18:33:39 PDT 2011

jodyms @PracticalWisdom@aliciabloom@meredithgould More of us who have "seen too much"need to get those stories out. #hpmWed Jul 20 18:34:11 PDT 2011

SheyontheBay RT @authordhallman: Is there not a strong economic as well as quality EOL argument tobe made for increased palliative care access? #hpm

Wed Jul 20 18:34:17 PDT 2011

PracticalWisdom Attorne Free LandRT @chemosabe: T2 i may have went off a bit early there seeing wehave uni hc we dont have 2 consider cost pall cares! #hpm

Wed Jul 20 18:34:23 PDT 2011

MeredithGould @jfclearywisc My question: What are patients *allowed" to think/feel about a 40%response rate? #hpm

Wed Jul 20 18:34:26 PDT 2011

aliciabloom @authordhallman absolutely! hospice & palliative care reduces cost AND increasedquality. #hpm

Wed Jul 20 18:34:32 PDT 2011

hollyby T2: The issue is health care professionals working w/ patients and families to promoteshared decision making w/ focus on patient goals #hpmWed Jul 20 18:35:18 PDT 2011

SheyontheBay What about a YouTube channel? "it wont kill ya to talk about it" #hpmWed Jul 20 18:35:24 PDT 2011

aliciabloom @MeredithGould@jfclearywisc we have to make it less about the "response rate" & moreabout a quality of life impact, in my opinion. #hpm

Wed Jul 20 18:35:28 PDT 2011

revdoc IMHO too many ppl equate cost consciousness with rationing rather than beingresponsible stewards of limited health care $ #hpm
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Wed Jul 20 18:35:40 PDT 2011

MeredithGould RT @SheyontheBay: What about a YouTube channel? "it wont kill ya to talk about it"#hpm

Wed Jul 20 18:35:41 PDT 2011

MeredithGould @aliciabloom Agree! #hpm

Wed Jul 20 18:35:56 PDT 2011

jodyms @chemosabe T2: Problem here is in getting an accurate accounting from anyhospital/rehab/etc facility on #hpm costs. It's not transparent.Wed Jul 20 18:35:56 PDT 2011

jfclearywisc @MeredithGould T2 Death & BUdgets. 40% RR means that in 40% of well functioningfolks who got a drug/s, 40% had > 50% shrinkage #hpm

Wed Jul 20 18:36:03 PDT 2011

aliciabloomRT @revdoc: IMHO too many ppl equate cost consciousness with rationing rather thanbeing responsible stewards of limited health care $ #hpmWed Jul 20 18:36:04 PDT 2011

jfclearywisc RT @revdoc: IMHO too many ppl equate cost consciousness with rationing rather thanbeing responsible stewards of limited health care $ #hpm

Wed Jul 20 18:36:18 PDT 2011

DNRstories @aliciabloom@authordhallman Not to mention resources, esp in ICU setting (bloodproducts, medications, equipment) #hpm

Wed Jul 20 18:36:48 PDT 2011

revdoc We should only recommend tx that have high efficacy vs. s/e; reasonable NNT; those withgood sx advantage/meaningful life exp. increase #hpm

Wed Jul 20 18:36:50 PDT 2011

FlHospicesPC Yes! RT @aliciabloom: @authordhallman absolutely! hospice & palliative care reducescost AND increased quality. #hpm

Wed Jul 20 18:36:54 PDT 2011

chemosabe @PracticalWisdom not attorney free, but ltd frivelous law suits! #hpmWed Jul 20 18:36:57 PDT 2011

equijada RT @jodyms: @chemosabe T2: Problem here is in getting an accurate accounting fromany hospital/rehab/etc facility on #hpm costs. It's not transparent.

Wed Jul 20 18:37:13 PDT 2011

MeredithGould So how to unhook that conflation/confusion of cost consciousness w/rationing? That's aneducation & awareness issue, methinks. #hpm

Wed Jul 20 18:37:14 PDT 2011
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PracticalWisdom Clearing Throat this phrase marginally extend the lives of the very sick, Reminds me offeeding tubes against the desire Pt/Fam #hpm

Wed Jul 20 18:37:29 PDT 2011

aliciabloom it always makes me a bit antsy when health care decision making is framed in $$ terms.that's how the "death panel" nonsense evolved #hpm

Wed Jul 20 18:37:32 PDT 2011

DNRstories RT @revdoc: We should only recommend tx that have high efficacy vs. s/e; reasonableNNT; those with good sx advantage/meaningful life exp. increase #hpm

Wed Jul 20 18:37:41 PDT 2011

chemosabe @jodyms yea, difficult here too, but hey it comes out of the public purse! #hpmWed Jul 20 18:37:44 PDT 2011

hollyby T2: What will life look like if I choose that course of treatment or not? People need tounderstand best and worst case scenarios. #hpm

Wed Jul 20 18:37:47 PDT 2011

MeredithGould @aliciabloom Valid point and valid concern, for sure. #hpmWed Jul 20 18:37:51 PDT 2011

jfclearywisc @MeredithGould Agree education and awareness #hpmWed Jul 20 18:37:51 PDT 2011

CompAndChoices

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need 2 understand best/ worst case scenarios. #hpm

Wed Jul 20 18:38:48 PDT 2011

jfclearywisc @aliciabloom But Elliot Fisher at Dartmouth has shown more is not necessarily better (infact often worse) with health care #hpmWed Jul 20 18:38:49 PDT 2011

revdoc @aliciabloom $640,000 for a treatment that has only been proven to be "as good as" an

established tx that is half the price? #hpmWed Jul 20 18:38:59 PDT 2011

equijada @MeredithGould culture issue as well. #hpmWed Jul 20 18:39:11 PDT 2011

PracticalWisdom RT @jfclearywisc: @aliciabloom Elliot Fisher at Dartmouth has shown more is notnecessarily better (in fact often worse) re:health care #hpm

Wed Jul 20 18:39:30 PDT 2011

aliciabloom @jfclearywisc i agree 100%. we see that reality all the time, but how do we getpatients/families to understand? #hpmWed Jul 20 18:39:53 PDT 2011

chemosabe T2 had d/w w/@jessone earlier today re blood tx in very elderly dnr patient. Ethics comesinto our decisions re resource use #hpmWed Jul 20 18:39:57 PDT 2011

MeredithGould @equijada Absolutely...culture, age, gender differences...all those sociological variables#hpm

Wed Jul 20 18:40:07 PDT 2011

SheyontheBay MT @hollyby: T2: What will life be if I choose that course of treatment or not? Ppl need tounderstand best and worst case scenarios. #hpm

Wed Jul 20 18:40:14 PDT 2011

CompAndChoices RT @jfclearywisc: @aliciabloom Elliot Fisher at Dartmouth has shown more is notnecessarily better (in fact often worse) w/ health care #hpm

Wed Jul 20 18:40:19 PDT 2011

aliciabloom RT @equijada: @MeredithGould culture issue as well.

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Wed Jul 20 18:41:00 PDT 2011

MeredithGould @chemosabe Raises, once again, the importance of having all preferences in writing inadvance! #hpm

Wed Jul 20 18:41:01 PDT 2011

PracticalWisdom T2: We have such High Tech Medical Model hard 2 know when enough is enough. Wekeep saving the day but then no Quality of life. #hpm

Wed Jul 20 18:41:04 PDT 2011

revdoc New Pallimend post on expensive drug tx: http://www.pallimed.org/2011/07/denosumab-palifermin-and-costs-of.html#hpm

Wed Jul 20 18:41:30 PDT 2011

CompAndChoices THIS RT @hollyby: What will life look like if I choose that course of treatment/not? Pplneed to understand best/worst case scenarios. #hpmWed Jul 20 18:41:36 PDT 2011

MeredithGould @equijada Yes & relationship cultivation requires time & attention, both of which are oftenabsent in medical settings. #hpmWed Jul 20 18:41:38 PDT 2011

equijada @MeredithGould@chemosabe true dat. #hpmWed Jul 20 18:41:40 PDT 2011

equijada @MeredithGould hear hear. #hpmWed Jul 20 18:42:12 PDT 2011

PracticalWisdom Classic RT @jfclearywisc: @aliciabloom Tell the truth "if U tell the truth U dont have 2remembe what U said!" My father RE:Mark Twain) #hpmWed Jul 20 18:42:13 PDT 2011

equijada @revdoc thanks for posting the Drew's post - was thinking the same think. #hpmWed Jul 20 18:42:40 PDT 2011

DNRstories Excellent review article on race/relig/ethnic on EOL deicison making: Kwak and Haley,2005, Gerontologist. #hpmWed Jul 20 18:42:46 PDT 2011

jfclearywisc Language change. Lets "stop saving lives" and talk about reality. "Delaying death" or"Prolonging lives" #hpm

Wed Jul 20 18:42:47 PDT 2011

CompAndChoices "Consider the Conversation" documentary has great clip on determining quality of lifehttp://youtu.be/KDWNuY_m6Rg#hpmWed Jul 20 18:42:51 PDT 2011
http://twitter.com/80913997/status/93858443961700352http://www.symplur.com/healthcare-hashtags/hpm/http://youtu.be/KDWNuY_m6Rghttp://www.twitter.com/CompAndChoiceshttp://twitter.com/27231379/status/93858428711215104http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/262368526/status/93858421752864768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://twitter.com/85440711/status/93858396297637888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/equijadahttp://twitter.com/25428892/status/93858284943065089http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://www.twitter.com/PracticalWisdomhttp://twitter.com/22651861/status/93858281763778560http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/equijadahttp://twitter.com/22651861/status/93858146023522305http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/equijadahttp://twitter.com/16733030/status/93858138624761856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/MeredithGouldhttp://twitter.com/80913997/status/93858129149825024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/14231943/status/93858102692167680http://www.symplur.com/healthcare-hashtags/hpm/http://www.pallimed.org/2011/07/denosumab-palifermin-and-costs-of.htmlhttp://www.twitter.com/revdochttp://twitter.com/25428892/status/93857996572078080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/93857984454729728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://www.twitter.com/MeredithGouldhttp://twitter.com/22651861/status/93857979920691200

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chemosabe @MeredithGould yep we have just introduced Advanced Care Planning, in last yr, for allinpatient for that purpose #hpmWed Jul 20 18:42:51 PDT 2011

PracticalWisdom RT @equijada: @revdoc thanks for posting the Drews post - was thinking the same think.#hpm

Wed Jul 20 18:43:03 PDT 2011

aliciabloom final thoughts on "Death & Budgets?" T3 is related to some of the points we've raisedduring T2. #hpmWed Jul 20 18:43:15 PDT 2011

revdoc @equijada Hi, Earl!!!! How are you? #hpmWed Jul 20 18:43:30 PDT 2011

MeredithGould @chemosabe Should be required in pre-school! #hpmWed Jul 20 18:43:43 PDT 2011

CompAndChoices YES. RT @jfclearywisc: Language change. Lets "stop saving lives" and talk about reality."Delaying death" or "Prolonging lives" #hpmWed Jul 20 18:43:43 PDT 2011

aliciabloom @jfclearywisc the power of language is impressive and should never be minimized. notjust what we say, but how we say it. #hpm

Wed Jul 20 18:43:51 PDT 2011

SheyontheBay @chemosabe@MeredithGould NY just passed recent law about requiring discussionannually - tough to enforce #hpm

Wed Jul 20 18:44:17 PDT 2011

revdoc T3: do we "waste" money on expensive tx that would benefit few for limited time or providpreventive health care for masses? #hpm

Wed Jul 20 18:44:20 PDT 2011

authordhallman Decision-making at EOL situation includes f/pt emotion, time-pressure, spirituality as wellas medical issues. Early education helps. #hpm

Wed Jul 20 18:44:21 PDT 2011

aliciabloomhow we present options & what words we use to describe them has a significant impact opatient/family decision making. #hpmWed Jul 20 18:44:37 PDT 2011

MeredithGould @SheyontheBay Yeah, how would that be enforced? Wild. #hpmWed Jul 20 18:44:48 PDT 2011

jfclearywisc Recommend http://www.Considertheconversation.org. Docu re having the conversation.Ira Byock. Bud Hammes. Elliott Fisher #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.considertheconversation.org./http://www.twitter.com/jfclearywischttp://twitter.com/16733030/status/93858933390848000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://twitter.com/24399366/status/93858888318861312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/284885422/status/93858820513726464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/14231943/status/93858816743051265http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/16857263/status/93858806626402304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/chemosabehttp://www.twitter.com/SheyontheBayhttp://twitter.com/24399366/status/93858696551075841http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://twitter.com/80913997/status/93858663927775233http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/CompAndChoiceshttp://twitter.com/16733030/status/93858662308782080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://www.twitter.com/MeredithGouldhttp://twitter.com/14231943/status/93858609426993152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/revdochttp://twitter.com/17634111/status/93858545107345409http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/25428892/status/93858493576122369http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/equijadahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/19327875/status/93858444477607937http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/chemosabe

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Wed Jul 20 18:45:00 PDT 2011

chemosabe @MeredithGould yes I have sed b4 that my Pall Care mentor used to say PC should startat birth as life is terminal illness. #hpm

Wed Jul 20 18:45:01 PDT 2011

PracticalWisdom T2: its about our inability 2 face death/willingness 2 $ whatever it takes 2 push slightlyover the horizon.http://nyti.ms/p0Rt1B #hpmWed Jul 20 18:45:42 PDT 2011

chemosabe @revdoc T3 oh for some (me) that would be the perfect world (preventive care)! #hpmWed Jul 20 18:45:55 PDT 2011

equijada @aliciabloom@jfclearywisc yes, the context of how said >>> what said. Used "prolonginglife" today. #hpm

Wed Jul 20 18:46:01 PDT 2011

PracticalWisdom T2: Nation in Denial. #hpmWed Jul 20 18:46:13 PDT 2011

renee_berry Hey everyone got out of an event later than planned, just wanted to say hi #hpm (looks likan awesome chat!!!!)

Wed Jul 20 18:46:13 PDT 2011

equijada @revdoc hey there. doing well. #hpmWed Jul 20 18:46:22 PDT 2011

SheyontheBay @MeredithGould@SheyontheBay at least itmopens the door #hpmWed Jul 20 18:46:24 PDT 2011

MeredithGould . @chemosabe I agree. The reality is, we WILL die. Weave that acceptance into life & Ibelieve life can become more relaxed! #hpm

Wed Jul 20 18:46:28 PDT 2011

equijada @renee_berry yo. #hpmWed Jul 20 18:46:38 PDT 2011

jodyms @revdoc T3: Avastin was a terrible example; clearly laid bare the differences w/in cancercommunities. #hpm

Wed Jul 20 18:46:50 PDT 2011

MeredithGould @renee_berry Your new avatar is delightful!!! #hpmWed Jul 20 18:46:56 PDT 2011

CompAndChoices Very much so. RT @PracticalWisdom: T2: Nation in Denial. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/16733030/status/93859470463078400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/MeredithGouldhttp://twitter.com/23389575/status/93859444357734402http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/jodymshttp://twitter.com/22651861/status/93859395682828288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/equijadahttp://twitter.com/16733030/status/93859354251493376http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://www.twitter.com/MeredithGouldhttp://twitter.com/16857263/status/93859336387969024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/SheyontheBayhttp://twitter.com/22651861/status/93859327475073024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/equijadahttp://twitter.com/121558178/status/93859291576020992http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/25428892/status/93859291756363777http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/22651861/status/93859240460034048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://twitter.com/19327875/status/93859214367272960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/chemosabehttp://twitter.com/25428892/status/93859161753919488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/19327875/status/93858988503994369http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/chemosabehttp://twitter.com/27231379/status/93858984766869504

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Wed Jul 20 18:46:59 PDT 2011

SheyontheBay We're using some "would you want to allow a natural death" language #hpmWed Jul 20 18:47:07 PDT 2011

PracticalWisdom RT @jfclearywisc: Recommend http://www.Considertheconversation.org. Doc. re havingthe conversation. I. Byock/B. Hammes/E. Fisher #hpm

Wed Jul 20 18:47:10 PDT 2011

CompAndChoices Hey @renee_berry. :) #hpmWed Jul 20 18:47:20 PDT 2011

renee_berry RT @aliciabloom: @jfclearywisc the power of language is impressive and should never beminimized. not just what we say, but how we say it. #hpm

Wed Jul 20 18:47:27 PDT 2011

aliciabloom i'm going to throw topic 3 out there, as i think it will enhance/expand our topic 2 dialogue..

#hpmWed Jul 20 18:47:35 PDT 2011

revdoc RT @jodyms: @revdoc T3: Avastin was a terrible example; clearly laid bare thedifferences w/in cancer communities. #hpm

Wed Jul 20 18:47:40 PDT 2011

jodyms Agree RT @CompAndChoices Very much so. RT @PracticalWisdom: T2: Nation inDenial. #hpm

Wed Jul 20 18:47:50 PDT 2011

aliciabloom @SheyontheBay excellent! i also like to talk about "how we should take care of you" asopposed to "doing" or "not doing" things. #hpmWed Jul 20 18:48:12 PDT 2011

aliciabloom T3: studies show minority groups receive EoL care incongruent with values & preferenceswhat can we do to improve #hpm access? #hpm

Wed Jul 20 18:48:33 PDT 2011

hollyby T2: Need to ask the patient what is important and help them choose therapy that bestmeets their goals. Also, may need to adjust goals. #hpmWed Jul 20 18:48:40 PDT 2011

aliciabloom hi @renee_berry-- glad you've dropped in! #hpmWed Jul 20 18:49:03 PDT 2011

CompAndChoices @aliciabloom would love to get more indepth on those studies. Our org trying to dooutreach to minority communities on #eol. #hpm

Wed Jul 20 18:49:21 PDT 2011
http://twitter.com/80913997/status/93860080163885056http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eol/http://www.twitter.com/aliciabloomhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/17634111/status/93860004263763968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/aliciabloomhttp://twitter.com/32316055/status/93859906112847872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/24399366/status/93859877448974336http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/93859789309886464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/aliciabloomhttp://twitter.com/23389575/status/93859697077141505http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/CompAndChoiceshttp://www.twitter.com/jodymshttp://twitter.com/14231943/status/93859654559477760http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/jodymshttp://www.twitter.com/revdochttp://twitter.com/17634111/status/93859634363895808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/101756517/status/93859602592055297http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://www.twitter.com/renee_berryhttp://twitter.com/80913997/status/93859571956854785http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/25428892/status/93859532102582272http://www.symplur.com/healthcare-hashtags/hpm/http://www.considertheconversation.org./http://www.twitter.com/jfclearywischttp://www.twitter.com/PracticalWisdomhttp://twitter.com/138357015/status/93859518634672128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/80913997/status/93859483293466625

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PracticalWisdom RT @hollyby: T2: Need 2 ? Pt what is important & help them choose therapy that bestmeets their goals. Also, may need to adjust goals. #hpm

Wed Jul 20 18:49:29 PDT 2011

hollyby Same answer for T3. ;) Its about the communication. #hpmWed Jul 20 18:49:30 PDT 2011

MeredithGould T3 Improving access is, I believe, in this instance tied to cultural sensitivity. #hpmWed Jul 20 18:49:37 PDT 2011

aliciabloom MT @hollyby: T2: Need to ask the pt what is important & help them choose therapy thatbest meets goals. Also, may need to adjust goals. #hpm

Wed Jul 20 18:49:53 PDT 2011

chemosabe @MeredithGould couldn't it tho, and as @practicalwisdom just sed remove some of themedicalisation of the process #hpm

Wed Jul 20 18:49:56 PDT 2011

MeredithGould @chemosabe Yes, that too! #hpmWed Jul 20 18:50:23 PDT 2011

aliciabloom @hollyby communication is key. there are definitely some institutional & historical barriersthat we need to address as well. #hpm

Wed Jul 20 18:50:24 PDT 2011

CompAndChoices @MeredithGould we hear from African American & hispanic communities that there isinherent fear of #hcr systems and docs. #hpmWed Jul 20 18:50:24 PDT 2011

hollyby RT @MeredithGould: T3 Improving access is, I believe, in this instance tied to culturalsensitivity. #hpm

Wed Jul 20 18:50:28 PDT 2011

SheyontheBay T3 in our very diverse community, some minority distrust of healthcare. Believepalliative/hospice for poor w/o $ for curativetreatment #hpm

Wed Jul 20 18:50:47 PDT 2011

jfclearywisc @aliciabloom T3; minority groups & EOL. Tough. Agree w establishing values butchallenges when not consistent with norms. Communication #hpm

Wed Jul 20 18:51:02 PDT 2011

CompAndChoices Especially in Afr.American communities, #EOL stuff happens through religious institutions#hpm

Wed Jul 20 18:51:07 PDT 2011

PracticalWisdom Clergy Involv.RT @aliciabloom: T3: studies show min. grou. rec. EoL care incongruentw/values/pref. ? can we do2 improve #hpm access? #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/80913997/status/93860524567171072http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/EOL/http://www.twitter.com/CompAndChoiceshttp://twitter.com/27231379/status/93860505197887490http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://twitter.com/16857263/status/93860441247322112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/32316055/status/93860361291313152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/hollybyhttp://twitter.com/80913997/status/93860344665088000http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hcr/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/24399366/status/93860342748299264http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/aliciabloomhttp://twitter.com/16733030/status/93860339137003520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://www.twitter.com/MeredithGouldhttp://twitter.com/3877633/status/93860225022570496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/practicalwisdomhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/chemosabehttp://twitter.com/24399366/status/93860215279194112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/aliciabloomhttp://twitter.com/16733030/status/93860147989975040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/32316055/status/93860118743101440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/25428892/status/93860111713439744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/PracticalWisdom

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Wed Jul 20 18:51:08 PDT 2011

MeredithGould @CompAndChoices Heck, I'm a grossly over-educated white woman who works aroundthe industry & I am afraid of #hcr systems! #hpm

Wed Jul 20 18:51:15 PDT 2011

revdoc We let pts select from the buffet in medical care, but we decide whether we put outlobster... #hpm

Wed Jul 20 18:51:21 PDT 2011

ShahinaLakhani I Have A Dream...An ambitious Dream of a hospice Nurse.. http://t.co/5yJjd2u#hpm plzRTWed Jul 20 18:51:40 PDT 2011

jfclearywisc RT @SheyontheBay: T3 in very diverse community, some min. distrust of healthcare.Believe hospice for poor w/o $ for curativetreatment #hpm

Wed Jul 20 18:51:41 PDT 2011

PracticalWisdom RT @jfclearywisc: @aliciabloom T3; min.groups & EOL. Tough. Agree w estab. values buchallenges when not consistent w/ norms. Comm. #hpmWed Jul 20 18:51:50 PDT 2011

aliciabloom great resource from 2011 Annual Meeting, Association of American Law Schools-http://www.aals.org/am2011/posters/KathyCerminara.pdf.#hpm

Wed Jul 20 18:51:53 PDT 2011

drseisenberg #hpm hey y'all! Sorry late! Real late. Whatcha tallkin bout?Wed Jul 20 18:52:13 PDT 2011

SheyontheBay T3 young immigrant farm worker asked me: if he were rich and white, could he get a cureBroke my heart #hpmWed Jul 20 18:52:23 PDT 2011

CompAndChoices @MeredithGould LOL...ditto. :) #hpmWed Jul 20 18:52:25 PDT 2011

revdoc Clergy in mainline Prot. congregations probably deal w/ more dying people than manyprimary care docs; absolutely involve faith comms! #hpm

Wed Jul 20 18:52:33 PDT 2011

equijada RT @SheyontheBay: T3 in our very diverse community, some minority distrust ofhealthcare. Believe palliative/hospice for poor w/o $ for curativetreatment #hpm

Wed Jul 20 18:52:35 PDT 2011

MeredithGould @drseisenberg Death, dying, hospice, palliative medicine...the usual! #hpmWed Jul 20 18:52:38 PDT 2011
http://twitter.com/16733030/status/93860906307555328http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://www.twitter.com/MeredithGouldhttp://twitter.com/85440711/status/93860894781603841http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/equijadahttp://twitter.com/14231943/status/93860883696062466http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/80913997/status/93860850196156416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/16857263/status/93860844160548864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/152056044/status/93860802855047168http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://twitter.com/24399366/status/93860718981554177http://www.symplur.com/healthcare-hashtags/hpm/http://www.aals.org/am2011/posters/KathyCerminara.pdf.http://www.twitter.com/aliciabloomhttp://twitter.com/25428892/status/93860705937276928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/jfclearywischttp://www.twitter.com/PracticalWisdomhttp://twitter.com/27231379/status/93860666540163072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/jfclearywischttp://twitter.com/293604242/status/93860661720920064http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5yJjd2uhttp://www.twitter.com/ShahinaLakhanihttp://twitter.com/14231943/status/93860582993825792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/1972230/status/93860557307920384http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hcr/http://www.twitter.com/CompAndChoiceshttp://www.twitter.com/MeredithGouldhttp://twitter.com/25428892/status/93860530103652353

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CompAndChoices @SheyontheBay :( that's awful. #hpmWed Jul 20 18:52:44 PDT 2011

MeredithGould @SheyontheBay Hope you told him, "no." #hpmWed Jul 20 18:52:54 PDT 2011

EndCruelty RT @CompAndChoices: YES. RT @jfclearywisc: Language change. Lets "stop savinglives" and talk about reality. "Delaying death" or "Prolonging lives" #hpmWed Jul 20 18:53:01 PDT 2011

aliciabloom @drseisenberg we've talked about IPAL-ICU, "Death & Budgets" and now...improvingaccess to #hpm for minority populations. #hpm

Wed Jul 20 18:53:04 PDT 2011

EndCruelty RT @CompAndChoices: "Consider the Conversation" documentary has great clip ondetermining quality of life http://youtu.be/KDWNuY_m6Rg#hpm

Wed Jul 20 18:53:08 PDT 2011

hollyby Agreed. Often it helps to simply ask abt mistrust. MT @SheyontheBay: T3 in our diversecommunity, some minority distrust of healthcare. #hpmWed Jul 20 18:53:52 PDT 2011

SheyontheBay RT @MeredithGould: Heck, Im a grossly over-educated white woman who works aroundthe industry & I am afraid of #hcr systems!

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Wed Jul 20 18:54:59 PDT 2011

MeredithGould @SheyontheBay

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jfclearywisc RT @MeredithGould: @jfclearywisc Answer: when the call is "collect" ?? :-) #hpmWed Jul 20 18:56:51 PDT 2011

hollyby @MeredithGould LOL #hpmWed Jul 20 18:57:05 PDT 2011

PracticalWisdom Hospice Humor? RT @jfclearywisc: RT @MeredithGould: @jfclearywisc Answer: when thcall is "collect" ?? :-) #hpmWed Jul 20 18:57:26 PDT 2011

SheyontheBay @MeredithGould@jfclearywisc You on fire! Hahaha #hpmWed Jul 20 18:57:26 PDT 2011

MeredithGould Just couldn't resist, folks. Blame it on caffeine! #hpmWed Jul 20 18:57:44 PDT 2011

equijada RT @MeredithGould: @jfclearywisc Answer: when the call is "collect" ?? Love it! #hpmWed Jul 20 18:57:45 PDT 2011

DNRstories #hpm Wish i could stay, dog's bladder about to explode on floor. Great moderating@aliciabloom! Thx all for all the resources and concepts!Wed Jul 20 18:58:25 PDT 2011

jfclearywisc @MeredithGould@jfclearywisc Should keep folks smiling for the week. Think of the"collect call!" #hpm

Wed Jul 20 18:58:28 PDT 2011

drseisenberg Communicating with the family on every single little aspect of their concerns frees up thespace for the EOL conversation #hpm

Wed Jul 20 18:58:34 PDT 2011

PracticalWisdom @chemosabe he really is a HCSMANZ Guy RT @jfclearywisc: RT @MeredithGould:@jfclearywisc Answer: when the call is "collect" ?? :-) #hpm

Wed Jul 20 18:58:35 PDT 2011

CompAndChoices @MeredithGould Try the veal! And don't forget to tip your waitress. LOL #hpmWed Jul 20 18:58:38 PDT 2011

MeredithGould @DNRstories Thanks for that word picture. #hpmWed Jul 20 18:58:45 PDT 2011

aliciabloom partnering with community-organizations & churches seems critical. #hpmWed Jul 20 18:58:50 PDT 2011

PracticalWisdom RT @drseisenberg: Communicating w/ family on every single little aspect of their concern
http://www.twitter.com/drseisenberghttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24399366/status/93862464487292928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/16733030/status/93862444564348929http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://www.twitter.com/MeredithGouldhttp://twitter.com/69700032/status/93862417662095360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/25428892/status/93862404114497538http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/jfclearywischttp://www.twitter.com/chemosabehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/170039453/status/93862398531862528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://twitter.com/27231379/status/93862374594973696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/jfclearywischttp://twitter.com/244922707/status/93862362309861377http://www.twitter.com/aliciabloomhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://twitter.com/22651861/status/93862194084716544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/equijadahttp://twitter.com/1972230/status/93862190884470784http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/16857263/status/93862115823190017http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/SheyontheBayhttp://twitter.com/25428892/status/93862113243701248http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/jfclearywischttp://www.twitter.com/PracticalWisdomhttp://twitter.com/32316055/status/93862024982966272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/hollybyhttp://twitter.com/27231379/status/93861968485695488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/jfclearywisc

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frees up space for the EOL conversation #hpm

Wed Jul 20 18:59:07 PDT 2011

aliciabloom @DNRstories poor pup! thanks, LJ! #hpmWed Jul 20 18:59:12 PDT 2011

hollyby RT @aliciabloom: partnering with community-organizations & churches seems critical.#hpm

Wed Jul 20 18:59:24 PDT 2011

PracticalWisdom Is critical. Collaboration w/ Diff Cultures. RT @aliciabloom: partnering with community-organizations & churches seems critical. #hpmWed Jul 20 18:59:33 PDT 2011

CompAndChoices Agreed. Community leaders crucial. RT @aliciabloom: partnering with community-organizations & churches seems critical. #hpm

Wed Jul 20 18:59:38 PDT 2011

aliciabloom RT @drseisenberg: Communicating with family on every single little aspect of theirconcerns frees up the space for the EOL conversation #hpmWed Jul 20 18:59:43 PDT 2011

PracticalWisdom Pal MD's & Staff can't do it alone. RT @hollyby: RT @aliciabloom: partnering withcommunity-organizations & churches seems critical. #hpm

Wed Jul 20 19:00:03 PDT 2011

drseisenberg Must get out every concern, every bit of it, then people tend to create an openess; a spacefor real communication / listening #hpm

Wed Jul 20 19:00:11 PDT 2011

subatomicdoc MT @MeredithGould: RT @ddiamond: Why the 'death panel' myth won't die - and how itthreatens #hcr New column: http://j.mp/nPetMS#HPM

Wed Jul 20 19:00:18 PDT 2011

SheyontheBay MT @Aliciabloom Q: how will you know God is calling? A: via @meredithgould "when thecall is collect?" BaRUmBUMP #hpm

Wed Jul 20 19:00:34 PDT 2011

chemosabe @MeredithGould@SheyontheBay would that have been the truth tho? #hpmWed Jul 20 19:00:52 PDT 2011

aliciabloom the hour has come to a close-- thank you all for your thoughtful dialogue. i hope youenjoyed #hpm tweetchat tonight! #hpm

Wed Jul 20 19:01:09 PDT 2011

PracticalWisdom Cuts down Liability 2 RT @aliciabloom: RT @drseisenberg: Comm w/fam. every singleaspect of concerns frees up the space 4 EOL convo #hpm

Wed Jul 20 19:01:26 PDT 2011
http://twitter.com/25428892/status/93863119805358080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24399366/status/93863047956938752http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/19327875/status/93862978658635777http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/chemosabehttp://twitter.com/16857263/status/93862903538659329http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/meredithgouldhttp://www.twitter.com/Aliciabloomhttp://www.twitter.com/SheyontheBayhttp://twitter.com/83319896/status/93862835666419712http://www.symplur.com/healthcare-hashtags/HPM/http://j.mp/nPetMShttp://www.symplur.com/healthcare-hashtags/hcr/http://www.twitter.com/ddiamondhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/subatomicdochttp://twitter.com/170039453/status/93862806151114752http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://twitter.com/15173133/status/93862773297135616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/hollybyhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24399366/status/93862686730878976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://www.twitter.com/aliciabloomhttp://twitter.com/80913997/status/93862668888313856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/25428892/status/93862646541070336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/32316055/status/93862609400508416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/hollybyhttp://twitter.com/24399366/status/93862557575692288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://www.twitter.com/aliciabloomhttp://twitter.com/25428892/status/93862535723352065http://www.symplur.com/healthcare-hashtags/hpm/

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aliciabloom RT @SheyontheBay: MT @aliciabloom Q: how will you know God is calling? A: via@meredithgould "when the call is collect?" BaRUmBUMP #hpm

Wed Jul 20 19:01:27 PDT 2011

CompAndChoices Off to have some ice cream with my fam. Thanks @aliciabloom. :) #hpmWed Jul 20 19:01:32 PDT 2011

revdoc @aliciabloom Thanks for hosting! #hpmWed Jul 20 19:01:33 PDT 2011

hollyby Thanks @aliciabloom for hosting the chat tonight! Wishing you all a lovely week until nextchat... Hugs! #hpm

Wed Jul 20 19:02:09 PDT 2011

MeredithGould @aliciabloom Thanks for moderating! It's a fun but tough gig, especially with a lively crowdlike this one. #hpm

Wed Jul 20 19:02:10 PDT 2011

SheyontheBay @chemosabe@MeredithGould@SheyontheBay YES, he had advanced pancreaticcancer. ? Pesticides? #hpm

Wed Jul 20 19:02:25 PDT 2011

PracticalWisdom Closing Thought Our own @Marksphone has shown tremendous transparency/Love andconcern for his wife. The abstract becomes real 4 Us. #hpmWed Jul 20 19:02:49 PDT 2011

chemosabe @PracticalWisdom@chemosabe@jfclearywisc@MeredithGould@jfclearywisc missedthe relevance tho Lisa? #hpmWed Jul 20 19:02:54 PDT 2011

aliciabloom @MeredithGould it was exciting..and, a bit overwhelming! #hpmWed Jul 20 19:02:57 PDT 2011

SheyontheBay Thanks @aliciabloom. G'nite, all #hpmWed Jul 20 19:03:12 PDT 2011

PracticalWisdom You did a great job. It's so much harder than it looks. RT @aliciabloom: @MeredithGouldwas exciting..and, a bit overwhelming! #hpmWed Jul 20 19:03:39 PDT 2011

aliciabloom @PracticalWisdom thank you! it definitely is much harder than it looks. #hpmWed Jul 20 19:04:32 PDT 2011

PracticalWisdom 2nd time easier~please moderate again. Cheers RT @aliciabloom: @PracticalWisdomthank you! it definitely is much harder than it looks. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24399366/status/93863899966873600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/aliciabloomhttp://twitter.com/15173133/status/93863680000798720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/138357015/status/93863566662307841http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/SheyontheBayhttp://twitter.com/24399366/status/93863500883046400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/aliciabloomhttp://twitter.com/19327875/status/93863488795054083http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/jfclearywischttp://www.twitter.com/chemosabehttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/chemosabehttp://twitter.com/25428892/status/93863468259737602http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Marksphonehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16857263/status/93863369844588544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/chemosabehttp://www.twitter.com/SheyontheBayhttp://twitter.com/1972230/status/93863304379899904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/MeredithGouldhttp://twitter.com/32316055/status/93863299183161344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/hollybyhttp://twitter.com/14231943/status/93863148041404416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/revdochttp://twitter.com/80913997/status/93863144585297921http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/CompAndChoiceshttp://twitter.com/24399366/status/93863125622865920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/meredithgouldhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/SheyontheBayhttp://www.twitter.com/aliciabloom

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Wed Jul 20 19:05:24 PDT 2011

chemosabe @SheyontheBay @@MeredithGould my apologies, missed the cure bit, was thinking leveor qlty of care. #hpm

Wed Jul 20 19:05:51 PDT 2011

PracticalWisdom @aliciabloom HCSMAMZ I think has two folks that help moderate their chats.@chemosable am I correct about that? #hpm

Wed Jul 20 19:06:10 PDT 2011

chemosabe @PracticalWisdom@aliciabloom yes Lisa usually tag teamed. Think #rnchat does too.#hpm

Wed Jul 20 19:07:16 PDT 2011

PracticalWisdom @chemosabe Glen, hope to clear up any miscommunication 2nit U R my Friend so youaccept me as I am and expect me 2 B the best I can be. #hpm

Wed Jul 20 19:07:23 PDT 2011

jodyms @aliciabloom Thanks so much, Alicia. I enjoyed lurking and jumping in:) #hpmWed Jul 20 19:07:52 PDT 2011

PracticalWisdom drseisenberg helped me 1 time=helpful RT @chemosabe: @PracticalWisdom@aliciabloom yes Lisa usually tag teamed. Think #rnchat does too. #hpm

Wed Jul 20 19:08:15 PDT 2011

aliciabloom @PracticalWisdom i will definitely volunteer again. i'm glad no one threw tomatoes at me #hpm

Wed Jul 20 19:08:22 PDT 2011

revdoc Goodnight, all--peace and love to you until next week #hpmWed Jul 20 19:08:31 PDT 2011

aliciabloom @jodyms you're welcome! glad you joined us! #hpmWed Jul 20 19:08:43 PDT 2011

PracticalWisdom @aliciabloom: Here you go: http://www.wayfaring.info/wp-content/uploads/2007/03/la-tomatina.jpg Teasing #hpm

Wed Jul 20 19:10:13 PDT 2011

jodyms @aliciabloom#HPM is always incredible:)Wed Jul 20 19:11:1

#Hpm Tweet Chat 7:20:11

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