Transcript of #MDchat - a Twitter chat for physicians and the public - for Tuesday, November 2, 2010.
A lively chat involving physicians and others.
Follow @MD_chat - http://Twitter.com/MD_chat for regular updates.
Visit http://MDchat.org for more.
Topics included:
T1 Empowered Patient: Is the word ePatient meaningful to you? From your view, how would you define an “empowered patient”?
T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next tweet as an example.)
T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next tweet as an example.)
Moderated by Phil Baumann - http://Twitter.com/PhilBaumann
Transcript of #MDchat - a Twitter chat for physicians and the public - for Tuesday, November 2, 2010.
A lively chat involving physicians and others.
Follow @MD_chat - http://Twitter.com/MD_chat for regular updates.
Visit http://MDchat.org for more.
Topics included:
T1 Empowered Patient: Is the word ePatient meaningful to you? From your view, how would you define an “empowered patient”?
T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next tweet as an example.)
T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next tweet as an example.)
Moderated by Phil Baumann - http://Twitter.com/PhilBaumann
Transcript of #MDchat - a Twitter chat for physicians and the public - for Tuesday, November 2, 2010.
A lively chat involving physicians and others.
Follow @MD_chat - http://Twitter.com/MD_chat for regular updates.
Visit http://MDchat.org for more.
Topics included:
T1 Empowered Patient: Is the word ePatient meaningful to you? From your view, how would you define an “empowered patient”?
T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next tweet as an example.)
T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next tweet as an example.)
Moderated by Phil Baumann - http://Twitter.com/PhilBaumann
Welcome to #MDchat! If you're new, just follow along & you'll
MD_Chat figure it out. We'll get started in a moment but first, introduce yourselves! Doctor_V @PhilBaumann I'll be joining #mdchat about 15 after RT @hjluks: RT @EllenRichter Frustrating! "Docs, patients use smartphones, but cant make mobile connection" http://is. Healthcare3dot0 gd/gD2pf #hcsm #MDchat @hjluks @EllenRichter I'm not sure how phones should safely connect docs&pts - perhaps med monitoring & " drpauldorio safe" Q/As? #hcsm #MDchat #mdchat Family doc working in #RVA; trying to multitask a conference call and RichmondDoc #mdchat RT @EllenRichter: Frustrating! "#Doctors, patients use smartphones, but can't make mobile connection" http://is. joegormally gd/gD2pf #hcsm #MDchat #RNchat MD_Chat @RichmondDoc Welcome! #mdchat Hey gang! Paul from Albert Einstein College of Medicine here. Looking EinsteinMed forward to 2nte's discussion #mdchat @drpauldorio Phones in this decade are like PCs in the past. They are the Srini2000 most widely used platform. Future emphasis- phones #mdchat EllenRichter Lurking @ #MDchat while on a phonecall! Hi folks! :) @MD_Chat Thanks! Hopefully my multitasking won't mess me up too badly. RichmondDoc #mdchat Srini2000 Srini, developer medical instrumentation. Hello everyone #mdchat Evening all! Jenn from Braiv.com - career resource for the healthcare BraivHC industry. #MDchat EinsteinMed Reminder tweeps #Mdchat live now. #hcsm #meded BraivHC @RichmondDoc Impressive multitasking. #MDchat @EinsteinMed @EllenRichter Welceome - It's election night, so we'll see how MD_Chat turnout is - either way, always fun. ;) #MDchat OK, we'll get started in a moment. We have 2 topics. When responding to a MD_Chat topic, prepend tweets with T1, T2, etc. Enjoy! #MDchat RT @hjluks: RT @EllenRichter Frustrating! "#Doctors, patients use smartphones, but cant make mobile connection" http://is. westr gd/gD2pf #hcsm #MDchat #mdchat RichmondDoc @BraivHC We shall see how impressive... #mdchat Blausen Group, focused on patient education w 3 D medical animations blausengroup listening in to #mdchat EllenRichter Twitter #doctors come join in for #MDchat starting now! :) T1 Empowered Patient: Is the word ePatient meaningful to you? From your MD_Chat view, how would you define an “empowered patient”? #MDchat @MD_chat Actually #MDchat a respite from wall-to-wall news coverage. EinsteinMed #mdchat MD_Chat @EinsteinMed Yep. ;) #MDchat LOL yes! EinsteinMed: @MD_chat Actually #MDchat a respite from wall-to- EllenRichter wall news coverage. #MDchat High everyone. Coming in late and likely lurking or at least westr multitasking tonight. mkmackey Good turnout for #mdchat tonight Are you joining? #mdchat T1 Empowered pts should be a goal for all health care providers. We need to RichmondDoc help pts understand and actively participate in care. #mdchat Agreed! :) RT @EinsteinMed: @MD_chat Actually #MDchat a respite from BraivHC wall-to-wall news coverage. #MDchat RT @EllenRichter: Twitter #doctors come join in for #MDchat starting now! Trybarefoot :) hjluks Hi folks... sharing computer with a 6 year old :-) Will be off/on... #mdchat T1: Empowered patient=informed pt. Not afraid to independently do EinsteinMed research, set goals 4 treatment and ask docs tough questions. #MDchat Hi there, ICU nurse & legal nurse consultant who loves health care EllenRichter & its expansion to social media #MDchat T1 Health care providers spend only a few minutes/visit w/ pts. Goal should RichmondDoc be to empower pts to improve their health at all times. #mdchat apjonas #mdchat HI AP Jonas, Holistic FM in OH T1 personally prefer the word engaged as opposed to empowered patient mkmackey #mdchat BraivHC @hjluks Welcome and good luck with that! #MDchat T1 Having said that, I don't personally put much weight on the " ePatient" term b/c I hope I am already practicing that way. RichmondDoc #mdchat T1 We all are empowered patients. We seek better answers to medical EllenRichter predicaments. We ask questions. We partner with our #doctors #MDchat RT @EinsteinMed: T1: Empowered patient=informed pt. Not afraid to independently do research, set goals 4 treatment and ask docs tough ability4life questions. #MDchat Patients are empowered by knowledge and understanding... and their ability hjluks to share that amongst other pts and MDs too #mdchat RT @EinsteinMed Empowered pt=informed pt. Not afraid to independently do research, set goals 4 treatment & ask docs tough questions. quality1 #MDChat @mkmackey T1 Those have very different connotations - I like engaged as BraivHC well. #MDchat hjluks @BraivHC thx :-) Tweetchat and spelling bee #mdchat T1 I think that the term might have its greatest value in getting docs to RichmondDoc recognize this as a goal and as a developing movement. #mdchat Shoutout to @mkmackey @ RichmondDoc @westr @quality1 Gang in the EinsteinMed house! #MDchat RT @EinsteinMed: T1: Empowered patient=informed pt. Not afraid to independently do research, set goals 4 treatment and ask docs tough RichmondDoc questions. #MDchat @mkmackey T1 I kinda think empowered & engaged are similar? EllenRichter No? #MDchat RT @EinsteinMed: T1: Empowered patient=informed pt. Not afraid to independently do research, set goals 4 treatment and ask docs tough CellSociety questions. #MDchat Doctor_V Better question: why doesn't anyone call me an e-doctor? #MDchat RichmondDoc @EinsteinMed @mkmackey @westr @quality1 Huzzah! #MDChat #mdchat Kathy Kastner in Toronto. next months Soc.4Teachers of Fam meds ability4life conf asks: 2 twitter or not T1: Empowered patient=informed pt. Not afraid to do research, set goals 4 treatment & ask MDs tough questions #MDchat -via HealthGlobal @EinsteinMed @EllenRichter T1 I think one can be engaged (in terms of being aware of their RichmondDoc care), but the system may limit a pt's empowerment. #mdchat RT @RichmondDoc ..term might have its greatest value in getting docs to recognize this as a goal & as a developing mvmt <Agreed quality1 #MDChat @EllenRichter T1 I think that an empowered pt is clearly engaged, but I don't RichmondDoc think that it always works the other way...sadly. #mdchat @RichmondDoc Ah, OK I see what U mean. But to me, empowerment is EllenRichter about self, not system. I understand your perspective though :) #MDchat Isn't empowered, engaged-- a patient who takes ownership for body and what Srini2000 is done to it? #mdchat RT @RichmondDoc: @EllenRichter T1 I think one can be engaged (in terms of being aware of their care), but the system may limit a pt's empowerment. ability4life #mdchat @Doctor_V Wait for it - T2 will come up in a bit and we'll start calling you philbaumann that officially. I plan this stuff, man. ;) #MDchat T1 #mdchat Empowered patient.. great concept, pts should be involved in joegormally mgt, lots don't even know what meds they're on though @RichmondDoc not all do though, some do spend time with patients, just HealthGlobal came from one of those appointments #mdchat @EllenRichter Hi Ellen. IMO empowered takes engaged to higher level. Put EinsteinMed pts in more control. U can be engaged w/out being empowered #MDchat @RichmondDoc: @EinsteinMed @westr @ellenrichter Good to see you all; quality1 always learn from you! #MDChat RT @hjluks: RT @EllenRichter Frustrating! "#Doctors, patients use smartphones, but cant make mobile connection" http://is. HealthGlobal gd/gD2pf #hcsm #MDchat #mdchat #Mdchat T1 Yes that term is meaningful to me and expresses my desire to be westr fully Participatory in my HC decisions Same here. RT @quality1: @RichmondDoc: @EinsteinMed @westr EinsteinMed @ellenrichter Good to see you all; always learn from you! #MDChat http://j.mp/d5Z8gi ♻ @EinsteinMed Reminder tweeps #Mdchat live healthgist now. #hcsm #meded gr8 point RT @quality1: RT @RichmondDoc term might have greatest value in getting docs 2 recognize this as goal & as developing mvmt ability4life #MDChat @HealthGlobal T1 I agree that systems and providers *should* empower pts, RichmondDoc but that approach bucks institutional practices/habits. #mdchat A Prevention Revolution http://huff.to/cqtGBj #mdchat #healthcare -via HealthGlobal @mkmackey Insightful RT @EinsteinMed...empowered takes engaged to higher level. Put quality1 pts in more control. U can be engaged w/o being empowered #MDChat RT @joegormally: T1 #mdchat Empowered patient.. great concept, pts should ability4life be involved in mgt, lots don't even know what meds they're on though T1 empowered pt= human, consumer, steward, Pt, neighbor who engages human physician steward consumer protector Dr neighbor to WIN. apjonas #MDCHAT RT @RichmondDoc: @HealthGlobal T1 I agree that systems and providers *should* empower pts, but that approach bucks institutional practices/habits. HealthGlobal #mdchat @EinsteinMed @EllenRichter I would have thought most docs would love joegormally their patients more engaged in decision making etc. #mdchat RT @EinsteinMed IMO empowered takes engaged to higher level. Put BraivHC patients in more control. U can be engaged w/out being empowered #MDchat @EinsteinMed Do you think having a patient advocate improves quality1 empowerment? #MDChat RT @BraivHC: RT @EinsteinMed IMO empowered takes engaged to higher level. Put patients in more control. U can be engaged w/out being empowered ability4life #MDchat Yes BTW thats a great article in amednews! #Doctors, patients use smartphones, but can't make mobile connection http://j.mp/aJbW4M EllenRichter #MDchat @joegormally T1 We would like to think that docs want pts engaged, but some RichmondDoc docs (training/personality) want to be in control. #mdchat RT @HealthGlobal: T1: Empowered patient=informed pt. Not afraid to do research, set goals 4 treatment & ask MDs tough questions westr #MDchat -via @EinsteinMed I think engaged patients would ask for more "office" mkmackey time on behalf of the physician #mdchat Great Question -->RT @quality1: @EinsteinMed Do you think having BraivHC a patient advocate improves empowerment? #MDchat great article amednews! #Doctors, patients use smartphones, but can't make HealthGlobal mobile connection http://j.mp/aJbW4M #MDchat -via @EllenRichter @joegormally T1 Some docs approach pts from a paternalistic POV: & quot;I am doc, you are pt; I tell, you do." Outmoded; still out there. RichmondDoc #mdchat @EinsteinMed Yes I agree about the levels. I'd rather be empowered than just EllenRichter engaged. But engaged is better than apathetic, for sure #MDchat @mkmackey T1 If we get more ePatients, maybe eventually we'll convince RichmondDoc payers that office visits need to value face-to-face care. #mdchat Yeah, lets start that grass roots movement! RT @Doctor_V: Better question: westr why doesn't anyone call me an e-doctor? #MDchat @hjluks #mdchat Wish I could join in but phone in a restaurant is wrong ePatientDave platform & time! @joegormally Some docs resistant to true empowermt and as @HealthGlobal EinsteinMed pts out - approach runs counter to institutional practices. #MDChat @RichmondDoc true... but many patients still desire a paternalistic approach hjluks ... #mdchat mkmackey @RichmondDoc good point #mdchat hjluks @ePatientDave enjoy ur dinner #mdchat RT @EinsteinMed: T1: Empowered patient=informed pt. Not afraid to independently do research, set goals 4 treatment and ask docs tough NAKAYAMAkazhiro questions. #MDchat RT @RichmondDoc: @HealthGlobal T1 I agree that systems and providers *should* empower pts, but that approach bucks institutional practices/habits. westr #mdchat @hjluks T1 Some pts still do want a paternalistic approach, and I use RichmondDoc occasionally when I feel the need. Tides are turning, though. #mdchat #mdchat @mkmackey coalition/alliance of healthcare providers and patients HealthGlobal would have more leverage but they work at odds often I think patients seek physicians with personalities and style that work best for mkmackey their needs #mdchat @RichmondDoc @joegormally Good news, rarely are PC Docs too pushy apjonas w/paternalism. They are more maternalistic and nurturing. #mdchat Frightens me! RT @hjluks: @RichmondDoc true... but many patients still westr desire a paternalistic approach ... #mdchat Without question.Pts want 2 b empowered but some don't know how. RT @quality1: @EinsteinMed Does a pt advocate improve empowerment? EinsteinMed #MDChat @RichmondDoc i agree... and u know I am an e-advocate... but mny patients hjluks still look to me to make decision..can be frustrating #mdchat Trybarefoot @ability4life Living #MDchat vicariously thru you tonite! Am on my BB. @hjluks T1 When I am put in the position of making a decision on pt's behalf, RichmondDoc I work hard to ensure discussion and understanding. #mdchat Some PTS r frightened! RT @RichmondDoc: @hjluks Some pts still want ability4life patern approach, I use occasionally when feel the need. #mdchat Often not that much choice RT @mkmackey: I think patients seek physicians westr with personalities and style that work best 4 their needs #mdchat RT @RichmondDoc @hjluks Some pts still do want a paternalistic approach.. quality1 use occasionally when I feel the need. Tides are turning #MDChat hjluks @RichmondDoc yup #mdchat @mkmackey A good point about style and fit. Pts for a short time will have apjonas choice about their Dr. Then huge shortage of PC doc. #mdchat @hjluks T1 But I agree that sometimes pts *do* look to docs for answer. If so, RichmondDoc docs need to ensure they take care re: pt autonomy. #mdchat Absolutely. Pts dread docs they dislike. RT @mkmackey: I think pts seek docs EinsteinMed w/personalities & style that work best for their needs #mdchat RT @EinsteinMed: Without question.Pts want 2 b empowered but some don't know how. RT @quality1: @EinsteinMed Does a pt advocate improve westr empowerment? #MDChat @RichmondDoc absolutely right.. I agree in less urgent like chemo for joegormally malignancy etc patient should def be fully involved #mdchat T1 The most patient-centered and humanistic docs will occ still have to make RichmondDoc decisions for pts--but it can be done better or worse. #mdchat @hjluks T1 Even when pts look 2 U for decisions U can gently ease them into EllenRichter participating in decision-making & taking responsibility #MDchat @mkmackey re: pts seek physicians w personalities &...4 their needs. <<Sadly, health plan often restricts & quality1 provider must adapt #MDChat Good 2 hear RT @RichmondDoc: @hjluks When pt in positin of makng ability4life decision on pt's behalf, I work 2 nsure discussion understanding #mdchat T1 Unless an emergency, if docs put in a paternalistic role we should do it in RichmondDoc the most pt-centered manner possible. #mdchat Not sure what patients want is a paternalistic MD. What they probably want HealthGlobal is a caring MD. That may mean many things #mdchat RT @RichmondDoc: T1 The most patient-centered and humanistic docs will occ still have to make decisions for pts--but it can be done better or worse. ability4life #mdchat RT @RichmondDoc: T1 The most patient-centered and humanistic docs will occ still have to make decisions for pts--but it can be done better or worse. EinsteinMed #mdchat RT @quality1: @mkmackey re: pts seek physicians w personalities & amp;...4 their needs. <<Sadly, health plan often restricts westr & provider must adapt #MDChat T1 Just like some doctors dont understand concept of e-patients, many pts EllenRichter dont understand it either! Learning curve for both ends! #MDchat I live in Houston with access to so many helpful physicians & mkmackey institutions I sometimes forget this is not the norm #mdchat RT @EllenRichter: @hjluks T1 Even when pts look 2 U for decisions U can gently ease them into participating in decision-making & taking westr responsibility #MDchat @EllenRichter easier said then done... believe me I try... a lot! SoMe, e, etc hjluks not for all patients... #mdchat drseisenberg Steven present. #MDchat RT @HealthGlobal: Not sure what patients want is a paternalistic MD-What BraivHC they probably want is a caring MD-That may mean many things #MDchat @RichmondDoc @hjluks Drs and pts seek answers from each other in a apjonas human-human, neighbor-neighbor, pt-dr relationship. Not one way. #mdchat RT @HealthGlobal: Not sure what patients want is a paternalistic MD. What westr they probably want is a caring MD. That may mean many things #mdchat @HealthGlobal T1 Some pts still defer to docs' expertise/experience; docs RichmondDoc need to try and engage them instead of accepting... #mdchat BraivHC @drseisenberg Welcome! #MDchat RT @EllenRichter: T1 Just like some doctors dont understand concept of e- patients, many pts dont understand it either! Learning curve for both ends! philbaumann #MDchat TY Ellen! RT @EllenRichter:Just like sme docs dnt get concept of e-patients, ability4life many pts dnt understand either! Learning curve 4 both #MDchat @EllenRichter What can we do to facilitate the learning curve for quality1 empowerment - at both ends? #MDChat RT @HealthGlobal: Not sure what patients want is a paternalistic MD. What ability4life they probably want is a caring MD. That may mean many things #mdchat @HealthGlobal T1 ...w/o question. But I agree w/ @hjluks: some pts really *do* look for the doc to give the "right" answer. RichmondDoc #mdchat @hjluks T1 I know. Its frustrating. But we are definitely at the cusp of a great EllenRichter new step in health care & we are part of the change #MDchat MD_Chat @drseisenberg Welcome & cheers! #MDchat T1 Docs need to be willing to engage pts, & pts need to be willing to be active participants & share responsibility in care/outcomes RichmondDoc #mdchat @quality1 T1 The best way to facilitate learning is to provide a great deal of EllenRichter education on the topic. To pts & healthcare providers #MDchat @EllenRichter perhaps... hopefully it has legs... we have not done a good job hjluks at modifying behavior... smoking, obesity,etc... #mdchat @EllenRichter To learn more abt being an #e-patient this w/paper is a MUST EinsteinMed READ. The best I've read on topic http://bit.ly/3ok4p #mdchat Docs do have more training ;) RT @RichmondDoc: @HealthGlobal @hjluks: some pts really *do* look 4 doc 2 give "right" answer. ability4life #mdchat RT @EinsteinMed @EllenRichter To learn more abt being an #e-patient ... quality1 MUST READ. Best Ive read on topic http://bit.ly/3ok4p #MDChat @quality1 @EllenRichter promote human centering 1st be4 pt-dr centering. apjonas Commit as humansto inc respect 4 each other be4 pt-dr roles #mdchat We really need to work it RT @quality1: @EllenRichter What can we do to westr facilitate the learning curve for empowerment -at both ends? #MDChat RT @LeadConn: Let's remember 1 of the greatest definitions of #leadership, EinsteinMed real progress solving issues 2 years fr now. Applies to #mdchat Thanks! Cant wait to read it! RT @EinsteinMed: To learn more abt being an EllenRichter #e-patient this w/paper is a MUST READ http://bit.ly/3ok4p #MDchat @EllenRichter Do you think providers open to this education and change BraivHC (present company excluded)? #MDchat Listening also nb RT @EllenRichter: @quality1 Best way 2 facilitate learning : ability4life 2 provide education To pts & healthcare providers #MDchat RT @apjonas @quality1 @EllenRichter promote human centering 1st be4 pt- quality1 dr centering. Commit as humans to inc respect 4 each other #MDChat T1 Accepting change in communication and adopting new solutions can take mkmackey time for everyone #mdchat @quality1 T1 We need bilat openness and willingness to discuss and dialogue RichmondDoc in order to bend the learning curve on doc and pt sides. #mdchat RT @apjonas: @quality1 @EllenRichter promote human centering 1st be4 pt- dr centering. Commit as humansto inc respect 4 each other be4 pt-dr roles ability4life #mdchat @EllenRichter Oops, meant to say "are" open to this... BraivHC #MDchat @ability4life Agree that change starts w listening, respect for one another, quality1 strong communications #MDChat Shoulder tap: Next topic coming up in a couple minutes! We'll move from MD_Chat looking at patients' empowerment to physicians'. :) #MDchat RT @RichmondDoc @quality1 We need bilat openness & willingness 2 discuss & dialogue in order 2 bend learning curve on quality1 doc & pt sides #MDChat @BraivHC @EllenRichter PC docs stressed to gills by med indust complex, apjonas ready to find alt models. Love pts, will learn to change. #MDCHAT @ability4life Docs have more training, but it's the patient's life. We need to RichmondDoc respect that and need to facilitate that connection #MDCHAT Awriight! RT @quality1: @ability4life Agree that change starts w listening, ability4life respect for one another, strong communications #MDChat @RichmondDoc Tough to do, as also takes precious time. I see patient quality1 advocates as helping to bridge the gap a little #MDChat RT @RichmondDoc: @ability4life Docs have more training, but it's the patient's life. We need to respect that and need to facilitate that connection westr #MDCHAT @quality1 T1 we also need to make sure we're training new docs to approach RichmondDoc pts from a pt-centered/pt-first standpoint. #mdchat T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next tweet as an example.) MD_Chat #MDchat @BraivHC T1 I think there could be CMEs on e-patient & e-doctor EllenRichter concepts. Even those resistant would need to take it. Might sink in! #MDchat T1 We are colored by present company. The people (D/P) who are not here Srini2000 may be in no position to engage like we want everybody to ! #mdchat BraivHC @EllenRichter Great idea! #MDchat T2 So, for instance, how much are changes in reimbursement, insurance MD_Chat bureaucracy, etc. stripping away at your resources? #MDchat Yup 2 both. RT @RichmondDoc: @ability4life Docs have training, but it's the ability4life pts life. Need 2 respect and facilitate thtconnection #MDCHAT Gr8 pt! RT @RichmondDoc @quality1 We also need 2 make sure were tring quality1 new docs 2 approach pts from pt-centered/pt-first standpoint #MDChat hjluks @MD_Chat in 140 ch ???? #mdchat T1 epatients position themselves to know their options ... online resources can StrategicGen assist with the process #MDCHAT @MD_Chat Reimbursement and bureaucracy issues are major issues; under- RichmondDoc recognized issues in health care reform. #mdchat :) RT @Doctor_V Better question: why doesn't anyone call me an e-doctor? rlbates #MDchat EllenRichter @hjluks LOL! Definitely laughing. I hear U! #MDchat RT @EllenRichter: @BraivHC T1 I think there could be CMEs on e-patient & e-doctor concepts. Even those resistant would need to take it. westr Might sink in! #MDchat @Srini2000 That's OK - we need to hear physician perspectives. This is a MD_Chat little curl in a very long river. Think of it that way. ;) #mdchat 2 true RT @RichmondDoc: @quality1 T1 we also need 2 make sure we're ability4life training new docs 2 approach pts from pt-centred/pt-1st. #mdchat #hcsmca T2 I think we need health care payment/delivery reform to improve care and RichmondDoc reduce costs. Need to value face/face care. #mdchat Should we? :) RT @rlbates: :) RT @Doctor_V Better question: why doesnt mkmackey anyone call me an e-doctor? #mdchat RT @MD_Chat: T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? (See next philbaumann tweet as an example.) #MDchat G8 Q! RT @MD_Chat: T2 Physician Empowerment: Now let’s discuss your side. In what ways do you feel "dis-empowered"? ability4life #MDchat #hcsmca hjluks @mkmackey nope #mdchat @EllenRichter @BraivHC "Need to take it" Won't fly w/physician. Instant rebellion w/mandates. Drs are people 2. Respect us as apjonas human #mdchat @MD_Chat Thanks for comment. I agree. WE have to start somewhere Srini2000 #mdchat T2 We can develop office systems to try and reduce admin issues, but the 15- RichmondDoc 20 minute visit is a limit to providing best care. #mdchat MD_Chat @hjluks 'Cmon, you can squeeze it in. ;) #mdchat T2 I hear from medical salesmen that reimbursement ( amount and Srini2000 procedure) consume an inordinate amount of time. #mdchat RT @RichmondDoc: T2 We can dev office systems to try &reduce chukwumaonyeijeadmin issues, but the 15-20 minute visit is a limit to providing care. #MDChat @apjonas Not advocating for it to be a mandate, but w/o some sort of driving BraivHC force many will avoid it. #MDchat . @RichmondDoc @HealthGlobal @hjluks don't disagree w/this but correct HealthGlobal answers do not mean paternalism. This is contextual. #mdchat @apjonas Wait a sec. Are U saying doctors dont have to take any continuing ed that is mandatory? Many professns do & are still human EllenRichter #MDchat T2 So long as our system/reimbursement is based on the premise that the RichmondDoc more you do (tests, visits, etc) the more you get paid... #mdchat T2: 2008 survey. 49% of p/care docs consider leaving profession due in part 2 EinsteinMed red tape/hassles with insurers. http://bit.ly/aA791b #MDChat RT @quality1: Gr8 pt! RT @RichmondDoc @quality1 We also need 2 make sure were tring new docs 2 approach pts from pt-centered/pt-first standpoint ability4life #MDChat T2 ...it becomes very hard to slow down and focus on face-to-face patient RichmondDoc care. That is a hard fact to face, and very frustrating. #mdchat hjluks @EinsteinMed and wht are they going to do? cmon.... #mdchat mkmackey .@hjluks I respect your opinion and agree with you #mdchat hjluks @mkmackey :-) #mdchat EllenRichter @EinsteinMed Looking forward to it! :) #MDchat RT @HealthGlobal: . @RichmondDoc @HealthGlobal @hjluks don't disagree w/this but correct answers do not mean paternalism. This is contextual. ability4life #mdchat T2: we need health care payment/delivery reform to improve care + reduce HealthGlobal costs. Need to value face/face care #mdchat RT @RichmondDoc //YEP Agree w/ Howard RT @hjluks: @EinsteinMed and wht are they going to do? chukwumaonyeijecmon.... (#emptywords) #MDChat @RichmondDoc Money drives the #visits. Ins has $. Ins calls the shots so doc apjonas has to work for hosp to get $ and protection. Lose-lose #mdchat #mdchat T2 we can slowly change the training culture for med students, but westr that still leaves the problem of educating patient-consumers T2: W/ new mandates on reporting, ACOs, EMR, sm MD practices cannot survive & will have to align. No power in forced practice chg quality1 #MDChat T2 If e-patients would just start calling us e-doctors we wouldn't have any of Doctor_V these problems #MDchat #mdchat sorry I'm late evry1 :) I find the biggest resource hog for minimal peds_id_doc gain is fighting the ins co's... T2 There is no question, physicians are strained with administrative mkmackey demands. Patients respect and acknowledge this #mdchat T2 Will be interesting to see if the push into ACOs ends up making docs feel RichmondDoc empowered by taking the reins, or more frustration... #mdchat RT @EinsteinMed 2008 survey: 49% of p/care docs consider leaving prof d/t quality1 in part red tape/hassles w insurers http://bit.ly/aA791b #MDChat Totally RT @EllenRichter: @hjluks LOL! Definitely laughing. I hear U! drseisenberg #MDchat RT @Doctor_V: T2 If e-patients would just start calling us e-doctors we jodyms wouldn't have any of these problems #MDchat EllenRichter @Doctor_V LOL you have the answer! :) #MDchat Good reality check RT @RichmondDoc: bcomes very hard 2 slow dwn and ability4life focus on face-2-face pt care. Hard fact 2 face, very frustrating #mdchat RT @Doctor_V: T2 If e-patients would just start calling us e-doctors we PracticalWisdom wouldn't have any of these problems #MDchat @quality1 very true... most docs will be hosp affiliated in 5-10 yrs... will not hjluks encourage empowered MDs #mdchat @mkmackey T2 I'd like to think that pts understand--many do, many don't. RichmondDoc Pt requests indicate many *don't* understand admin issues. #mdchat RT @Doctor_V: T2 If e-patients would just start calling us e-doctors we philbaumann wouldn't have any of these problems #MDchat RT @Doctor_V: T2 If e-patients would just start calling us e-doctors we ability4life wouldn't have any of these problems #MDchat #mdchat t2 definitely disempowering to have ur plan thwarted by paperwork peds_id_doc and bureaucracy #mdchat @EinsteinMed Consumer-patients need to bond together and westr demand that that change Sad but true RT @hjluks: @quality1 very true... most docs will be hosp quality1 affiliated in 5-10 yrs... will not encourage empowered MDs #MDChat @EllenRichter Disrespectful to imply that you know what docs must learn. apjonas Yes, almost NO CME is mandatory. Just the #hrs #mdchat RT @westr: #mdchat @EinsteinMed Consumer-patients need to bond PracticalWisdom together and demand that that change Another reality check RT @peds_id_doc: #mdchat t2 definitely ability4life disempowering to have ur plan thwarted by paperwork and bureaucracy @mkmackey T2: True re: pts seeing docs overwhelmed. Many pts frustrated EinsteinMed with rude, disorganized, poorly trained office staff. #mdchat RT @philbaumann: RT @Doctor_V: T2 If e-patients would just start calling askmanny us e-doctors we wouldn't have any of these problems #MDchat .@RichmondDoc I like reading physician's thought bc it helps us appreciate mkmackey both sides of the fence and hopefully help #mdchat T2 My biggest frustration is lack of time. I feel I could do a much better job RichmondDoc (and use fewer resources) if I had more time w/ pts. #mdchat RT @EllenRichter: Thanks! Cant wait to read it! RT @EinsteinMed: To learn more abt being an #e-patient this w/paper is a MUST READ http://bit. ctsinclair ly/3ok4p #MDchat RT @EinsteinMed: @mkmackey pts seeing docs overwhelmed. Many pts ability4life frustrated w rude, disorganized, poorly trained sdmin staff. #mdchat T2 Current hc dilemmas R frustrating to no end but change will create new EllenRichter answers-maybe not soon but e-doctors will push forward IMO #MDchat RT @EinsteinMed: @mkmackey T2: True re: pts seeing docs overwhelmed. Many pts frustrated with rude, disorganized, poorly trained office staff. PracticalWisdom #mdchat T2 However, taking time to have long, engaged discussions w/ pts is not how RichmondDoc one pays the bills. #mdchat RT @peds_id_doc: #mdchat t2 definitely disempowering to have ur plan westr thwarted by paperwork and bureaucracy T2 It can take me 15 minutes to take a good history and do a good physical for RichmondDoc abd pain; takes 15 secs to order a $1000 CT scan. #mdchat Agree RT @mkmackey@RichmondDoc I like reading mds thought bc helps us ability4life appreciate both sides of the fence and hopefully help #mdchat #hcsmca @hjluks regarding survey Docs have other career options - esp in business/pharma/consulting. System pushes some docs over the edge. EinsteinMed #MDchat RT @RichmondDoc It can take me 15 min to take a good history & do a good physical for abd pain; takes 15 secs 2 order $1000 CT scan quality1 #MDChat RT @RichmondDoc: T2 My biggest frustration is lack of time. I feel I could do a much better job (and use fewer resources) if I had more time w/ pts. westr #mdchat @RichmondDoc T2 "Engaged' doesnt necessitate lengthy visits. U can provide links, literature & other info to " EllenRichter empower" your pt too. #MDchat @BraivHC As should be their right. Manipulating professionals=losing game. apjonas Human respect first for all, then we don't diss ea othr #mdchat RT @RichmondDoc: T2 It can take me 15 minutes to take a good history and do a good physical for abd pain; takes 15 secs to order a $1000 CT scan. PracticalWisdom #mdchat hjluks @EinsteinMed we'll see #mdchat RT @RichmondDoc: T2 It can take me 15 minutes to take a good history and do a good physical for abd pain; takes 15 secs to order a $1000 CT scan. peds_id_doc #mdchat @nicolaziady - you're missing a good #mdchat. Check out the stream later. EinsteinMed #hcsm RT @RichmondDoc: T2 It can take me 15 minutes to take a good history and do a good physical for abd pain; takes 15 secs to order a $1000 CT scan. westr #mdchat RT @EllenRichter: @RichmondDoc T2 "Engaged' doesnt necessitate lengthy visits. U can provide links, literature & other ability4life info to "empower" your pt too. #MDchat RT @RichmondDoc: T2 It can take me 15 minutes to take a good history and do a good physical for abd pain; takes 15 secs to order a $1000 CT scan. jodyms #mdchat RT @RichmondDoc: T2 My biggest frustration is lack of time. I feel I could do a much better job (and use fewer resources) if I had more time w/ pts. peds_id_doc #mdchat @EllenRichter T2 Once you have established a relationship w/ a pt, can RichmondDoc empower in shorter visits. But need to lay groundwork. #mdchat MD_Chat Our hour is almost up. We'll wrap things up in a few minutes. #MDchat @westr @EllenRichter @BraivHC I'm considering developing such CMEs ePatientDave #mdchat @EllenRichter Especially if one empowers patients by discussion and RichmondDoc dialogue; that takes time and cannot be rushed. #mdchat Can one not require the patient to do a lot of preparatory work BEFORE Srini2000 coming to the doctor so quality of face/face time is high? #mdchat @hjluks I'm not advocating the exodus by any means. We need as many good EinsteinMed docs to stay as possible. But the system has to change. #mdchat @RichmondDoc To suggest that a CT scan gives you any information even Doctor_V approaching a history is absurd. #MDchat RT @RichmondDoc @EllenRichter Once you've established a relationship w/ quality1 pt, can empower in shorter visits. But need 2 lay groundwork #MDChat @MD_chat T2 About 12% per year is stripped away by the medical industrial apjonas complex of ins, hosp, pharma, etc. #mdchat I think thats just wonderful & they WILL help! RT @ePatientDave @westr @EllenRichter @BraivHC I'm considering developing such CMEs EllenRichter #MDchat Bravo to you for that!! RT @ePatientDave: @westr @EllenRichter @BraivHC westr I'm considering developing such CMEs #mdchat RT @quality1: RT @RichmondDoc @EllenRichter Once you've established a relationship w/ pt, can empower in shorter visits. But need 2 lay groundwork EinsteinMed #MDChat I'm growing tired of the world empower. Can we all decide on a new word? Doctor_V #MDchat @Doctor_V Agree--but look at the rate if CT and other imaging in ER RichmondDoc settings. Think it's done b/c it's faster, not b/c it's better. #mdchat RT @RichmondDoc: @EllenRichter Especially if one empowers patients by westr discussion and dialogue; that takes time and cannot be rushed. #mdchat Wow - that was fast! Before we leave, give us your parting thoughts - MD_Chat anything: from today's election to cool iPad apps. #MDchat RT @Doctor_V: @RichmondDoc To suggest that a CT scan gives you any ability4life information even approaching a history is absurd. #MDchat We all need the care of our dedicated physicians. Hoping we can help ease the mkmackey burden #mdchat BTW - If you'd like to keep chatting about a topic, feel free to do so. The wrap- MD_Chat up is for those who need to go. #MDchat RT @RichmondDoc @EllenRichter Esp'ly if one empowers patients by discussion & dialogue; that takes time & cannot be quality1 rushed<exactly! #MDChat Wonderful! RT @ePatientDave: @westr @EllenRichter @BraivHC Im BraivHC considering developing such CMEs #MDchat @Doctor_V Instead of empower, how about "get gutsy" MeredithGould #MDchat LOL RT @Doctor_V: I'm growing tired of the word empower. Can we all ability4life decide on a new word? #MDchat #hcsmca @philbaumann - Great choice of topics ,..thanks for hosting..I always learn a Srini2000 lot. #mdchat RT @mkmackey: We all need the care of our dedicated physicians. Hoping we jodyms can help ease the burden #mdchat @Srini2000 T2 One can't require pts to do anything, though it can be RichmondDoc suggested. Post about that: http://tinyurl.com/2dqffs2 #mdchat @RichmondDoc T1 But just think. Once you spend that initial time laying a EllenRichter great foundation to the relationship, U come out ahead #MDchat We can only really disempower ourselves by becoming resigned. Connection drseisenberg transforms resignation. #MDchat BraivHC @MD_Chat Great chat! Thanks. #MDchat Agreed! RT @EinsteinMed: @hjluks I'm not advocating the exodus. We need westr as many good docs as possible. But system has to change. #mdchat T2: Hate that my hosp & I are paid more to give chemo to pts in last rsm2800 6 wks of life than to talk about why they shouldn't take it #mdchat Good tweet! RT @mkmackey: We all need the care of our dedicated EllenRichter physicians. Hoping we can help ease the burden #mdchat #MDchat RT @westr: Bravo to you for that!! RT @ePatientDave: @westr quality1 @EllenRichter @BraivHC Im considering developing such CMEs #MDChat You will be banned from #MDchat for the following words: empowerment, Doctor_V relationship economy, digital democracy, hive ... @RichmondDoc T2 Correct. Same pt in ED gets 2 min interview/exam and apjonas $2200 CT and that's called quality and gets reimbursed far more.#mdchat RT @drseisenberg: We can only really disempower ourselves by becoming resigned. Connection transforms resignation. <<well said, thx quality1 #MDChat @EllenRichter Agreed: once the groundwork is set, the relationship is RichmondDoc fantastic. But challenging to find time early on. #mdchat RT @rsm2800: T2: Hate that my hosp & I are paid more to give chemo to pts in last 6 wks of life than to talk about why they shouldn't take it jodyms #mdchat @rsm2800 T2 Yes situations like you just mentioned are very sad & EllenRichter amp; frustrating #MDchat @Doctor_V Endow. Of course, "well-endowed" patient MD_Chat could be a lawsuit. #MDchat Ditto! RT @jodyms: RT @mkmackey: We all need the care of our dedicated westr physicians. Hoping we can help ease the burden #mdchat Agree. Lotta md bashing 4 not embracing e RT @mkmackeyWe all need the ability4life care of r dedicated mds. Hoping we cn help ease burden #mdchat #hcsmca LOL RT @Doctor_V: You will be banned from #MDchat for the following WendyBlackburnwords: empowerment, relationship economy, digital democracy, hive ... @apjonas Yup. We see that daily. Longer and more detailed H&Ps RichmondDoc are a losing proposition when #s and volume pay the bills. #mdchat RT @RichmondDoc: @Srini2000 T2 One can't require pts to do anything, though it can be suggested. Post about that: http://tinyurl.com/2dqffs2 westr #mdchat F/thoughts. Ever wonder what it would be like to live to 100 or more? Ck out EinsteinMed our new #SuperAgers video series http://ein.st/c7fYoq #MDchat RT @rsm2800: T2: Hate that my hosp & I are paid more to give chemo to pts in last 6 wks of life than to talk about why they shouldn't take it westr #mdchat Gotta run. Great discussion as usual. Have a good week everyone . And stay EinsteinMed empowered! #MDChat #hcsm THANK YOU, everybody! Another fun #MDchat. If you'd like to moderate let MD_Chat us know! One of our goals is to empower Physicians. :) mkmackey Thanks for interesting perspectives! Enjoyed #mdchat Of course patients can be required to do things. They're equal partners in a Doctor_V relationship #MDchat #mdchat Thanks for the escape and connection in 140 or less. Peace this apjonas week. pj RT @rsm2800 Hate that my hosp & I are paid more 2 give chemo 2 quality1 pts in last 6 wks of life than 2 talk about why they shouldnt take it #MDChat Very interesting chat folks! Thanks for the great topics @philbaumann! EllenRichter Thanks to all participating! :) #MDchat The transcript for tonight's #MDchat will be up later. Next chat is Tuesday MD_Chat 11/9 9pm Eastern. More moderators: more times! Cheers! :-) Love it RT @Doctor_V: You will b banned from #MDchat for the following ability4life words: empowerment, relationship economy, digital democracy, hive ... Excellent discussion tonight. Thanks to all the "e-docs" quality1 for open discussion of important issues. #MDChat EinsteinMed @MD_Chat Thank you for moderating. Until next time.... #MDChat #mdchat great to have physicians getting involved in#hcsm and voicing their westr ideas and concerns. Night all! RT @westr: #mdchat great to have physicians getting involved in#hcsm and EinsteinMed voicing their ideas and concerns. Night all! Very cool #MDchat tonight - good humor. Any physicians interested in being philbaumann the first to moderate one of these, let me know. ability4life #Mdchat gr8 convo, topics, spirit. tnx all. @Doctor_V Respectfully disagree: pts can't be forced to do anything any more than docs can. But can agree on ground rules & proceed RichmondDoc #mdchat RT @md_chat The transcript 4 tonight's #MDchat will be up later. Next chat quality1 is Tuesday 11/9 9pm EST. More moderators: more times! Cheers! :-) RT @PhilBaumann: Very cool #MDchat tonight - Any physicians interested westr in being the first to moderate one of these, let me know. #pm101 #MDchat I'm going to Fam Med Practice Improve conf 2 particpate in topic: ability4life to twitter or not to twitter @sesiegler Do you mean this? http://mdchat.org/about/ If not, let me know. philbaumann #mdchat RT @quality1: RT @md_chat The transcript 4 tonight's #MDchat will be up ability4life later. Next chat is Tuesday 11/9 9pm EST. #hcsmca RT #MDchat I'm going to Fam Med Practice Improve conf 2 particpate in ability4life topic: to twitter or not to twitter #hcsmca RT @philbaumann: Very cool #MDchat tonight - good humor. Any physicians FutureDocs interested in being the first to moderate one of these, let me know. END CHAT Twitter.com/MD_chat MDchat.org Moderated by @PhilBaumann Twitter.com/PhilBaumann PhilBaumann.com