#hpm - Healthcare Social Media Transcript

6/27/12 1:10 PM

#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Apr 25 18:00:00 PDT 2012 Wed Apr 25 19:15:00 PDT 2012 change time period

New ! Explore analytics for this time period: #hpm analytics Explore the world of healthcare social media: Healthcare Conferences - Healthcare Tweet Chats - Disease Hashtags Learn more about #hpm at The Healthcare Hashtag Project

hollyby

Welcome to the Hospice and Palliative Medicine Tweetchat everyone! Lets get started with some introductions. #hpm
Wed Apr 25 18:00:27 PDT 2012

hollyby

Hello! This is @hollyby #hpm MD from @SanDiegoHospice. All tweets are my own. #hpm
Wed Apr 25 18:01:09 PDT 2012

nursebeaslee

RT @ShahinaLakhani: Dont Let The Seductive Power Of Fear Make You Live a Life of Quiet Desperation http://t.co/liXBnORx #hpm #palliativ ...
Wed Apr 25 18:01:22 PDT 2012

jfclearywisc

Jim cleary UW Palliative care and @painpolicy, for next hour, I'm tweeting w Hospice & Palliative Medicine Tweetchat. #hpm
Wed Apr 25 18:01:58 PDT 2012

JohnGirdwood

Back to the chat... Changing hospices this week up in Michigan (volunteer manager) #hpm
Wed Apr 25 18:02:23 PDT 2012

aliciabloom

MSW, LSW practicing in #hpm. passionate about improving goals of care discussions & access to #hospice. clinical educator. hi from philly!
Wed Apr 25 18:02:45 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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nursefriendly

RT @hollyby: Welcome to the Hospice and Palliative Medicine Tweetchat everyone! Lets get started with some introductions. #hpm
Wed Apr 25 18:02:48 PDT 2012

hollyby

Good to see you @jfclearlywisc and @JohnGirdwood! #hpm

Wed Apr 25 18:03:13 PDT 2012

nursefriendly

Hello Everyone, Andrew Lopez, RN from New Jersey. I Support #amandatrujillo #nurseup #nursefriendly #hpm
Wed Apr 25 18:03:18 PDT 2012

hollyby

Hi there @aliciabloom and @nursefriendly and (properly spelled) @jfclearywisc! #hpm

Wed Apr 25 18:04:34 PDT 2012

nursefriendly

RT @hollyby: Hi there @aliciabloom and @nursefriendly and (properly spelled) @jfclearywisc! #hpm
Wed Apr 25 18:05:59 PDT 2012

rfberry

Renee Berry here in Menlo Park, CA, early palliative care advocate working @goBeMoRe #hpm
Wed Apr 25 18:06:21 PDT 2012

hollyby

We'll get started on T1 soon and folks can join in as they wish. #hpm
Wed Apr 25 18:06:26 PDT 2012

AnkurB_MD

Hello All, Palliative Care & Geri doc.. joining HPM tweetchat! #hpm
Wed Apr 25 18:06:31 PDT 2012

jfclearywisc

@hollyby I can see clearly!! LOL #hpm

Wed Apr 25 18:06:35 PDT 2012

hollyby

@jfclearywisc Ha! :) #hpm

Wed Apr 25 18:07:09 PDT 2012

hollyby

Welcome @rfberry and @AnkurB_MD! Glad you're joining in! #hpm

Wed Apr 25 18:07:49 PDT 2012

BuddhishMD

Physician Suicide - The Iceberg and the Tip http://t.co/ijVoLjVj #HPM #Pedpc #suicide
Wed Apr 25 18:08:24 PDT 2012

schwartzbrown

Hi. Mindy here. Social Worker from NJ #hpm

Wed Apr 25 18:08:30 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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hollyby

Topic #1: Lots of continued medication shortages in the US. Have you experienced med shortages as a provider or patient recently? #hpm
Wed Apr 25 18:08:37 PDT 2012

nursefriendly

T1 See it every time I go to the drug store to drop off a #prescription, #patients demand to know when they will have it #hpm
Wed Apr 25 18:10:06 PDT 2012

aliciabloom

noticing some challenges with IV opioid shortages- fentanyl & methadone. delaying transfers from hospital to home/inpatient hospice #hpm
Wed Apr 25 18:10:10 PDT 2012

jfclearywisc

@hollyby T1: Medicine Shortage. All the time: UW has weekly newsletter to update. Pharmacy can make substitutions #hpm
Wed Apr 25 18:10:14 PDT 2012

hollyby

@schwartzbrown Hey Mindy, we're just getting started. Good to see you! #hpm
Wed Apr 25 18:10:14 PDT 2012

nursefriendly

T1 See it everyday at work, constantly calling #pharmacy to find out why this #patients drug, or that one wasn't sent. #hpm
Wed Apr 25 18:10:52 PDT 2012

aliciabloom

working with our medical director to convert patients to another regimen if/when appropriate. hate to see delay in hospice admission. #hpm
Wed Apr 25 18:12:04 PDT 2012

hollyby

T1: Midazolam shortage has been a big issue. I had to change the care for more than one of my patients #hpm
Wed Apr 25 18:12:17 PDT 2012

rfberry

T1 I'm not a provider or a clinician so I'll be a listener on this one #hpm

Wed Apr 25 18:12:24 PDT 2012

nursefriendly

RT @hollyby: T1: Midazolam shortage has been a big issue. I had to change the care for more than one of my patients #hpm
Wed Apr 25 18:12:34 PDT 2012

MsThaoTran

@hollyby Some even sneak in medications from other countries because the US does not have enough in stock or the price is too high #hpm
Wed Apr 25 18:12:48 PDT 2012

nursefriendly

@hollyby See it with everything from #Roxanol to #Duragesic patches, to #antidepressants, to #cardiac meds :( #hpm
Wed Apr 25 18:13:18 PDT 2012

aliciabloom

medicine shortages are definitely a challenge. offers insight into the daily struggles of clinicians in the developing world. #hpm

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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Wed Apr 25 18:13:52 PDT 2012

jfclearywisc

@nursefriendly T1: We are not seeing that dramatically on PAlliative care unit! #Roxanol #Duragesic #antidepressants #cardiac #hpm
Wed Apr 25 18:14:13 PDT 2012

nursefriendly

@jfclearywisc Where are you located? #Roxanol #Duragesic #antidepressants #cardiac #hpm
Wed Apr 25 18:14:58 PDT 2012

JenMarsh2

Excellent event today on End of Life Ethics! Thank you to @hfahospice for a great program #eol #hpm
Wed Apr 25 18:15:17 PDT 2012

aliciabloom

@jfclearywisc @nursefriendly haven't experienced shortage issues with those medications here in the northeast. #hpm
Wed Apr 25 18:16:20 PDT 2012

hollyby

These are critical meds for symptom control. American Society of Health System Pharmacists has a running list. http://t.co/d72z3iNj #hpm
Wed Apr 25 18:16:24 PDT 2012

nursefriendly

@jfclearywisc New Jersey here, in a #palliative unit, you use far fewer drugs, no? #hpm
Wed Apr 25 18:16:46 PDT 2012

jfclearywisc

RT @hollyby: These are critical meds for symptom control. Amer Soc of Health System Pharmacists has running list. http://t.co/1XcV3AZq #hpm
Wed Apr 25 18:17:32 PDT 2012

AnkurB_MD

RT @hollyby: Critical meds for symptom control. American Society of Health System Pharmacists has a running list. http://t.co/fttIjZkr #hpm
Wed Apr 25 18:18:10 PDT 2012

ctsinclair

RT @hollyby: T1: Lots of continued medication shortages in the US. Have you experienced med shortages as a provider/patient recently? #HPM
Wed Apr 25 18:18:29 PDT 2012

aliciabloom

couldn't get patient IV methadone she needed = frustrated...thought of my colleagues in Botswana who fight for basic stuff (MSSR/MSSIR) #hpm
Wed Apr 25 18:18:38 PDT 2012

hollyby

Any thoughts on advocacy for T1? #hpm

Wed Apr 25 18:19:04 PDT 2012

ctsinclair

T1: I am not seeing as much medication shortage in 2012 as I saw in 2011. And I have exposure to a far wider panel of patients this yr #HPM
Wed Apr 25 18:19:16 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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nursefriendly

@aliciabloom Good resources from the #FDA on drug shortages: http://t.co/K3MJa4xq #hpm
Wed Apr 25 18:19:19 PDT 2012

nursefriendly

@nursefriendly the list of drugs is quite long. #FDA #hpm

Wed Apr 25 18:19:53 PDT 2012

ctsinclair

T1 I would like to see more systems level discussion between pharmacy professional orgs, doctor orgs, and nursing orgs #HPM
Wed Apr 25 18:20:09 PDT 2012

hollyby

@ctsinclair Interesting, I'm noticing more shortages. Maybe it's just the meds I prescribe. ;) #hpm
Wed Apr 25 18:20:45 PDT 2012

schwartzbrown

Let me guess. Are these all off patent meds? #hpm

Wed Apr 25 18:20:46 PDT 2012

AnkurB_MD

MT @aliciabloom: Med shortages are def. a challenge! Also offers insight into the daily struggles of clinicians in the developing world #hpm
Wed Apr 25 18:20:52 PDT 2012

ctsinclair

T1: Ask yourself if your major professional group work well with other disciplines professional groups? #HPM
Wed Apr 25 18:20:53 PDT 2012

hollyby

RT @ctsinclair: T1 I would like to see more systems level discussion between pharmacy professional orgs, doctor orgs, and nursing orgs #hpm
Wed Apr 25 18:21:05 PDT 2012

jfclearywisc

RT @aliciabloom: couldn't get patient IV methadone she needed .thought of colleagues in Botswana who fight for MSSR/MSSIR #hpm #hpmglobal
Wed Apr 25 18:21:12 PDT 2012

aliciabloom

advocacy is important...pain & symptom management medications are essential and should be treated as a priority! #hpm
Wed Apr 25 18:21:32 PDT 2012

ctsinclair

T1: I really feel like organizations working together should resemble interdisciplinary care teams we see at the point of care #HPM
Wed Apr 25 18:21:50 PDT 2012

hollyby

@schwartzbrown Most probably are. I haven't looked at the entire list. #hpm
Wed Apr 25 18:22:10 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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ctsinclair

@aliciabloom So what did you do when you found out the patient couldnt get the med? How many people did you try to talk to? #HPM
Wed Apr 25 18:22:18 PDT 2012

nursefriendly

@ctsinclair T1 Should we be talking about "Gray Market" drug exploitation? http://t.co/gFDWGaZ0 #HPM
Wed Apr 25 18:22:22 PDT 2012

hollyby

Moving on to T2 soon... #hpm

Wed Apr 25 18:22:52 PDT 2012

jfclearywisc

@aliciabloom #palliative care meds essential but who cares in US #industrialmedicalcomplex. Profit drive!!! #hpm
Wed Apr 25 18:22:56 PDT 2012

AnkurB_MD

Agree! MT @aliciabloom: Advocacy is imp! Pain & symptom management medications are essential and should be treated as a priority! #hpm
Wed Apr 25 18:23:09 PDT 2012

schwartzbrown

So you don't have shortages of the expensive, still-patented drugs. It's all profit related. #hpm
Wed Apr 25 18:23:18 PDT 2012

ctsinclair

@nursefriendly Oh yes the Gray market....and I'm not talking about baby boomers...That is really frustrating. #HPM
Wed Apr 25 18:23:41 PDT 2012

JohnGirdwood

RT @schwartzbrown: So you don't have shortages of the expensive, still-patented drugs. It's all profit related. #hpm
Wed Apr 25 18:24:09 PDT 2012

ctsinclair

@schwartzbrown Not necessarily all profit related, but mostly. I think poor communication btw critical companies contributes #HPM
Wed Apr 25 18:24:15 PDT 2012

hollyby

Topic #2: Tricky topicDont answer the questions yet, I just want you to list some questions Questions only, no answers. #hpm
Wed Apr 25 18:24:29 PDT 2012

aliciabloom

@ctsinclair patient was for transfer to inpatient hospice. collaborated w/hospital pharmacy & outpatient infusion partner and hospice. #hpm
Wed Apr 25 18:24:35 PDT 2012

rfberry

@ctsinclair organization's that implement that well demonstrate truly collaborative environments #hpm (not sure they're super common :)
Wed Apr 25 18:24:40 PDT 2012

@schwartzbrown Of course just like in palliative med improved honest communication

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 6 of 22

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ctsinclair

tends to heal a lot of problems #HPM

Wed Apr 25 18:24:41 PDT 2012

aliciabloom

sad, but true RT @jfclearywisc: #palliative care meds essential but who cares in US #industrialmedicalcomplex. Profit drive!!! #hpm
Wed Apr 25 18:25:23 PDT 2012

hollyby

T2: What question do you get most about #hospice or #palliative care? #hpm
Wed Apr 25 18:25:24 PDT 2012

nursefriendly

RT @schwartzbrown: So you don't have shortages of the expensive, still-patented drugs. It's all profit related. #hpm
Wed Apr 25 18:25:30 PDT 2012

nursefriendly

RT @ctsinclair: @nursefriendly Oh yes the Gray market....and I'm not talking about baby boomers...That is really frustrating. #HPM
Wed Apr 25 18:25:40 PDT 2012

hollyby

T2: Alternately, what question do you have about #hospice or #palliative care? #hpm
Wed Apr 25 18:26:01 PDT 2012

nursefriendly

@ctsinclair T1 Frustrating yes but "Perfectly Legal" about as #Ethical as #Ticket #Scalping if you ask me :( #HPM
Wed Apr 25 18:26:29 PDT 2012

aliciabloom

@ctsinclair hospital pharmacy was able to get medication, kept patient there until hospice unit could acquire adequate supply. #hpm
Wed Apr 25 18:26:48 PDT 2012

ctsinclair

T2: Isn't it sad/depressing to work in #hospice #HPM

Wed Apr 25 18:26:49 PDT 2012

nursefriendly

RT @hollyby: Topic #2: Tricky topicDont answer the questions yet, I just want you to list some questions Questions only, no answers. #hpm
Wed Apr 25 18:26:50 PDT 2012

rfberry

1. What is it? & 2. What is the difference? RT @hollyby T2 What question do you get most about #hospice or #palliative care? #hpm
Wed Apr 25 18:27:29 PDT 2012

nursefriendly

RT @ctsinclair: @schwartzbrown Of course just like in palliative med improved honest communication tends to heal a lot of problems #HPM
Wed Apr 25 18:27:33 PDT 2012

ctsinclair

@nursefriendly Legal and Ethical are not always overlapping in the Venn Diagram of life unfortunately. #HPM
Wed Apr 25 18:27:37 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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aliciabloom

RT @hollyby: T2: What question do you get most about #hospice or #palliative care? #hpm
Wed Apr 25 18:27:45 PDT 2012

nursefriendly

RT @hollyby: T2: What question do you get most about #hospice or #palliative care? #hpm
Wed Apr 25 18:27:48 PDT 2012

nursefriendly

RT @hollyby: T2: Alternately, what question do you have about #hospice or #palliative care? #hpm
Wed Apr 25 18:27:56 PDT 2012

aliciabloom

common question about my work in #hospice & #palliative care: isn't that so depressing? #hpm
Wed Apr 25 18:28:16 PDT 2012

JohnGirdwood

From who? (public?) RT @hollyby: T2: What question do you get most about #hospice or #palliative care? #hpm
Wed Apr 25 18:28:34 PDT 2012

jfclearywisc

@hollyby T2 Why can't I have chemotherapy on #hospice? #palliative #hpm

Wed Apr 25 18:28:49 PDT 2012

ctsinclair

T2: How did you get interested in #hospice (typically w/ comment abt my being younger i.e. only old professionals choose hospice)? #HPM
Wed Apr 25 18:28:50 PDT 2012

rfberry

RT @aliciabloom: common question about my work in #hospice & #palliative care: isn't that so depressing? #hpm
Wed Apr 25 18:28:54 PDT 2012

nursefriendly

Nope :( RT @ctsinclair: @nursefriendly Legal and Ethical are not always overlapping in the Venn Diagram of life unfortunately. #HPM
Wed Apr 25 18:28:59 PDT 2012

hollyby

@JohnGirdwood Anyone #hpm

Wed Apr 25 18:29:20 PDT 2012

jfclearywisc

@hollyby WHy won't they let me keep seeing you, doctor, if I am on #hospice? #palliative #hpm
Wed Apr 25 18:29:42 PDT 2012

aliciabloom

common misconception i hear from clinicians: my patient doesn't need #palliative care- it's just another word for #hospice. #hpm
Wed Apr 25 18:29:43 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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nursefriendly

RT @jfclearywisc: @hollyby WHy won't they let me keep seeing you, doctor, if I am on #hospice? #palliative #hpm
Wed Apr 25 18:30:00 PDT 2012

AnkurB_MD

T2 -1: What is it? 2: Wow! Where were u until now? MT @hollyby: T2: What Q. do you get asked most about #hospice or #palliative care? #hpm
Wed Apr 25 18:30:32 PDT 2012

ctsinclair

RT @jfclearywisc: @hollyby T2 Why cant I have chemotherapy on #hospice? #palliative "I hear that one often too" #HPM
Wed Apr 25 18:30:46 PDT 2012

aliciabloom

common question (& misconception) about #hospice: so, you're going to stop all of my patient's medications now? #hpm
Wed Apr 25 18:30:49 PDT 2012

ctsinclair

T2: Common question: What does palliative mean? #HPM

Wed Apr 25 18:31:09 PDT 2012

jfclearywisc

@ctsinclair T2. Hospice, Does that mean you are giving up on me? #HPM
Wed Apr 25 18:32:08 PDT 2012

rfberry

RT @aliciabloom: common question (& misconception) about #hospice: so, you're going to stop all of my patient's medications now? #hpm
Wed Apr 25 18:32:10 PDT 2012

hollyby

@jfclearywisc Interesting, I get the opposite. "I can get chemo and be on hospice?" #hpm
Wed Apr 25 18:32:21 PDT 2012

hollyby

RT @ctsinclair: T2: Common question: What does palliative mean? #hpm

Wed Apr 25 18:32:26 PDT 2012

JohnGirdwood

Q: Why can't my loved one get admitted to the residential unit? A: short term beds only, criteria, not the money/insurance #hpm
Wed Apr 25 18:32:35 PDT 2012

aliciabloom

@ctsinclair @jfclearlywisc just admitted a 31 y/o with sarcoma to hospice while she gets IV chemo. insurance covering concurrent care! #hpm
Wed Apr 25 18:32:45 PDT 2012

JohnGirdwood

RT @ctsinclair: T2: Common question: What does palliative mean? #HPM

Wed Apr 25 18:32:52 PDT 2012

rfberry

RT @ctsinclair: T2: Common question: What does palliative mean? #HPM

Wed Apr 25 18:33:04 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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ctsinclair

T2: Commonly heard question: #Hospice? Don't you think it is a bit early to think about that? #HPM
Wed Apr 25 18:33:11 PDT 2012

jfclearywisc

@hollyby T2: No Chemo question is very true in small rural #hospice. SOme even no to antibiotics for UTIs! #hpm
Wed Apr 25 18:33:41 PDT 2012

rfberry

you're on a roll.. RT @ctsinclair T2: Commonly heard question: #Hospice? Dont you think it is a bit early to think about that? #hpm
Wed Apr 25 18:33:51 PDT 2012

schwartzbrown

@ctsinclair Do you see regional variation in understanding of/use of hospice/pall care in US? #hpm
Wed Apr 25 18:33:56 PDT 2012

ctsinclair

RT @JohnGirdwood: Q: Why cant my loved one get admitted to the residential unit? A: short term beds only, criteria, not money/insurance #HPM
Wed Apr 25 18:34:02 PDT 2012

hollyby

T2: "Why did you choose to work in hospice?" Quickly followed by "What's palliative?" #hpm
Wed Apr 25 18:34:05 PDT 2012

equijada

T2: Will a nurse be here during the day? #hpm

Wed Apr 25 18:34:08 PDT 2012

jfclearywisc

@hollyby Now everyone is starting on the "Clearyly" :-) #hpm

Wed Apr 25 18:34:10 PDT 2012

ctsinclair

@JohnGirdwood yup I have heard that one too. Common misunderstanding of the inpatient criteria for #Hospice #HPM
Wed Apr 25 18:34:21 PDT 2012

NatriceR

RT @ctsinclair: T1 I would like to see more systems level discussion between pharmacy professional orgs, doctor orgs, and nursing orgs #HPM
Wed Apr 25 18:34:37 PDT 2012

ctsinclair

@schwartzbrown quite a lot of variation. @CAPCpalliative has some good numbers. #HPM
Wed Apr 25 18:34:54 PDT 2012

ctsinclair

RT @equijada: T2: Will a nurse be here during the day? "Yes I hear this a lot too" #HPM
Wed Apr 25 18:35:04 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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aliciabloom

@jfclearywisc @hollyby oh shoot! i think i just did it.... #hpm

Wed Apr 25 18:35:05 PDT 2012

ctsinclair

@rfberry Hey I'm available on a Wednesday for once! #HPM

Wed Apr 25 18:35:26 PDT 2012

hollyby

@jfclearywisc (Sorry about the clearly thing.) I know about the variation. :( It makes it confusing for patients. #hpm
Wed Apr 25 18:35:39 PDT 2012

rfberry

looks like a fun domain.. cleary.ly RT @jfclearywisc @hollyby Now everyone is starting on the "Clearyly" :-) #hpm
Wed Apr 25 18:35:39 PDT 2012

nursefriendly

RT @ctsinclair: T2: Commonly heard question: #Hospice? Don't you think it is a bit early to think about that? #HPM
Wed Apr 25 18:35:49 PDT 2012

aliciabloom

common question (& misconception) about hospice: so i can never see my doctor or go back to the hospital? #hpm
Wed Apr 25 18:35:52 PDT 2012

NatriceR

RT @ctsinclair: T2: Isn't it sad/depressing to work in #hospice #HPM

Wed Apr 25 18:36:02 PDT 2012

ctsinclair

@schwartzbrown In my new job covering midwest to northeast I see a lot of differences in understanding of what palliative care is #HPM
Wed Apr 25 18:36:17 PDT 2012

rfberry

wohooo! :) great to have ya!! RT @ctsinclair @rfberry Hey Im available on a Wednesday for once! #hpm
Wed Apr 25 18:36:23 PDT 2012

NatriceR

RT @ctsinclair: @schwartzbrown Of course just like in palliative med improved honest communication tends to heal a lot of problems #HPM
Wed Apr 25 18:36:23 PDT 2012

hollyby

We're both here on the same day! RT @ctsinclair: @rfberry Hey Im available on a Wednesday for once! #hpm
Wed Apr 25 18:36:30 PDT 2012

schwartzbrown

@ctsinclair NE pretty bad? #hpm

Wed Apr 25 18:36:56 PDT 2012

AnkurB_MD

T2: Common Q. (misconception) about #Hospice & #Palliative care - So will I loose (have to give-up) my Primary MD? #hpm
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#hpm - Healthcare Social Media Transcript

6/27/12 1:10 PM

Wed Apr 25 18:37:07 PDT 2012

equijada

Rarely but always remembered: t2: Do you believe in God? #hpm

Wed Apr 25 18:37:12 PDT 2012

aliciabloom

@hollyby @ctsinclair you are and it's awesome! #hpm

Wed Apr 25 18:37:13 PDT 2012

doctatum

T2. #palliative care. But they are not ready for palliative care why would u do that? #hpm
Wed Apr 25 18:37:17 PDT 2012

hollyby

@equijada Yay! You're here! Hugs! #hpm

Wed Apr 25 18:37:38 PDT 2012

nursefriendly

RT @hollyby: T2: "Why did you choose to work in hospice?" Quickly followed by "What's palliative?" #hpm
Wed Apr 25 18:37:39 PDT 2012

ctsinclair

@schwartzbrown It is very spotty, I dont think you could group a whole region. Variation is more on the local level. #HPM
Wed Apr 25 18:37:40 PDT 2012

hollyby

T2: I think the most common question I get is: "How much time do I have left?" #hpm
Wed Apr 25 18:38:17 PDT 2012

ctsinclair

RT @equijada: Rarely but always remembered: t2: Do you believe in God? "I remember nearly all of these conversations" #HPM
Wed Apr 25 18:38:24 PDT 2012

jfclearywisc

@ctsinclair T2: From hospice staff "I understand what #hospice is but can you please explain what #palliative care is? #HPM
Wed Apr 25 18:38:33 PDT 2012

rfberry

RT @hollyby: @equijada Yay! Youre here! Hugs! #hpm

Wed Apr 25 18:38:35 PDT 2012

aliciabloom

@ctsinclair @schwartzbrown even different understanding from hospital to hospital. see that here in greater Philadelphia area. #hpm
Wed Apr 25 18:38:56 PDT 2012

morganbain

Hi folks. Morgan Bain from Wake Forest finally joining a tweet chat! #hpm
Wed Apr 25 18:39:01 PDT 2012

hollyby

Ok, so... T3 coming up soon... #hpm

Wed Apr 25 18:39:06 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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6/27/12 1:10 PM

equijada

@hollyby thx. Went for a jog but wasn't feelin it so came to #hpm tweet chat!
Wed Apr 25 18:39:15 PDT 2012

hollyby

@morganbain Hi Morgan! Welcome! #hpm

Wed Apr 25 18:39:30 PDT 2012

dockj

Boo! dropping in T2 "why can't I have a 24hour caregiver supplied by hospice" #hpm
Wed Apr 25 18:39:38 PDT 2012

ctsinclair

RT @hollyby T2: I think the most common question I get is: "How much time do I have left?" [Duh, how could I have forgotten that one!] #HPM
Wed Apr 25 18:39:49 PDT 2012

hollyby

Choosing from the most oft mentioned or RT'd questions... #hpm

Wed Apr 25 18:40:14 PDT 2012

nursecasestudy

RT @AnkurB_MD: T2: Common Q. (misconception) about #Hospice & #Palliative care - So will I loose (have to give-up) my Primary MD? #hpm
Wed Apr 25 18:40:17 PDT 2012

rfberry

@morganbain awesome!! welcome!! #hpm

Wed Apr 25 18:40:22 PDT 2012

ctsinclair

@morganbain Hey Morgan! Great to see you. Say hey to all my Wake Forest people! #HPM
Wed Apr 25 18:40:26 PDT 2012

nursecasestudy

RT @doctatum: T2. #palliative care. But they are not ready for palliative care why would u do that? #hpm
Wed Apr 25 18:40:26 PDT 2012

hollyby

@dockj Hi! Hi! So happy to see you! #hpm

Wed Apr 25 18:40:33 PDT 2012

ctsinclair

Oh my @dockj too! We have some all star power here tonight! #HPM
Wed Apr 25 18:40:43 PDT 2012

equijada

@ctsinclair same. Just thinking of someone who asked 2 weeks ago. #hpm
Wed Apr 25 18:40:50 PDT 2012

ctsinclair

@hollyby clever! #HPM

Wed Apr 25 18:40:54 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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hollyby

T3: What is palliative? #hpm

Wed Apr 25 18:40:58 PDT 2012

jen_c_taylor

Sorry I'm so v late....jennifer, msw #hpm

Wed Apr 25 18:40:58 PDT 2012

jfclearywisc

@rfberry cleary.ly sounds good #hpm

Wed Apr 25 18:41:03 PDT 2012

nursecasestudy

RT @hollyby: T2: I think the most common question I get is: "How much time do I have left?" #hpm
Wed Apr 25 18:41:27 PDT 2012

morganbain

@ctsinclair Will do! #hpm

Wed Apr 25 18:41:29 PDT 2012

dockj

trying to do SAM modules for recert... had to take a break #hpm

Wed Apr 25 18:42:01 PDT 2012

aliciabloom

@hollyby can we answer the questions now? #hpm

Wed Apr 25 18:42:03 PDT 2012

rfberry

right?! Clearly a fun play on Clearly haha RT @jfclearywisc @rfberry cleary.ly sounds good #hpm
Wed Apr 25 18:42:11 PDT 2012

hollyby

I'm going to rapid fire more than 3 topics tonight, given your excellent question list. So, quick! What is palliative in < 140 char #hpm
Wed Apr 25 18:42:32 PDT 2012

hollyby

@aliciabloom yes please do! Answer away! #hpm

Wed Apr 25 18:42:40 PDT 2012

jfclearywisc

@hollyby Geoff HAnks from UK and @PalliativeMedJ wrote that we can't take the Care out of #palliative #hpm
Wed Apr 25 18:42:45 PDT 2012

nursecasestudy

@nursefriendly is in "twitter jail" switching to @nursecasestudy #HPM #socmedchap too many tweetchats :) #nurseup
Wed Apr 25 18:42:46 PDT 2012

ctsinclair

RT @hollyby: T3: What is palliative? "a chameleon of a word that is able to be whatever you need it to be; see also: confusing" #HPM
Wed Apr 25 18:42:58 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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rfberry jfclearywisc

T2 (question I get often) Who would really be tweeting about hospice? #hpm
Wed Apr 25 18:43:08 PDT 2012

@hollyby I correct nurses who say patient is on "palliaitve." It is the #Palliative Care service! #hpm
Wed Apr 25 18:43:45 PDT 2012

aliciabloom

#palliative is a fancy word that means we're here to help address whatever is distressing you & make sure your treatments + goals match #hpm
Wed Apr 25 18:43:50 PDT 2012

doctatum

@hollyby T3: What is palliative? #hpm my thought-everything good about healthcare and why I am a doctor
Wed Apr 25 18:44:14 PDT 2012

ctsinclair

RT @jfclearywisc: @hollyby Geoff HAnks from UK and @PalliativeMedJ wrote that we cant take the Care out of #palliative #HPM
Wed Apr 25 18:44:14 PDT 2012

hollyby

Palliative care = Helping people feel better, no matter what. #hpm

Wed Apr 25 18:44:40 PDT 2012

morganbain

Palliative Care is a complex thing that usually takes me 3-5 minutes to describe. Sometimes easier to say I am a geriatrician. #hpm
Wed Apr 25 18:44:41 PDT 2012

ctsinclair

RT @doctatum: @hollyby T3: What is palliative? #hpm my thought-everything good about healthcare and why I am a doctor #HPM
Wed Apr 25 18:44:49 PDT 2012

ctsinclair

@doctatum Good answer! #HPM

Wed Apr 25 18:44:55 PDT 2012

nursecasestudy

RT @hollyby: T3: What is palliative? #hpm

Wed Apr 25 18:45:02 PDT 2012

dockj

RT @ctsinclair: RT @jfclearywisc: @hollyby Geoff HAnks from UK and @PalliativeMedJ wrote that we cant take the Care out of #palliative #HPM
Wed Apr 25 18:45:03 PDT 2012

aliciabloom

RT @hollyby: Palliative care = Helping people feel better, no matter what. #hpm
Wed Apr 25 18:45:35 PDT 2012

jfclearywisc

@hollyby Palliiative from Latin Pallia. cloak. Just because a therapy is 4 palliative intent does not make it #palliative care #hpm
Wed Apr 25 18:45:57 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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hollyby

T4: Doesn't #HPM make you depressed/sad/bummed? #hpm

Wed Apr 25 18:45:58 PDT 2012

nursecasestudy

Palliative - focus on relief of symptoms, focus on comfort of #patient as terminal illness takes course. #hpm
Wed Apr 25 18:46:08 PDT 2012

ctsinclair

Nice to see so many definitions that are 'dictionary' definitions. Those always sound so boring. We're talking to humans not robots #HPM
Wed Apr 25 18:46:15 PDT 2012

ctsinclair

RT @hollyby: Palliative care = Helping people feel better, no matter what. #HPM
Wed Apr 25 18:46:20 PDT 2012

morganbain

Palliative Care is providing the best care possible! #hpm

Wed Apr 25 18:46:34 PDT 2012

jfclearywisc

@hollyby T4 No! #HPM

Wed Apr 25 18:46:38 PDT 2012

NURSEINTERUPTED

RT @ctsinclair: RT @hollyby: Palliative care = Helping people feel better, no matter what. #HPM
Wed Apr 25 18:46:55 PDT 2012

nursecasestudy

Makes you wonder . . RT @rfberry: T2 (question I get often) Who would really be tweeting about hospice? #hpm
Wed Apr 25 18:46:55 PDT 2012

equijada

T3 me: it's derived from the Latin "to cloak" Pt: WTF?!? #hpm
Wed Apr 25 18:47:19 PDT 2012

dockj

T3 PC means "I am here to listen to you and help you with your pain and other symptoms regardless of what is causing them" #hpm
Wed Apr 25 18:47:30 PDT 2012

nursecasestudy

RT @doctatum: @hollyby T3: What is palliative? #hpm my thought-everything good about healthcare and why I am a doctor
Wed Apr 25 18:47:32 PDT 2012

aliciabloom

#palliative care: fancy word that means we're here to help address whatever's distressing you & make sure goals + treatments match #hpm
Wed Apr 25 18:47:40 PDT 2012

ctsinclair

T4: If by sad you mean honored to help someone in a tough situation make the best of it AND learn abt myself in the process, then yes. #HPM
Wed Apr 25 18:47:58 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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aliciabloom

RT @hollyby: T4: Doesn't #HPM make you depressed/sad/bummed? #hpm

Wed Apr 25 18:48:05 PDT 2012

morganbain

T4: frustrated with the healthcare system at times, but I love working in this field. #hpm
Wed Apr 25 18:48:21 PDT 2012

ctsinclair

equijada T3 me: it's derived from the Latin "to cloak" Pt: WTF?!? "I think I see a cartoon in your future..." #HPM
Wed Apr 25 18:48:44 PDT 2012

equijada

Woops. Apologies to people who use the "to cloak" thing #hpm
Wed Apr 25 18:48:45 PDT 2012

aliciabloom

+1!!! RT @jfclearywisc: @hollyby T4 No! #hpm

Wed Apr 25 18:48:47 PDT 2012

jfclearywisc

RT @hollyby: Remind folks of T3: What is palliative? Not what is palliative care. Real confusion with use of palliative! #hpm
Wed Apr 25 18:48:54 PDT 2012

dockj

T4 PC makes me appreciate life. #hpm

Wed Apr 25 18:49:08 PDT 2012

rfberry

I feel the opposite, it's depressing to me when individuals can't access #hpm RT @hollyby T4 Doesnt HPM make you depressed/sad/bummed?
Wed Apr 25 18:49:11 PDT 2012

nursecasestudy

Not at all, know I'm helping improve quality of life. RT @hollyby: T4: Doesn't #HPM make you depressed/sad/bummed? #hpm
Wed Apr 25 18:49:11 PDT 2012

hollyby

@ctsinclair :) I'm definitely sad by your criteria. #hpm

Wed Apr 25 18:49:21 PDT 2012

ctsinclair

@morganbain Oh good answer...I have never thought of that as an answer to this question. You just blew my mind. Literally. #HPM
Wed Apr 25 18:49:25 PDT 2012

ctsinclair

RT @morganbain: T4: frustrated with the healthcare system at times, but I love working in this field. #HPM
Wed Apr 25 18:49:31 PDT 2012

_lizzy_

Hi all, sorry I missed you... just got home. Lizzy Miles, SW, volunteer, passionate advocate #hpm
Wed Apr 25 18:49:35 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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nursecasestudy

RT @dockj: T3 PC means "I am here to listen to you and help you with your pain and other symptoms regardless of what is causing them" #hpm
Wed Apr 25 18:49:54 PDT 2012

ctsinclair

@hollyby I try to take the whole reverse psychology approach. #HPM

Wed Apr 25 18:49:59 PDT 2012

aliciabloom

depressed in #hospice? no! i'm privileged to help, honored to be present, and challenged (in the best way possible) every day. #hpm
Wed Apr 25 18:50:09 PDT 2012

jfclearywisc

@equijada T3: We weren't ask to ask how we define palliative care to patients #hpm
Wed Apr 25 18:50:34 PDT 2012

hollyby

@_lizzy_ Hi Lizzy! We're on T4, but moving to T5... #hpm

Wed Apr 25 18:50:38 PDT 2012

aliciabloom

um, this is awesome! RT @morganbain: T4: frustrated with the healthcare system at times, but I love working in this field. #hpm
Wed Apr 25 18:50:41 PDT 2012

nursecasestudy

RT @rfberry: I feel the opposite, it's depressing to me when individuals can't access #hpm RT @hollyby T4 Doesnt HPM make you depressed/sad/bummed?
Wed Apr 25 18:50:44 PDT 2012

hollyby

Sorry Tweetchat isn't letting me retweet.I do love your comments, I just can't retweet them. Grrr... #hpm
Wed Apr 25 18:51:19 PDT 2012

_lizzy_

T4 There is no other profession where can you make someone's day just by walking in the room. I love hospice. :) #hpm
Wed Apr 25 18:51:31 PDT 2012

ctsinclair

T4: I emphasize sadness is a lot about perspective and emotional/relational context. From outside people only imagine sadness #HPM
Wed Apr 25 18:51:38 PDT 2012

ctsinclair

RT @hollyby: Sorry Tweetchat isnt letting me retweet.I do love your comments, I just cant retweet them. Grrr... "Refresh the page" #HPM
Wed Apr 25 18:51:52 PDT 2012

aliciabloom

yes. agree. +1! RT @rfberry: I feel the opposite, its depressing to me when individuals cant access #hpm #hpm
Wed Apr 25 18:51:58 PDT 2012

nursecasestudy

RT @_lizzy_: T4 There is no other profession where can you make someone's day just
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6/27/12 1:10 PM

by walking in the room. I love hospice. :) #hpm

Wed Apr 25 18:52:00 PDT 2012

ctsinclair

@hollyby it happens often when you go to another webpage in a different tab and then come back to it #HPM
Wed Apr 25 18:52:22 PDT 2012

ctsinclair

RT @aliciabloom: yes. agree. +1! RT @rfberry: I feel the opposite, its depressing to me when individuals cant access #hpm #HPM
Wed Apr 25 18:52:26 PDT 2012

ctsinclair

RT @_lizzy_: T4 There is no other profession where can you make someones day just by walking in the room. I love hospice. :) #HPM
Wed Apr 25 18:52:35 PDT 2012

hollyby

Thx! RT @ctsinclair: @hollyby it happens often when you go to another webpage in a different tab and then come back to it #hpm
Wed Apr 25 18:53:32 PDT 2012

aliciabloom

when an ICU RN or MD asks me if what i do is depressing, i point to their intubated 80something patient and say, "that's depressing." #hpm
Wed Apr 25 18:53:50 PDT 2012

jen_c_taylor

T4: Hospice intensifies my love of family, friends, and life. #hpm

Wed Apr 25 18:54:42 PDT 2012

hollyby

T5: Closing thoughts, wishes, social pleasantries for tonights... #hpm

Wed Apr 25 18:55:09 PDT 2012

hollyby

RT @jen_c_taylor: T4: Hospice intensifies my love of family, friends, and life. #hpm
Wed Apr 25 18:55:19 PDT 2012

_lizzy_

RT @jen_c_taylor: T4: Hospice intensifies my love of family, friends, and life. #hpm
Wed Apr 25 18:55:29 PDT 2012

nursecasestudy

RT @hollyby: RT @jen_c_taylor: T4: Hospice intensifies my love of family, friends, and life. #hpm
Wed Apr 25 18:55:49 PDT 2012

morganbain

T4: even in a field where families experience the worst possible outcome (death), we have the ability to foster smiles, hugs, thanks... #hpm
Wed Apr 25 18:56:05 PDT 2012

USMCShrink

RT @dockj: T3 PC means "I am here to listen to you and help you with your pain and other symptoms regardless of what is causing them" #hpm
Wed Apr 25 18:56:07 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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aliciabloom

i wish for the day when a #palliative care consult is never controversial & physicians aren't threatened by what we do! #hpm
Wed Apr 25 18:56:32 PDT 2012

westr

RT @ctsinclair: RT @hollyby: Palliative care = Helping people feel better, no matter what. #HPM
Wed Apr 25 18:56:48 PDT 2012

jfclearywisc

RT @hollyby: T5: Closing thoughts, Great chat: Join #hpmglobal chat Mon 8 am EST 7 am CST!! Continue chat with global colleagues #hpm
Wed Apr 25 18:57:01 PDT 2012

ctsinclair

Closing thought "If it is to be it is up to me. Be the change you want to see in this world." The nice thing is you are all doing that. #HPM
Wed Apr 25 18:57:39 PDT 2012

hollyby

MT @jfclearywisc: Join #hpmglobal chat Mon 8 am EST 7 am CST!! Continue chat with global colleagues #hpm
Wed Apr 25 18:57:58 PDT 2012

morganbain

T5: glad I was finally able to join in on the conversations. Looking forward to a future session. #hpm
Wed Apr 25 18:58:11 PDT 2012

doctatum

T5 we are lucky to have found our way to #hpm as a profession. Now go help others find their way
Wed Apr 25 18:58:26 PDT 2012

ctsinclair

@westr Hey Robert! Good to see you! I remember when you were first getting on Twitter. You have come a long way! #HPM
Wed Apr 25 18:58:35 PDT 2012

hollyby

You all made my day! It was great to see so many Twitter friends! Thanks for joining in the conversation! Hugs!!! #hpm
Wed Apr 25 18:58:44 PDT 2012

hollyby

Thanks for tweeting everyone! See you next week on Wednesday 6 pm PST, 9 pm EST for the #HPM Tweetchat! #hpm
Wed Apr 25 18:59:06 PDT 2012

aliciabloom

@hollyby facilitated an awesome #hpm tweetchat tonight!

Wed Apr 25 18:59:12 PDT 2012

jen_c_taylor

Talking about Death & Dying is Talking about Life & Living. #hpm
Wed Apr 25 18:59:13 PDT 2012

ctsinclair

@morganbain @doctatum @dockj @westr Would love to have you all visit more often!
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#HPM
Wed Apr 25 18:59:17 PDT 2012

equijada

Thanks everyone. Thanks @hollby Great chat!! #hpm

Wed Apr 25 18:59:21 PDT 2012

hollyby

RT @doctatum: T5 we are lucky to have found our way to #hpm as a profession. Now go help others find their way #hpm
Wed Apr 25 18:59:24 PDT 2012

JohnGirdwood

RT @aliciabloom: @hollyby facilitated an awesome #hpm tweetchat tonight!

Wed Apr 25 18:59:41 PDT 2012

ctsinclair

@hollyby Fantastic job Holly. It really moved fast tonight! Any luck at getting more of SDH online? #HPM
Wed Apr 25 18:59:56 PDT 2012

aliciabloom

agree! RT @ctsinclair: @morganbain @doctatum @dockj @westr Would love to have you all visit more often! #hpm
Wed Apr 25 18:59:56 PDT 2012

ctsinclair

RT @jen_c_taylor: Talking about Death & Dying is Talking about Life & Living. #HPM
Wed Apr 25 19:00:05 PDT 2012

AnkurB_MD

@hollyby Thanks!! Was an amazing chat! Always enjoy the Self-reflection & Camaraderie here.. #hpm
Wed Apr 25 19:01:26 PDT 2012

dockj

@ctsinclair Wed is crowded schedule for family night... Trying to make it by more often. #hpm
Wed Apr 25 19:01:58 PDT 2012

hollyby

@ctsinclair We have 4 or 5 docs besides me on Twitter intermittently. I'm working on it... #hpm
Wed Apr 25 19:02:04 PDT 2012

rfberry

RT @hollyby: You all made my day! It was great to see so many Twitter friends! Thanks for joining in the conversation! Hugs!!! #hpm
Wed Apr 25 19:02:21 PDT 2012

rfberry

RT @hollyby: Thanks for tweeting everyone! See you next week on Wednesday 6 pm PST, 9 pm EST for the #HPM Tweetchat! #hpm
Wed Apr 25 19:02:25 PDT 2012

nursecasestudy

RT @hollyby: You all made my day! It was great to see so many Twitter friends! Thanks for joining in the conversation! Hugs!!! #hpm
Wed Apr 25 19:02:34 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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westr

@ctsinclair Thanks Christian. I saw a couple #hpm tweets I couldn't overlook! ;)

Wed Apr 25 19:02:59 PDT 2012

hollyby

Thanks for the love everyone, I enjoyed hosting. Seriously, I was crabby and you all made my day better. Thanks for palliating me! #hpm
Wed Apr 25 19:03:08 PDT 2012

rfberry

I'm doing a free training on social media basics on Friday w/ @CHPCC http://t.co/BPtb999t cc @ctsinclair & @hollyby open to all #hpm
Wed Apr 25 19:04:27 PDT 2012

ctsinclair

RT @rfberry: I'm doing a free training on social media basics on Friday w/ @CHPCC http://t.co/5WjD2uVx open to all #hpm
Wed Apr 25 19:04:45 PDT 2012

doctatum

Ditto RT @dockj @ctsinclair Wed is crowded schedule for family night... Trying to make it by more often. #hpm
Wed Apr 25 19:04:47 PDT 2012

produceconsume

RT @ctsinclair: RT @rfberry: I'm doing a free training on social media basics on Friday w/ @CHPCC http://t.co/5WjD2uVx open to all #hpm
Wed Apr 25 19:05:47 PDT 2012

rfberry

RT @AnkurB_MD: @hollyby Thanks!! Was an amazing chat! Always enjoy the Selfreflection & Camaraderie here.. #hpm
Wed Apr 25 19:10:57 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=04-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

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