#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

#hpm transcript
Healthcare Social Media Transcript
From: To: Wed May 23 18:00:00 PDT 2012 Wed May 23 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

emarnold14

Holy Palliative Care! MA Senate approves requirement that all MDs & RNs discuss end-oflife options. http://t.co/iFF2zIty #hpm
Wed May 23 18:00:17 PDT 2012

ctsinclair

RT @aliciabloom: Massachusetts senate passes Amendment No. 121: Palliative Care Awareness (http://t.co/Q4ENYQNj) #hpm
Wed May 23 18:00:22 PDT 2012

BillPfohl

RT @emarnold14: MA Senate approves requirement that all MDs & RNs discuss end-of-life options. http://t.co/XKV0caMG #hpm
Wed May 23 18:01:12 PDT 2012

aliciabloom

for the next hour, you'll see a flurry of #hospice & #palliative care related tweets from me...it's #hpm chat time!
Wed May 23 18:01:12 PDT 2012

ctsinclair

RT @aliciabloom: for the next hour, youll see a flurry of #hospice & #palliative care related tweets...its #hpm chat time! "Me too!" #hpm
Wed May 23 18:02:10 PDT 2012

nursefriendly

RT @nursefriendly: Wednesday #Healthcare #Tweetchats (EST) 9p #dsma 9p #healthchat 9p #hpm 9p #mHealth 9p #premeded 9p #SocMedChap
Wed May 23 18:02:29 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 1 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

aliciabloom

welcome to #hpm tweetchat! let's get started with some introductions....

Wed May 23 18:02:32 PDT 2012

BillPfohl

Whoops sorry twitterverse I'm going to be involved in a #hpm chat... #hpm

Wed May 23 18:02:40 PDT 2012

nursefriendly

RT @aliciabloom: for the next hour, you'll see a flurry of #hospice & #palliative care related tweets from me...it's #hpm chat time!
Wed May 23 18:03:29 PDT 2012

aliciabloom

@BillPfohl i think the twitterverse loves our #hospice & #palliative care noise :) welcome! #hpm
Wed May 23 18:03:40 PDT 2012

ctsinclair

Christian Sinclair - Palliative doc at Gentiva, editor of @pallimed blog, Douglas Adams fan #hpm
Wed May 23 18:04:02 PDT 2012

BillPfohl

@aliciabloom Thank You! Can't wait to tell my son I spoke to the Incredibles! #hpm
Wed May 23 18:04:52 PDT 2012

April918

Hello all! HPM fellow in Kansas City. #HPM

Wed May 23 18:05:03 PDT 2012

aliciabloom

@ctsinclair so happy you're here to participate tonight! i need to book you for some hosting gigs. #hpm
Wed May 23 18:05:09 PDT 2012

aliciabloom

welcome back @April918! #hpm

Wed May 23 18:05:47 PDT 2012

TexasKidDoc

Pediatric Resident - very into #pedspc, chronic care, and ICU. Not on call so here tweetchating #palliative #hpm
Wed May 23 18:06:15 PDT 2012

ctsinclair

@April918 You know April, we need to get more fellows here like @RyanWesthoff. We need @RossJeanette @ewidera and @hollyby to help #hpm
Wed May 23 18:06:22 PDT 2012

aliciabloom

@BillPfohl haha :) i stopped to hang with them during the Disney 1/2 Marathon. #hpm
Wed May 23 18:06:29 PDT 2012

ctsinclair

@aliciabloom Yes please do ask me for some hosting nights. I am way overdue #hpm
Wed May 23 18:06:51 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 2 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

April918

@aliciabloom glad to be here!! #HPM

Wed May 23 18:07:03 PDT 2012

nursefriendly

Hello Andrew Lopez, RN from New Jersey, multitasking #dsma #healthchat #hpm #mHealth #premeded #SocMedChap #nurseup #nursefriendly
Wed May 23 18:07:35 PDT 2012

aliciabloom

welcome @TexasKidDoc! #hpm

Wed May 23 18:07:42 PDT 2012

theCEUgroup

#hpm save 10% on #End-Of-Life Care certificate with #couponcode "ceugroup" at http://t.co/pG0K5AOU #CareerBooster
Wed May 23 18:07:50 PDT 2012

ctsinclair

@TexasKidDoc Hey great to see a resident here! I'm sure you already know but just in case #PedPC is pediatric palliative care hashtag #hpm
Wed May 23 18:08:03 PDT 2012

pamressler

Hello All -- Pam Ressler from Boston. Teaching Palliative and EOL in the Pain Research Educ & Policy program at Tufts Univ Med School #hpm
Wed May 23 18:08:25 PDT 2012

diabetesalish

RT @nursefriendly: Hello Andrew Lopez, RN from New Jersey, multitasking #dsma #healthchat #hpm #mHealth #premeded #SocMedChap #nurseup # ...
Wed May 23 18:08:30 PDT 2012

diabetesalish

@nursefriendly you are quite the multi-tasker! # multitasking #dsma #healthchat #hpm #mHealth #premeded #SocMedChap #nurseup #nursefriendly
Wed May 23 18:09:05 PDT 2012

TexasKidDoc

whoops! typed too fast. Darn s.... #hpm

Wed May 23 18:09:19 PDT 2012

aliciabloom

hi @pamressler! thanks for joining. we're about to get started. #hpm

Wed May 23 18:09:19 PDT 2012

ctsinclair

@TexasKidDoc I always forget and add the extra s, but @KUKidsHP and @HaslingerPPC advocate for #PedPC over PedsPC #hpm
Wed May 23 18:09:21 PDT 2012

ctsinclair

@TexasKidDoc When each character counts that s may make all the difference! #hpm
Wed May 23 18:09:46 PDT 2012

ctsinclair

Hey @RevDoc are you going to join us for Tweetchat? Long time no see. #hpm
Wed May 23 18:10:11 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 3 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

CAPhO_ACPhO

RT @ctsinclair: How and Why to participate in #HPM tweetchat via @GoBeMoRe http://t.co/BbTJYoU2 8pm CT Wednesday nights
Wed May 23 18:10:12 PDT 2012

pamressler

I will be chatting for the next hour about palliative care -- sorry about the excess # of tweets...join us at #hpm
Wed May 23 18:10:25 PDT 2012

TexasKidDoc

@ctsinclair True! I'm still working on getting my character counts down! #hpm
Wed May 23 18:10:37 PDT 2012

pamressler

@aliciabloom Thanks, Alicia...great to be able to join in tonight #hpm

Wed May 23 18:10:59 PDT 2012

aliciabloom

T1: @NYMag "A Life Worth Ending" (http://t.co/GNlWmefI) raises a lot of key #hpm related issues. any initial reactions to the piece?
Wed May 23 18:11:07 PDT 2012

nursefriendly

RT @ctsinclair: How and Why to participate in #HPM tweetchat via @GoBeMoRe http://t.co/BbTJYoU2 8pm CT Wednesday nights
Wed May 23 18:12:40 PDT 2012

nursefriendly

RT @aliciabloom: T1: @NYMag "A Life Worth Ending" (http://t.co/GNlWmefI) raises a lot of key #hpm related issues. any initial reactions ...
Wed May 23 18:12:53 PDT 2012

ctsinclair

T1: Important quote: "what I feel most intensely when I sit by my mothers bed is a crushing sense of guilt for keeping her alive" #hpm
Wed May 23 18:13:17 PDT 2012

aliciabloom

a striking message: "modern medicine is a random process without a real point of view & without anyone ultimately being in charge." #hpm
Wed May 23 18:14:49 PDT 2012

April918

@ctsinclair t1: good quote, I think many family members don't want to say this outloud #HPM
Wed May 23 18:15:06 PDT 2012

TexasKidDoc

@April918 T1: I think there is a lot of "don't say it out loud" in this article #hpm
Wed May 23 18:16:20 PDT 2012

aliciabloom

@April918 an excellent point. families are often afraid to be so honest for fear of how it's received. appreciated author's honesty. #hpm
Wed May 23 18:16:29 PDT 2012

ctsinclair

@April918 Exactly, many family members have trouble opening up to health care staff about frustrations of caregiving, aging, and dying #hpm
Page 4 of 13

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

Wed May 23 18:17:33 PDT 2012

ctsinclair

@aliciabloom @april918 and as HC professionals we have to strive to maintain neutrality in very tense emotional situations #hpm
Wed May 23 18:18:30 PDT 2012

pamressler

MT @ctsinclair: @April918 many family members have trouble opening up 2 health care staff about frustrations of caregiving, aging,dying #hpm
Wed May 23 18:19:10 PDT 2012

ctsinclair

@aliciabloom medicine as random process has some truth but much of that randomness comes from the complexity inherent in the system #hpm
Wed May 23 18:19:55 PDT 2012

aliciabloom

he talks re: "first effort to talk directly about the elephant" & recounts how the healthcare providers couldn't quite meet them there #hpm
Wed May 23 18:20:07 PDT 2012

aliciabloom

@ctsinclair the system is not currently well designed for patients & families to navigate it with ease, so it feels random & complex. #hpm
Wed May 23 18:21:32 PDT 2012

April918

@aliciabloom agree, our healthcare system is made for when patients have acute exacerbation, not chronically ill #HPM
Wed May 23 18:23:39 PDT 2012

aliciabloom

the piece highlights the serious need to address reality & implications of an aging population. where do we start to make an impact? #hpm
Wed May 23 18:24:10 PDT 2012

TexasKidDoc

We doctors are often too afraid to be paternalistic that we don't give enough guidance when families are asking for it #hpm
Wed May 23 18:24:38 PDT 2012

ctsinclair

@TexasKidDoc pendulum has swung in medicine from paternalistic era to the autonomy era - need to move towards shared decision making #hpm
Wed May 23 18:25:55 PDT 2012

ctsinclair

@aliciabloom Well Obama did state the Alzheimer's was a national priority for research. That is a start, but not comprehensive #hpm
Wed May 23 18:26:23 PDT 2012

April918

@aliciabloom my gut reaction to that question....NOT with medicine, need to address basic needs first #hpm
Wed May 23 18:26:38 PDT 2012

aliciabloom

+1 MT @ctsinclair: pendulum has swung in medicine from paternalistic era to autonomy era - need to move towards shared decision making #hpm
Page 5 of 13

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

Wed May 23 18:27:01 PDT 2012

pamressler

Yes MT @ctsinclair: @TexasKidDoc pendulum has swung from paternalistic era 2 autonomy era - need to move towards shared decision making #hpm
Wed May 23 18:27:10 PDT 2012

ctsinclair

@aliciabloom we need a national initiative on aging and function with 2 priorities: home care and improving nursing homes #hpm
Wed May 23 18:27:27 PDT 2012

nursefriendly

RT @April918: @aliciabloom agree, our healthcare system is made for when patients have acute exacerbation, not chronically ill #HPM
Wed May 23 18:28:13 PDT 2012

April918

@ctsinclair agreed, nursing homes have great potential #hpm

Wed May 23 18:28:48 PDT 2012

aliciabloom

@ctsinclair definitely need to improve the continuum of care for aging population. love the idea of a national initiative #hpm
Wed May 23 18:29:04 PDT 2012

PracticalWisdom

Wow, Thanks 4 this! RT @MarySiegner "Before I die" project coming Toronto http://t.co/ZIDsyVhp - What would you add? #HCSM #HPM #HCSMANZ
Wed May 23 18:29:10 PDT 2012

ctsinclair

@April918 @aliciabloom To address aging if we look at medicine, we are missing much more to be done in prevention/wellness/environment #hpm
Wed May 23 18:29:15 PDT 2012

pamressler

Redefining aging and illness to a new paradigm of a comprehensive care model not fee for service will be a start #hpm
Wed May 23 18:29:21 PDT 2012

BillPfohl

Is shared decision making a reality or a pipe dream. Can a family in crisis take a full part in making a shared decision? #hpm
Wed May 23 18:29:49 PDT 2012

ctsinclair

RT @April918: nursing homes have great potential "We have sorely underfunded and understaffed and not provided enough expertise in NH" #hpm
Wed May 23 18:31:07 PDT 2012

ctsinclair

RT @BillPfohl: Is shared decision making a reality/pipe dream? Can family in crisis take a full part in making a shared decision? #hpm
Wed May 23 18:31:35 PDT 2012

pamressler

@BillPfohl Shared decision making hopefully starts before crisis. Agree that in midst of crisis pt wishes are often not articulated #hpm
Wed May 23 18:32:34 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 6 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

ctsinclair

@BillPfohl Family in crisis can get to shared decision making with a lot of listening and support. Not always easy to do. #hpm
Wed May 23 18:32:49 PDT 2012

TexasKidDoc

RT @BillPfohl: Is shared decision making a reality or pipe dream. Can a family in crisis take a full part in making a shared decision? #hpm
Wed May 23 18:33:03 PDT 2012

April918

Also NH staff with too high turnover to develop experienced based expertise #hpm
Wed May 23 18:33:05 PDT 2012

ctsinclair

@pamressler Excellent point Pam. Be Prepared! #hpm

Wed May 23 18:33:07 PDT 2012

nursefriendly

and #hpm 2 more RT @Pocket_Health Looks like a busy night for Twitter chats with #dsma and #healthchat. What's your can't-miss Twitter chat?
Wed May 23 18:33:12 PDT 2012

aliciabloom

shared decision making encourages patients/families to make decisions with their providers input & guidance. hopefully reducing burden #hpm
Wed May 23 18:33:48 PDT 2012

aliciabloom

RT @pamressler: Redefining aging and illness to a new paradigm of a comprehensive care model not fee for service will be a start #hpm
Wed May 23 18:34:58 PDT 2012

DeathwDignity

RT @embeedub: Listen up, doctors: Here's how to talk to your patients http://t.co/Y5wo3ZTA "Get you hand of the goddamn doorknob" #HPM
Wed May 23 18:35:00 PDT 2012

nursefriendly

RT @TexasKidDoc: We doctors are often too afraid to be paternalistic that we don't give enough guidance when families are asking for it #hpm
Wed May 23 18:35:01 PDT 2012

BillPfohl

I'm guessing that shared decision making in reality will leave MD's in a tough spot. Is there any Docs that agree with that? #hpm
Wed May 23 18:35:38 PDT 2012

TexasKidDoc

Decisions are very difficult. I've known family to give up custody b/c they couldn't cope w/ making them for their chronically ill kid. #hpm
Wed May 23 18:35:56 PDT 2012

ctsinclair

@Pocket_Health How could you leave out the first specialty to have its own health care chat? Tweeting strong since 2010 #HPM
Wed May 23 18:35:59 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 7 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

ctsinclair

@BillPfohl I think younger MD's are seeing shared decision making more in training so they are more comfortable with implementing #hpm
Wed May 23 18:38:04 PDT 2012

pamressler

@TexasKidDoc Very different dealing with pediatric palliative issues versus geriatric. Thank you for the work you do #hpm
Wed May 23 18:38:11 PDT 2012

April918

@TexasKidDoc Interesting thought, shared decision making in peds, complicated. #hpm

Wed May 23 18:38:15 PDT 2012

SusanCadell

Just had a lovely glass and long chat, mostly about bikes and #ppc #hpm research. Thanks @zwigli. Wish you were here @hbsaeg
Wed May 23 18:38:42 PDT 2012

April918

@ctsinclair Agree, but I see docs in training get uncomfortable with the paternalistic approach, even when its appropriate #hpm
Wed May 23 18:39:36 PDT 2012

aliciabloom

EoL decision making for pediatric patients has its own complexities, especially for terminally ill adolescents #hpm
Wed May 23 18:40:09 PDT 2012

aliciabloom

another point for our T1: @NYMag piece talks about #hospice as "not for the certainly dying but the promptly dying." thoughts? #hpm
Wed May 23 18:40:26 PDT 2012

pamressler

Yes RT @aliciabloom: EoL decision making for pediatric patients has its own complexities, esp for terminally ill adolescents #hpm
Wed May 23 18:41:13 PDT 2012

ctsinclair

@pamressler @TexasKidDoc but some issues about decision making and competency are very similar in geriatrics and pediatrics #hpm
Wed May 23 18:42:06 PDT 2012

aliciabloom

great point--> RT @ctsinclair: but some issues about decision making and competency are very similar in geriatrics and pediatrics #hpm
Wed May 23 18:43:00 PDT 2012

TexasKidDoc

Agreed-many r the same RT @ctsinclair: but some issues about decision making and competency are very similar in geriatrics and peds #hpm
Wed May 23 18:43:40 PDT 2012

ctsinclair

Well @aliciabloom the NHPCO stats show #hospice care is usually less than 20 days http://t.co/EOKPqQya #HPM
Wed May 23 18:44:44 PDT 2012

@ctsinclair i know. it feels like this vicious cycle-- late referrals reinforce this notion that
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 8 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

aliciabloom

hospice is only for the actively dying #hpm

Wed May 23 18:46:26 PDT 2012

ctsinclair

@aliciabloom SO TRUE!! #HPM

Wed May 23 18:47:40 PDT 2012

aliciabloom

as i read the @NYMag piece & reflected on my own experiences, i couldn't help but wonder if the dementia criteria should reconsidered. #hpm
Wed May 23 18:48:02 PDT 2012

hollyby

Hello all! Between sessions at Upaya. Just checking in to see all the wonderful comments and people. #hpm
Wed May 23 18:48:13 PDT 2012

ctsinclair

@aliciabloom the dementia criteria for hospice eligibility is one that needs much more evidence based prognostic support #hpm
Wed May 23 18:49:35 PDT 2012

aliciabloom

hi @hollyby! we've been discussing issues raised in the @NYMag piece "A Life Worth Ending." glad you've stopped by. #hpm
Wed May 23 18:49:38 PDT 2012

ClaudiaNichols

RT @TexasKidDoc: Finding an off ramp on the "Freeway to ICU" #TED Talk - Peter Saul: Lets talk about dying http://t.co/jGcFagYL #HPM, # ...
Wed May 23 18:49:51 PDT 2012

ClaudiaNichols

RT @TexasKidDoc: RT @rfberry Facebook admits error in deleting moms photos of dying son http://t.co/xVnOo0Lh #pedspc #hpm #palliative
Wed May 23 18:50:10 PDT 2012

ClaudiaNichols

RT @TexasKidDoc: Massachusetts passes law requiring counseling on end of life decisions with dying patients: http://t.co/rZIzVOIU #hpm # ...
Wed May 23 18:50:47 PDT 2012

aliciabloom

@ctsinclair there are times when i feel like the dementia criteria for #hospice is limiting patient/family access to needed support #hpm
Wed May 23 18:50:49 PDT 2012

ctsinclair

@hollyby Hey Holly, glad to see your face! #hpm

Wed May 23 18:51:12 PDT 2012

ctsinclair

@aliciabloom Agreed. But with the slow decline of Alzheimer's we need to balance good utilization of the medicare hospice benefit #hpm
Wed May 23 18:51:47 PDT 2012

ctsinclair

@aliciabloom And maybe find other resources/parts of the system to help support people with dementia pre-hospice #hpm
Page 9 of 13

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

Wed May 23 18:52:11 PDT 2012

aliciabloom

@ctsinclair absolutely- such an important point & a fine line. definitely need alternative community based support to manage dementia #hpm
Wed May 23 18:53:13 PDT 2012

April918

It is also frustrating when a person with dementia is 'stable' so are decertified, its hard to tell family-call back when they are sick #hpm
Wed May 23 18:53:21 PDT 2012

TexasKidDoc

@ctsinclair maybe we just need good medical homes, family in this article used ER/hospital admit when stuck at decision points #hpm
Wed May 23 18:53:23 PDT 2012

Pocket_Health

@ctsinclair Will definitely check out #HPM - interested to follow along with the discussion and participants!
Wed May 23 18:53:24 PDT 2012

BillPfohl

For the past 60 yrs the public has been told that medicine can cure anything. That's why hospice gets called late. #hpm
Wed May 23 18:53:33 PDT 2012

April918

PACE programs are great support for elderly and chronically ill, not in all states #hpm
Wed May 23 18:54:00 PDT 2012

pamressler

Will now to to the MA house RT @TexasKidDoc: MA passes law requiring counseling on EOL decisions w dying pts: http://t.co/hk3EZ8Vs #hpm
Wed May 23 18:54:17 PDT 2012

aliciabloom

RT @BillPfohl: For the past 60 yrs the public has been told that medicine can cure anything. That's why hospice gets called late. #hpm
Wed May 23 18:54:23 PDT 2012

ctsinclair

RT @April918: PACE programs are great support for elderly and chronically ill, not in all states #hpm
Wed May 23 18:54:30 PDT 2012

aliciabloom

would love to these expanded! RT @April918: PACE programs are great support for elderly and chronically ill, not in all states #hpm
Wed May 23 18:54:50 PDT 2012

April918

@Billpfohl You have great insight, good one liners! #hpm

Wed May 23 18:55:18 PDT 2012

pamressler

@BillPfohl Yes we practice an acute model of health care -- not great with chronic conditions #hpm
Wed May 23 18:55:27 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 10 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

ctsinclair

@TexasKidDoc If one had to choose, the ER is the last place I'd want to be when faced with a critical decision. #hpm
Wed May 23 18:55:29 PDT 2012

Pocket_Health

@nursefriendly Peeking in on #hpm now. Thanks for the recommendation!

Wed May 23 18:56:24 PDT 2012

aliciabloom

@ctsinclair @TexasKidDoc ER definitely not the best environment for critical decision making, particularly in advanced illness. #hpm
Wed May 23 18:57:21 PDT 2012

TexasKidDoc

And yet so many decisions are made there! MT @ctsinclair: the ER is the last place Id want to be when faced with a critical decision. #hpm
Wed May 23 18:57:32 PDT 2012

aliciabloom

as the hour comes to a close, please share any final thoughts for tonight... #hpm
Wed May 23 18:58:03 PDT 2012

TexasKidDoc

People often don't have good plans in place to follow through with pre-decided decisions at home, so show up in ER afraid #hpm
Wed May 23 18:58:57 PDT 2012

April918

More info on PACE programs: http://t.co/26fXLnec #HPM

Wed May 23 18:59:01 PDT 2012

aliciabloom

@TexasKidDoc @ctsinclair many decisions are made in ER, but because it's a crisis situation, they're often reactive & not reflective #hpm
Wed May 23 18:59:06 PDT 2012

ctsinclair

Final Thought: Tweetchatting with other Tweetchatters in person is very fun! Thanks @April918 #hpm
Wed May 23 18:59:32 PDT 2012

ctsinclair

@aliciabloom I like that alliteration: Reactive not reflective #hpm

Wed May 23 18:59:46 PDT 2012

April918

@ctsinclair Agreed! Thanks for coming over! #hpm

Wed May 23 19:00:17 PDT 2012

aliciabloom

final thoughts: thank you to a small, but mighty group. we had some great conversation tonight. join us next week & bring a friend! #hpm
Wed May 23 19:00:40 PDT 2012

TexasKidDoc

RT @aliciabloom: many decisions are made in ER, but because its a crisis situation, theyre often reactive & not reflective #hpm
Wed May 23 19:00:47 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 11 of 13

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

aliciabloom

@ctsinclair thanks! #hpm

Wed May 23 19:01:01 PDT 2012

TexasKidDoc

Thanks for letting me join in despite my little ones being a little different sometimes #hpm
Wed May 23 19:01:54 PDT 2012

aliciabloom

i'm hoping some of the #socmedchap folks might join us next week at 9pmEST for #hpm tweetchat!
Wed May 23 19:01:58 PDT 2012

ctsinclair

Yes next week, bring a friend! I am planning to tweet in person with someone new next week. #hpm
Wed May 23 19:02:24 PDT 2012

BillPfohl

Here is a crazy idea...you cannot get a drivers license unless you fill out a health care proxy & filed it in a national data bank... #hpm
Wed May 23 19:02:26 PDT 2012

pamressler

This is the new frontier in health care -- we can define how we want it to look or go with the status quo. Let's think outside the box #hpm
Wed May 23 19:03:09 PDT 2012

aliciabloom

@TexasKidDoc glad to have you here! would love to have a #PedPC focused chat some time. let me know if you'd like to host. #hpm
Wed May 23 19:03:19 PDT 2012

April918

@BillPfohl Not a bad idea.....they already ask about organ donation. They could more symbols on driver's license #hpm
Wed May 23 19:03:55 PDT 2012

ctsinclair

@BillPfohl or chemo or dialysis or surgery. And your AD can say whatever YOU want, not what I want. Just please do it people. #hpm
Wed May 23 19:04:14 PDT 2012

TexasKidDoc

@aliciabloom Thanks! Hosting might be above my pay grade! #hpm

Wed May 23 19:04:26 PDT 2012

aliciabloom

@pamressler yes! and i think #hospice & #palliative care are uniquely positioned to be a solution to challenges healthcare system faces #hpm
Wed May 23 19:04:31 PDT 2012

pamressler

@BillPfohl Love it! #hpm

Wed May 23 19:05:00 PDT 2012

ctsinclair

@April918 @BillPfohl well your Facebook status can now include organ donation, what
Page 12 of 13

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

#hpm - Healthcare Social Media Transcript

6/27/12 1:15 PM

about presence/absence of advance directives? #hpm

Wed May 23 19:05:01 PDT 2012

aliciabloom

@TexasKidDoc i really doubt it. you'd have some help preparing. we don't leave you hanging! #hpm
Wed May 23 19:05:16 PDT 2012

ctsinclair

@TexasKidDoc Hosting is a real treat and very illuminating. Not above your paygrade at all. We can focus on medical education #hpm
Wed May 23 19:05:45 PDT 2012

ctsinclair

Good night all! #hpm

Wed May 23 19:05:59 PDT 2012

April918

Goodnight, see ya next time!! #hpm

Wed May 23 19:06:37 PDT 2012

pamressler

Thanks for hosting tonight @aliciabloom. Good night everyone #hpm

Wed May 23 19:07:08 PDT 2012

aliciabloom

thanks, everyone! see next week and bring a friend! #hpm

Wed May 23 19:07:09 PDT 2012

BillPfohl

Good night from the almost east coast! #hpm

Wed May 23 19:07:14 PDT 2012

aliciabloom

thanks, everyone! see you next week & bring a friend :) #hpm
Wed May 23 19:07:37 PDT 2012

TexasKidDoc

Good night y'all (gotta talk the texan talk!) #hpm

Wed May 23 19:08:06 PDT 2012

ctsinclair

Me and @April918 tweetchatting together for #hpm (check out the sticker) http://t.co/CdVQapom
Wed May 23 19:10:30 PDT 2012

BillPfohl

Dear chatters...please check This TED talk about it's worth the time http://t.co/K6kqT0Bq #hpm
Wed May 23 19:12:23 PDT 2012

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1

Page 13 of 13