8/2/12

#hpm Healthcare Social Media Transcript

#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Aug 01 18:00:00 PDT 2012 Wed Aug 01 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

aliciabloom

it's that time again-- #hpm chat! expect a downpour of #hospice & #palliative care related tweets from me for the next hour.
Wed Aug 1 18:01:07 PDT 2012

aliciabloom

excited to host #hpm chat as we focus on communication-- power of language & patient perception. welcome! let's start with introductions...
Wed Aug 1 18:03:13 PDT 2012

_lizzy_

It's #hpm tweetchat time!! Come join us! If you're a twitter friend and not #hpm, please feel free to ignore me for the next hour! #hpm
Wed Aug 1 18:03:51 PDT 2012

aliciabloom

hi @_lizzy_! #hpm
Wed Aug 1 18:04:52 PDT 2012

WaywardChad

Me, too...let the ideas flow! MT@aliciabloom #hpm chat! expect downpour of #hospice & #palliative care tweets from me for the next hr. #hpm
Wed Aug 1 18:05:01 PDT 2012

theyoganurse

@aliciabloom Greetings. My first time in your chat. My first gig in nursing was in hospice. Amazing grace. #hpm
Wed Aug 1 18:05:22 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

1/16

8/2/12

#hpm Healthcare Social Media Transcript

aliciabloom

awesome @WaywardChad! welcome! #hpm

Wed Aug 1 18:06:18 PDT 2012

aliciabloom

welcome @theyoganurse! always great to have new people joining the conversation! #hpm
Wed Aug 1 18:06:54 PDT 2012

WaywardChad

I think it's the first time I've made it, too. Social worker and now thanatologist in training. Passionate about #hospice and #hpm! #hpm
Wed Aug 1 18:06:57 PDT 2012

_lizzy_

Hello @aliciabloom I'm excited about tonight's topic! As a MSW and MA grad, I'm all about communication. #hpm
Wed Aug 1 18:06:59 PDT 2012

ravipm2000

Hello all. #hpm

Wed Aug 1 18:07:35 PDT 2012

aliciabloom

@WaywardChad glad you're here-- the more the merrier! #hpm

Wed Aug 1 18:07:56 PDT 2012

ravipm2000

I'm Ravi. Recently graduated pall care fellow. #hpm

Wed Aug 1 18:08:15 PDT 2012

aliciabloom

@_lizzy_ the NYTimes piece you tweeted earlier today served as inspiration! #hpm
Wed Aug 1 18:08:19 PDT 2012

aliciabloom

hi @ravipm2000! #hpm
Wed Aug 1 18:08:28 PDT 2012

rfberry

@aliciabloom good luck tonight! Looks like great topics!! Logging offline w/a headache though, wanted to say hi & goodnight #hpm -ers
Wed Aug 1 18:09:02 PDT 2012

AnkurB_MD

Hi #hpm friends :) Joining the tweetchat for the next hour! Geriatrics and Palliative doc in Boston, MA. #hpm
Wed Aug 1 18:09:07 PDT 2012

aliciabloom

looks like we're getting a good crowd here tonight! i'm going to send along a link to spur some opening discussion.... #hpm
Wed Aug 1 18:09:14 PDT 2012

Kamiyamay

#hpm.. you deserve my honesty & respect-may say things U don't like but here to walk through this with U .... More similar content next hr!
Wed Aug 1 18:09:18 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

2/16

8/2/12

#hpm Healthcare Social Media Transcript

aliciabloom

feel better @rfberry. hope to see you next week. #hpm

Wed Aug 1 18:09:54 PDT 2012

aliciabloom

good to see you @AnkurB_MD, it's been a while! hi @Kamiyamay #hpm

Wed Aug 1 18:10:16 PDT 2012

jfclearywisc

Jim Cleary, @uwhealth palliative care & @painpolicy (PPSG) joining #hpm chat for the next 50 minutes.
Wed Aug 1 18:11:10 PDT 2012

AnkurB_MD

@rfberry Hii and Byee! Catch up with yaa later.. Best.. :) #hpm
Wed Aug 1 18:11:11 PDT 2012

AnkurB_MD

I know.. Moved and Almost settled. Missed yaa all :) RT @aliciabloom: good to see you @AnkurB_MD, its been a while! #hpm
Wed Aug 1 18:12:03 PDT 2012

aliciabloom

For T1, a quick read: "When a Doctor's Words Aren't Soothing" (http://t.co/wTbzabj5) #hpm
Wed Aug 1 18:12:11 PDT 2012

schwartzbrown

Hi, Mindy here. Social Worker from NJ #hpm

Wed Aug 1 18:12:32 PDT 2012

aliciabloom

@AnkurB_MD oh, that's right. glad to hear you're getting settled. #hpm
Wed Aug 1 18:12:55 PDT 2012

jfclearywisc

@aliciabloom T1: Fairly dreadful examples in this. Nice finish but overall hard to believe all from one patient! #hpm
Wed Aug 1 18:13:17 PDT 2012

aliciabloom

hi @schwartzbrown! i just sent out a link to get us started with T1. #hpm
Wed Aug 1 18:13:19 PDT 2012

aliciabloom

@jfclearywisc i found most of the interactions pretty awful & left me wondering how often poor communication like that happen #hpm
Wed Aug 1 18:15:39 PDT 2012

_lizzy_

T1 This article hit home for me because I've been told (without tests) that I had a brain tumor once and MS another time. I had neither #hpm
Wed Aug 1 18:16:25 PDT 2012

WaywardChad

Wow...what a journey and a mixed bag -- but it sounds like she started to know what to ask for to get what she sought on her terms. #hpm
Wed Aug 1 18:17:19 PDT 2012

Kamiyamay

@aliciabloom @jfclearywisc #hpm Usually no communication - I knock on door "your

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

3/16

8/2/12

#hpm Healthcare Social Media Transcript

what from where" "who sent you here and why"!!!

Wed Aug 1 18:17:21 PDT 2012

jfclearywisc

@aliciabloom Friend of ours got cell phone call fr surgeon re new diagnosis of breast cancer (metastatic). Called me 2 minutes later #hpm
Wed Aug 1 18:17:46 PDT 2012

aliciabloom

T1: please share initial thoughts & reactions related to "When a Doctors Words Aren't Soothing"... #hpm
Wed Aug 1 18:17:57 PDT 2012

Kamiyamay

@Kamiyamay @aliciabloom @jfclearywisc #hpm sorry not usually but most have no idea what test show just not good is all, then want disclosure
Wed Aug 1 18:18:40 PDT 2012

_lizzy_

T1 Oh yes, and a different doc didn't even sit down to tell me that I had a 50/50 chance of having my mom's Myotonic Dystr. It happens! #hpm
Wed Aug 1 18:18:40 PDT 2012

aliciabloom

@jfclearywisc seems to me that life changing news like a metastatic cancer diagnosis would be best broken in person, not by phone. #hpm
Wed Aug 1 18:18:51 PDT 2012

jfclearywisc

@aliciabloom T1: when I first saw title I thought it may be good examples of delivering bad news. But it's bad examples of bad news #hpm
Wed Aug 1 18:19:30 PDT 2012

_lizzy_

T1 Now I need to say for the MDs that are on twitter, u ARE the ones who care & who are trying to make things better & i love u #hpm
Wed Aug 1 18:20:11 PDT 2012

Kamiyamay

@jfclearywisc @aliciabloom #hpm that is awesome and right person to call - think it varies (geographical too)
Wed Aug 1 18:20:12 PDT 2012

AnkurB_MD

@aliciabloom T1 One of my Mentor's once said: "If you think you won't be able to End it well, Don't even Start!" #givingbadnews #hpm
Wed Aug 1 18:20:23 PDT 2012

aliciabloom

@_lizzy_ reminds us that words are not the only way we communicate. body language matters. #hpm
Wed Aug 1 18:20:30 PDT 2012

ravipm2000

T1: Emails and telephones can't replace the subtle non verbal communication signs #hpm
Wed Aug 1 18:20:35 PDT 2012

ctsinclair

T1: Just the title of the article alone reminds me of many situations I observed as a trainee "When a doctor's words arent soothing" #hpm
Wed Aug 1 18:20:35 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

4/16

8/2/12

#hpm Healthcare Social Media Transcript

jfclearywisc

@aliciabloom I have told people over phone but it was planned sharing. When ordering test, should enquire about communicating results. #hpm
Wed Aug 1 18:20:47 PDT 2012

ctsinclair

@_lizzy_ Very sweet! #hpm

Wed Aug 1 18:20:48 PDT 2012

theyoganurse

@aliciabloom They speak those words cuz 'they don't know any better'-newbies, or hearts are deadened, dull- weary spirits. #hpm
Wed Aug 1 18:21:41 PDT 2012

aliciabloom

"When the Doctor's Words Aren't Soothing" shows us that it's not just what we say, but how & where we say it that matters. #hpm
Wed Aug 1 18:21:44 PDT 2012

schwartzbrown

You're assuming these people communicate better in person than on phone or email. Not always true. #hpm
Wed Aug 1 18:21:51 PDT 2012

ctsinclair

T1: You can learn a lot from observation. Always try and learn from the mistakes of others, so YOU don't have to learn the hard way #hpm
Wed Aug 1 18:21:52 PDT 2012

_lizzy_

T1 My issue with communication training is that too often it's focused on what NOT 2 do, & not offering practical tips 4 good practice. #hpm
Wed Aug 1 18:22:38 PDT 2012

ravipm2000

T1: Thk goodness that for the most part, communication skills can be learned and polished. Only a few people are natural communicators. #hpm
Wed Aug 1 18:22:41 PDT 2012

aliciabloom

@jfclearywisc absolutely. although, you had previously discussed the communication plan and that matters. #hpm
Wed Aug 1 18:22:44 PDT 2012

ctsinclair

T1: When using role play with trainees for 'breaking bad news' I encourage them to purposely mess up first. Eases pressure to perform. #hpm
Wed Aug 1 18:22:53 PDT 2012

jfclearywisc

@ravipm2000 at #hpm Fellowship graduation. Most impt tool in medicine "a chair and box of tissues" Great!!! #hpm
Wed Aug 1 18:23:43 PDT 2012

aliciabloom

T1: So, can we teach people to communicate more effectively & compassionately? What are key messages for learners? #hpm
Wed Aug 1 18:24:04 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

5/16

8/2/12

#hpm Healthcare Social Media Transcript

schwartzbrown

My doc told me he wanted a f/u of a questionable lung scan - just to close the issue in his records. Does that inspire compliance? #hpm
Wed Aug 1 18:24:14 PDT 2012

_lizzy_

Totally agree! I have people whose communication I try to model. RT @ctsinclair: U can learn a lot from observation. #hpm
Wed Aug 1 18:25:22 PDT 2012

ravipm2000

@ctsinclair: I agree! Learn from mistakes of others. You don't have enough time to make them all yourself! #hpm
Wed Aug 1 18:25:26 PDT 2012

theyoganurse

@_lizzy_ my issue with corporate med communication is that it leaves out the heart and soul. #hpm
Wed Aug 1 18:25:37 PDT 2012

jfclearywisc

@aliciabloom All our med students do breaking bad news w standardized patients. Feedback "v powerful even tho simulation" #hpm
Wed Aug 1 18:25:44 PDT 2012

aliciabloom

MT @jfclearywisc at #hpm fellowship graduation. Most important tool in medicine: "a chair and box of tissues" <-- brilliant! #hpm
Wed Aug 1 18:26:20 PDT 2012

AnkurB_MD

@aliciabloom Agree! "Setting" -> First thing to consider for "Discussing Serious News". #Palliative care #Meded #hpm
Wed Aug 1 18:26:26 PDT 2012

Kamiyamay

#hpm Key lessons: in person look in eye, honesty, respect, compassion - be comfortable w/ self & learn from every situation & msg hpm cares
Wed Aug 1 18:26:39 PDT 2012

_lizzy_

@theyoganurse Yes, the classroom is no substitute for RL experience. Also, when I'm stuck, I admit, "I don't know how to say this" #hpm
Wed Aug 1 18:27:02 PDT 2012

theyoganurse

@aliciabloom Yes, one lesson there is a big movement called "Conscious Communication" vs ugh! unconscious. Foundation in compassion. #hpm
Wed Aug 1 18:27:17 PDT 2012

aliciabloom

great points @Kamiyamay-- body language sends powerful messages & can help build rapport, put people at ease. #hpm
Wed Aug 1 18:27:38 PDT 2012

theyoganurse

@Kamiyamay I second this. Yes. #hpm

Wed Aug 1 18:28:04 PDT 2012

WaywardChad

RT @jfclearywisc at #hpm Fellowship graduation. Most impt tool in medicine "a chair and box of tissues" Great!!! #hpm

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

6/16

8/2/12

#hpm Healthcare Social Media Transcript

Wed Aug 1 18:28:31 PDT 2012

theyoganurse

RT @aliciabloom: MT @jfclearywisc at #hpm fellowship graduation. Most important tool in medicine: "a chair and box of tissues" <-- br ...
Wed Aug 1 18:28:33 PDT 2012

kilani19

Hi all! #hpm
Wed Aug 1 18:28:37 PDT 2012

_lizzy_

@aliciabloom Read once that if professional sat down the perception was that they spent more time. #hpm
Wed Aug 1 18:28:54 PDT 2012

ravipm2000

RT@jfclearywisc:All our med students do breaking bad news w standardized patients. Feedback "v powerful even tho simulation" #hpm
Wed Aug 1 18:29:17 PDT 2012

aliciabloom

hi @kilani19- thanks for joining us. we're finishing up T1 & will move on to T2 shortly. #hpm
Wed Aug 1 18:29:22 PDT 2012

ravipm2000

RT @aliciabloom: great points @Kamiyamay-- body language sends powerful messages & can help build rapport, put people at ease. #hpm
Wed Aug 1 18:29:39 PDT 2012

aliciabloom

we're going to move into T2, which continues on this topic of communication. please share final thoughts on T1... #hpm
Wed Aug 1 18:30:01 PDT 2012

jfclearywisc

Credit where credit is due It was @ravipm2000 at his #hpm Fellowship grad. "Most impt tool in medicine, a chair and box of tissues" #hpm
Wed Aug 1 18:30:16 PDT 2012

theyoganurse

@_lizzy_ Good. Honest. And Silence is OK. Some space for the other to breathe it all in. Not feeling compelled to talk too much. #hpm
Wed Aug 1 18:30:17 PDT 2012

HITComm

RT @ctsinclair: T1 You can learn from observation. Always try & learn from the mistakes of others, so YOU don't have to learn hard way #hpm
Wed Aug 1 18:30:53 PDT 2012

Kamiyamay

@_lizzy_ @aliciabloom #hpm- often get just below eye level & make sure have eye contact with all in room - position myself 2 see & be heard
Wed Aug 1 18:30:59 PDT 2012

AnkurB_MD

Start with "Listening" first! RT @aliciabloom: T1: What are key messages for learners? #communication #meded #hpm
Wed Aug 1 18:31:10 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

7/16

8/2/12

#hpm Healthcare Social Media Transcript

aliciabloom

@jfclearywisc that is such a great line! looks like i'll be quoting @ravipm2000 in my next lecture about goals of care discussions. #hpm
Wed Aug 1 18:31:46 PDT 2012

jfclearywisc

@theyoganurse: Communication training is not a bout recipe or script. It is framework on which to base communication #hpm
Wed Aug 1 18:31:59 PDT 2012

ravipm2000

@jfclearywisc Thanks Sir! I had great teachers! #hpm

Wed Aug 1 18:32:06 PDT 2012

WaywardChad

MT @theyoganurse Good. Honest. And Silence is OK. Some space for the other to breathe it all in. Not feeling compelled to talk 2 much. #hpm
Wed Aug 1 18:32:15 PDT 2012

Kamiyamay

@schwartzbrown #hpm U are right some need to hear via written word or phone for privacy or comfort (personal choice like @jfcleary said)
Wed Aug 1 18:32:50 PDT 2012

jfclearywisc

@ravipm2000 YEs watching my mistakes!!! LOL #hpm

Wed Aug 1 18:32:52 PDT 2012

aliciabloom

@AnkurB_MD listening is crucial. love to ask open ended ?: what are you most worried about? what do you understand about your illness? #hpm
Wed Aug 1 18:32:59 PDT 2012

Kamiyamay

RT @jfclearywisc: Credit where credit is due It was @ravipm2000 at his #hpm Fellowship grad. "Most impt tool in medicine, a chair and b ...
Wed Aug 1 18:33:30 PDT 2012

aliciabloom

for T2: from @Kevin MD by Alex Smith, MD: "Psychological factors influence how patients interpret information" (http://t.co/2beaEQde) #hpm
Wed Aug 1 18:34:46 PDT 2012

AnkurB_MD

Imp Qs! RT@aliciabloom: Love to ask open ended: what are you most worried about? what do you understand about your illness? #palliative #hpm
Wed Aug 1 18:35:07 PDT 2012

ravipm2000

@jfclearywisc If you made any mistakes, I couldn't perceive them! Lol #hpm
Wed Aug 1 18:35:41 PDT 2012

kilani19

@aliciabloom @ankurb_md I like the "what are you hoping for"... #hpm
Wed Aug 1 18:36:23 PDT 2012

theyoganurse

@jfclearywisc yes a template, a framework based in the heart:) <3 #hpm

Wed Aug 1 18:36:28 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

8/16

8/2/12

#hpm Healthcare Social Media Transcript

ravipm2000

T2: I've seen many patients open up and touch on difficult topics unassisted once they were "allowed to drive" the discussion. #hpm
Wed Aug 1 18:36:47 PDT 2012

WaywardChad

MT @jfclearywisc: Credit where due: was @ravipm2000 at his #hpm Fellowship grad. "Most impt tool in medicine: chair and box of tissues" #hpm
Wed Aug 1 18:37:37 PDT 2012

aliciabloom

T2: we know that language matters, but what about perception? how do we ensure patients understand the meaning of what we communicate? #hpm
Wed Aug 1 18:37:57 PDT 2012

ggramels

@aliciabloom Gave grand rounds on this topic 2day & abandoned the Power Point for two chairs & role play. Great audience participation.#hpm
Wed Aug 1 18:38:24 PDT 2012

jfclearywisc

@aliciabloom T2: Have seen the results of study but see my role to assist in transition. Teach back; "what did u hear I said" v impt #hpm
Wed Aug 1 18:38:29 PDT 2012

Kamiyamay

@kilani19 @aliciabloom @ankurb_md #hpm Also...asked pt today..what goals can I help u achieve...where do you think this ship is headed?
Wed Aug 1 18:38:37 PDT 2012

aliciabloom

@kilani19 @ankurb_md such a great question! reminds patients they can still hope for things, even if the face of life-limiting illness #hpm
Wed Aug 1 18:38:48 PDT 2012

Kamiyamay

@ggramels @aliciabloom #hpm excellent!

Wed Aug 1 18:39:25 PDT 2012

jfclearywisc

MT @ravipm2000: T2: I've seen many patients open up &touch on difficult topics unassisted once "allowed to drive" the discussion. #hpm
Wed Aug 1 18:39:37 PDT 2012

kilani19

@ggramels @aliciabloom yup that's the best way to do it! #hpm video or role play are great tools.
Wed Aug 1 18:40:00 PDT 2012

ravipm2000

T2: I like the "teach back" method too..e.g. "What have your doctors been telling you?" #hpm
Wed Aug 1 18:40:03 PDT 2012

schwartzbrown

I hate discussions of percentages. How many people really understand math? It's a defense that doesn't work. #hpm
Wed Aug 1 18:40:08 PDT 2012

aliciabloom

like to use the ask - tell - ask sandwich with patients & families: see where they are, offer education, check understanding. #hpm

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

9/16

8/2/12

#hpm Healthcare Social Media Transcript

Wed Aug 1 18:40:18 PDT 2012

jfclearywisc

MT @aliciabloom: like "ask - tell - ask" sandwich w patients & families: see where they are, offer education, check understanding. #hpm
Wed Aug 1 18:41:04 PDT 2012

kilani19

@aliciabloom very important to remain clear of jargon, be direct and not vague, have them repeat back what they understand you've said. #hpm
Wed Aug 1 18:41:38 PDT 2012

Kamiyamay

@ravipm2000 #hpm absolutely never assume they know!!

Wed Aug 1 18:41:58 PDT 2012

jfclearywisc

@schwartzbrown: I ask if they are percentage type folks. Some say know. Some say use. But "% apply to populations not individuals #hpm
Wed Aug 1 18:42:18 PDT 2012

WaywardChad

RT @aliciabloom like 2 use the ask - tell - ask sandwich w/ pts & families: see where they are, offer education, check understanding. #hpm
Wed Aug 1 18:42:25 PDT 2012

AnkurB_MD

RT @aliciabloom: like the ask - tell - ask sandwich with patients & families: see where they are, offer education, check understanding. #hpm
Wed Aug 1 18:42:42 PDT 2012

ravipm2000

@Kamiyamay Agreed. #hpm

Wed Aug 1 18:42:51 PDT 2012

schwartzbrown

@jfclearywisc Exactly #hpm

Wed Aug 1 18:43:01 PDT 2012

aliciabloom

assess how the patient/family prefer to receive information & then deliver it in a way that they'll be able to understand #hpm
Wed Aug 1 18:43:23 PDT 2012

kilani19

@aliciabloom great technique! Also I like to give patients and families time to process moments of silence... #hpm
Wed Aug 1 18:43:39 PDT 2012

theyoganurse

@schwartzbrown Agreed math/percentages are lost when the mind is gripped in fear + chaos. Simplify. As in will a 9 year old understand. #hpm
Wed Aug 1 18:43:40 PDT 2012

schwartzbrown

Many people tend to want to doctor-please, feign understanding. I used to meet with them after doc left & review discussion. #hpm
Wed Aug 1 18:43:56 PDT 2012

AnkurB_MD

T2: Agree with @AlexSmithMD re: value of "Optimism"! V.imp to keep the "HOPE" alive

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

10/16

8/2/12

#hpm Healthcare Social Media Transcript

during these conversations.. #hpm

Wed Aug 1 18:45:07 PDT 2012

ravipm2000

T2:Throw the test back at ourselves e.g. " to make sure I explained it well, what did I just explain to you?" #hpm
Wed Aug 1 18:45:14 PDT 2012

Kamiyamay

#hpm Make no assumption re: wealth, race, or poverty level. Some much wiser than healthcare peeps think
Wed Aug 1 18:45:17 PDT 2012

aliciabloom

RT @kilani19: great technique! Also I like to give patients and families time to process - moments of silence... <-- it's golden! #hpm
Wed Aug 1 18:45:41 PDT 2012

WaywardChad

Amen! MT @theyoganurse Agreed math/percentages are lost when mind is gripped in fear + chaos. Simplify. As in will a 9yo understand. #hpm
Wed Aug 1 18:46:11 PDT 2012

jfclearywisc

@AnkurB_MD So what is "hope?" Critical question that I have asked before. #hpm
Wed Aug 1 18:46:23 PDT 2012

ravipm2000

MT @aliciabloom: great technique! Also I like to give patients and families time to process - moments of silence... <-- its golden! #hpm
Wed Aug 1 18:46:34 PDT 2012

aliciabloom

good technique: @ravipm2000 Throw the test back at ourselves e.g. " to make sure I explained it well, what did I just explain to you?" #hpm
Wed Aug 1 18:46:39 PDT 2012

theyoganurse

@aliciabloom @kilani19 yes golden. #hpm

Wed Aug 1 18:47:23 PDT 2012

aliciabloom

@AnkurB_MD & @jfclearywisc are talking about "hope"...let's all jump in... #hpm
Wed Aug 1 18:47:54 PDT 2012

WaywardChad

Very nice. @ravipm2000 Throw the test back at ourselves e.g. " to make sure I explained it well, what did I just explain to you?" #hpm
Wed Aug 1 18:47:57 PDT 2012

aliciabloom

hope is a powerful, driving force. important to understand what it means to the patient & sometimes need to help them reframe it. #hpm
Wed Aug 1 18:48:30 PDT 2012

Kamiyamay

@jfclearywisc @AnkurB_MD #hpm Hope to make this time most memorable with family/friends & hope 2 control pain been out of control long time
Wed Aug 1 18:48:32 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

11/16

8/2/12

#hpm Healthcare Social Media Transcript

jfclearywisc

RT @aliciabloom: hope is powerful, driving force. impt to understand what it means to patient & sometimes need to help them reframe it. #hpm
Wed Aug 1 18:49:17 PDT 2012

kilani19

@aliciabloom @ankurb_md @jfclearywisc I always try to find things to hope forredefine hope and strive for it :) #hpm
Wed Aug 1 18:49:26 PDT 2012

aliciabloom

recommended reading: "The Anatomy of Hope" by Jerome Groopman, MD #hpm

Wed Aug 1 18:49:38 PDT 2012

ravipm2000

Hope can transition over time.."hope for cure" to "hope for time" to "hope for comfort" to "hope for a good death." #hpm
Wed Aug 1 18:49:59 PDT 2012

WaywardChad

Think it's important to try to understand what hope means to each individual. Can they be hopeful even with downsides? #hpm
Wed Aug 1 18:50:18 PDT 2012

aliciabloom

there are always things to hope for, just as there is always something we can do. #hpm
Wed Aug 1 18:50:27 PDT 2012

jfclearywisc

@Kamiyamay Tulsky writes about hope as "trust and reliance" rather than expectation! JPM "Hope or hubris" #hpm
Wed Aug 1 18:50:31 PDT 2012

aliciabloom

RT @ravipm2000: Hope can transition over time.."hope for cure" to "hope for time" to "hope for comfort" to "hope for a good death." #hpm
Wed Aug 1 18:50:45 PDT 2012

AnkurB_MD

.@jfclearywisc HOPE is always ALIVE! Whether for CURE, or for CONTROL, or for COMFORT! It is the very essence of any conversation.. #hpm
Wed Aug 1 18:50:54 PDT 2012

Kamiyamay

#hpm Hope very personal thing - hope 4 better on the other side. Hope it's over quick....hope very individual meanings 4 each like goals.
Wed Aug 1 18:51:11 PDT 2012

WaywardChad

RT @ravipm2000: Hope can transition over time.."hope for cure" to "hope for time" to "hope for comfort" to "hope for a good death." #hpm
Wed Aug 1 18:51:46 PDT 2012

jfclearywisc

@AnkurB_MD Really worth reading @jatulsky. Changes the whole situation when its not about expectations, even for pain free. #hpm
Wed Aug 1 18:52:08 PDT 2012

Kamiyamay

RT @jfclearywisc: @Kamiyamay Tulsky writes about hope as "trust and reliance" rather than expectation! JPM "Hope or hubris" #hpm

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

12/16

8/2/12

#hpm Healthcare Social Media Transcript

Wed Aug 1 18:52:33 PDT 2012

EmilyAMuse

@Curseen: RT @reuters: Care gap looms large for aging baby boomers; Palliative Care can maybe bridge the gap #hpm" target="_blank">http://t.co/Dd9OXMLo#hpm
Wed Aug 1 18:53:25 PDT 2012

jfclearywisc

@AnkurB_MD Remember very hope-filled man. WIfe dying of ovarian ca. "this sucks 4 me and kids but things are going to work out" #hpm
Wed Aug 1 18:53:26 PDT 2012

aliciabloom

@jfclearywisc we meet the most remarkable, resilient people in our work. #hpm
Wed Aug 1 18:54:34 PDT 2012

ravipm2000

Hope generally implies something tangible that may be achieved whereas wishing implies wanting something virtually impossible IMO. #hpm
Wed Aug 1 18:54:38 PDT 2012

aliciabloom

please share final thoughts on T2. T3 will be rapid fire for our final few minutes... #hpm
Wed Aug 1 18:55:22 PDT 2012

theyoganurse

@Kamiyamay @jfclearywisc @AnkurB_MD Hope to survive the pain ~ Hope is hardwired in our psyches-souls. #hpm
Wed Aug 1 18:55:35 PDT 2012

ggramels

@aliciabloom and read "The Cost of Hope" by Amanda Bennett. #hpm

Wed Aug 1 18:56:11 PDT 2012

kilani19

@theyoganurse @kamiyamay @jfclearywisc @ankurb_md hope for peace from all this suffering. #hpm
Wed Aug 1 18:56:49 PDT 2012

ravipm2000

MT @jfclearywisc: Really worth reading @jatulsky. Changes the whole situation when its not about expectations, even for pain free. #hpm
Wed Aug 1 18:57:12 PDT 2012

AnkurB_MD

@jfclearywisc I hear you! But instead of "Expectations"...I c it as the very bedrock on which 2 accept reality and make realistic goals #hpm
Wed Aug 1 18:57:34 PDT 2012

DeathwDignity

MT @schwartzbrown: Dr Angell: Initiative allows MD asst dying respects pt wishes Bos Med News http://t.co/LbfKjAk0 #eolchat #dwdchat #hpm
Wed Aug 1 18:58:00 PDT 2012

aliciabloom

T3 if you could eliminate a phrase from patient - clinician communication, what would it be? #hpm
Wed Aug 1 18:58:06 PDT 2012

AnkurB_MD

Am a big fan of his work! Will have to look into it. thanks :) RT @jfclearywisc:

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

13/16

8/2/12

#hpm Healthcare Social Media Transcript

@AnkurB_MD Really worth reading @jatulsky. #hpm

Wed Aug 1 18:58:55 PDT 2012

kilani19

@aliciabloom there aren't enough characters to express! #hpm

Wed Aug 1 18:59:43 PDT 2012

ggramels

@aliciabloom "I know how you feel" #hpm answer: #you haven't a f***ing clue"
Wed Aug 1 19:00:10 PDT 2012

aliciabloom

i would forbid clinicians from saying: "there's nothing more we can do" and "we're going to withdraw care" #hpm
Wed Aug 1 19:00:12 PDT 2012

AnkurB_MD

@aliciabloom T3 "There is "NOTHING" we have to offer!" <--- A BIG NO NO! #hpm

Wed Aug 1 19:00:37 PDT 2012

m3ssh

The one week countdown has begun.. #england2012 #HPM

Wed Aug 1 19:00:37 PDT 2012

aliciabloom

RT @kilani19: @aliciabloom there arent enough characters to express! <-- i know! it's daunting to do it 140 characters or less #hpm
Wed Aug 1 19:00:40 PDT 2012

jfclearywisc

RT @aliciabloom: i would forbid clinicians from saying: "there's nothing more we can do" and "we're going to withdraw care" #hpm
Wed Aug 1 19:00:50 PDT 2012

ravipm2000

T3 "I can understand what you're going through" better to say " I can't imagine..." I've been burnt with that one! Lol #hpm
Wed Aug 1 19:00:54 PDT 2012

kilani19

@aliciabloom how about "you know if you sign up for hospice, you will die, right?" UGH! #hpm
Wed Aug 1 19:01:04 PDT 2012

aliciabloom

@ggramels last week, when @ctsinclair hosted we used a lot of curse words! #hpm
Wed Aug 1 19:01:06 PDT 2012

jfclearywisc

RT @ravipm2000: T3 "I can understand what you're going through" better to say " I can't imagine..." I've been burnt with that one! Lol #hpm
Wed Aug 1 19:01:13 PDT 2012

kilani19

@AnkurB_MD @aliciabloom awful! #hpm

Wed Aug 1 19:01:36 PDT 2012

ggramels

@aliciabloom @ctsinclair yes, very sorry to have missed that one! #hpm
Wed Aug 1 19:02:03 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

14/16

8/2/12

#hpm Healthcare Social Media Transcript

Kamiyamay

@ggramels @aliciabloom #hpm "I don't know how you feel but I will be glad to listen and care" - no right or wrong questions
Wed Aug 1 19:02:54 PDT 2012

ggramels

@jfclearywisc @ravipm2000 Words I do use a lot lately "I'm sorry" #hpm

Wed Aug 1 19:02:59 PDT 2012

aliciabloom

the best hour on twitter also known as #hpm tweetchat is coming to close. thank you all for joining & hope to see you next week! #hpm
Wed Aug 1 19:03:43 PDT 2012

kilani19

@ggramels @jfclearywisc @ravipm2000 yes and I use hope a lot too #hpm
Wed Aug 1 19:04:04 PDT 2012

theyoganurse

@ggramels @aliciabloom You hit it on the head. #1 Big time. #hpm + I understand what you're going through...same diff. #hpm
Wed Aug 1 19:04:04 PDT 2012

nursefriendly

RT @theyoganurse: @ggramels @aliciabloom You hit it on the head. #1 Big time. #hpm + I understand what you're going through...same diff. #hpm
Wed Aug 1 19:04:19 PDT 2012

nursefriendly

RT @Kamiyamay: @ggramels @aliciabloom #hpm "I don't know how you feel but I will be glad to listen and care" - no right or wrong questions
Wed Aug 1 19:04:35 PDT 2012

ravipm2000

@ggramels I've been burnt with "I'm sorry" also. The patient's mom asked "why are your sorry for?" Being very specific helps. #hpm
Wed Aug 1 19:05:22 PDT 2012

ggramels

@theyoganurse @aliciabloom Always good to remind ourselves that we haven't a clue (even when we do). #hpm
Wed Aug 1 19:05:38 PDT 2012

_lizzy_

@aliciabloom great discussion! Thanks for being our fearless leader. :) #hpm
Wed Aug 1 19:05:58 PDT 2012

ravipm2000

RT @kilani19: @ggramels @jfclearywisc @ravipm2000 yes and I use hope a lot too #hpm
Wed Aug 1 19:06:09 PDT 2012

AnkurB_MD

Ditto! Ah feels good to b back! RT @aliciabloom: The best hour on twitter - #hpm tweetchat is coming to close. Hope to see U next week #hpm
Wed Aug 1 19:06:37 PDT 2012

aliciabloom

thank you!! RT @_lizzy_: @aliciabloom great discussion! Thanks for being our fearless leader. :) #hpm

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

15/16

8/2/12

#hpm Healthcare Social Media Transcript

Wed Aug 1 19:06:44 PDT 2012

ravipm2000

@aliciabloom Great chat...as per usual! #hpm

Wed Aug 1 19:07:15 PDT 2012

aliciabloom

@AnkurB_MD yay! we're glad to have you back #hpm

Wed Aug 1 19:07:18 PDT 2012

aliciabloom

@ravipm2000 thank you! always appreciate your perspective & will be quoting you in my next goals of care lecture. #hpm
Wed Aug 1 19:08:06 PDT 2012

Kamiyamay

#hpm 'Don't B afraid 2 talk 2 me,no right & wrong. Johns&Johns wrote babies but no one wrote this book. Each is different like snowflakes!
Wed Aug 1 19:08:24 PDT 2012

ctsinclair

RT @Kamiyamay: @ggramels @aliciabloom #hpm "I don't know how you feel but I will be glad to listen and care" - no right or wrong questions
Wed Aug 1 19:08:47 PDT 2012

ggramels

@theyoganurse @aliciabloom Eliot "I said to my soul, be still, and wait without hope for hope would be hope for the wrong thing.." #hpm
Wed Aug 1 19:08:49 PDT 2012

Kamiyamay

RT @ggramels: @theyoganurse @aliciabloom Always good to remind ourselves that we haven't a clue (even when we do). #hpm
Wed Aug 1 19:08:56 PDT 2012

Kamiyamay

#hpm night all - learn so much from U

Wed Aug 1 19:10:01 PDT 2012

ggramels

@theyoganurse @aliciabloom and TS Eliot concludes "So the darkness shall be the light, and the stillness the dancing." #hpm
Wed Aug 1 19:10:37 PDT 2012

aliciabloom

great group for #hpm chat tonight, including some first timers. hope to see you all back again next week! #hpm
Wed Aug 1 19:11:27 PDT 2012

ravipm2000

RT @aliciabloom: great group for #hpm chat tonight, including some first timers. hope to see you all back again next week! #hpm
Wed Aug 1 19:12:00 PDT 2012

aliciabloom

RT @ggramels and TS Eliot concludes "So the darkness shall be the light, and the stillness the dancing." #hpm #hpm
Wed Aug 1 19:12:29 PDT 2012

hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=08012012&shour=1

16/16