#HPM Tweet Chat 12:7:11

#hpm - Healthcare Social Media Transcript
6/27/12 12:45 PM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Dec 07 18:00:00 PST 2011 Wed Dec 07 19:15:00 PST 2011 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
_lizzy_
What is the name for that twitter software to make tweet chats easier? I downloaded it but can't find it on my computer now... #hpm
Wed Dec 7 18:00:31 PST 2011
pamressler
Hi and welcome to #hpm chat folks! Take a minute and introduce yourselves! #hpm
Wed Dec 7 18:01:00 PST 2011
IM4PBS
@_lizzy_ I use tweetdeck but tweet chat is another option. #S4PM #hpm
Wed Dec 7 18:01:05 PST 2011
KathyKastner
@subatomicdoc heading over to #hpm (tequila in hand) You coming? #s4pm

Wed Dec 7 18:01:08 PST 2011
renee_berry
@_lizzy_ I just use http://t.co/PtqoegDV #hpm

Wed Dec 7 18:01:17 PST 2011
kdhoffman2
@lizzy is it http://t.co/FxMYST2X? #hpm

Wed Dec 7 18:01:33 PST 2011
renee_berry
RT @pamressler: Hi and welcome to #hpm chat folks! Take a minute and introduce yourselves! #hpm
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Wed Dec 7 18:01:34 PST 2011
JenMarsh2
Still going with the extra tweets in my stream. See you all at #hpm! #hpm
Wed Dec 7 18:01:36 PST 2011
pamressler
@_lizzy_ welcome...try http://t.co/yE9Jf8aj #hpm

Wed Dec 7 18:01:42 PST 2011
authordhallman
@_lizzy_ try http://t.co/FT5YxcTK #hpm

Wed Dec 7 18:01:44 PST 2011
IM4PBS
Deb Boyce here, caregiver & epatient advocate #hpm

Wed Dec 7 18:01:52 PST 2011
_lizzy_
@renee_berry Thanks - found it! #hpm

Wed Dec 7 18:01:53 PST 2011
JenMarsh2
Hi everyone! Jen, therapist and educator for a hospice in California #hpm

Wed Dec 7 18:01:54 PST 2011
KathyKastner
#hpm Hey @pamressler and some of the #s4pm possee. I'm health blogger, and gonna beta my app for e-o-l decision next month. (oh boy)
Wed Dec 7 18:02:39 PST 2011
kdhoffman2
Hi I'm Kathleen Hoffman, health communications specialist #hpm

Wed Dec 7 18:02:44 PST 2011
pamressler
@IM4PBS Hi Deb great to see you here! #hpm

Wed Dec 7 18:02:47 PST 2011
renee_berry
--> passionate about early #palliative care, advance care planning & hospice volunteerism, work @goBeMoRe excited for tonight's chat #hpm
Wed Dec 7 18:02:47 PST 2011
_lizzy_
#hpm Thanks all for tweetchat! Hi I'm Lizzy - researcher and hospice volunteer #hpm
Wed Dec 7 18:03:05 PST 2011
pamressler
@JenMarsh2 Hi Jen #hpm

Wed Dec 7 18:03:09 PST 2011
pamressler
@kdhoffman2 Great to have you move over here! #hpm

Wed Dec 7 18:03:31 PST 2011
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authordhallman
David, author of palliative care memoir "August Farewell" #hpm

Wed Dec 7 18:03:34 PST 2011
jordangrumet
Hi everyone, Jordan here , #hpm friendly internist.

Wed Dec 7 18:03:38 PST 2011
aliciabloom
MSW, LSW practicing in #hpm. clinical educator. passionate about improving care to seriously ill through better goals of care discussions.
Wed Dec 7 18:03:48 PST 2011
JenMarsh2
Hi Pam! Nice to see you again :) RT @pamressler: @JenMarsh2 Hi Jen #hpm

Wed Dec 7 18:03:55 PST 2011
pamressler
@_lizzy_ Welcome #hpm

Wed Dec 7 18:03:58 PST 2011
IM4PBS
Glad to see so many #s4pm tweeps here taking convos to new level #hpm
Wed Dec 7 18:03:58 PST 2011
kdhoffman2
@KathyKastner hope your beta on the app goes well! #hpm

Wed Dec 7 18:04:07 PST 2011
pamressler
@authordhallman Welcome David #hpm

Wed Dec 7 18:04:14 PST 2011
schwartzbrown
Hi. Mindy, social worker from NJ here #hpm

Wed Dec 7 18:04:18 PST 2011
pamressler
@jordangrumet Hey Jordan #hpm

Wed Dec 7 18:04:27 PST 2011
DrBeckerSchutte
Hi all, I'm Ann, a Kansas City psychologist--coming over with the rest of the #s4pm crew-couldn't let the conversation stop. #hpm
Wed Dec 7 18:04:34 PST 2011
pamressler
@aliciabloom Thanks for joining in Alicia #hpm

Wed Dec 7 18:04:44 PST 2011
_lizzy_
Glad to be here. Love chatting with other people passionate about hospice/palliative #hpm
Wed Dec 7 18:04:50 PST 2011
pamressler
@schwartzbrown Good to see you here Mindy #hpm

Wed Dec 7 18:05:05 PST 2011
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pamressler
@DrBeckerSchutte Hi Ann #hpm

Wed Dec 7 18:05:20 PST 2011
jordangrumet
@pamressler happy to be here #hpm

Wed Dec 7 18:05:46 PST 2011
aliciabloom
thanks for hosting, @pamressler. happy to be here! #hpm

Wed Dec 7 18:05:52 PST 2011
JenMarsh2
RT @_lizzy_: Glad to be here. Love chatting with other people passionate about hospice/palliative #hpm
Wed Dec 7 18:06:11 PST 2011
renee_berry
RT @_lizzy_: Glad to be here. Love chatting with other people passionate about hospice/palliative #hpm
Wed Dec 7 18:06:15 PST 2011
pamressler
For those who don't know me, I am a RN, faculty member in Pain Research, Ed and Policy and a passionate #HCSM researcher #hpm
Wed Dec 7 18:06:17 PST 2011
DrBeckerSchutte
@pamressler Hi again Pam--thanks for hosting. #hpm

Wed Dec 7 18:06:24 PST 2011
schwartzbrown
@pamressler Thanks. Good to see everyone #hpm

Wed Dec 7 18:06:47 PST 2011
yayayarndiva
RT @pamressler: Please join me! I will be hosting my first #hpm TweetChat tonight at 9 PM EST talking about #hospice & #palliative care ...
Wed Dec 7 18:06:48 PST 2011
pamressler
This is also my first time hosting a tweetchat, so please bear with me! #hpm
Wed Dec 7 18:06:56 PST 2011
yayayarndiva
RT @MeredithGould: RT @pamressler: 2night on #hpm chat, discussing "How Doctors Die" http://t.co/oSQxt0QD #eol #palliative #pain
Wed Dec 7 18:06:58 PST 2011
aliciabloom
it's that time again...#hpm tweetchat! expect a flurry of #hospice & #palliative care related tweets for next hour. feel free to join in!
Wed Dec 7 18:07:06 PST 2011
renee_berry
RT @aliciabloom: it's that time again...#hpm tweetchat! expect a flurry of #hospice & #palliative care related tweets for next hour. feel free to join in!
Wed Dec 7 18:07:48 PST 2011
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pamressler
We are about to get started on Topic 1 which is "how doctors die" http://t.co/YO5nTbx5 #hpm
Wed Dec 7 18:07:50 PST 2011
kdhoffman2
I was really glad that there would be a discussion on "How Doctors Die" #hpm
Wed Dec 7 18:08:08 PST 2011
renee_berry
@pamressler we're so excited you are hosting! #hpm

Wed Dec 7 18:08:12 PST 2011
renee_berry
RT @pamressler: For those who don't know me, I am a RN, faculty member in Pain Research, Ed and Policy and a passionate #HCSM researcher #hpm
Wed Dec 7 18:08:17 PST 2011
IM4PBS
RT @aliciabloom: it's that time again...#hpm tweetchat! expect a flurry of #hospice & #palliative care related tweets for next hour. feel free to join in!
Wed Dec 7 18:08:27 PST 2011
IM4PBS
RT @pamressler: We are about to get started on Topic 1 which is "how doctors die" http://t.co/YO5nTbx5 #hpm
Wed Dec 7 18:08:33 PST 2011
IM4PBS
RT @pamressler: We are about to get started on Topic 1 which is "how doctors die" http://t.co/CNH6DoDR #hpm
Wed Dec 7 18:08:35 PST 2011
DrBeckerSchutte
Folks in my tweet stream: you may have noticed higher tweet volume during #s4pm chat. Volume will stay high as I participate in #hpm
Wed Dec 7 18:08:38 PST 2011
_lizzy_
RT @aliciabloom: #hpm tweetchat! expect a flurry of #hospice & #palliative care related tweets for next hour. feel free to join in! #hpm
Wed Dec 7 18:08:52 PST 2011
pamressler
@renee_berry Thanks! #hpm

Wed Dec 7 18:09:02 PST 2011
KathyKastner
RT @kdhoffman2: @KathyKastner hope your beta on the app goes well! #hpm
Wed Dec 7 18:09:17 PST 2011
DrBeckerSchutte
Come chat! RT @pamressler: We are about to get started on Topic 1 which is "how doctors die" http://t.co/teRbylIo #hpm
Wed Dec 7 18:09:31 PST 2011
renee_berry
RT @pamressler: We are about to get started on Topic 1 which is "how doctors die" http://t.co/YO5nTbx5 #hpm
Wed Dec 7 18:09:34 PST 2011
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pamressler
T1 How Doctors Die has been RT a lot this week http://t.co/YO5nTbx5 What are your thoughts on the post? #hpm
Wed Dec 7 18:10:07 PST 2011
renee_berry
RT @pamressler: T1 How Doctors Die has been RT a lot this week http://t.co/YO5nTbx5 What are your thoughts on the post? #hpm
Wed Dec 7 18:10:29 PST 2011
kdhoffman2
When I read the post "how doctors die" this morning there were around 204 comments....wondered how many more have been added #hpm
Wed Dec 7 18:10:31 PST 2011
JenMarsh2
RT @pamressler: We are about to get started on Topic 1 which is "how doctors die" http://t.co/StlnMEx4 #hpm
Wed Dec 7 18:10:32 PST 2011
KathyKastner
#hpm T1 I gotta say, great relief to read this - I can use is as convo starter
Wed Dec 7 18:11:25 PST 2011
jordangrumet
T1: I think the post is right on. We in healthcare have seen dying so much we know how we would want to go through it. #hpm
Wed Dec 7 18:11:46 PST 2011
JenMarsh2
222 now. RT@ kdhoffman2 When I read the post "how doctors die" this morning there were around 204 comments....wondered how many more #hpm
Wed Dec 7 18:11:55 PST 2011
kdhoffman2
I found the story about the 2 stories, about the doctor's friend and cousin stirring...emotionally #hpm
Wed Dec 7 18:11:59 PST 2011
aliciabloom
"How Doctors Die" raises many important points about EoL care & decision making-advance care planning, futility & reality #hpm
Wed Dec 7 18:12:05 PST 2011
IM4PBS
T1: does not surpise me HCPs might choose the road less travelled = DNR or heroics. They seen it firsthand many times. Affects you! #hpm
Wed Dec 7 18:12:06 PST 2011
pamressler
How so? RT @KathyKastner: #hpm T1 I gotta say, great relief to read this - I can use is as convo starter #hpm
Wed Dec 7 18:12:08 PST 2011
JenMarsh2
T1 Good to read, hopefully it will spark change in HCPs #hpm

Wed Dec 7 18:12:24 PST 2011
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kdhoffman2
RT @jordangrumet: T1:I think the post is right on.We in healthcare have seen dying so much we know how we would want to go through it. #hpm
Wed Dec 7 18:13:00 PST 2011
KathyKastner
For many elders, md's still have 'right answer' RT @pamressler: How so? RT @KathyKastner: #hpm T1 I can use is as convo starter
Wed Dec 7 18:13:14 PST 2011
IM4PBS
RT @jordangrumet: T1: I think the post is right on. We in healthcare have seen dying so much we know how we would want to go through it. #hpm
Wed Dec 7 18:13:20 PST 2011
JenMarsh2
RT @IM4PBS T1: does not surpise me HCPs might choose road less travelled = DNR or heroics. They seen firsthand many times. Affects you! #hpm
Wed Dec 7 18:13:31 PST 2011
renee_berry
RT @aliciabloom: "How Doctors Die" raises many important points about EoL care & decision making-- advance care planning, futility & reality #hpm
Wed Dec 7 18:13:33 PST 2011
DrBeckerSchutte
I appreciated the post. It made sense to me that those of us who deal with death may be less interested in challenging death. #hpm
Wed Dec 7 18:13:45 PST 2011
IM4PBS
RT @DrBeckerSchutte: I appreciated the post. It made sense to me that those of us who deal with death may be less interested in challenging death. #hpm
Wed Dec 7 18:14:06 PST 2011
aliciabloom
interesting to read the comments in "How Doctors Die"-- many supportive, but some talking about the ever present exceptional story #hpm
Wed Dec 7 18:14:07 PST 2011
renee_berry
T1 I've been happy to see so much commentary on the post. The more discussions, the more awareness #hpm
Wed Dec 7 18:14:07 PST 2011
DrBeckerSchutte
What change to you hope for? RT @JenMarsh2: T1 Good to read, hopefully it will spark change in HCPs #hpm
Wed Dec 7 18:14:09 PST 2011
KathyKastner
RT @JenMarsh2: RT @IM4PBS T1: does not surpise me HCPs might choose road less travelled = DNR or heroics. They seen firsthand many times. Affects you! #hpm
Wed Dec 7 18:14:09 PST 2011
otherspoon
@pamressler My current hospice patient is a retired Dr. An article she and I (a volunteer) both appreciated. #hpm
Wed Dec 7 18:14:19 PST 2011
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KathyKastner
RT @renee_berry: T1 I've been happy to see so much commentary on the post. The more discussions, the more awareness #hpm
Wed Dec 7 18:14:20 PST 2011
JenMarsh2
Agreed! RT @KathyKastner For many elders, md's still have 'right answer' #hpm
Wed Dec 7 18:14:20 PST 2011
jordangrumet
T1: seeing enough people die, I'm more afraid of fighting the inevitable then dying quietly #hpm
Wed Dec 7 18:14:28 PST 2011
KathyKastner
RT @jordangrumet: T1: seeing enough people die, I'm more afraid of fighting the inevitable then dying quietly #hpm
Wed Dec 7 18:14:44 PST 2011
DrBeckerSchutte
Yes! RT @renee_berry: T1 Ive been happy to see so much commentary on the post. The more discussions, the more awareness #hpm
Wed Dec 7 18:14:52 PST 2011
pamressler
@DrBeckerSchutte Do you think there may be less fear of death or more fear of intervention? #hpm
Wed Dec 7 18:14:53 PST 2011
renee_berry
+1 "in many ways all the parties are simply victims of a larger system that encourages excessive treatment" http://t.co/SFFju9hE #hpm
Wed Dec 7 18:15:00 PST 2011
JenMarsh2
@DrBeckerSchutte I would hope that HCPs would extend this to pts as well as themselves. Not push for aggressive tx #hpm
Wed Dec 7 18:15:07 PST 2011
_lizzy_
@renee_berry T1 Are you the 'Renee' in the comments section of the article? #hpm
Wed Dec 7 18:15:13 PST 2011
Dr_som
@jordangrumet making end of life decisions for yourself is easier than choosing for family members ESP. If kids r dying #hpm
Wed Dec 7 18:15:16 PST 2011
DrBeckerSchutte
Yay! RT @otherspoon: @pamressler My current hospice patient is a retired Dr. An article she and I (a volunteer) both appreciated. #hpm
Wed Dec 7 18:15:22 PST 2011
schwartzbrown
RT @DrBeckerSchutte: What change to you hope for? RT @JenMarsh2: T1 Good to read, hopefully it will spark change in HCPs #hpm
Wed Dec 7 18:15:27 PST 2011
DrBeckerSchutte
Yes!! RT @JenMarsh2: @DrBeckerSchutte I would hope that HCPs would extend this to pts
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as well as themselves. Not push for aggressive tx #hpm

Wed Dec 7 18:15:38 PST 2011
renee_berry
@_lizzy_ no I'm not, haven't made it to comment (yet) #hpm

Wed Dec 7 18:15:54 PST 2011
jordangrumet
RT @Dr_som: @jordangrumet making end of life decisions for yourself is easier than choosing for family members ESP. If kids r dying #hpm
Wed Dec 7 18:16:08 PST 2011
pamressler
And more after 2night's chat! RT @DrBeckerSchutte: Yes! RT @renee_berry: T1 Ive been happy to see so much commentary on the post. #hpm
Wed Dec 7 18:16:08 PST 2011
DrBeckerSchutte
For me, it's both! :) RT @pamressler:Do you think there may be less fear of death or more fear of intervention? #hpm
Wed Dec 7 18:16:09 PST 2011
aliciabloom
personally, i'm more afraid of too much intervention than death #hpm
Wed Dec 7 18:16:13 PST 2011
KathyKastner
RT @aliciabloom: personally, i'm more afraid of too much intervention than death #hpm
Wed Dec 7 18:16:22 PST 2011
schwartzbrown
HCPs have been aware f this forever. Don't think it will change behavior #hpm
Wed Dec 7 18:16:24 PST 2011
baerbelsmile
RT @pamressler: Please join me! I will be hosting my first #hpm TweetChat tonight at 9 PM EST talking about #hospice & #palliative care ...
Wed Dec 7 18:16:31 PST 2011
otherspoon
per my last post RT @pamressler: T1 How Doctors Die has been RT a lot this week http://t.co/9QUIj3Ht What are your thoughts? #hpm
Wed Dec 7 18:16:31 PST 2011
JenMarsh2
If we've seen it and don't want to experience it, why would we want others to? #hpm
Wed Dec 7 18:16:37 PST 2011
IM4PBS
U fear death<trying2fight it? RT @jordangrumet: T1 seeing enough people die, Im more afraid of fighting inevitable then dying quietly #hpm
Wed Dec 7 18:16:50 PST 2011
DrBeckerSchutte
Why talking is imp RT @Dr_som:making end of life decisions for yourself is easier than choosing for family members ESP If kids r dying #hpm
Wed Dec 7 18:17:11 PST 2011
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_lizzy_
@renee_berry Didn't think it was you... but wasn't sure #hpm

Wed Dec 7 18:17:12 PST 2011
KathyKastner
RT @JenMarsh2: Agreed! RT @KathyKastner For many elders, md's still have 'right answer' #hpm
Wed Dec 7 18:17:26 PST 2011
pamressler
Agreed RT @jordangrumet making end of life decisions for yourself is easier than choosing for family members ESP. If kids r dying #hpm
Wed Dec 7 18:17:27 PST 2011
renee_berry
This happend w/my family just a month ago"When doctors ask if they want everything done, they answer yes." #hpm
Wed Dec 7 18:17:38 PST 2011
DrBeckerSchutte
Yup--don't want to be trapped as an invalid. RT @aliciabloom: personally, im more afraid of too much intervention than death #hpm
Wed Dec 7 18:17:42 PST 2011
DrBeckerSchutte
Maybe part of dr/pt disconnect. RT @JenMarsh2: If weve seen it and dont want to experience it, why would we want others to? #hpm
Wed Dec 7 18:17:56 PST 2011
IM4PBS
AGREE! RT @Dr_som: @jordangrumet making end of life decisions 4yourself is easier than choosing for family members ESP. If kids r dying #hpm
Wed Dec 7 18:18:06 PST 2011
pamressler
@otherspoon Welcome to the chat tonight #hpm

Wed Dec 7 18:18:33 PST 2011
jordangrumet
@IM4PBS in my experiance, fighting death when it is inevitable is very painful. #hpm

Wed Dec 7 18:18:45 PST 2011
JenMarsh2
@DrBeckerSchutte And how we teach our drs. #hpm

Wed Dec 7 18:18:50 PST 2011
KathyKastner
#hpm I can't believe how many strong emotions from colleagues when I say I don't want to be kept alive
Wed Dec 7 18:18:51 PST 2011
aliciabloom
asking if patients want "everything done" is irresponsible. it creates an impossible choice: everything vs. nothing. we must do better #hpm
Wed Dec 7 18:18:52 PST 2011
KathyKastner
RT @aliciabloom: asking if patients want "everything done" is irresponsible. it creates an impossible choice: everything vs. nothing. we must do better #hpm
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Wed Dec 7 18:19:02 PST 2011
renee_berry
RT @pamressler: Agreed RT @jordangrumet making end of life decisions for yourself is easier than choosing for family members ESP. If kids r dying #hpm
Wed Dec 7 18:19:04 PST 2011
schwartzbrown
Have to urge you all to see The Descendants for a perfect tool in educating about difficult decisions at EOL #hpm
Wed Dec 7 18:19:12 PST 2011
renee_berry
@aliciabloom so well said #hpm

Wed Dec 7 18:19:25 PST 2011
renee_berry
RT @aliciabloom: asking if patients want "everything done" is irresponsible. it creates an impossible choice: everything vs. nothing. we must do better #hpm
Wed Dec 7 18:19:34 PST 2011
pamressler
RT @DrBeckerSchutte: Maybe part of disconnect. RT @JenMarsh2: weve seen it, dont want to experience it, why would we want others 2? #hpm
Wed Dec 7 18:19:35 PST 2011
JenMarsh2
RT @KathyKastner #hpm I can't believe how many strong emotions from colleagues when I say I don't want to be kept alive #hpm
Wed Dec 7 18:19:44 PST 2011
IM4PBS
Truly! And still it is tough 2 accept RT @jordangrumet: @IM4PBS in my experiance, fighting death when it is inevitable is very painful. #hpm
Wed Dec 7 18:19:52 PST 2011
pamressler
@schwartzbrown Thanks #hpm

Wed Dec 7 18:19:55 PST 2011
_lizzy_
Read a great journal article re how Family doc thinks Onc should bring up hospice and vice versa... I will track it down if desired #hpm
Wed Dec 7 18:20:25 PST 2011
JenMarsh2
@aliciabloom I'm favoriting that one. #hpm

Wed Dec 7 18:20:45 PST 2011
pamressler
Often when pts face the thought of death it is the pain that they are most afraid of #hpm
Wed Dec 7 18:20:50 PST 2011
DrBeckerSchutte
MT @aliciabloom: asking if patients want "everything done" is irresponsible. it creates an impossible choice: everything vs. nothing. #hpm
Wed Dec 7 18:20:55 PST 2011
RT @aliciabloom: asking if patients want "everything done" is irresponsible. it creates an

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IM4PBS
impossible choice: everything vs. nothing. we must do better #hpm

Wed Dec 7 18:21:02 PST 2011
KathyKastner
RT @pamressler: Often when pts face the thought of death it is the pain that they are most afraid of #hpm
Wed Dec 7 18:21:11 PST 2011
pamressler
Yes RT @_lizzy_: Read a great journal article re how Family doc thinks Onc should bring up hospice and vice versa... I will track down #hpm
Wed Dec 7 18:21:26 PST 2011
KathyKastner
RT @DrBeckerSchutte: MT @aliciabloom: asking if patients want "everything done" is irresponsible. it creates an impossible choice: everything vs. nothing. #hpm
Wed Dec 7 18:21:28 PST 2011
DrBeckerSchutte
Please share!! MT @_lizzy_: Read a great journal article re how Family doc thinks Onc should bring up hospice and vice versa.. #hpm
Wed Dec 7 18:21:30 PST 2011
IM4PBS
@@aliciabloom who must do better? HCPs and caregiver/family members? #hpm

Wed Dec 7 18:21:41 PST 2011
IM4PBS
RT @schwartzbrown: Have to urge you all to see The Descendants for a perfect tool in educating about difficult decisions at EOL #hpm
Wed Dec 7 18:21:51 PST 2011
schwartzbrown
Don't believe change in way death happens will come from HCP. Public must be educated about what we know and options #hpm
Wed Dec 7 18:21:51 PST 2011
pamressler
Pain is often scarier than death for many #hpm

Wed Dec 7 18:21:58 PST 2011
DrBeckerSchutte
Pain & loss of capacity. RT @pamressler: Often when pts face the thought of death it is the pain that they are most afraid of #hpm
Wed Dec 7 18:22:00 PST 2011
JenMarsh2
Agreed. RT @pamressler: Often when pts face the thought of death it is the pain that they are most afraid of #hpm
Wed Dec 7 18:22:01 PST 2011
aliciabloom
@_lizzy_ this is a major barrier to providing good EoL care. physicians don't want to get caught with the hot potato #hpm
Wed Dec 7 18:22:06 PST 2011
jordangrumet
@_lizzy_ seems to me I am bringing up #hpm when oncs don't want to.

Wed Dec 7 18:22:13 PST 2011
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renee_berry
good call!~ RT @JenMarsh2: @aliciabloom Im favoriting that one. #hpm

Wed Dec 7 18:22:35 PST 2011
aliciabloom
@IM4PBS clinicians need to be more proactive-- we have the knowledge & experience. but..i believe patients should feel empowered, too! #hpm
Wed Dec 7 18:22:36 PST 2011
DrBeckerSchutte
RT @schwartzbrown: Dont believe change in way death happens will come from HCP.Public must be educated about what we know and options #hpm
Wed Dec 7 18:22:36 PST 2011
KathyKastner
RT @DrBeckerSchutte: RT @schwartzbrown: Dont believe change in way death happens will come from HCP.Public must be educated about what we know and options #hpm
Wed Dec 7 18:22:44 PST 2011
aliciabloom
@JenMarsh2 :) #hpm
Wed Dec 7 18:22:54 PST 2011
IM4PBS
@_lizzy_ on the oncology IRB I serve on we now include palliative care language as an option in every consent form we approve #hpm
Wed Dec 7 18:23:10 PST 2011
DrBeckerSchutte
@aliciabloom @_lizzy_ @jordangrumet How did something that happens to all of us become a "hot potato?" #hpm
Wed Dec 7 18:23:29 PST 2011
kat_currie
RT @authordhallman: David, author of palliative care memoir "August Farewell" #hpm

Wed Dec 7 18:23:46 PST 2011
aliciabloom
"Of course, doctors dont want to die; they want to live. But they know enough about modern medicine to know its limit." #hpm
Wed Dec 7 18:23:50 PST 2011
otherspoon
dr/pt disconnect, definitely. also lack of pt/fam knowledge about process. they look to drs, anybdy for answers #hpm
Wed Dec 7 18:23:52 PST 2011
pamressler
Great discussion gang..let's expand it a bit T2 "Are we expecting Drs to make different decisions for their #eol than non-clinicians?" #hpm
Wed Dec 7 18:23:57 PST 2011
DrBeckerSchutte
Good! RT @IM4PBS: on the oncology IRB I serve on we now include palliative care language as an option in every consent form we approve #hpm
Wed Dec 7 18:24:00 PST 2011
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kdhoffman2
Thanks so much for the chat...I've got to go but will review the transcript..goodnight all! #hpm
Wed Dec 7 18:24:14 PST 2011
renee_berry
It doesn't make sense to me that the one thing we are all guaranteed to experience is systematically set up to be treated as a crisis #hpm
Wed Dec 7 18:24:42 PST 2011
IM4PBS
Please l8r MT @_lizzy_: Read gr8 journal article re how PCP thinks Onc should bring up hospice &vice versa...will track down if desired #hpm
Wed Dec 7 18:24:46 PST 2011
otherspoon
RT @drbeckerschutte: RT @schwartzbrown:Public must be educated about what we know and options #hpm
Wed Dec 7 18:24:46 PST 2011
jordangrumet
If we don't talk about it doesn't exist. @DrBeckerSchutte:How did something that happens to all of us become a "hot potato?" #hpm"
Wed Dec 7 18:24:47 PST 2011
colleen_young
@pamressler Sorry I'm late. I'll take @kdhoffman2 's chair. #hpm
Wed Dec 7 18:24:51 PST 2011
DrBeckerSchutte
RT @aliciabloom "Of course, doctors dont want to die; they want to live. But they know enough about modern medicine to know its limit" #hpm
Wed Dec 7 18:25:02 PST 2011
pamressler
@kdhoffman2 Thanks so much, Kathleen #hpm

Wed Dec 7 18:25:07 PST 2011
IM4PBS
RT @DrBeckerSchutte: Pain & loss of capacity. RT @pamressler: Often when pts face the thought of death it is the pain that they are most afraid of #hpm
Wed Dec 7 18:25:20 PST 2011
DrBeckerSchutte
@aliciabloom That was one of my favorite lines in the article. #hpm

Wed Dec 7 18:25:30 PST 2011
pamressler
@colleen_young Welcome, Colleen! Thanks for joining in #hpm

Wed Dec 7 18:25:37 PST 2011
aliciabloom
@DrBeckerSchutte we live in a death denying & defying society who feel it's avoidable and a failure. makes it hard to talk about #hpm
Wed Dec 7 18:25:43 PST 2011
colleen_young
RT @renee_berry: It doesn't make sense to me that the one thing we are all guaranteed to experience is systematically set up to be treated as a crisis #hpm
Wed Dec 7 18:25:45 PST 2011
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IM4PBS
RT @aliciabloom: @IM4PBS clinicians need to be more proactive-- we have the knowledge & experience. but..i believe patients should feel empowered, too! #hpm
Wed Dec 7 18:25:48 PST 2011
jordangrumet
T2: As clinicians we've seen "bad" deaths. We don't want to put ourselves and family through that. #hpm
Wed Dec 7 18:26:13 PST 2011
DrBeckerSchutte
MT@renee_berry: It doesnt make sense to me that the one thing we are all guaranteed to experience is systematically treated as a crisis #hpm
Wed Dec 7 18:26:15 PST 2011
AnkurB_MD
Hi ALL - Ankur here.. talking about Communication.. hmm my fav topic.. #hpm
Wed Dec 7 18:26:15 PST 2011
IM4PBS
RT @pamressler: Great discussion gang..let's expand it a bit T2 "Are we expecting Drs to make different decisions for their #eol than non-clinicians?" #hpm
Wed Dec 7 18:26:17 PST 2011
renee_berry
RT @aliciabloom: "Of course, doctors dont want to die; they want to live. But they know enough about modern medicine to know its limit." #hpm
Wed Dec 7 18:26:20 PST 2011
DrBeckerSchutte
True RT @aliciabloom: we live in a death denying & defying society who feel its avoidable and a failure. makes it hard to talk about #hpm
Wed Dec 7 18:26:33 PST 2011
jordangrumet
RT @renee_berry: It doesn't make sense to me that the one thing we are all guaranteed to experience is systematically set up to be treated as a crisis #hpm
Wed Dec 7 18:26:34 PST 2011
renee_berry
RT @otheRT @schwartzbrown Public must be educated about what we know and options #hpm
Wed Dec 7 18:26:57 PST 2011
KathyKastner
RT @otherspoon: dr/pt disconnect, definitely. also lack of pt/fam knowledge about process. they look to drs, anybdy for answers #hpm
Wed Dec 7 18:27:04 PST 2011
IM4PBS
RT @DrBeckerSchutte: RT @aliciabloom "Of course, doctors dont want to die; they want to live. But they know enough about modern medicine to know its limit" #hpm
Wed Dec 7 18:27:07 PST 2011
jordangrumet
@renee_berry welcome to American healthcare. #hpm

Wed Dec 7 18:27:08 PST 2011
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JenMarsh2
RT @jordangrumet T2: As clinicians we've seen "bad" deaths. We don't want to put ourselves and family through that. #hpm
Wed Dec 7 18:27:10 PST 2011
_lizzy_
Here's a link: "Physician factors associated w/discussions about eol care http://t.co/uJ1BVsQ8 #hpm
Wed Dec 7 18:27:21 PST 2011
pamressler
The discussion of #eol reminds me of the discussions we used to have about #childbirth in the 1980's -- natural versus intervention #hpm
Wed Dec 7 18:27:24 PST 2011
aliciabloom
+1 MT@renee_berry:doesn't make sense to me that the one thing we are all guaranteed to experience is systematically treated as a crisis #hpm
Wed Dec 7 18:27:26 PST 2011
KathyKastner
RT @renee_berry: RT @otheRT @schwartzbrown Public must be educated about what we know and options #hpm
Wed Dec 7 18:27:30 PST 2011
schwartzbrown
RT T2: As clinicians we've seen "bad" deaths. We don't want to put ourselves and family through that. #hpm
Wed Dec 7 18:27:36 PST 2011
aliciabloom
@DrBeckerSchutte mine too! #hpm

Wed Dec 7 18:27:39 PST 2011
otherspoon
@pamressler no one needs to step into the void because the dr. knows what's coming; most patients don't #hpm
Wed Dec 7 18:27:48 PST 2011
KathyKastner
RT @DrBeckerSchutte: RT @aliciabloom "Of course, doctors dont want to die; they want to live. But they know enough about modern medicine to know its limit" #hpm
Wed Dec 7 18:28:18 PST 2011
renee_berry
RT @pamressler: The discussion of #eol reminds me of the discussions we used to have about #childbirth in the 1980's -- natural versus intervention #hpm
Wed Dec 7 18:28:23 PST 2011
IM4PBS
same4family w/exp RT @jordangrumet: T2: As clinicians we've seen "bad" deaths. We don't want to put ourselves and family through that. #hpm
Wed Dec 7 18:28:23 PST 2011
_lizzy_
RT @KathyKastner: RT @renee_berry: RT @otheRT @schwartzbrown Public must be educated about what we know and options #hpm
Wed Dec 7 18:28:27 PST 2011
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pamressler
RT @otherspoon: @pamressler no one needs to step into the void because the dr. knows whats coming; most patients dont #hpm
Wed Dec 7 18:28:40 PST 2011
PracticalWisdom
Sorry I'm late, just got in from a late meeting. HI, I"m Lisa Adult edu, speaker, trainer, Love @HCSM Tweet Chats #hpm
Wed Dec 7 18:28:46 PST 2011
IM4PBS
RT @_lizzy_: Here's a link: "Physician factors associated w/discussions about eol care http://t.co/Vn1lFDvP #hpm
Wed Dec 7 18:29:03 PST 2011
_lizzy_
I think doctors would be relieved for patients to bring up hospice, unfortunately... hospice is still a mystery to most. #hpm
Wed Dec 7 18:29:20 PST 2011
AnkurB_MD
A Great Resource when it comes to talking about Prognosis, Options and HPM is:"Mastering Communication with Seriously Ill Patients" #hpm
Wed Dec 7 18:29:24 PST 2011
JenMarsh2
Sorry to say I also have to step out on this chat. Thank you everyone, and I look forward to the transcript! #hpm
Wed Dec 7 18:29:29 PST 2011
renee_berry
RT @otherspoon @pamressler no one needs to step into the void because the dr. knows whats coming; most patients dont #hpm
Wed Dec 7 18:29:29 PST 2011
KathyKastner
RT @_lizzy_: I think doctors would be relieved for patients to bring up hospice, unfortunately... hospice is still a mystery to most. #hpm
Wed Dec 7 18:29:29 PST 2011
chrisolsondc
Hello, everyone! Joining the #hpm chat a little late. I'm Chris and I work for @NHPCO_news on the @WeHonorVeterans program. #hpm
Wed Dec 7 18:29:32 PST 2011
AnkurB_MD
http://t.co/hjbP58gC #hpm
Wed Dec 7 18:29:39 PST 2011
jordangrumet
@PracticalWisdom hey Lisa #hpm

Wed Dec 7 18:29:58 PST 2011
JenMarsh2
@pamressler Thank you for hosting! #hpm

Wed Dec 7 18:29:59 PST 2011
pamressler
Are we placing too much pressure on patients and families "control" a "good death" versus a "bad death"? #hpm
Wed Dec 7 18:30:07 PST 2011
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IM4PBS
haha yes! MT @pamressler Discussion of #eol reminds me of discussions we used 2have abt #childbirth in 1980's: natural vs intervention #hpm
Wed Dec 7 18:30:14 PST 2011
renee_berry
@chrisolsondc great to see you Crhis! #hpm

Wed Dec 7 18:30:16 PST 2011
KathyKastner
RT @pamressler: Are we placing too much pressure on patients and families "control" a "good death" versus a "bad death"? #hpm
Wed Dec 7 18:30:20 PST 2011
PracticalWisdom
@chrisolsondc Hi Chris, you just beat me by about a min. Looking for our topic #hpm
Wed Dec 7 18:30:22 PST 2011
renee_berry
@pamressler absolutely. Actually, I think the language good death/bad death can be very confusing for families #hpm
Wed Dec 7 18:30:53 PST 2011
KathyKastner
RT @renee_berry: @pamressler absolutely. Actually, I think the language good death/bad death can be very confusing for families #hpm
Wed Dec 7 18:31:00 PST 2011
renee_berry
RT @pamressler: Are we placing too much pressure on patients and families "control" a "good death" versus a "bad death"? #hpm
Wed Dec 7 18:31:14 PST 2011
DrBeckerSchutte
@jordangrumet I agree that most HCPs who have witnessed "bad" deaths might be motivated to try to avoid that. #hpm
Wed Dec 7 18:31:17 PST 2011
PracticalWisdom
@pamressler Thanks for catching me up. #hpm

Wed Dec 7 18:31:21 PST 2011
pamressler
Welcome, Lisa, Chris and Ankur #hpm

Wed Dec 7 18:31:28 PST 2011
aliciabloom
last year, i was on the other side of the family meeting for my grandfather who had advanced dementia. it was enlightening & impactful #hpm
Wed Dec 7 18:31:32 PST 2011
renee_berry
RT @jordangrumet: @renee_berry welcome to American healthcare. #hpm

Wed Dec 7 18:31:43 PST 2011
renee_berry
RT @jordangrumet T2 As clinicians we've seen "bad" deaths. We don't want to put ourselves and family through that #hpm
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Wed Dec 7 18:31:53 PST 2011
IM4PBS
@aliciabloom death doesnt have to be treated as a crisis with discussion & ADs...maybe crisis mode is default in absence #easierwayout? #hpm
Wed Dec 7 18:31:54 PST 2011
chrisolsondc
Agreed! RT JenMarsh2 @pamressler Thank you for hosting! | Hi, @Renee_Berry. #hpm
Wed Dec 7 18:32:00 PST 2011
otherspoon
@pamressler consequences of institutionalized death; we've lost understanding that there is a good death #hpm
Wed Dec 7 18:32:02 PST 2011
_lizzy_
@AnkurB_MD Thank you for the resource, "Mastering Communication with Seriously Ill Patients" I added that book to my Amazon wishlist #hpm
Wed Dec 7 18:32:09 PST 2011
rjcrossno
Hospital Palliative Care Programs Raise Grade to B in New Report Card on Access, 12-72011, JAMA http://t.co/y3zn2IHd #hpm
Wed Dec 7 18:32:26 PST 2011
renee_berry
T2 Are we expecting Drs to make different decisions for their #eol than non-clinicians? via @PamRessler #hpm
Wed Dec 7 18:32:27 PST 2011
PracticalWisdom
@pamressler Thank you I just heard the tardy bell. Do we need to stay after school to make up or give us homework. #hpm
Wed Dec 7 18:32:28 PST 2011
IM4PBS
RT @_lizzy_: I think doctors would be relieved for patients to bring up hospice, unfortunately... hospice is still a mystery to most. #hpm
Wed Dec 7 18:32:30 PST 2011
DrBeckerSchutte
@renee_berry @pamressler And I think that it is very confusing to think about what constitutes "good" or "bad" dying. #hpm
Wed Dec 7 18:32:39 PST 2011
IM4PBS
RT @AnkurB_MD: A Great Resource when it comes to talking about Prognosis, Options and HPM is:"Mastering Communication with Seriously Ill Patients" #hpm
Wed Dec 7 18:32:42 PST 2011
aliciabloom
what defines a "good" or "bad" death depends upon the patient. need to explore values & preferences #hpm
Wed Dec 7 18:32:56 PST 2011
KathyKastner
RT @DrBeckerSchutte: @renee_berry @pamressler And I think that it is very confusing to think about what constitutes "good" or "bad" dying. #hpm
Wed Dec 7 18:33:06 PST 2011
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pamressler
I am curious if we know if there are stats that show how many doctors actually chose hospice or palliative care for themselves? #hpm
Wed Dec 7 18:33:10 PST 2011
KathyKastner
RT @aliciabloom: what defines a "good" or "bad" death depends upon the patient. need to explore values & preferences #hpm
Wed Dec 7 18:33:10 PST 2011
DrBeckerSchutte
So many people just think about death as being an opponent. #hpm

Wed Dec 7 18:33:15 PST 2011
PracticalWisdom
T2: If this has already been discussed by who is giving the definition of a Good Death vs. Bad death? #hpm
Wed Dec 7 18:33:35 PST 2011
renee_berry
@rjcrossno Hey Ronald, We're just doing our hospice & palliative medicine chat, you're welcome to join in! -rb #hpm
Wed Dec 7 18:33:36 PST 2011
AnkurB_MD
@_lizzy_ Glad to hear that.. A great Read... #hpm

Wed Dec 7 18:33:40 PST 2011
otherspoon
RT @renee_berry: @pamressler absolutely. Actually, I think the language good death/bad death can be very confusing for families #hpm
Wed Dec 7 18:33:50 PST 2011
pamressler
RT @DrBeckerSchutte: So many people just think about death as being an opponent. #hpm
Wed Dec 7 18:33:52 PST 2011
jordangrumet
When dying is expected and prepared for. It rarely ends up being a "bad" death. #hpm
Wed Dec 7 18:34:09 PST 2011
jodyms
@DrBeckerSchutte @renee_berry @pamressler Very tough; but after you've seen both? And countless interventions? You know. #hpm
Wed Dec 7 18:34:57 PST 2011
_lizzy_
RT @jordangrumet: When dying is expected and prepared for. It rarely ends up being a "bad" death. #hpm
Wed Dec 7 18:35:03 PST 2011
pamressler
@jordangrumet Yes, we often fail to recognize the difference between prolonged illness and short or unexpected illness and death #hpm
Wed Dec 7 18:35:30 PST 2011
IM4PBS
MT @pamressler: I am curious if there r stats showing how many drs <et al HCPs> actually
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chose hospice or palliative care themselves? #hpm

Wed Dec 7 18:35:34 PST 2011
renee_berry
RT @jodyms: @DrBeckerSchutte @renee_berry @pamressler Very tough; but after you've seen both? And countless interventions? You know. #hpm
Wed Dec 7 18:35:50 PST 2011
DrBeckerSchutte
Yes, I agree! RT @aliciabloom what defines a "good" or "bad" death depends upon the patient. need to explore values & preferences #hpm
Wed Dec 7 18:35:51 PST 2011
pamressler
@jodyms Hey, Jody, you made it...welcome! #hpm

Wed Dec 7 18:35:57 PST 2011
_lizzy_
Sharks, Alligators or Lions="bad" death #hpm

Wed Dec 7 18:35:58 PST 2011
PracticalWisdom
Good Point. I think we all would agree a bad death is one in which a person suffers from pain that cannot be controlled. @jordangrumet #hpm
Wed Dec 7 18:35:59 PST 2011
DrBeckerSchutte
How to convey that others? RT @jodyms: Very tough; but after youve seen both? And countless interventions? You know. #hpm
Wed Dec 7 18:36:25 PST 2011
jordangrumet
"bad: death=suffering. "good" death=dignity #hpm

Wed Dec 7 18:36:39 PST 2011
IM4PBS
Agree! Acceptance=+peace RT @jordangrumet: When dying is expected and prepared for. It rarely ends up being a "bad" death. #hpm
Wed Dec 7 18:36:43 PST 2011
pamressler
@_lizzy_ Yes! #hpm

Wed Dec 7 18:36:54 PST 2011
schwartzbrown
What do docs know that general public doesn't -- that death happens, and that measures to avoid it are often futile and add pain #hpm
Wed Dec 7 18:36:58 PST 2011
jodyms
@DrBeckerSchutte Atul Gawande article, "Letting Go" in 8/2/2010 New Yorker. Excellent starting point. #hpm
Wed Dec 7 18:37:22 PST 2011
renee_berry
RT @pamressler: @jordangrumet Yes, we often fail to recognize the difference between prolonged illness and short or unexpected illness and death #hpm
Wed Dec 7 18:37:22 PST 2011
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DrBeckerSchutte
Sorry folks--I have a four year old who is demanding some more direct attention. I'll catch the rest on transcript! #hpm
Wed Dec 7 18:37:30 PST 2011
IM4PBS
RT @jordangrumet: "bad: death=suffering. "good" death=dignity #hpm

Wed Dec 7 18:37:34 PST 2011
IM4PBS
RT @jodyms: @DrBeckerSchutte Atul Gawande article, "Letting Go" in 8/2/2010 New Yorker. Excellent starting point. #hpm
Wed Dec 7 18:37:46 PST 2011
yayayarndiva
@schwartzbrown I wonder if nurses have the same attitude about death #hpm
Wed Dec 7 18:37:48 PST 2011
DrBeckerSchutte
Thanks for thought-provoking conversation. #hpm

Wed Dec 7 18:37:51 PST 2011
renee_berry
RT @schwartzbrown: What do docs know that general public doesn't -- that death happens, and that measures to avoid it are often futile and add pain #hpm
Wed Dec 7 18:37:58 PST 2011
Dr_som
#hpm doctors witness few "good" deaths in their residency training

Wed Dec 7 18:37:59 PST 2011
pamressler
RT @schwartzbrown: What do docs know that public doesnt, that death happens, that measures to avoid it are often futile, add pain #hpm
Wed Dec 7 18:38:12 PST 2011
PracticalWisdom
Spot On. Dignity Universal wish for all of us. RT@jordangrumet "bad: death=suffering. "good" death=dignity #hpm #hpm
Wed Dec 7 18:38:19 PST 2011
IM4PBS
I would venture yes since they have +patientcontact RT @yayayarndiva: @schwartzbrown I wonder if nurses have same attitude about death #hpm
Wed Dec 7 18:38:34 PST 2011
pamressler
@DrBeckerSchutte Thanks for joining in tonight! #hpm

Wed Dec 7 18:38:35 PST 2011
aliciabloom
death is an inevitable reality, but it's easy for patients, families & clinicians to forget that in a high-tech ICU #hpm
Wed Dec 7 18:38:58 PST 2011
renee_berry
@yayayarndiva interesting, do you mean the same attitudes as reflected in the article? #hpm
Wed Dec 7 18:39:20 PST 2011
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otherspoon
@drbeckerschutte How to convey that to the public? Dialogue, home deaths, experience. #hpm
Wed Dec 7 18:39:27 PST 2011
jordangrumet
RT @aliciabloom: death is an inevitable reality, but it's easy for patients, families & clinicians to forget that in a high-tech ICU #hpm
Wed Dec 7 18:39:32 PST 2011
PracticalWisdom
T2: I wonder if a Family heard Hospice Staff refer to their love ones death as a good death if some might not understand. #hpm
Wed Dec 7 18:39:42 PST 2011
renee_berry
@aliciabloom especially when clinical teams are not being straight forward about what is actually happening #hpm
Wed Dec 7 18:39:53 PST 2011
schwartzbrown
@yayayarndiva Don't know about nurses. I think many hospital social workers do. #hpm
Wed Dec 7 18:39:53 PST 2011
renee_berry
RT @aliciabloom: death is an inevitable reality, but it's easy for patients, families & clinicians to forget that in a high-tech ICU #hpm
Wed Dec 7 18:40:07 PST 2011
PracticalWisdom
Do Glad to see you. II've been thinking about your recent blog post this week. A+ @jordangrumet #hpm
Wed Dec 7 18:40:28 PST 2011
IM4PBS
Machine sounds=hope? RT @aliciabloom: death is inevitable reality, but it's easy 4patients, families & hcps 2forget in hightech ICU #hpm
Wed Dec 7 18:40:30 PST 2011
pamressler
In our culture many RNs and MDs have never seen any other type of death other than a hospital death #hpm
Wed Dec 7 18:40:46 PST 2011
jordangrumet
Anyone who has ever experienced a "good" death knows that is how they want to die #hpm
Wed Dec 7 18:41:07 PST 2011
hospiceMTBC
RT @pamressler: Pain is often scarier than death for many #hpm

Wed Dec 7 18:41:10 PST 2011
aliciabloom
@renee_berry specialization of medicine & numerous teams involved in patient care make it challenging to see the "big picture" #hpm
Wed Dec 7 18:41:23 PST 2011
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jordangrumet
RT @PracticalWisdom: Do Glad to see you. II've been thinking about your recent blog post this week. A+ @jordangrumet #hpm
Wed Dec 7 18:41:36 PST 2011
PracticalWisdom
@aliciabloom Families and so many others think that Tec will continue to save our love ones but quality of life so often not considered #hpm
Wed Dec 7 18:41:42 PST 2011
pamressler
Death now happens behind the hospital curtains and not in a bedroom as used to be the case a generation ago #hpm
Wed Dec 7 18:41:49 PST 2011
schwartzbrown
Public learns from films, TV shows mostly. Again, I recommend The Descendants as example of a film that can educate at "good death." #hpm
Wed Dec 7 18:41:57 PST 2011
renee_berry
Way more clinical edu needed on #hpm in #meded RT @Dr_som doctors witness few "good" deaths in their residency training
Wed Dec 7 18:42:04 PST 2011
jordangrumet
@PracticalWisdom which one? #hpm

Wed Dec 7 18:42:20 PST 2011
yayayarndiva
@schwartzbrown I think the article anectdotal #hpm

Wed Dec 7 18:42:32 PST 2011
otherspoon
RT @schwartzbrown: What do docs know that general public doesn't? death happens, measures to avoid it are often futile and add pain #hpm
Wed Dec 7 18:42:33 PST 2011
PracticalWisdom
For some a Good Death is one that is planned for with organizations like @DeathwithDignity. @jordangrumet #hpm
Wed Dec 7 18:42:34 PST 2011
GMcDonald47
RT @aliciabloom: "Of course, doctors dont want to die; they want to live. But they know enough about modern medicine to know its limit." #hpm
Wed Dec 7 18:42:41 PST 2011
_lizzy_
@schwartzbrown Descendants was a powerful movie... especially enjoyed the complexity of emotions #hpm
Wed Dec 7 18:42:55 PST 2011
renee_berry
@aliciabloom this is why the interdisciplinary team model #hospice model is so patient centered #hpm
Wed Dec 7 18:42:58 PST 2011
renee_berry
RT @aliciabloom: @renee_berry specialization of medicine & numerous teams involved in patient care make it challenging to see the "big picture" #hpm
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Wed Dec 7 18:43:02 PST 2011
otherspoon
RT @pamressler: Death now happens behind the hospital curtains and not in a bedroom as used to be the case a generation ago #hpm
Wed Dec 7 18:43:08 PST 2011
jodyms
Gawande link: "Letting Go," http://t.co/oDJCIrIw. Subtitle: "What should medicine do when it can't save your life?" #hpm
Wed Dec 7 18:43:17 PST 2011
IM4PBS
Even with AD, very difficult to sit with dying family member, when hospital is abuzz in acute patient care... Surrreal #hpm
Wed Dec 7 18:43:29 PST 2011
aliciabloom
people often think more is more, but in healthcare this is rarely the case. hard to reframe natural inclinations, especially at EoL. #hpm
Wed Dec 7 18:43:38 PST 2011
aliciabloom
RT @renee_berry: this is why the interdisciplinary team model #hospice model is so patient centered <- +1! & in #palliative care #hpm
Wed Dec 7 18:44:13 PST 2011
renee_berry
RT @IM4PBS: Even with AD, very difficult to sit with dying family member, when hospital is abuzz in acute patient care... Surrreal #hpm
Wed Dec 7 18:44:16 PST 2011
schwartzbrown
What I expect and want from a doc is to be honest with patient about limits of medicine, quality of life, etc #hpm
Wed Dec 7 18:44:25 PST 2011
PracticalWisdom
Cost of Closure the one I commented on. @jordangrumet" target="_blank">http://t.co/dC6mPlTV@jordangrumet #hpm

Wed Dec 7 18:44:32 PST 2011
jordangrumet
RT @aliciabloom: people often think more is more, but in healthcare this is rarely the case. hard to reframe natural inclinations, especially at EoL. #hpm
Wed Dec 7 18:44:42 PST 2011
colleen_young
RT @jodyms: Gawande link: "Letting Go," http://t.co/oDJCIrIw. Subtitle: "What should medicine do when it can't save your life?" #hpm
Wed Dec 7 18:44:43 PST 2011
renee_berry
RT @aliciabloom: people often think more is more, but in healthcare this is rarely the case. hard to reframe natural inclinations, especially at EoL. #hpm
Wed Dec 7 18:44:51 PST 2011
otherspoon
@aliciabloom particularly when fueled by hope for a miracle, solution, cure #hpm
Wed Dec 7 18:45:20 PST 2011
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pamressler
T3 How do the images of healthcare portrayed on TV affect our #eol decision making -does or should #socialmedia play a role? #hpm
Wed Dec 7 18:45:32 PST 2011
jordangrumet
@PracticalWisdom thanks for reading! #hpm

Wed Dec 7 18:45:52 PST 2011
renee_berry
RT @pamressler: Death now happens behind the hospital curtains and not in a bedroom as used to be the case a generation ago #hpm
Wed Dec 7 18:46:12 PST 2011
KathyKastner
#hpm T3 Coupla studies show most perectptions of CPR are from ER/Scrubs etc.
Wed Dec 7 18:46:20 PST 2011
otherspoon
RT @pamressler: T3 How do the images of healthcare portrayed on TV affect our #eol decision making #hpm
Wed Dec 7 18:46:24 PST 2011
_lizzy_
@pamressler There aren't a lot of happy movies about people dying. No wonder people are afraid. #hpm
Wed Dec 7 18:46:39 PST 2011
IM4PBS
yes. hosp. not setup well 4pc death MT @pamressler: Death now happens behind hospital curtains & not in bedroom as generation ago #hpm
Wed Dec 7 18:46:43 PST 2011
Dr_som
@IM4PBS #hpm agree icu noise and lives being "saved" people going about daily chatter. Environment conducive to prolonging death not dignity
Wed Dec 7 18:46:53 PST 2011
aliciabloom
@otherspoon yes & our job as #hpm clinicians is: maintain hope for a miracle while supporting decisions that provide dignity & comfort #hpm
Wed Dec 7 18:47:00 PST 2011
PracticalWisdom
T2: The Pain, loss of Dignity, Loss of Quality of life, the knowledge that death is close wonder not enough family meetings 2 Educate. #hpm
Wed Dec 7 18:47:03 PST 2011
otherspoon
I think the Nuland stat is on TV CPR works 75% of time, actually only works -25 #hpm
Wed Dec 7 18:47:16 PST 2011
IM4PBS
RT @jodyms: Gawande link: "Letting Go," http://t.co/7OUk4BgO Subtitle: "What should medicine do when it can't save your life?" #hpm
Wed Dec 7 18:47:18 PST 2011
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aliciabloom jordangrumet
television portrayal of CPR is beyond misleading! #hpm

Wed Dec 7 18:47:37 PST 2011
T3: TV docs are about saving lives at all cost. Not much about saving dignity. #hpm
Wed Dec 7 18:47:46 PST 2011
KathyKastner
RT @aliciabloom: television portrayal of CPR is beyond misleading! #hpm

Wed Dec 7 18:47:53 PST 2011
IM4PBS
& w/family! RT @schwartzbrown: What I expect & want from doc is to be honest w/ patient about limits of medicine, quality of life, etc #hpm
Wed Dec 7 18:48:14 PST 2011
PracticalWisdom
Could you explain some moreRT @_lizzy_: @pamressler There arent a lot of happy movies about people dying. No wonder people are afraid. #hpm
Wed Dec 7 18:48:17 PST 2011
PracticalWisdom
RT @jordangrumet: T3: TV docs are about saving lives at all cost. Not much about saving dignity. #hpm
Wed Dec 7 18:48:22 PST 2011
SheyontheBay
RT @schwartzbrown: Have to urge you all to see The Descendants for a perfect tool in educating about difficult decisions at EOL #hpm
Wed Dec 7 18:48:23 PST 2011
pamressler
Very low rate of successful CPR IRL RT @otherspoon: I think the Nuland stat is on TV CPR works 75% of time, actually only works -25 #hpm
Wed Dec 7 18:48:27 PST 2011
aliciabloom
i will often say: let's talk about what CPR will actually look like for your loved one because it's not like what we see on television. #hpm
Wed Dec 7 18:48:38 PST 2011
AnkurB_MD
T3: Agree.. Too much emphasis on Doing More and high tech interventions - and worst of ALL - on these working at the end... Eg. CPR etc #hpm
Wed Dec 7 18:48:39 PST 2011
renee_berry
saw 'CPR' recently, looked like people making out, I yelled at the TV :) RT @aliciabloom TV portrayal of CPR is beyond misleading! #hpm
Wed Dec 7 18:49:00 PST 2011
renee_berry
RT @pamressler: T3 How do the images of healthcare portrayed on TV affect our #eol decision making -- does or should #socialmedia play a role? #hpm
Wed Dec 7 18:49:09 PST 2011
ctsinclair
RT @pamressler: T3 How do images of healthcare portrayed on TV affect our #eol decision making? does/should #socialmedia play a role? #hpm
Wed Dec 7 18:49:19 PST 2011
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pamressler
T3 also misleading about traumatic injuries and full recovery from devastating injury or illness #hpm
Wed Dec 7 18:49:22 PST 2011
renee_berry
@pamressler I thought it was actually more like 13% #hpm

Wed Dec 7 18:49:30 PST 2011
ctsinclair
@aliciabloom That's a good way to put it #hpm

Wed Dec 7 18:49:35 PST 2011
renee_berry
nor quality of life RT @jordangrumet T3: TV docs are about saving lives at all cost. Not much about saving dignity #hpm
Wed Dec 7 18:49:57 PST 2011
_lizzy_
@PracticalWisdom The dying process is depicted in movies as one of abandonment... Wit and 50/50 are top of mind #hpm
Wed Dec 7 18:50:02 PST 2011
IM4PBS
@Dr_som Yes. I look for day when hospitals have rooms equipped for deaths with dignity. You feel so out of place there now #hpm
Wed Dec 7 18:50:03 PST 2011
AnkurB_MD
MT @aliciabloom: "lets talk about what CPR will actually look like for your loved one because its not like what we see on television". #hpm
Wed Dec 7 18:50:03 PST 2011
otherspoon
@pamressler also TV death process very misleading #hpm

Wed Dec 7 18:50:11 PST 2011
IM4PBS
RT @pamressler: T3 How do the images of healthcare portrayed on TV affect our #eol decision making -- does or should #socialmedia play a role? #hpm
Wed Dec 7 18:50:22 PST 2011
ctsinclair
Wonder if there are clips on Youtube of an actual CPR in progress...searcing now #hpm
Wed Dec 7 18:50:24 PST 2011
aliciabloom
@renee_berry i love (read: am so frustrated!) when the person is sitting up talking to their family/friends shortly after. #hpm
Wed Dec 7 18:50:28 PST 2011
pamressler
I think it is acutally lower than 13%...anyone know the current %? RT @renee_berry: @pamressler I thought it was actually more like 13% #hpm
Wed Dec 7 18:50:31 PST 2011
aliciabloom
thank you...and hello @ctsinclair! #hpm

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Wed Dec 7 18:50:44 PST 2011
SheyontheBay
RT @ctsinclair: T3 How do images of healthcare portrayed on TV affect our #eol decision making? does/should #socialmedia play a role? #hpm
Wed Dec 7 18:50:55 PST 2011
colleen_young
That would be good RT @ctsinclair: Wonder if there are clips on Youtube of an actual CPR in progress...searcing now #hpm
Wed Dec 7 18:51:02 PST 2011
renee_berry
RT @AnkurB_MD: MT @aliciabloom: "lets talk about what CPR will actually look like for your loved one because its not like what we see on television". #hpm
Wed Dec 7 18:51:03 PST 2011
PracticalWisdom
@pamressler If there was more education,Family meetings, interdisciplinary teams there would be a better chance for realistic expect. #hpm
Wed Dec 7 18:51:15 PST 2011
KathyKastner
RT @colleen_young: That would be good RT @ctsinclair: Wonder if there are clips on Youtube of an actual CPR in progress...searcing now #hpm
Wed Dec 7 18:51:25 PST 2011
pamressler
The public does not realize that many CPR attempts result in rib fractures #hpm
Wed Dec 7 18:51:36 PST 2011
aaronlachant
@pamressler Our culture values life at all costs, which is why abortion, physician asst'd suicide, and DNRs are taboo for many #hpm
Wed Dec 7 18:51:38 PST 2011
IM4PBS
RT @pamressler: Very low rate of successful CPR IRL RT @otherspoon: I think the Nuland stat is on TV CPR works 75% of time, actually only works -25 #hpm
Wed Dec 7 18:51:42 PST 2011
JediPD
Lurking. Interesting chat. One comment: Life is a terminal disease. The sooner one gets past it the joys seem to come in. #hpm
Wed Dec 7 18:51:50 PST 2011
ctsinclair
Would think light-hearted quizzes get you to actually talk about your actual preferences AND the opportunity to share it might work #hpm
Wed Dec 7 18:51:52 PST 2011
renee_berry
RT @colleen_young: That would be good RT @ctsinclair: Wonder if there are clips on Youtube of an actual CPR in progress...searcing now #hpm
Wed Dec 7 18:51:52 PST 2011
PracticalWisdom
T3: Steel Mangnolias showed the true anger and grief when the mother does not think her daughters pain is being taken care of. #hpm
Wed Dec 7 18:52:01 PST 2011
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_lizzy_
@pamressler If there was more education,Family meetings, interdisciplinary teams there would be a better chance for realistic expect. #hpm
Wed Dec 7 18:52:01 PST 2011
otherspoon
RT @pamressler: The public does not realize that many CPR attempts result in rib fractures #hpm
Wed Dec 7 18:52:13 PST 2011
KathyKastner
#hpm about CPR in progress video - a Canadian doc's doing just that. I'll tweet when he posts it.
Wed Dec 7 18:52:28 PST 2011
jordangrumet
RT @JediPD: Lurking. Interesting chat. One comment: Life is a terminal disease. The sooner one gets past it the joys seem to come in. #hpm
Wed Dec 7 18:52:32 PST 2011
renee_berry
RT @_lizzy_: @pamressler If there was more education,Family meetings, interdisciplinary teams there would be a better chance for realistic expect. #hpm
Wed Dec 7 18:52:41 PST 2011
colleen_young
@ctsinclair @KathyKastner's working on something like that. #hpm

Wed Dec 7 18:52:44 PST 2011
schwartzbrown
I stopped CPR on my Dad in an ER after sudden aortic dissection, knowing outcome. Docs couldn't believe I wanted them not to do it. #hpm
Wed Dec 7 18:52:53 PST 2011
AnkurB_MD
10-15% young/ healthy, 5% - Frail Elderly. will look up a resource @renee_berry: @pamressler I thought it was actually more like 13% #hpm
Wed Dec 7 18:52:57 PST 2011
PracticalWisdom
@_lizzy_ I think that was my tweet, More education,..... #hpm

Wed Dec 7 18:53:03 PST 2011
PracticalWisdom
@_lizzy_ I think that was my tweet, More education,..... #hpm

Wed Dec 7 18:53:03 PST 2011
Dr_som
#hpm interdisciplinary team? Do families want that or just one person they trust, have relationship with to facilitate
Wed Dec 7 18:53:05 PST 2011
SheyontheBay
TV all about "happy endings" - wish there were a show like "ER" for Hospice/PC....takers, anyone? #hpm
Wed Dec 7 18:53:05 PST 2011
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ctsinclair
Wondering which hospital would be the first to upload CPR to youtube...they tweet from the OR, what's the difference? #hpm
Wed Dec 7 18:53:10 PST 2011
_lizzy_
T3: Can you think of any movies that show a "good" death? #hpm
Wed Dec 7 18:53:11 PST 2011
renee_berry
normal RT @otherspoon RT @pamressler The public does not realize that many CPR attempts result in rib fractures #hpm
Wed Dec 7 18:53:24 PST 2011
ctsinclair
Of course I am being somewhat cynical but purposely provocative with that question. #hpm
Wed Dec 7 18:53:32 PST 2011
IM4PBS
Wed Dec 7 18:53:36 PST 2011
pamressler
Yes! RT @jordangrumet: RT @JediPD: Interesting chat. Life is a terminal disease. The sooner one gets past it the joys seem to come in. #hpm
Wed Dec 7 18:53:48 PST 2011
dspacl
Lurking too, but drawn in #hpm

Wed Dec 7 18:53:48 PST 2011
aliciabloom
RT @ctsinclair: Wondering which hospital would be the first to upload CPR to youtube...they tweet from the OR, what's the difference? #hpm
Wed Dec 7 18:53:59 PST 2011
JediPD
And as @jordangrumet has said in his wonderful blogs above all physicians must tailor care to preserve the DIGNITY of all patients. #hpm
Wed Dec 7 18:54:19 PST 2011
_lizzy_
@PracticalWisdom sorry when there's multiple names and it's too long to RT, I wasn't sure which to take off. :) #hpm
Wed Dec 7 18:54:22 PST 2011
KathyKastner
RT @colleen_young: @ctsinclair @KathyKastner's working on something like that. #hpm

Wed Dec 7 18:54:28 PST 2011
ctsinclair
Some hospital policies allow/encourage family during CPR, what if one of them video recorded and uploaded it to YT? #hpm
Wed Dec 7 18:54:38 PST 2011
pamressler
@dspacl Hi, Welcome! #hpm

Wed Dec 7 18:54:46 PST 2011
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colleen_young
@ctsinclair I concur. #hpm Saw a video about feeding therapy. Tough to watch but informative.
Wed Dec 7 18:54:50 PST 2011
dspacl
Bottom line: For all adult inpatients getting CPR, the immediate survival rate is 40% and the survival to discharge is only about 13%. #hpm
Wed Dec 7 18:54:52 PST 2011
jordangrumet
Off topic. We've started using modified Polst forms in my nursing home for patients who screen appropriate for #hpm. Very powerful.
Wed Dec 7 18:55:02 PST 2011
IM4PBS
Less is + RT @Dr_som: #hpm interdisciplinary team? Do families want that or just one person they trust, have relationship with to facilitate
Wed Dec 7 18:55:09 PST 2011
AnkurB_MD
% AND OTHER FACTS ON CPR: "FAST FACTS- EPERC": http://t.co/cxIKuJCZ #hpm

Wed Dec 7 18:55:14 PST 2011
pamressler
@JediPD Good to have you here #hpm

Wed Dec 7 18:55:14 PST 2011
PracticalWisdom
Thanks I know it gets really busy. @_lizzy_ #hpm

Wed Dec 7 18:55:15 PST 2011
renee_berry
@aliciabloom @ctsinclair, I see a @Pallimed post forming :) #hpm

Wed Dec 7 18:55:16 PST 2011
dspacl
For patients who survive to discharge, approximately half return to their pre-CPR baseline functional status or better #hpm
Wed Dec 7 18:55:19 PST 2011
ctsinclair
@_lizzy_ we all have our own version of a good death. Which is why I presume you put it in quotes. #hpm
Wed Dec 7 18:55:24 PST 2011
PracticalWisdom
With Tubes? RT @colleen_young: @ctsinclair I concur. #hpm Saw a video about feeding therapy. Tough to watch but informative. #hpm
Wed Dec 7 18:55:34 PST 2011
jordangrumet
RT @JediPD: And as @jordangrumet has said in his wonderful blogs above all physicians must tailor care to preserve the DIGNITY of all patients. #hpm
Wed Dec 7 18:55:36 PST 2011
schwartzbrown
@ctsinclair Had to practically tackle do to keep from doing CPR #hpm

Wed Dec 7 18:55:41 PST 2011
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renee_berry
RT @ctsinclair: Wondering which hospital would be the first to upload CPR to youtube...they tweet from the OR, what's the difference? #hpm
Wed Dec 7 18:55:42 PST 2011
ctsinclair
For some people (patient and family) a good death is full code, every heroic measure possible. Important to understand perpsective #hpm
Wed Dec 7 18:56:01 PST 2011
ctsinclair
RT @renee_berry: @aliciabloom @ctsinclair, I see a @Pallimed post forming :) "could be!" #hpm
Wed Dec 7 18:56:18 PST 2011
_lizzy_
Aside from the CPR success rate, let's not forget the general fear of dying that most people have...how do we address that? #hpm
Wed Dec 7 18:56:36 PST 2011
JoanneKenen
@ctsinclair @pamressler #eol #socialmedia #hpm there was that study, nejm? few years ago re chicago maybe?
Wed Dec 7 18:56:39 PST 2011
ctsinclair
@colleen_young Do you have the link? #hpm

Wed Dec 7 18:56:46 PST 2011
dspacl
RT @ctsinclair: For some people a good death is full code, every heroic measure possible. Important to understand perpsective #hpm
Wed Dec 7 18:56:46 PST 2011
JediPD
@pamressler Thank you, that is very kind. #hpm

Wed Dec 7 18:56:54 PST 2011
pamressler
Wow, this has been a fast and furious chat tonight! We have only a few minutes left...any closing thoughts? #hpm
Wed Dec 7 18:56:58 PST 2011
EricaLowers
"professor your bird...there was nothing i could do...it just caught fire" #hpm #chamberofsecrets
Wed Dec 7 18:57:03 PST 2011
ctsinclair
@dspacl good stats. Have links? #hpm

Wed Dec 7 18:57:14 PST 2011
colleen_young
@PracticalWisdom No. #hpm

Wed Dec 7 18:57:16 PST 2011
renee_berry
MT @AnkurB_MD % survival & Fast Facts on CPR http://t.co/fH3ZkZkh #hpm

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Wed Dec 7 18:57:23 PST 2011
emmabelanger
Joining #hpm late, I am often shocked at unrealistic portrayals of eol on TV even beyond CPR, agony is rarely represented accurately.
Wed Dec 7 18:57:28 PST 2011
_lizzy_
@ctsinclair Yes, I believe a "good" death is subjective. #hpm

Wed Dec 7 18:57:31 PST 2011
KathyKastner
RT @_lizzy_: @ctsinclair Yes, I believe a "good" death is subjective. #hpm

Wed Dec 7 18:57:39 PST 2011
schwartzbrown
Do you do heroic measures, full code when they're futile to please public, family? Where is judgment? #hpm
Wed Dec 7 18:57:45 PST 2011
jordangrumet
Scary but true @ctsinclair: For some a good death is full code, every heroic measure possible. Important to understand perpsective #hpm"
Wed Dec 7 18:57:48 PST 2011
aaronlachant
@_lizzy_ Good death scene in a movie: http://t.co/4w9JtZDd #hpm

Wed Dec 7 18:58:02 PST 2011
aliciabloom
drill down on what patient fears about dying. will likely find addressing those fears has nothing to do with invasive interventions. #hpm
Wed Dec 7 18:58:10 PST 2011
PracticalWisdom
@jordangrumet Dignity=Dr. Don Berwick - What Patient Centred Care Really Means http://t.co/LkLuxamU #hpm
Wed Dec 7 18:58:31 PST 2011
ctsinclair
RT EricaLowers "professor your bird...there was nothing i could do...it just caught fire" #hpm <funny-hashtags collide &make sense> #hpm
Wed Dec 7 18:58:35 PST 2011
renee_berry
RT @aliciabloom: drill down on what patient fears about dying. will likely find addressing those fears has nothing to do with invasive interventions. #hpm
Wed Dec 7 18:59:09 PST 2011
jordangrumet
You can only meet patients where they are. Educate, educate, educate...and then let them decide. #hpm
Wed Dec 7 18:59:12 PST 2011
ctsinclair
#HPM = Hospice and Palliative Medicine and Harry Potter Marathon/Movie #hpm
Wed Dec 7 18:59:27 PST 2011
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_lizzy_ KThomtweets
@aaronlachant Haha I love Yoda! #hpm

Wed Dec 7 18:59:33 PST 2011
RT @DrBeckerSchutte: MT @aliciabloom: asking if patients want "everything done" is irresponsible. it creates an impossible choice: everything vs. nothing. #hpm
Wed Dec 7 18:59:35 PST 2011
PracticalWisdom
T3 During civil war a good death was one where you were with your family not on a bloody battlefield. Good Death part of the culture #hpm
Wed Dec 7 18:59:40 PST 2011
_lizzy_
RT @aaronlachant: @_lizzy_ Good death scene in a movie: http://t.co/GvDMpkcC #hpm

Wed Dec 7 18:59:41 PST 2011
KathyKastner
RT @dspacl: For patients who survive to discharge, approximately half return to their preCPR baseline functional status or better #hpm
Wed Dec 7 18:59:41 PST 2011
JoanneKenen
RT @ctsinclair: For some people (patient and family) a good death is full code, every heroic measure possible. Important to understand perpsective #hpm
Wed Dec 7 18:59:55 PST 2011
aaronlachant
Wed Dec 7 18:59:57 PST 2011
otherspoon
RT @aliciabloom: drill down on what patient fears about dying. likely find addressing fears has nothing to do w/ invasive interventions #hpm
Wed Dec 7 18:59:58 PST 2011
dspacl
From a article UCSF In patients in- hospital CPR, overall morbidity better predictor of survival to D/C than age. http://t.co/UwYgZw0i #hpm
Wed Dec 7 19:00:04 PST 2011
PracticalWisdom
& Support, Listen, RT @jordangrumet: You can only meet patients where they are. Educate, educate, educate...and then let them decide. #hpm
Wed Dec 7 19:00:07 PST 2011
JediPD
We live in a world populated with biopsies, bizarre diagnoses and 1-hour segments of HOUSE MD that cures everything. Life is not #hpm
Wed Dec 7 19:00:09 PST 2011
schwartzbrown
Fear of death is something we need to deal with outside a medical setting. #hpm
Wed Dec 7 19:00:22 PST 2011
_lizzy_
"Twilight is upon me and soon night must fall." - Yoda #hpm

Wed Dec 7 19:00:28 PST 2011
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SheyontheBay
RT @AnkurB_MD: % AND OTHER FACTS ON CPR: "FAST FACTS- EPERC": http://t.co/cxIKuJCZ #hpm
Wed Dec 7 19:00:29 PST 2011
IM4PBS
#hpm is becoming more prevalent in our Community Cooperative Oncology Program - as viable option discussed in advance of crisis #hpm
Wed Dec 7 19:00:32 PST 2011
jordangrumet
RT @JediPD: We live in a world populated with biopsies, bizarre diagnoses and 1-hour segments of HOUSE MD that cures everything. Life is not #hpm
Wed Dec 7 19:00:53 PST 2011
ctsinclair
@_lizzy_ Figured that is why you used quotes! #hpm

Wed Dec 7 19:00:59 PST 2011
PracticalWisdom
MT @JediPD: We live world populated w/biopsies, bizarre diagnoses and 1-hour segments of HOUSE MD that cures everything. Life is not #hpm
Wed Dec 7 19:01:04 PST 2011
ctsinclair
RT @JediPD: We live in a world populated w/ biopsies, bizarre diagnoses &1-hour segments of HOUSE MD that cures everything. Life is not #hpm
Wed Dec 7 19:01:28 PST 2011
jordangrumet
Good night all. Fabulous chat! #hpm

Wed Dec 7 19:01:29 PST 2011
JoanneKenen
@ctsinclair @pamressler #eol #socialmedia #hpm will dig out interview I did with ER producer that touched on this.. He is an MD
Wed Dec 7 19:01:29 PST 2011
renee_berry
@PamRessler thank you so much for hosting! This has been a fabulous chat, hope to see you all next week Wed 6p PST http://t.co/hn1JxXws #hpm
Wed Dec 7 19:01:30 PST 2011
ctsinclair
The #hpm Daily is out! http://t.co/hXekg5Al Top stories today via @ankurb_md @elderpages @communityhch @salixpharma @hollyby
Wed Dec 7 19:01:30 PST 2011
otherspoon
RT @renee_berry: MT @AnkurB_MD % survival & Fast Facts on CPR http://t.co/RTeeZgnD #hpm

Wed Dec 7 19:01:45 PST 2011
IM4PBS
RT @renee_berry: @PamRessler thank you so much for hosting! This has been a fabulous chat, hope to see you all next week Wed 6p PST http://t.co/hn1JxXws #hpm
Wed Dec 7 19:01:48 PST 2011
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AnkurB_MD
CPR FACTS: Imm Survival 40%; Survival to DC (General- 15%, HemoDialysis Pt 14%, Cancer Pt. 2-7.5%) Resource: Fast facts-EPERC #hpm
Wed Dec 7 19:01:49 PST 2011
pamressler
Thanks everyone, I have learned a lot tonight. I appreciate your comments and kindness to this newbie host! #hpm
Wed Dec 7 19:01:55 PST 2011
SheyontheBay
EPERC a godsend to me as hospice liaison in hospital, "educating physicians" #hpm

Wed Dec 7 19:02:02 PST 2011
IM4PBS
Gr8 job @pamressler! Night all! #hpm

Wed Dec 7 19:02:07 PST 2011
ctsinclair
MT @dspacl: UCSF article - In patients in- hospital CPR, morbidity better predictor of survival to D/C than age. http://t.co/qNaIhCxh #hpm
Wed Dec 7 19:02:13 PST 2011
KathyKastner
RT @IM4PBS: Gr8 job @pamressler! Night all! #hpm

Wed Dec 7 19:02:19 PST 2011
dspacl
@ctsinclair 2004 article, uses older data 1998, but probably close to the mark even today #hpm
Wed Dec 7 19:02:32 PST 2011
KathyKastner
Wed Dec 7 19:02:34 PST 2011
schwartzbrown
Great job @pamressler #hpm

Wed Dec 7 19:02:38 PST 2011
renee_berry
RT @ctsinclair: MT @dspacl: UCSF article - In patients in- hospital CPR, morbidity better predictor of survival to D/C than age. http://t.co/qNaIhCxh #hpm
Wed Dec 7 19:02:39 PST 2011
ctsinclair
RT @jordangrumet: Good night all. Fabulous chat! "Yes! Sorry to miss the beginning, but great job first time host @PamRessler!" #hpm
Wed Dec 7 19:02:41 PST 2011
AnkurB_MD
FAST FACTS- EPERC: http://t.co/cxIKuJCZ #hpm

Wed Dec 7 19:02:45 PST 2011
_lizzy_
@pamressler Thank you for hosting. Great discussion! #hpm

Wed Dec 7 19:02:46 PST 2011
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PracticalWisdom
@pamressler Thanks Pam. I Have a suggestion is there someway to have a logo or something so it's easier to know who is the moderator? #hpm
Wed Dec 7 19:03:00 PST 2011
KathyKastner
RT @ctsinclair: RT @jordangrumet: Good night all. Fabulous chat! "Yes! Sorry to miss the beginning, but great job first time host @PamRessler!" #hpm
Wed Dec 7 19:03:02 PST 2011
dspacl
RT @AnkurB_MD: CPR FACTS: Imm Survival 40%; Survival to DC (General- 15%, HemoDialysis Pt 14%, Cancer Pt. 2-7.5%) Fast facts-EPERC #hpm
Wed Dec 7 19:03:03 PST 2011
otherspoon
Thanks all RT @renee_berry: @pamressler thank you so much for hosting! see you all next week Wed 6p PST http://t.co/fkwBEZK3 #hpm
Wed Dec 7 19:03:36 PST 2011
JediPD
G'Night all. Forgive the trespass. Thanks to @pamressler and @practicalwisdom for their generosity. #hpm
Wed Dec 7 19:03:47 PST 2011
dspacl
Thanks @PamRessler I too need to show up more often, always good when I join. Cheers to all #hpm
Wed Dec 7 19:04:14 PST 2011
AnkurB_MD
Thanks all!! RT @renee_berry: @pamressler thank you so much for hosting! see you all next week Wed 6p PST http://t.co/JPkZmFR0 #hpm
Wed Dec 7 19:04:49 PST 2011
aliciabloom
thank you, @pamressler for hosting & to the whole #hpm gang for a great chat!
Wed Dec 7 19:05:00 PST 2011
ctsinclair
RT @dspacl: Thanks @PamRessler I too need to show up more often, always good when I join. Cheers to all "Yes you do!" #hpm
Wed Dec 7 19:05:25 PST 2011
pamressler
@PracticalWisdom Great idea, Lisa. I am not sure how to do that, but I am sure some more tech savvy wizard might be able do so #hpm
Wed Dec 7 19:06:43 PST 2011
Dr_som
#hpm
Wed Dec 7 19:07:58 PST 2011
KThomtweets
RT @PracticalWisdom: T3: Steel Mangnolias showed the true anger and grief when the mother does not think her daughters pain is being taken care of. #hpm
Wed Dec 7 19:09:13 PST 2011
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Murfomurf
@PracticalWisdom @JediPD Believing in Dr House makes people expect miracles for cancer etc. Then angry they can't live forever. #hpm
Wed Dec 7 19:10:22 PST 2011
_lizzy_
Wed Dec 7 19:10:48 PST 2011
mtmdphd
RT @ctsinclair: For some people (patient and family) a good death is full code, every heroic measure possible. Important to understand perpsective #hpm
Wed Dec 7 19:11:04 PST 2011
Page 39 of 39

#HPM Tweet Chat 12:7:11

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#HPM Tweet Chat 12:7:11

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#hpm - Healthcare Social Media Transcript

@subatomicdoc heading over to #hpm (tequila in hand) You coming? #s4pm

@_lizzy_ I just use http://t.co/PtqoegDV #hpm

@lizzy is it http://t.co/FxMYST2X? #hpm

#hpm - Healthcare Social Media Transcript

Wed Dec 7 18:01:34 PST 2011

@_lizzy_ welcome...try http://t.co/yE9Jf8aj #hpm

@_lizzy_ try http://t.co/FT5YxcTK #hpm

Deb Boyce here, caregiver & epatient advocate #hpm

@renee_berry Thanks - found it! #hpm

Hi everyone! Jen, therapist and educator for a hospice in California #hpm

Hi I'm Kathleen Hoffman, health communications specialist #hpm

@IM4PBS Hi Deb great to see you here! #hpm

@JenMarsh2 Hi Jen #hpm

@kdhoffman2 Great to have you move over here! #hpm

#hpm - Healthcare Social Media Transcript

David, author of palliative care memoir "August Farewell" #hpm

Hi everyone, Jordan here , #hpm friendly internist.

Hi Pam! Nice to see you again :) RT @pamressler: @JenMarsh2 Hi Jen #hpm

@_lizzy_ Welcome #hpm

@KathyKastner hope your beta on the app goes well! #hpm

@authordhallman Welcome David #hpm

Hi. Mindy, social worker from NJ here #hpm

@jordangrumet Hey Jordan #hpm

@aliciabloom Thanks for joining in Alicia #hpm

@schwartzbrown Good to see you here Mindy #hpm

#hpm - Healthcare Social Media Transcript

@DrBeckerSchutte Hi Ann #hpm

@pamressler happy to be here #hpm

thanks for hosting, @pamressler. happy to be here! #hpm

@pamressler Hi again Pam--thanks for hosting. #hpm

@pamressler Thanks. Good to see everyone #hpm

#hpm - Healthcare Social Media Transcript

@pamressler we're so excited you are hosting! #hpm

@renee_berry Thanks! #hpm

#hpm - Healthcare Social Media Transcript

T1 Good to read, hopefully it will spark change in HCPs #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

as well as themselves. Not push for aggressive tx #hpm

@_lizzy_ no I'm not, haven't made it to comment (yet) #hpm

#hpm - Healthcare Social Media Transcript

@renee_berry Didn't think it was you... but wasn't sure #hpm

@otherspoon Welcome to the chat tonight #hpm

@IM4PBS in my experiance, fighting death when it is inevitable is very painful. #hpm

@DrBeckerSchutte And how we teach our drs. #hpm

#hpm - Healthcare Social Media Transcript

Wed Dec 7 18:19:02 PST 2011

@aliciabloom so well said #hpm

@schwartzbrown Thanks #hpm

@aliciabloom I'm favoriting that one. #hpm

RT @aliciabloom: asking if patients want "everything done" is irresponsible. it creates an

#hpm - Healthcare Social Media Transcript

impossible choice: everything vs. nothing. we must do better #hpm

@@aliciabloom who must do better? HCPs and caregiver/family members? #hpm

Pain is often scarier than death for many #hpm

@_lizzy_ seems to me I am bringing up #hpm when oncs don't want to.

#hpm - Healthcare Social Media Transcript

good call!~ RT @JenMarsh2: @aliciabloom Im favoriting that one. #hpm

RT @authordhallman: David, author of palliative care memoir "August Farewell" #hpm

#hpm - Healthcare Social Media Transcript