1. #hpm
Healthcare Hashtag Twitter Transcript
From: Wed Apr 27 17:55:00 PDT 2011
To: Wed Apr 27 19:05:00 PDT 2011
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Learn more about #hpm at The Healthcare Hashtag Project
Daniel_Spurgeon RT @hollyby: RT @Pallimed: New Pallimed Post:: The Unspoken - Short Film
About Father-Son Communication http://hpm.md/l33BE6 #hpm
Wed Apr 27 17:56:36 PDT 2011
ctsinclair @Daniel_Spurgeon Don't you love that short film? #hpm
Wed Apr 27 17:57:19 PDT 2011
PracticalWisdom Getting ready to Learn/Chat/Enjoy/Think from my Pals so I'm feeling
http://www.youtube.com/watch?v=TJBhdKrwTOc #HPM
Wed Apr 27 17:57:44 PDT 2011
MeredithGould Hospice & Palliative Medicine chat coming up in 2 minutes! #hpm
Wed Apr 27 17:58:19 PDT 2011
ctsinclair @nadyne4 Wow! I am honored that my tweet was your first retweet! welcome to
twitter! #hpm
Wed Apr 27 17:58:21 PDT 2011
FamMedChat Looking forward to tomorrow's #FamMedChat at 9pmEST! @mdstudent31 will be
moderating - hope you can join us w/ friends live at #STFM! #HPM
Wed Apr 27 17:59:09 PDT 2011
ctsinclair @PracticalWisdom Slow down you move too fast...is that a theme for tweetchat?
#hpm
Wed Apr 27 17:59:14 PDT 2011
renee_berry in the next hour I'll be participating in a chat abt #hospice & #palliative care, all are
welcome to join #meded #HealthLit #healthcare #hpm
Wed Apr 27 18:00:06 PDT 2011
SheyontheBay Next hour, tweeting #hpm tweetchat
Wed Apr 27 18:00:45 PDT 2011

2. ctsinclair Hey it is the top of the hour, time t ostart #Hospice and Palliative Tweetchat. use
the hashtag #HPM in Tweetdeck or Tweetchat #hpm
Wed Apr 27 18:00:57 PDT 2011
KathyKastner Trying to to do homework from @hollyby 's RT's b4 plunging in to #hpm Evening
all.
Wed Apr 27 18:01:09 PDT 2011
renee_berry @FamMedChat @mdstudent31 sounds awesome, feel free to join our chat any
time as well! #stfm #FamMedChat #hpm
Wed Apr 27 18:01:18 PDT 2011
hollyby Me too, for a bit. RT @SheyontheBay: Next hour, tweeting #hpm tweetchat #hpm
Wed Apr 27 18:01:35 PDT 2011
ctsinclair All tweets are my own #TAMO. And the next hour you will see a lot of tweets since I
am moderating tonight. Come join us... #hpm
Wed Apr 27 18:01:37 PDT 2011
hollyby @KathyKastner Not homework, just finally got onto Twitter today. :) #hpm
Wed Apr 27 18:01:53 PDT 2011
ctsinclair I have not been to #FamMedChat but gald to see them getting started! #hpm
Wed Apr 27 18:02:15 PDT 2011
renee_berry --> awkwardly obsessed with patient centered care, love advance care planning,
early palliative care & hospice volunteerism w/@KLXmedia #hpm
Wed Apr 27 18:02:28 PDT 2011
PracticalWisdom Wanted to share Feeling Groovy w/Pals.RT @ctsinclair: @PracticalWisdom Slow
down you move too fast...is that a theme for tweetchat? #HPM
Wed Apr 27 18:02:35 PDT 2011
renee_berry RT @ctsinclair: I have not been to #FamMedChat but gald to see them getting
started! #hpm
Wed Apr 27 18:02:35 PDT 2011
GailZahtz Oh, yea! Finally catching back with one of my favorite medchats #HPM. So for the
next hour I hope to be tweeting there!
Wed Apr 27 18:02:37 PDT 2011
ctsinclair Feel free to introduce yourself. newbies are welcome, dont be shy. #hpm
Wed Apr 27 18:02:42 PDT 2011
MeredithGould @KathyKastner @hollyby There was/is homework?? Carp! I'm gonna flunk
tonight's chat for sure. #hpm
Wed Apr 27 18:02:43 PDT 2011
renee_berry @ctsinclair are you hosting? I thought I saw a tweet from @jodyms that she was
hosting tonight? change of plans? #hpm
Wed Apr 27 18:03:34 PDT 2011

3. Wed Apr 27 18:03:34 PDT 2011
ctsinclair Christian Sinclair, Palliative Doc @KChospice, Editor @Pallimed, CEO
@KLXmedia, Newly minted 36 year old. Fan of @SJSharks #hpm
Wed Apr 27 18:03:37 PDT 2011
RossJeanette Hi all HPM doc, associate HPM fellowship director @uthscsa passionate about
teaching #HPM
Wed Apr 27 18:04:09 PDT 2011
ctsinclair @renee_berry Nope the schedule tonight had a blank spot, @JodyMS is
moderating in June I believe #hpm
Wed Apr 27 18:04:14 PDT 2011
MeredithGould <--sociologist, keen on using social media to build communities for patients,
caregivers & providers. Also on Twitter as @HealthFaith #hpm
Wed Apr 27 18:04:18 PDT 2011
erinrbreedlove I'm Erin, patient blogger/advocate, college student, future physician. Hi, y'all!
www.healthyunwealthywise.com #hpm
Wed Apr 27 18:04:26 PDT 2011
hollyby @MeredithGould @KathyKastner No homework. If there was, my cat ate it. #hpm
Wed Apr 27 18:04:29 PDT 2011
mdstudent31 Hey all! Kevin, 4th yr med student (t-23 days), excited about 2morrows
#FamMedChat, multitasking w/ @DrMikeSevilla's show & friends @ #hpm
Wed Apr 27 18:04:46 PDT 2011
PracticalWisdom Curious Adult Education Scholar who morphs the ho-hum into compelling.
Speaker, Trainer, Presentation Designer, Rascal. #HPM
Wed Apr 27 18:04:48 PDT 2011
GailZahtz Patient, care-giver, healthcomm, proud parent of @ALifeGuide and broadcaster
from #ATC11 in 3 days. #HPM
Wed Apr 27 18:05:14 PDT 2011
doctatum RT @PalliativeMed_j Cultures of Interdisciplinary Teams: How to Foster Good
Dynamics http://ow.ly/4BiKr #hpm great jeanie!!!
Wed Apr 27 18:05:30 PDT 2011
DNRstories Hi there. Pulmonary Critical care fellow and Author of DNR: Do Not Resuscitate
#hpm
Wed Apr 27 18:05:31 PDT 2011
ctsinclair Tweetchat 2011 schedule for #hpm: http://hpm.md/gsaCVZ #hpm
Wed Apr 27 18:05:41 PDT 2011
SheyontheBay Hospice nurse, NY #hpm
Wed Apr 27 18:06:14 PDT 2011

4. JoshGriffin RT @GailZahtz: Oh, yea! Finally catching back with one of my favorite medchats
#HPM. So for the next hour I hope to be tweeting there!
Wed Apr 27 18:06:16 PDT 2011
hollyby Holly Yang, HPM doc from @SanDiegoHospice. All tweets are my own. Can only
join for a bit. :( #hpm
Wed Apr 27 18:06:18 PDT 2011
hvto Missed all of you & the ideas you inspire in the last few wks - been working hard at
Adv Dir presentations #hpm
Wed Apr 27 18:06:24 PDT 2011
KathyKastner Official greetings all. Health blogger w keen interest in (and appreciation 4) all
things #hpm.
Wed Apr 27 18:06:26 PDT 2011
MeredithGould <--Also, victim of humidity. #hpm
Wed Apr 27 18:06:33 PDT 2011
thehealthmaven Hi All, I'm lurking..see some great healthcare thought leaders here #hpm
Wed Apr 27 18:06:35 PDT 2011
PracticalWisdom Getting ready for a Big WIC Presentation for Breastfeeding Peer Counselors
tomorrow. RE: Balancing Work/Personal LIfe #HPM
Wed Apr 27 18:06:36 PDT 2011
ctsinclair @doctatum @Ewidera @dianeEmeier @Dweissma @rabob ARe any of you
joining us tonight? #hpm
Wed Apr 27 18:06:42 PDT 2011
RossJeanette @ctsinclair thanks for letting me use the SM slides I did a brief presentation on SM
today new interest group #PRISMSA #HPM
Wed Apr 27 18:06:49 PDT 2011
DianeEMeier RT @hollyby: RT @ctffox: #Palliative care options for #seniors http://ow.ly/4IuMZ
#hpm
Wed Apr 27 18:06:54 PDT 2011
ctsinclair @hollyby Have missed you Holly. Glad to have you for any time we can! #hpm
Wed Apr 27 18:07:04 PDT 2011
ctsinclair @RossJeanette How did it go? Any skeptics? #hpm
Wed Apr 27 18:07:19 PDT 2011
PracticalWisdom Presenting Gals RT @hvto: Missed all of you & the ideas you inspire in the last few
wks - been working hard at Adv Dir presentations #HPM
Wed Apr 27 18:07:21 PDT 2011
DianeEMeier RT @hollyby: RT @CAPCpalliative: About.com on #palliative care. Here's a new
video with Dr. Nathan Goldstein from @MountSinaiNYC http://ow.ly/4Iq6X #hpm
Wed Apr 27 18:07:29 PDT 2011

5. GailZahtz RT @ctsinclair: Tweetchat 2011 schedule for #hpm: http://hpm.md/gsaCVZ #hpm
<-So organized Christian!
Wed Apr 27 18:07:41 PDT 2011
PracticalWisdom Agree. Holly U R Valuable! RT @ctsinclair: @hollyby Have missed you Holly. Glad
to have you for any time we can! #HPM
Wed Apr 27 18:07:47 PDT 2011
JoshGriffin RT @hollyby: @MeredithGould @KathyKastner No homework. If there was, my cat
ate it. #hpm
Wed Apr 27 18:07:47 PDT 2011
MatthewsMichele <---social media, blogging, #healthcare policy,#hpm enthusiast; w/
@KLXmedia...New #hpm tweetchat regular :) #hpm
Wed Apr 27 18:07:54 PDT 2011
doctatum Paul Here. From NewOrleans for #STFM #hpm
Wed Apr 27 18:07:55 PDT 2011
erinrbreedlove Happy belated birthday, @ctsinclair! Hope it was excellent! #hpm
Wed Apr 27 18:08:00 PDT 2011
ctsinclair @KathyKastner Thanks for the pdf on computer use with EMR and patients. Will be
talking about tonight. #hpm
Wed Apr 27 18:08:01 PDT 2011
hollyby @ctsinclair Missed you all too! Be back full time soon! Love my HPM tweeps! #hpm
Wed Apr 27 18:08:04 PDT 2011
ctsinclair Will get started with topic 1 in just a minute #hpm
Wed Apr 27 18:08:17 PDT 2011
RossJeanette @ctsinclair it went well I invited them to join in or lurk. #HPM
Wed Apr 27 18:08:22 PDT 2011
renee_berry RT @RossJeanette: @ctsinclair thanks for letting me use the SM slides I did a
brief presentation on SM today new interest group #PRISMSA #HPM
Wed Apr 27 18:08:35 PDT 2011
aliciabloom via @secondact: More People Choosing Hospice at Life's End
(http://t.co/A7VXTCW) wonderful piece explaining why. #hpm
Wed Apr 27 18:08:37 PDT 2011
mdstudent31 @doctatum Have fun at #STFM! Wish I could have made it down - @DrMikeSevilla
is broadcasting live from there right now #hpm
Wed Apr 27 18:09:06 PDT 2011
SheyontheBay @DianeEMeier Looking forward to seeing that #hpm
Wed Apr 27 18:09:10 PDT 2011

6. KathyKastner I took that as my cue RT @ctsinclair: @KathyKastner Thanks for the pdf on
computer use with EMR and patients. http://hpm.md/jide5l #hpm
Wed Apr 27 18:09:13 PDT 2011
RossJeanette @doctatum Hi Paul have you tweeted from #STFM ? I'll have to look for tweets.
#HPM
Wed Apr 27 18:09:24 PDT 2011
JoshGriffin Josh, Pastor and Chaplain, mostly lurking depending on when DW gets home
#hpm
Wed Apr 27 18:09:56 PDT 2011
PracticalWisdom @ctsinclair: They say it was your http://www.youtube.com/watch?v=ztoSUhbNntQ
Hope you had a Good time! #HPM
Wed Apr 27 18:10:06 PDT 2011
doctatum @RossJeanette @doctatum will tweet #stfm starting tomorrow #hpm
Wed Apr 27 18:10:14 PDT 2011
mdstudent31 @RossJeanette @doctatum We will also have a gathering tomorrow there for our
#FamMedChat tomorrow at this time! #STFM #hpm
Wed Apr 27 18:10:17 PDT 2011
ctsinclair Topic #1: Many R raving abt tablets/iPads being EMR/bedside revolution. In what
ways could they be helpful for a hospice population? #hpm
Wed Apr 27 18:10:25 PDT 2011
AmandaChanguris Ooh, bad hair day? “@MeredithGould: <--Also, victim of humidity. #hpm”
Wed Apr 27 18:11:09 PDT 2011
renee_berry RT @ctsinclair: Topic #1: Many R raving abt tablets/iPads being EMR/bedside
revolution. In what ways could they be helpful for a hospice population? #hpm
Wed Apr 27 18:11:27 PDT 2011
ctsinclair More on Topic 1: Not just straight tablet use for EMR - but what are creative ways 2
use in caring for those w/ advanced illness #hpm
Wed Apr 27 18:11:33 PDT 2011
erinrbreedlove T1: Perhaps, when requiring pt consent on forms, but pt has limited dexterity, "auto
sign" features would give autonomy. :) #hpm
Wed Apr 27 18:11:38 PDT 2011
MatthewsMichele RT @ctsinclair: T1: Many R raving abt tablets/iPads being EMR/bedside revolution.
How can they be helpful for a hospice population? #hpm
Wed Apr 27 18:11:41 PDT 2011
GailZahtz T1 Expanding just a bit beyond hospice- I had a group ask about using tablets for
patients who were pre-hospice w/volunteers #HPM
Wed Apr 27 18:11:45 PDT 2011
Family Medicine JournalL: pts view of Tablets in Exam Rooms = positive

7. Family Medicine JournalL: pts view of Tablets in Exam Rooms = positive
KathyKastner http://hpm.md/jide5l #hpm
Wed Apr 27 18:11:53 PDT 2011
ctsinclair RT @erinrbreedlove: T1: Perhaps, when requiring pt consent on forms, but pt has
limited dexterity, "auto sign" features give autonomy. #hpm
Wed Apr 27 18:12:07 PDT 2011
aliciabloom electronic medical records will improve transitions between care settings &
enhance care. #hpm
Wed Apr 27 18:12:34 PDT 2011
JoshGriffin @MeredithGould Great to be here! #hpm
Wed Apr 27 18:12:37 PDT 2011
mdstudent31 T1: Skype/video chat for docs and patients/caregivers to add the sense of vision to
communication between visits #hpm
Wed Apr 27 18:12:50 PDT 2011
inhousehospice RT @ctsinclair: T1: Many R raving abt tablets/iPads being bedside revolution. what
ways could they be helpful for a hospice population? #hpm
Wed Apr 27 18:12:50 PDT 2011
ctsinclair @erinrbreedlove Do you know if there is legal support for electronic consent?
Great idea! cc @Thaddeuspope #hpm
Wed Apr 27 18:12:51 PDT 2011
SheyontheBay Hospice pts Using skype to visit with distant relatives #hpm
Wed Apr 27 18:12:56 PDT 2011
GailZahtz T1 A big tablet EMR advantage is for a patient with multiple care-givers, or a care-
giver trying to keep track of docs. #HPM
Wed Apr 27 18:13:02 PDT 2011
ctsinclair @GailZahtz Could be talking about those with life-threatening/limiting illness, not
just hospice. #hpm
Wed Apr 27 18:13:12 PDT 2011
doctatum I would love to see pt symptom assessment with VAS filled out by finger touch on
screen, and then that data autopopulate my notes #hpm
Wed Apr 27 18:13:19 PDT 2011
erinrbreedlove And really, who can't foster family togetherness at EOL with a little Angry Birds? :)
#hpm
Wed Apr 27 18:13:35 PDT 2011
hollyby T1: Besides the obvious portability stuff for EMRs, it would be a great way to record
as needed medication doses taken, symptoms, ?'s #hpm
Wed Apr 27 18:13:54 PDT 2011
renee_berry T1 creative ways to use ipads 4those w/advanced illness- utilizing picture sharing,
video & apps to connect fam members at the bedside #hpm
Wed Apr 27 18:14:03 PDT 2011

8. Wed Apr 27 18:14:03 PDT 2011
ctsinclair @DNRstories don't forget your #hpm tag Use tweetchat since you dont have to
remember
Wed Apr 27 18:14:03 PDT 2011
DNRstories @ctsinclair T1: iChat/Facetime with distant relatives!!! iPad 2 is perfect for this. (i'm
an apple junkie, btw) #hpm (forgot to add #hpm
Wed Apr 27 18:14:04 PDT 2011
westr RT @KathyKastner: Family Medicine JournalL: pts view of Tablets in Exam Rooms
= positive http://hpm.md/jide5l #hpm #pm101
Wed Apr 27 18:14:11 PDT 2011
erinrbreedlove @ctsinclair @erinrbreedlove @Thaddeuspope Not sure about legalities. Will
investigate. #hpm
Wed Apr 27 18:14:18 PDT 2011
PracticalWisdom T1: MD. Can show/educate pt's by using the internet can show their med tests.
MD's don't need to leave bedside to obtain info. #HPM
Wed Apr 27 18:14:19 PDT 2011
ctsinclair @doctatum Oh yes me too. And it would show a historical record to patient and
care team #hpm
Wed Apr 27 18:14:25 PDT 2011
GailZahtz @ctsinclair TY this group's volunteers go into homes of critically ill elderly patients-
thought tablets would be gr8 communications #HPM
Wed Apr 27 18:14:25 PDT 2011
RossJeanette T1videochat between hospice patient/ family and hospice personnel. rural areas?
#HPM
Wed Apr 27 18:14:26 PDT 2011
ctsinclair RT @doctatum: pt symptom assessment with VAS filled out by finger touch on
screen, and then that data autopopulate my notes #hpm
Wed Apr 27 18:14:36 PDT 2011
MeredithGould Anyone else worry (a bit) about tablets being like petri dishes? #hpm
Wed Apr 27 18:14:45 PDT 2011
hvto T1 could facilitate a faster referral 2 hospice by linking to a rep (SM savvy one) to
request immediate consultation. #hpm
Wed Apr 27 18:14:48 PDT 2011
MatthewsMichele RT @RossJeanette: T1videochat between hospice patient/ family and hospice
personnel. rural areas? #hpm
Wed Apr 27 18:15:00 PDT 2011
erinrbreedlove Recording via checklist would be a little risky. What if your finger slips? With typing,
it's easier to decipher a little typo. #hpm
Wed Apr 27 18:15:03 PDT 2011

9. KathyKastner +1RT @MeredithGould: Anyone else worry (a bit) about tablets being like petri
dishes? #hpm
Wed Apr 27 18:15:07 PDT 2011
ctsinclair @PracticalWisdom I am really interested in this use of tablet as meded tool to
patients and families.. Trying to pick what topics.. #hpm
Wed Apr 27 18:15:07 PDT 2011
JoshGriffin RT @SheyontheBay: Hospice pts Using skype to visit with distant relatives #hpm
Wed Apr 27 18:15:21 PDT 2011
Zimbarama first time here so just lurking #hpm
Wed Apr 27 18:15:25 PDT 2011
renee_berry T1 video conferencing with interdisciplinary team members #hpm
Wed Apr 27 18:15:26 PDT 2011
GailZahtz T1 Medication reminder and keeping track, tracking vitals, sending same
information to multiple treatment team members #HPM
Wed Apr 27 18:15:28 PDT 2011
doctatum I also find carrying laptop into room cumbersome and distracting. Wonder if
discreet tablet size would be more like old fashion chart #hpm
Wed Apr 27 18:15:29 PDT 2011
hollyby @MeredithGould Would need to wipe them down btwn pt's like other medical
equipment. #hpm
Wed Apr 27 18:15:32 PDT 2011
RossJeanette T1 some people can't talk could type or point to common phrases #HPM
Wed Apr 27 18:15:34 PDT 2011
ctsinclair @GailZahtz So the volunteers have the tablets? What about the person on the
other end for communicating? #hpm
Wed Apr 27 18:15:45 PDT 2011
erinrbreedlove Sure, @MeredithGould. But it's like anything in the hospital/medical environment.
Sanitation is of utmost importants. #hpm
Wed Apr 27 18:15:57 PDT 2011
joshgriffin RT @renee_berry: T1 creative ways to use ipads 4those w/advanced illness-
utilizing picture sharing, video & apps to connect fam members at the bedside
#hpm
Wed Apr 27 18:16:01 PDT 2011
hollyby RT @RossJeanette: T1 some people cant talk could type or point to common
phrases #hpm
Wed Apr 27 18:16:12 PDT 2011
MatthewsMichele @RossJeanette video chat not to replace, but in between home visits, rt? Good

10. MatthewsMichele
idea! #hpm
Wed Apr 27 18:16:12 PDT 2011
ctsinclair I know the music therapists I work with want an iPad to use Garage Band with
patients to make music. #hpm
Wed Apr 27 18:16:12 PDT 2011
MeredithGould @hollyby Yes but WILL folks remember to wipe them down? Touch screens are
skeevy. #hpm
Wed Apr 27 18:16:24 PDT 2011
KathyKastner #hpm T2 I am working (as we speak) on content for a mobile app to help facilitte
EOL. AD etc. decisions
Wed Apr 27 18:16:25 PDT 2011
GailZahtz @ctsinclair Idea actually is that every patient has a tablet, and then the information
gets added by the different volunteers/team #HPM
Wed Apr 27 18:16:26 PDT 2011
ctsinclair RT @hollyby: @MeredithGould Would need to wipe them down btwn pts like other
medical equipment. "good point. iMrsa #hpm
Wed Apr 27 18:16:39 PDT 2011
aliciabloom art therapy, music therapy, life review activities. #hpm
Wed Apr 27 18:16:43 PDT 2011
DocForeman RT @ctsinclair: I know the music therapists I work with want an iPad to use Garage
Band with patients to make music. #hpm
Wed Apr 27 18:16:43 PDT 2011
PracticalWisdom T1: patients also got understandinghow complex care, U could show tall tstudies,
consults, iPad on med. rounds, a hands on Md review #HPM
Wed Apr 27 18:16:44 PDT 2011
SheyontheBay @ctsinclair Very cool!! #hpm
Wed Apr 27 18:16:46 PDT 2011
ctsinclair RT @KathyKastner: +1RT @MeredithGould: Anyone else worry (a bit) about tablets
being like petri dishes? #hpm
Wed Apr 27 18:16:55 PDT 2011
PracticalWisdom RT @KathyKastner: #hpm T2 I am working (as we speak) on content for a mobile
app to help facilitte EOL. AD etc. decisions #HPM
Wed Apr 27 18:16:55 PDT 2011
erinrbreedlove I've seen the iPad specifically be a very vital tool for children with special needs
who are nonverbal. Alz/dementia, too? #hpm
Wed Apr 27 18:17:02 PDT 2011
DNRstories #hpm T1: tablets have so many uses at bedside. Photos of "trach", med diagrams,
visual cues to help MDs explain interventions
Wed Apr 27 18:17:14 PDT 2011

11. ctsinclair @GailZahtz Would giving every patient a tablet/computer anything be considered
inducement? I guess not if they were taken back #hpm
Wed Apr 27 18:17:21 PDT 2011
PracticalWisdom @ctsinclair @hollyby @MeredithGould: Easy to clean. Alcohol based wipes. #HPM
Wed Apr 27 18:17:24 PDT 2011
renee_berry T1 I get concerned about these new tools being a distraction (like many other
things) from being present w/the patient & family #hpm
Wed Apr 27 18:17:40 PDT 2011
hollyby It would be really useful if there was an app that beeped when it is med time & had
pics of the meds they are supposed to take #hpm
Wed Apr 27 18:17:43 PDT 2011
SheyontheBay Gotta "read" the pt - some put off by technology, see as barrier #hpm
Wed Apr 27 18:17:44 PDT 2011
MeredithGould T1 Looking at all these reasons for using tablets but not seeing how they're
different/better than smartphones or notebook computers #hpm
Wed Apr 27 18:17:47 PDT 2011
erinrbreedlove Could allow us a window into true thought processes of terminally ill patients.
Valuable and vital to effective care. #hpm
Wed Apr 27 18:17:51 PDT 2011
ctsinclair @erinrbreedlove Great thoughts of finding similarities between peds patients
attention needs and #dementia Something to keep engaged. #hpm
Wed Apr 27 18:17:58 PDT 2011
hvto @ctsinclair T1 - Would love to see patients using ipad to create their legacy of
memories and wishes through journaling #hpm
Wed Apr 27 18:18:03 PDT 2011
PracticalWisdom Yes, G8Story NCRT @erinrbreedlove: Ive seen iPad specifically be a very vital tool
Kids special needs nonnonverbal. Alz/dementia, too? #HPM
Wed Apr 27 18:18:11 PDT 2011
MatthewsMichele @erinrbreedlove I'm no doc, but i would say depends on what stage they are in
their illness re: Alz, dementia patients. #hpm
Wed Apr 27 18:18:13 PDT 2011
MeredithGould RT @SheyontheBay: Gotta "read" the pt - some put off by technology, see as barrier
#hpm
Wed Apr 27 18:18:18 PDT 2011
RossJeanette T1 I guess you would have to give the tablet back like u do w hospital beds #HPM
Wed Apr 27 18:18:24 PDT 2011
DNRstories RT @PracticalWisdom: @ctsinclair @hollyby @MeredithGould: Easy to clean.

12. DNRstories
Alcohol based wipes. #HPM
Wed Apr 27 18:18:24 PDT 2011
PracticalWisdom RT @erinrbreedlove: Could allow uswindow into true thought processes terminally
ill patients. Valuable and vital to effective care. #HPM
Wed Apr 27 18:18:26 PDT 2011
ctsinclair @PracticalWisdom Are you supposed to use alcohol wipes on iPads? I thought
they had an oleophillic coating, and you had 2b particular? #hpm
Wed Apr 27 18:18:31 PDT 2011
PracticalWisdom RT @hvto: @ctsinclair T1 - Would love to see patients using ipad to create their
legacy of memories and wishes through journaling #HPM
Wed Apr 27 18:18:37 PDT 2011
Zimbarama @MeredithGould @SheyontheBay totally agree sometimes technology is seen as
impersonal maybe? #hpm
Wed Apr 27 18:18:52 PDT 2011
westr Disinfectable. RT @KathyKastner: +1RT @MeredithGould: Anyone else worry (a
bit) about tablets being like petri dishes? #hpm
Wed Apr 27 18:18:57 PDT 2011
KathyKastner TY lisa :)RT @PracticalWisdom: RT @KathyKastner: #hpm T2 I am working (as we
speak) on content for a mobile ap… (cont) http://deck.ly/~qwRHy
Wed Apr 27 18:18:59 PDT 2011
GailZahtz @ctsinclair Theoretically tablet could be a lease like other medical equipment (e.g.
beds) at home. But think it's participatory care! #HPM
Wed Apr 27 18:19:04 PDT 2011
ctsinclair @erinrbreedlove tablets as communication tools very good idea. #hpm
Wed Apr 27 18:19:07 PDT 2011
PracticalWisdom Choice Diff. Strokes Diff. Folks RT @MeredithGould: RT @SheyontheBay: Gotta
"read" the pt - some put off by technology, see as barrier #HPM
Wed Apr 27 18:19:09 PDT 2011
RiversidePD RT @erinrbreedlove: I've seen the iPad specifically be a very vital tool for children
with special needs who are nonverbal. Alz/dementia, too? #hpm
Wed Apr 27 18:19:23 PDT 2011
cathycongo RT @ctsinclair: I know the music therapists I work with want an iPad to use Garage
Band with patients to make music. #hpm
Wed Apr 27 18:19:28 PDT 2011
hvto T1 preloaded with links to sites like Caring Bridge; great for patient/caregivers to
share their journey #hpm
Wed Apr 27 18:19:28 PDT 2011
ctsinclair RT @aliciabloom: art therapy, music therapy, life review activities. #hpm
Wed Apr 27 18:19:35 PDT 2011

13. KathyKastner RT @PracticalWisdom: RT @hvto: @ctsinclair T1 - Would love to see patients
using ipad to create their legacy of memories and wishes through journaling
#HPM
Wed Apr 27 18:19:40 PDT 2011
erinrbreedlove RE: Cleaning: I use a specific cleaner that Apple markets for MBP, iPad, and
iPhone screens. #hpm
Wed Apr 27 18:19:48 PDT 2011
renee_berry RT @PracticalWisdom: RT @hvto: @ctsinclair T1 - Would love to see patients
using ipad to create their legacy of memories and wishes through journaling
#HPM
Wed Apr 27 18:19:49 PDT 2011
PracticalWisdom Not problem lit saidRT @westr: Disinfectable. RT @KathyKastner: +1RT
@MeredithGould: Anyone worry tablets being like petri dishes? #HPM
Wed Apr 27 18:19:54 PDT 2011
joshgriffin @ctsinclair I've also heard of therapists using the drum apps for dexterity work.
#hpm
Wed Apr 27 18:19:54 PDT 2011
GailZahtz @hollyby There is an app for that, and also one that gives the name and cross-
med from pics of the pill #HPM
Wed Apr 27 18:19:58 PDT 2011
hollyby Also... an app that notified the hospice team if the pt. recorded more than 6 doses
of as needed pain meds in a day. #hpm
Wed Apr 27 18:20:07 PDT 2011
joshgriffin RT @GailZahtz: @ctsinclair Idea actually is that every patient has a tablet, and then
the information gets added by the different volunteers/team #HPM
Wed Apr 27 18:20:13 PDT 2011
ctsinclair @Zimbarama My concern as well. If the tablet acts as an amplifier for good
interaction or a distraction. #ShinyNewObjectSyndrome #hpm
Wed Apr 27 18:20:16 PDT 2011
SheyontheBay RT @ctsinclair: Are you supposed to use alcohol wipes on iPads? I thought they
had an oleophillic coating, and you had 2b particular? #hpm
Wed Apr 27 18:20:34 PDT 2011
renee_berry RT @SheyontheBay: Gotta "read" the pt - some put off by technology, see as barrier
#hpm
Wed Apr 27 18:20:34 PDT 2011
ctsinclair RT @hollyby: app that notified the hospice team if the pt. recorded more than 6
doses of as needed pain meds in a day. "like" #hpm
Wed Apr 27 18:20:44 PDT 2011
hollyby @GailZahtz Really? What is it called? #hpm
Wed Apr 27 18:20:47 PDT 2011

14. MeredithGould And who gives every patient a tablet? The healthcare organization? Who pays for
that? #hpm
Wed Apr 27 18:20:53 PDT 2011
KathyKastner RT @renee_berry: RT @SheyontheBay: Gotta "read" the pt - some put off by
technology, see as barrier #hpm
Wed Apr 27 18:20:55 PDT 2011
MatthewsMichele RT @Zimbarama My concern as well. If the tablet acts as an amplifier for good
interaction or a distraction. #ShinyNewObjectSyndrome #hpm
Wed Apr 27 18:21:05 PDT 2011
ctsinclair RT @hvto: T1 preloaded with links to sites like Caring Bridge; great for
patient/caregivers to share their journey #hpm
Wed Apr 27 18:21:05 PDT 2011
GailZahtz RT @hvto: T1 preloaded with links to sites Caring Bridge; great patient/caregivers
to share journey #hpm <-Yes, pre-loaded not overloaded
Wed Apr 27 18:21:13 PDT 2011
renee_berry RT @ctsinclair: @Zimbarama My concern as well. If the tablet acts as an amplifier
for good interaction or a distraction #hpm
Wed Apr 27 18:21:14 PDT 2011
Zimbarama @ctsinclair agreed, and maybe a false sense of emotion through technology...
also what happens when they go home? #hpm
Wed Apr 27 18:21:14 PDT 2011
DNRstories T1 #hpm I have ipad and use with pts a lot, find they love it and appreciate the
visuals. Having access to Xrays on ipad would be so useful
Wed Apr 27 18:21:24 PDT 2011
JoshGriffin @ctsinclair @gailzahtz Or could have a nominal fee like the TVs. #hpm
Wed Apr 27 18:21:25 PDT 2011
Zimbarama @MeredithGould agree, thats not feasible i don't think... #hpm
Wed Apr 27 18:21:35 PDT 2011
KathyKastner RT @DNRstories: T1 #hpm I have ipad and use with pts a lot, find they love it and
appreciate the visuals. Having access to Xrays on ipa ...
Wed Apr 27 18:21:37 PDT 2011
GailZahtz RT @hollyby: @GailZahtz Really? What is it called? #hpm <-I'll get you the names
of the different ones and the links
Wed Apr 27 18:21:52 PDT 2011
ctsinclair RT @MeredithGould Who pays for the tablet? "The ever elusive 'grant funding' I
hear that animal is going extinct!" #hpm
Wed Apr 27 18:21:57 PDT 2011

15. hvto ALS Society often provides keyboards for pts when verbal communication is
affected. Wonder why they don't transition to ipad? #hpm
Wed Apr 27 18:21:58 PDT 2011
erinrbreedlove Blog reader's child using iPad to communicate. CP/nonverbal/3 years old. Now
spelling http://www.youtube.com/watch?v=TYRztzNizLE #hpm
Wed Apr 27 18:21:59 PDT 2011
SheyontheBay @hollyby dont like that app - minimizes face-to-face interaction/assessment/touch
#hpm
Wed Apr 27 18:22:04 PDT 2011
MeredithGould The ipad is just another *tool* for communication that needs to be used wisely &
well. #hpm
Wed Apr 27 18:22:43 PDT 2011
Zimbarama we have to remember that even through the use of technology nothing beats the
personal touch #hpm
Wed Apr 27 18:22:52 PDT 2011
PracticalWisdom T1: Doc get info and don't have to leave Pt in Bed. Can get from web and show pts
their medical information/Tests. EAsy to carry #HPM
Wed Apr 27 18:22:54 PDT 2011
DNRstories #hpm Tablets should/could be similar to the video games and toys that are
common place in children's hospitals. Lifts spirits.T1
Wed Apr 27 18:22:58 PDT 2011
ctsinclair @GailZahtz I think tablets for patients would have to be carefully constructed
benefit, so it doesn't look like an enticement. #HPM
Wed Apr 27 18:22:59 PDT 2011
KathyKastner #hpm 1,800 ipads are going to hospital in Ottawa http://tinyurl.com/3jpamwr
Wed Apr 27 18:23:02 PDT 2011
hollyby @SheyontheBay Not a replacement for care, just a warning in case the patients
are not ones that call in between visits. #hpm
Wed Apr 27 18:23:07 PDT 2011
inhousehospice RT @MeredithGould: The ipad is just another *tool* for communication that needs
to be used wisely & well. #hpm
Wed Apr 27 18:23:10 PDT 2011
MatthewsMichele Clinicians how do you go abt developing a balance between tech and traditional
care? shouldnt there be one? #hpm
Wed Apr 27 18:23:19 PDT 2011
hvto RT @ctsinclair: RT @MeredithGould Who pays for the tablet? Gotta show the cost
savings compared to traditional methods. #hpm
Wed Apr 27 18:23:22 PDT 2011
KathyKastner Amen RT @inhousehospice: RT @MeredithGould: The ipad is just another *tool*
for communication that needs to be used wisely & well. #hpm

16. for communication that needs to be used wisely & well. #hpm
Wed Apr 27 18:23:27 PDT 2011
MatthewsMichele RT @hollyby: @SheyontheBay Not a replacement for care, just a warning in case
the patients are not ones that call in between visits. #hpm
Wed Apr 27 18:23:32 PDT 2011
ctsinclair Have seen peds patients use iPad to work on dexterity #hpm
Wed Apr 27 18:23:35 PDT 2011
renee_berry RT @Zimbarama: we have to remember that even through the use of technology
nothing beats the personal touch #hpm
Wed Apr 27 18:23:55 PDT 2011
MeredithGould @ctsinclair Yeah, like: come die with us and YOU can use a spankin' new ipad as
you leave Earth Duty. #hpm
Wed Apr 27 18:23:57 PDT 2011
JoshGriffin @GailZahtz @hollyby I could use that list as well. #hpm
Wed Apr 27 18:24:14 PDT 2011
ctsinclair @MatthewsMichele never have felt comfortable documenting on laptop in with
patient or family in hospice. Makes for long days charting #hpm
Wed Apr 27 18:24:16 PDT 2011
erinrbreedlove Keep in mind, folks. iPads are great, but they don't replace the values of human
contact and engaging relationships. #hpm
Wed Apr 27 18:24:25 PDT 2011
renee_berry RT @MatthewsMichele: Clinicians how do you go abt developing a balance
between tech and traditional care? shouldnt there be one? #hpm
Wed Apr 27 18:24:26 PDT 2011
hvto RT @renee_berry: RT @Zimbarama: we have to remember that even through the
use of technology nothing beats the personal touch #hpm
Wed Apr 27 18:24:26 PDT 2011
PracticalWisdom @inhousehospice @MeredithGould: Unless it took away eye to eye
contact/Listening how could it be used poorly? #HPM
Wed Apr 27 18:24:28 PDT 2011
GailZahtz @ctsinclair Enticement for what? #HPM
Wed Apr 27 18:24:36 PDT 2011
hollyby @SheyontheBay Also, PRN medication record may be more reliable on the iPad if
pt's like it. Can help us titrate meds more accurately #hpm
Wed Apr 27 18:24:41 PDT 2011
SheyontheBay @MatthewsMichele @hollyby @SheyontheBay if pts need 6 rescue doses/day,
need mre frequent visits #hpm
Wed Apr 27 18:24:47 PDT 2011

17. if technology can enhance the care we provide to our patients, then i'm all for
aliciabloom it....but, it should never be a substitute. #hpm
Wed Apr 27 18:24:47 PDT 2011
ctsinclair @MeredithGould Exactly! Have to make sure the tablet is returned especially with
#hospice short stay being more the rule. #hpm
Wed Apr 27 18:24:59 PDT 2011
westr RT @mdstudent31: T1 Skype/video chat for docs & patients/caregivers to add the
sense of vision to communication between visits #hpm #pm101
Wed Apr 27 18:25:04 PDT 2011
MeredithGould @KathyKastner Thanks for that RT, I get crazed when technological tools
(hardware & software) are treated like the Holy Grail. #hpm
Wed Apr 27 18:25:09 PDT 2011
MatthewsMichele RT @erinrbreedlove: Keep in mind, folks. iPads are great, but they dont replace the
values of human contact and engaging relationships. #hpm
Wed Apr 27 18:25:11 PDT 2011
ctsinclair RT @aliciabloom: if technology can enhance the care we provide to our patients,
then im all for it but should never be a substitute. #hpm
Wed Apr 27 18:25:12 PDT 2011
ctsinclair Getting ready for Topic #2..final thoughts on T1? #hpm
Wed Apr 27 18:25:24 PDT 2011
renee_berry RT @aliciabloom: if technology can enhance the care we provide to our patients,
then i'm all for it....but, it should never be a substitute. #hpm
Wed Apr 27 18:25:45 PDT 2011
aliciabloom @ctsinclair iPads for all of us! #hpm
Wed Apr 27 18:25:51 PDT 2011
DNRstories @MeredithGould @ctsinclair #hpm But tablets/ipads can benefit ALL patients, not
just dying ones. Just like TVs in rooms.
Wed Apr 27 18:25:58 PDT 2011
MeredithGould @ctsinclair Oh, like: we will not release your loved one's body until you return the
iPad. (I'd love to be the writer for that info!) #hpm
Wed Apr 27 18:26:10 PDT 2011
hollyby Tech is no substitute for hands-on care, but can enhance care if used to its full
potential #hpm
Wed Apr 27 18:26:14 PDT 2011
erinrbreedlove As someone with a physical disability, the iPad has changed my world. Never carry
laptop to class. iPhone has made it all EASIER. #hpm
Wed Apr 27 18:26:21 PDT 2011
PracticalWisdom @ctsinclair: Still not clear how it could be a substitute> #HPM
Wed Apr 27 18:26:24 PDT 2011

18. renee_berry @DNRstories @MeredithGould @ctsinclair has potential to benefit all patients, but
I don't know if I'd say all.. #hpm
Wed Apr 27 18:26:46 PDT 2011
SheyontheBay RT @MeredithGould: @ctsinclair Yeah, like: come die with us and YOU can use a
spankin new ipad as you leave Earth Duty..OYE MEredith!! #hpm
Wed Apr 27 18:26:50 PDT 2011
PracticalWisdom Agree. RT @hollyby: Tech is no substitute for hands-on care, but can enhance care
if used to its full potential #HPM
Wed Apr 27 18:26:50 PDT 2011
hollyby Exactly! RT @SheyontheBay: @MatthewsMichele @hollyby if pts need 6 rescue
doses/day, need mre frequent visits #hpm
Wed Apr 27 18:27:01 PDT 2011
renee_berry RT @DNRstories: #hpm Tablets should/could be similar to the video games and
toys that are common place in children's hospitals. Lifts spirits.T1
Wed Apr 27 18:27:05 PDT 2011
DNRstories RT @renee_berry: @DNRstories @MeredithGould @ctsinclair has potential to
benefit all patients, but I don't know if I'd say all.. #hpm
Wed Apr 27 18:27:07 PDT 2011
ctsinclair Topic #2: @ModernHealthcr just announced 2011 nomination process for top
influencers for healthcare. What role will social media play? #hpm
Wed Apr 27 18:27:17 PDT 2011
MeredithGould @SheyontheBay ;-) #hpm
Wed Apr 27 18:27:31 PDT 2011
GailZahtz I truly believe that technology should be a tool to allow more time for physicians to
do what only they can do with patients #HPM
Wed Apr 27 18:27:34 PDT 2011
renee_berry RT @ctsinclair: Topic #2: @ModernHealthcr just announced 2011 nomination
process for top influencers for healthcare. What role will social media play? #hpm
Wed Apr 27 18:27:41 PDT 2011
Cure_MTM Having lost a beloved aunt a long time ago, 1 of the things I treasure r notes she
wrote, in her own handwriting, during final days. #hpm
Wed Apr 27 18:27:46 PDT 2011
doctatum RT @hollyby: Tech is no substitute for hands-on care, but can enhance care if
used to its full potential #hpm
Wed Apr 27 18:27:47 PDT 2011
MeredithGould T2 Are they looking for people or things as nominations? #hpm
Wed Apr 27 18:28:03 PDT 2011

19. ctsinclair Topic 2a) Here is the link to the nomination process for @modernhealthcr
http://hpm.md/l5Qojt via @ssmithaahpm #hpm
Wed Apr 27 18:28:15 PDT 2011
PracticalWisdom T1: If technology like IPad is used to share Pt information/education with ease then
seems like it's all "good" along with Soft skills #HPM
Wed Apr 27 18:28:16 PDT 2011
PracticalWisdom RT @GailZahtz: I truly believe technology should be a tool to allow more time for
physicians to do what only they can do with patients #HPM
Wed Apr 27 18:28:26 PDT 2011
inhousehospice RT @ctsinclair: T2: @ModernHealthcr announced 2011 nomination process for top
influencers for healthcare. What role will soc med play? #hpm
Wed Apr 27 18:28:29 PDT 2011
Cure_MTM iPads, etc can be good substitute for those that can't otherwise manage. #hpm
Wed Apr 27 18:28:36 PDT 2011
ctsinclair T2: this isn't just about #hospice per se, more a general social media question.
#hpm
Wed Apr 27 18:28:47 PDT 2011
erinrbreedlove T2: IMHO, social media won't play any role until we fully understand how it is
capable of revolutionizing pt care. And we're not close. #hpm
Wed Apr 27 18:28:52 PDT 2011
renee_berry T2 My question addendum I'm interested in group's thoughts 'what role should it
play?' & 'should nominees be active on social media?' #hpm
Wed Apr 27 18:28:54 PDT 2011
ctsinclair @MeredithGould People I believe. #hpm
Wed Apr 27 18:29:01 PDT 2011
PracticalWisdom Agree! RT @doctatum: RT @hollyby: Tech is no substitute for hands-on care, but
can enhance care if used to its full potential #HPM
Wed Apr 27 18:29:04 PDT 2011
renee_berry RT @ctsinclair: Topic #2: @ModernHealthcr just announced 2011 nomination
process for top influencers for healthcare. What role will social media play? #hpm
Wed Apr 27 18:29:11 PDT 2011
KathyKastner RT @renee_berry: T2 My question addendum I'm interested in group's thoughts
'what role should it play?' & 'should nominees be active on social media?' #hpm
Wed Apr 27 18:29:13 PDT 2011
MeredithGould T2 They're looking for people and, quite frankly (am I a crank tonight or what?) I
think these types of beauty contests are absurd #hpm
Wed Apr 27 18:29:15 PDT 2011
hollyby T2: Can boost votes from a particular field. Ahem, like #hpm

20. hollyby T2: Can boost votes from a particular field. Ahem, like #hpm
Wed Apr 27 18:29:18 PDT 2011
MatthewsMichele T2: People have been tweeting about it for a few days...not sure its the best use of
#socialmedia advocacy though...just my feeling #hpm
Wed Apr 27 18:29:24 PDT 2011
Zimbarama @GailZahtz I think thats the key point technology is a "Tool" it shouldn't be the the
main focus in any healthsystem #hpm #hpm
Wed Apr 27 18:29:30 PDT 2011
PracticalWisdom RT @Zimbarama: @GailZahtz I think thats the key point technology is a "Tool" it
shouldnt not be the the main focus in any healthsystem #HPM
Wed Apr 27 18:29:34 PDT 2011
Zimbarama @MeredithGould its always good to be a devils advocate :-) #hpm
Wed Apr 27 18:29:59 PDT 2011
ctsinclair RT @hollyby: T2: Can boost votes from a particular field. Ahem, like #hpm "that is
one thought for sure, but will others do the same?" #hpm
Wed Apr 27 18:30:00 PDT 2011
erinrbreedlove @MeredithGould Agree totally re: beauty contest. It's not all about the package.
#hpm
Wed Apr 27 18:30:03 PDT 2011
joshgriffin T2: I think it will begin to play a small role but it should play a role. Influencing takes
place on SM and it's valid consideration #hpm
Wed Apr 27 18:30:05 PDT 2011
renee_berry yes! RT @hollyby T2: Can boost votes from a particular field. Ahem, like #hpm
Wed Apr 27 18:30:09 PDT 2011
MeredithGould And I say that as someone who has been paid to write nomination puffery-blather
for similar healthcare industry pubs. #hpm
Wed Apr 27 18:30:12 PDT 2011
joshgriffin T2: It shouldn't be the only consideration, however. #hpm
Wed Apr 27 18:30:19 PDT 2011
MeredithGould @Zimbarama I think of myself as an angelic devil's advocate. #hpm
Wed Apr 27 18:30:30 PDT 2011
renee_berry RT @MatthewsMichele: T2: People have been tweeting about it for a few days...not
sure its the best use of #socialmedia advocacy though...just my feeling #hpm
Wed Apr 27 18:30:32 PDT 2011
PracticalWisdom @Zimbarama @GailZahtz: T1: SoMe like a knife if you know how to use G8 Tool If
you don't it will cut you. #HPM
Wed Apr 27 18:30:34 PDT 2011

21. @renee_berry Right! If you are influential in healthcare should you also at least be
ctsinclair playing in the social media pool? #hpm
Wed Apr 27 18:30:39 PDT 2011
GailZahtz A MRI doesn't substitute for one-on-one care, it enables better care- any technology
should be the same. #HPM @PracticalWisdom @Zimbarama
Wed Apr 27 18:30:46 PDT 2011
PracticalWisdom RT @MeredithGould: And I say as someone who has been paid to write
nomination puffery-blather for similar healthcare industry pubs. #HPM
Wed Apr 27 18:31:07 PDT 2011
MeredithGould RT @ctsinclair: If you are influential in healthcare should you also at least be
playing in the social media pool?<--Agree!! #hpm
Wed Apr 27 18:31:15 PDT 2011
Zimbarama @PracticalWisdom Great analogy! like a master chef then we need ot ensure we
use the tech correctly #hpm
Wed Apr 27 18:31:29 PDT 2011
renee_berry @MatthewsMichele I disagree because I think #palliative care should be more
recognized, so if we vote&use social media = advocacy to me #hpm
Wed Apr 27 18:31:32 PDT 2011
ctsinclair @MeredithGould I agree this has a bit of a beauty contest feel to it. But isn't the
public pretty superficial digesting info anyway? #hpm
Wed Apr 27 18:31:34 PDT 2011
Zimbarama @MeredithGould the best kind :-) #hpm
Wed Apr 27 18:31:40 PDT 2011
GailZahtz RT @ctsinclair: Topic 2a) Here is the link to the nomination process for
@modernhealthcr http://hpm.md/l5Qojt via @ssmithaahpm #hpm
Wed Apr 27 18:31:45 PDT 2011
PracticalWisdom Nice!RT @GailZahtz: MRI doesnt sub.4 one-on-one care, enables better care any
tech should be the same. #HPM @PracticalWisdom @Zimbarama #HPM
Wed Apr 27 18:31:54 PDT 2011
erinrbreedlove So, @ctsinclair, who ARE the influential folks in healthcare? Me as a patient, you
as a doctor? Who? That's why these things are bad. #hpm
Wed Apr 27 18:31:54 PDT 2011
renee_berry RT @ctsinclair: @renee_berry Right! If you are influential in healthcare should you
also at least be playing in the social media pool? #hpm
Wed Apr 27 18:31:58 PDT 2011
hvto RT @ctsinclair: @renee_berry If u r influential n healthcare should u also be
playing n the social media pool? Not the DEEP end! #hpm
Wed Apr 27 18:32:04 PDT 2011
MeredithGould @ctsinclair Why should we waste valuable time & energy that could be spent in
other ways on this stuff? #hpm

22. other ways on this stuff? #hpm
Wed Apr 27 18:32:10 PDT 2011
ctsinclair @MeredithGould RE: public information consumption pattern - Look at picture first,
then headline..move along. #hpm
Wed Apr 27 18:32:11 PDT 2011
joshgriffin @ctsinclair @MeredithGould I'd say so. #hpm
Wed Apr 27 18:32:17 PDT 2011
MatthewsMichele @joshgriffin It's all online voting so what else were you thinking should factor into
it? #hpm
Wed Apr 27 18:32:18 PDT 2011
PracticalWisdom RT @Zimbarama: @PracticalWisdom Great analogy! like a master chef then we
need ot ensure we use the tech correctly #HPM
Wed Apr 27 18:32:23 PDT 2011
DNRstories RT @GailZahtz: A MRI doesn't substitute for one-on-one care, it enables better
care- any technology should be the same. #HPM @PracticalWisdom @Zimbarama
Wed Apr 27 18:32:26 PDT 2011
Zimbarama @GailZahtz I agree with that, bt still tech shouldn't be the focus it should be a tool
to enable better care, if it doesn't then bin it #hpm
Wed Apr 27 18:32:35 PDT 2011
renee_berry I tend to think leaders in #healthcare should participate in social media to help
increase public access to quality info online #hpm
Wed Apr 27 18:32:36 PDT 2011
ctsinclair @erinrbreedlove I would love to see patient advocates be promoted in something
like this, but will likely be industry types #hpm
Wed Apr 27 18:32:40 PDT 2011
hollyby Let's win that beauty contest! Who are we nominating? :) RT @MeredithGould: T2
... I think these types of beauty contests are absurd #hpm
Wed Apr 27 18:32:50 PDT 2011
aliciabloom part of being influential is being able to reach people to educate them. social
media is a key component of this. #hpm
Wed Apr 27 18:33:05 PDT 2011
MeredithGould Spend time flogging names for an industry pub contest OR enhance information
about HPM. Hmmm...choice? #hpm
Wed Apr 27 18:33:19 PDT 2011
techguy @MeredithGould I love beauty contests, when they include beauty and not puffery-
blather. #hpm
Wed Apr 27 18:33:20 PDT 2011
renee_berry (and I know I'm biased) but I do think that social media has become a key indicator
in reach, influence & community building #relevant #hpm
Wed Apr 27 18:33:38 PDT 2011

23. ctsinclair @MeredithGould I agree there shouldn't be strong efforts, but I find these contests
interesting. They keep doing it for some reason. #hpm
Wed Apr 27 18:33:48 PDT 2011
joshgriffin @MatthewsMichele Just because the voting is all online doesn't mean all
influencing need be. Other factors: reg media, conference pres #hpm
Wed Apr 27 18:33:50 PDT 2011
DNRstories T2: The word influential is very subjective. #hpm. Not sure what it means. Same
with the Time100.
Wed Apr 27 18:33:56 PDT 2011
PracticalWisdom T2: When I looked at this Nominating I had real concerns because there are so
many leaders within this field. Some write, some advocate #HPM
Wed Apr 27 18:34:04 PDT 2011
KathyKastner RT @DNRstories: T2: The word influential is very subjective. #hpm. Not sure what
it means. Same with the Time100.
Wed Apr 27 18:34:25 PDT 2011
JoshGriffin @MatthewsMichele Community presentations, etc. They are all valid ways to
influence, reach and build community. #hpm
Wed Apr 27 18:34:29 PDT 2011
ctsinclair T2: Do they do this b/c everyone likes lists? No one reads 'Why I like dogs" but
everyone reads, shares "Top 4 reasons I like dogs" #hpm
Wed Apr 27 18:34:34 PDT 2011
renee_berry @techguy @MeredithGould #funfact about rfb - I did a beauty pageant in college,
was the only non- bikini model contestant :) #justme #hpm
Wed Apr 27 18:34:39 PDT 2011
MatthewsMichele @joshgriffin I think it's natural that it would be a big part of it. #hpm
Wed Apr 27 18:34:40 PDT 2011
MeredithGould Please name one healthcare industry publication sponsored contest that isn't a
means to driving ad revenue. #hpm
Wed Apr 27 18:34:42 PDT 2011
hollyby It depends on how much the public pays attention to a particular "beauty contest" to
decide if it is worth our time. Raise awareness. #hpm
Wed Apr 27 18:34:43 PDT 2011
PracticalWisdom RT @Zimbarama: @GailZahtz I agree bt still tech shouldnt b focus it should be a
tool to enable better care, if it doesnt then bin it #HPM
Wed Apr 27 18:34:48 PDT 2011
GailZahtz T2 Everyone says that they don't hold by a magazines "Top Docs" but it's always on
the walls and resumes of winners :)) #HPM
Wed Apr 27 18:35:00 PDT 2011
PracticalWisdom Yes!RT @joshgriffin: @MatthewsMichele Community presentations, etc. They are

24. PracticalWisdom Yes!RT @joshgriffin: @MatthewsMichele Community presentations, etc. They are
all valid ways to influence, reach and build community. #HPM
Wed Apr 27 18:35:11 PDT 2011
ctsinclair RT @MeredithGould: Spend time flogging names for an industry pub contest OR
enhance information abt HPM. Hmmm...choice?'Fish/cut bait' #hpm
Wed Apr 27 18:35:11 PDT 2011
MeredithGould @renee_berry Did you win...a bathing suit? #hpm
Wed Apr 27 18:35:15 PDT 2011
renee_berry RT @MeredithGould: Please name one healthcare industry publication sponsored
contest that isn't a means to driving ad revenue. #hpm
Wed Apr 27 18:35:29 PDT 2011
joshgriffin @MatthewsMichele It doesn't mean it isn't. I just think it should be a wholistic
approach rather than just SM driven. #hpm
Wed Apr 27 18:35:36 PDT 2011
MatthewsMichele RT @hollyby: It depends on how much the public pays attention to a particular
"beauty contest" to decide if it is worth our time. Raise awareness. #hpm
Wed Apr 27 18:35:38 PDT 2011
hollyby Gotta run. HPM hugs to all! #hpm
Wed Apr 27 18:35:42 PDT 2011
GailZahtz If any tool is not enabling better care, it isn't a tool at all and should get trashed!
#HPM @Zimbarama @PracticalWisdom @DNRstories
Wed Apr 27 18:35:43 PDT 2011
PracticalWisdom RT @hollyby: depends on how much pub. pays attention 2 a particular "beauty
contest" 2 decide if it is worth our time. Raise awareness. #HPM
Wed Apr 27 18:35:55 PDT 2011
MeredithGould @GailZahtz Great "Nurse Jackie" episode about the young self-absorbed doc
getting on a Top Doc list. #hpm
Wed Apr 27 18:35:56 PDT 2011
DNRstories @ctsinclair I read your tweet and thought "ooh, what ARE the top 4 reasons you like
dogs?" Lists ARE very effective apparently! :) #hpm
Wed Apr 27 18:36:02 PDT 2011
ctsinclair @MeredithGould It is funny to read your cynical tweets that are spot on, but you
have a smiling avatar. Cognitively dissonant #hpm
Wed Apr 27 18:36:02 PDT 2011
JoshGriffin @hollyby Have a blessed night Holly! #hpm
Wed Apr 27 18:36:25 PDT 2011
ctsinclair @renee_berry Wow, I learn new things every tweetchat! #hpm
Wed Apr 27 18:36:27 PDT 2011

25. renee_berry I got runner-up & a job offer at the local pub :) I wore a speedo RT @MeredithGould
@renee_berry Did you win...a bathing suit? #hpm
Wed Apr 27 18:36:37 PDT 2011
GailZahtz @MeredithGould Let me know the Nurse Jackie episode and I'll Netflix or Amazon
or otherwise demand to see it :)) #HPM
Wed Apr 27 18:36:50 PDT 2011
PracticalWisdom T2: I'm very clear though when I see folks even mention please vote/please vote for
me I"m very turned off. #HPM
Wed Apr 27 18:36:50 PDT 2011
techguy @MeredithGould By their very nature, a contest means you want publicity. There
are some giveaways that are just that. #hpm
Wed Apr 27 18:36:58 PDT 2011
ctsinclair @DNRstories Exactly! I saw something that said using numebrs other than 5 or 10
are effective. Top 6 reasons stands out more. #hpm
Wed Apr 27 18:37:04 PDT 2011
MeredithGould @ctsinclair I don't think of myself as cynical but rather as a insightful sociologist &
culture critic...who smiles! #hpm
Wed Apr 27 18:37:04 PDT 2011
MeredithGould @GailZahtz Think it was the 2nd season? #hpm
Wed Apr 27 18:37:35 PDT 2011
PracticalWisdom T2: I think SoMe gives us a great view into the valid work many folks do in a manner
that is humble and valuable. #HPM
Wed Apr 27 18:37:39 PDT 2011
GailZahtz @techguy Everyone wants publicity, it's just some people are willing to work for it
more than others :))) #HPM
Wed Apr 27 18:37:39 PDT 2011
ctsinclair @MeredithGould Maybe cynical wasn't the 'write' word to use with a 'righter' ;-)
#hpm
Wed Apr 27 18:37:44 PDT 2011
hvto Maybe we should start our own "most influential" list - no sponsored ads allowed.
#hpm
Wed Apr 27 18:37:46 PDT 2011
GailZahtz RT @MeredithGould: @GailZahtz Think it was the 2nd season? #HPM <-On it!
Wed Apr 27 18:38:08 PDT 2011
PracticalWisdom Some are shyRT @GailZahtz: @techguy Everyone wants publicity, its just some
people are willing to work for it more than others :))) #HPM
Wed Apr 27 18:38:12 PDT 2011
MatthewsMichele @renee_berry 'The Big Impact Tournament' is devoid of any mention of #palliative

26. MatthewsMichele @renee_berry 'The Big Impact Tournament' is devoid of any mention of #palliative
care as discipline...pits #hospice against pt. safety #hpm
Wed Apr 27 18:38:28 PDT 2011
GailZahtz RT @hvto: Maybe we should start our own "most influential" list - no sponsored
ads allowed. #hpm <-And just nominate each other? LOL
Wed Apr 27 18:38:29 PDT 2011
Zimbarama @ctsinclair @DNRstories a random number it stands out more,and this is can be
used else where eg setting up a meeting make it 10:03 #hpm
Wed Apr 27 18:38:30 PDT 2011
ctsinclair @hvto Not a bad idea! #hpm
Wed Apr 27 18:38:32 PDT 2011
renee_berry RT @PracticalWisdom: T2: I think SoMe gives us a great view into the valid work
many folks do in a manner that is humble and valuable. #HPM
Wed Apr 27 18:38:35 PDT 2011
MeredithGould @ctsinclair ;-) #hpm
Wed Apr 27 18:38:50 PDT 2011
DNRstories @ctsinclair I see! So what ARE the top 6 reasons? I don't even care what the
reasons are for! :) #hpm
Wed Apr 27 18:38:58 PDT 2011
renee_berry dinner /the grandparents, got to go everyone!! so fun to participate!! -rb signing off
#hpm
Wed Apr 27 18:38:59 PDT 2011
Zimbarama RT @PracticalWisdom: T2: I think SoMe gives us a great view into the valid work
many folks do in a manner that is humble and valuable. #hpm
Wed Apr 27 18:39:05 PDT 2011
ctsinclair @Zimbarama @DNRstories I guess when you use a 'random' number for a
purpose it doesn't become random. Hmmmm #hpm
Wed Apr 27 18:39:10 PDT 2011
JoshGriffin @renee_berry Have a great dinner Renee! #hpm
Wed Apr 27 18:39:28 PDT 2011
renee_berry @MatthewsMichele annoying #hpm
Wed Apr 27 18:39:31 PDT 2011
ctsinclair Getting ready for Topic 3 soon... #hpm
Wed Apr 27 18:39:43 PDT 2011
renee_berry RT @MatthewsMichele: @renee_berry 'The Big Impact Tournament' is devoid of
any mention of #palliative care as discipline...pits #hospice against pt. safety #hpm
Wed Apr 27 18:39:52 PDT 2011

27. Zimbarama @ctsinclair @DNRstories haha true true i should have said a non-convential
number out of the morm #hpm
Wed Apr 27 18:39:58 PDT 2011
MatthewsMichele RT @joshgriffin: @renee_berry Have a great dinner Renee! #hpm
Wed Apr 27 18:40:01 PDT 2011
PracticalWisdom T2: I'm not sure this is considered good form but I try to link us to other health care
chats/tweets to bring education/understanding #HPM
Wed Apr 27 18:40:05 PDT 2011
ctsinclair RT @renee_berry: @MatthewsMichele annoying 'Did you just call her annoying? ;-)
' #hpm
Wed Apr 27 18:40:11 PDT 2011
Zimbarama @renee_berry see you enjoy dinner #hpm
Wed Apr 27 18:40:12 PDT 2011
MeredithGould @renee_berry Bye! Eat dessert first! #hpm
Wed Apr 27 18:40:17 PDT 2011
ctsinclair @Zimbarama It only came to me when I saw your tweet that it was no longer
random. I would have said the same thing. #hpm
Wed Apr 27 18:40:40 PDT 2011
PracticalWisdom Night ReneeRT @Zimbarama: @renee_berry see you enjoy dinner #HPM
Wed Apr 27 18:40:48 PDT 2011
JoshGriffin RT @MeredithGould: @renee_berry Bye! Eat dessert first! #hpm
Wed Apr 27 18:40:54 PDT 2011
KathyKastner @renee_berry I'm hungry. Can I come? #hpm
Wed Apr 27 18:40:54 PDT 2011
PracticalWisdom RT @Zimbarama: @ctsinclair @DNRstories haha true true i should have said a
non-convential number out of the morm #HPM
Wed Apr 27 18:41:01 PDT 2011
MeredithGould Ok, I'm lost. Isn't T2 about Modern Healthcare's call for nominees? #hpm
Wed Apr 27 18:41:03 PDT 2011
TroubledDays RT @ctsinclair: Topic #2: @ModernHealthcr just announced 2011 nomination
process for top influencers for healthcare. What role will social media play? #hpm
Wed Apr 27 18:41:12 PDT 2011
ctsinclair Quick question before topic 3. Question 2.5 - Do you listen to music or watching TV
during tweetchat? #hpm
Wed Apr 27 18:41:17 PDT 2011

28. DNRstories Not to be a cynic, but social media can also be dangerous, like WebMD. Public
sees written word as truth, even if misguided. #hpm
Wed Apr 27 18:41:28 PDT 2011
MeredithGould @joshgriffin Right? Right! #hpm
Wed Apr 27 18:41:28 PDT 2011
GailZahtz So while @renee_berry is gone to eat- let's just nominate her for beauty queen!
#HPM
Wed Apr 27 18:41:35 PDT 2011
hvto RT @PracticalWisdom: T2: ... I try to link us to other health care chats/tweets to
bring education/understanding #hpm
Wed Apr 27 18:41:41 PDT 2011
MatthewsMichele @ctsinclair (cc:@renee_berry) haha, yeah right! she was talking abt lack of
mention of #palliative care in the Big impact tournament #hpm
Wed Apr 27 18:41:54 PDT 2011
JoshGriffin @ctsinclair I confess...Watching hockey :-) #hpm
Wed Apr 27 18:41:55 PDT 2011
PracticalWisdom RT @DNRstories: Not to be a cynic, but SoMe can also be dangerous, like
WebMD. Public sees written word as truth, even if misguided. #HPM
Wed Apr 27 18:41:59 PDT 2011
aliciabloom @DNRstories it's the "google" effect and it can be very dangerous. #hpm
Wed Apr 27 18:42:12 PDT 2011
ctsinclair Topic 2.5 I love to put on some upbeat music. Fools myself into thinking it is a little
soiree. Currently listening to Eliza Doolittle #hpm
Wed Apr 27 18:42:18 PDT 2011
aliciabloom @ctsinclair yes! tonight it's Criminal Minds & Sixers-Heat game. #hpm
Wed Apr 27 18:42:35 PDT 2011
KathyKastner Q2.5 Are you kidding? Takes all my attention to keep up. RT @ctsinclair: Do you
listen to music or watching TV during tweetchat? #hpm
Wed Apr 27 18:42:41 PDT 2011
JoshGriffin @MeredithGould Absolutely. Have done reverse dinners with my youth
before...JUST so I can start with dessert. #hpm
Wed Apr 27 18:43:00 PDT 2011
jen_c_taylor @ctsinclair : Topic 2.5 : No, I just lurk quietly. #hpm
Wed Apr 27 18:43:03 PDT 2011
ctsinclair @joshgriffin Oh man, Putting on the Habs game now! #hpm
Wed Apr 27 18:43:06 PDT 2011

29. MeredithGould T2.5 Oh boy...I do other things while chatting including but not limited to music,
other chats, back channel convos, reading, eating #hpm
Wed Apr 27 18:43:13 PDT 2011
PracticalWisdom T2: Again we have so many leaders in so many different ways. Think of introverts
who don't feel comfortable talking about their contrib #HPM
Wed Apr 27 18:43:14 PDT 2011
RossJeanette T2.5 no music trying to get kids do homework n bathe... I'm not being successful I'll
have to sign off :( #HPM
Wed Apr 27 18:43:46 PDT 2011
DNRstories Topic 2.5. Husband usually has TV on. Laptop on lap. Dog at feet (usually licking).
#hpm in brain :)
Wed Apr 27 18:43:48 PDT 2011
MatthewsMichele T2.5 Yep, Top Chef Masters and cooking dinner too :) #hpm
Wed Apr 27 18:43:53 PDT 2011
JoshGriffin @ctsinclair I just watched my Spitfires get eliminated in the OHL. Waiting for rd. 2
for my Wings. Back and forth bet PB/TB and Habs #hpm
Wed Apr 27 18:43:54 PDT 2011
MeredithGould I'm a visual kinesthetic learner, so multitasking works well for me. #hpm
Wed Apr 27 18:44:02 PDT 2011
ctsinclair Topic 3: Ability to categorize risk is notoriously faulty (air v car travel risks?) How
does that affect medical decision making? #hpm
Wed Apr 27 18:44:12 PDT 2011
brigid22 @ctsinclair @JoshGriffin I'll stop lurking after the playoffs #hpm
Wed Apr 27 18:44:30 PDT 2011
joshgriffin @PracticalWisdom But that's why you nominate someone T2 #hpm
Wed Apr 27 18:44:35 PDT 2011
ctsinclair @jen_c_taylor You should speak up! You have lots to say! #hpm
Wed Apr 27 18:44:52 PDT 2011
techguy @PracticalWisdom @GailZahtz Who on the list of top leaders is shy? #hpm
Wed Apr 27 18:44:57 PDT 2011
MeredithGould T3 My question: What are the manifest & latent functions of categorizing risk in the
1st place? #hpm
Wed Apr 27 18:45:15 PDT 2011
JoshGriffin RT @ctsinclair: @jen_c_taylor You should speak up! You have lots to say! #hpm
Wed Apr 27 18:45:25 PDT 2011

30. ctsinclair @brigid22 Yeah, And we will put you in detention for too many absences! (kidding)
#hpm
Wed Apr 27 18:45:26 PDT 2011
PracticalWisdom But there are so #. Can't think of just one.RT @joshgriffin: @PracticalWisdom But
thats why you nominate someone T2 #HPM
Wed Apr 27 18:45:31 PDT 2011
ctsinclair @MeredithGould Elaborate please? #hpm
Wed Apr 27 18:45:48 PDT 2011
aliciabloom it's difficult to weigh risks & benefits rationally when so much emotion is involved in
medical decision making. #hpm
Wed Apr 27 18:45:52 PDT 2011
GailZahtz @techguy Don't look at me. I have been called many things, but I'm pretty sure shy
isn't one of them :) @PracticalWisdom #HPM
Wed Apr 27 18:46:03 PDT 2011
KathyKastner RT @aliciabloom: it's difficult to weigh risks & benefits rationally when so much
emotion is involved in medical decision making. #hpm
Wed Apr 27 18:46:05 PDT 2011
joshgriffin T3: One area I see is the use of different medications and the interaction risk. I
have seen MDs say, "That's nothing" but progs scream #hpm
Wed Apr 27 18:46:22 PDT 2011
ctsinclair T3: I took this test last night from the BBC: "The Big Risk Test"
http://hpm.md/jH82j0 Very illuminating #hpm
Wed Apr 27 18:46:47 PDT 2011
MatthewsMichele RT @aliciabloom: it's difficult to weigh risks & benefits rationally when so much
emotion is involved in medical decision making. #hpm
Wed Apr 27 18:46:52 PDT 2011
MeredithGould There are reasons for calculating risks, right? E.g. Outcomes assessment,
efficacy, etc. Those would be the manifest functions. #hpm
Wed Apr 27 18:47:08 PDT 2011
JoshGriffin @PracticalWisdom It is difficult. If only everything was easy ;-) #hpm
Wed Apr 27 18:47:16 PDT 2011
DNRstories Risk/benefit analysis core to medical decision making. Impt for pts to know there is
no "right" answer in medicine, all judgements #hpm
Wed Apr 27 18:47:19 PDT 2011
ctsinclair T3: I find that in assessing any risk, people tend to think heavily about risk of
inaction, and dismiss any risk of action. #hpm
Wed Apr 27 18:47:28 PDT 2011
KathyKastner RT @DNRstories: Risk/benefit analysis core to medical decision making. Impt for

31. KathyKastner RT @DNRstories: Risk/benefit analysis core to medical decision making. Impt for
pts to know there is no "right" answer in medicine, all judgements #hpm
Wed Apr 27 18:47:37 PDT 2011
DNRstories RT @ctsinclair: T3: I find that in assessing any risk, people tend to think heavily
about risk of inaction, and dismiss any risk of action. #hpm
Wed Apr 27 18:47:54 PDT 2011
DNRstories @ctsinclair Well said! #hpm
Wed Apr 27 18:48:08 PDT 2011
MeredithGould But there are other underlying reasons why risk analysis is touted as important
despite unreliability. What are those reasons? #hpm
Wed Apr 27 18:48:14 PDT 2011
KathyKastner RT @ctsinclair: T3: I find that in assessing any risk, people tend to think heavily
about risk of inaction, and dismiss any risk of action. #hpm
Wed Apr 27 18:48:15 PDT 2011
ctsinclair I have had multiple family members point to their head and their heart when talking
about what decisions they are making. #Nonverbal #hpm
Wed Apr 27 18:48:22 PDT 2011
techguy I just play a shy person on TV. Although, I've never been on the list either.
@GailZahtz @PracticalWisdom #hpm
Wed Apr 27 18:48:23 PDT 2011
GailZahtz @MeredithGould lawsuits? #HPM
Wed Apr 27 18:48:38 PDT 2011
Zimbarama @ctsinclair nope im at work haha #hpm
Wed Apr 27 18:48:47 PDT 2011
PracticalWisdom Perhaps not shy but not often on our Tweet Chat but contributes #HPM ~Suzana
Makowski http://slidesha.re/ezipSM #HPM
Wed Apr 27 18:48:55 PDT 2011
MeredithGould RT @GailZahtz: lawsuits?<--BINGO! #hpm
Wed Apr 27 18:49:08 PDT 2011
ctsinclair @MeredithGould I think the unreliability of risk assessments is not in the models
themselves but in our understanding of their limits #hpm
Wed Apr 27 18:49:12 PDT 2011
GailZahtz @techguy Nah, when I've been on TV, pretty sure no-one accused me of being shy
then either LOL #HPM @PracticalWisdom
Wed Apr 27 18:49:26 PDT 2011
JoshGriffin RT @MeredithGould: RT @GailZahtz: lawsuits?<--BINGO! #hpm
Wed Apr 27 18:49:29 PDT 2011

32. @ctsinclair "If u can’t predict with absolute certainty what will happen when u make
hvto a choice, u r taking a risk."- Big Risk Test #hpm
Wed Apr 27 18:49:31 PDT 2011
MatthewsMichele RT @ctsinclair: I have had multiple family members point to their head and their
heart when talking about what decisions they are making. #Nonverbal #hpm
Wed Apr 27 18:49:42 PDT 2011
GailZahtz RT @MeredithGould: RT @GailZahtz: lawsuits?<--BINGO! #hpm <-Praise from
Meredith better than a beauty contest!!! Woo Hoo
Wed Apr 27 18:49:58 PDT 2011
MeredithGould @ctsinclair Probably a bit of both: unreliable in the statistical sense and in our
interpretation/understanding. #hpm
Wed Apr 27 18:50:03 PDT 2011
joshgriffin @GailZahtz @techguy @PracticalWisdom I haven't been on TV since I was 8.
Hmm, lol #hpm
Wed Apr 27 18:50:09 PDT 2011
MatthewsMichele RT @hvto: @ctsinclair "If u can’t predict with absolute certainty what will happen
when u make a choice, u r taking a risk."- Big Risk Test #hpm
Wed Apr 27 18:50:19 PDT 2011
ctsinclair T3: I often describe preventative medicines not 'preventing disease' but 'reducing
the risk of getting a disease/complication' #hpm
Wed Apr 27 18:50:30 PDT 2011
KathyKastner RT @MeredithGould: @ctsinclair Probably a bit of both: unreliable in the statistical
sense and in our interpretation/understanding. #hpm
Wed Apr 27 18:50:33 PDT 2011
PracticalWisdom I used the wrong word when I said shy. I'm thinking MBTI Introverts vs. Extroverts.
#HPM
Wed Apr 27 18:50:40 PDT 2011
JoshGriffin RT @ctsinclair: T3: often describe preventative medicines not preventing disease
but reducing the risk of getting disease/complication #hpm
Wed Apr 27 18:51:03 PDT 2011
MeredithGould Whenever organizations (esp bureaucracies) get super keen on measuring
something, it's good to look at the latent function/agenda #hpm
Wed Apr 27 18:51:06 PDT 2011
DNRstories Uncertainty itself may be considered a risk. #hpm
Wed Apr 27 18:51:16 PDT 2011
ctsinclair @MeredithGould Like medical tests. Most people think they are infallible, but
statistics/nummeracy shows limits to accuracy. #hpm
Wed Apr 27 18:51:24 PDT 2011
PracticalWisdom @ctsinclair: Didn't get that homework so I can't play. #HPM

33. PracticalWisdom @ctsinclair: Didn't get that homework so I can't play. #HPM
Wed Apr 27 18:51:39 PDT 2011
MeredithGould RT @ctsinclair: T3: Often describe preventative medicines not preventing disease
but reducing risk of getting a disease/complication #hpm
Wed Apr 27 18:51:42 PDT 2011
ctsinclair @MeredithGould Yes pick what you want to measure so you can get the outcomes
you want. Like political redistricting! #hpm
Wed Apr 27 18:51:44 PDT 2011
amcunningham RT @ctsinclair: T3: I find that in assessing any risk, people tend to think heavily
about risk of inaction, and dismiss any risk of action. #hpm
Wed Apr 27 18:51:51 PDT 2011
amcunningham RT @ctsinclair: T3: I took this test last night from the BBC: "The Big Risk Test"
http://hpm.md/jH82j0 Very illuminating #hpm
Wed Apr 27 18:51:57 PDT 2011
ctsinclair RT @DNRstories: Uncertainty itself may be considered a risk. #hpm
Wed Apr 27 18:51:58 PDT 2011
aliciabloom people assume treatment will lead to cure & therefore take high risks with
interventions that are likely to have little to no impact. #hpm
Wed Apr 27 18:52:02 PDT 2011
mdstudent31 @ctsinclair Definitely better wording than "preventing disease" - especially if we
know it is inevitable #hpm
Wed Apr 27 18:52:07 PDT 2011
PracticalWisdom RT @ctsinclair: @MeredithGould Yes pick what you want to measure so you can
get the outcomes you want. Like political redistricting! #HPM
Wed Apr 27 18:52:07 PDT 2011
GailZahtz T3 I'll add into the mix the way we call in for a "consult" only for one symptom- thus
no responsibility for total care/risk assessment #HPM
Wed Apr 27 18:52:26 PDT 2011
MeredithGould @ctsinclair Yep...again, not cynical but sociological in the sense that meaning &
value is a social construction/artifact. #hpm
Wed Apr 27 18:52:38 PDT 2011
JoshGriffin RT @mdstudent31: @ctsinclair Definitely better wording than "preventing disease"
- especially if we know it is inevitable #hpm
Wed Apr 27 18:52:40 PDT 2011
ctsinclair T3: It was informing when i read an article that helped me to see all decisions are
about assessing risk/benefit. #hpm
Wed Apr 27 18:52:40 PDT 2011
PracticalWisdom RT @mdstudent31: @ctsinclair Definitely better wording than "preventing disease"
- especially if we know it is inevitable #HPM
Wed Apr 27 18:52:41 PDT 2011

34. Zimbarama off i go all back to work, was an interesting lurk at this chat.. and nice to see some
familiar Avatars ;-) #hpm
Wed Apr 27 18:53:00 PDT 2011
MatthewsMichele @aliciabloom well said! sad, but true...I've seen it even in my own family! #hpm
Wed Apr 27 18:53:09 PDT 2011
MeredithGould @Zimbarama Back to work? Eat dessert first! My general counsel. #hpm
Wed Apr 27 18:53:42 PDT 2011
ctsinclair @mdstudent31 And the words we choose are so important. Prevention = 'reducing
risk' Not many (medical) things are truly preventable. #hpm
Wed Apr 27 18:53:42 PDT 2011
PracticalWisdom @Zimbarama: All work no play=No fun. Glad you could join us for the fun part.
Cheers. #HPM
Wed Apr 27 18:53:47 PDT 2011
MatthewsMichele RT @ctsinclair: T3: It was informing when i read an article that helped me to see all
decisions are about assessing risk/benefit. #hpm
Wed Apr 27 18:53:59 PDT 2011
ctsinclair Getting ready to finish up, so think of something witty/inspiring/bland to share with
the group! #hpm
Wed Apr 27 18:54:14 PDT 2011
PracticalWisdom @MeredithGould @ctsinclair; O.K. where is that sociology Textbook when I need it.
#HPM
Wed Apr 27 18:54:23 PDT 2011
JoshGriffin MT @aliciabloom: people assume trtmnt lead to cure, therefore take high risks w
interventions likely to have little to no impact. #hpm
Wed Apr 27 18:54:41 PDT 2011
KathyKastner Nite all. Another hour of amazing #hpm immersion for me . lots to think about.
Thanks.
Wed Apr 27 18:54:48 PDT 2011
MeredithGould Eat dessert first? #hpm
Wed Apr 27 18:54:59 PDT 2011
JoshGriffin RT @ctsinclair: And the words we choose are so important. Prevention = reducing
risk Not many (medical) things are truly preventable. #hpm
Wed Apr 27 18:55:09 PDT 2011
GailZahtz Last thought- Palliative Physicians are most courageous because they're willing to
say there may not be an answer, fix, cure. #HPM
Wed Apr 27 18:55:19 PDT 2011

35. MatthewsMichele Attending #HCIDC tmw...look for my tweets about that. #hpm
Wed Apr 27 18:55:20 PDT 2011
EOLnavigator So scattered these days. Missed the #hpm tweetchat. Have to set an alarm.
Wed Apr 27 18:55:21 PDT 2011
PracticalWisdom @KathyKastner: Good Night Kathy! #HPM
Wed Apr 27 18:55:21 PDT 2011
ctsinclair RT @aliciabloom: people assume treatment will lead to cure then take high risks
w/ interventions likely to have little to no impact. #hpm
Wed Apr 27 18:55:23 PDT 2011
JoshGriffin RT @MeredithGould: Eat dessert first? #hpm
Wed Apr 27 18:55:25 PDT 2011
jen_c_taylor I agree w @ctsinclair: I have had multiple family members point to their head &
their heart when talking about their decisions. #hpm #hpm
Wed Apr 27 18:55:49 PDT 2011
JoshGriffin It was great to be back. I have been lurking wihile not feeling well, but tonight gave
me the opportunity. I love this group! #hpm
Wed Apr 27 18:56:00 PDT 2011
ctsinclair Thanks for coming everyone: Wise words to weave us with? (says Elmer Fudd)
#hpm
Wed Apr 27 18:56:01 PDT 2011
hvto ok- I nominate this entire panel of experts to the top influential people in HC SoMe
for April 27th, 2011. Good night all. #hpm
Wed Apr 27 18:56:08 PDT 2011
MeredithGould Parting thoughts: be a contribution & avoid getting caught up in industry-specific
nonsense that does nothing to enhance direct care #hpm
Wed Apr 27 18:56:19 PDT 2011
aliciabloom @ctsinclair so true. we need to reframe discussions. it's not "full treatment" vs
"withdrawal of care" --> action vs inaction dichotomy #hpm
Wed Apr 27 18:56:27 PDT 2011
mdstudent31 @ctsinclair Exactly - many things delay process to a later time. However, the
"possibility of improved QoL" may also work well. #hpm
Wed Apr 27 18:56:40 PDT 2011
PracticalWisdom @MeredithGould: Your dessert?
http://mypetjawa.mu.nu/archives/my%20butt%20hurts.jpg #HPM
Wed Apr 27 18:56:45 PDT 2011
ctsinclair Been thinking a lot about this #quote from Einstein: "Everything should be made as
simple as possible, but not simpler." #hpm
Wed Apr 27 18:56:56 PDT 2011

36. MatthewsMichele RT @MeredithGould: Parting thoughts: be a contribution & avoid getting caught up
in industry-specific nonsense that does nothing to enhance direct care #hpm
Wed Apr 27 18:57:11 PDT 2011
MeredithGould @PracticalWisdom Cute! #hpm
Wed Apr 27 18:57:21 PDT 2011
JoshGriffin RT @MeredithGould: Parting: b contribution, avoid getting caught up n industry-
specific nonsense that does nothing enhance direct care #hpm
Wed Apr 27 18:57:46 PDT 2011
ctsinclair @mdstudent31 When you watch good docs talk with patients, pay attention to the
words they choose. #hpm
Wed Apr 27 18:57:52 PDT 2011
Daniel_Spurgeon @StoryCorps Legacy Initiative is now posted on the website:
http://storycorps.org/initiatives (#hpm)
Wed Apr 27 18:57:53 PDT 2011
DNRstories Great chat tonight. #hpm
Wed Apr 27 18:57:56 PDT 2011
JoshGriffin RT @PracticalWisdom: @MeredithGould: Your dessert?
http://mypetjawa.mu.nu/archives/my%20butt%20hurts.jpg #hpm
Wed Apr 27 18:58:00 PDT 2011
MeredithGould @ctsinclair How about this one (author unknown): Simple doesn't necessarily
mean easy. #hpm
Wed Apr 27 18:58:09 PDT 2011
ctsinclair MT @MeredithGould: Parting thought: be a contribution & avoid getting industry-
spec nonsense that does nothing to enhance direct care #hpm
Wed Apr 27 18:58:37 PDT 2011
ctsinclair @Daniel_Spurgeon Wish you could have joined us tonight! #hpm
Wed Apr 27 18:58:51 PDT 2011
PracticalWisdom RT @ctsinclair: @mdstudent31 When you watch good docs talk with patients, pay
attention to the words they choose. #HPM
Wed Apr 27 18:59:24 PDT 2011
MatthewsMichele @ctsinclair thanks for moderating! Excellent chat...in the words of someone
famous, 'Good night and God Bless!' :) #hpm
Wed Apr 27 18:59:29 PDT 2011
ctsinclair Thanks for coming everyone! Next weeks host @matthewsmichele for her first time
ever! #hpm
Wed Apr 27 18:59:38 PDT 2011
MatthewBrowning #hpm RT:@emoryhealthcare: Our use of Twitter to aid in healthcare crisis in this

37. MatthewBrowning #hpm RT:@emoryhealthcare: Our use of Twitter to aid in healthcare crisis in this
case study http://bit.ly/fEJe9S
Wed Apr 27 18:59:43 PDT 2011
mdstudent31 @ctsinclair I have seen the good, bad, & ugly w/ choice of words. Have appreciated
great mentors to help my career, especially here on #hpm
Wed Apr 27 18:59:44 PDT 2011
JoshGriffin Have a blessed night everyone! Hope to see you all again next week. #hpm
Wed Apr 27 18:59:56 PDT 2011
ctsinclair @MeredithGould Or Twain. "I would have made it shorter if I had more time." #hpm
Wed Apr 27 19:00:00 PDT 2011
JoshGriffin RT @MatthewsMichele: @ctsinclair thanks for moderating! Excellent chat...in the
words of someone famous, Good night and God Bless! :) #hpm
Wed Apr 27 19:00:06 PDT 2011
MatthewsMichele I am?! Thanks for the reminder ;) #hpm
Wed Apr 27 19:00:24 PDT 2011
MeredithGould Have a great evening, day or night -- depending on your time zone! #hpm
Wed Apr 27 19:00:25 PDT 2011
PracticalWisdom @MatthewBrowning: Sorry about the Death of your Grandmother. #HPM
Wed Apr 27 19:00:29 PDT 2011
EOLnavigator very funny rt @joshgriffin: RT @PracticalWisdom: @MeredithGould: Your dessert?
http://mypetjawa.mu.nu/archives/my%20butt%20hurts.jpg #hpm
Wed Apr 27 19:00:35 PDT 2011
ctsinclair @mdstudent31 I have learned a lot for docs who are bad with words. #hpm
Wed Apr 27 19:00:43 PDT 2011
aliciabloom "@ctsinclair @mdstudent31 When you watch good docs talk with patients, pay
attention to the words they choose." yes & SW/NP, too! #hpm
Wed Apr 27 19:00:50 PDT 2011
DNRstories @mdstudent31 @ctsinclair And he goes to a great med school :) #hpm
Wed Apr 27 19:00:56 PDT 2011
ctsinclair @mdstudent31 Like the ICU attending who would yell at intubated patients "Do you
want to die!?" and consider the code status discussed #hpm
Wed Apr 27 19:01:00 PDT 2011
JoshGriffin I shall sign up again soon, I just need my summer schedule first. #hpm
Wed Apr 27 19:01:11 PDT 2011
mdstudent31 @DNRstories @ctsinclair Of course.. great med school! :) #hpm

38. mdstudent31 @DNRstories @ctsinclair Of course.. great med school! :) #hpm
Wed Apr 27 19:01:25 PDT 2011
mdstudent31 @ctsinclair Yea, for some reason, I don't see that as an effective way at
communication w/ patients. #hpm
Wed Apr 27 19:01:53 PDT 2011
mdstudent31 @ctsinclair Thanks for the chat tonight! I went lurk-status for a while listening to
@DrMikeSevilla but hope you can join us tomorrow? #hpm
Wed Apr 27 19:02:43 PDT 2011
ctsinclair @MatthewBrowning Wow just browsed over it but am going back to read later.
http://bit.ly/fEJe9S - Sorry to hear the news. #hpm
Wed Apr 27 19:02:52 PDT 2011
ctsinclair @mdstudent31 He thought it was great. Direct and clear communication. And he
didn't have a military background. #hpm
Wed Apr 27 19:03:14 PDT 2011
DNRstories Good night all! #hpm
Wed Apr 27 19:03:31 PDT 2011
ctsinclair @joshgriffin Love to have you host! #hpm
Wed Apr 27 19:03:36 PDT 2011
mdstudent31 @aliciabloom @ctsinclair Have learned A LOT from great social workers! That
experience should be often and mandatory #hpm
Wed Apr 27 19:04:08 PDT 2011
ctsinclair Signing off you guys to root for #MLS4RSL Real Salt Lake! and watch playoff
hockey. Where did my two tv's go? #hpm
Wed Apr 27 19:04:11 PDT 2011
JoshGriffin @ctsinclair I should have my schedule soon. #hpm
Wed Apr 27 19:04:19 PDT 2011
ctsinclair @aliciabloom I do get tired of writing HC professionals, but yes I have learned form
many disciplines! #hpm
Wed Apr 27 19:04:42 PDT 2011
mdstudent31 @ctsinclair So when I start my internship at the Naval hospital, I could use that? ;)
just kidding of course! #hpm
Wed Apr 27 19:04:55 PDT 2011