#hpm tweetchat 11/14/12

7/30/2019 #hpm TweetChat 11/14/12

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7/30/2019 #hpm TweetChat 11/14/12

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/15/12 #hpm Healthcare Social Media Transcript

shtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=11142012&shour=1

rfberry We'll wait just a couple more minutes before we jump into topics, anyone else joiningus tonight? #hpm

Wed Nov 14 18:03:19 PST 2012

WaywardChad I really miss Silicon Valley this time of year! #hpmWed Nov 14 18:03:45 PST 2012

aliciabloom @rfberry i haven't seen @ctsinclair in a while! #hpm

Wed Nov 14 18:04:16 PST 2012

doctatum Here off and on. Depending on kids homework #HpmWed Nov 14 18:04:44 PST 2012

rfberry is that where you're from?! RT @WaywardChad: I really miss Silicon Valley this time ofyear! #hpm

Wed Nov 14 18:05:06 PST 2012

rfberry Great! Hi!! RT @doctatum: Here off and on. Depending on kids homework #hpm

Wed Nov 14 18:05:14 PST 2012

rfberry T1 @ASCO featured a fantasitc article about language & the importance of #palliativecare, what stands out to you? http://t.co/CZcHKdwn#hpm

Wed Nov 14 18:05:26 PST 2012

WaywardChad I'm actually from Arkansas, but I've lived in places as diverse as Silicon Valley andcentral New York. I'm a bit...er....wayward. :) #hpm

Wed Nov 14 18:06:38 PST 2012

WaywardChad MT @rfberry T1 @ASCO featured article about language & the importance of#palliative care, what stands out to you? http://t.co/dUF4sTI1 #hpmWed Nov 14 18:07:22 PST 2012

rfberry haha I see, makes sense! RT @WaywardChad Im a b it...er....wayward. :) #hpmWed Nov 14 18:07:48 PST 2012

doctatum Reading it now. #HpmWed Nov 14 18:07:50 PST 2012

aliciabloom @rfberry sorry, which link should we be looking at? #hpmWed Nov 14 18:08:03 PST 2012

rfberry Topic 1 --> Here's a direct link to the fantastic @ASCO Article on Palliative Carehttp://t.co/JKOmk9LE#hpm

Wed Nov 14 18:08:22 PST 2012

oliverdr @rfberry greetings from Missouri- hospice researcher and social worker #hpmWed Nov 14 18:08:24 PST 2012
http://twitter.com/62575849/status/268898214604845057http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/268898206233026561http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/JKOmk9LEhttp://www.twitter.com/ASCOhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/268898124783837185http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/33076161/status/268898071537143808http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/121558178/status/268898061533732865http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://www.twitter.com/rfberryhttp://twitter.com/611173037/status/268897953144528897http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/dUF4sTI1http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/ASCOhttp://www.twitter.com/rfberryhttp://www.twitter.com/WaywardChadhttp://twitter.com/611173037/status/268897766535733248http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/268897468303958017http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/CZcHKdwnhttp://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/ASCOhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/268897417523515394http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/268897380617818113http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://www.twitter.com/rfberryhttp://twitter.com/33076161/status/268897288297009152http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/24399366/status/268897171456286720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/611173037/status/268897043169280001http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/268896932527763456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberry

7/30/2019 #hpm TweetChat 11/14/12

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aliciabloom @oliverdr welcome! #hpmWed Nov 14 18:09:36 PST 2012

aliciabloom RT @rfberry: Topic 1 --> Heres a direct link to the fantastic @ASCO Article onPalliative Care http://t.co/cSbpck3I#hpm

Wed Nov 14 18:09:39 PST 2012

rfberry @oliverdr Hi Debra! Thanks for joining #hpm we're just getting started on T1, whatstands out to you in this article? http://t.co/JKOmk9LE

Wed Nov 14 18:09:53 PST 2012

aliciabloom T1: i find the ask - tell - ask method to be incredibly helpful in conversations withpatients & families #hpm

Wed Nov 14 18:10:08 PST 2012

rfberry RT @aliciabloom: T1: i find the ask - tell - ask method to be incredibly helpful inconversations with patients & families #hpm

Wed Nov 14 18:10:37 PST 2012

doctatum The Kansas people are good folk. I like the elimination of fight/win vs lose language#Hpm

Wed Nov 14 18:10:54 PST 2012

rfberry T1 The call to action to reframe the discussion is important, though I feel this groupcould add some great bullet points there. #hpm

Wed Nov 14 18:12:04 PST 2012

aliciabloom T1: palliative care is "aggressive" symptom management & that's an important

message for patients and families to understand #hpmWed Nov 14 18:12:20 PST 2012

aliciabloom agree! RT @doctatum: The Kansas people are good folk. I like the elimination offight/win vs lose language #hpm

Wed Nov 14 18:12:36 PST 2012

WaywardChad Me, too. Language makes difference! RT @doctatum: The Kansas people are goodfolk. I like the elimination of fight/win vs lose language #hpm

Wed Nov 14 18:13:35 PST 2012

rfberry "all staff involved with patients should be educated about palliative care." --> this stoodout to me. #hpm

Wed Nov 14 18:14:00 PST 2012

jfclearywisc @rfberry jim cleary @uwhealth Palliative care & PPSG (@painpolicy) joining #hpmchat tonight (http://t.co/GAzDWcIr)

Wed Nov 14 18:14:22 PST 2012

doctatum Don't offer futile treatment a strong message here. When pushed, I like quills article
http://www.twitter.com/doctatumhttp://twitter.com/27231379/status/268899712403382272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/painpolicyhttp://www.twitter.com/uwhealthhttp://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/121558178/status/268899623693844480http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/611173037/status/268899518173569024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/WaywardChadhttp://twitter.com/24399366/status/268899268205629440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/268899203105837057http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/268899134197600256http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/33076161/status/268898842722852864http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/121558178/status/268898772208201728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/268898650401415168http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/268898585494577153http://t.co/JKOmk9LEhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/268898527890001921http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/cSbpck3Ihttp://www.twitter.com/ASCOhttp://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/268898515109945345http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/aliciabloom

7/30/2019 #hpm TweetChat 11/14/12

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that talks about using I wish statements #Hpm

Wed Nov 14 18:14:24 PST 2012

aliciabloom T1: would like to see specific integration of advance care planning. #hpmWed Nov 14 18:14:38 PST 2012

aliciabloom T1: "We hope that you will live but worry that our tools may not work"

7/30/2019 #hpm TweetChat 11/14/12

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aliciabloom @rfberry yes, should say something like: "we worry and know that sometimes cancerdirected therapies may not work" #hpm

Wed Nov 14 18:18:34 PST 2012

rfberry @oliverdr Hey Debra, you might want to try to sign into http://t.co/5FlWskDD and usethe #hpm hashtag there.

Wed Nov 14 18:18:35 PST 2012

WaywardChadRT @aliciabloom: T1: would like to see specific integration of advance care planning.#hpm

Wed Nov 14 18:18:48 PST 2012

oliverdr @jfclearywisc@rfberry@ascopost I agree when painted as a fight there is a failureattitude instead to live is so much better! #hpm

Wed Nov 14 18:18:50 PST 2012

doctatum I like the language about a cancer journey instead of fight. #HpmWed Nov 14 18:19:55 PST 2012

rfberry Alright, so T2 gets a little personal, so do your best... :) #hpmWed Nov 14 18:20:23 PST 2012

rfberry T2 Does your experience with #hpm ever work its way into your personalappointments with your doctor? Why or why not?

Wed Nov 14 18:20:37 PST 2012

WaywardChad RT @rfberry: T2 Does your experience with #hpm ever work its way into your personalappointments with your doctor? Why or why not? #hpm

Wed Nov 14 18:21:05 PST 2012

rfberry (super fast brb have to grab my son a snack) #hpmWed Nov 14 18:21:44 PST 2012

aliciabloom RT @rfberry: T2 Does your experience with #hpm ever work its way into your personalappointments with your doctor? Why or why not? #hpm

Wed Nov 14 18:22:07 PST 2012

djcontraption @rfberry@aliciabloom w/a constant internal conversation about whether those "tell"moments are opening up/closing down further sharing #hpm

Wed Nov 14 18:22:37 PST 2012

aliciabloom T2: i think a lot about necessary vs unnecessary testing, as well as how gettinginformation might or might not impact decision making #hpm

Wed Nov 14 18:22:52 PST 2012

jfclearywisc @rfberry Rarely see a doctor but certainly shuts up the dental hygienists #hpmWed Nov 14 18:22:59 PST 2012
http://twitter.com/27231379/status/268901881227640832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/24399366/status/268901855042617345http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/169337700/status/268901789867335680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://www.twitter.com/djcontraptionhttp://twitter.com/24399366/status/268901663052533760http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/268901566264791040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/611173037/status/268901403018289152http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/268901289012912128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/121558178/status/268901226677157888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/33076161/status/268901112931831809http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/62575849/status/268900837533839361http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ascoposthttp://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://www.twitter.com/oliverdrhttp://twitter.com/611173037/status/268900830428684288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/268900776670289920http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5FlWskDDhttp://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/268900771121201152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloom

7/30/2019 #hpm TweetChat 11/14/12

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doctatum @jfclearywisc Ha! #HpmWed Nov 14 18:23:35 PST 2012

BillPfohl Great advice! Can I use it?RT @jfclearywisc: @rfberry Rarely see a doctor butcertainly shuts up the dental hygienists #hpm

Wed Nov 14 18:24:10 PST 2012

WaywardChad Thanks for almost making me choke on my beverage... ;) MT @jfclearywisc Rarely see

doctor but certainly shuts up the dental hygienists #hpmWed Nov 14 18:24:19 PST 2012

jfclearywisc RT @rfberry: T1 --> Here's direct link to fantastic @ASCO Article on Palliative Carehttp://t.co/2mDGItBx#hpm#Hpmglobal

Wed Nov 14 18:24:28 PST 2012

rfberry T2 I find I wish some of my regular doctors had some pallia tive care communicationskills :) #hpm

Wed Nov 14 18:24:44 PST 2012

WaywardChad T2:Having moved so recently, I have to find new healthcare team, and being able tohave these talks is an important part to a good fit. #hpm

Wed Nov 14 18:25:11 PST 2012

doctatum Likewise rarely see doc. But I do think of my doc as friend and I think focus on goodcommunication desire comes from #Hpm

Wed Nov 14 18:25:12 PST 2012

jfclearywisc @rfberry I just switched to young internist (want him to be around as I age).. Greatcommunication skills! Chose him for it! #hpm

Wed Nov 14 18:26:20 PST 2012

rfberry @jfclearywisc that's fantastic. #hpmWed Nov 14 18:26:57 PST 2012

Kamiyamay Yes-always talk hpm with my doc - tell them the latest! #hpmWed Nov 14 18:27:06 PST 2012

aliciabloom look at all of you doctors who never see a doctor. . . #hpmWed Nov 14 18:27:12 PST 2012

rfberry hahaha RT @aliciabloom: look at all of you doctors who never see a doctor. . . #hpmWed Nov 14 18:27:41 PST 2012

BillPfohl In the 9 minutes I usually have with a doc...I try to communicate the highest priorityconcerns at the time. #hpm

Wed Nov 14 18:27:42 PST 2012
http://twitter.com/16059326/status/268903070203785217http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/121558178/status/268903064520507392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/268902944739586049http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/268902920945274881http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/268902879673319424http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/rfberryhttp://twitter.com/27231379/status/268902724668624897http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/33076161/status/268902439242043392http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/doctatumhttp://twitter.com/611173037/status/268902437413343232http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/268902321734426626http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/27231379/status/268902254831104001http://www.symplur.com/healthcare-hashtags/Hpmglobal/http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/2mDGItBxhttp://www.twitter.com/ASCOhttp://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/611173037/status/268902216834879488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/WaywardChadhttp://twitter.com/16059326/status/268902182726803456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://www.twitter.com/BillPfohlhttp://twitter.com/33076161/status/268902034529472512http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/doctatum

7/30/2019 #hpm TweetChat 11/14/12

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doctatum For what reason?? RT @rfberry: hahaha RT @aliciabloom: look at all of you doctorswho never see a doctor. . . #Hpm

Wed Nov 14 18:29:09 PST 2012

rfberry RT @BillPfohl: In the 9 minutes I usual ly have with a doc...I try to communicate thehighest priority concerns at the time. #hpm

Wed Nov 14 18:29:16 PST 2012

aliciabloom@doctatum@rfberry good to get checked out every now and again, no? :) #hpm

Wed Nov 14 18:30:07 PST 2012

rfberry Should we move to T3? Any other thoughts of how your experience with hpm affectsyour personal doctor appointments at all? #hpm

Wed Nov 14 18:30:42 PST 2012

kilani19 I'm lurking in the periphery! Hi all! #hpmWed Nov 14 18:31:07 PST 2012

aliciabloomT2: think a lot about necessary vs unnecessary testing, as well as how gettinginformation might or might not impact decision making #hpm

Wed Nov 14 18:31:42 PST 2012

doctatum No evidence for my age group. Uspstf. RT @aliciabloom: @doctatum@rfberry good toget checked out every now and again, no? :) #Hpm

Wed Nov 14 18:31:42 PST 2012

rfberry Great!! Thanks for saying hi, feel free to hop in as you like! RT @kilani19: Im lurking inthe periphery! Hi all! #hpm

Wed Nov 14 18:32:06 PST 2012

aliciabloom T2: it's definitely impacted how i support family members through illnesses andhospitalizations. #hpm

Wed Nov 14 18:33:11 PST 2012

rfberry RT @aliciabloom: T2: its definitely impacted how i support family members throughillnesses and hospitalizations. #hpm

Wed Nov 14 18:33:38 PST 2012

rfberry T3 What do you think about "cultural competency" as an approach to collaborationbetween disciplines http://t.co/jkf75mtz#hpm

Wed Nov 14 18:34:21 PST 2012

BillPfohl The bigger question is which Doc do you talk with ...the specialist or the GP? #hpmWed Nov 14 18:35:10 PST 2012

WaywardChad RT @rfberry T3 What do you think about "cultural competency" as an approach tocollaboration between disciplines http://t.co/Oqt38iap#hpm

Wed Nov 14 18:35:22 PST 2012
http://twitter.com/611173037/status/268904999176785920http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/Oqt38iaphttp://www.twitter.com/rfberryhttp://www.twitter.com/WaywardChadhttp://twitter.com/16059326/status/268904947117068288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/121558178/status/268904742829301761http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/jkf75mtzhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/268904562415521792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/268904451702661121http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/268904178032713728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kilani19http://www.twitter.com/rfberryhttp://twitter.com/33076161/status/268904075100307456http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/doctatumhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/doctatumhttp://twitter.com/24399366/status/268904074961903616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/519740228/status/268903928417095681http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kilani19http://twitter.com/121558178/status/268903824134135808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/24399366/status/268903677778071552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/doctatumhttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/268903464225083392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/rfberryhttp://twitter.com/33076161/status/268903434793672704http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://www.twitter.com/doctatum

7/30/2019 #hpm TweetChat 11/14/12

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djcontraption @rfberry good communication skills can make even 5 minutes feel robust--just likebad skills can make the same 5 seem like an eternity #hpm

Wed Nov 14 18:35:36 PST 2012

rfberry @djcontraption totally agree. #hpmWed Nov 14 18:36:17 PST 2012

jfclearywisc @rfberry Dpm #hpmWed Nov 14 18:36:29 PST 2012

doctatum @rfberry Could you say more? #HpmWed Nov 14 18:36:34 PST 2012

aliciabloom @rfberry i'm seeing stuff about integrating pall iative care into oncology from your link.#hpm

Wed Nov 14 18:36:56 PST 2012

jfclearywisc @rfberry I don't get question and link #hpmWed Nov 14 18:37:21 PST 2012

rfberry OK, sorry group, I think T3 Needed a pre-T3 #hpmWed Nov 14 18:37:57 PST 2012

rfberry I saw a presentation on integrating pal liative care & oncology, the main cal l to action,was to approach different disciplines as .. #hpm

Wed Nov 14 18:38:45 PST 2012

djcontraption @rfberry Id use "focused" or the like rather than "aggressive." a language-savvy execdrctr cautioned me agnst latter as misconstruable #hpmWed Nov 14 18:39:01 PST 2012

rfberry needing to build cultural competencies - re: avoiding name calling & learning eachothers languages etc. #hpm

Wed Nov 14 18:39:25 PST 2012

aliciabloom @djcontraption@rfberry i have to disagree. it all depends on how you frame it. #hpmWed Nov 14 18:40:09 PST 2012

jfclearywisc @djcontraption use of "aggressive" for oncology suggests/implies that #Palliative careis passive #hpm#hpmglobal

Wed Nov 14 18:40:36 PST 2012

aliciabloom @djcontraption@rfberry believe we can say: "shift focus of care from aggressivedisease d irected tx to aggressive symptom control" #hpm

Wed Nov 14 18:40:47 PST 2012

Lets try T3 with out the link ha! T3 What do you think about cultural competency as an
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7/30/2019 #hpm TweetChat 11/14/12

9/13



rfberry approach to collaboration between disciplines #hpmWed Nov 14 18:40:48 PST 2012

Kamiyamay Lost connects #hpm night good TopicsWed Nov 14 18:40:50 PST 2012

oliverdr I agree pall care and onco have different definition for what is palliative vs treatment-

pc focus on quality onc focus on time #hpmWed Nov 14 18:41:06 PST 2012

jfclearywisc @rfberry THere is a risk in using term "cultural competency" (Coined in NZ) forinterprofessional communication #hpm

Wed Nov 14 18:41:54 PST 2012

aliciabloom T3: interesting @rfberry. fostering interdisciplinary cultural competency to improvecollaboration. #hpm

Wed Nov 14 18:42:13 PST 2012

djcontraption @rfberry it seems to come back again to communication skills-also the primary lessonI took from 2 years of ethics consult training #hpm

Wed Nov 14 18:42:32 PST 2012

equijada t3: part of being a palliative care physician is learning how to "fit" in clinical /culturesituation and assessing "needs" #hpm

Wed Nov 14 18:42:45 PST 2012

rfberry @jfclearywisc interesting! What is the risk you see? #hpmWed Nov 14 18:42:55 PST 2012

jfclearywisc @rfberry T3 but impt for disciplines to be talking to each other. Was at "liver"conference last; struggled w abbreviations #hpm

Wed Nov 14 18:42:56 PST 2012

chadreilly @rfberry where did you see the presentation? Can you share? #hpmWed Nov 14 18:43:52 PST 2012

equijada t3...realizing needs and wants are very different #hpmWed Nov 14 18:43:58 PST 2012

jfclearywisc @equijada: t3: part of being pal liative care MD is learning how to "fit" in clinical/culturesituation & assessing "needs" #hpm-Agree

Wed Nov 14 18:43:59 PST 2012

aliciabloom T3: conceptually, i believe the more we understand other disciplines & their role inpatient care, the more effectively we provide care #hpm

Wed Nov 14 18:44:27 PST 2012
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7/30/2019 #hpm TweetChat 11/14/12

10/13



rfberry @CAPCPalliative's Annual Seminar. RT @chadreilly: @rfberry where did you see thepresentation? Can you share? #hpm

Wed Nov 14 18:44:31 PST 2012

rfberry @jfclearywisc agree! What I thought was interesting was the concept of learninganother (clinical) language as a way to build trust. #hpm

Wed Nov 14 18:45:13 PST 2012

djcontraption@rfberry That is to say: how we engage wi th others requires a lo t of deliberate workand attention to what's going on wi thin ourselves #hpm

Wed Nov 14 18:46:12 PST 2012

aliciabloom T3: cultural competency is all about building understanding, so i think this a niceparallel to improving IDT collaboration #hpm

Wed Nov 14 18:46:14 PST 2012

jfclearywisc @rfberry "Cultural competency" http://t.co/buM0pGdY So thinking abt it C wht U Rsuggesting. Not a problem #hpm

Wed Nov 14 18:46:21 PST 2012

WaywardChad MT @aliciabloom T3 conceptually i believe more we understand other disciplines &role in patient care, more effectively we provide care #hpm

Wed Nov 14 18:46:44 PST 2012

oliverdr Not sure learning anothers language builds trust but it does hopefully buildunderstanding #hpm

Wed Nov 14 18:46:52 PST 2012

aliciabloom @oliverdr i think as we build understanding, we have an opportunity to build trust#hpm

Wed Nov 14 18:47:52 PST 2012

equijada sort of same (with pts but different) with consulting physician: "what do you understandof the disease". Helps me get in same frame. #hpm

Wed Nov 14 18:48:09 PST 2012

rfberry With so many stereotypes about different clinical specializations (& different norms), Ithought cultural competencies made sense to me #hpm

Wed Nov 14 18:48:30 PST 2012

equijada t3... because I certainly don't understand as much as a specialist in XYZ... #hpmWed Nov 14 18:48:49 PST 2012

oliverdr @aliciabloom true but the language alone is not enough- trust comes with experienceas well as communication #hpm

Wed Nov 14 18:48:51 PST 2012

chadreilly RT @oliverdr: @aliciabloom true but the language alone is not enough- trust comeswith experience as well as communication #hpm

Wed Nov 14 18:49:47 PST 2012
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7/30/2019 #hpm TweetChat 11/14/12

11/13



WaywardChad RT @oliverdr: @aliciabloom true but the language alone is not enough- trust comeswith experience as well as communication #hpm

Wed Nov 14 18:49:49 PST 2012

rfberry @oliverdr@aliciabloom, I think language is one starting point for understanding &understanding is a starting point for collaboration #hpm

Wed Nov 14 18:49:52 PST 2012

jfclearywisc @oliverdr: @aliciabloom true but the language alone is not enough- trust comes withexperience as well as communication #hpm--> Agree

Wed Nov 14 18:49:58 PST 2012

aliciabloom @oliverdr yes, it's the first step. if someone doesn't bother to understand what i do orhow i practice, i can't begin to trust them. #hpm

Wed Nov 14 18:50:07 PST 2012

WaywardChad MT @rfberry: With stereotypes about different clinical specializations (& differentnorms), thought cultural competencies made sense #hpm

Wed Nov 14 18:50:29 PST 2012

djcontraption @rfberry only if it doesn't simultaneously create bright lines about the "otherness" ofeach discipline; possible,but requires balance #hpm

Wed Nov 14 18:51:01 PST 2012

rfberry Well we're coming up on the last few minutes, any thoughts about articles orexperiences this week you'd like to share? #hpm

Wed Nov 14 18:51:32 PST 2012

WaywardChadMT @aliciabloom: @oliverdr yes, 1st step. if someone doesnt bother to understandwhat i do or how i practice, cant begin to trust them #hpm

Wed Nov 14 18:51:34 PST 2012

BillPfohl @rfberry I think I understand what your saying but cultural competencies meanssomething totally different to a MarCom professional #hpm

Wed Nov 14 18:51:35 PST 2012

rfberry @djcontraption that was a lot (of interestingness & wisdom in 140) ! :) #hpmWed Nov 14 18:52:10 PST 2012

rfberry @BillPfohl haha, for sure! #hpmWed Nov 14 18:52:28 PST 2012

jfclearywisc @rfberry I find one of most impt questions to ask consulting colleagues "What is thegoal of therapy?" Often stunning! #hpm

Wed Nov 14 18:52:38 PST 2012

oliverdr @jfclearywisc AGREED! The goals are often either so unclear or when stated so
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7/30/2019 #hpm TweetChat 11/14/12

12/13



amazingly different! #hpm

Wed Nov 14 18:53:29 PST 2012

WaywardChad RT @jfclearywisc@rfberry I find one of most impt questions to ask consultingcolleagues "What is the goal of therapy?" Often stunning! #hpm

Wed Nov 14 18:53:32 PST 2012

BillPfohl Gee and I thought all you clinical types talked the same language....Science! #hpmWed Nov 14 18:53:48 PST 2012

rfberry RT @oliverdr: @jfclearywisc AGREED! The goals are often either so unclear or whenstated so amazingly different! #hpm

Wed Nov 14 18:54:09 PST 2012

aliciabloom yes! RT @jfclearywisc I find one of most impt questions to ask consulting colleagues"What is the goal of therapy?" Often stunning! #hpm

Wed Nov 14 18:54:17 PST 2012

rfberry@BillPfohl hahah, see how these different cultural languages can come into play? :)

#hpmWed Nov 14 18:54:34 PST 2012

WaywardChad RT @BillPfohl: Gee and I thought all you clinical types talked the samelanguage....Science! #hpm

Wed Nov 14 18:54:39 PST 2012

jfclearywisc @BillPfohl It is interesting how we allow science & evidence (which is what science is)to disappear in patient interactions #hpm

Wed Nov 14 18:54:53 PST 2012

rfberry Thanks for participating in the chat tonight!! (Sorry about the ini tial confusion with T3!)#hpm

Wed Nov 14 18:55:04 PST 2012

Kamiyamay Trust-something imperative that must be instilled in clinicians/orgs. Team followthrough on al l aspects, delivery, communication etc. #hpm

Wed Nov 14 18:55:37 PST 2012

aliciabloom thanks for hosting @rfberry! it's always a great discussion when you do. #hpmWed Nov 14 18:55:45 PST 2012

chadreilly @rfberry#hpm - 1st chat with this group, amazing topics and insight #awesomeWed Nov 14 18:55:50 PST 2012

WaywardChad RT @rfberry: @BillPfohl hahah, see how these different cultural languages can comeinto play? :) #hpm

Wed Nov 14 18:56:06 PST 2012
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7/30/2019 #hpm TweetChat 11/14/12

13/13


Kamiyamay RT @aliciabloom: thanks for hosting @rfberry! its always a great discussion when youdo. #hpm

Wed Nov 14 18:56:25 PST 2012

WaywardChad MT @jfclearywisc@BillPfohl Interesting how we allow science & evidence (which iswhat science is) to disappear in patient interactions #hpm

Wed Nov 14 18:56:32 PST 2012

aliciabloom@chadreilly you should jo in us more often! #hpm

Wed Nov 14 18:56:34 PST 2012

rfberry Great!! Glad to see you hop in Chad!! Welcome!! RT @chadreilly#hpm - 1st chat withthis group, amazing topics and insight #awesome#hpm

Wed Nov 14 18:56:53 PST 2012

Kamiyamay @BillPfohl Ha you might be surpassed! #hpmWed Nov 14 18:57:30 PST 2012

BillPfohl@jfclearywisc When a patient asks "what do you think?" he understands the sciencehe really wants to know your the person would do... #hpm

Wed Nov 14 18:57:34 PST 2012

BillPfohl Good night for the east coast #hpmWed Nov 14 18:57:50 PST 2012

rfberry And good night from the west coast!! RT @BillPfohl: Good night for the east coast#hpm

Wed Nov 14 18:59:03 PST 2012

DianeEMeier @jfclearywisc: RT @rfberry: T1 --> Here's direct link to fantastic @ASCO Article on#Palliative Care http://t.co/wtrqj7EN#hpm#Hpmglobal

Wed Nov 14 18:59:40 PST 2012

Kamiyamay Night from TX @rfberry U rock! #hpmWed Nov 14 19:00:06 PST 2012

aliciabloom we're going to a break from #hpm chat next week since so many people are traveling& preparing for Thanksgiving-- have a wonderful holiday!

Wed Nov 14 19:00:20 PST 2012

jfclearywisc @BillPfohl But problem with that question: W my chemotheapy hammer everythinglooks like a nail. Little education abt when to use it. #hpm

Wed Nov 14 19:00:22 PST 2012
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#hpm tweetchat 11/14/12

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