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8/19/2010                            TweetChat - #hpm

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   TeriRN @ctsinclair Keep missing the tweet 4 when #hpm is. Do U have a set
   day & time so I can put it on my calendar? Looked like a good chat 2nite. -11:43
   PM Aug 18th, 2010



   lfettig RT @DianeEMeier: RT @DONALDHTAYLORJR: questions on how we
   apply findings from the new palliative care study
   http://tinyurl.com/2wfvvym #hpm -11:35 PM Aug 18th, 2010

   hollyby @URandomnessK Thanks! Pass it on! We need more people to know
   how palliative care can help. http://bit.ly/cQH6GU #hpm -10:43 PM Aug 18th, 2010

   DianeEMeier RT @DONALDHTAYLORJR: blog post:questions on how we
   apply findings from the new palliative care study
   http://tinyurl.com/2wfvvym #hpm #Palliativecare -10:23 PM Aug 18th, 2010

   DONALDHTAYLORJR blog post:questions on how we apply findings from the
   new palliative care study http://tinyurl.com/2wfvvym #hpm
   #Palliativecare -10:22 PM Aug 18th, 2010

   LeighFazzina @drpauldorio @ctsinclair I didn't catch #HPM chat. What's it
   about? -10:07 PM Aug 18th, 2010

   HospiScript NEJM Palliative Care Article adds quality and time to life of
   patients with advanced lung #cancer http://icio.us/0sdsyu #hospice #hpm
   -10:03 PM Aug 18th, 2010



   dockj @joegormally back at ya! GTMU in #HPM -9:31 PM Aug 18th, 2010

   haslingerppc RT @ctsinclair: Grndbreaking study @NEJM on Early Palliative
   Care Metastatic Lung #Cancer improved QOL AND improved survival!
   http://bit.ly/cQH6GU #HPM -9:28 PM Aug 18th, 2010

   joegormally Palliative Care Help Cancer Patients Live Better, Longer:
   http://www.sciencedaily.com/releases/2010/08/100818171913.htm
   #hpm -9:26 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                         1/28
8/19/2010                             TweetChat - #hpm

   drpauldorio @LeighFazzina @ctsinclair caught the last part. Looked
   interesting! So many convos on Twt. How do u all keep up! #HPM -9:20 PM Aug
   18th, 2010



   hollyby RT @DianeEMeier: ...great chat, fantastic ideas, we need a social
   marketing strategy for this one...! ' Agreed! Good to hear from you! #hpm -9:18
   PM Aug 18th, 2010



   DianeEMeier finally got here just in time to wave good bye...great chat,
   fantastic ideas, we need a social marketing strategy for this one...! #hpm -9:16
   PM Aug 18th, 2010



   jodyms @ctsinclair Thanks so much. #HPM -- much needed topic that has
   been ignored for too long. -9:16 PM Aug 18th, 2010

   sharingstrength thank you RT @hollyby: @joegormally @sharingstrength
   Decreased mortality for spouses of hospice patients http://bit.ly/ahyCaw
   #hpm -9:13 PM Aug 18th, 2010

   hollyby @joegormally @sharingstrength Decreased mortality for spouses of
   hospice patients http://bit.ly/ahyCaw #hpm -9:12 PM Aug 18th, 2010

   LeighFazzina @ctsinclair Hey u. What's that #HPM chat about? -9:12 PM Aug 18th,
   2010



   daitpcg christian, thx for putting together this community #hpm -9:12 PM Aug 18th,
   2010



   ctsinclair Good night. Must go play board games at a friends house! #hpm -
   9:11 PM Aug 18th, 2010



   ctsinclair RT @subatomicdigg: Palliative Care Helps #Cancer Pts Live Better,
   Longer: http://digg.com/d31ZtmD?t #digg #digguser 'I just dugg it!'
   #hpm -9:10 PM Aug 18th, 2010

   doclake nighty night palliative tweeps! Let's go get 'em! #hpm -9:10 PM Aug 18th,
   2010



   daitpcg not onc clinics, but there will be other newly formed organizations
   (upstarts or start-ups) to provide this INTEGRATED care #hpm -9:10 PM Aug 18th,
   2010



http://tweetchat.com/room/hpm                                                           2/28
8/19/2010                             TweetChat - #hpm

   emmabelanger RT @ctsinclair: TOPIC #1: The recent @NEJM study showing
   early PC improves QOL AND survival. Great results, what do we do now?
   #hpm -9:09 PM Aug 18th, 2010

   sharingstrength @ctsinclair Tally those stats for #hpm and then let's do the
   interview for my @doc2doc article to help spread the word. -9:09 PM Aug 18th, 2010

   joegormally @ctsinclair Palliative Care is a progressive evolving specialty :)
   #hpm -9:09 PM Aug 18th, 2010

   ctsinclair @doclake @daitpcg Just curious....I like to think about alternate
   universes! :-) #hpm -9:09 PM Aug 18th, 2010

   doclake They only publish 1 or 2 letters-gotta figure out how to get them to
   notice-Does it help to be a famous palliative MD? #hpm -9:09 PM Aug 18th, 2010

   subatomicdigg Palliative Care Helps Cancer Patients Live Better, Longer:
   http://digg.com/d31ZtmD?t #hpm #cancer #digg #digguser (via
   @sciencedaily) -9:08 PM Aug 18th, 2010

   ctsinclair RE: starting #hpm Tweetchat. been fun to watch it grow. Especially
   for niche of medicine. Cards, renal, onc docs aren't doing this #hpm -9:08 PM Aug
   18th, 2010



   doclake RT @ctsinclair: @doclake @daitpcg Do u think onc clinics are going
   to buy up pall. docs and RNs leaving hospices empty handed? um,no.. #hpm -
   9:07 PM Aug 18th, 2010



   daitpcg RT @ctsinclair: Do you think onc clinics are going to buy palliative
   care docs and nurses leaving hospices empty?not if HPMMDs organize #hpm -
   9:07 PM Aug 18th, 2010



   ctsinclair @doclake Not that I know of, but I would write one with you! #hpm
   -9:07 PM Aug 18th, 2010



   joegormally RT @MeredithGould: Grateful that you started this chat
   @ctsinclair & love seeing community build and grow. #hpm -9:07 PM Aug 18th, 2010

   ctsinclair @MeredithGould Me too! I need to tally some stats from tonight.
   #hpm -9:06 PM Aug 18th, 2010



http://tweetchat.com/room/hpm                                                           3/28
8/19/2010                             TweetChat - #hpm

   sharingstrength Will do. RT @ctsinclair: @joegormally @sharingstrength
   You could search @Pallimed for some articles too. #hpm -9:06 PM Aug 18th, 2010

   jodyms RT @sharingstrength: Ditto! RT @MeredithGould: Grateful that you
   started this chat @ctsinclair & love seeing community build and grow. #hpm -
   9:06 PM Aug 18th, 2010



   sharingstrength Ditto! RT @MeredithGould: Grateful that you started this
   chat @ctsinclair & love seeing community build and grow. #hpm -9:06 PM Aug 18th,
   2010



   sharingstrength @hollyby Thank you #hpm -9:06 PM Aug 18th, 2010

   doclake Has anyone @dianemeier @rsmorrison @ctsinclair written letter to
   editor of @Newyorker about #gawande piece? #hpm -9:06 PM Aug 18th, 2010

   ctsinclair @joegormally @sharingstrength You could search @Pallimed for
   some articles too. #hpm -9:05 PM Aug 18th, 2010

   joegormally @hollyby thanks for that.. will look out for it #hpm -9:05 PM Aug 18th,
   2010



   MeredithGould Grateful that you started this chat @ctsinclair & love seeing
   community build and grow. #hpm -9:05 PM Aug 18th, 2010

   hollyby @joegormally @sharingstrength I'll find more for you and send it out
   with the #hpm hashtag for others #hpm -9:04 PM Aug 18th, 2010

   ctsinclair RT @jodyms: @ctsinclair The Gawande article unleashed a stream
   of articles/comments/discussion about palliative care. All good. #hpm -9:04 PM
   Aug 18th, 2010



   sharingstrength This needs to change. RT @daitpcg: "early PC INTEGRATED
   w/ standard onc care" This is new model-reimbursement & organization lag
   behind #hpm -9:04 PM Aug 18th, 2010

   ctsinclair @doclake @daitpcg Do you think onc clinics are going to buy up all
   the palliative care docs and nurses leaving hospices empty handed? #hpm -9:04
   PM Aug 18th, 2010



   emarnold14 Thanks everyone. Great discussions! #hpm -9:04 PM Aug 18th, 2010

http://tweetchat.com/room/hpm                                                            4/28
8/19/2010                            TweetChat - #hpm

   dockj RT @Mtnmd: @ctsinclair @doclake Thanks, guys for holding great
   conversation. Important information. Thanks for helping spread the word
   #hpm -9:03 PM Aug 18th, 2010

   jodyms @ctsinclair @mtnmd @doclatke @daitpcp @docj @sharingstrength
   @meredithgould -- honored to participate. This work matters so much #hpm -
   9:03 PM Aug 18th, 2010



   ctsinclair RT @joegormally: @hollyby is this data (improved family outcomes)
   published? "Yes - see item #4 http://bit.ly/aX5irY " #hpm -9:03 PM Aug 18th, 2010

   dockj RT @DrSawicki: @ctsinclair Thank YOU for all you do! here! here!
   #hpm -9:03 PM Aug 18th, 2010

   DrSawicki @ctsinclair Thank YOU for all you do! #hpm -9:02 PM Aug 18th, 2010

   jodyms @ctsinclair The Gawande article unleashed a stream of
   articles/comments/discussion about palliative care. All good. #HPM -9:02 PM Aug
   18th, 2010



   sharingstrength @hollyby I suspect that improving PC support for caregivers
   improves QoL of palliative patient too. Is there data to support this? #hpm -
   9:02 PM Aug 18th, 2010



   subatomicdigg @ctsinclair I'm a very active @Digg user, thus this account
   name in stead of @subatomicdoc for medicine only #hpm -9:02 PM Aug 18th, 2010

   Mtnmd @ctsinclair @doclake Thanks, guys for holding great conversation.
   Important information. #hpm -9:02 PM Aug 18th, 2010

   ctsinclair Last Thought: Thanks everyone for being bold enough to join this
   public conversation/experiment. You are doing great things. #hpm -9:01 PM Aug
   18th, 2010



   doclake RT @daitpcg: "early palliative care INTEGRATED with standard
   oncologic care" - an entirely new model-reimbursement and organization lag
   #hpm -9:01 PM Aug 18th, 2010

   jodyms @ctsinclair I'm probably speaking for myself, but there are many (who
   have been affected by cancer) who feel the same. #HPM -9:01 PM Aug 18th, 2010



http://tweetchat.com/room/hpm                                                        5/28
8/19/2010                            TweetChat - #hpm

   subatomicdigg RT @dockj: RT @hollyby: @sharingstrength There is also
   data that #hpm improves health for caregivers too #hpm -9:01 PM Aug 18th, 2010

   ctsinclair @subatomicdigg We talked about Digging this article and media
   reports all over the place. #hpm -9:01 PM Aug 18th, 2010

   hollyby RT @doclake: RT @dockj: This study needs to be nailed to the front
   door of the NIH for funding priority. http://bit.ly/cQH6GU #hpm -9:01 PM Aug
   18th, 2010



   sharingstrength That's what I suspected. RT @hollyby: @sharingstrength
   There is also data that #hpm improves health for caregivers too #hpm -9:00 PM
   Aug 18th, 2010



   joegormally @hollyby is this data published? #hpm -9:00 PM Aug 18th, 2010

   sharingstrength Thanks @DrSawicki @jodyms @ctsinclair PC ... includes
   family, as defined by pt. #hpm -9:00 PM Aug 18th, 2010

   daitpcg "early palliative care INTEGRATED with standard oncologic care" - this
   is entirely new model- reimbursement and organization lag behind #hpm -9:00
   PM Aug 18th, 2010



   jodyms RT @dockj: RT @hollyby: @sharingstrength There is also data that
   #hpm improves health for caregivers too #hpm -9:00 PM Aug 18th, 2010

   doclake RT @dockj: This study needs to be nailed to the front door of the
   NIH for funding priority. http://bit.ly/cQH6GU #hpm -9:00 PM Aug 18th, 2010

   subatomicdigg @dockj Thanks for a link to the PDF! Is there any news
   coverage yet? I can submit a link to @Digg #hpm -9:00 PM Aug 18th, 2010

   hollyby @ctsinclair Same time next week? #hpm -8:59 PM Aug 18th, 2010

   jodyms @SharingStrength Not stupid question at all. It is about the circle of
   care surrounding the patient. That is family #HPM -8:59 PM Aug 18th, 2010

   dockj RT @hollyby: @sharingstrength There is also data that #hpm
   improves health for caregivers too #hpm -8:59 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                       6/28
8/19/2010                             TweetChat - #hpm

   ctsinclair @jodyms are these advocates particularly those not in the medical
   fields? #hpm -8:59 PM Aug 18th, 2010

   DrSawicki RT @ctsinclair: @DrSawicki Hee Hee we said the same thing!
   Great minds think alike! #hpm -8:59 PM Aug 18th, 2010

   hollyby @sharingstrength There is also data that #hpm improves health for
   caregivers too #hpm -8:59 PM Aug 18th, 2010

   ctsinclair RT @dockj: This study needs to be nailed to the front door of the
   NIH for funding priority. http://bit.ly/cQH6GU 'YES!' #hpm -8:59 PM Aug 18th, 2010

   DrSawicki I love what I do and how paying attention to how someone feels
   actually is being seen to be better for them!!! Great thoughts folks. #hpm -8:58
   PM Aug 18th, 2010



   jodyms @ctsinclair I mean those working for clarity and honest discussion on
   end-of-life care, to diminish fear, encourage understanding. #hpm . -8:58 PM Aug
   18th, 2010



   dockj This study needs to be nailed to the front door of the NIH for funding
   priority. http://bit.ly/cQH6GU #hpm -8:58 PM Aug 18th, 2010

   subatomicdigg @joegormally Thanks for the link. I'll have to read whole
   article but looks very promising. Agree on importance of repro in community
   #hpm -8:58 PM Aug 18th, 2010

   ctsinclair @DrSawicki Hee Hee we said the same thing! #hpm -8:58 PM Aug 18th,
   2010



   MeredithGould Do you generally prefer "family" or "loved ones"? #hpm -8:58 PM
   Aug 18th, 2010



   ctsinclair (And feel free to keep chatting after the hour too!) #hpm -8:57 PM Aug
   18th, 2010



   ctsinclair OK folks wrapping up, give us your last thought for tonight! #hpm -
   8:57 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                           7/28
8/19/2010                             TweetChat - #hpm

   ctsinclair RT @sharingstrength: Would you say palliative care is delivered to
   patient & family? 'As the patient defines their family, yes!" #hpm -8:57 PM Aug
   18th, 2010



   dockj RT @hollyby: This study should get the attention of #hcr . Better
   outcomes for patients with cancer! http://bit.ly/cQH6GU @whitehouse
   #hpm -8:57 PM Aug 18th, 2010

   DrSawicki @sharingstrength No question is stupid. PC in my mind does
   always include family, as defined by the patient. #hpm -8:57 PM Aug 18th, 2010

   hollyby This study should get the attention of those in #hcr too. Better
   outcomes for patients with cancer! http://bit.ly/cQH6GU @whitehouse
   #hpm -8:56 PM Aug 18th, 2010

   ctsinclair @subatomicdigg
   http://www.nejm.org/doi/pdf/10.1056/NEJMoa1000678 @NEJM showed
   almost 3months survival in NSCLC with PC #hpm -8:56 PM Aug 18th, 2010

   sharingstrength Stupid question: Does PC always include family? Would you
   say palliative care is delivered to the patient and their family? #hpm -8:55 PM
   Aug 18th, 2010



   Mtnmd @doclake Ahhh, I am most honored!!! #hpm Glad to join the super
   conversation. Eating superiorly assists mood, energy and sleep. Gd for pts -8:55
   PM Aug 18th, 2010



   joegormally @subatomicdigg this NEJM study
   http://www.nejm.org/doi/full/10.1056/NEJMoa1000678 #hpm -8:55 PM Aug
   18th, 2010



   DrSawicki RT @dockj: RT @DrSawicki: RT @ctsinclair: old spice guy parody
   on this article! Im not dead yet! I used Pallitiva! #hpm -8:54 PM Aug 18th, 2010

   subatomicdigg @ctsinclair What study are you discussing? #hpm -8:54 PM Aug
   18th, 2010



   ctsinclair @DrSawicki The @OldSpice man can die. He actually talked about
   it: http://youtu.be/E_5fokTxZQs via @equijada #hpm -8:54 PM Aug 18th, 2010

   dockj RT @DrSawicki: RT @ctsinclair: old spice guy parody on this article! Im
   not dead yet! I used Pallitiva! #hpm -8:53 PM Aug 18th, 2010

http://tweetchat.com/room/hpm                                                         8/28
8/19/2010                            TweetChat - #hpm

   DrSawicki RT @doclake: important for individual #hpm programs to have
   strategy to replicate benefits of study- biggest obstacle is reimbursement
   #hpm -8:52 PM Aug 18th, 2010

   DrSawicki RT @ctsinclair:wheres your old spice guy when you need him I
   could toatally see an Old SPice parody on this article! I'm not dead yet! #hpm
   -8:52 PM Aug 18th, 2010



   doclake RT @ctsinclair: Welcome @MtnMD you win Tweetchat honors tonight
   with the most followers! 20k+ We appreciate your spread of our message!
   #hpm -8:52 PM Aug 18th, 2010

   subatomicdigg @jodyms Hi Jody, I agree. It's important all disciplines work
   together. #hpm -8:52 PM Aug 18th, 2010

   daitpcg RT @doclake: important for individual #hpm programs to have
   strategy to replicate benefits of study- biggest obstacle is reimbursement
   #hpm -8:51 PM Aug 18th, 2010

   ctsinclair @jodyms Tell me what you mean by advocates. I think I know, just
   want to clarify. #hpm -8:51 PM Aug 18th, 2010

   doclake RT @ctsinclair: Thinking more about my fake cancer drug ad The drug
   could be called: Palativa #hpm -8:51 PM Aug 18th, 2010

   jodyms Advocates, too RT@ctsinclair @subatomicdigg Glad you're
   chiming..We need a coalition of Rad Onc, Med Onc, Pal Med, + multi-
   discilpinary #hpm -8:51 PM Aug 18th, 2010

   ctsinclair Welcome Welcome @MtnMD you win the Tweetchat honors tonight
   with the most followers! 20k+ We appreciate your spread of our message!
   #hpm -8:50 PM Aug 18th, 2010

   subatomicdigg @ctsinclair My pleasure; just popped into Twitter and saw you
   and @doclake 's tweets. Hi all #hpm -8:50 PM Aug 18th, 2010

   equijada RT @ctsinclair: Thinking more about my 'fake cancer drug ad' The
   drug could be called: Palativa #hpm -8:50 PM Aug 18th, 2010

   ctsinclair RT @dockj: @ctsinclair wheres your old spice guy when you need
   him 'Owe I could toatally see and Old SPice parody on this article!' #hpm -8:49
   PM Aug 18th, 2010



http://tweetchat.com/room/hpm                                                        9/28
8/19/2010                              TweetChat - #hpm

   dockj @Mtnmd thanks for the RT! #HPM #hpm -8:49 PM Aug 18th, 2010

   DrSawicki RT @ctsinclair: Thinking more about my fake cancer drug ad The
   drug could be called: Palativa I LOVE THIS! Great idea! #hpm -8:49 PM Aug 18th,
   2010



   ctsinclair RT @mcgaula: RT @dockj: Clinical effectiveness and best practices
   must be fast tracked and proven in other settings. #hpm -8:49 PM Aug 18th, 2010

   sharingstrength RT @inhousehospice: RT @MeredithGould: Strategies and
   tactics must factor in variables like fear and stigma. #hpm -8:49 PM Aug 18th, 2010

   dockj @ctsinclair where's your old spice guy when you need him #hpm -8:49 PM
   Aug 18th, 2010



   ctsinclair @subatomicdigg Glad you are chiming in on this one. We need a
   coalition of Rad Onc, Med Onc, Pal Med, + multi-discilpinary #hpm -8:49 PM Aug
   18th, 2010



   Mtnmd RT @ctsinclair @emarnold14 Boston ABC affiliate produced this
   segment about the study for the evening news tonight. http://is.gd/enPUl
   #hpm -8:48 PM Aug 18th, 2010

   MeredithGould @joegormally Docs would have to know to read it, first!
   #hpm -8:48 PM Aug 18th, 2010

   dockj RT @ctsinclair: Thinking more about my fake cancer drug ad The drug
   could be called: Palativa #hpm -8:48 PM Aug 18th, 2010

   DrSawicki RT @ctsinclair: Interesting: no mention of social worker or chaplain
   in article. PC Team was PC doc and/or APRN @NEJM This worries me. #hpm -
   8:48 PM Aug 18th, 2010



   sharingstrength @ctsinclair @jodyms Hi and thanks for the welcome. Looks
   like I landed in time for a topic that interests me a lot. #hpm -8:48 PM Aug 18th,
   2010



   joegormally I'm sure this article will change some doctors minds on the
   evolving role of palliative care #hpm -8:48 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                            10/28
8/19/2010                           TweetChat - #hpm

   ctsinclair Thinking more about my 'fake cancer drug ad' The drug could be
   called: Palativa #hpm -8:48 PM Aug 18th, 2010

   DrSawicki RT @mcgaula: RT @dockj: Clinical effectiveness and best practices
   must be fast tracked and proven in other settings. #hpm -8:48 PM Aug 18th, 2010

   subatomicdigg RT @ctsinclair: RT @DrSawicki: My concern: oncs here think
   they already DO palliative care. They need to be educated abt is missing
   'delicately' #hpm -8:48 PM Aug 18th, 2010

   mcgaula RT @dockj: Clinical effectiveness and best practices must be fast
   tracked and proven in other settings. #hpm -8:47 PM Aug 18th, 2010

   hollyby T2: We spend thousands of $ on cancer care per pt. Think if some of
   that $ went into building #HPM. It's about priorities, 2.7months! #hpm -8:47 PM
   Aug 18th, 2010



   DrSawicki Question: how will those outside specialty PC react to this study? I
   haven't read entirely so worry about possible critique/backlash. #hpm -8:47 PM
   Aug 18th, 2010



   sharingstrength RT @DrSawicki: T2 also agree NEED outpatient PC. #hpm -
   8:47 PM Aug 18th, 2010



   emarnold14 RT @ctsinclair: Interesting: no mention of social worker or
   chaplain in article. PC Team was PC doc and/or APRN @NEJM #hpm -8:47 PM Aug
   18th, 2010



   mcgaula RT @doclake: RT @dockj: And we cannot wait 20 years like for ASA
   and B Blockers #hpm -8:47 PM Aug 18th, 2010

   inhousehospice RT @MeredithGould: Strategies and tactics must factor in
   variables like fear and stigma. #hpm -8:47 PM Aug 18th, 2010

   dockj Clinical effectiveness and best practices must be fast tracked and
   proven in other settings. #hpm -8:47 PM Aug 18th, 2010

   ctsinclair RT @dockj: "WE" Have to eliminate the "but thats Mass G " stigma
   #hpm -8:47 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                    11/28
8/19/2010                            TweetChat - #hpm


   ctsinclair @sharingstrength Great to have you too! #hpm -8:46 PM Aug 18th, 2010

   sharingstrength RT @ctsinclair: Would love 2 see a 'classic' cancer drug ad,
   w/ results abt improved QOL, survival that ends with 'get palliative care'
   #hpm -8:46 PM Aug 18th, 2010

   ctsinclair Interesting: no mention of social worker or chaplain in article. PC
   Team was PC doc and/or APRN @NEJM #hpm -8:46 PM Aug 18th, 2010

   sharingstrength RT @DrSawicki: My concern: oncs here think they already
   DO palliative care. They need to be educated abt is missing 'delicately' #hpm
   -8:46 PM Aug 18th, 2010



   jodyms @SharingStrength So glad to see you as well,Colleen. #HPM -8:46 PM
   Aug 18th, 2010



   doclake RT @dockj: And we cannot wait 20 years like for ASA and B Blockers
   #hpm -8:46 PM Aug 18th, 2010

   dockj And we cannot wait 20 years like for ASA and B Blockers #hpm -8:45 PM
   Aug 18th, 2010



   sharingstrength Hi all. I'd like to join you for the last 15 min of #hpm. -8:45 PM
   Aug 18th, 2010



   DrSawicki T2 also agree NEED outpatient PC. #hpm -8:45 PM Aug 18th, 2010

   ctsinclair @jodyms Welcome Jody! #hpm -8:45 PM Aug 18th, 2010

   dockj "WE" Have to eliminate the "but that's Mass G " stigma #hpm -8:44 PM Aug
   18th, 2010



   ctsinclair RT @dockj: We must replicate the study in community settings, on
   the other coast, in the middle of the country. #hpm -8:44 PM Aug 18th, 2010

   DrSawicki Partly terminology: to onc, PC is ANYTHING not curative. Not our
   definition. Start there and get on the same page. #hpm -8:43 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                        12/28
8/19/2010                             TweetChat - #hpm


   dockj We must replicate the study in community settings, on the other coast,
   in the middle of the country. T2 #hpm -8:43 PM Aug 18th, 2010

   hollyby RT @doclake: Will be important ... to have a strategy to be in
   position to replicate benefits of study 'In different diagnoses as well' #hpm -
   8:43 PM Aug 18th, 2010



   ctsinclair @ChrisRalph007 Thanks for the RT Chris! Great to have some
   sports media in this conversation too! :-) Go #Sharks ! #hpm -8:43 PM Aug 18th,
   2010



   jodyms RT @doclake: RT @hollyby: @livestrong @AmericanCancer
   @lungCAN Major results in the treatment of lung cancer. @NEJM
   http://bit.ly/cQH6GU #hpm -8:43 PM Aug 18th, 2010

   jodyms Back from my meeting and signing in late for #hpm -8:42 PM Aug 18th, 2010

   DrSawicki @ctsinclair Thanks. People and money. Always comes back to that.
   #hpm -8:42 PM Aug 18th, 2010

   ctsinclair RT @DrSawicki: My concern: oncs here think they already DO
   palliative care. They need to be educated abt is missing 'delicately' #hpm -8:42
   PM Aug 18th, 2010



   ChrisRalph007 RT @ctsinclair: Would love 2 see a 'classic' cancer drug ad, w/
   results abt improved QOL, survival that ends with 'get palliative care' #hpm -
   8:42 PM Aug 18th, 2010



   ctsinclair RT @doclake: individual #hpm programs to have a strategy to be in
   position to replicate benefits of study- 'must replicate data' #hpm -8:41 PM Aug
   18th, 2010



   inhousehospice RT @DrSawicki: My concern: oncs here think they already DO
   palliative care. They need to be educated about what they are missing "Yes!"
   #hpm -8:41 PM Aug 18th, 2010

   ctsinclair @doclake Yes, not all palliative care programs are structured like
   @MassGeneral #hpm -8:41 PM Aug 18th, 2010

   dockj RT @doclake: Will be important for individual #hpm programs to have
   a strategy to be in position to replicate benefits of study- #hpm -8:41 PM Aug 18th,
   2010

http://tweetchat.com/room/hpm                                                         13/28
8/19/2010                             TweetChat - #hpm


   ctsinclair RT @DrSawicki: Bob Sawicki, HPM doc in IL. Late to the party, but
   LOVE what I see so far tonight #hpm 'Great to have you Bob!' #hpm -8:41 PM
   Aug 18th, 2010



   DrSawicki My concern: onc's here think they already DO palliative care. They
   need to be educated about what they are missing #hpm -8:41 PM Aug 18th, 2010

   MeredithGould @blueeyepath Check out this article about the impact of
   palliative care i/r/w lung cancer pts: http://bit.ly/bq5r07 #unich10 #hpm -
   8:40 PM Aug 18th, 2010



   doclake Will be important for individual #hpm programs to have a strategy to
   be in position to replicate benefits of study- #hpm -8:40 PM Aug 18th, 2010

   ctsinclair OK Topic #2: So we have the data, but how do we implement? This
   is going to take people and money to get PC inpt AND outpt #hpm -8:40 PM Aug
   18th, 2010



   equijada Palliative Care Can Extend Life, Reduce Depression -
   http://t.co/YSpUjCi via @emarnold14 #livestrong #hpm -8:40 PM Aug 18th, 2010

   ctsinclair Would love to see a 'classic' cancer drug ad, with results abt
   improved QOL, survival that ends with 'get palliative care' #hpm -8:39 PM Aug 18th,
   2010



   DrSawicki Bob Sawicki, HPM doc in IL. Late to the party, but LOVE what I see
   so far tonight #hpm #hpm -8:39 PM Aug 18th, 2010

   hollyby RT @daitpcg: should get this study in front of hospitalists. 'Very
   important for lung ca pts' http://bit.ly/cQH6GU @acphospitalist #hpm -8:39
   PM Aug 18th, 2010



   doclake RT @emarnold14: The Boston ABC affiliate produced this segment
   about the study for the evening news tonight. http://is.gd/enPUl #hpm -8:38
   PM Aug 18th, 2010



   ctsinclair RT @daitpcg: also should get this study in front of hospitalists
   "Agree, are often there @ time of diagnosis, not always oncologist" #hpm -8:38
   PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                        14/28
8/19/2010                             TweetChat - #hpm


   ctsinclair RT @hollyby: We need the public who is concerned w/ cancer to
   know abt the study, so they demand best possible care for lung cancer #hpm -
   8:37 PM Aug 18th, 2010



   dockj RT @hollyby: Hey, @livestrong @AmericanCancer @lungCAN Major
   results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm
   -8:37 PM Aug 18th, 2010



   DrSawicki RT @hollyby: We need the public who is concerned with cancer to
   know about the study, so they can demand the best possible care for lung
   cancer #hpm -8:37 PM Aug 18th, 2010

   doclake RT @hollyby: @livestrong @AmericanCancer @lungCAN Major
   results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm
   -8:37 PM Aug 18th, 2010



   ctsinclair @DrSawicki Join us in http://tweetchat.com/room/hpm Bob!
   #hpm -8:37 PM Aug 18th, 2010

   dockj RT @daitpcg: also should get this study in front of hospitalists #hpm -
   8:37 PM Aug 18th, 2010



   inhousehospice RT @hollyby: Hey, @livestrong @AmericanCancer
   @lungCAN Major results in the treatment of lung cancer. @NEJM
   http://bit.ly/cQH6GU #hpm -8:37 PM Aug 18th, 2010

   hollyby We need the public who is concerned with cancer to know about the
   study, so they can demand the best possible care for lung cancer #hpm -8:37 PM
   Aug 18th, 2010



   ctsinclair @hollyby Holly is doing a great job by including important Twitter
   accounts in her Tweets, great way to spread message #hpm -8:37 PM Aug 18th, 2010

   daitpcg also should get this study in front of hospitalists #hpm -8:36 PM Aug 18th,
   2010



   DrSawicki RT @ctsinclair: Here is a link to the abstract @NEJM:
   http://bit.ly/bq5r07 #HPM The PDF is free and don't forget @DianeEMeiere
   editorial too -8:36 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                        15/28
8/19/2010                            TweetChat - #hpm

   ctsinclair RT @emarnold14: The Boston ABC affiliate produced this segment
   about the study for the evening news tonight. http://is.gd/enPUl #hpm -8:36
   PM Aug 18th, 2010



   ctsinclair Going to be moving to topic #2 soon unless anyone has any other
   last thoughts on the @NEJM study #hpm -8:35 PM Aug 18th, 2010

   hollyby @livestrong @AmericanCancer @lungCAN should pick up on this.
   Major results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU
   #hpm -8:35 PM Aug 18th, 2010

   emarnold14 The Boston ABC affiliate produced this segment about the study
   for the evening news tonight. http://is.gd/enPUl #hpm -8:35 PM Aug 18th, 2010

   ctsinclair RT @joegormally: So Great to see Palliative care front and central
   in this weeks @NEJM #hpm #hpm -8:35 PM Aug 18th, 2010

   ctsinclair @MeredithGould You are the Link queen for sure! #hpm -8:34 PM Aug
   18th, 2010



   ctsinclair @jsperber Fantastic idea for Twitter Talking Points! #hpm -8:34 PM Aug
   18th, 2010



   MeredithGould Am I Little Ms Dr Research Librarian tonight or what?!? #hpm -
   8:33 PM Aug 18th, 2010



   ctsinclair RT @jsperber: Can we pool tweet friendly talking points to
   copy/paste and send along? Maybe in comments section of @pallimed? #hpm
   -8:33 PM Aug 18th, 2010



   dockj RT @ctsinclair: Speaking of #hpm hub/spoke system for social media I
   need to develop some more ideas on that. go hub go... #hpm -8:33 PM Aug 18th,
   2010



   daitpcg social media strategy we use now will apply when studies in other
   specialties produce similar results #hpm #hpmd #hpm -8:33 PM Aug 18th, 2010

   ctsinclair @joegormally Check out:
   http://twitter.com/#/list/ctsinclair/hospice-palliative-a-list #hpm -8:33 PM Aug
   18th, 2010




http://tweetchat.com/room/hpm                                                         16/28
8/19/2010                           TweetChat - #hpm

   MeredithGould If you go to http://www.twibes.com, you'll find groups that
   have already formed. There seems to be a twibe for hospice already. #hpm -
   8:32 PM Aug 18th, 2010



   ctsinclair Speaking of #hpm hub/spoke system for social media I need to
   develop some more ideas on that. #hpm -8:32 PM Aug 18th, 2010  SMART PAUSING

   ctsinclair @daitpcg Oncology blog community is out there but doesn't have a
   hub/spoke system like #hpm #hpm -8:32 PM Aug 18th, 2010

   drpippa RT @ctsinclair Here is a link to the abstract @NEJM:
   http://bit.ly/bq5r07 The PDF is free and don't forget @DianeEMeier editorial
   too #hpm -8:31 PM Aug 18th, 2010

   daitpcg RT @ctsinclair:@hollyby early reports of this study were shown at
   @ASCO-where are oncologists in social media? need to find their blogs
   #hpm -8:31 PM Aug 18th, 2010

   joegormally So Great to see Palliative care front and central in this weeks
   @NEJM #hpm #hpm -8:31 PM Aug 18th, 2010

   ctsinclair RT @MeredithGould: Last but not least: what the hashtag?!
   http://wthashtag.com/Main_Page 'my favorite' #hpm -8:31 PM Aug 18th, 2010

   jsperber Can we pool some tweet friendly talking points for others to
   copy/paste and send along? Maybe in comments section of @pallimed? #Hpm
   -8:30 PM Aug 18th, 2010



   MeredithGould Last but not least: what the hashtag?!
   http://wthashtag.com/Main_Page #hpm -8:30 PM Aug 18th, 2010

   ctsinclair RT @doclake: I e-mailed my onc-buddy (works for Genentech)-asked
   if any meds in dev for NSCLC that inc. survival x 3 months ":-)" #hpm -8:30 PM
   Aug 18th, 2010



   hollyby RT @ctsinclair: @hollyby early reports of this study were shown at
   @ASCO 'I hope it got people excited!' #hpm -8:30 PM Aug 18th, 2010

   ctsinclair RT @daitpcg: how can we get this article through social media in
   front of the oncologists? #hpm #hpm -8:29 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                    17/28
8/19/2010                              TweetChat - #hpm

   doclake I e-mailed my oncologist buddy (works for Genentech) and asked if
   they had any meds in dev for NSCLC that inc. survival x 3 months #hpm -8:29 PM
   Aug 18th, 2010



   ctsinclair Was thinking it would be cool to see a lot of people come up with 10
   slides to sell this study, post all on slideshare and vote #hpm -8:29 PM Aug 18th,
   2010



   emarnold14 RT @doclake: Any tips for getting a local media to pick up the
   story? / The PR Dept of your hosp should have relationships w/media ppl
   #hpm -8:29 PM Aug 18th, 2010

   ctsinclair @MeredithGould I was just checking! #hpm -8:28 PM Aug 18th, 2010

   MeredithGould @ctsinclair Why are you talking to @equijada? Didn't you tell
   everyone ELSE not to talk to him while he's driving? #hpm -8:28 PM Aug 18th, 2010

   ctsinclair RT @MeredithGould: RT @dockj: My early intervention kicks your
   #deathpanel in the butt http://bit.ly/cQH6GU (LOL) #hpm -8:28 PM Aug 18th,
   2010



   ctsinclair RT @haslingerppc: Anyone have ideas how to relate this to the
   peds-focused audience? 'Tough to link on this one, except on principles' #hpm
   -8:28 PM Aug 18th, 2010



   MeredithGould RT @dockj: My early intervention kicks your #deathpanel in
   the butt http://bit.ly/cQH6GU (LOL) #hpm -8:28 PM Aug 18th, 2010

   equijada @ctsinclair nope! #hpm -8:27 PM Aug 18th, 2010

   dockj RT @equijada: Rules for going viral via @peretti
   http://bzfd.it/djvsoM. Can make parody on #deathpanel --> fine line and
   tricky. #hpm -8:27 PM Aug 18th, 2010

   ctsinclair RT @MeredithGould: For local media, pitch to lifestyle and religion
   editors/reporters in addition to health. #hpm -8:27 PM Aug 18th, 2010

   ctsinclair @equijada Are you still driving? #hpm -8:27 PM Aug 18th, 2010

   dockj My early intervention kicks your #deathpanel in the butt
   http://bit.ly/cQH6GU #hpm -8:27 PM Aug 18th, 2010


http://tweetchat.com/room/hpm                                                       18/28
8/19/2010                              TweetChat - #hpm

   MeredithGould Hashtag wiki: http://twitter.pbworks.com/Hashtags #hpm
   -8:27 PM Aug 18th, 2010



   ctsinclair @hollyby early reports of this study were shown at @ASCO #hpm -
   8:26 PM Aug 18th, 2010



   dockj RT @hollyby: @daitpcg Hopefully @ASCO picks up on this major
   importance in the treament of lung cancer. @NEJM http://bit.ly/cQH6GU
   #hpm -8:26 PM Aug 18th, 2010

   MeredithGould For local media, pitch to lifestyle and religion editors/reporters
   in addition to health. #hpm -8:25 PM Aug 18th, 2010

   equijada Rules for going viral via @peretti http://bzfd.it/djvsoM. Can make
   parody on #deathpanel --> fine line and tricky. #hpm -8:25 PM Aug 18th, 2010

   hollyby @daitpcg Hopefully @ASCO picks up on this as it is of major
   importance in the treament of lung cancer. @NEJM http://bit.ly/cQH6GU
   #hpm -8:24 PM Aug 18th, 2010

   ctsinclair RT @doclake: Any tips for getting a local media to pick up the
   story? "I contacted the @KCstar health reporter but no return calls yet" #hpm
   -8:24 PM Aug 18th, 2010



   inhousehospice @doclake Link it to a real person in your community -
   reporters want the human interest side of it. #hpm -8:23 PM Aug 18th, 2010

   haslingerppc Anyone have ideas how to relate this to the peds-focused
   audience? #hpm -8:23 PM Aug 18th, 2010

   MeredithGould One way to check hashtag trending:
   http://hashtags.org/hpm #hpm -8:23 PM Aug 18th, 2010

   ctsinclair RT @jsperber: RT @hollyby: It would be great if @AAHPM and
   hospice and pall care prog would comment on maj media blogs 'we should
   too!' #hpm -8:23 PM Aug 18th, 2010

   jsperber @ctsinclair I don't know of caregiver hashtags, but there is a
   website that let's you search. Hashtag.info I think... #Hpm -8:22 PM Aug 18th, 2010

   doclake Any tips for getting local media to pick up the story? #hpm -8:22 PM Aug
   18th, 2010


http://tweetchat.com/room/hpm                                                            19/28
8/19/2010                            TweetChat - #hpm

   joegormally @ctsinclair thanks so much I always knew the US lead the way in
   pall care but we're getting better here in Aus.. I'll promote this here #hpm -
   8:22 PM Aug 18th, 2010



   daitpcg how can we get this article through social media in front of the
   oncologists? #hpm #hpm -8:22 PM Aug 18th, 2010

   jsperber RT @hollyby: It would be great if @AAHPM and hospice and pall
   care prog would comment on maj media blogs @WSJHealthBlog
   @nytimeshealth #Hpm -8:21 PM Aug 18th, 2010

   ctsinclair RT @dockj: For everyone here tonight its probably a duh, but each
   time it is mentioned maybe one more mind gets opened. 'Good one!' #hpm -
   8:21 PM Aug 18th, 2010



   MeredithGould @ctsinclair You can paraphrase, which probably makes sense
   anyway. #hpm -8:20 PM Aug 18th, 2010

   ctsinclair RT @MeredithGould: Anyone know of hashtags that caregivers are
   using? Also a likely audience. "#hcsm folks?" #hpm -8:20 PM Aug 18th, 2010

   ctsinclair RT @hollyby: Great if @AAHPM and hospice/palliative care programs
   would comment on major media blogs @WSJHealthBlog @nytimeshealth
   #hpm -8:20 PM Aug 18th, 2010

   MeredithGould Anyone know of hashtags that caregivers are using? Also a
   likely audience. #hpm -8:20 PM Aug 18th, 2010

   ctsinclair I was debating about having a fun little contest around creating
   sticky messages from the data, BUT @NEJM copyright policy intimidates
   #hpm -8:20 PM Aug 18th, 2010

   joegormally @ctsinclair no worries.. happy to be part of this community
   #hpm -8:20 PM Aug 18th, 2010

   dockj For everyone here tonight it's probably a 'duh', but each time it is
   mentioned maybe one more mind gets opened. #hpm -8:19 PM Aug 18th, 2010

   hollyby It would be great if @AAHPM and hospice and palliative care
   programs would comment on major media blogs @WSJHealthBlog
   @nytimeshealth #hpm -8:19 PM Aug 18th, 2010


http://tweetchat.com/room/hpm                                                     20/28
8/19/2010                             TweetChat - #hpm

   MeredithGould @joegormally Yes, meets to chat on Wednesday nights at
   9PM ET #hpm -8:19 PM Aug 18th, 2010

   ctsinclair @joegormally Come to http://tweetchat.com/room/hpm and
   join the conversation Joe! #hpm -8:18 PM Aug 18th, 2010

   ctsinclair RT @MeredithGould: In addition to #hpm hashtag, use #RNchat
   'Great idea, we should really be cross-pollinating' #hpm -8:18 PM Aug 18th, 2010

   joegormally @MeredithGould Hi Meredith.. just found this hashtag.. is this a
   regular thing? interesting stuff #hpm -8:18 PM Aug 18th, 2010

   yayayarndiva RT @ctsinclair: I searched people on Twitter talking about the
   Gawande article a few weeks ago and found some new allies. #hpm -8:17 PM Aug
   18th, 2010



   ctsinclair I am already crafting a @Pallimed post in my head about
   maximizing social media spread of this study. ;-) #hpm -8:17 PM Aug 18th, 2010

   MeredithGould In addition to the #hpm hashtag, use #RNchat #hpm -8:17 PM
   Aug 18th, 2010



   dockj RT @ctsinclair: I searched people on Twitter talking about the Gawande
   article a few weeks ago and found some new allies<-good thought #hpm -8:17
   PM Aug 18th, 2010



   ctsinclair RT @joegormally: Im happy to get Digging or liking.. "Thanks Joe!"
   #hpm -8:16 PM Aug 18th, 2010

   ctsinclair I searched people on Twitter talking about the Gawande article a
   few weeks ago and found some new allies. #hpm -8:16 PM Aug 18th, 2010

   joegormally I'm happy to get Digging or liking.. RT @ctsinclair: , pressing lots
   of Like buttons, 'Digg'ing articles featuring the @NEJM study #hpm -8:16 PM Aug
   18th, 2010



   MeredithGould Add this hashtag when posting to Twitter. #hpm -8:15 PM Aug 18th,
   2010




http://tweetchat.com/room/hpm                                                         21/28
8/19/2010                            TweetChat - #hpm

   ctsinclair RT @dockj: Hunt it down every time it shows up and is mentioned
   and "like" it. "Also consider finding peeps on Twitter talking abt it" #hpm -8:15
   PM Aug 18th, 2010



   MeredithGould I'd also recommend posting comments when it's mentioned on
   blogs. #hpm -8:15 PM Aug 18th, 2010

   jsperber I like @ctsinclairs thinking here. Quick blog posts that link to article,
   too. #Hpm -8:14 PM Aug 18th, 2010

   dockj Hunt it down every time it shows up and is mentioned and "like" it
   #hpm -8:14 PM Aug 18th, 2010

   inhousehospice RT @ctsinclair: We should also think about commenting on
   FB, pressing lots of Like buttons, Digging articles feat. the @NEJM study
   #hpm -8:14 PM Aug 18th, 2010

   emarnold14 @doclake Great idea about emailing...though my Medical
   Center's feeder Cancer Center is a satellite MGH Cancer Center...:) #hpm -8:14
   PM Aug 18th, 2010



   MeredithGould @hollyby Yes and I come from a social science discipline that
   got way too obsessed with "hard" data at the expense of nuanced research.
   #hpm -8:13 PM Aug 18th, 2010

   ctsinclair Anyone else have ideas about making this research article sticky?
   #hpm -8:13 PM Aug 18th, 2010

   doclake I've sent to key members of the cancer center @ my hospital
   @RoperStFrancis [edit] #hpm #hpm -8:13 PM Aug 18th, 2010

   ctsinclair We should also think about commenting on Facebook pages,
   pressing lots of Like buttons, 'Digg'ing articles featuring the @NEJM study
   #hpm -8:13 PM Aug 18th, 2010

   dockj Get to spend tomorrow with Sr leadership of hospital traveling and
   looking at new EHR system- this article might get mentioned. :-) #hpm -8:13 PM
   Aug 18th, 2010



   MeredithGould @ctsinclair Want to suggest language for a cover note to go
   with the forwarded article? #hpm -8:13 PM Aug 18th, 2010


http://tweetchat.com/room/hpm                                                      22/28
8/19/2010                              TweetChat - #hpm

   MeredithGould RT @ctsinclair: Should be the most emailed article on the
   NEJM site. One way to do that is to send the link and not the pdf. #hpm -8:12
   PM Aug 18th, 2010



   hollyby @MeredithGould I think it just goes to show how carefully crafted
   research can (hopefully) propel a field forward. #hpm -8:12 PM Aug 18th, 2010

   ctsinclair @doclake sixty mainstream media #hpm -8:12 PM Aug 18th, 2010

   dockj RT @ctsinclair: Hopefully it should be the most emailed article on the
   NEJM site. One way to do that is to send the link not the pdf. #hpm -8:12 PM Aug
   18th, 2010



   ctsinclair RT @doclake: @ctsinclair will need to think of a more creative way
   to make it "sticky" 'need a sticky brainstorming session" #hpm -8:12 PM Aug 18th,
   2010



   MeredithGould @ctsinclair Right..."hard" data still seems to rule, hence the
   focus on "evidence-based medicine." #hpm -8:11 PM Aug 18th, 2010

   ctsinclair Hopefully it should be the most emailed article on the NEJM site.
   One way to do that is to send the link and not the pdf. #hpm -8:11 PM Aug 18th,
   2010



   doclake @ctsinclair What is "60 MSM"? #hpm -8:11 PM Aug 18th, 2010

   doclake @ctsinclair Just a personal e-mail note-will need to think of a more
   creative way to make it "sticky" #hpm -8:11 PM Aug 18th, 2010

   dockj RT @MeredithGould: What blows my mind is that it takes publication
   in a prestigious publication to announce what should be obvious. #hpm -8:10 PM
   Aug 18th, 2010



   ctsinclair @MeredithGould I agree too. But man is it nice to see some
   validation. Our field needs more hard data like this. #hpm -8:10 PM Aug 18th, 2010

   hollyby @doclake I'm busy emailing it to everyone I can think of in my agency
   as well. Also, residency buds, international docs. #hpm -8:10 PM Aug 18th, 2010

   inhousehospice @MeredithGould So true! #hpm -8:10 PM Aug 18th, 2010


http://tweetchat.com/room/hpm                                                           23/28
8/19/2010                             TweetChat - #hpm

   ctsinclair RT @MeredithGould: What blows my mind is that it takes
   publication in a prestigious publication to announce what should be obvious.
   #hpm -8:10 PM Aug 18th, 2010

   ctsinclair I heard already 60 MSM articles picking up this article. And it isn't
   actually 'published' until tomorrow. #hpm -8:09 PM Aug 18th, 2010

   MeredithGould What blows what's left of my mind is that it takes publication
   in a prestigious publication to announce what should be obvious. #hpm -8:09 PM
   Aug 18th, 2010



   ctsinclair RT @doclake: Ive sent to key members of the cancer center @ my
   hospital @RoperSaintFrancis 'good idea, didya personalize it?" #hpm -8:09 PM
   Aug 18th, 2010



   inhousehospice T1: Spread it around! @hollyby : I hope so! :) #hpm -8:09 PM
   Aug 18th, 2010



   dockj Kevin- FM residency Ed, Geri, HPM, Jack of all trades #hpm -8:08 PM Aug
   18th, 2010



   ctsinclair RT @hollyby: T1: Get ready for the dripping faucet to become a
   firehose. Anyone else feel momentum building? "exciting and scary!" #hpm -
   8:08 PM Aug 18th, 2010



   ctsinclair Here is a link to the abstract @NEJM: http://bit.ly/bq5r07 #HPM
   The PDF is free and don't forget @DianeEMeier editorial too [edit] #hpm -8:07
   PM Aug 18th, 2010



   doclake I've sent to key members of the cancer center @ my hospital
   @RoperSaintFrancis #hpm -8:07 PM Aug 18th, 2010

   hollyby T1: Get ready for the the dripping faucet to become a firehose. Does
   anyone else feel the momentum building? #hpm -8:07 PM Aug 18th, 2010

   ctsinclair RT @equijada: <-- driving "Ack Earl, don't do that! We need you in
   one piece. No one talk to Earl" #hpm -8:07 PM Aug 18th, 2010

   ctsinclair Here is a link to the abstract @NEJM: http://bit.ly/bq5r07 #HPM
   The PDF is free and don't forget @DianeEMeiere editorial too -8:06 PM Aug 18th,
   2010



http://tweetchat.com/room/hpm                                                         24/28
8/19/2010                              TweetChat - #hpm

   emarnold14 Beth--CM'er in acute care medical center--work exclusively with
   complex medical patients, most are transitioning to end-of-life care. #hpm -
   8:06 PM Aug 18th, 2010



   daitpcg daitpcg Tim Cousounis consultant to the HPM field #hpm -8:06 PM Aug
   18th, 2010



   equijada <-- driving #hpm -8:06 PM Aug 18th, 2010

   haslingerppc This is Lisa from pall care at Akron Children's Hospital #hpm -
   8:06 PM Aug 18th, 2010



   ctsinclair TOPIC #1: The recent @NEJM study showing early PC improves QOL
   AND survival. Great results, what do we do now? #hpm -8:06 PM Aug 18th, 2010

   MeredithGould Will be bi-locating: #hpm chat and night prayer with
   @Virtual_Abbey -8:05 PM Aug 18th, 2010

   ctsinclair Looks like we have a small group tonight! Hopefully others will join
   as we make more noise #hpm -8:05 PM Aug 18th, 2010

   MeredithGould <--sociologist, hc communications pro committed to clarity
   and community building. Gadfly tendencies. #hpm -8:04 PM Aug 18th, 2010

   ctsinclair Christian Sinclair, MD @KChospice, blogger @Pallimed, board
   member @AAHPM, #HPM cheerleader! #hpm -8:03 PM Aug 18th, 2010

   hollyby Holly Yang here! Hospice and Palliative Medicine doc from
   @SanDiegoHospice. My tweets for the next hr will be from the #hpm
   tweetchat #hpm -8:02 PM Aug 18th, 2010

   inhousehospice Hello, hello! I'm Ashley, marketing assistant @ In-House
   Hospice & Palliative Care in MI & OH. #hpm -8:02 PM Aug 18th, 2010

   doclake Scott Lake, palliative doc-Charleston SC #hpm -8:01 PM Aug 18th, 2010

   ctsinclair (Warning non-palliative tweeps: lots of posts coming at you for the
   next hour! Come join us) #hpm -8:01 PM Aug 18th, 2010

   ctsinclair Hello! And welcome to another installment of #HPM Tweetchat! I
   will be hosting tonight. Let's start with intros! #hpm -8:00 PM Aug 18th, 2010

http://tweetchat.com/room/hpm                                                        25/28
8/19/2010                            TweetChat - #hpm

   ctsinclair Getting my playlist ready for tweetchat. loving Ra Ra Riot's new
   song "Boy" #hpm -7:59 PM Aug 18th, 2010

   hollyby RT @ctsinclair: How and Why to do Tweetchat for #Hospice and
   #Palliative Medicine #HPM http://slidesha.re/dfGxC5 cc: @NEJM
   @DianeEMeier -7:54 PM Aug 18th, 2010

   MeredithGould RT @ctsinclair: #HPM Hospice & Palliative Med Tweetchat at
   8p CT. Topic? @NEJM study of course! http://bit.ly/cQH6GU -7:51 PM Aug 18th,
   2010



   renee_berry RT @ctsinclair: How and Why to do Tweetchat for #Hospice and
   #Palliative Medicine #HPM http://slidesha.re/dfGxC5 cc: @NEJM
   @DianeEMeier -7:46 PM Aug 18th, 2010

   FIMDM RT @ctsinclair: I want to shout this from the top of the roof tops.
   Early Palliative Care improves survival AND QOL! Thank you @MassGeneral
   and @NEJM #hpm -7:42 PM Aug 18th, 2010

   ctsinclair How and Why to do Tweetchat for #Hospice and #Palliative
   Medicine #HPM http://slidesha.re/dfGxC5 cc: @NEJM @DianeEMeier -7:40
   PM Aug 18th, 2010



   ctsinclair #HPM Hospice and Palliative Med Tweetchat coming up in 23
   minutes at 8p CT. Topic? @NEJM study of course! http://bit.ly/cQH6GU -7:39
   PM Aug 18th, 2010



   drpippa Just read this study in the NEJM -confirms what we know: palliative
   care is quality care. http://nyti.ms/cpPEGS #hpm -7:37 PM Aug 18th, 2010

   hollyby RT @ctsinclair: I want to shout this from the top of the roof tops.
   Early Palliative Care improves survival AND QOL! Thank you @MassGeneral
   and @NEJM #hpm -7:35 PM Aug 18th, 2010

   PacificOncology RT @ctsinclair: Grndbreaking study @NEJM on Early
   Palliative Care Metastatic Lung #Cancer improved QOL & survival!
   http://bit.ly/cQH6GU #HPM -7:11 PM Aug 18th, 2010

   dockj RT @ctsinclair: I want to shout this from the top of the roof tops. Early
   Palliative Care improves survival AND QOL! Thank you @MassGeneral and
   @NEJM #hpm -7:06 PM Aug 18th, 2010



http://tweetchat.com/room/hpm                                                     26/28
8/19/2010                             TweetChat - #hpm

   ctsinclair I want to shout this from the top of the roof tops. Early Palliative
   Care improves survival AND QOL! Thank you @MassGeneral and @NEJM
   #hpm -7:01 PM Aug 18th, 2010

   starr88 RT @MassGeneralNews: RT @emarnold14: Early Palliative Care for
   Patients with Metastatic Non–Small-Cell Lung Cancer http://is.gd/enNT2
   #mgh #hpm #palliativecare -6:58 PM Aug 18th, 2010

   SheyontheBay RT @ctsinclair: RT @equijada: RT @HEALTH_NOTES RT
   @nytimeshealth #Palliative Care Extends Life of Lung #Cancer Patients
   http://nyti.ms/cvoI6d #hpm #hcsm -6:56 PM Aug 18th, 2010

   ctsinclair RT @equijada: RT @HEALTH_NOTES RT @nytimeshealth
   #Palliative Care Extends Life of Lung #Cancer Patients
   http://nyti.ms/cvoI6d #hpm #hcsm -6:55 PM Aug 18th, 2010

   ctsinclair RT @doclake: RT @emarnold14: Palliative Care: A Shifting
   Paradigm by @DianeEMeier via @NEJM http://is.gd/enNBb #hpm -6:55 PM Aug
   18th, 2010



   ctsinclair Grndbreaking study @NEJM on Early Palliative Care Metastatic Lung
   #Cancer improved QOL AND improved survival! http://bit.ly/cQH6GU #HPM
   -6:54 PM Aug 18th, 2010



   doclake RT @DianeEMeier: RT @emarnold14: Palliative Care: A Shifting
   Paradigm by @DianeEMeier via @NEJM http://is.gd/enNBb #hpm
   #palliativecare -6:30 PM Aug 18th, 2010

   equijada RT @renee_berry: RT @HEALTH_NOTES RT @nytimeshealth
   #Palliative Care Extends Life of Lung #Cancer Patients, Study Finds
   http://nyti.ms/cvoI6d #hpm #hcsm -6:17 PM Aug 18th, 2010

   lfettig RT @LCINSorg: Palliative Care Extends Life of #lungcancer patients
   http://ow.ly/2rzEE #hpm #oncology -6:13 PM Aug 18th, 2010

   suzanakm Checking out "Reflections on Palliative medicine elective (Week 1)"
   on The Lois Green Learning Communit: http://ning.it/9f5ZDW #lglc #hpm -
   5:43 PM Aug 18th, 2010



   renee_berry RT @HEALTH_NOTES RT @nytimeshealth #Palliative Care
   Extends Life of Lung #Cancer Patients, Study Finds http://nyti.ms/cvoI6d
   #hpm #hcsm -5:36 PM Aug 18th, 2010


http://tweetchat.com/room/hpm                                                        27/28
8/19/2010                           TweetChat - #hpm

   DianeEMeier RT @emarnold14: Palliative Care: A Shifting Paradigm by
   @DianeEMeier via @NEJM http://is.gd/enNBb #hpm #palliativecare -5:36 PM
   Aug 18th, 2010



   emarnold14 MGH study: Palliative Care Can Extend Life, Reduce Depression
   via @NewsBoston http://is.gd/enPUl #MGH #hpm #cancer -5:06 PM Aug 18th,
   2010



   equijada Early intervention palliative care -> improves QOL, improves mood,
   improves survival http://bit.ly/bNPNlU Related: STOKED #hpm -5:03 PM Aug 18th,
   2010



   MassGeneralNews RT @emarnold14: Early Palliative Care for Patients with
   Metastatic Non–Small-Cell Lung Cancer http://is.gd/enNT2 #mgh #hpm
   #palliativecare -4:58 PM Aug 18th, 2010




http://tweetchat.com/room/hpm                                                   28/28

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Hospice and palliative tweetchat transcript 2010 08 18

  • 1. 8/19/2010 TweetChat - #hpm TweetChat # hpm Go » Add a Ustream video feed. Ustream channel URL: TeriRN @ctsinclair Keep missing the tweet 4 when #hpm is. Do U have a set day & time so I can put it on my calendar? Looked like a good chat 2nite. -11:43 PM Aug 18th, 2010 lfettig RT @DianeEMeier: RT @DONALDHTAYLORJR: questions on how we apply findings from the new palliative care study http://tinyurl.com/2wfvvym #hpm -11:35 PM Aug 18th, 2010 hollyby @URandomnessK Thanks! Pass it on! We need more people to know how palliative care can help. http://bit.ly/cQH6GU #hpm -10:43 PM Aug 18th, 2010 DianeEMeier RT @DONALDHTAYLORJR: blog post:questions on how we apply findings from the new palliative care study http://tinyurl.com/2wfvvym #hpm #Palliativecare -10:23 PM Aug 18th, 2010 DONALDHTAYLORJR blog post:questions on how we apply findings from the new palliative care study http://tinyurl.com/2wfvvym #hpm #Palliativecare -10:22 PM Aug 18th, 2010 LeighFazzina @drpauldorio @ctsinclair I didn't catch #HPM chat. What's it about? -10:07 PM Aug 18th, 2010 HospiScript NEJM Palliative Care Article adds quality and time to life of patients with advanced lung #cancer http://icio.us/0sdsyu #hospice #hpm -10:03 PM Aug 18th, 2010 dockj @joegormally back at ya! GTMU in #HPM -9:31 PM Aug 18th, 2010 haslingerppc RT @ctsinclair: Grndbreaking study @NEJM on Early Palliative Care Metastatic Lung #Cancer improved QOL AND improved survival! http://bit.ly/cQH6GU #HPM -9:28 PM Aug 18th, 2010 joegormally Palliative Care Help Cancer Patients Live Better, Longer: http://www.sciencedaily.com/releases/2010/08/100818171913.htm #hpm -9:26 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 1/28
  • 2. 8/19/2010 TweetChat - #hpm drpauldorio @LeighFazzina @ctsinclair caught the last part. Looked interesting! So many convos on Twt. How do u all keep up! #HPM -9:20 PM Aug 18th, 2010 hollyby RT @DianeEMeier: ...great chat, fantastic ideas, we need a social marketing strategy for this one...! ' Agreed! Good to hear from you! #hpm -9:18 PM Aug 18th, 2010 DianeEMeier finally got here just in time to wave good bye...great chat, fantastic ideas, we need a social marketing strategy for this one...! #hpm -9:16 PM Aug 18th, 2010 jodyms @ctsinclair Thanks so much. #HPM -- much needed topic that has been ignored for too long. -9:16 PM Aug 18th, 2010 sharingstrength thank you RT @hollyby: @joegormally @sharingstrength Decreased mortality for spouses of hospice patients http://bit.ly/ahyCaw #hpm -9:13 PM Aug 18th, 2010 hollyby @joegormally @sharingstrength Decreased mortality for spouses of hospice patients http://bit.ly/ahyCaw #hpm -9:12 PM Aug 18th, 2010 LeighFazzina @ctsinclair Hey u. What's that #HPM chat about? -9:12 PM Aug 18th, 2010 daitpcg christian, thx for putting together this community #hpm -9:12 PM Aug 18th, 2010 ctsinclair Good night. Must go play board games at a friends house! #hpm - 9:11 PM Aug 18th, 2010 ctsinclair RT @subatomicdigg: Palliative Care Helps #Cancer Pts Live Better, Longer: http://digg.com/d31ZtmD?t #digg #digguser 'I just dugg it!' #hpm -9:10 PM Aug 18th, 2010 doclake nighty night palliative tweeps! Let's go get 'em! #hpm -9:10 PM Aug 18th, 2010 daitpcg not onc clinics, but there will be other newly formed organizations (upstarts or start-ups) to provide this INTEGRATED care #hpm -9:10 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 2/28
  • 3. 8/19/2010 TweetChat - #hpm emmabelanger RT @ctsinclair: TOPIC #1: The recent @NEJM study showing early PC improves QOL AND survival. Great results, what do we do now? #hpm -9:09 PM Aug 18th, 2010 sharingstrength @ctsinclair Tally those stats for #hpm and then let's do the interview for my @doc2doc article to help spread the word. -9:09 PM Aug 18th, 2010 joegormally @ctsinclair Palliative Care is a progressive evolving specialty :) #hpm -9:09 PM Aug 18th, 2010 ctsinclair @doclake @daitpcg Just curious....I like to think about alternate universes! :-) #hpm -9:09 PM Aug 18th, 2010 doclake They only publish 1 or 2 letters-gotta figure out how to get them to notice-Does it help to be a famous palliative MD? #hpm -9:09 PM Aug 18th, 2010 subatomicdigg Palliative Care Helps Cancer Patients Live Better, Longer: http://digg.com/d31ZtmD?t #hpm #cancer #digg #digguser (via @sciencedaily) -9:08 PM Aug 18th, 2010 ctsinclair RE: starting #hpm Tweetchat. been fun to watch it grow. Especially for niche of medicine. Cards, renal, onc docs aren't doing this #hpm -9:08 PM Aug 18th, 2010 doclake RT @ctsinclair: @doclake @daitpcg Do u think onc clinics are going to buy up pall. docs and RNs leaving hospices empty handed? um,no.. #hpm - 9:07 PM Aug 18th, 2010 daitpcg RT @ctsinclair: Do you think onc clinics are going to buy palliative care docs and nurses leaving hospices empty?not if HPMMDs organize #hpm - 9:07 PM Aug 18th, 2010 ctsinclair @doclake Not that I know of, but I would write one with you! #hpm -9:07 PM Aug 18th, 2010 joegormally RT @MeredithGould: Grateful that you started this chat @ctsinclair & love seeing community build and grow. #hpm -9:07 PM Aug 18th, 2010 ctsinclair @MeredithGould Me too! I need to tally some stats from tonight. #hpm -9:06 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 3/28
  • 4. 8/19/2010 TweetChat - #hpm sharingstrength Will do. RT @ctsinclair: @joegormally @sharingstrength You could search @Pallimed for some articles too. #hpm -9:06 PM Aug 18th, 2010 jodyms RT @sharingstrength: Ditto! RT @MeredithGould: Grateful that you started this chat @ctsinclair & love seeing community build and grow. #hpm - 9:06 PM Aug 18th, 2010 sharingstrength Ditto! RT @MeredithGould: Grateful that you started this chat @ctsinclair & love seeing community build and grow. #hpm -9:06 PM Aug 18th, 2010 sharingstrength @hollyby Thank you #hpm -9:06 PM Aug 18th, 2010 doclake Has anyone @dianemeier @rsmorrison @ctsinclair written letter to editor of @Newyorker about #gawande piece? #hpm -9:06 PM Aug 18th, 2010 ctsinclair @joegormally @sharingstrength You could search @Pallimed for some articles too. #hpm -9:05 PM Aug 18th, 2010 joegormally @hollyby thanks for that.. will look out for it #hpm -9:05 PM Aug 18th, 2010 MeredithGould Grateful that you started this chat @ctsinclair & love seeing community build and grow. #hpm -9:05 PM Aug 18th, 2010 hollyby @joegormally @sharingstrength I'll find more for you and send it out with the #hpm hashtag for others #hpm -9:04 PM Aug 18th, 2010 ctsinclair RT @jodyms: @ctsinclair The Gawande article unleashed a stream of articles/comments/discussion about palliative care. All good. #hpm -9:04 PM Aug 18th, 2010 sharingstrength This needs to change. RT @daitpcg: "early PC INTEGRATED w/ standard onc care" This is new model-reimbursement & organization lag behind #hpm -9:04 PM Aug 18th, 2010 ctsinclair @doclake @daitpcg Do you think onc clinics are going to buy up all the palliative care docs and nurses leaving hospices empty handed? #hpm -9:04 PM Aug 18th, 2010 emarnold14 Thanks everyone. Great discussions! #hpm -9:04 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 4/28
  • 5. 8/19/2010 TweetChat - #hpm dockj RT @Mtnmd: @ctsinclair @doclake Thanks, guys for holding great conversation. Important information. Thanks for helping spread the word #hpm -9:03 PM Aug 18th, 2010 jodyms @ctsinclair @mtnmd @doclatke @daitpcp @docj @sharingstrength @meredithgould -- honored to participate. This work matters so much #hpm - 9:03 PM Aug 18th, 2010 ctsinclair RT @joegormally: @hollyby is this data (improved family outcomes) published? "Yes - see item #4 http://bit.ly/aX5irY " #hpm -9:03 PM Aug 18th, 2010 dockj RT @DrSawicki: @ctsinclair Thank YOU for all you do! here! here! #hpm -9:03 PM Aug 18th, 2010 DrSawicki @ctsinclair Thank YOU for all you do! #hpm -9:02 PM Aug 18th, 2010 jodyms @ctsinclair The Gawande article unleashed a stream of articles/comments/discussion about palliative care. All good. #HPM -9:02 PM Aug 18th, 2010 sharingstrength @hollyby I suspect that improving PC support for caregivers improves QoL of palliative patient too. Is there data to support this? #hpm - 9:02 PM Aug 18th, 2010 subatomicdigg @ctsinclair I'm a very active @Digg user, thus this account name in stead of @subatomicdoc for medicine only #hpm -9:02 PM Aug 18th, 2010 Mtnmd @ctsinclair @doclake Thanks, guys for holding great conversation. Important information. #hpm -9:02 PM Aug 18th, 2010 ctsinclair Last Thought: Thanks everyone for being bold enough to join this public conversation/experiment. You are doing great things. #hpm -9:01 PM Aug 18th, 2010 doclake RT @daitpcg: "early palliative care INTEGRATED with standard oncologic care" - an entirely new model-reimbursement and organization lag #hpm -9:01 PM Aug 18th, 2010 jodyms @ctsinclair I'm probably speaking for myself, but there are many (who have been affected by cancer) who feel the same. #HPM -9:01 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 5/28
  • 6. 8/19/2010 TweetChat - #hpm subatomicdigg RT @dockj: RT @hollyby: @sharingstrength There is also data that #hpm improves health for caregivers too #hpm -9:01 PM Aug 18th, 2010 ctsinclair @subatomicdigg We talked about Digging this article and media reports all over the place. #hpm -9:01 PM Aug 18th, 2010 hollyby RT @doclake: RT @dockj: This study needs to be nailed to the front door of the NIH for funding priority. http://bit.ly/cQH6GU #hpm -9:01 PM Aug 18th, 2010 sharingstrength That's what I suspected. RT @hollyby: @sharingstrength There is also data that #hpm improves health for caregivers too #hpm -9:00 PM Aug 18th, 2010 joegormally @hollyby is this data published? #hpm -9:00 PM Aug 18th, 2010 sharingstrength Thanks @DrSawicki @jodyms @ctsinclair PC ... includes family, as defined by pt. #hpm -9:00 PM Aug 18th, 2010 daitpcg "early palliative care INTEGRATED with standard oncologic care" - this is entirely new model- reimbursement and organization lag behind #hpm -9:00 PM Aug 18th, 2010 jodyms RT @dockj: RT @hollyby: @sharingstrength There is also data that #hpm improves health for caregivers too #hpm -9:00 PM Aug 18th, 2010 doclake RT @dockj: This study needs to be nailed to the front door of the NIH for funding priority. http://bit.ly/cQH6GU #hpm -9:00 PM Aug 18th, 2010 subatomicdigg @dockj Thanks for a link to the PDF! Is there any news coverage yet? I can submit a link to @Digg #hpm -9:00 PM Aug 18th, 2010 hollyby @ctsinclair Same time next week? #hpm -8:59 PM Aug 18th, 2010 jodyms @SharingStrength Not stupid question at all. It is about the circle of care surrounding the patient. That is family #HPM -8:59 PM Aug 18th, 2010 dockj RT @hollyby: @sharingstrength There is also data that #hpm improves health for caregivers too #hpm -8:59 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 6/28
  • 7. 8/19/2010 TweetChat - #hpm ctsinclair @jodyms are these advocates particularly those not in the medical fields? #hpm -8:59 PM Aug 18th, 2010 DrSawicki RT @ctsinclair: @DrSawicki Hee Hee we said the same thing! Great minds think alike! #hpm -8:59 PM Aug 18th, 2010 hollyby @sharingstrength There is also data that #hpm improves health for caregivers too #hpm -8:59 PM Aug 18th, 2010 ctsinclair RT @dockj: This study needs to be nailed to the front door of the NIH for funding priority. http://bit.ly/cQH6GU 'YES!' #hpm -8:59 PM Aug 18th, 2010 DrSawicki I love what I do and how paying attention to how someone feels actually is being seen to be better for them!!! Great thoughts folks. #hpm -8:58 PM Aug 18th, 2010 jodyms @ctsinclair I mean those working for clarity and honest discussion on end-of-life care, to diminish fear, encourage understanding. #hpm . -8:58 PM Aug 18th, 2010 dockj This study needs to be nailed to the front door of the NIH for funding priority. http://bit.ly/cQH6GU #hpm -8:58 PM Aug 18th, 2010 subatomicdigg @joegormally Thanks for the link. I'll have to read whole article but looks very promising. Agree on importance of repro in community #hpm -8:58 PM Aug 18th, 2010 ctsinclair @DrSawicki Hee Hee we said the same thing! #hpm -8:58 PM Aug 18th, 2010 MeredithGould Do you generally prefer "family" or "loved ones"? #hpm -8:58 PM Aug 18th, 2010 ctsinclair (And feel free to keep chatting after the hour too!) #hpm -8:57 PM Aug 18th, 2010 ctsinclair OK folks wrapping up, give us your last thought for tonight! #hpm - 8:57 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 7/28
  • 8. 8/19/2010 TweetChat - #hpm ctsinclair RT @sharingstrength: Would you say palliative care is delivered to patient & family? 'As the patient defines their family, yes!" #hpm -8:57 PM Aug 18th, 2010 dockj RT @hollyby: This study should get the attention of #hcr . Better outcomes for patients with cancer! http://bit.ly/cQH6GU @whitehouse #hpm -8:57 PM Aug 18th, 2010 DrSawicki @sharingstrength No question is stupid. PC in my mind does always include family, as defined by the patient. #hpm -8:57 PM Aug 18th, 2010 hollyby This study should get the attention of those in #hcr too. Better outcomes for patients with cancer! http://bit.ly/cQH6GU @whitehouse #hpm -8:56 PM Aug 18th, 2010 ctsinclair @subatomicdigg http://www.nejm.org/doi/pdf/10.1056/NEJMoa1000678 @NEJM showed almost 3months survival in NSCLC with PC #hpm -8:56 PM Aug 18th, 2010 sharingstrength Stupid question: Does PC always include family? Would you say palliative care is delivered to the patient and their family? #hpm -8:55 PM Aug 18th, 2010 Mtnmd @doclake Ahhh, I am most honored!!! #hpm Glad to join the super conversation. Eating superiorly assists mood, energy and sleep. Gd for pts -8:55 PM Aug 18th, 2010 joegormally @subatomicdigg this NEJM study http://www.nejm.org/doi/full/10.1056/NEJMoa1000678 #hpm -8:55 PM Aug 18th, 2010 DrSawicki RT @dockj: RT @DrSawicki: RT @ctsinclair: old spice guy parody on this article! Im not dead yet! I used Pallitiva! #hpm -8:54 PM Aug 18th, 2010 subatomicdigg @ctsinclair What study are you discussing? #hpm -8:54 PM Aug 18th, 2010 ctsinclair @DrSawicki The @OldSpice man can die. He actually talked about it: http://youtu.be/E_5fokTxZQs via @equijada #hpm -8:54 PM Aug 18th, 2010 dockj RT @DrSawicki: RT @ctsinclair: old spice guy parody on this article! Im not dead yet! I used Pallitiva! #hpm -8:53 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 8/28
  • 9. 8/19/2010 TweetChat - #hpm DrSawicki RT @doclake: important for individual #hpm programs to have strategy to replicate benefits of study- biggest obstacle is reimbursement #hpm -8:52 PM Aug 18th, 2010 DrSawicki RT @ctsinclair:wheres your old spice guy when you need him I could toatally see an Old SPice parody on this article! I'm not dead yet! #hpm -8:52 PM Aug 18th, 2010 doclake RT @ctsinclair: Welcome @MtnMD you win Tweetchat honors tonight with the most followers! 20k+ We appreciate your spread of our message! #hpm -8:52 PM Aug 18th, 2010 subatomicdigg @jodyms Hi Jody, I agree. It's important all disciplines work together. #hpm -8:52 PM Aug 18th, 2010 daitpcg RT @doclake: important for individual #hpm programs to have strategy to replicate benefits of study- biggest obstacle is reimbursement #hpm -8:51 PM Aug 18th, 2010 ctsinclair @jodyms Tell me what you mean by advocates. I think I know, just want to clarify. #hpm -8:51 PM Aug 18th, 2010 doclake RT @ctsinclair: Thinking more about my fake cancer drug ad The drug could be called: Palativa #hpm -8:51 PM Aug 18th, 2010 jodyms Advocates, too RT@ctsinclair @subatomicdigg Glad you're chiming..We need a coalition of Rad Onc, Med Onc, Pal Med, + multi- discilpinary #hpm -8:51 PM Aug 18th, 2010 ctsinclair Welcome Welcome @MtnMD you win the Tweetchat honors tonight with the most followers! 20k+ We appreciate your spread of our message! #hpm -8:50 PM Aug 18th, 2010 subatomicdigg @ctsinclair My pleasure; just popped into Twitter and saw you and @doclake 's tweets. Hi all #hpm -8:50 PM Aug 18th, 2010 equijada RT @ctsinclair: Thinking more about my 'fake cancer drug ad' The drug could be called: Palativa #hpm -8:50 PM Aug 18th, 2010 ctsinclair RT @dockj: @ctsinclair wheres your old spice guy when you need him 'Owe I could toatally see and Old SPice parody on this article!' #hpm -8:49 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 9/28
  • 10. 8/19/2010 TweetChat - #hpm dockj @Mtnmd thanks for the RT! #HPM #hpm -8:49 PM Aug 18th, 2010 DrSawicki RT @ctsinclair: Thinking more about my fake cancer drug ad The drug could be called: Palativa I LOVE THIS! Great idea! #hpm -8:49 PM Aug 18th, 2010 ctsinclair RT @mcgaula: RT @dockj: Clinical effectiveness and best practices must be fast tracked and proven in other settings. #hpm -8:49 PM Aug 18th, 2010 sharingstrength RT @inhousehospice: RT @MeredithGould: Strategies and tactics must factor in variables like fear and stigma. #hpm -8:49 PM Aug 18th, 2010 dockj @ctsinclair where's your old spice guy when you need him #hpm -8:49 PM Aug 18th, 2010 ctsinclair @subatomicdigg Glad you are chiming in on this one. We need a coalition of Rad Onc, Med Onc, Pal Med, + multi-discilpinary #hpm -8:49 PM Aug 18th, 2010 Mtnmd RT @ctsinclair @emarnold14 Boston ABC affiliate produced this segment about the study for the evening news tonight. http://is.gd/enPUl #hpm -8:48 PM Aug 18th, 2010 MeredithGould @joegormally Docs would have to know to read it, first! #hpm -8:48 PM Aug 18th, 2010 dockj RT @ctsinclair: Thinking more about my fake cancer drug ad The drug could be called: Palativa #hpm -8:48 PM Aug 18th, 2010 DrSawicki RT @ctsinclair: Interesting: no mention of social worker or chaplain in article. PC Team was PC doc and/or APRN @NEJM This worries me. #hpm - 8:48 PM Aug 18th, 2010 sharingstrength @ctsinclair @jodyms Hi and thanks for the welcome. Looks like I landed in time for a topic that interests me a lot. #hpm -8:48 PM Aug 18th, 2010 joegormally I'm sure this article will change some doctors minds on the evolving role of palliative care #hpm -8:48 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 10/28
  • 11. 8/19/2010 TweetChat - #hpm ctsinclair Thinking more about my 'fake cancer drug ad' The drug could be called: Palativa #hpm -8:48 PM Aug 18th, 2010 DrSawicki RT @mcgaula: RT @dockj: Clinical effectiveness and best practices must be fast tracked and proven in other settings. #hpm -8:48 PM Aug 18th, 2010 subatomicdigg RT @ctsinclair: RT @DrSawicki: My concern: oncs here think they already DO palliative care. They need to be educated abt is missing 'delicately' #hpm -8:48 PM Aug 18th, 2010 mcgaula RT @dockj: Clinical effectiveness and best practices must be fast tracked and proven in other settings. #hpm -8:47 PM Aug 18th, 2010 hollyby T2: We spend thousands of $ on cancer care per pt. Think if some of that $ went into building #HPM. It's about priorities, 2.7months! #hpm -8:47 PM Aug 18th, 2010 DrSawicki Question: how will those outside specialty PC react to this study? I haven't read entirely so worry about possible critique/backlash. #hpm -8:47 PM Aug 18th, 2010 sharingstrength RT @DrSawicki: T2 also agree NEED outpatient PC. #hpm - 8:47 PM Aug 18th, 2010 emarnold14 RT @ctsinclair: Interesting: no mention of social worker or chaplain in article. PC Team was PC doc and/or APRN @NEJM #hpm -8:47 PM Aug 18th, 2010 mcgaula RT @doclake: RT @dockj: And we cannot wait 20 years like for ASA and B Blockers #hpm -8:47 PM Aug 18th, 2010 inhousehospice RT @MeredithGould: Strategies and tactics must factor in variables like fear and stigma. #hpm -8:47 PM Aug 18th, 2010 dockj Clinical effectiveness and best practices must be fast tracked and proven in other settings. #hpm -8:47 PM Aug 18th, 2010 ctsinclair RT @dockj: "WE" Have to eliminate the "but thats Mass G " stigma #hpm -8:47 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 11/28
  • 12. 8/19/2010 TweetChat - #hpm ctsinclair @sharingstrength Great to have you too! #hpm -8:46 PM Aug 18th, 2010 sharingstrength RT @ctsinclair: Would love 2 see a 'classic' cancer drug ad, w/ results abt improved QOL, survival that ends with 'get palliative care' #hpm -8:46 PM Aug 18th, 2010 ctsinclair Interesting: no mention of social worker or chaplain in article. PC Team was PC doc and/or APRN @NEJM #hpm -8:46 PM Aug 18th, 2010 sharingstrength RT @DrSawicki: My concern: oncs here think they already DO palliative care. They need to be educated abt is missing 'delicately' #hpm -8:46 PM Aug 18th, 2010 jodyms @SharingStrength So glad to see you as well,Colleen. #HPM -8:46 PM Aug 18th, 2010 doclake RT @dockj: And we cannot wait 20 years like for ASA and B Blockers #hpm -8:46 PM Aug 18th, 2010 dockj And we cannot wait 20 years like for ASA and B Blockers #hpm -8:45 PM Aug 18th, 2010 sharingstrength Hi all. I'd like to join you for the last 15 min of #hpm. -8:45 PM Aug 18th, 2010 DrSawicki T2 also agree NEED outpatient PC. #hpm -8:45 PM Aug 18th, 2010 ctsinclair @jodyms Welcome Jody! #hpm -8:45 PM Aug 18th, 2010 dockj "WE" Have to eliminate the "but that's Mass G " stigma #hpm -8:44 PM Aug 18th, 2010 ctsinclair RT @dockj: We must replicate the study in community settings, on the other coast, in the middle of the country. #hpm -8:44 PM Aug 18th, 2010 DrSawicki Partly terminology: to onc, PC is ANYTHING not curative. Not our definition. Start there and get on the same page. #hpm -8:43 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 12/28
  • 13. 8/19/2010 TweetChat - #hpm dockj We must replicate the study in community settings, on the other coast, in the middle of the country. T2 #hpm -8:43 PM Aug 18th, 2010 hollyby RT @doclake: Will be important ... to have a strategy to be in position to replicate benefits of study 'In different diagnoses as well' #hpm - 8:43 PM Aug 18th, 2010 ctsinclair @ChrisRalph007 Thanks for the RT Chris! Great to have some sports media in this conversation too! :-) Go #Sharks ! #hpm -8:43 PM Aug 18th, 2010 jodyms RT @doclake: RT @hollyby: @livestrong @AmericanCancer @lungCAN Major results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm -8:43 PM Aug 18th, 2010 jodyms Back from my meeting and signing in late for #hpm -8:42 PM Aug 18th, 2010 DrSawicki @ctsinclair Thanks. People and money. Always comes back to that. #hpm -8:42 PM Aug 18th, 2010 ctsinclair RT @DrSawicki: My concern: oncs here think they already DO palliative care. They need to be educated abt is missing 'delicately' #hpm -8:42 PM Aug 18th, 2010 ChrisRalph007 RT @ctsinclair: Would love 2 see a 'classic' cancer drug ad, w/ results abt improved QOL, survival that ends with 'get palliative care' #hpm - 8:42 PM Aug 18th, 2010 ctsinclair RT @doclake: individual #hpm programs to have a strategy to be in position to replicate benefits of study- 'must replicate data' #hpm -8:41 PM Aug 18th, 2010 inhousehospice RT @DrSawicki: My concern: oncs here think they already DO palliative care. They need to be educated about what they are missing "Yes!" #hpm -8:41 PM Aug 18th, 2010 ctsinclair @doclake Yes, not all palliative care programs are structured like @MassGeneral #hpm -8:41 PM Aug 18th, 2010 dockj RT @doclake: Will be important for individual #hpm programs to have a strategy to be in position to replicate benefits of study- #hpm -8:41 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 13/28
  • 14. 8/19/2010 TweetChat - #hpm ctsinclair RT @DrSawicki: Bob Sawicki, HPM doc in IL. Late to the party, but LOVE what I see so far tonight #hpm 'Great to have you Bob!' #hpm -8:41 PM Aug 18th, 2010 DrSawicki My concern: onc's here think they already DO palliative care. They need to be educated about what they are missing #hpm -8:41 PM Aug 18th, 2010 MeredithGould @blueeyepath Check out this article about the impact of palliative care i/r/w lung cancer pts: http://bit.ly/bq5r07 #unich10 #hpm - 8:40 PM Aug 18th, 2010 doclake Will be important for individual #hpm programs to have a strategy to be in position to replicate benefits of study- #hpm -8:40 PM Aug 18th, 2010 ctsinclair OK Topic #2: So we have the data, but how do we implement? This is going to take people and money to get PC inpt AND outpt #hpm -8:40 PM Aug 18th, 2010 equijada Palliative Care Can Extend Life, Reduce Depression - http://t.co/YSpUjCi via @emarnold14 #livestrong #hpm -8:40 PM Aug 18th, 2010 ctsinclair Would love to see a 'classic' cancer drug ad, with results abt improved QOL, survival that ends with 'get palliative care' #hpm -8:39 PM Aug 18th, 2010 DrSawicki Bob Sawicki, HPM doc in IL. Late to the party, but LOVE what I see so far tonight #hpm #hpm -8:39 PM Aug 18th, 2010 hollyby RT @daitpcg: should get this study in front of hospitalists. 'Very important for lung ca pts' http://bit.ly/cQH6GU @acphospitalist #hpm -8:39 PM Aug 18th, 2010 doclake RT @emarnold14: The Boston ABC affiliate produced this segment about the study for the evening news tonight. http://is.gd/enPUl #hpm -8:38 PM Aug 18th, 2010 ctsinclair RT @daitpcg: also should get this study in front of hospitalists "Agree, are often there @ time of diagnosis, not always oncologist" #hpm -8:38 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 14/28
  • 15. 8/19/2010 TweetChat - #hpm ctsinclair RT @hollyby: We need the public who is concerned w/ cancer to know abt the study, so they demand best possible care for lung cancer #hpm - 8:37 PM Aug 18th, 2010 dockj RT @hollyby: Hey, @livestrong @AmericanCancer @lungCAN Major results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm -8:37 PM Aug 18th, 2010 DrSawicki RT @hollyby: We need the public who is concerned with cancer to know about the study, so they can demand the best possible care for lung cancer #hpm -8:37 PM Aug 18th, 2010 doclake RT @hollyby: @livestrong @AmericanCancer @lungCAN Major results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm -8:37 PM Aug 18th, 2010 ctsinclair @DrSawicki Join us in http://tweetchat.com/room/hpm Bob! #hpm -8:37 PM Aug 18th, 2010 dockj RT @daitpcg: also should get this study in front of hospitalists #hpm - 8:37 PM Aug 18th, 2010 inhousehospice RT @hollyby: Hey, @livestrong @AmericanCancer @lungCAN Major results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm -8:37 PM Aug 18th, 2010 hollyby We need the public who is concerned with cancer to know about the study, so they can demand the best possible care for lung cancer #hpm -8:37 PM Aug 18th, 2010 ctsinclair @hollyby Holly is doing a great job by including important Twitter accounts in her Tweets, great way to spread message #hpm -8:37 PM Aug 18th, 2010 daitpcg also should get this study in front of hospitalists #hpm -8:36 PM Aug 18th, 2010 DrSawicki RT @ctsinclair: Here is a link to the abstract @NEJM: http://bit.ly/bq5r07 #HPM The PDF is free and don't forget @DianeEMeiere editorial too -8:36 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 15/28
  • 16. 8/19/2010 TweetChat - #hpm ctsinclair RT @emarnold14: The Boston ABC affiliate produced this segment about the study for the evening news tonight. http://is.gd/enPUl #hpm -8:36 PM Aug 18th, 2010 ctsinclair Going to be moving to topic #2 soon unless anyone has any other last thoughts on the @NEJM study #hpm -8:35 PM Aug 18th, 2010 hollyby @livestrong @AmericanCancer @lungCAN should pick up on this. Major results in the treatment of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm -8:35 PM Aug 18th, 2010 emarnold14 The Boston ABC affiliate produced this segment about the study for the evening news tonight. http://is.gd/enPUl #hpm -8:35 PM Aug 18th, 2010 ctsinclair RT @joegormally: So Great to see Palliative care front and central in this weeks @NEJM #hpm #hpm -8:35 PM Aug 18th, 2010 ctsinclair @MeredithGould You are the Link queen for sure! #hpm -8:34 PM Aug 18th, 2010 ctsinclair @jsperber Fantastic idea for Twitter Talking Points! #hpm -8:34 PM Aug 18th, 2010 MeredithGould Am I Little Ms Dr Research Librarian tonight or what?!? #hpm - 8:33 PM Aug 18th, 2010 ctsinclair RT @jsperber: Can we pool tweet friendly talking points to copy/paste and send along? Maybe in comments section of @pallimed? #hpm -8:33 PM Aug 18th, 2010 dockj RT @ctsinclair: Speaking of #hpm hub/spoke system for social media I need to develop some more ideas on that. go hub go... #hpm -8:33 PM Aug 18th, 2010 daitpcg social media strategy we use now will apply when studies in other specialties produce similar results #hpm #hpmd #hpm -8:33 PM Aug 18th, 2010 ctsinclair @joegormally Check out: http://twitter.com/#/list/ctsinclair/hospice-palliative-a-list #hpm -8:33 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 16/28
  • 17. 8/19/2010 TweetChat - #hpm MeredithGould If you go to http://www.twibes.com, you'll find groups that have already formed. There seems to be a twibe for hospice already. #hpm - 8:32 PM Aug 18th, 2010 ctsinclair Speaking of #hpm hub/spoke system for social media I need to develop some more ideas on that. #hpm -8:32 PM Aug 18th, 2010 SMART PAUSING ctsinclair @daitpcg Oncology blog community is out there but doesn't have a hub/spoke system like #hpm #hpm -8:32 PM Aug 18th, 2010 drpippa RT @ctsinclair Here is a link to the abstract @NEJM: http://bit.ly/bq5r07 The PDF is free and don't forget @DianeEMeier editorial too #hpm -8:31 PM Aug 18th, 2010 daitpcg RT @ctsinclair:@hollyby early reports of this study were shown at @ASCO-where are oncologists in social media? need to find their blogs #hpm -8:31 PM Aug 18th, 2010 joegormally So Great to see Palliative care front and central in this weeks @NEJM #hpm #hpm -8:31 PM Aug 18th, 2010 ctsinclair RT @MeredithGould: Last but not least: what the hashtag?! http://wthashtag.com/Main_Page 'my favorite' #hpm -8:31 PM Aug 18th, 2010 jsperber Can we pool some tweet friendly talking points for others to copy/paste and send along? Maybe in comments section of @pallimed? #Hpm -8:30 PM Aug 18th, 2010 MeredithGould Last but not least: what the hashtag?! http://wthashtag.com/Main_Page #hpm -8:30 PM Aug 18th, 2010 ctsinclair RT @doclake: I e-mailed my onc-buddy (works for Genentech)-asked if any meds in dev for NSCLC that inc. survival x 3 months ":-)" #hpm -8:30 PM Aug 18th, 2010 hollyby RT @ctsinclair: @hollyby early reports of this study were shown at @ASCO 'I hope it got people excited!' #hpm -8:30 PM Aug 18th, 2010 ctsinclair RT @daitpcg: how can we get this article through social media in front of the oncologists? #hpm #hpm -8:29 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 17/28
  • 18. 8/19/2010 TweetChat - #hpm doclake I e-mailed my oncologist buddy (works for Genentech) and asked if they had any meds in dev for NSCLC that inc. survival x 3 months #hpm -8:29 PM Aug 18th, 2010 ctsinclair Was thinking it would be cool to see a lot of people come up with 10 slides to sell this study, post all on slideshare and vote #hpm -8:29 PM Aug 18th, 2010 emarnold14 RT @doclake: Any tips for getting a local media to pick up the story? / The PR Dept of your hosp should have relationships w/media ppl #hpm -8:29 PM Aug 18th, 2010 ctsinclair @MeredithGould I was just checking! #hpm -8:28 PM Aug 18th, 2010 MeredithGould @ctsinclair Why are you talking to @equijada? Didn't you tell everyone ELSE not to talk to him while he's driving? #hpm -8:28 PM Aug 18th, 2010 ctsinclair RT @MeredithGould: RT @dockj: My early intervention kicks your #deathpanel in the butt http://bit.ly/cQH6GU (LOL) #hpm -8:28 PM Aug 18th, 2010 ctsinclair RT @haslingerppc: Anyone have ideas how to relate this to the peds-focused audience? 'Tough to link on this one, except on principles' #hpm -8:28 PM Aug 18th, 2010 MeredithGould RT @dockj: My early intervention kicks your #deathpanel in the butt http://bit.ly/cQH6GU (LOL) #hpm -8:28 PM Aug 18th, 2010 equijada @ctsinclair nope! #hpm -8:27 PM Aug 18th, 2010 dockj RT @equijada: Rules for going viral via @peretti http://bzfd.it/djvsoM. Can make parody on #deathpanel --> fine line and tricky. #hpm -8:27 PM Aug 18th, 2010 ctsinclair RT @MeredithGould: For local media, pitch to lifestyle and religion editors/reporters in addition to health. #hpm -8:27 PM Aug 18th, 2010 ctsinclair @equijada Are you still driving? #hpm -8:27 PM Aug 18th, 2010 dockj My early intervention kicks your #deathpanel in the butt http://bit.ly/cQH6GU #hpm -8:27 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 18/28
  • 19. 8/19/2010 TweetChat - #hpm MeredithGould Hashtag wiki: http://twitter.pbworks.com/Hashtags #hpm -8:27 PM Aug 18th, 2010 ctsinclair @hollyby early reports of this study were shown at @ASCO #hpm - 8:26 PM Aug 18th, 2010 dockj RT @hollyby: @daitpcg Hopefully @ASCO picks up on this major importance in the treament of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm -8:26 PM Aug 18th, 2010 MeredithGould For local media, pitch to lifestyle and religion editors/reporters in addition to health. #hpm -8:25 PM Aug 18th, 2010 equijada Rules for going viral via @peretti http://bzfd.it/djvsoM. Can make parody on #deathpanel --> fine line and tricky. #hpm -8:25 PM Aug 18th, 2010 hollyby @daitpcg Hopefully @ASCO picks up on this as it is of major importance in the treament of lung cancer. @NEJM http://bit.ly/cQH6GU #hpm -8:24 PM Aug 18th, 2010 ctsinclair RT @doclake: Any tips for getting a local media to pick up the story? "I contacted the @KCstar health reporter but no return calls yet" #hpm -8:24 PM Aug 18th, 2010 inhousehospice @doclake Link it to a real person in your community - reporters want the human interest side of it. #hpm -8:23 PM Aug 18th, 2010 haslingerppc Anyone have ideas how to relate this to the peds-focused audience? #hpm -8:23 PM Aug 18th, 2010 MeredithGould One way to check hashtag trending: http://hashtags.org/hpm #hpm -8:23 PM Aug 18th, 2010 ctsinclair RT @jsperber: RT @hollyby: It would be great if @AAHPM and hospice and pall care prog would comment on maj media blogs 'we should too!' #hpm -8:23 PM Aug 18th, 2010 jsperber @ctsinclair I don't know of caregiver hashtags, but there is a website that let's you search. Hashtag.info I think... #Hpm -8:22 PM Aug 18th, 2010 doclake Any tips for getting local media to pick up the story? #hpm -8:22 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 19/28
  • 20. 8/19/2010 TweetChat - #hpm joegormally @ctsinclair thanks so much I always knew the US lead the way in pall care but we're getting better here in Aus.. I'll promote this here #hpm - 8:22 PM Aug 18th, 2010 daitpcg how can we get this article through social media in front of the oncologists? #hpm #hpm -8:22 PM Aug 18th, 2010 jsperber RT @hollyby: It would be great if @AAHPM and hospice and pall care prog would comment on maj media blogs @WSJHealthBlog @nytimeshealth #Hpm -8:21 PM Aug 18th, 2010 ctsinclair RT @dockj: For everyone here tonight its probably a duh, but each time it is mentioned maybe one more mind gets opened. 'Good one!' #hpm - 8:21 PM Aug 18th, 2010 MeredithGould @ctsinclair You can paraphrase, which probably makes sense anyway. #hpm -8:20 PM Aug 18th, 2010 ctsinclair RT @MeredithGould: Anyone know of hashtags that caregivers are using? Also a likely audience. "#hcsm folks?" #hpm -8:20 PM Aug 18th, 2010 ctsinclair RT @hollyby: Great if @AAHPM and hospice/palliative care programs would comment on major media blogs @WSJHealthBlog @nytimeshealth #hpm -8:20 PM Aug 18th, 2010 MeredithGould Anyone know of hashtags that caregivers are using? Also a likely audience. #hpm -8:20 PM Aug 18th, 2010 ctsinclair I was debating about having a fun little contest around creating sticky messages from the data, BUT @NEJM copyright policy intimidates #hpm -8:20 PM Aug 18th, 2010 joegormally @ctsinclair no worries.. happy to be part of this community #hpm -8:20 PM Aug 18th, 2010 dockj For everyone here tonight it's probably a 'duh', but each time it is mentioned maybe one more mind gets opened. #hpm -8:19 PM Aug 18th, 2010 hollyby It would be great if @AAHPM and hospice and palliative care programs would comment on major media blogs @WSJHealthBlog @nytimeshealth #hpm -8:19 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 20/28
  • 21. 8/19/2010 TweetChat - #hpm MeredithGould @joegormally Yes, meets to chat on Wednesday nights at 9PM ET #hpm -8:19 PM Aug 18th, 2010 ctsinclair @joegormally Come to http://tweetchat.com/room/hpm and join the conversation Joe! #hpm -8:18 PM Aug 18th, 2010 ctsinclair RT @MeredithGould: In addition to #hpm hashtag, use #RNchat 'Great idea, we should really be cross-pollinating' #hpm -8:18 PM Aug 18th, 2010 joegormally @MeredithGould Hi Meredith.. just found this hashtag.. is this a regular thing? interesting stuff #hpm -8:18 PM Aug 18th, 2010 yayayarndiva RT @ctsinclair: I searched people on Twitter talking about the Gawande article a few weeks ago and found some new allies. #hpm -8:17 PM Aug 18th, 2010 ctsinclair I am already crafting a @Pallimed post in my head about maximizing social media spread of this study. ;-) #hpm -8:17 PM Aug 18th, 2010 MeredithGould In addition to the #hpm hashtag, use #RNchat #hpm -8:17 PM Aug 18th, 2010 dockj RT @ctsinclair: I searched people on Twitter talking about the Gawande article a few weeks ago and found some new allies<-good thought #hpm -8:17 PM Aug 18th, 2010 ctsinclair RT @joegormally: Im happy to get Digging or liking.. "Thanks Joe!" #hpm -8:16 PM Aug 18th, 2010 ctsinclair I searched people on Twitter talking about the Gawande article a few weeks ago and found some new allies. #hpm -8:16 PM Aug 18th, 2010 joegormally I'm happy to get Digging or liking.. RT @ctsinclair: , pressing lots of Like buttons, 'Digg'ing articles featuring the @NEJM study #hpm -8:16 PM Aug 18th, 2010 MeredithGould Add this hashtag when posting to Twitter. #hpm -8:15 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 21/28
  • 22. 8/19/2010 TweetChat - #hpm ctsinclair RT @dockj: Hunt it down every time it shows up and is mentioned and "like" it. "Also consider finding peeps on Twitter talking abt it" #hpm -8:15 PM Aug 18th, 2010 MeredithGould I'd also recommend posting comments when it's mentioned on blogs. #hpm -8:15 PM Aug 18th, 2010 jsperber I like @ctsinclairs thinking here. Quick blog posts that link to article, too. #Hpm -8:14 PM Aug 18th, 2010 dockj Hunt it down every time it shows up and is mentioned and "like" it #hpm -8:14 PM Aug 18th, 2010 inhousehospice RT @ctsinclair: We should also think about commenting on FB, pressing lots of Like buttons, Digging articles feat. the @NEJM study #hpm -8:14 PM Aug 18th, 2010 emarnold14 @doclake Great idea about emailing...though my Medical Center's feeder Cancer Center is a satellite MGH Cancer Center...:) #hpm -8:14 PM Aug 18th, 2010 MeredithGould @hollyby Yes and I come from a social science discipline that got way too obsessed with "hard" data at the expense of nuanced research. #hpm -8:13 PM Aug 18th, 2010 ctsinclair Anyone else have ideas about making this research article sticky? #hpm -8:13 PM Aug 18th, 2010 doclake I've sent to key members of the cancer center @ my hospital @RoperStFrancis [edit] #hpm #hpm -8:13 PM Aug 18th, 2010 ctsinclair We should also think about commenting on Facebook pages, pressing lots of Like buttons, 'Digg'ing articles featuring the @NEJM study #hpm -8:13 PM Aug 18th, 2010 dockj Get to spend tomorrow with Sr leadership of hospital traveling and looking at new EHR system- this article might get mentioned. :-) #hpm -8:13 PM Aug 18th, 2010 MeredithGould @ctsinclair Want to suggest language for a cover note to go with the forwarded article? #hpm -8:13 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 22/28
  • 23. 8/19/2010 TweetChat - #hpm MeredithGould RT @ctsinclair: Should be the most emailed article on the NEJM site. One way to do that is to send the link and not the pdf. #hpm -8:12 PM Aug 18th, 2010 hollyby @MeredithGould I think it just goes to show how carefully crafted research can (hopefully) propel a field forward. #hpm -8:12 PM Aug 18th, 2010 ctsinclair @doclake sixty mainstream media #hpm -8:12 PM Aug 18th, 2010 dockj RT @ctsinclair: Hopefully it should be the most emailed article on the NEJM site. One way to do that is to send the link not the pdf. #hpm -8:12 PM Aug 18th, 2010 ctsinclair RT @doclake: @ctsinclair will need to think of a more creative way to make it "sticky" 'need a sticky brainstorming session" #hpm -8:12 PM Aug 18th, 2010 MeredithGould @ctsinclair Right..."hard" data still seems to rule, hence the focus on "evidence-based medicine." #hpm -8:11 PM Aug 18th, 2010 ctsinclair Hopefully it should be the most emailed article on the NEJM site. One way to do that is to send the link and not the pdf. #hpm -8:11 PM Aug 18th, 2010 doclake @ctsinclair What is "60 MSM"? #hpm -8:11 PM Aug 18th, 2010 doclake @ctsinclair Just a personal e-mail note-will need to think of a more creative way to make it "sticky" #hpm -8:11 PM Aug 18th, 2010 dockj RT @MeredithGould: What blows my mind is that it takes publication in a prestigious publication to announce what should be obvious. #hpm -8:10 PM Aug 18th, 2010 ctsinclair @MeredithGould I agree too. But man is it nice to see some validation. Our field needs more hard data like this. #hpm -8:10 PM Aug 18th, 2010 hollyby @doclake I'm busy emailing it to everyone I can think of in my agency as well. Also, residency buds, international docs. #hpm -8:10 PM Aug 18th, 2010 inhousehospice @MeredithGould So true! #hpm -8:10 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 23/28
  • 24. 8/19/2010 TweetChat - #hpm ctsinclair RT @MeredithGould: What blows my mind is that it takes publication in a prestigious publication to announce what should be obvious. #hpm -8:10 PM Aug 18th, 2010 ctsinclair I heard already 60 MSM articles picking up this article. And it isn't actually 'published' until tomorrow. #hpm -8:09 PM Aug 18th, 2010 MeredithGould What blows what's left of my mind is that it takes publication in a prestigious publication to announce what should be obvious. #hpm -8:09 PM Aug 18th, 2010 ctsinclair RT @doclake: Ive sent to key members of the cancer center @ my hospital @RoperSaintFrancis 'good idea, didya personalize it?" #hpm -8:09 PM Aug 18th, 2010 inhousehospice T1: Spread it around! @hollyby : I hope so! :) #hpm -8:09 PM Aug 18th, 2010 dockj Kevin- FM residency Ed, Geri, HPM, Jack of all trades #hpm -8:08 PM Aug 18th, 2010 ctsinclair RT @hollyby: T1: Get ready for the dripping faucet to become a firehose. Anyone else feel momentum building? "exciting and scary!" #hpm - 8:08 PM Aug 18th, 2010 ctsinclair Here is a link to the abstract @NEJM: http://bit.ly/bq5r07 #HPM The PDF is free and don't forget @DianeEMeier editorial too [edit] #hpm -8:07 PM Aug 18th, 2010 doclake I've sent to key members of the cancer center @ my hospital @RoperSaintFrancis #hpm -8:07 PM Aug 18th, 2010 hollyby T1: Get ready for the the dripping faucet to become a firehose. Does anyone else feel the momentum building? #hpm -8:07 PM Aug 18th, 2010 ctsinclair RT @equijada: <-- driving "Ack Earl, don't do that! We need you in one piece. No one talk to Earl" #hpm -8:07 PM Aug 18th, 2010 ctsinclair Here is a link to the abstract @NEJM: http://bit.ly/bq5r07 #HPM The PDF is free and don't forget @DianeEMeiere editorial too -8:06 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 24/28
  • 25. 8/19/2010 TweetChat - #hpm emarnold14 Beth--CM'er in acute care medical center--work exclusively with complex medical patients, most are transitioning to end-of-life care. #hpm - 8:06 PM Aug 18th, 2010 daitpcg daitpcg Tim Cousounis consultant to the HPM field #hpm -8:06 PM Aug 18th, 2010 equijada <-- driving #hpm -8:06 PM Aug 18th, 2010 haslingerppc This is Lisa from pall care at Akron Children's Hospital #hpm - 8:06 PM Aug 18th, 2010 ctsinclair TOPIC #1: The recent @NEJM study showing early PC improves QOL AND survival. Great results, what do we do now? #hpm -8:06 PM Aug 18th, 2010 MeredithGould Will be bi-locating: #hpm chat and night prayer with @Virtual_Abbey -8:05 PM Aug 18th, 2010 ctsinclair Looks like we have a small group tonight! Hopefully others will join as we make more noise #hpm -8:05 PM Aug 18th, 2010 MeredithGould <--sociologist, hc communications pro committed to clarity and community building. Gadfly tendencies. #hpm -8:04 PM Aug 18th, 2010 ctsinclair Christian Sinclair, MD @KChospice, blogger @Pallimed, board member @AAHPM, #HPM cheerleader! #hpm -8:03 PM Aug 18th, 2010 hollyby Holly Yang here! Hospice and Palliative Medicine doc from @SanDiegoHospice. My tweets for the next hr will be from the #hpm tweetchat #hpm -8:02 PM Aug 18th, 2010 inhousehospice Hello, hello! I'm Ashley, marketing assistant @ In-House Hospice & Palliative Care in MI & OH. #hpm -8:02 PM Aug 18th, 2010 doclake Scott Lake, palliative doc-Charleston SC #hpm -8:01 PM Aug 18th, 2010 ctsinclair (Warning non-palliative tweeps: lots of posts coming at you for the next hour! Come join us) #hpm -8:01 PM Aug 18th, 2010 ctsinclair Hello! And welcome to another installment of #HPM Tweetchat! I will be hosting tonight. Let's start with intros! #hpm -8:00 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 25/28
  • 26. 8/19/2010 TweetChat - #hpm ctsinclair Getting my playlist ready for tweetchat. loving Ra Ra Riot's new song "Boy" #hpm -7:59 PM Aug 18th, 2010 hollyby RT @ctsinclair: How and Why to do Tweetchat for #Hospice and #Palliative Medicine #HPM http://slidesha.re/dfGxC5 cc: @NEJM @DianeEMeier -7:54 PM Aug 18th, 2010 MeredithGould RT @ctsinclair: #HPM Hospice & Palliative Med Tweetchat at 8p CT. Topic? @NEJM study of course! http://bit.ly/cQH6GU -7:51 PM Aug 18th, 2010 renee_berry RT @ctsinclair: How and Why to do Tweetchat for #Hospice and #Palliative Medicine #HPM http://slidesha.re/dfGxC5 cc: @NEJM @DianeEMeier -7:46 PM Aug 18th, 2010 FIMDM RT @ctsinclair: I want to shout this from the top of the roof tops. Early Palliative Care improves survival AND QOL! Thank you @MassGeneral and @NEJM #hpm -7:42 PM Aug 18th, 2010 ctsinclair How and Why to do Tweetchat for #Hospice and #Palliative Medicine #HPM http://slidesha.re/dfGxC5 cc: @NEJM @DianeEMeier -7:40 PM Aug 18th, 2010 ctsinclair #HPM Hospice and Palliative Med Tweetchat coming up in 23 minutes at 8p CT. Topic? @NEJM study of course! http://bit.ly/cQH6GU -7:39 PM Aug 18th, 2010 drpippa Just read this study in the NEJM -confirms what we know: palliative care is quality care. http://nyti.ms/cpPEGS #hpm -7:37 PM Aug 18th, 2010 hollyby RT @ctsinclair: I want to shout this from the top of the roof tops. Early Palliative Care improves survival AND QOL! Thank you @MassGeneral and @NEJM #hpm -7:35 PM Aug 18th, 2010 PacificOncology RT @ctsinclair: Grndbreaking study @NEJM on Early Palliative Care Metastatic Lung #Cancer improved QOL & survival! http://bit.ly/cQH6GU #HPM -7:11 PM Aug 18th, 2010 dockj RT @ctsinclair: I want to shout this from the top of the roof tops. Early Palliative Care improves survival AND QOL! Thank you @MassGeneral and @NEJM #hpm -7:06 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 26/28
  • 27. 8/19/2010 TweetChat - #hpm ctsinclair I want to shout this from the top of the roof tops. Early Palliative Care improves survival AND QOL! Thank you @MassGeneral and @NEJM #hpm -7:01 PM Aug 18th, 2010 starr88 RT @MassGeneralNews: RT @emarnold14: Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer http://is.gd/enNT2 #mgh #hpm #palliativecare -6:58 PM Aug 18th, 2010 SheyontheBay RT @ctsinclair: RT @equijada: RT @HEALTH_NOTES RT @nytimeshealth #Palliative Care Extends Life of Lung #Cancer Patients http://nyti.ms/cvoI6d #hpm #hcsm -6:56 PM Aug 18th, 2010 ctsinclair RT @equijada: RT @HEALTH_NOTES RT @nytimeshealth #Palliative Care Extends Life of Lung #Cancer Patients http://nyti.ms/cvoI6d #hpm #hcsm -6:55 PM Aug 18th, 2010 ctsinclair RT @doclake: RT @emarnold14: Palliative Care: A Shifting Paradigm by @DianeEMeier via @NEJM http://is.gd/enNBb #hpm -6:55 PM Aug 18th, 2010 ctsinclair Grndbreaking study @NEJM on Early Palliative Care Metastatic Lung #Cancer improved QOL AND improved survival! http://bit.ly/cQH6GU #HPM -6:54 PM Aug 18th, 2010 doclake RT @DianeEMeier: RT @emarnold14: Palliative Care: A Shifting Paradigm by @DianeEMeier via @NEJM http://is.gd/enNBb #hpm #palliativecare -6:30 PM Aug 18th, 2010 equijada RT @renee_berry: RT @HEALTH_NOTES RT @nytimeshealth #Palliative Care Extends Life of Lung #Cancer Patients, Study Finds http://nyti.ms/cvoI6d #hpm #hcsm -6:17 PM Aug 18th, 2010 lfettig RT @LCINSorg: Palliative Care Extends Life of #lungcancer patients http://ow.ly/2rzEE #hpm #oncology -6:13 PM Aug 18th, 2010 suzanakm Checking out "Reflections on Palliative medicine elective (Week 1)" on The Lois Green Learning Communit: http://ning.it/9f5ZDW #lglc #hpm - 5:43 PM Aug 18th, 2010 renee_berry RT @HEALTH_NOTES RT @nytimeshealth #Palliative Care Extends Life of Lung #Cancer Patients, Study Finds http://nyti.ms/cvoI6d #hpm #hcsm -5:36 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 27/28
  • 28. 8/19/2010 TweetChat - #hpm DianeEMeier RT @emarnold14: Palliative Care: A Shifting Paradigm by @DianeEMeier via @NEJM http://is.gd/enNBb #hpm #palliativecare -5:36 PM Aug 18th, 2010 emarnold14 MGH study: Palliative Care Can Extend Life, Reduce Depression via @NewsBoston http://is.gd/enPUl #MGH #hpm #cancer -5:06 PM Aug 18th, 2010 equijada Early intervention palliative care -> improves QOL, improves mood, improves survival http://bit.ly/bNPNlU Related: STOKED #hpm -5:03 PM Aug 18th, 2010 MassGeneralNews RT @emarnold14: Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer http://is.gd/enNT2 #mgh #hpm #palliativecare -4:58 PM Aug 18th, 2010 http://tweetchat.com/room/hpm 28/28