#Hpm Tweet Chat 2:2:11

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6/27/12 11:2hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Feb 02 18:00:00 PST 2011

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rebeccacaroe @ctsinclair sorry to be daft is that the ninth of Feb or the second of September?#BritishDateFormat#hpm

Wed Feb 2 18:00:06 PST 2011

RachelleNorman This is a great article -excellent explanations RT @GriefHealing#Musictherapyeases patients pain http://bit.ly/g1m2LZ#caregiving#hpm

Wed Feb 2 18:00:08 PST 2011

ctsinclair @rebeccacaroe I am not that far ahead in planning. Next week Feb 9th #hpmWed Feb 2 18:00:37 PST 2011

drpippa Good evening! Welcome to #HPM tweetchat! Let's start with introductions. I'm Pippafamily doc, hospice team physician, snow shoveler. #hpm

Wed Feb 2 18:00:50 PST 2011

PracticalWisdom Just received my Homework. Now got to study! RT@ctsinclair#HPM TweetchatSchedule 2011 http://bit.ly/gsaCVZ cc #hpmWed Feb 2 18:00:54 PST 2011

ctsinclair @RachelleNorman We would love to have some #MusicTherapy people at #HPMtweetchats it starts right now! #hpm

Wed Feb 2 18:01:10 PST 2011
http://twitter.com/15173133/status/32981822958735360http://twitter.com/15173133/status/32981822958735360http://www.twitter.com/RachelleNormanhttp://www.twitter.com/RachelleNormanhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=02-02-2011&shour=18&smin=0&tdate=02-02-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://twitter.com/2326862/status/32981891191668736http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/MusicTherapy/http://www.twitter.com/RachelleNormanhttp://www.twitter.com/ctsinclairhttp://twitter.com/15173133/status/32981822958735360http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/gsaCVZhttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/43964/status/32981810136752128http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/drpippahttp://twitter.com/2326862/status/32981753991794688http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rebeccacaroehttp://www.twitter.com/ctsinclairhttp://twitter.com/200775637/status/32981634005336064http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/caregiving/http://bit.ly/g1m2LZhttp://www.symplur.com/healthcare-hashtags/Musictherapy/http://www.twitter.com/GriefHealinghttp://www.twitter.com/RachelleNormanhttp://twitter.com/58555/status/32981622315814912http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/BritishDateFormat/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rebeccacaroehttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=02-02-2011&shour=18&smin=0&tdate=02-02-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=02-02-2011&shour=18&smin=0&tdate=02-02-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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ctsinclair Thanks for hosting #HPM tweetchat @drpippa! Christian Sinclair here, editor@Pallimed, palliative MD @kchospice CEO @KLXmedia#hpm

Wed Feb 2 18:02:05 PST 2011

MeredithGould

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DONALDHTAYLORJR Hi. Don Taylor, public policy prof at Duke Univ #hpmWed Feb 2 18:04:16 PST 2011

chemo_babe RT @DrSnit: For next hour will be tweeting in hospice and palliative care chat #hpmfor an hour - PLEASE JOIN!

Wed Feb 2 18:04:32 PST 2011

ctsinclair Tweeting (a lot) from #hpm tweetchat the next hour (join in if you likehttp://bit.ly/frAnls ), all tweets are my own #TAMO#hpmWed Feb 2 18:04:43 PST 2011

ctsinclair Oh! Great crowd tonight! And I am not tweeting from a concert this week! #hpmWed Feb 2 18:05:13 PST 2011

DrSnit Hey cats! Hope you're bundled up and warm!! Melissa Travis medical researcher andpatient. All tweets are mine & NOT @ctsinclair's #hpm

Wed Feb 2 18:05:23 PST 2011

brigid22 Next hour I'll be lurking/tweeting in #hpm tweetchat; all tweets will be of that contentWed Feb 2 18:05:32 PST 2011

hollyby Hi all! Holly Yang, physician for @SanDiegoHospice. Joining from Tbilisi, Georgia. Atweets are my own. #hpm

Wed Feb 2 18:05:36 PST 2011

MeredithGould @DrSnit LOL #hpmWed Feb 2 18:05:37 PST 2011

rebeccacaroe @ctsinclair it's in my diary... #hpmWed Feb 2 18:05:41 PST 2011

drpippa Hello all! Glad to see so many folks here. My first time hosting so learning the tricksof the trade. Keep the intros coming! #hpm

Wed Feb 2 18:05:52 PST 2011

ctsinclair @DrSnit It is so hard to think of you as Melissa and not DrSnit. Honestly. :-) #hpmWed Feb 2 18:05:59 PST 2011

rebeccacaroe @hollyby Holly Holly-day #hpmWed Feb 2 18:06:02 PST 2011

a_singledrop Going to lurk a bit on #hpm tonight, so please pardon the influx of palliative medicinerelated tweets!

Wed Feb 2 18:06:04 PST 2011
http://twitter.com/114638970/status/32983126980435968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/a_singledrophttp://twitter.com/58555/status/32983117513883649http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rebeccacaroehttp://twitter.com/2326862/status/32983105434296320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/ctsinclairhttp://twitter.com/43964/status/32983074874589184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://twitter.com/58555/status/32983030104596483http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rebeccacaroehttp://twitter.com/1972230/status/32983012241047552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/MeredithGouldhttp://twitter.com/12047811/status/32983009229545472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SanDiegoHospicehttp://www.twitter.com/hollybyhttp://twitter.com/90444275/status/32982992536207362http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/brigid22http://twitter.com/93074700/status/32982953868922881http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/DrSnithttp://twitter.com/2326862/status/32982912362090496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/2326862/status/32982783546621952http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/TAMO/http://bit.ly/frAnlshttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/87774567/status/32982738030043136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/chemo_babehttp://twitter.com/92872278/status/32982671835537409http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJR

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joshgriffin RT @ctsinclair: Tweeting (a lot) from #hpm tweetchat the next hour all tweets are myown #TAMO

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lonelygourmet RT @chemo_babe: RT @DrSnit: For next hour will be tweeting in hospice andpalliative care chat #hpm for an hour - PLEASE JOIN!

Wed Feb 2 18:07:47 PST 2011

ctsinclair @hollyby I hope you are planning a @Pallimed post about your experiences? #hpmWed Feb 2 18:07:55 PST 2011

nowhitecaps Hi y'all. ABSN student here, doing clinicals on a hem-onc floor so getting someexposure to hospice/palliative. Always eager to learn. #hpmWed Feb 2 18:07:58 PST 2011

KathyKastner In RussianRT @ctsinclair: @hollyby I hope you are planning a @Pallimed post abouyour experiences? #hpm

Wed Feb 2 18:08:32 PST 2011

DrSnit @hollyby You're a day ahead of us!! #hpmWed Feb 2 18:08:34 PST 2011

ctsinclair @nowhitecaps@a_singledrop Welcome! Glad to see so many students here #hpmWed Feb 2 18:08:48 PST 2011

jsperber RT @drpippa: T1 - Article in JAMA re: differences between for profit and non-profithospices http://bit.ly/hn4wCK - do you see this in your town? #hpm

Wed Feb 2 18:08:56 PST 2011

ctsinclair @KathyKastner In russian? @hollyby is talented but that would be impressive unlesshe used Google Translate #hpm

Wed Feb 2 18:09:20 PST 2011

drpippa T1 - I have worked for both and this has not been my experience but it is certainlymaking me think about whether this is the #hpm

Wed Feb 2 18:09:24 PST 2011

PracticalWisdom @nowhitecaps: This is an amazing group I learn a great deal from them. No dullcrayons in this box. Welcome! #hpm

Wed Feb 2 18:09:26 PST 2011

hollybyYes, along with others. RT @ctsinclair: @hollyby I hope you are planning a@Pallimed post about your experiences? #hpmWed Feb 2 18:09:36 PST 2011

ctsinclair RT @drpippa: T1- JAMA Article differences between for profit/non-profit hospiceshttp://bit.ly/hn4wCK - do you see this in your town? #hpm

Wed Feb 2 18:09:56 PST 2011

rebeccacaroe Rebecca in New Zealand. works for a patient-centric healthcare app
http://www.twitter.com/rebeccacaroehttp://twitter.com/2326862/status/32984099421429761http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/hn4wCKhttp://www.twitter.com/drpippahttp://www.twitter.com/ctsinclairhttp://twitter.com/12047811/status/32984015736672256http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Pallimedhttp://www.twitter.com/hollybyhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://twitter.com/15173133/status/32983971667124224http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nowhitecapshttp://www.twitter.com/PracticalWisdomhttp://twitter.com/43964/status/32983961986662400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://twitter.com/2326862/status/32983946304159744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/KathyKastnerhttp://www.twitter.com/ctsinclairhttp://twitter.com/135638/status/32983847780106240http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/hn4wCKhttp://www.twitter.com/drpippahttp://www.twitter.com/jsperberhttp://twitter.com/2326862/status/32983814141644800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/a_singledrophttp://www.twitter.com/nowhitecapshttp://www.twitter.com/ctsinclairhttp://twitter.com/93074700/status/32983753521364992http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://twitter.com/192667727/status/32983744260349952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Pallimedhttp://www.twitter.com/hollybyhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/KathyKastnerhttp://twitter.com/165199999/status/32983603252039680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nowhitecapshttp://twitter.com/2326862/status/32983590144839680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Pallimedhttp://www.twitter.com/hollybyhttp://www.twitter.com/ctsinclairhttp://twitter.com/61282009/status/32983558754668545http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/chemo_babehttp://www.twitter.com/lonelygourmet

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MeredithGould RT @ctsinclair: For space concerns FP = for profit and NFP = not for profit from hereon out #hpm

Wed Feb 2 18:12:00 PST 2011

ctsinclair Disclaimer I work for a NFP hospice #hpmWed Feb 2 18:12:02 PST 2011

PracticalWisdom RT @ctsinclair: For-profit hospice agen had a higher % of patients with diagnosesW/lower-skilled needs and longer lengths of stay. #hpmWed Feb 2 18:12:09 PST 2011

MeredithGould @ctsinclair What does "NFP" mean? KIDDING!!! #hpmWed Feb 2 18:12:18 PST 2011

ctsinclair For background there has always been a struggle between FP/NFP hospice orgs -they like to bash each other sometimes #hpm

Wed Feb 2 18:12:56 PST 2011

drpippa for those who don't want to read JAMA - here is the LA times blurb. http://lat.ms/eoii#hpmWed Feb 2 18:13:03 PST 2011

DONALDHTAYLORJR RT @drpippa: T1 - Article in JAMA re: diffs between for profit and non-profit hospicehttp://bit.ly/hn4wCK - do you see this? #hpm

Wed Feb 2 18:13:08 PST 2011

PracticalWisdom @ctsinclair: Best Practice to Disclaim~Classy and transparent! #hpmWed Feb 2 18:13:11 PST 2011

MeredithGould RT @drpippa: for those who don't want to read JAMA - here is the LA times blurb.http://lat.ms/eoiior#hpm

Wed Feb 2 18:13:16 PST 2011

PracticalWisdom @MeredithGould Not for Profit or is it a tongue and cheek? #hpmWed Feb 2 18:13:38 PST 2011

DONALDHTAYLORJR RT @ctsinclair: FP hospice agencies had a higher percentage of patients wdiagnoses with lower-skilled needs & longer lengths of stay. #hpm

Wed Feb 2 18:13:44 PST 2011

ctsinclair What the JAMA article didnt show/ask was a difference in level of care or quality,which to me would have made this a lead article #hpm

Wed Feb 2 18:13:47 PST 2011

drpippa RT @PracticalWisdom: @ctsinclair: Best Practice to Disclaim~Classy andtransparent! Disclaimer: I currently work FP. #hpm

Wed Feb 2 18:13:47 PST 2011
http://twitter.com/43964/status/32985066619539456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/drpippahttp://twitter.com/2326862/status/32985067458400256http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/92872278/status/32985053583638528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/15173133/status/32985028061306880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/1972230/status/32984935950188546http://www.symplur.com/healthcare-hashtags/hpm/http://lat.ms/eoiiorhttp://www.twitter.com/drpippahttp://www.twitter.com/MeredithGouldhttp://twitter.com/15173133/status/32984915146444800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/92872278/status/32984902257344513http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/hn4wCKhttp://www.twitter.com/drpippahttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/43964/status/32984880757350400http://www.symplur.com/healthcare-hashtags/hpm/http://lat.ms/eoiiorhttp://www.twitter.com/drpippahttp://twitter.com/2326862/status/32984853934772224http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/32984693888524288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://twitter.com/15173133/status/32984656907345921http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/2326862/status/32984626540584960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/32984618600763393http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGould

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equijada @drpippa Earl here. Disclosure: I work for a NPH. Used to work for a FPH.Unfortunately I kind of see it. #hpm

Wed Feb 2 18:13:54 PST 2011

PracticalWisdom JAMA piece reminded me of Grad. School had to put on thinking capu. Thanks@MeredithGould#hpmWed Feb 2 18:14:15 PST 2011

MeredithGould @PracticalWisdom Yep, tongue slammed into cheek. #hpmWed Feb 2 18:14:22 PST 2011

LifeHealthDiary RT @drpippa: for those who don't want to read JAMA - here is the LA times blurb.http://lat.ms/eoiior#hpm

Wed Feb 2 18:14:41 PST 2011

drpippa @equijada glad you are here - saw your earlier tweet and wanted to hear more.#hpm

Wed Feb 2 18:14:41 PST 2011

hollyby @MeredithGould Haven't had any. Not sure its on my Monterey Bay AquariumSeafood Watch list. ;) http://bit.ly/McxPS#hpm

Wed Feb 2 18:14:44 PST 2011

ctsinclair RT @PracticalWisdom: @ctsinclair: Best Practice to Disclaim~Classy andtransparent! "Thanks for the nod!" #hpmWed Feb 2 18:15:00 PST 2011

PracticalWisdom @MeredithGould Thanks sometimes hard to figure with 140 and speed. #hpmWed Feb 2 18:15:08 PST 2011

DONALDHTAYLORJR Biggest thing missing is no measurement of quality of care; need to look at use, $, &quality at same time http://tinyurl.com/63ko9se#hpm

Wed Feb 2 18:15:14 PST 2011

LifeHealthDiary @ctsinclair is JAMA in a position to add level/quality of care data later? #hpmWed Feb 2 18:15:24 PST 2011

ctsinclair FWIW I will be writing up an article on this for @Palliemd tonight and discussing it inJournal Club tomorrow - will post slides #hpmWed Feb 2 18:15:44 PST 2011

PracticalWisdom @ctsinclair Think the teacher in me came out. Thinking of students Occ. Hazard.#hpm

Wed Feb 2 18:15:54 PST 2011

RT @ctsinclair: What the JAMA article didnt show/ask was a diff in level of care or
http://www.twitter.com/ctsinclairhttp://twitter.com/15173133/status/32985599380029440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/2326862/status/32985557738987520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Palliemdhttp://www.twitter.com/ctsinclairhttp://twitter.com/61152552/status/32985472611385344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/LifeHealthDiaryhttp://twitter.com/92872278/status/32985430177615872http://www.symplur.com/healthcare-hashtags/hpm/http://tinyurl.com/63ko9sehttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/15173133/status/32985408002330625http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/2326862/status/32985374238183424http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/ctsinclairhttp://twitter.com/12047811/status/32985307980763136http://www.symplur.com/healthcare-hashtags/hpm/http://bit.ly/McxPShttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/hollybyhttp://twitter.com/43964/status/32985293124534272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/drpippahttp://twitter.com/61152552/status/32985294139564032http://www.symplur.com/healthcare-hashtags/hpm/http://lat.ms/eoiiorhttp://www.twitter.com/drpippahttp://www.twitter.com/LifeHealthDiaryhttp://twitter.com/1972230/status/32985214657499137http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/MeredithGouldhttp://twitter.com/15173133/status/32985186392088576http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/85440711/status/32985094515855360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/equijada

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drpippa quality, which would have made this a lead article #hpmWed Feb 2 18:15:57 PST 2011

a_singledrop T1: alternatively, it could be interesting to see whether these different pt popns arewhat drives the difference in profit margins #hpm

Wed Feb 2 18:15:57 PST 2011

holisticnurses One day will join #hpm. Hospice is an exemplar of #holistic care, but I'm preaching tothe choir. :) Happy chatting, all!Wed Feb 2 18:15:58 PST 2011

ctsinclair RT @LifeHealthDiary: @ctsinclair is JAMA in a position to add level/quality of caredata later? 'not really sadly' #hpm

Wed Feb 2 18:16:00 PST 2011

drpippa RT @DONALDHTAYLORJR: Biggest thing missing is no measurement of quality ofcare; need to look at use, $, & quality at same time #hpm

Wed Feb 2 18:16:20 PST 2011

ctsinclair @holisticnurses You just did join #hpm tweetchat! ;) #hpmWed Feb 2 18:16:29 PST 2011

LifeHealthDiary RT @a_singledrop: T1: alternatively, interesting to see is these different patientpopns are what drives the difference in profit #hpm

Wed Feb 2 18:16:53 PST 2011

ctsinclair I am impressed with the media coverage too. Again I was not surprised/impressedwith the weight of the study. #hpmWed Feb 2 18:17:11 PST 2011

PracticalWisdom RT @drpippa: RT @DONALDHTAYLORJR: Biggest thing missing no measurementquality of care; need2 look at use, $, & quality at same time #hpm

Wed Feb 2 18:17:12 PST 2011

equijada @drpippa not sure if the difference I exp 2/2 FP v NP status. But mission statementin FP included share holders #weird#hpm

Wed Feb 2 18:17:14 PST 2011

hollyby T1: Not sure that that article helps much. More non-cancer diagnoses will make

length of stay longer. #hpmWed Feb 2 18:17:35 PST 2011

ctsinclair @a_singledrop Likely the case - patients in NH with dementia live longer on averagetherefore longer LOS therefore higher profit margin #hpm

Wed Feb 2 18:17:46 PST 2011

rebeccacaroe @ctsinclair Don't you feel research should share objectives before starting so
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additional metrics could be added? #hpm

Wed Feb 2 18:17:52 PST 2011

ctsinclair RT @hollyby: T1: Not sure that that article helps much. More non-cancer diagnoseswill make length of stay longer. #hpm

Wed Feb 2 18:17:55 PST 2011

DONALDHTAYLORJRWe (Amy Abernethy & I) just got a grant that will measure quality, length of use & $ o

hospice & non-hosp palliative care in same pts #hpmWed Feb 2 18:18:04 PST 2011

LifeHealthDiary RT @ctsinclair: @holisticnurses You just did join #hpm tweetchat! ;) #hpmWed Feb 2 18:18:06 PST 2011

PracticalWisdom RT @LifeHealthDiary: RT @a_singledrop: T1: alternatively, interesting 2 C these difPT popns R what drives difference in profit #hpm

Wed Feb 2 18:18:12 PST 2011

mdstudent31 Hey everyone, arrived a little late, going to lurk for a bit #hpmWed Feb 2 18:18:15 PST 2011

MeredithGould @donaldhtaylorjr Congratulations! #hpmWed Feb 2 18:18:26 PST 2011

drpippa T1 - why do you think this article has gotten so much attention? Hope is to expandhospice to more non-cancer dx #hpm

Wed Feb 2 18:18:31 PST 2011

PracticalWisdom @DONALDHTAYLORJR: Congrats! Wonderful #hpmWed Feb 2 18:18:40 PST 2011

ctsinclair RT @equijada: But mission statement in FP included share holders #weird "I alsofeel odd about health and profit but it exists" #hpm

Wed Feb 2 18:18:41 PST 2011

drpippa Welcome! RT @mdstudent31: Hey everyone, arrived a little late, going to lurk for abit #hpm

Wed Feb 2 18:18:44 PST 2011

equijada @drpippa@ctsinclair I think an interesting question re: quality of care would becomparing small v large (avg daily census) #hpmWed Feb 2 18:18:51 PST 2011

LifeHealthDiary @donaldhtaylorjr looking forward to your research findings #hpmWed Feb 2 18:18:54 PST 2011
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MeredithGould T1 Think the #hpmWed Feb 2 18:18:57 PST 2011

ctsinclair RT @DONALDHTAYLORJR: just got a grant that will measure quality, length of use& $ of hospice & non-hosp palliative care in same pts #hpm

Wed Feb 2 18:18:58 PST 2011

drpippaRT @DONALDHTAYLORJR: We just got a grant that will measure quality, length ofuse & $ of hospice & non-hosp palliative care in same pts #hpmWed Feb 2 18:19:06 PST 2011

PracticalWisdom @mdstudent31: Got a drum roll for us tonight. Glad you are here. #hpmWed Feb 2 18:19:07 PST 2011

DONALDHTAYLORJR RT @drpippa: T1 - why do you think this article has gotten so much attention? Hopeis to expand hospice to more non-cancer dx #hpm

Wed Feb 2 18:19:24 PST 2011

ctsinclair @DONALDHTAYLORJR Make sure you cite #HPM Tweetchat in your first paper toshow the public is concerned about these issues! ;-) #hpmWed Feb 2 18:19:29 PST 2011

a_singledrop @ctsinclair Maaybe I'm missing the pt. Is this study just restating the obvious thatFPs have higher profit margins? #hpm

Wed Feb 2 18:19:33 PST 2011

drpippa RT @equijada: I think an interesting question re: quality of care would be comparingsmall v large (avg daily census) #hpmWed Feb 2 18:19:37 PST 2011

MeredithGould Oops...T1: Think the article got attn b/c hospice is finally becoming top o' mind for thmedia. #hpm

Wed Feb 2 18:19:43 PST 2011

ctsinclair RT @mdstudent31: Hey everyone, arrived a little late, going to lurk for a bit "hey rocstar!" #hpm

Wed Feb 2 18:19:43 PST 2011

mdstudent31 @PracticalWisdom Yay! Glad to be here. #hpmWed Feb 2 18:19:44 PST 2011

PracticalWisdom RT @ctsinclair: RT @equijada: But mission statement FP included share holders#weird "Feel odd re health & profit but it exists" #hpm

Wed Feb 2 18:19:53 PST 2011

rebeccacaroe @drpippa Article attention high cos of 'hot buttons' = cancer, hospice, profits,healthcare IMO #hpmWed Feb 2 18:19:59 PST 2011
http://twitter.com/58555/status/32986626208567296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/rebeccacaroehttp://twitter.com/15173133/status/32986602087124992http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/weird/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/172695515/status/32986563436609536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/mdstudent31http://twitter.com/2326862/status/32986559493967872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/mdstudent31http://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/32986561633058816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/43964/status/32986533954854912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/drpippahttp://twitter.com/114638970/status/32986517961969664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/a_singledrophttp://twitter.com/2326862/status/32986500891148288http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/ctsinclairhttp://twitter.com/92872278/status/32986481731567617http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/15173133/status/32986408108949506http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/mdstudent31http://www.twitter.com/PracticalWisdomhttp://twitter.com/43964/status/32986407207182336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/drpippahttp://twitter.com/2326862/status/32986369848516610http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/32986369454247936http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGould

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ctsinclair RT @drpippa: T1 - why do you think this article has gotten so much attention? 'slownews day, nothing going on in the Middle East? jk" #hpm

Wed Feb 2 18:20:22 PST 2011

drpippa RT @MeredithGould: Oops...T1: Think the article got attn b/c hospice is finallybecoming top o mind for the media. which is good! #hpm

Wed Feb 2 18:20:23 PST 2011

ctsinclair RT @rebeccacaroe: @drpippa Article attention high cos of hot buttons = cancer,hospice, profits, healthcare IMO 'agreed' #hpm

Wed Feb 2 18:20:31 PST 2011

drpippa RT @rebeccacaroe: @drpippa Article attention high cos of hot buttons = cancer,hospice, profits, healthcare IMO. mine too. #hpmWed Feb 2 18:20:33 PST 2011

ctsinclair RT @MeredithGould: T1: Think the article got attn b/c hospice is finally becoming to

o mind for the media. "wishing but not sure" #hpmWed Feb 2 18:20:54 PST 2011

hollyby Prognostication for many noncancer diagnoses is much harder, and these peoplewhile being "hospice appropriate," may live longer. #hpm

Wed Feb 2 18:20:58 PST 2011

mdstudent31 @ctsinclair Hey! I don't know about that but it was a great time! Fresh back from KCand missed the storm - hope all is safe in KC #hpm

Wed Feb 2 18:20:58 PST 2011

PracticalWisdom RT @ctsinclair: RT @rebeccacaroe: @drpippa Article attention high cos of hotbuttons = cancer, hospice, profits, healthcare IMO agreed #hpm

Wed Feb 2 18:20:59 PST 2011

DONALDHTAYLORJR @drpippa And story FP milking the system makes it seem like there are easy fixes toslow costs in the health system; there aren't #hpmWed Feb 2 18:21:13 PST 2011

MeredithGould Think it's finally becoming top o' mind b/c of aging population, more openness to talkabout death, #havethetalk campaigns, etc #HPM

Wed Feb 2 18:21:21 PST 2011

drpippa RT @hollyby: Prognostication for many noncancer diagnoses is harder, & thesepeople while being "hospice appropriate," may live longer #hpmWed Feb 2 18:21:30 PST 2011

rebeccacaroe @MeredithGould can't see why hospice is suddenly media top of mind. Why? #hpmWed Feb 2 18:21:40 PST 2011
http://twitter.com/58555/status/32987052387602432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/rebeccacaroehttp://twitter.com/43964/status/32987010134183937http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/drpippahttp://twitter.com/1972230/status/32986970590285824http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/havethetalk/http://www.twitter.com/MeredithGouldhttp://twitter.com/92872278/status/32986939174948864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/DONALDHTAYLORJRhttp://twitter.com/15173133/status/32986880270147584http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/rebeccacaroehttp://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/172695515/status/32986875455086592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/mdstudent31http://twitter.com/12047811/status/32986876969226241http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/2326862/status/32986857809645569http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclairhttp://twitter.com/43964/status/32986771717365762http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/rebeccacaroehttp://www.twitter.com/drpippahttp://twitter.com/2326862/status/32986759650353152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/rebeccacaroehttp://www.twitter.com/ctsinclairhttp://twitter.com/43964/status/32986728465698816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/drpippahttp://twitter.com/2326862/status/32986724397219843http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/ctsinclair

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PracticalWisdom @MeredithGould: My experience is Hospice usually gets good media press in myarea. Think United Way #hpmWed Feb 2 18:21:42 PST 2011

ctsinclair More background - this study comes out as Medicare is lookoing at reforming#hospice payment structure for patients in NH w/dementia #hpm

Wed Feb 2 18:21:43 PST 2011

rebeccacaroe oops just got your answer.... ignore earlier #hpmWed Feb 2 18:21:53 PST 2011

ctsinclair RT @hollyby: Prognostication for many noncancer diagnoses is harder, & thesepeople while being "#hospice appropriate," may live longer #hpm

Wed Feb 2 18:21:56 PST 2011

MeredithGould I think it's sociologically inevitable for these issues to rise to the surface #hpmWed Feb 2 18:22:03 PST 2011

rebeccacaroe RT @MeredithGould: Think its finally becoming top o mind b/c of aging population,more openness to talk about death, #hpmWed Feb 2 18:22:11 PST 2011

ctsinclair BTW feel free to hashtag #hospice and #cancer and #dementia those are biggiesand may get our chat out a little further #hpm

Wed Feb 2 18:22:26 PST 2011

PracticalWisdom RT @ctsinclair: More background -study comes out as Medicare is looking reforming#hospice payment structure for pts in NH w/dementia #hpm

Wed Feb 2 18:22:39 PST 2011

MeredithGould Also, as disgusted as we were/are with the stupid "death panel" nonsense, that alsomoved hospice into the public square. #HPM

Wed Feb 2 18:22:49 PST 2011

ctsinclair RT @DONALDHTAYLORJR: story FP milking the system makes it seem like thereare easy fixes to slow costs in health system; there arent #hpm

Wed Feb 2 18:22:56 PST 2011

rebeccacaroe@MeredithGould aging populations are definitely more interested in reading aboutissues that concern them, i.e. age #hpmWed Feb 2 18:22:58 PST 2011

PracticalWisdom RT @rebeccacaroe: RT @MeredithGould: Think its finally becoming top o mind b/c oaging population, more openness to talk about death, #hpm

Wed Feb 2 18:23:14 PST 2011

rebeccacaroe RT @ctsinclair: BTW feel free to hashtag #hospice and #cancer and #dementia thos
http://www.symplur.com/healthcare-hashtags/dementia/http://www.symplur.com/healthcare-hashtags/cancer/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rebeccacaroehttp://twitter.com/15173133/status/32987446060777472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/rebeccacaroehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/58555/status/32987376296923136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/rebeccacaroehttp://twitter.com/2326862/status/32987371075018753http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DONALDHTAYLORJRhttp://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/32987338837594112http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/MeredithGouldhttp://twitter.com/15173133/status/32987297456594944http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/2326862/status/32987243362648064http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/dementia/http://www.symplur.com/healthcare-hashtags/cancer/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://twitter.com/58555/status/32987179357569024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/rebeccacaroehttp://twitter.com/1972230/status/32987146935603200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/2326862/status/32987117718085634http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/hollybyhttp://www.twitter.com/ctsinclairhttp://twitter.com/58555/status/32987107601420288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rebeccacaroehttp://twitter.com/2326862/status/32987065666768897http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://twitter.com/15173133/status/32987061132726272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/PracticalWisdom

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are biggies and may get our chat out a little further #hpm

Wed Feb 2 18:23:15 PST 2011

ctsinclair And by get the chat out further I mean reach people who care about these sametopics we do, but dont know we are here! #hpm

Wed Feb 2 18:23:51 PST 2011

PracticalWisdomAgree 100%RT @MeredithGould: disgusted as we were/are w/stupid "death panel"nonsense, that also moved hospice into the public square. #hpmWed Feb 2 18:23:51 PST 2011

a_singledrop Thx 4 context @ctsinclair: this study comes out as Medicare is looking at reforming#hospice payment structure for patients w/#dementia#hpm

Wed Feb 2 18:23:55 PST 2011

mandajane79 wish i could join #hpm tonight,but am journey-ing from austin back to sanantonio...happy chatting!Wed Feb 2 18:23:59 PST 2011

Mtnmd RT @ctsinclair: BTW feel free to hashtag #hospice and #cancer and #dementia thosare biggies and may get our chat out a little further #hpm

Wed Feb 2 18:24:23 PST 2011

PracticalWisdom RT @rebeccacaroe: RT @ctsinclair: BTW feel free hashtag #hospice& #cancer#dementia biggies & may get our chat out a little further #hpm

Wed Feb 2 18:24:24 PST 2011

ctsinclair @DONALDHTAYLORJR I think you are on to something about looking for easy fixesbut this article aims to be more than it is #hpm

Wed Feb 2 18:24:27 PST 2011

drpippa Very happy to see that folks are in a chatting mood. Will move on to T2 in a momentFor a heads up - http://bit.ly/hfcHu9#hpm

Wed Feb 2 18:24:33 PST 2011

MeredithGould Last (maybe) Aging Boomers are more willing to discuss mortality issues thanprevious generational cohorts. #HPMWed Feb 2 18:24:41 PST 2011

drpippa RT @DONALDHTAYLORJR:story FP milking the system makes it seem like thereare easy fixes to slow costs in the health system; there arent #hpmWed Feb 2 18:25:06 PST 2011

PracticalWisdom RT @ctsinclair: RT @DONALDHTAYLORJR: story FP milking system makes it seemthere R easy fixes2 slow costs health system; there arent #hpmWed Feb 2 18:25:13 PST 2011

equijada RT @hollyby: Prognostication for many noncancer diagnoses is much harder, and
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these people while being "hospice appropriate," may live longer. #hpm

Wed Feb 2 18:25:25 PST 2011

ctsinclair And I cannot find in the article how they base the assumption that caring for#dementia is more/less expensive than patient w/#cancer#hpmWed Feb 2 18:25:33 PST 2011

a_singledrop #hpm In the interest in normalizing #hospice care, isn't this article a good thing? ordoes it look bad because it's for-profit healthcare?Wed Feb 2 18:25:58 PST 2011

PracticalWisdom @DONALDHTAYLORJR : Folks like to take complicated Health Issues & make 10Bullet points Slides for a PowerPoint Presentation Right! #hpmWed Feb 2 18:26:23 PST 2011

MeredithGould @PracticalWisdom ;-) #hpmWed Feb 2 18:26:29 PST 2011

equijada An interesting qual study: Record IDG and tag "arm circumference", "weight loss"compared to "goals" "family" re: debility, dementia #hpmWed Feb 2 18:27:35 PST 2011

PracticalWisdom @MeredithGould: thanks #hpmWed Feb 2 18:27:48 PST 2011

ctsinclair @a_singledrop Doesnt do too much to normalize #hospice care IMHO #hpmWed Feb 2 18:27:59 PST 2011

drpippa RT @ctsinclair: @a_singledrop Doesnt do too much to normalize #hospice careIMHO #hpmWed Feb 2 18:28:19 PST 2011

LifeHealthDiary RT @ctsinclair: And I cannot find how they base the assumption that caring for#dementia is more/less expensive than patient w/#cancer#hpmWed Feb 2 18:28:33 PST 2011

equijada @ctsinclair true. but do you anecdotally see this in your practice? #hpmWed Feb 2 18:28:58 PST 2011

KimberlySMoore @michelleerfurt Do you follow #hpm? I think you should :)Wed Feb 2 18:29:05 PST 2011

PracticalWisdom RT @equijada: interesting qual study: Record IDG & tag "arm circum.","weight loss"compared to "goals" "family" re: debility, dementia #hpmWed Feb 2 18:29:15 PST 2011
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7/31/2019 #Hpm Tweet Chat 2:2:11

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drpippa T2: interested in the idea of fighting spirit and positive attitude. Do you think it makesa difference? #hpm

Wed Feb 2 18:29:17 PST 2011

rebeccacaroe @ctsinclair@a_singledrop is normalizing care research/analysis different for#hospice than other branches of medicine? #hpm

Wed Feb 2 18:29:32 PST 2011

inhousehospice RT @drpippa: T2: interested in the idea of fighting spirit and positive attitude. Do youthink it makes a difference? #hpmWed Feb 2 18:29:37 PST 2011

MeredithGould T2 for the patients? caregivers? or staff? (only partly kidding here) #HPMWed Feb 2 18:29:44 PST 2011

ctsinclair @equijada Yes I see that nursing homes seem to have tighter relationships with FPagencies compared to our NP and other NP #hpm

Wed Feb 2 18:29:49 PST 2011

ctsinclair RT @drpippa: T2: interested in the idea of fighting spirit and positive attitude. Do youthink it makes a difference? #hpm

Wed Feb 2 18:30:00 PST 2011

rebeccacaroe RT @drpippa: T2: interested in the idea of fighting spirit and positive attitude. Do youthink it makes a difference? #hpm

Wed Feb 2 18:30:04 PST 2011

Mtnmd #hpm OK, starting in on T2 before it is asked. There is more and more scientificevidence connecting our thoughts with our physical being.

Wed Feb 2 18:30:08 PST 2011

PracticalWisdom @drpippa: Yes, Brain chemistry I also believe plays an important role. #hpmWed Feb 2 18:30:18 PST 2011

ctsinclair RT @KimberlySMoore: @michelleerfurt Do you follow #hpm? I think you should :)"That goes for everyone on Twitter!" #hpm

Wed Feb 2 18:30:22 PST 2011

drpippa Was thinking for patients, but I like yours! RT @MeredithGould: T2 for the patients?caregivers? or staff? (only partly kidding here) #hpm

Wed Feb 2 18:30:40 PST 2011

mdstudent31 @MeredithGould T2: Positivity all around helps w/ care. Same topic in #mdchat lastnight. Cannot separate powers of mind/body #hpm

Wed Feb 2 18:30:51 PST 2011

equijada @ctsinclair yes, I see that too. #hpmWed Feb 2 18:30:56 PST 2011
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Mtnmd #hpm Recent study on meditation/yoga is grt example. These practices R found 2literally & positively change the physical brain structure.

Wed Feb 2 18:31:11 PST 2011

MeredithGould The body/mind and let's not forget to add spirit connection is powerful. #hpmWed Feb 2 18:31:16 PST 2011

KathyKastner RT @mdstudent31: @MeredithGould T2: Positivity all around helps w/ care. Sametopic in #mdchat last night. Cannot separate powers of mind/body #hpm

Wed Feb 2 18:31:18 PST 2011

PracticalWisdom Agree RT@Mtnmd#hpm There is more & more scientific evidence connecting ourthoughts with our physical being. #hpm

Wed Feb 2 18:31:19 PST 2011

inhousehospice RT @MeredithGould: The body/mind and lets not forget to add spirit connection ispowerful. #hpm

Wed Feb 2 18:31:36 PST 2011

ctsinclair I am going to bust out with my cynical side here and say 'have seen fighting spirit doharm and good' #hpmWed Feb 2 18:31:36 PST 2011

joshgriffin RT @MeredithGould: The body/mind and lets not forget to add spirit connection ispowerful. #hpm

Wed Feb 2 18:31:59 PST 2011

KathyKastner Harm how? RT @ctsinclair: I am going to bust out with my cynical side here and say'have seen fighting spirit do harm and good' #hpmWed Feb 2 18:32:09 PST 2011

drpippa RT @MeredithGould: The body/mind and lets not forget to add spirit connection ispowerful. #hpm

Wed Feb 2 18:32:12 PST 2011

PracticalWisdom Psychosocial Mental, Emotional Spiritual, Physical All make up the whole person.They interact with each other. #hpm

Wed Feb 2 18:32:14 PST 2011

equijada @drpippa yes, I think a positive attitude does. It seems a life well lived presupposesone to a positive attidue #hpm

Wed Feb 2 18:32:23 PST 2011

Mtnmd @drpippa I think that is a great point. More research needed on belief systems ofhealers and its impact on health/illness #hpm

Wed Feb 2 18:32:24 PST 2011
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drpippa RT @PracticalWisdom: Psychosocial Mental, Emotional Spiritual, Physical All makeup the whole person. They interact with each other. #hpm

Wed Feb 2 18:32:35 PST 2011

mdstudent31 Poor psych health combined w/ poor social support exacerbates physical disease.Need all components for quality care #hpmWed Feb 2 18:32:36 PST 2011

ctsinclair Fighting spirit: GOOD - when you persevere thru adversity; BAD - when it blinds youfrom the speeding train 2 feet away from you #hpm

Wed Feb 2 18:32:41 PST 2011

MeredithGould T2 Even though I'm a sociologist & should care about "scientific evidence," I reallydon't give a hoot when it comes to this stuff. #HPM

Wed Feb 2 18:32:42 PST 2011

MeredithGould RT @ctsinclair: I am going to bust out with my cynical side here and say 'have seenfighting spirit do harm and good'//Agree! #hpm

Wed Feb 2 18:33:10 PST 2011

drpippa RT @ctsinclair: I am going to bust out with my cynical side here and say have seenfighting spirit do harm and good. #hpm

Wed Feb 2 18:33:20 PST 2011

PracticalWisdom RT @ctsinclair: Fighting spirit: GOODwhen U persevere thru adversity; BAD - when blindsU from the speeding train 2 feet away from U #hpmWed Feb 2 18:33:25 PST 2011

a_singledrop +1 RT @Mtnmd: @drpippa I think that is a great point More research needed onbelief systems of healers and its impact on health/illness #hpmWed Feb 2 18:33:36 PST 2011

ctsinclair It might be best to define 'fighting spirit'. I have become a dualist about many thingsin medicine - all have good and bad sides #hpm

Wed Feb 2 18:33:38 PST 2011

hollyby RT @ctsinclair: Fighting spirit: GOOD - when you persevere thru adversity; BAD -when it blinds you from the speeding train 2 feet away #hpm

Wed Feb 2 18:33:40 PST 2011

MeredithGould @ctsinclair Totally agree. Let's not confuse "fighting spirit" with dogged denial. #hpmWed Feb 2 18:33:44 PST 2011

KathyKastner Yay RT @MeredithGould: T2 Even tho I'm a sociologist & shld care about "scientificevi," Idon't give a hoot when it comes to this #HPMWed Feb 2 18:33:48 PST 2011
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7/31/2019 #Hpm Tweet Chat 2:2:11

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drpippa RT @ctsinclair: Fighting spirit: GOOD - when you persevere thru adversity; BAD -when it blinds you from the speeding train #hpm

Wed Feb 2 18:33:50 PST 2011

MeredithGould @KathyKastner #HPMWed Feb 2 18:34:05 PST 2011

PracticalWisdom T2: Seen families what Pt to continue the fight when the Pt is tired and ready to go.#hpmWed Feb 2 18:34:10 PST 2011

Mtnmd @MeredithGould The beauty is, there is more and more science on this, manyfactors, incl PET scanning, better studies, etc #hpmWed Feb 2 18:34:12 PST 2011

drpippa absolutely. RT @MeredithGould: @ctsinclair Totally agree. Lets not confuse "fightingspirit" with dogged denial. #hpm

Wed Feb 2 18:34:17 PST 2011

inhousehospice RT @ctsinclair: Fighting spirit: GOOD when you persevere thru adversity; BAD whenit blinds u from the speeding train 2 ft away from u #hpm

Wed Feb 2 18:34:42 PST 2011

KathyKastner I may be dense but: what harm dogged denial RT @MeredithGould: @ctsinclairagree. Let's not confuse "fighting spirit" widogged denial. #hpm

Wed Feb 2 18:34:46 PST 2011

ctsinclair And I would take 'flexibility in thinking' over 'fighting spirit' if I were to roll for myMedical Dungeons & Dragons character #hpm

Wed Feb 2 18:34:53 PST 2011

MeredithGould @Mtnmd I know & for those who NEED "scientific proof" that research is important.And then there's everyone else. #hpmWed Feb 2 18:34:53 PST 2011

doclake RT @ctsinclair: @DONALDHTAYLORJR I think u r on to something about looking foeasy fixes. but this article aims to be more than it is #hpm

Wed Feb 2 18:34:54 PST 2011

PracticalWisdomT2 Perhaps we can define Fighting Spirit #hpm

Wed Feb 2 18:35:06 PST 2011

doclake RT @drpippa: absolutely. RT @MeredithGould: @ctsinclair Totally agree. Lets notconfuse "fighting spirit" with dogged denial. #hpm

Wed Feb 2 18:35:06 PST 2011

ctsinclair RT @MeredithGould: @ctsinclair Totally agree. Lets not confuse "fighting spirit" withdogged denial. #hpm
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Wed Feb 2 18:35:07 PST 2011

RachelleNorman Me, too. RT @PracticalWisdom: T2: Seen families what Pt to continue the fight whenthe Pt is tired and ready to go. #hpm

Wed Feb 2 18:35:08 PST 2011

DrSnit T2 Connectedness to each other is far more important than "fighting. We often say

"fight" and act as though surrender is weak #hpmWed Feb 2 18:35:16 PST 2011

Mtnmd Re: "Bad", if we studied and knew better how to support these folks, then theirresponse would be healthy. #hpm

Wed Feb 2 18:35:24 PST 2011

drpippa T2 - was thinking more about patients who feel guilty because they aren't positiveenough, the anti Bernie Seigel. #hpmWed Feb 2 18:35:26 PST 2011

MeredithGould @KathyKastner Dogged denial can lead to refusing to take care of issues that needto be handled before death. #hpm

Wed Feb 2 18:35:32 PST 2011

hollyby Removing language of war and battle from medical treatment would help the denial,since not "fighting" is then surrendering. #hpmWed Feb 2 18:35:40 PST 2011

PracticalWisdom @MeredithGould@Mtnmd: Could be preference difference MBTI thinking vs Feeling#hpm

Wed Feb 2 18:35:44 PST 2011

ctsinclair Hey everyone it is: @doclake ! One of my faves on Twitter. Are you in the roomtonight: http://tweetchat.com/room/hpm#hpm

Wed Feb 2 18:35:44 PST 2011

drpippa RT @DrSnit: T2 Connectedness to each other is far more important than fighting. Woften say fight and act as though surrender is weak #hpm

Wed Feb 2 18:35:53 PST 2011

equijada @drpippa I don't really like to use the word "fight", it implies...well...lots of things#hpm

Wed Feb 2 18:35:56 PST 2011

ctsinclair RT @DrSnit: T2 Connectedness to each other is more important than "fighting. Weoften say "fight" and act as though surrender is weak #hpmWed Feb 2 18:36:05 PST 2011

Mtnmd Biggest shortcoming in med is our failure to study those "spontaneous" healings wesee all the time, quantify, figure it out &replicate #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Mtnmdhttp://twitter.com/2326862/status/32990680125018112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/ctsinclairhttp://twitter.com/85440711/status/32990642015571968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/equijadahttp://twitter.com/43964/status/32990627733970944http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/drpippahttp://twitter.com/2326862/status/32990591188992000http://www.symplur.com/healthcare-hashtags/hpm/http://tweetchat.com/room/hpmhttp://www.twitter.com/doclakehttp://www.twitter.com/ctsinclairhttp://twitter.com/15173133/status/32990592153690114http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Mtnmdhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/12047811/status/32990573405151232http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/1972230/status/32990541310332928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://twitter.com/43964/status/32990515829936128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://twitter.com/15672244/status/32990508657676288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Mtnmdhttp://twitter.com/93074700/status/32990471689076736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://twitter.com/200775637/status/32990440554762240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/RachelleNormanhttp://twitter.com/2326862/status/32990434728873984

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Wed Feb 2 18:36:17 PST 2011

joshgriffin T2: Sometimes a combination of both "fighting spirit" and "dogged denial" actuallyallow one to die on their own terms, like my grandpa #hpm

Wed Feb 2 18:36:23 PST 2011

ctsinclair @DrSnit Fantastic last tweet. I made it a 'favorite!' #hpmWed Feb 2 18:36:25 PST 2011

KathyKastner Ah. got it RT @MeredithGould: @KathyKastner Dogged denial can lead to refusing 2take care of issues that need 2 b handled b4 death. #hpm

Wed Feb 2 18:36:26 PST 2011

PracticalWisdom Good PointRT @drpippa: T2 - was thinking more re patients who feel guilty becausethey arent positive enough, the anti Bernie Seigel. #hpmWed Feb 2 18:36:27 PST 2011

MeredithGould @hollyby And I frankly prefer "letting go" to "surrendering" which, IMO, extends thewar/battle language. #hpmWed Feb 2 18:36:31 PST 2011

RachelleNorman Agreed RT @hollyby: Removing language of war/battle from medical tx would helpthe denial, since not "fighting" is then surrendering. #hpm

Wed Feb 2 18:36:32 PST 2011

inhousehospice RT @hollyby: Removing language of war and battle from medical treatment wouldhelp the denial since not "fighting" is then surrendering #hpm

Wed Feb 2 18:36:41 PST 2011

mdstudent31 @DrSnit All about acceptance of mortality- do other cultures struggle with this asmuch as we do? #hpm

Wed Feb 2 18:36:41 PST 2011

ctsinclair RT @equijada: @drpippa I dont really like to use the word "fight", itimplies...well...lots of things "are those fightin' words!?" #hpmWed Feb 2 18:36:50 PST 2011

Mtnmd @ctsinclair@DrSnit Yes, and this "fight" think is quite cultural. Other cultureswouldn't choose that type of word #hpm

Wed Feb 2 18:36:51 PST 2011

PracticalWisdom @equijada: Quaker Girl agrees. Different work than fight. #hpmWed Feb 2 18:36:53 PST 2011

LifeHealthDiary @JoshGriffin wow that's interesting. Spontaneous healings #hpmWed Feb 2 18:36:56 PST 2011
http://twitter.com/61152552/status/32990893363429377http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoshGriffinhttp://www.twitter.com/LifeHealthDiaryhttp://twitter.com/15173133/status/32990878947610624http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/15672244/status/32990870735163392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/ctsinclairhttp://www.twitter.com/Mtnmdhttp://twitter.com/2326862/status/32990868205993984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/172695515/status/32990830826360832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/mdstudent31http://twitter.com/15040335/status/32990830977351680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/inhousehospicehttp://twitter.com/200775637/status/32990793673211904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/RachelleNormanhttp://twitter.com/1972230/status/32990789923512320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/MeredithGouldhttp://twitter.com/15173133/status/32990770436767745http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/192667727/status/32990767295238144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/2326862/status/32990763763630080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/ctsinclairhttp://twitter.com/279235/status/32990753986715648http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/joshgriffinhttp://twitter.com/15672244/status/32990729953353728

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ctsinclair RT @MeredithGould: @hollyby And I frankly prefer "letting go" to "surrendering"which, IMO, extends the war/battle language. #hpm

Wed Feb 2 18:36:59 PST 2011

bush_gem RT @Mtnmd: Biggest shortcoming in med is our failure to study those "spontaneoushealings we see all the time, quantify, figure it out &replicate #hpm

Wed Feb 2 18:37:14 PST 2011

DrSnit @hollyby and "surrendering" and "letting go" and "releasing" and "giving in" issometimes an ACTIVE CHOICE #hpm

Wed Feb 2 18:37:17 PST 2011

KathyKastner RT @ctsinclair: RT @equijada: @drpippa I dont really like to use the word "fight", itimplies...well...lots of things "are those fightin' words!?" #hpmWed Feb 2 18:37:17 PST 2011

doclake RT @hollyby: Removing language of war and battle frm medical treatment wld helpthe denial, since not "fighting" is then surrendering. #hpm

Wed Feb 2 18:37:21 PST 2011

KathyKastner RT @inhousehospice: RT @hollyby: Removing language of war and battle frommedical treatment would help the denial since not "fighting" is then surrendering#hpm

Wed Feb 2 18:37:28 PST 2011

ctsinclair RT @mdstudent31: acceptance of mortality- do other cultures struggle with this asmuch as we do? 'good question for @hollyby in Tblisi' #hpm

Wed Feb 2 18:37:34 PST 2011

Mtnmd @inhousehospice@hollyby Removing it from whole vernacular wld be grt. See Egypspiraling, yet they stll use rocks and stick, not guns #hpm

Wed Feb 2 18:37:50 PST 2011

drpippa RT @DrSnit: @hollyby and "surrendering" and "letting go" and "releasing" and "givinin" is sometimes an ACTIVE CHOICE #hpm

Wed Feb 2 18:37:53 PST 2011

ctsinclair SIDEBAR: just have to say fantastic chat tonight folks! #hpmWed Feb 2 18:37:58 PST 2011

MeredithGould RT @DrSnit: @hollyby and "surrendering" and "letting go" and "releasing" and "givinin" is sometimes an ACTIVE CHOICE//Empowered! #hpm

Wed Feb 2 18:38:06 PST 2011

Mtnmd @DrSnit@hollyby RIGHT ON, Snit and HollyB #hpmWed Feb 2 18:38:24 PST 2011
http://twitter.com/15672244/status/32991263489789953http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://www.twitter.com/Mtnmdhttp://twitter.com/1972230/status/32991185593180160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://www.twitter.com/MeredithGouldhttp://twitter.com/2326862/status/32991151174713345http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/43964/status/32991133185343488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://www.twitter.com/drpippahttp://twitter.com/15672244/status/32991118194909184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/inhousehospicehttp://www.twitter.com/Mtnmdhttp://twitter.com/2326862/status/32991052516302849http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/mdstudent31http://www.twitter.com/ctsinclairhttp://twitter.com/192667727/status/32991027539361792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/inhousehospicehttp://www.twitter.com/KathyKastnerhttp://twitter.com/6242124/status/32990996069355521http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/doclakehttp://twitter.com/192667727/status/32990980311351296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://www.twitter.com/KathyKastnerhttp://twitter.com/93074700/status/32990983159291904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://twitter.com/4943055/status/32990969754288128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Mtnmdhttp://www.twitter.com/bush_gemhttp://twitter.com/2326862/status/32990906554523648http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclair

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MeredithGould RT @ctsinclair: SIDEBAR: just have to say fantastic chat tonight folks! #hpmWed Feb 2 18:38:35 PST 2011

hollyby Sure. It's a human thing RT @ctsinclair & @mdstudent31: acceptance of mortality-do other cultures struggle with this as much as we do? #hpm

Wed Feb 2 18:38:36 PST 2011

DrSnit @mdstudent31 SO AGREED with you about the cultural aspects of both mortalityand how we engage process of dying itself #hpmWed Feb 2 18:38:44 PST 2011

ctsinclair RT @Mtnmd: Biggest shortcoming in med-failure to study "spontaneous" healings-quantify, figure it out &replicate "study the outliers" #hpm

Wed Feb 2 18:39:01 PST 2011

RachelleNorman So true!! RT @DrSnit: @hollyby and "surrendering" and "letting go" and "releasing"and "giving in" is sometimes an ACTIVE CHOICE #hpmWed Feb 2 18:39:03 PST 2011

PracticalWisdom Think religion/Faith Tradition can also play a role. #hpmWed Feb 2 18:39:30 PST 2011

mdstudent31 @MeredithGould@DrSnit@hollyby As someone in the military, I don't know howempowering the choice of "surrender" really is #hpm

Wed Feb 2 18:39:33 PST 2011

equijada @doclake@hollyby yes! reminiscent of This Republic of Suffering #bookclub#hpmWed Feb 2 18:39:43 PST 2011

MeredithGould I highly recommend having an NDE during young adulthood to handle mortality stuff& fear! #HPM

Wed Feb 2 18:39:47 PST 2011

joshgriffin The only cultures I have seen that do not show they have difficulty with mortality arethose in monastic circles I even have difficulty #hpm

Wed Feb 2 18:39:50 PST 2011

Mtnmd @ctsinclair GOOD ONE! Study the outliers. This is big failure due to how we fundresearch. #hpm

Wed Feb 2 18:39:59 PST 2011

MeredithGould @mdstudent31 Well, not for you, soldier!! #hpmWed Feb 2 18:40:00 PST 2011

drpippa great perspective. RT @mdstudent31: As someone in the military, I dont know howempowering the choice of "surrender" really is #hpmWed Feb 2 18:40:18 PST 2011
http://twitter.com/43964/status/32991739400683520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/mdstudent31http://www.twitter.com/drpippahttp://twitter.com/1972230/status/32991666713395200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/mdstudent31http://www.twitter.com/MeredithGouldhttp://twitter.com/15672244/status/32991659071381504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/Mtnmdhttp://twitter.com/279235/status/32991624422232064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/joshgriffinhttp://twitter.com/1972230/status/32991608743927809http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/MeredithGouldhttp://twitter.com/85440711/status/32991595087273985http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/bookclub/http://www.twitter.com/hollybyhttp://www.twitter.com/doclakehttp://www.twitter.com/equijadahttp://twitter.com/172695515/status/32991552078880768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/mdstudent31http://twitter.com/15173133/status/32991540712312833http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://twitter.com/200775637/status/32991423712202752http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/DrSnithttp://www.twitter.com/RachelleNormanhttp://twitter.com/2326862/status/32991418016337920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Mtnmdhttp://www.twitter.com/ctsinclairhttp://twitter.com/93074700/status/32991344477601793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/mdstudent31http://www.twitter.com/DrSnithttp://twitter.com/12047811/status/32991313297149952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/mdstudent31http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://twitter.com/1972230/status/32991309400645632http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGould

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