MDchat Healthcare Twitter Transcript

8/7/2019 MDchat Healthcare Twitter Transcript

1/16

#MDchat

Healthcare Hashtag Twitter Transcript

From: Tue Feb 01 18:00:00 PST 2011

To: Tue Feb 01 19:05:00 PST 2011

Learn more about #MDchat at The Healthcare Hashtag Project

MD_Chat Good evening & welcome to #MDchat! We'll start in a moment but first introduce yourselves!Tue Feb 1 18:00:04 PST 2011

GailZahtz #Leadershipchat I have to go over to #MDChat but my kids are calling me also- so either way-talking!

Tue Feb 1 18:00:12 PST 2011

RichmondDoc Hi, all. Mark, family doc in #RVA; have a conference call to attend to, but will try to watch the c

much as possible. #mdchatTue Feb 1 18:01:32 PST 2011

swan5675 Deb here.... lurking RN. #mdchatTue Feb 1 18:02:08 PST 2011

GailZahtz For the next hour, I really want to be tweeting from #MDChat since I've missed a week, but I'm

tasking too.Tue Feb 1 18:02:15 PST 2011

mdstudent31 Kevin, 4th year med student, soon-to-be family med resident, about to get iced by the icepoco#mdchatTue Feb 1 18:02:19 PST 2011

GailZahtz Oh, intros at #MDChat- patient, caregivers, wife of MD, founder & CEO Life Guide Institute- in

curious.Tue Feb 1 18:03:10 PST 2011

Reach4MoJOYRN Toni...RN Training Strategist from Kentucky. #MDchatTue Feb 1 18:03:13 PST 2011

fidouglas Fi here. British med student, doing research in Auckland NZ at the mo. #mdchatTue Feb 1 18:03:24 PST 2011

jodyms Hi all, Jody Schoger, writer, blogger for women with cancer. #mdchat Lurking.Tue Feb 1 18:04:00 PST 2011
http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.foxepractice.com/healthcare-hashtags/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/Leadershipchat/http://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/RVA/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/swan5675http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/fidouglashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/jodymshttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/jodymshttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/fidouglashttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/swan5675http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/RVA/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.foxepractice.com/healthcare-hashtags/Leadershipchat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/http://www.foxepractice.com/healthcare-hashtags/MDchat/


2/16

KathyKastner Health Blogger, patient educator. Lurking but loving the topic. Greetings all. #MDChatTue Feb 1 18:05:15 PST 2011

GailZahtz For the record @RichmondDoc and @jodyms completely under-rate themselves, so I'll say TH

ROCK #MDChatTue Feb 1 18:05:31 PST 2011

MD_Chat OK, we'll start in a moment. We'll start with one topic & see how it evolves. One rule here thou

Have fun! ...Topic coming up. #MDchatTue Feb 1 18:05:42 PST 2011

RichmondDoc @GailZahtz Shucks @jodyms#mdchatTue Feb 1 18:06:07 PST 2011

MD_Chat T1 Psychiatric Medicine: Has the mind/body split set back integrative medicine? If so how? Arpsych D/O brushed off too often? #MDchatTue Feb 1 18:06:21 PST 2011

GailZahtz @KathyKastner Hi Kathy WAVING- miss you. So weird being off the grid...#MDChatTue Feb 1 18:07:28 PST 2011

RichmondDoc We learn the bio-psycho-social model of care in family medicine. Intrinsic connections; cannotseparate them. #mdchatTue Feb 1 18:07:29 PST 2011

mdstudent31 T1: Psych D/O are such a huge component to physical illness, often exacerbate severity. Canhave a split #mdchatTue Feb 1 18:08:09 PST 2011

RichmondDoc T1 "Physical" illnesses often have psychiatric elements, while psychiatric illnesses adversely i"physical" illnesses. #mdchatTue Feb 1 18:08:15 PST 2011

GailZahtz @RichmondDoc But how many specialists dismiss something as "just stress" or don't treat

holistically? #MDChatTue Feb 1 18:08:16 PST 2011

fidouglas Agree with @RichmondDoc - two are far too heavily interconnected - psychological health affephysical health and vice versa. #mdchatTue Feb 1 18:08:38 PST 2011

RichmondDoc @GailZahtz Hence why Family Medicine is awesome! :) #mdchatTue Feb 1 18:08:46 PST 2011

GailZahtz T1 I have found that chronic pain is a clear example of the inextricable nature of physical andemotional #MdChat#HPMTue Feb 1 18:09:24 PST 2011
http://www.twitter.com/KathyKastnerhttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.twitter.com/jodymshttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/jodymshttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/KathyKastnerhttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/fidouglashttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MdChat/http://www.foxepractice.com/healthcare-hashtags/HPM/http://www.foxepractice.com/healthcare-hashtags/HPM/http://www.foxepractice.com/healthcare-hashtags/MdChat/http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/fidouglashttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/jodymshttp://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/jodymshttp://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/KathyKastner


3/16

NateOsit #MDchat Hi, lurked here. Med Transcription Analyst Tufts Medical CenterTue Feb 1 18:09:32 PST 2011

mdstudent31 T1: Physical D/O can also be the result of psych D/O. Need to address both w/ Tx. Tx does no

meds. Need support #mdchatTue Feb 1 18:09:50 PST 2011

RichmondDoc T1 mind/body dichotomies are inherently artificial; you cannot address one side of any health

concern w/o considering the other. #mdchatTue Feb 1 18:10:15 PST 2011

mdstudent31 Amen! #FamilyMedRocks! RT @RichmondDoc: @GailZahtz Hence why Family Medicine isawesome! :) #mdchatTue Feb 1 18:10:33 PST 2011

peds_id_doc @GailZahtz@richmonddoc#mdchat often when we say something is caused by stress it's nomeant to demean it as "just" stress.Tue Feb 1 18:10:47 PST 2011

GailZahtz @RichmondDoc@mdstudent31 Agree, but I was just reading startling numbers on the declinefamily docs. #MDChatTue Feb 1 18:11:06 PST 2011

peds_id_doc @GailZahtz@richmonddoc#mdchat t1 treating holistically is another matter... Not many docs

truly trained that way.Tue Feb 1 18:11:22 PST 2011

KathyKastner FamDocs have more complex pt encounters than any other specialty: Medscpe RT @Richmo

: @GailZahtz Family Medicine is awesome! :) #mdchatTue Feb 1 18:11:32 PST 2011

MD_Chat T1 Follow-up link re: mind/body split & problems it's caused http://tinyurl.com/4dckc56#MDch

l8r reading or now)Tue Feb 1 18:11:35 PST 2011

Reach4MoJOYRN @RichmondDoc Spot on regarding can't address 1 w/o considering the other !!! #MDchatTue Feb 1 18:11:48 PST 2011

mdstudent31@GailZahtz@RichmondDoc Not new numbers. Check out last year's #fammed match numbe

#mdchatTue Feb 1 18:11:50 PST 2011

jodyms T1: The most brilliant physicians listen. Key. What is the patient really saying? #mdchatTue Feb 1 18:11:51 PST 2011

RichmondDoc @GailZahtz@mdstudent31 We are few, but we are mighty. And there need to be lots more of#mdchatTue Feb 1 18:11:55 PST 2011
http://www.twitter.com/NateOsithttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/FamilyMedRocks/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/peds_id_dochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/richmonddochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/peds_id_dochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/richmonddochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/MD_Chathttp://tinyurl.com/4dckc56http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/Reach4MoJOYRNhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/mdstudent31http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/fammed/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/jodymshttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/jodymshttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/fammed/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://tinyurl.com/4dckc56http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.twitter.com/KathyKastnerhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/richmonddochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/peds_id_dochttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/mdstudent31http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/richmonddochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/peds_id_dochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/FamilyMedRocks/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/NateOsit


4/16

GailZahtz @peds_id_doc I think communication in language on stress, psychiatric is important to patient#MDChat@richmonddocTue Feb 1 18:11:56 PST 2011

peds_id_doc @GailZahtz@richmonddoc#mdchat t1 I have a massage qualification and use aromatherapyrarely get to apply this training in medicineTue Feb 1 18:12:01 PST 2011

mdstudent31 @GailZahtz@RichmondDoc Largest increase of all specialties last year was #fammed. Love variety, can't wait to be a family doc #mdchatTue Feb 1 18:12:59 PST 2011

GailZahtz @peds_id_doc I was thinking more holistically as in the whole person body & mind in relation #MDChat@richmonddocTue Feb 1 18:13:04 PST 2011

naveen101 #MDChat Question for docs: Is med school "too hard" to get into these days? not hard enough

Relation to PCP shortage?

Tue Feb 1 18:13:51 PST 2011

RichmondDoc T1 one challenge can be getting patients to understand the connection w/o a patient feeling yosaying they're "crazy". #mdchatTue Feb 1 18:13:55 PST 2011

apjonas #mdchat Hi Pat Jonas, late in the ice in OH,Tue Feb 1 18:14:07 PST 2011

GailZahtz @peds_id_doc There is evidence-based support for certain applications that are being adopte

acupuncture. @richmonddoc#MDChatTue Feb 1 18:14:19 PST 2011

RichmondDoc T1 not all patients are receptive to the idea that psychiatric/emotional illnesses can produce ph

sxs. #mdchatTue Feb 1 18:14:22 PST 2011

peds_id_doc @GailZahtz@richmonddoc#mdchat t1 i mention massage/aromatherapy as they ARE taughtholistic approaches to wellness/diseaseTue Feb 1 18:14:23 PST 2011

mdstudent31 Still a problem w/ acceptance of integrative medicine - often dismissed in med school, often byprofs. Not cool #mdchatTue Feb 1 18:14:35 PST 2011

mdstudent31 @apjonas sending the ice our way in PA? #mdchatTue Feb 1 18:14:55 PST 2011

peds_id_doc @GailZahtz@richmonddoc#mdchat t1 modern medical training is catching on at least. Some

still need to be enlightened... ;-)Tue Feb 1 18:15:05 PST 2011
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5/16

GailZahtz @peds_id_doc Massage- AKA deep tissue mio-facial post operative something is ALL some Pdo. It's language. #MDCHATTue Feb 1 18:15:06 PST 2011

swan5675 T1 I think there is prejudice with some healthcare workers regarding "anxiety". #mdchatTue Feb 1 18:15:12 PST 2011

fidouglas @RichmondDoc Yeah, I think people might get defensive and think "oh you're just dismissing

symptoms as being made up". #mdchatTue Feb 1 18:15:25 PST 2011

RichmondDoc T1 Integrative medicine and CAM would be much more powerful and accepted if more evidenbased info out there. #mdchatTue Feb 1 18:15:37 PST 2011

GailZahtz @peds_id_doc Any ideas on a platform for enlightenment ;) (wink wink) #MDCHAT@richmonTue Feb 1 18:15:47 PST 2011

peds_id_doc @RichmondDoc#mdchat t1 this is where the comm skills help, not just to help with awarenesthe issue but how to talk about it with themTue Feb 1 18:16:18 PST 2011

GailZahtz @RichmondDoc That's what I was saying, but by your definition, I don't think it's CAM if it'sevidence based. #MDCHAT@peds_id_docTue Feb 1 18:16:25 PST 2011

hollyby Hi there, Holly Yang here. Hospice and palliative medicine MD. Lurking. First time at #MDchat

Tweets are my own. #mdchatTue Feb 1 18:16:32 PST 2011

mdstudent31 T1: Another problem is pt acceptance of integration b/w mind and body. #mdchatTue Feb 1 18:16:41 PST 2011

fidouglas Issue with many skeptics regarding CAM is lack of evidence base. If we can separate what wo

from what doesn't, that'd be useful. #mdchatTue Feb 1 18:16:58 PST 2011

quality1 @RichmondDoc Insurance now often limits "doctor shopping". So what happens when pts donaccept connection? #MDChatTue Feb 1 18:16:59 PST 2011

jodyms @RichmondDoc T1: true, but just saw a post suggesting that resentment causes cancer....it c

too far #mdchatTue Feb 1 18:17:01 PST 2011

DoctorNatasha Joining late. General suburban pediatrician, SM admin for 12 provider group, blogger. Hi every#mdchatTue Feb 1 18:17:07 PST 2011
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6/16

peds_id_doc @GailZahtz@richmonddoc#mdchat t1 right, acupuncture is the best (only?) supported CAM of, but massage feels nice :-)Tue Feb 1 18:17:07 PST 2011

GailZahtz @hollyby Hi Holly! I haven't seen you in ages! You'll like #MDCHAT They're all friends of mine(honoured to say that)Tue Feb 1 18:17:18 PST 2011

RichmondDoc @peds_id_doc Agree, but can be easier said than done. If not presented carefully pt's defenseup and little progress made. #mdchatTue Feb 1 18:17:19 PST 2011

swan5675 I remember my Gpa recounting how, in absence of MSO4, war's fresh amputees told N.S. wasmorphine, and there was reported relief #mdchatTue Feb 1 18:17:36 PST 2011

KathyKastner @hollyby Hi Holly! Gr8 to have an #hpm-er here #mdchatTue Feb 1 18:17:46 PST 2011

peds_id_doc @GailZahtz@richmonddoc#mdchat t1 aromatherapy on the other hand needs more EBM, anleast some caution in use. Basically drugs.Tue Feb 1 18:18:05 PST 2011

GailZahtz @peds_id_doc There must be evidence based for massage for scar tissue post-op. Insurance

for it. #MDCHAT@richmonddocTue Feb 1 18:18:07 PST 2011

RichmondDoc @quality1 Depends. Sometimes a partner could take them on. Sometimes, have to do the ma

thing and talk out the differences. #mdchatTue Feb 1 18:18:07 PST 2011

mdstudent31 @RichmondDoc@peds_id_doc Especially true with conversion presentations #mdchatTue Feb 1 18:18:23 PST 2011

RichmondDoc @GailZahtz@peds_id_doc You can have evidence-based CAM. NIH has an institute focusedCAN. #mdchatTue Feb 1 18:18:40 PST 2011

hollyby@GailZahtz and@KathyKastner. Been BUSY! Tweeting from Tbilisi, Georgia where we are te

pain and palliative care topics. #mdchatTue Feb 1 18:19:08 PST 2011

RichmondDoc @GailZahtz@peds_id_doc Not all insurance-covered Rx are evidence-based. Not all evidencbase Rx are covered by insurance. #mdchatTue Feb 1 18:19:12 PST 2011

mdstudent31 @peds_id_doc@GailZahtz@richmonddoc acupuncture has a lot of systemic review on Coch

believe #mdchatTue Feb 1 18:19:21 PST 2011
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7/16

apjonas T1 #mdchat I don't see pts who R unaware that mind, brain, body are one. Not a problem. Tngmany docs sets them up to fight w/pts Re brnTue Feb 1 18:19:42 PST 2011

GailZahtz @RichmondDoc But if there's evidence based research for CAM- it passes doesn't it? #MDCH@peds_id_docTue Feb 1 18:20:07 PST 2011

fidouglas Efficacy to funding relationship not always logical. NHS funds homeopathy. #mdchatTue Feb 1 18:20:30 PST 2011

mdstudent31 @RichmondDoc@GailZahtz@peds_id_doc & not all docs get reimbursed the same for provisame treatments #mdchatTue Feb 1 18:20:45 PST 2011

GailZahtz @hollyby Where are you teaching in Tbillsi, Georgia? #MDCHATTue Feb 1 18:20:47 PST 2011

RichmondDoc @GailZahtz@peds_id_doc Yes--that CAM that is EBM is easy to recommend to pts. But not enough out there. #mdchatTue Feb 1 18:20:49 PST 2011

quality1 @RichmondDoc Find some pts interpret discussing connection as blaming them for the sx/illnUphill battle to re-establish rapport #MDChatTue Feb 1 18:21:03 PST 2011

RichmondDoc @GailZahtz@peds_id_doc Especially w/ herbal meds: no incentive from makers/marketers to

assess honestly. No FDA approval needed. #mdchatTue Feb 1 18:21:26 PST 2011

raovac Its a shared mental model thing RT @jodyms: T1: The most brilliant physicians listen. Key. Wthe patient really saying? #mdchatTue Feb 1 18:21:27 PST 2011

GailZahtz @peds_id_doc Just puts the onus on someone to do the EBM on the CAM to support. Not jus#MDCHAT@richmonddocTue Feb 1 18:21:56 PST 2011

FutureDrLucky@mdstudent31 I know this is #MDchat, but u might be interested to hear that integrative medi

commonly emphasized in DO programs. :)Tue Feb 1 18:21:57 PST 2011

RichmondDoc @quality1 Often, if I sense resistance, I very gradually build up to the idea while also ensuringwork-up poss physical causes. #mdchatTue Feb 1 18:22:11 PST 2011

hollyby T1 #Hospice and #palliative medicine is one field that always considers the mind, body, spirit,

family, etc. togther. #mdchatTue Feb 1 18:22:19 PST 2011
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8/16

mdstudent31 @quality1@RichmondDoc I have seen the same Re: rapport. Very difficult, often dismissed#mdchatTue Feb 1 18:22:23 PST 2011

drseisenberg T1: Mind + body + evidence-based caring = integrative medicine. Played a song on guitar todathe chemo room. Pts. had fun. #MDchatTue Feb 1 18:22:48 PST 2011

GailZahtz @RichmondDoc The issue of herbals is where I will take the side (gasp) of #socpharm which there needs to be regs #MDCHAT@peds_id_docTue Feb 1 18:22:50 PST 2011

RichmondDoc @FutureDrLucky For what it's worth, it's MDChat for convenience. DOs and all other interesteparties should dive in. #mdchatTue Feb 1 18:23:03 PST 2011

fidouglas Psychological factors have direct effects on physiological factors (elevated cortisol levels durin

stress etc...) #mdchat

Tue Feb 1 18:23:13 PST 2011

quality1 @apjonas Wow, fortunate; where do you practice? RT @apjonas: T1 I don't see pts who areunaware that mind, brain, body are one. #MDChatTue Feb 1 18:23:16 PST 2011

mdstudent31 @FutureDrLucky Having contact w/ DO students all the time, know all about it, love it, & will pCAM training & OMM fellowship #mdchatTue Feb 1 18:23:23 PST 2011

RichmondDoc @mdstudent31@quality1 "never underestimate the therapeutic power of self". #mdchatTue Feb 1 18:23:31 PST 2011

GailZahtz @RichmondDoc@FutureDrLucky An important distinction: We Support all physicians. Differe

countries give different titles ;) #MDCHATTue Feb 1 18:23:56 PST 2011

hollyby @drseisenberg Nice! Music definitely helps! #mdchatTue Feb 1 18:24:17 PST 2011

peds_id_doc#mdchat need to sign off early, sorry for the short stay. I see enough good peeps to carry the

though!Tue Feb 1 18:24:42 PST 2011

quality1 .@RichmondDoc: Sadly, not enough hcp of your calibre or this wouldn't remain such a difficultbarrier. #MDChatTue Feb 1 18:24:44 PST 2011

apjonas #mdchat I'm trained in aromatherapy. Not billable medically. It's complementary to medical caTue Feb 1 18:25:10 PST 2011
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9/16

drseisenberg @hollyby Were your ears ringing the other day? #MDchatTue Feb 1 18:25:30 PST 2011

RichmondDoc @GailZahtz@peds_id_doc There need to be evidence-based trials/regs for herbals. Natural a

safe. Foxglove and cyanide=natural #mdchatTue Feb 1 18:25:36 PST 2011

mdstudent31 @RichmondDoc@GailZahtz@peds_id_doc NIH has database of trials... not many good trials

spotty evidence #mdchatTue Feb 1 18:26:30 PST 2011

GailZahtz @mdstudent31 Where's the database of trials at NIH? #MDCHATTue Feb 1 18:26:59 PST 2011

RichmondDoc @mdstudent31@GailZahtz@peds_id_doc Herbal meds = vitamins. No regulationneeded/involved/required to sell them. #mdchatTue Feb 1 18:27:23 PST 2011

RichmondDoc @GailZahtz@mdstudent31 This might be a starting point: http://nccam.nih.gov/#mdchatTue Feb 1 18:27:53 PST 2011

mdstudent31 @GailZahtz@mdstudent31http://nccam.nih.gov/research/results/#mdchatTue Feb 1 18:28:27 PST 2011

apjonas #mdchat German commission E did EBM on herbs, but same ones/doses not standardized. Tdidn't test my Saw Palmetto brand/doseTue Feb 1 18:28:27 PST 2011

mdstudent31 @RichmondDoc@GailZahtz@peds_id_doc As a former GNC employee for 2 years, I know ihand #mdchatTue Feb 1 18:28:47 PST 2011

drseisenberg We have accupunture/TCM, psychology, and nutrition as part of our integrative oncology team#MDchatTue Feb 1 18:28:56 PST 2011

mdstudent31 http://www.nlm.nih.gov/medlineplus/complementaryandalternativemedicine.html#mdchatTue Feb 1 18:29:23 PST 2011

mdstudent31 Cochrane database has a great amount of systemic reviews for CAM #mdchatTue Feb 1 18:30:03 PST 2011

drseisenberg True integration means real communication amongst all the practioners involved. #MDchatTue Feb 1 18:30:07 PST 2011

hollyby From your rocking guitar floating down the coast? :) RT @drseisenberg: @hollyby Were your

ringing the other day? #mdchatTue Feb 1 18:30:27 PST 2011
http://www.twitter.com/drseisenberghttp://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/peds_id_dochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/peds_id_dochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/RichmondDochttp://www.twitter.com/mdstudent31http://www.twitter.com/GailZahtzhttp://www.twitter.com/peds_id_dochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/mdstudent31http://nccam.nih.gov/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/GailZahtzhttp://www.twitter.com/mdstudent31http://nccam.nih.gov/research/results/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/peds_id_dochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/mdstudent31http://www.nlm.nih.gov/medlineplus/complementaryandalternativemedicine.htmlhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/hollybyhttp://www.twitter.com/drseisenberghttp://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/hollybyhttp://www.twitter.com/drseisenberghttp://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.nlm.nih.gov/medlineplus/complementaryandalternativemedicine.htmlhttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/peds_id_dochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://nccam.nih.gov/research/results/http://www.twitter.com/mdstudent31http://www.twitter.com/GailZahtzhttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://nccam.nih.gov/http://www.twitter.com/mdstudent31http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/peds_id_dochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/mdstudent31http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/mdstudent31http://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/peds_id_dochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/peds_id_dochttp://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/hollybyhttp://www.twitter.com/drseisenberg


10/16

apjonas #mdchat nutrition, psychology are mainstream healthcare =billable. Who pays for TCM/Tue Feb 1 18:30:50 PST 2011

mdstudent31 @drseisenberg Maybe something like #pcmh? #mdchatTue Feb 1 18:30:56 PST 2011

GailZahtz @drseisenberg True communication means with all the patient's support systems too doesHard for busy docs. #MDCHAT

Tue Feb 1 18:31:00 PST 2011

DoctorNatasha Agreed! RT @drseisenberg: True integration means real communication amongst all the

practioners involved. #MDchatTue Feb 1 18:31:08 PST 2011

hollyby Interdisciplinary teams (MD, RN, MSW, spiritual care, ...) essential for whole patient care.Definitely helps with communication. #mdchatTue Feb 1 18:32:18 PST 2011

GailZahtz @hollyby@DoctorNatasha@RichmondDoc@drseisenberg Yeah for interdisciplinary teamcommunication! #MDCHATTue Feb 1 18:33:18 PST 2011

apjonas @mdstudent31 If they have+ reviews, it's Medical not CAM. There is no M in CA. . Once prit's ours #mdchatTue Feb 1 18:33:26 PST 2011

mdstudent31 @hollyby TransforMED is helping in this process http://www.transformed.com/#mdchatTue Feb 1 18:33:37 PST 2011

Reach4MoJOYRN TA:RT@hollyby: IDy teams (MD, RN, MSW, spiritual care) essential for whole patient care.Definitely helps with communication. #MDchatTue Feb 1 18:33:44 PST 2011

mdstudent31 @apjonas Or whoever the state says is licensed that can provide it ;) #mdchatTue Feb 1 18:34:11 PST 2011

FutureDrLucky @peds_id_doc@mdstudent31@RichmondDoc Thanks guys! Feeling the love! Cooperatioamong all docs is the way to advance medicine. #mdchatTue Feb 1 18:34:31 PST 2011

RichmondDoc @FutureDrLucky@peds_id_doc@mdstudent31 Agree--we all need to be working togethecross-disciplinary care matters. #mdchatTue Feb 1 18:36:04 PST 2011

drseisenberg Absolutely. Caregivers need love. RT @GailZahtz: True communication means with all thepatients support systems too doesn't it? #MDchatTue Feb 1 18:36:33 PST 2011
http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/pcmh/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/DoctorNatashahttp://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/hollybyhttp://www.twitter.com/DoctorNatashahttp://www.twitter.com/RichmondDochttp://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/apjonashttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/hollybyhttp://www.transformed.com/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/Reach4MoJOYRNhttp://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/mdstudent31http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/peds_id_dochttp://www.twitter.com/mdstudent31http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/peds_id_dochttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/drseisenberghttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/peds_id_dochttp://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.twitter.com/mdstudent31http://www.twitter.com/peds_id_dochttp://www.twitter.com/FutureDrLuckyhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/hollybyhttp://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.transformed.com/http://www.twitter.com/hollybyhttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/drseisenberghttp://www.twitter.com/RichmondDochttp://www.twitter.com/DoctorNatashahttp://www.twitter.com/hollybyhttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/drseisenberghttp://www.twitter.com/DoctorNatashahttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/drseisenberghttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/pcmh/http://www.twitter.com/drseisenberghttp://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonas


11/16

hollyby Agree that increasing integrative EBM would help acceptance. If it makes people feel betterevidence or no, pts will use it. #mdchatTue Feb 1 18:36:38 PST 2011

Reach4MoJOYRN @FutureDrLucky@peds_id_doc@mdstudent31@RichmondDocThanks guys! Feeling theCoop among clinicians=way to advance Healthcare. #MDchatTue Feb 1 18:37:08 PST 2011

DoctorNatasha No need to wait for EMR, docs to e-mail, SM, or apps. Pick up the phone to communicate wproviders to do what is best for pt. #mdchatTue Feb 1 18:37:15 PST 2011

GinaRClark @hollyby Where do I find that dream come true? #mdchatTue Feb 1 18:37:15 PST 2011

GailZahtz @RichmondDoc@FutureDrLucky@peds_id_doc@mdstudent31@drseisenberg All this locooperation & communication! #MDCHATTue Feb 1 18:37:41 PST 2011

mdstudent31 How do those feel about "punting" to psych instead of primary team addressing mind issueshospital. Happens a lot! #mdchatTue Feb 1 18:37:47 PST 2011

MD_Chat T1a Follow-up So on the matter of Collaboration - what improves it? What hampers it? Any

examples of it being done well? #MDchatTue Feb 1 18:37:50 PST 2011

RichmondDoc T1a: Improves: each side of the encounter actually trying to communicate; hampers: one si

the other doesn't care/try. #mdchatTue Feb 1 18:38:59 PST 2011

Reach4MoJOYRN @MD_Chat T1a f/u..what improves it= communication and team work. #MDchatTue Feb 1 18:39:12 PST 2011

GailZahtz @hollyby EBM would definitely increase acceptance, so would protocols at hospitals. Patieneed to be able to talk to docs re use #MDCHATTue Feb 1 18:39:17 PST 2011

apjonas#mdchat what T are we on.? I just got into NLP mode and took 3 deep breaths my inner he

came in and poof! but now I'm backTue Feb 1 18:39:21 PST 2011

RichmondDoc T1a Our Oncology service has multidisciplinary patient-care sessions, and patient-care meeto address all needs: great model. #mdchatTue Feb 1 18:39:41 PST 2011

mdstudent31 T1a: Fragmentation/"signing off" and lack of communication b/w primary team and specialis

hamper it (that's a given) #mdchatTue Feb 1 18:39:43 PST 2011
http://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/Reach4MoJOYRNhttp://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/peds_id_dochttp://www.twitter.com/mdstudent31http://www.twitter.com/RichmondDocThankshttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/DoctorNatashahttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GinaRClarkhttp://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/RichmondDochttp://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/peds_id_dochttp://www.twitter.com/mdstudent31http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/Reach4MoJOYRNhttp://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/hollybyhttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/MD_Chathttp://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/RichmondDochttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/drseisenberghttp://www.twitter.com/mdstudent31http://www.twitter.com/peds_id_dochttp://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/RichmondDochttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/hollybyhttp://www.twitter.com/GinaRClarkhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/DoctorNatashahttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/RichmondDocThankshttp://www.twitter.com/mdstudent31http://www.twitter.com/peds_id_dochttp://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/hollyby


12/16

MD_Chat @apjonas Still on T1, but just asked a follow-up to ithttp://twitter.com/#!/MD_chat/status/32628732120276992#MDchatTue Feb 1 18:40:28 PST 2011

GailZahtz @apjonas You made me snort out loud! Okay, goodbye to your inner healer, hello you. Butyour inner healer EB? #MDCHATTue Feb 1 18:40:30 PST 2011

quality1 .@MD_Chat: T1a Organizational culture can support or hinder collaboration. Lack of caring/empathy, lack of time can hinder #MDChatTue Feb 1 18:40:31 PST 2011

mdstudent31 T1a: also have an issue w/ prev. question I raised about "punting" to psych before attemptiaddress mind issues #mdchatTue Feb 1 18:40:37 PST 2011

DoctorNatasha In our community, I will refer more pts to docs who will send me an email after they see my

Those #s are few, however, #mdchat

Tue Feb 1 18:41:25 PST 2011

apjonas T1a Get- Give- Merge- GO relationship model of Carkhuff assoc. a good collaboration enha#mdchatTue Feb 1 18:42:01 PST 2011

drseisenberg T1a: Laughter improves; Taking oneself too seriously hampers. #MDchatTue Feb 1 18:42:05 PST 2011

Reach4MoJOYRN T1a...another great model "daily rounds" work done by #Peter Pronovost at John Hopkins.

book..Safe Pts Smart Hospitals. #MDchatTue Feb 1 18:42:48 PST 2011

quality1 @DoctorNatasha Sad to say but when I am a pt, I ask all docs to send report to my PCP an

push back. Collaboration still not std #MDChatTue Feb 1 18:43:11 PST 2011

mdstudent31 T1a: Poor communication b/w docs & support staff (nurses, etc.) also causes probs. Just aimportant as comm bw docs #mdchatTue Feb 1 18:43:17 PST 2011

apjonas #mdchat using checklists and practicing as a team enhances collaborationTue Feb 1 18:43:20 PST 2011

hollyby @GinaRClark Interdisiplinary work is happening more in HC settings, but is core to #palliatmed. I'm grateful to work w/ a team! #mdchatTue Feb 1 18:43:31 PST 2011

FutureDrLucky Awesome. RT @dreisenberg Mind+body+evidence-based caring = integrative med. Played

on guitar today 4 chemo room. Pts. had fun. #MDchatTue Feb 1 18:44:00 PST 2011
http://www.twitter.com/MD_Chathttp://www.twitter.com/apjonashttp://twitter.com/#!/MD_chat/status/32628732120276992http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/GailZahtzhttp://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/quality1http://www.twitter.com/MD_Chathttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/DoctorNatashahttp://www.foxepractice.com/healthcare-hashtags/s/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/Peter/http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/quality1http://www.twitter.com/DoctorNatashahttp://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/hollybyhttp://www.twitter.com/GinaRClarkhttp://www.foxepractice.com/healthcare-hashtags/palliative/http://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/FutureDrLuckyhttp://www.twitter.com/dreisenberghttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/dreisenberghttp://www.twitter.com/FutureDrLuckyhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/palliative/http://www.twitter.com/GinaRClarkhttp://www.twitter.com/hollybyhttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/DoctorNatashahttp://www.twitter.com/quality1http://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.foxepractice.com/healthcare-hashtags/Peter/http://www.twitter.com/Reach4MoJOYRNhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://www.twitter.com/drseisenberghttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/apjonashttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.foxepractice.com/healthcare-hashtags/s/http://www.twitter.com/DoctorNatashahttp://www.foxepractice.com/healthcare-hashtags/mdchat/http://www.twitter.com/mdstudent31http://www.foxepractice.com/healthcare-hashtags/MDChat/http://www.twitter.com/MD_Chathttp://www.twitter.com/quality1http://www.foxepractice.com/healthcare-hashtags/MDCHAT/http://www.twitter.com/apjonashttp://www.twitter.com/GailZahtzhttp://www.foxepractice.com/healthcare-hashtags/MDchat/http://twitter.com/#!/MD_chat/status/32628732120276992http://www.twitter.com/apjonashttp://www.twitter.com/MD_Chat


13/16

quality1 (Things that help or hinder collaboration) RT @drseisenberg: T1a: Laughter improves;Taking oneself too seriously hampers


14/16

FutureDrLucky So true, @mdstudent31. Medicine works best as a team approach, w/ docs & ancillaryworking together as one cohesive group! #mdchatTue Feb 1 18:50:57 PST 2011

mdstudent31 @HospitalPatient It is the RN's allegiance to get on right page w/ doc when looking outSpeak up, speak often for pt sake #mdchatTue Feb 1 18:51:17 PST 2011

HospitalPatient Clearly, as a Patient, I understand an RN's "role" but some "go to bat" 4 patients and odriven ONLY by Doc's orders. #mdchatTue Feb 1 18:51:38 PST 2011

HospitalPatient A Patient's input (e.g. drug side effects) sometimes gets lost when that "communicationchain" is not so "pure." #mdchatTue Feb 1 18:52:35 PST 2011

mdstudent31 @HospitalPatient All members of team should be empowered to talk to each other,

regardless of "rank", whatever that is #mdchat

Tue Feb 1 18:52:44 PST 2011

MD_Chat @mdstudent31 Are the nurses "support staff" for docs, or is it the other way around? ;)aren't we all support staff for patients? #MDchatTue Feb 1 18:53:05 PST 2011

HospitalPatient @mdstudent31@HospitalPatient THX - That's how it should be. #mdchatTue Feb 1 18:53:13 PST 2011

apjonas @HospitalPatient Remember who pays the nurse and the doc. Remember to also follo

money when wondering about allegiance, etc. #mdchatTue Feb 1 18:53:33 PST 2011

HospitalPatient Unfortunately, "Reality" in Big Hospitals with Egos, Pressure, Politics, etc. - the Patient

LAST in that chain. NOT fun. #mdchatTue Feb 1 18:54:05 PST 2011

HospitalPatient @apjonas@HospitalPatient LOL GREAT #mdchatTue Feb 1 18:54:24 PST 2011

mdstudent31@MD_Chat We are all support for each other. Pt is also "support staff", their input on

decisions/communication just as important #mdchatTue Feb 1 18:54:34 PST 2011

quality1 @apjonas@HospitalPatient Sorry to disagree, but believe most HCP I work with are Nmore loyal to payck than to patients. #MDChatTue Feb 1 18:55:17 PST 2011

mdstudent31 @HospitalPatient That's why I didn't rotate at "big hospitals". >80% of care provided in

community - where medicine really happens #mdchatTue Feb 1 18:55:32 PST 2011
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MD_Chat @mdstudent31 Agree - the whole process is collaborative among all parties. #MDchaTue Feb 1 18:56:01 PST 2011

HospitalPatient @quality1@apjonas@HospitalPatient I was just kidding. I know what was meant. #mTue Feb 1 18:56:06 PST 2011

HospitalPatient @quality1@apjonas@HospitalPatient I am SO grateful to folks like you who are driveway. Thank you. #mdchat

Tue Feb 1 18:56:40 PST 2011

Kind4Kids That's what systems-based practice is all about, the ability to call effectively on others

http://goo.gl/J64IC#mdchatTue Feb 1 18:57:03 PST 2011

quality1 @HospitalPatient Don't think its the size of the hospital but the calibre of the ldrship. Win 700 bed hosp where care rocked! #MDChatTue Feb 1 18:57:48 PST 2011

HospitalPatient @Kind4Kids Systems-Based Practice "reads" well but reality - at least from a patient'sperspective - is TOTALLY different. #mdchatTue Feb 1 18:58:03 PST 2011

MD_Chat WOW - hour's coming up!!! These chats go so so so fast! Let's wrap up in a moment. with your concluding thoughts. #MDchatTue Feb 1 18:58:26 PST 2011

HospitalPatient Granted, Emergencies and Pressure plays into that but .. #mdchatTue Feb 1 18:58:32 PST 2011

HospitalPatient @quality1@HospitalPatient "Caliber of Leadership" as the Benchmark is Fantastic. I you run the next Hospital I enter. :) #mdchatTue Feb 1 18:59:12 PST 2011

Reach4MoJOYRN It's all about the patient & for the sake of the patient. #MDchatTue Feb 1 18:59:56 PST 2011

RichmondDoc Final thought: good teams are horizontal: communication, suggestions, feedback needflow in all directions; leaders must be open. #mdchatTue Feb 1 19:00:01 PST 2011

HospitalPatient Good Leaders MUST Listen. Many do not. That's how I know QUICKLY when I must gabove a Doctor at a Hospital (as a Patient). #mdchatTue Feb 1 19:01:20 PST 2011

mdstudent31 Mind/Body cannot be separated - necessary for medical team AND Patient to understaimportance for overall health #mdchatTue Feb 1 19:01:53 PST 2011
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apjonas #mdchat Team challenge is integrating complexity of ea discipline within team's complexity 2 makeinseparable just like mind/body/brainTue Feb 1 19:02:33 PST 2011

Kind4Kids @HospitalPatient Fully agree, there is much work to be done in reality. #mdchatTue Feb 1 19:03:01 PST 2011

hollyby Listening is key to communication, interdisciplinary work, and whole patient care. #mdchatTue Feb 1 19:03:34 PST 2011

MD_Chat This was an awesome chat! All of you do such an amazing job here - diverse views, great vibe!! G

contributors each of you!! #MDchatTue Feb 1 19:03:53 PST 2011

MD_Chat THANK YOU, everybody! I'll have the transcript up in a moment. See our blog too http://MDchat.oNewsletter/Transcripts #MDchatTue Feb 1 19:04:56 PST 2011
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Documents

MDchat Healthcare Twitter Transcript