2010 #AAHPM Twitter

#aahpmwthashtag.com/aahpm

Transcript from March 1, 2010 to March 8, 2010All times are Pacific Time

March 1, 2010

12:08 am ctsinclair: RT @suzanakm: #AAHPM book club: a discussion with the author on TheRepublic of Suffering: http://bit.ly/bgO4Kq #iTunes #civilwar

5:20 am brimcmike: We here in Boston are working on the weather, requisition had a typo, kinksshould be worked by Thurs http://bit.ly/Z8v6D Welcome #AAHPM !

8:23 pm HynesBeacon: #AAHPM Get ready for your trip to the Hynes by downloading the free myHynesiPhone/iPod Touch app from the App Store.

10:11 pm ctsinclair: Just got word the official hashtag for the @AAHPM assembly is #HPMAssemblynot #AAHPM as previously noted. Longer: yes, but official

March 2, 2010

12:23 am GeriPalBlog: Join @Pallimed and @GeriPalblog and at #AAHPM #HPNA for drinks and food -Friday 8pm at Lir (903 Boylston - across from Sheraton).

2:04 am daitpcg: swap ideas over hospital and community palliative performance profiles at DAIPalliative Care Group table at #AAHPM Job Fair #palliative

2:07 am ctsinclair: Hoping to see more people tweeting with #AAHPM or #HPMAssembly this week.If you need a Twitter lesson let me know. #hospice

2:18 am LisaBostonUSA: Welcome to Boston #AAHPM! Visit the Boston CVB Concierge Desk at theHynes by registration for everything Boston.

2:22 am suzanakm: RT @ctsinclair Hoping to see more people tweeting with #AAHPM or#HPMAssembly this week. If you need a Twitter lesson let me know. #hospice

12:35 pm johnmulder: @pamojamo - never left couch. Finished up slides for #AAHPM. Off to Boston!

12:58 pm LisaBostonUSA: Boston's hidden gem for lunch? Courtyard Cafe at the Boston Public Library;http://www.thecateredaffair.com/bpl/courtyard/ #AAHPM

2:01 pm glennross: #AAHPM

2:15 pm LisaBostonUSA: RT @MO_BOSTON M Bar & Neiman Marcus have teamed up for 'Fashion Rules'this Thurs. March 4: http://bit.ly/cgJd48 #AAHPM

3:23 pm ctsinclair: From @Pallimed Blog Pallimed Related #AAHPM Events: Twitter, Social Media,Party, Arts and More http://ow.ly/16HkYx #HPMAssembly

3:24 pm ctsinclair: RT @fampracdoc: off to boston for #AAHPM. "c you there" #hpmassembly

3:25 pm ctsinclair: RT @LisaBostonUSA: Welcome to Boston #AAHPM! Visit the Boston CVBConcierge Desk @ Hynes by registration for everything Boston. "so kind!"

3:26 pm HP_News: @ctsinclair You are very welcome! See you at #AAHPM!

4:13 pm tymeyer: looking forward to #AAHPM Assembly

4:28 pm gcooneymd: Just arrived in Boston for AAHPM/HPNA assembly. Beautiful day! #AAHPM

4:29 pm gcooneymd: Off to check on AAHPM LEAD program - the future of our field! #AAHPM

4:52 pm suzanakm: RT @gcooneymd: Off to check on AAHPM LEAD program - the future of ourfield! #AAHPM

6:23 pm doctorfisher: Looking forward to #AAHPM tweets about what you are learning there. Wish Icould join you! #HPMAssembly

Transcript for #aahpm - What the Hashtag?! http://wthashtag.com/transcript.php?page_id=9554&start_date=2010-03...

1 of 33 3/15/2010 12:07 AM

7:25 pm ctsinclair: Great convo with @lisabrusack on swa plane to boston about social media andpalliative care. #hpm assembly #aahpm

11:17 pm ctsinclair: Just finished a great first day of #AAHPM board meeting. Good generativediscussion. Hope to blog more later. #hpmassembly

11:18 pm ctsinclair: Now going to dinner at Top of the Hub in Prudential Tower #boston #aahpm

11:22 pm ctsinclair: Feel free to tweet or email any questions for the #aahpm board #hospice#palliative

11:34 pm gcooneymd: I have a new lobster hat - compliments of the AAHPM CEO - and it DOES lookstunning - or maybe stunned.... #AAHPM

11:34 pm gcooneymd: Christian's at dinner and I'm not. Time to run! #AAHPM

11:46 pm emacartney: @ctsinclair Oh, I remember it well! Nice pic - I miss Boston, it's such a great town.Have a good mtg at #aahpm.

11:48 pm DrLaura04: On my way to Boston for #AAHPM.... Stuck in Atlanta..

March 3, 2010

1:22 am equijada: Faust: death from disease stripped the glory of death on battlefield. Unrelated:Death by dementia vs. cancer is w/o glory #aahpm

2:25 am ctsinclair: @emacartney Top of the Hub was fantastic. Good company, good food, gooddrinks, good times. #AAHPM

2:26 am ctsinclair: RT @gcooneymd: I have a new lobster hat - compliments of the AAHPM CEO -and it DOES look stunning - or maybe stunned.... #AAHPM

2:26 am ctsinclair: @gcooneymd I have a picture of your lobster hat! Too bad it is on my camera andI don't have the cable to download it. #AAHPM

2:28 am ctsinclair: RT @equijada: Faust: death from disease stripped the glory of death onbattlefield. Unrelated: Death by dementia vs. cancer is w/o glory #aahpm

2:39 am emacartney: @ctsinclair As it should be! Cheers from SF! #AAHPM

2:51 am johnmulder: Great meal at Eastern Standard w/Dan Maison in Boston. Here for #AAHPM.NEVER pass up a meal recommendation from Dan!

2:55 am ctsinclair: @doctorfisher You are here in spirit! #HPMAssembly #AAHPM

2:58 am ctsinclair: Hey #hcsm tweeps, make sure to follow #AAHPM and #HPMAssembly this weekfor tweets from a hospice med conf. RT's appreciated!

2:59 am ctsinclair: Glad you are coming to the #HPMAssembly @glennross FYI that is the officialhashtag, but #AAHPM will work too!

3:00 am MeredithGould: RT @ctsinclair: #hcsm tweeps, follow #AAHPM and #HPMAssembly this weekfor tweets from a hospice med conf. RT's appreciated!

3:12 am gcooneymd: @ctsinclair We NEED a picture of the lobster hat!! #AAHPM

3:13 am gcooneymd: Need some sleep so I can be ready for #AAHPM in the morning; nighty night!

3:15 am drosielle: @gcooneymd sorry I missed u at HPMLead. Thanks to you & #AAHPM forsupporting us.

3:20 am erinrbreedlove: @ctsinclair Hope you all are having a great time in Boston at #AAHPM in Boston!Wish I could be there with you guys. :)

3:22 am ctsinclair: Study: Parents Weigh Hastening End for Dying Children: http://digg.com/d31KQDz?t #AAHPM

3:32 am ctsinclair: Check out my list of attendees to the #HPMAssembly http://bit.ly/cDosTP Willupdate all week! #hospice #palliative #AAHPM

3:52 am hospicepharmacy: Welcome to Boston, #AAHPM Attendees! See you @ Outcome ResourcesBooth in the Ex. Hall.Stop by during opening reception for a special treat!

11:19 am SWHPN: SWHPN is in Boston! #AAHPM


2 of 33 3/15/2010 12:07 AM

12:21 pm ctsinclair: From @Pallimed Blog Social Networking and the #AAHPM Board Meeting - 1stDay http://ow.ly/16HUrq

12:23 pm gcooneymd: It's snowing in Boston - at least outside my window #AAHPM

1:16 pm brimcmike: RT @hospice_news Peds HPM MD writing local Op-Ed My Turn: Open palliativecare to children http://bit.ly/aCzTs0 #hospice #AAHPM #HPMAssembly

1:35 pm HynesBeacon: The Hynes welcomes the American Academy of Hospice and PallativeMedicine's 2010 Annual Assembly today. Stay tuned for useful info! #AAHPM

1:57 pm ctsinclair: RT @SWHPN: SWHPN is in Boston! #AAHPM

2:16 pm ctsinclair: in #AAHPM board meeting. Fantastic discussions. Hope to blog about it later.

2:20 pm HynesBeacon: Get real-time traffic/transit updates, airport departures, and shuttle bus informationwith myHynes iPhone app #AAHPM

2:28 pm brimcmike: RT @ctsinclair: From @Pallimed Blog Social Networking and the #AAHPM BoardMeeting - 1st Day http://ow.ly/16HUrq

2:29 pm ctsinclair: @hetheringto Make sure to Tweet from the #AAHPM meeting while you are here!

2:42 pm pain_ACTION: looking forward to meeting everyone in snowy boston at #AAHPM later today!We'll be at booth 509

2:49 pm mchwistek: On my way to Boston... See you all there! #AAHPM

2:57 pm HP_News: #AAHPM attendees, visit HP at booth 305 in the expo hall during the openingreception tonight at 5:30.

3:25 pm erinrbreedlove: RT @brimcmike: RT @hospice_news Peds HPM MD writing local Op-Ed MyTurn: Open palliative care to children http://bit.ly/aCzTs0 #hospice #AAHPM#HPMAssembly

4:00 pm skipbensley: RT @skipbensley: Myhynes and mybcec apps now available for iPhone free atapp store great for visitors to Boston #AAHPM

4:00 pm brilliantvideo: RT @skipbensley: Myhynes and mybcec apps now available for iPhone free atapp store great for visitors to Boston #AAHPM

4:07 pm Pallimed: New Pallimed Post:: Social Networking and the #AAHPM Board Meeting - 1st Dayhttp://bit.ly/a2ffBW

4:20 pm HynesBeacon: Green Line fun: Take the T?s Green Line to Gvt. Center for some shopping anddining in Faneuil Hall. #AAHPM

5:13 pm larryberesford: Via GN: Social Networking and the #AAHPM Board Meeting - 1st Day: You canexpect a few more emails this week as we... http://bit.ly/bN9rdl

5:19 pm LisaBostonUSA: The_Fireplace Sway to the jazz sounds of Julie Lavender tonight at TheFireplace.... http://bit.ly/diJXxW #AAHPM

5:20 pm LisaBostonUSA: It's Wine Wednesday! Enjoy two courses from our select menu, with a pairedbottle of wine. @75Chestnut #AAHPM

5:29 pm ctsinclair: For a change no physicians are doing plenary sessions this year. Trying tobroaden the scope. Cool idea. #AAHPM #HPMAssembly

6:13 pm LisaBostonUSA: Need a nibble? Stop by Morton's Back Bay tonight or their Rush Hour menu..$6snacks! http://www.mortons.com/bostonbackbay/ #AAHPM

6:20 pm HynesBeacon: Find restaurants, hotels, and merchants within walking distance of the Hynes in?Nearby? on myHynes iPhone/iPod Touch app #AAHPM

6:41 pm equijada: On my way to #aahpm. Thinking of the good folks @PIH_org and @ADRAi.Donate.

6:56 pm twapperkeeperR5: : @jsperber has created #AAHPM TwapperKeeper tweet archive->http://twapperkeeper.com/AAHPM

7:11 pm Clarksondoc: Just my luck, 3 new consults as I try to make my flight to Boston for #aahpmassembly!


3 of 33 3/15/2010 12:07 AM

7:13 pm suzanakm: Joan Halifax: when empathy and positive regard/insight witness suffering - leadsto compassion. #AAHPM

7:14 pm suzanakm: Halifax on Batson: empathic concern vs. Personal distress in witnessing sufferingof others. #AAHPM

7:17 pm suzanakm: clinician's self-awareness witnessing suffering requires feeling distress of others,but also the distinction between theirs mine. #AAHPM

7:18 pm ctsinclair: RT @suzanakm: Joan Halifax: when empathy and positive regard/insight witnesssuffering - leads to compassion. #AAHPM

7:36 pm ctsinclair: Will B at the #AAHPM Resource Ctr in Exhibit Hall from 530p-630p as part of newBoard initiative to 'meet the members!' #HPMAssembly #AAHPM

7:38 pm ctsinclair: Hey @Pallimed fans! I have Pallimed 'P' and Twitter 'T' stickers to put on yourbadge at the #HPMAssembly Be social! #AAHPM

8:20 pm HynesBeacon: What should you do about the flu? Good info for you at http://ow.ly/1cVN6#AAHPM

8:32 pm ctsinclair: RT @doclake 3 themes what patients value in physician communication-recognition, guidance, responsiveness-Tony Back #HPMAssembly #AAHPM

8:36 pm amednews: RT @ Pallimed: New Pallimed Post:: Social Networking and the #AAHPM BoardMeeting - 1st Day http://bit.ly/a2ffBW

8:38 pm amednews: Hospice and palliative care medicine meeting continues through March 6 inBoston #AAHPM

8:40 pm Freshwidow: RT @Pallimed: New Pallimed Post:: Social Networking and the #AAHPM BoardMeeting - 1st Day http://bit.ly/a2ffBW

9:37 pm ctsinclair: Going to meet new #AAHPM members. (@ Hynes Convention Center)http://4sq.com/90cwO3

9:38 pm imswift: @skipbensley The myHynes app has built in twitter client that autoadds yourhashtag: http://bit.ly/9LTmp6 #AAHPM

10:03 pm Dougtx: @ #AAHPM? Enter to win an MP4, i-tune or amazon gift card ? stop by booth#214 - Mary Ann Liebert, Inc.

10:20 pm HynesBeacon: Boston is a history buff?s playground. Explore and have some fun: http://bit.ly/61Gbxg #AAHPM

10:28 pm gcooneymd: Wow! At the AAHPM new member reception, room 209, and the conversationsbuzzing! #AAHPM

10:32 pm gcooneymd: If enough people tweet, will we make the top topics list on twitter?? #AAHPM

10:35 pm drdaleschultz: RT @Dougtx: @ #AAHPM? Enter to win an MP4, i-tune or amazon gift card ?stop by booth #214 - Mary Ann Liebert, Inc.

11:12 pm skipbensley: @imswift thanks and congrats, I heard David Monday night great app. #AAHPM

11:16 pm RegenceGives: For those of you (like me) who can't be at the AAHPM-HPNA Annual Assembly,follow #AAHPM and #HPMAssembly to keep up on tweets.

March 4, 2010

12:11 am marachne: Arrived @#AAHPM. Registere & presentation uploaded. #HPMAssembly

12:20 am HynesBeacon: Mmm... Italian food and pastries on Hanover Street. Take the T?s Green orOrange Line to North Station. #AAHPM

3:06 am mchwistek: RT @suzanakm: Halifax on Batson: empathic concern vs. Personal distress inwitnessing suffering of others. #AAHPM

4:26 am hospicepharmacy: RT @Pallimed: New Pallimed Post:: Social Networking and the #AAHPM BoardMeeting - 1st Day http://bit.ly/a2ffBW

4:28 am hospicepharmacy: Great opening reception at #AAHPM tonight! Thnx everyone who stopped byOutcome Resources booth - we look forward to seeing you tomorrow!


4 of 33 3/15/2010 12:07 AM

4:59 am ctsinclair: RT @gcooneymd: If enough people tweet, will we make the top topics list ontwitter?? #AAHPM

4:59 am ctsinclair: RT @Dougtx: @ #AAHPM? Enter to win an MP4, i-tune or amazon gift card ?stop by booth #214 - Mary Ann Liebert, Inc.

5:24 am HospiScript: HospiScript: Great Night at #AAHPM! If you do not have your copy of the PCCtext book stop by our booth #414. #hospice

6:44 am erinrbreedlove: @ctsinclair: When's your talk on music related things? Would love to hear it orsee visuals! #AAHPM

12:10 pm suzanakm: Sean Morrison MD receives award #AAHPM for leadership in #palliative carewearing Canadian hockey shirt!

12:20 pm suzanakm: 40% of deaths in US now cared for with hospice, 5000 boarded docs, increaserecognition of field my media journals. Morrison #AAHPM

12:27 pm suzanakm: 2020 goals: provide #palliative care whever pts are, all clinicians will know basicpalliative, patients will know about our field #AAHPM

12:30 pm suzanakm: Mechanism: Adjust GME cap, loan forgiveness for #palliative care clinicians,expand HRSA grants for field, mid-career training awards #AAHPM

12:45 pm brimcmike: RT @suzanakm: Sean Morrison MD receives award #AAHPM for leadership in#palliative care wearing Canadian hockey shirt! http://myloc.me/4qF1p

12:50 pm brimcmike: R. Sean Morrison MD makes the case for rebranding of #palliative care awayfrom just #hospice & EOL to palliation where/when needed #AAHPM

1:11 pm brimcmike: Award Breakfast needed easily double capacity many Die-Hards standing Manygave up & left #HPMAssembly #AAHPM

1:29 pm Clarksondoc: Excited and awaiting the opening plenary at #aahpm, #hpmassembly

1:31 pm ctsinclair: RT @brimcmike: R. Sean Morrison MD makes the case for rebranding of#palliative care away from just #hospice & EOL to palliation where/when needed#AAHPM

1:37 pm ctsinclair: Getting ready to Tweet from the first plenary at #AAHPM. "Comfort Zone Camp"by Hughes #HPMAssembly #aahpm

1:38 pm ctsinclair: Sorry for anyone who gets inundated with my #AAHPM tweets today, the volumewill be up for the next few days but then back to normal #aahpm

1:38 pm ctsinclair: Don't unfollow yet! And if you pass on any good RT that would be great. #aahpm

1:40 pm ctsinclair: #HPMAssembly is the official hashtag but for saving Twitter space I will betweeting mostly with #aahpm

1:42 pm mchwistek: Wow, what a crowd - hard to find a place to sit! #aahpm # HPMassembly

1:42 pm suzanakm: I will be using #AAHPM as hashtag instead of #HPMAssembly for space-savingpurposes.

1:43 pm equijada: Death stinks but I love my job around it. Unrelated: I don't listen to Beck.Welcome to #aahpm

1:46 pm equijada: What does the pink bike mean on the congressman's lapel? #aahpm

1:47 pm suzanakm: Congressman @repblumenauer (D-OR) accepts award from #AAHPM forpromoting doctor-patient discussion re: advance care planning #hcreform

1:47 pm ctsinclair: Congressman Earl Blumenauer (D-OR) given a #AAHPM Presidential CitationAward. His speech shows good understanding of palliative care

1:49 pm suzanakm: @repblumenauer - thanks #AAHPM and #HPNA for our work taking care ofpatients and families and asks that we continue telling our stories.

1:50 pm Clarksondoc: RT @suzanakm: Congressman @repblumenauer (D-OR) accepts award from#AAHPM for promoting doctor-patient discussion re: advance care planning

1:51 pm ctsinclair: Congrats to @vitashospice Exec VP and Chief Med Officer, Dr. BarryKinzbrunner for the #AAHPM Distinguished Hospice Physician Magno Award


5 of 33 3/15/2010 12:07 AM

1:51 pm doclake: RT @suzanakm: Congressman @repblumenauer (D-OR) accepts award from#AAHPM for promoting doctor-patient discussion re: advance care planning

1:51 pm ctsinclair: @marachne @repblumenauer gave a good speech, I thought #AAHPM

1:54 pm suzanakm: Tim Quill for all you have done for this field, for your courage, your stories, a welldeserved #AAHPM award. As your former student-thanks

1:54 pm ctsinclair: "What's he doing that for?" Reaction to Kinzbrunner 20 years ago when told hispeers going to do hospice full time. We've grown a lot #aahpm

1:57 pm ctsinclair: Congrats to Dr. Jean Kutner, from @UCDenver on her #AAHPM DistinguishedAward, She has done a TON for hospice & palliative care.

1:58 pm ctsinclair: "Isn't that the kind of award they give to people that are 80 years old." - Kutner'sDad #aahpm

1:58 pm marachne: is it a sign of out sophistication or ubiquity that we have teleprompters? #AAHPM

1:59 pm suzanakm: #AAHPM distinguished service award to J. Kutner for her research, leadership,mentorship, community collaboration. Well deserved!

1:59 pm ctsinclair: Funny to hear Kinzbrunner (Estes Park) and Kutner (Palm Beach) recall firstmeetings of #aahpm

2:00 pm ctsinclair: RT @marachne: is it a sign of out sophistication or ubiquity that we haveteleprompters? "And Oscar music for the awards!" #aahpm

2:00 pm equijada: Kinzbrunner "what's he doing that for?". Solidarity is amazing. #aahpm

2:04 pm ctsinclair: Dr. Eduardo Bruera from MD Anderson (@MDAndersonNews) rec #AAHPMLifetime Achievement Award. How many papers has he published?

2:05 pm marachne: future goal: research award. It could happen. #AAHPM

2:05 pm ctsinclair: Loving my netbook with 7 hour battery and free wifi to use Tweetchat andSeesmic to tweet from the #AAHPM conference #hcsm

2:06 pm OncologyTimes: RT @ctsinclair: Congrats to Dr. Jean Kutner, from @UCDenver on her #AAHPMDistinguished Award, She has done a TON for hospice & palliative care.

2:07 pm ctsinclair: Next up Lynn Hughes talking about @ComfortZoneCamp US largestbereavement camp, free to kids 7-17 who have lost a loved one. #aahpm

2:08 pm ctsinclair: RT @marachne: future goal: research award. It could happen. "You can do it!"#aahpm

2:12 pm suzanakm: #AAHPM kid on comfortzone:"It was the first time I was around other people whohave experienced loss. Before, I thought I was the only one."

2:13 pm ctsinclair: Oh man the @ComfortZoneCamp video made me tear up. #aahpm

2:15 pm ctsinclair: RT @suzanakm: kid on @ComfortZoneCamp:"First time I was around otherpeople who have had loss. Before, I thought I was the only one." #AAHPM

2:17 pm ctsinclair: Hughes: Both parents died before Junior high. "Didn't want to be the new kid atschool whose 2 parents died" #AAHPM

2:17 pm mchwistek: ?for a while I thought I was the only one" - comfort zone camp attendee about theexperience of being at the camp for kids w loss #aahpm

2:19 pm marachne: speaker started annoying, but her story is compelling. #AAHPM

2:20 pm suzanakm: Lynn Hughes' personal story takes my breath away. She "put the pieces together"and built @ComfortZoneCamp. #AAHPM

2:21 pm mchwistek: RT @suzanakm: Lynn Hughes' personal story takes my breath away. She "put thepieces together" and built @ComfortZoneCamp. #AAHPM

2:22 pm equijada: Bruera really understands that passion and innovation is non-zero sum. Deserved#aahpm award. Would love to hear him speak at #ted

2:24 pm ctsinclair: Funny that @ComfortZoneCamp got kickstarted by threat of person from a 'rivalhospice' thinking of doing the same. #aahpm


6 of 33 3/15/2010 12:07 AM

2:25 pm suzanakm: Ahh... perhaps competition can enhance care - Hughes: "I didn't want the rivalhospice to steal my dream!" #AAHPM

2:25 pm mchwistek: @equijada Yeah, I love the idea, Bruera would do great at TED. #aahpm

2:26 pm suzanakm: 90 minutes of talking time and 3 1/2 hours of fun... that is the recipe for "turbobonding" - Highes on @ComfortZoneCamp #AAHPM

2:27 pm marachne: Love the one-one adults for the campers, and the listening circles CZC. #AAHPM

2:28 pm Clarksondoc: Sometimes it takes the threat of someone stealing your dream to commit you toaction- lynn hughes w/ comfort zone camp #aahpm

2:29 pm ctsinclair: "It's nice to be in Parents Magazine, but it is REALLY nice to be in PeopleMagazine!" -Hughes #aahpm

2:30 pm mchwistek: Lynne HUghes story of developing/marketing the comfort zone camp is a a greatexample of passion, serendipity and great work #aahpm

2:31 pm ctsinclair: Hughes was able to put together a 9/11 camp in Nov so that "kids wouldn't go intothe holidays without the tools" to handle grief #aahpm

2:32 pm ctsinclair: " 'No' today does not mean 'no' forever" RE: pursuing foundation $ and donations.Got $3M from NY Life Foundation! #aahpm

2:33 pm suzanakm: @ComfortZoneCamp has served 5000 children, in 11 states but this is notserving all the children who have lost someone. #aahpm

2:34 pm ctsinclair: Hughes from @ComfortZoneCamp Last Thought: "One person can make adifference and everyone should try -JFK" #aahpm

2:35 pm HynesBeacon: Use ?Venue? on myHynes iPhone/iPod Touch app to navigate through theHynes. Find it in the App Store? it?s free! #AAHPM

2:36 pm ctsinclair: Next up Roshi Joan Halifax talking about Compassionate and Mindful End of LifeCare: Relational-Contemplative Approach for Clinicians #aahpm

2:37 pm suzanakm: RT @ctsinclair: @jhalifax talking about Compassionate and Mindful End of LifeCare: Relational-Contemplative Approach for Clinicians #aahpm

2:38 pm mchwistek: Program to train clinicians in contemplative care - Roshi Joan halifax #aahpm

2:41 pm ctsinclair: Thanks @suzanakm for finding Roshi Joan Halifax on Twitter @jhalifax #aahpm

2:43 pm mchwistek: Suffering of clinicians - burnout, secondary trauma, moral distress, horizontalhostility, structural violence #aahpm

2:43 pm suzanakm: @jhalifax 5 sources of clinicians' suffering-burnout, secondarytrauma(compassion fatigue), horizontal hostility, structural violence #AAHPM

2:44 pm ctsinclair: Challenges 2 Caregiver Well-being: Burnout, 2ndry Trauma , Moral Distress,Horizontal Hostility, Structural Violence from @jhalifax #aahpm

2:44 pm ctsinclair: from @jhalifax Horizontal Hostility: behavior on the part of peers that isdisrespectful or devaluing #AAHPM

2:44 pm brimcmike: @UpayaChaplains Roshi Joan Halifax on Compassionate & Mindful EOL Care:Relational-Contemplative Approach for Clinicians #aahpm

2:48 pm doclake: white typeface on black background in ppt makes slides hard to read #aahpm

2:48 pm ctsinclair: Frustrated that slides are so hard to read, small white serif font on black is notgood for presentations #AAHPM @jhalifax

2:50 pm ctsinclair: You @mchwistek and I should contact @TEDNEWS and get Bruera(@MDAndersonNews) on the short list #TED #AAHPM

2:52 pm suzanakm: @ctsinclair a lesson that slides that work in a small room/computer screen mightnot work in large forum #AAHPM

2:54 pm HP_News: Are you attending #AAHPM this week? Visit Hospice Pharmacia at booth 305 andenter our drawing for an Amazon Kindle!

2:56 pm equijada: A talk on mindfulness should not use ppt. Mindfulness is not linear. #aahpm


7 of 33 3/15/2010 12:07 AM

2:58 pm suzanakm: @jhalifax Contemplative practice & caregiver capacities: attentional and emotionalbalance, cognitive control, health & resilience #aahpm

2:59 pm ctsinclair: RT @suzanakm: Contemplative practice & caregiver capacities: attentional &emotional balance, cognitive control, health & resilience #aahpm

3:01 pm ctsinclair: RT @equijada: Talk on mindfulness shouldn't use ppt. Mindfulness not linear."Should you be Twittering abt talk on mindfulness? ;-)" #aahpm

3:02 pm marachne: @jhalifax setting training of compassionate care into context of community &institutions. #AAHPM

3:04 pm suzanakm: @ctsinclair #aahpm This year's wisdom 2.0 social media national conference re:social media , mindfulness, Zen: http://bit.ly/9Z0oXj

3:05 pm brimcmike: Suffering of clinicians: burnout, 2ndary trauma, moral distress, horizontal hostility,structural violence #aahpm @upayachaplains @jhalifax

3:06 pm GrowWellNow: RT @suzanakm: @ctsinclair #aahpm This year's wisdom 2.0 social medianational conference re: social media , mindfulness, Zen: http://bit.ly/9Z0oXj

3:16 pm Dougtx: Go Global with Liebert Mobile! Learn more @ Booth#214www.liebertpub.com/iphone #AAHPM

3:17 pm drdaleschultz: RT @Dougtx: Go Global with Liebert Mobile! Learn more @ Booth#214www.liebertpub.com/iphone #AAHPM

3:23 pm brimcmike: Being with Dying Training for Clinicians http://www.upaya.org/bwd/@UpayaChaplains @jhalifax #AAHPM #HPMAssembly

3:30 pm equijada: Steve McPhee at UCSF gives a great talk on presence. Find it if you can #aahpm

3:32 pm suzanakm: RT @brimcmike: Being with Dying Training for Clinicianshttp://www.upaya.org/bwd/ @UpayaChaplains @jhalifax #AAHPM #HPMAssembly

3:35 pm marachne: Half hour to presentation getting nervous. #AAHPM

3:50 pm UpayaChaplains: RT @brimcmike: Being with Dying Training for Clinicianshttp://www.upaya.org/bwd/ @UpayaChaplains @jhalifax #AAHPM #HPMAssembly

4:16 pm doclake: Criteria for ICU trial: illness must be reversible, and have a reasonable prospectof substantial recovery #aahpm

4:21 pm Clarksondoc: Worry predicts insomnia in cancer pts beyond pain and depression- s wells-digregorio #aahpm

4:25 pm erinrbreedlove: RT @Clarksondoc: Sometimes it takes the threat of someone stealing yourdream to commit you to action #aahpm

4:27 pm ctsinclair: At paper session "How do hospice staff prepare family caregivers for death" Kehlfrom @UWMadisonNews School of Nursing #aahpm

4:29 pm ctsinclair: RT @marachne: Half hour to presentation getting nervous. "I'm here supportingyou!" #aahpm

4:29 pm ctsinclair: "You can only prepare them (families) if they are open to preparation (for death)"Kehl #aahpm

4:30 pm ctsinclair: Tailoring: same message to families different delivery, like a toolbox. content thesame, how you use it varies. - Kehl #aahpm

4:32 pm ctsinclair: Provide opportunities for hospice staff in orientation (and on-going) to obsvactively dying patients + their families + feedback #aahpm

4:33 pm ctsinclair: RT @Clarksondoc: Worry predicts insomnia in cancer pts beyond pain anddepression- s wells-digregorio #aahpm

4:34 pm ctsinclair: Hospices handouts that did well took widely available documents and then addedsupplements. Kind of like a mash-up. #aahpm

4:35 pm HynesBeacon: Green Line fun: Take the T?s Green Line to Arlington to stroll through Boston?sPublic Gardens. #AAHPM

4:35 pm equijada: Pseudoaddiction should be weened from vocab replaced by secondary addictiondescribed by S Passik. Request him for next #aahpm?


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4:36 pm ctsinclair: Would wonder why a hospice would not post their documents to @Slideshare or@Scribd too. Open access, universally avail. #aahpm

4:37 pm ctsinclair: RT @equijada: Pseudoaddiction should be weened from vocab replaced bysecondary addiction per S Passik. Request for next #aahpm? #aahpm

4:37 pm doclake: RT @equijada: Pseudoaddiction should be weened from vocab replaced bysecondary addiction described by S Passik. Request him 4 next #aahpm?

4:39 pm ctsinclair: RT @marachne Roshi Halifax (@jhalifax) new language for compassion fatigue -secondary trauma. #aahpm

4:39 pm doclake: african americans prefer and receive more CPR, intensive care and life supportthan other groups #aahpm

4:42 pm ctsinclair: Listening to @marachne speak on End of life care in Assisted Living Facilities inPaper sessions #aahpm

4:43 pm doclake: I wonder what % of MD's boarded in HPM are African American... #aahpm

4:45 pm ctsinclair: BTW @marachne is Miriam Volpin from OHSU School of Nursing talking on EOLcare in Assited living #hospice @OHSUNews #aahpm

4:46 pm ctsinclair: Coding care activities: Done with, done for, done to the care recipient, andorchestrating care #aahpm

4:47 pm ctsinclair: RT @doclake: I wonder what % of MDs boarded in HPM are AfricanAmerican..."Good question. Even percent of hospice staff too?" #aahpm

4:53 pm brimcmike: Changing Emergency Medicine Training & Practice in #Palliative Care withEPEC-EM by Tammie Quest of Emory/Northwestern #aahpm #HPMAssembly

4:54 pm equijada: "She has no idea how to take dentures out...you're doing icky things to me". Wellsaid. Been there....#aahpm

4:54 pm ctsinclair: RT @brimcmike: Changing Emergency Medicine Training & Practice in #PalliativeCare with EPEC-EM by Tammie Quest of Emory/Northwestern #aahpm#HPMAssembly

4:58 pm ctsinclair: Good job @marachne on your talk. #AAHPM

4:58 pm ctsinclair: People are charged more in Assisted living facilities as the care intensifies nearend of life, causing tough $ choices for families. #aahpm

5:00 pm brimcmike: Tammie Quest Changing Emergency Medicine Training & Practice in #PalliativeCare thru EPEC-EM http://tinyurl.com/yfx67n9 #aahpm #HPMAssembly

5:15 pm ctsinclair: http://twitpic.com/16ksjv - @marachne speaking at #aahpm doing great!

5:18 pm doclake: 10 year follow-up of WHO ladder-50% needed to get to step 3 before pain relief-#aahpm

5:18 pm brimcmike: Methadone Boot Camp to get some specific, caveat-infused, long-term opioidskizills on #aahpm #HPMAssembly

5:25 pm mchwistek: Narrative intervention: ?Men cannot heal? - healing resides within, stories heal bymaking meaning #aahpm

5:27 pm doclake: RT @mchwistek: Narrative intervention: ?Men cannot heal? - healing resideswithin, stories heal by making meaning #aahpm

5:41 pm mchwistek: Melanie Reinhart: "meaning is infused into an experience, not something extrinsicto it." #aahpm

5:43 pm Clarksondoc: Biomedicine focuses on eliminating mystery and is reductionistic. Whereasnarrative med celebrates mystery and layers of meaning. #AAHPM

5:46 pm equijada: @DianeEMeier "palliative care is radioactive" #aahpm

5:47 pm UCDenver: RT @ctsinclair: Congrats to Dr. Jean Kutner from @UCDenver on her #AAHPMDistinguished Award, She's done a TON for hospice & palliative care

5:48 pm jppinzon: Palliative care needs re-branding; "end of life care" = bulls eye #AAHPM


9 of 33 3/15/2010 12:07 AM

5:50 pm suzanakm: Martha Twaddle: "do you think it would be a funny to have a Twaddle tweeting?"#AAHPM

5:51 pm equijada: @DianeEMeier "language is important" #aahpm

5:52 pm suzanakm: RT @Clarksondoc: Biomedicine focuses on eliminating mystery & isreductionistic. Narrative med celebrates mystery & layers of meaning #AAHPM

5:55 pm Equipe_Loignon: RT @Clarksondoc: Biomedicine focuses on eliminating mystery and isreductionistic. Whereas narrative med celebrates mystery and layers of meaning.#AAHPM

5:58 pm equijada: @DianeEMeier palliative care is hospice's big sister. Please don't leave usbecause we are for the dying. #aahpm

5:59 pm suzanakm: Weissman: make time for team to write/review annual strategic plan. #AAHPMHelps evaluate how people's activities fit w/ teams' priorities.

6:02 pm Clarksondoc: Good medical practice requires that we know as much ABOUT THE PERSONwho has the disease, as about the disease itself -sir W.Osler #aahpm

6:09 pm Dougtx: Attending #AAHPM? Stay connected to the world of Palliative Medicine! Come byMary Ann Liebert, Inc. - booth#214

6:14 pm ComfortZoneCamp: RT @suzanakm: Lynn Hughes' personal story takes my breath away. She "put thepieces together" and built @ComfortZoneCamp. #AAHPM

6:31 pm humanbeingblog: RT @UCDenver Congrats to UCCC member Dr. Jean Kutner on her #AAHPMDistinguished Award, She's done a TON for hospice & palliative care

6:35 pm HynesBeacon: The myHynes app can help you navigate from Hynes to Comm. Ave. to CopleySq. Go to ?Hynes Basics? then ?Scenic Boston Walks.? #AAHPM

6:38 pm mchwistek: Why now? Why me? - this session will be available online #aahpm

6:59 pm pain_ACTION: we're in booth 509 at #AAHPM, stop by and say hello to our team!

7:29 pm hospicepharmacy: Enjoying the #AAHPM in Boston! Stop by Booth 714 - we'd be honored to meetyou! #hospice #palliative

7:47 pm brimcmike: In "Asking Tough Questions: Career Advice From the Experts" by Professionalsin Training Special Interest Group #aahpm #HPMAssembly

7:48 pm drdaleschultz: RT @Dougtx: Attending #AAHPM? Stay connected to the world of PalliativeMedicine! Come by Mary Ann Liebert, Inc. - booth#214

8:00 pm doclake: ?Palliative? benefits of chemotherapy may be inflated due to methodologicalinadequacies in the analyses #aahpm

8:03 pm doclake: What is palliative chemo? Chemotherapy with non-curative intent, aimed atincreasing survival and quality of life. #aahpm

8:07 pm doclake: patients accept more risks than doctors, nurses or healthy peers #aahpm

8:08 pm doclake: 91% of phase 1 patients want experimental treatment even if 10% risk of death#aahpm

8:12 pm doclake: pessimism in cancer communication improves concordance between oncologistand patient #aahpm

8:34 pm brimcmike: Nathan Goldstein Asking Tough Questions gives @Pallimed an unsolicited plugas tool to stay up to date as an attending #aahpm #HPMAssembly

8:35 pm HynesBeacon: Forgot to pack a scarf? Head to Boston?s Downtown Crossing on the T?s RedLine for a variety of stores. #AAHPM

8:38 pm doclake: how often is chemo palliative? incidence =1.5 million, deaths 6 million-abt 15%advanced cancer cured-so 85% chemo is palliative #aahpm

8:40 pm doclake: statement "you get stronger, I'll give you more chemo" paralyzes patients andfamilies- so hospices seeing 25% patients <1 week #aahpm

8:44 pm marachne: Oh dear. Forgot to use #AAHPM


10 of 33 3/15/2010 12:07 AM

8:44 pm brimcmike: RT @Medscape Advance Directives What's Worked/What's Failed ExpertInterview w/Bernard Hammes PhD http://bit.ly/cMMeGU #aahpm #HPMAssembly

8:47 pm marachne: Question: does principal double effect help in working with pts/family/non-EOLproviders? #AAHPM

8:48 pm brimcmike: RT @doclake: "you get stronger, I'll give you more chemo" paralyzes patients &families hospices seeing 25% Pts <1 week #aahpm #HPMAssembly

8:50 pm otherspoon: RT@brimcmike RT @Medscape Advance Directives What's Worked/What'sFailed http://bit.ly/cMMeGU #aahpm #HPMAssembly

8:54 pm jppinzon: Ethics symposium: surrogates cannot overrule advance directives if theydisagree; #AAHPM

9:05 pm ctsinclair: Sorry so quiet for the last few hrs, had to review all the AV for my talk on Music inpalliative care with @clarksondoc Went well! #aahpm

9:08 pm ctsinclair: Now at "How to Teach a Radiation Oncologist to Do What You Need Them to Do"by Jerry Barker Texas Oncology #aahpm

9:09 pm ctsinclair: Greater tumor volume requires greater radiation dose for disease control.#aahpm

9:10 pm ctsinclair: Different tissues respond to different doses of radiation both for treatment and forside effects. - Barker #aahpm

9:11 pm ctsinclair: Radiation non-selectively damages DNA (malignant & normal tissue), the key isnormal tissues repair DNA damage better. -Barker #aahpm

9:11 pm Dougtx: @ #AAHPM? Enter to win an MP4, i-tune or amazon gift card- stop by booth #214- Mary Ann Liebert, Inc.

9:12 pm ctsinclair: Rad Onc HATES giving 'huge blasts of radiation' thus fractionation is beaten in toresidents in training -Barker #aahpm

9:15 pm ctsinclair: RT @jppinzon: Palliative care needs re-branding; "end of life care" = bulls eye#AAHPM

9:16 pm ctsinclair: @jppinzon - Not so sure myself about the rebranding of palliative care. #aahpm

9:17 pm ctsinclair: RT @doclake: "you get stronger, Ill give you more chemo" paralyzes patients &families hospices seeing 25% Pts <1 week #HPMAssembly #aahpm

9:18 pm ctsinclair: RT @marachne: Question: does principal double effect help in working withpts/family/non-EOL providers? "yes, but not best" #aahpm

9:19 pm ctsinclair: AHHHHHHHHHHHHHHHHHH!!!!!!!!!!!!!!!!!!! Barker said 'narcotic' instead ofopiate/opioid. Sorry ...pet peeve. #aahpm

9:20 pm ctsinclair: "Metaanalyses of XRT for bone mets 60-70% pain relief" - Barker #aahpm

9:21 pm dalehammond: @ctsinclair Thanks tweeting and RTing so much from the conference! Two of ourRNs are there, so it's great to watch your comments. #aahpm

9:21 pm ctsinclair: 9 large RCT (>4000pts) show effectiveness for single-fraction XRT YET few radonc suggest that in surveys of hypothetical pts #aahpm

9:22 pm doclake: RT @ctsinclair: AHHHHHHHHHHHHHHHHHH!!!!!!!!!!!!!!!!!!! Barker said 'narcotic'instead of opiate/opioid. Sorry ...pet peeve. #aahpm

9:24 pm ctsinclair: Palliative care docs NEED to know RTOG 97-14 RCT of single fraction XRT inpainful bone mets. Open access PDF: http://bit.ly/b02D0r #aahpm

9:25 pm ctsinclair: @dalehammond No problem, glad to. Hope to meet them, Plan on posting asummary of daily tweets to @Pallimed #hcsm #aahpm

9:27 pm achatburn: excited to head to the #aahpm annual assembly for the med student portion!

9:27 pm doclake: RT @ctsinclair: Palliative care docs NEED to know RTOG 97-14 RCT of singlefract XRT in painful bone mets. PDF: http://bit.ly/b02D0r #aahpm

9:27 pm ctsinclair: Loving this talk by Barker on XRT. Need more palliative care docs to present for@ASTRO_org #aahpm


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9:30 pm ctsinclair: One reason why 1-frac XRT is not used in US: Higher retreatment (18% v9%)...BUT 2 single doses is less than 10 trips to Rad Onc #aahpm

9:30 pm ctsinclair: Other reasons: Not taught that way, Always treated that way, and number one is $#aahpm

9:31 pm ctsinclair: Rad Onc is still reimbursed based on fractions given. Antiquated but hard tochange. #aahpm

9:34 pm ctsinclair: Single fraction palliative XRT could get to sub $1k instead of $3k when hospicesand rad onc work together. - Barker #aahpm

9:35 pm ctsinclair: RT @marachne: Oh dear. Forgot to use #AAHPM "Hey it happens" #aahpm

9:36 pm marachne: Quality Measures Teno "what is preferred by pt./family". #AAHPM

9:36 pm doclake: spinal cord compression-previous concern c large dose per fraction "doubleinjury" of xrt and phys injury has been disproven #aahpm

9:37 pm suzanakm: Palliative radiation mythbuster #1: Spinal cord compression - single fractionradiation IS appropriate. #aahpm #lglc #palliativeRdx

9:37 pm ctsinclair: RT @Clarksondoc: Good med practice requires we know as much ABOUT THEPERSON who has the disease, as about the disease itself - Osler #aahpm

9:38 pm suzanakm: Palliative radiation mythbuster #2: pathologic fracture/impending fracture - littleliterature. #aahpm #palRdx

9:38 pm ctsinclair: RT @brimcmike: Nathan Goldstein Asking Tough Questions gives @Pallimed anunsolicited plug as tool to stay up to date as an attending #aahpm

9:39 pm marachne: Great achievement: web based repository of data in Family Evaluation of hospice.Great pool of data. #AAHPM

9:39 pm suzanakm: Palliative radiation pearls: Pain flare (10-25% of pts., lasting 1-2 days) respondsto steroids. #aahpm #palRdx #lglc

10:01 pm drdaleschultz: RT @Dougtx: @ #AAHPM? Enter to win an MP4, i-tune or amazon gift card- stopby booth #214 - Mary Ann Liebert, Inc.

10:02 pm drewdaigle: LVAD presentation is cutting edge with Mayo team using "preparedness plan" forall LVAD pts #AAHPM

10:03 pm koehlerjo: RT Rad Onc are starting to see differences in doctor-patient relationships withpatients with getting mult sngle frxs over time. #aahpm

10:03 pm ctsinclair: Check out the stats on the 300+ tweets from the #HPMAssemblyhttp://wthashtag.com/Aahpm #aahpm

10:05 pm ctsinclair: RT @drewdaigle: LVAD presentation is cutting edge with Mayo team using"preparedness plan" for all LVAD pts #AAHPM

10:06 pm ctsinclair: Here is the UPDATED list of Twitter users at the #HPMAssemblyhttp://twitter.com/#/list/ctsinclair/aahpm-2010-attendees #aahpm

10:08 pm ctsinclair: Love that Barker has said 'fringy' twice in his talk. I gotta use that word sometime.#aahpm

10:08 pm pamojamo: RT @jppinzon: Palliative care needs re-branding; "end of life care" = bulls eye#AAHPM

10:24 pm brimcmike: RT @ctsinclair: Free twitter lessons tomorrow AM at the Social Media In PalliativeCare session Friday at 7AM Room 206 #aahpm

10:25 pm suzanakm: #aahpm - Humanities SIG now Humanities and Spirituality SIG... will merge bothareas of interest. Meditation spacethis yr room 201

10:26 pm suzanakm: Escalation of presence of humanities and spirituality between past years and thisyears has been tremendous! #aahpm

10:27 pm brimcmike: RT @ctsinclair: Free twitter lessons tomorrow AM @ Social Media In PalliativeCare session Friday @ 7AM Room 206 #aahpm #HPMAssembly #hcsm

10:27 pm ctsinclair: RT @suzanakm: Humanities SIG now Humanities and Spirituality SIG... will mergeboth areas of interest. #aahpm


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10:28 pm EdBennett: RT @ctsinclair: Hospice Med Dir strategies to work w/ RadOnc: review casesprior to consult, refer only when convenience max and controlled costs #aahpm

10:30 pm suzanakm: #aahpm Book club started this year. Republic of Suffering. Meeting this Saturdayover lunch.

10:30 pm suzanakm: #aahpm humanities award will go to Rachel Naomi Remen this year - she will bepresenting at Service of Rememberance.

10:31 pm erinrbreedlove: Feel like I could learn A LOT from the free Twitter lessons. #aahpm

10:31 pm brimcmike: RT @suzanakm #aahpm Humanities SIG now Humanities & Spirituality SIG tomerge both areas of interest Meditation Space Room 201 #HPMAssembly

10:34 pm suzanakm: co-editors of JPSM on humanities: invitation to writers has been extended.currently by invitation only. #aahpm

10:34 pm brimcmike: RT @suzanakm: #aahpm humanities SIG: @ctsinclair Board wants to make agreater liaison with the SIGs http://arts.pallimed.org/ #HPMAssembly

10:35 pm HynesBeacon: Green Line fun: Take the T?s Green Line to Boylston to catch a flick at AMCLoews Boston Common. #AAHPM

10:41 pm ctsinclair: Gotta go to the Bruins game! #aahpm

10:42 pm suzanakm: @ctsinclair enjoy the Bruins! cheer loudly!! #aahpm

10:47 pm suzanakm: 9 of the SIGs will have slots for symposium. In future, talks will need formalapproval by SIG leadership to be submitted that way. #aahpm

10:57 pm suzanakm: #AAHPM Humanities SIG soliciting nominees for next year's award in humanities.

11:03 pm suzanakm: #AAHPM medical humanities - could the humanities awardee become an "artist inresidence" for the humanities SIG?

11:04 pm suzanakm: #aahpm humanities SIG - interest in topic on using medical humanities to teachskills to students... nursing, medical, chaplain, etc.

11:05 pm suzanakm: #aahpm humanities SIG: interest topics - editorial opportunities, help with gettingliterature into medical journals...

11:06 pm suzanakm: medical humanities sig new member interests: Chaplain seeking a place to find ahome in #AAHPM through the SIG.

11:07 pm erinrbreedlove: Can someone define "medical humanities" for me? #aahpm

11:10 pm suzanakm: #AAHPM - in both the study of humanities and palliative care there is the searchfor meaning...

11:14 pm suzanakm: @brimcmike proposes a show, a means to present the art and poetry of#AAHPM and #HPNA members - good idea!

11:19 pm suzanakm: #aahpm Humanities SIG - wish list: ongoing discussion re: books, movies,poems; integration of evidence & humanities in pall care.

11:45 pm marachne: very pleased w/my session today. Enjoyed the other RN presenter, pleased tohave a large audience, and felt I did a pretty good job. #aahpm

March 5, 2010

12:05 am drosielle: #AAHPM LVAD talk invigorating: pall care concurrent w LVAD decision. This isthe future of pall care.

12:31 am tymeyer: just saw Val Kilmer in restaurant #AAHPM

12:35 am HynesBeacon: Want to try Vietnamese, Chinese or Malaysian food? Boston?s Chinatown has allthat and more http://bit.ly/XcfaV #AAHPM

12:36 am HospiScript: Become a fan on Facebook of the Palliative Care Consultant Text Book:www.facebook.com/pallcare.hospice #AAHPM; #HPMAssembly; #hospice

12:43 am erinrbreedlove: If you all at the #aahpm conference have some time, you might enjoy the story of@LaylaGrace. http://bit.ly/9jdGFm #hospice #palliative


13 of 33 3/15/2010 12:07 AM

12:55 am HospiScript: Thanks to everyone for stopping by our booth here at the AAHPM Meeting. If youhaven't, stop by and see us! We're at booth #414 #AAHPM

1:54 am ctsinclair: RT @tymeyer: just saw Val Kilmer in restaurant #AAHPM COOL!!

1:55 am ctsinclair: http://twitpic.com/16njgn - At the #bruins - #leafs game. Bruins up 2-1 end of 2nd.Good times with @pallimed fans. #aahpm

2:23 am ctsinclair: Just saw Cameron Muir on the jumbotron at the Bruins game. Dancing!? #aahpm

3:07 am marachne: I love my hotel, The Lenox. Walked back in the wind and rain to be greeted with"would you like some hot chocolate and cookies?" #aahpm

4:09 am ctsinclair: Some interesting Tweet Stats from last 3 days of #HPMAssembly 345 Tweetsfrom 53 contributors. Good job Twitter Army! #aahpm

4:10 am ctsinclair: RT @drosielle: #AAHPM LVAD talk invigorating: pall care concurrent w LVADdecision. This is the future of pall care. #aahpm

4:11 am ctsinclair: @marachne Your Hotel does sound awesome! #aahpm

4:17 am ctsinclair: RT @suzanakm: #AAHPM Humanities SIG soliciting nominees for next yearsaward in humanities. I nominate @DCFC Death Cab For Cutie #aahpm

4:23 am ctsinclair: Hey @drosielle you might want to start following this blog from @LVADonewww.FromTheBottomOfMyLvad.blogspot.com #AAHPM

4:26 am ctsinclair: Would love to blog on all things #HPMAssembly, but just too tired and must getup at 0615 for 0700 talk on Social Media #HCSM #aahpm

4:28 am ctsinclair: @lprscp1You will have to fill me on the PIT-SIG meeting. Bruins win in shootoutovertime #AAHPM

5:50 am HynesBeacon: Green Line fun: Take the T?s Green Line to Science Park to visit Boston?sMuseum of Science. #AAHPM

6:18 am erinrbreedlove: @ctsinclair Is the music presentation on SlideShare yet? Will it be? Would love toreference it for some of my research! #aahpm

11:16 am brimcmike: On the "T" commuting in to Blog-Star Panel on Social Media In #Palliative Caresession 7AM Room 206 #aahpm #HPMAssembly #hcsm #hospice

11:59 am brimcmike: At Social Media In #Palliative Care session in Boston-fashion there's Dunkin'Donuts® #aahpm #HPMAssembly #hcsm #hospice

12:01 pm Dougtx: Go Global with Liebert Mobile! Learn more @ Booth#214www.liebertpub.com/iphone #AAHPM

12:01 pm Dougtx: @ #AAHPM? Enter to win an MP4, i-tune or amazon gift card- stop by booth #214- Mary Ann Liebert, Inc.

12:01 pm socialmedia247: At Social Media In #Palliative Care session in Boston-fashion there's Dunkin'Donuts® #aahpm #HPMAssem... http://bit.ly/aNAwH8 #socialmedia

12:07 pm suzanakm: #aahpm social media in palliative care meeting: I'm sitting at table with Geripal,Pallimed, Pallimed Arts bloggers! About 75 people here!

12:08 pm digital_consult: At Social Media In #Palliative Care session in Boston-fashion there's Dunkin'Donuts® #aahpm #HPMAssembly #hcsm #h... http://bit.ly/c8ZXSp

12:09 pm suzanakm: #aahpm #hcsm - Reason to blog about palliative care: "Sara Palin writing aboutdeath panels on facebook"

12:09 pm suzanakm: #aahpm #hcsm - reason to blog and use social media - to network with others inthe field, exchange ideas.

12:11 pm brimcmike: RT @suzanakm #aahpm #hcsm #HPMAssembly - Reason to blog aboutpalliative care: "Sara Palin writing about death panels on facebook"

12:13 pm suzanakm: #hcsm - #1 concern for #aahpm community surveyed about sm: privacy issues -patients/families, from private people on the web.

12:14 pm suzanakm: #aahpm #hcsm - putting your name out there is important - transparency ofmembers helps build the network.


14 of 33 3/15/2010 12:07 AM

12:16 pm suzanakm: #aahpm #hcsm: Concerns from audience: Palliative care physician already works60 hrs a week, why should I add more hrs to day w/ blogs?

12:16 pm suzanakm: #aahpm #hcsm: Interest in research in power of social media for palliative care

12:18 pm suzanakm: #aahpm #hcsm: audience concern about sm: "I get overwhelmed by email, howdo I prevent getting overwhelmed by twitter?"

12:19 pm brimcmike: At Social Media in #Palliative Care session one :) concern about using socialmedia http://bit.ly/cRj6VO #aahpm #HPMAssembly #hcsm #hospice

12:19 pm suzanakm: #aahpm #hcsm: audience concern: online distractions seem to easy - how do Iavoid getting "addicted" by facebook, twitter friends?

12:20 pm suzanakm: RT @brimcmike: At Social Media in #Palliative Care session one :) concern aboutusing social media http://bit.ly/cRj6VO #aahpm #hcsm

12:24 pm suzanakm: @brimcmike Thanks for tweeting the social media meeting! #Palliative #aahpm#HPMAssembly #hcsm #hospice

12:25 pm suzanakm: #aahpm #hcsm - "Connected" by N. Christakis - highly recommended book aboutconnectivity, online and off.

12:25 pm brimcmike: RT @suzanakm #aahpm #hcsm #HPMAssembly Q. how do I avoid getting"addicted" by facebook twitter friends? A. It's more of a pseudo-Addiction

12:25 pm ozmosis: Agreed! RT: @suzanakm #aahpm #hcsm - putting your name out there isimportant - transparency of members helps build the network.

12:26 pm brimcmike: RT @suzanakm: #aahpm #hcsm: audience concern about sm: "I getoverwhelmed by email, how do I prevent getting overwhelmed by twitter?"

12:26 pm Clarksondoc: RT @suzanakm: #aahpm social media in palliative care meeting: I'm with Geripal,Pallimed, Pallimed Arts bloggers! About 75 people here!

12:27 pm suzanakm: #aahpm #hcsm - @ctsinclair started blogging as a "solo" fellow - in order to beless isolated & to break through information heirarchy

12:27 pm jsperber: Session is packed! : RT @AAHPM Social media in palliative care communities,room 206 at 7 am #AAHPM #HPMAssembly

12:28 pm brimcmike: Social Media in #Palliative Care session @ctsinclair: Cause & Effect -> Power &Info Decentralization #aahpm #HPMAssembly #hcsm #hospice

12:28 pm suzanakm: #aahpm #hcsm - social media helps diverse information bypass traditionalbarriers to "getting ideas out there" - increases creativity

12:30 pm suzanakm: RT @brimcmike: Social Media in #Palliative Care session @ctsinclair: Cause &Effect -> Power & Info Decentralization #aahpm #hcsm #hospice

12:30 pm brimcmike: At Social Media in #Palliative Care session @ctsinclair: Info Revolution à la AlvinToffler 3rd Wave #aahpm #HPMAssembly #hcsm #hospice

12:33 pm brimcmike: At Social Media in #Palliative Care session: Now publish in Beta for editingInstead of edit then publish #aahpm #HPMAssembly #hcsm #hospice

12:36 pm brimcmike: At Social Media in #Palliative Care session: Facebook population greater thanU.S. population #aahpm #HPMAssembly #hcsm #hospice

12:37 pm suzanakm: #aahpm Social Media meeting: @ctsinclair - Metcalf's law- power of a network isonly as powerful as the activity & size of its members #hcsm

12:39 pm brimcmike: Social Media in #Palliative Care session @ctsinclair: Power of a Network is aFunction of the # of users #aahpm #HPMAssembly #hcsm #hospice

12:41 pm suzanakm: #aahpm - 6 degrees of separation from Kevin Bacon is not pase - its now 3degrees from @ctsinclair

12:47 pm brimcmike: Social Media in #Palliative Care @ctsinclair: SM assists in appropriate policyinfluence earlier & faster #aahpm #HPMAssembly #hcsm #hospice

12:47 pm suzanakm: @ctsinclair calls for a social media strategy for #AAHPM and our affiliatedjournals


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12:49 pm brimcmike: Social Media in #Palliative Care session Perfection is the enemy of good enoughin SM #aahpm #HPMAssembly #hcsm #hospice

12:49 pm suzanakm: #aahpm #hcsm - Perfection is the enemy of effectiveness in social media - its avery different organism from a research publication

12:51 pm brimcmike: Social Media in #Palliative Care session Individual participation not obligatory inSM #aahpm #HPMAssembly #hcsm #hospice

12:51 pm suzanakm: #aahpm #hcsm - while social media is not obligatory (like email) it is ourresponsibility - our presence counters misinformation online

12:52 pm brimcmike: Social Media in #Palliative Care session Community engagement IS necessary inSM #aahpm #HPMAssembly #hcsm #hospice

12:57 pm drosielle: #AAHPM Widera just called tweeting the butt of all jokes at soc media panel. Hedidn't mean it.

12:58 pm suzanakm: @ewidera is demonstrating the degress of separation from @dianeemeierdemonstrating power of twitter #aahpm #hcsm

1:00 pm brimcmike: Social Media in #Palliative Care Session: Online Presence: Connect, Follow,Comment, Tweet, Blog #aahpm #HPMAssembly #hcsm #hospice

1:00 pm suzanakm: RT @brimcmike: Social Media in #Palliative Care Session: Online Presence:Connect, Follow, Comment, Tweet, Blog #aahpm #hcsm #hospice

1:03 pm suzanakm: #aahpm social media in palliative care: every month palliative care grand roundsis posted on a different blog.

1:05 pm suzanakm: #AAHPM social media in palliative: @ewidera participation helps create a voicethat allows us to correct misinformation, share good info

1:07 pm brimcmike: Social Media in #Palliative Care Session: GeriPal/Pallimed Gathering Tonight @ 8p.m. Lir Irish Pub across the street #aahpm #hcsm #hospice

1:13 pm brimcmike: Social Media in #Palliative Care Session: @suzanakm Movement Web 1.0Static/Unidirectional->Web 2.0 Dynamic/Engagement #aahpm #hcsm #hospice

1:15 pm ozmosis: Engagement is key RT @brimcmike: Social Media in #Palliative Care sessionCommunity engagement IS necessary in SM #aahpm #HPMAssembly #hcsm

1:49 pm marachne: Joan Lunny honored - her trajectory work is so important. #AAHPM#hpmassembly

1:52 pm marachne: very interested in speaker Grassman - b/c of interest in PTSD. #AAHPM#hpmassembly

1:55 pm lyfe20: #aahpm energized by social media presentation. Dusting off the ole twitteraccount.

1:56 pm marachne: Stoicism & trauma. Cohort effects: WWII vs. Later conflicts. #AAHPM#hpmassembly

2:01 pm marachne: PTSD risk increases if you have killed. #AAHPM

2:04 pm brimcmike: Wounded Warriors Deborah Grassman http://deborahgrassman.com VeteransTrauma & Redemption in #Hospice & #Palliative Care #aahpm #HPMAssembly

2:08 pm ctsinclair: RT @lprscp1 need to create a safe space for patient vet- then LISTEN!!#AAHPM

2:08 pm HP_News: #AAHPM attendees, have you seen HP?s newest edition of the MUGs? Stop bybooth 305 in the expo hall today to review a sample copy!

2:10 pm ctsinclair: RT @brimcmike: Wounded Warriors Deborah Grassmanhttp://deborahgrassman.com Veterans Trauma & Redemption in #Hospice &#Palliative #aahpm

2:10 pm marachne: PTSD does not exist in a vaccum - impact on family. Can't force stories but mustmake space for them. #AAHPM

2:11 pm ctsinclair: Hey it is Friday at the #HPMAssembly will be tweeting from the conf andappreciate any retweets to the wider community #hcsm #hospice #aahpm


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2:12 pm ctsinclair: And I appreciate all the RT over the past few days! Keep up the good work#hospice advocates on Twitter! #aahpm

2:13 pm ctsinclair: RT @lyfe20: #aahpm energized by social media presentation. Dusting off the oletwitter account. "Woo-hoo!" #aahpm

2:14 pm ctsinclair: RT @marachne: #PTSD does not exist in a vaccum - impact on family. Cant forcestories but must make space for them. #aahpm

2:15 pm AmandaChanguris: RT @ctsinclair: RT @marachne: #PTSD does not exist in a vaccum - impact onfamily. Cant force stories but must make space for them. #aahpm

2:16 pm brimcmike: Wounded Warriors Deborah Grassman http://deborahgrassman.com VeteransTrauma & Redemption in #Hospice & #Palliative #aahpm #PTSD

2:16 pm ctsinclair: @lprscp1 Make sure to use #AAHPM hashtag on your tweets so they get spreadfaster.

2:18 pm ctsinclair: #FF rec #AAHPM super doctor tweeters: @brimcmike @suzanakm @AAHPM@doclake @equijada @mchwistek @gcooneymd @dianeEMeier @drosielle@lyfe20

2:20 pm marachne: is the person with subclinical PTSD the most challenging? #AAHPM

2:20 pm drdaleschultz: RT @Dougtx: @ #AAHPM? Enter to win an MP4, i-tune or amazon gift card- stopby booth #214 - Mary Ann Liebert, Inc.

2:22 pm ctsinclair: RT @suzanakm: #hcsm - while socmedia is not obligatory (like email) it is ourresponsibility - our presence counters misinformation #aahpm

2:24 pm equijada: Tweeting about #branding during #PTSD gives me a bit of guilt but recognizing itprevents #burnout #aahpm

2:24 pm ctsinclair: @amFIX At at talk with Deborah Grassman of Wounded Warriors listening about#PTSD in #hospice and palliative care right now #AAHPM

2:26 pm equijada: Branding should be done bottom up but our business model is top down. #WTF#somethingsgottagive #aahpm

2:27 pm ctsinclair: @rlbates Any help to spread any tweets from #AAHPM would be muchappreciated. Thanks! You have been a good advocate for palliative care!

2:28 pm marachne: Honest words - people w/#PTSD can be challenging to work with - but can berewarding in my experience. #AAHPM

2:28 pm lyfe20: #aahpm asian race of hcp may exacerbate #ptsd sx for some ww2 and vietnamvets. Interesting dilemma.

2:32 pm equijada: The solidarity of suffering always makes me cry. #aahpm

2:32 pm GeriPalBlog: Standing room only for the Social Media in Palliative Care Communities at#AAHPM - go palliative care bloggers!

2:33 pm lyfe20: #aahpm it occurs to me that #ptsd issues at end of life extend well beyond vets.Need to be more senstive about them.

2:34 pm marachne: Yes! #PTSD EOL symptoms not just terminal delirium. #AAHPM

2:34 pm equijada: http://twitpic.com/16qqyk - Thank you. #aahpm #ptsd

2:35 pm erinrbreedlove: #aahpm #FF @ctsinclair @brimcmike @doclake @suzanakm

2:36 pm ctsinclair: Powerful video montage about #Veterans and active duty military. Second plenaryin a row that made me cry a little. #aahpm

2:39 pm ctsinclair: Dr. Aaron Gilson US Program of Pain and Policy talking about: #REMS for longacting opioid analgesics #publichealth #pharma #aahpm

2:39 pm marachne: @lyfe20 re others involved w/#PTSD - yes family, but also other kinds PTSD -DV, refugees etc. #AAHPM

2:40 pm ctsinclair: "Really I'm a policy geek, but being mic'd I was told I am going from geek to arock star." - Gilson #aahpm


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2:40 pm lyfe20: RT @suzanakm: "#hcsm - while socmedia is not obligatory it is our responsibility -our presence counters misinformation. #aahpm" compelling.

2:41 pm ctsinclair: Hey @shwen @pharmaguy at a talk at #AAHPM on #REMS for opioids if youwant some leads.

2:42 pm ctsinclair: Ack! hard to read graph slides for ballroom presentation....maybe the slides needto be vetted #aahpm

2:43 pm ctsinclair: I love that Gilson is saying opioids instead of narcotics. He is a smart man.#aahpm

2:44 pm ctsinclair: Use of opioids has doubled but abuse has been relatively stable - Gilson #aahpm

2:44 pm doclake: thankfully Aaron Gilson using term "opiate" and not "narcotic" #aahpm

2:45 pm equijada: RT @ctsinclair: Use of opioids has doubled but abuse has been relatively stable -Gilson #aahpm Not true!

2:45 pm ctsinclair: RT @doclake: thankfully Aaron Gilson using term "opiate" and not "narcotic" >"jinx!" #aahpm

2:47 pm ctsinclair: #REMS = Risk Evaluation and Mitigation Strategy ; mostly education in drughandouts...until 2009 #aahpm

2:48 pm doclake: Finally speaker defines REMS (risk evaluation and mitigation strategy)-I thought Iwas just slow #aahpm

2:48 pm ctsinclair: Those interested in #FDA and #Pharma regulation (i.e #REMS ) might beinterested in following #AAHPM this AM.

2:50 pm ctsinclair: Tough to attribute outcome to specific #REMS actions given complexity andvolume of opioid prescribing #aahpm

2:50 pm HynesBeacon: Download the free myHynes iPhone/iPod Touch app from the App Store tonavigate Boston and network with fellow attendees #AAHPM

2:52 pm laikas: those interested in Hospice and Palliative Medicine follow conf #aahpm:http://wthashtag.com/Aahpm (via @ctsinclair )

2:53 pm brimcmike: Deborah Grassman http://deborahgrassman.com Recognized #Veterans &Those w/Loved Ones Serving. Stood both times. #aahpm #PTSD HPMAssembly

2:53 pm rlbates: RT @laikas those interested in Hospice and Palliative Medicine follow conf#aahpm: http://wthashtag.com/Aahpm (via @ctsinclair )

2:53 pm pharmaguy: @ctsinclair I am interested in convergence of drug safety commun, pat support,and SM if any such topic is discussed. #AAHPM #REMS #fdaSM

2:54 pm ctsinclair: @drshock If you can retweet anything from #AAHPM or encourage people tofollow along, that would be much appreciated.

2:54 pm doclake: seems like REMS is perfect example of Law of Unintended Consequenceshttp://bit.ly/alDewf #aahpm

2:55 pm ctsinclair: RT @doclake: seems like REMS is perfect example of Law of UnintendedConsequences http://bit.ly/alDewf #aahpm

2:55 pm mkmackey: RT @rlbates: @laikas those interested in Hospice & Palliative Medicine followconf #aahpm: http://wthashtag.com/Aahpm via @ctsinclair

2:56 pm jodyms: RT @mkmackey: RT @rlbates: @laikas those interested in Hospice & PalliativeMedicine follow conf #aahpm: http://wthashtag.com/Aahpm via @ctsinclair

2:56 pm lyfe20: #aahpm assumption that #rems would decrease amt of opioid abuse notproven-many other ave for people to get opioids besides Rx.

2:56 pm ctsinclair: Opioid #REMS scorecard: inevitable? Yes; Justified: Unsure; Sufficient: No#aahpm

2:57 pm equijada: Lots of people leaving talk. #aahpm NEED to recognize that opioids and abuseare related. Don't turn blind eye to our population.

2:57 pm ctsinclair: Voice your ideas on #FDA #Opioid #REMS FDA-2009-N-0143-1061 onwww.regulations.gov (save comment in Word first!) #aahpm


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2:58 pm ctsinclair: RT @equijada: Lots of people leaving talk. #aahpm NEED to recognize thatopioids and abuse are related. "Very surprising!" #aahpm

2:58 pm brimcmike: RT @ctsinclair Powerful video montage about #Veterans & Active Duty Military#aahpm #HPMAssembly #PTSD http://deborahgrassman.com

3:00 pm rlbates: RT @ctsinclair Voice your ideas on #FDA #Opioid #REMS FDA-2009-N-0143-1061 on www.regulations.gov (save comment in Word first!) #aahpm

3:02 pm laikas: RT @rlbates @ctsinclair Voice yr ideas on #FDA #Opioid #REMS FDA-2009-N-0143-1061 on http://is.gd/9KMda (save comment in wrd 1st!) #aahpm

3:03 pm Clarksondoc: RT @ctsinclair: Voice your ideas on #FDA #Opioid #REMS FDA-2009-N-0143-1061 on www.regulations.gov (save comment in Word first!) #aahpm

3:03 pm shwen: @ctsinclair Thx for the heads-up on @pharmaguy at #AAHPM. Err... opioidleads? I'm staying away from those nowdays, TYVM ;-)!

3:13 pm DianaSebzda: RT @ctsinclair Those interested in #FDA and #Pharma regulation (i.e #REMS )might be interested in following #AAHPM this AM.

3:17 pm DianaSebzda: Proud of all of u! RT @GeriPalBlog Standing room only 4 Social Media inPalliative Care Communities at #AAHPM - go palliative care bloggers!

3:39 pm philbaumann: Pharma's Social Media Onion - http://bit.ly/b0YKny #pharma #hcsmeu #aahpm

3:47 pm mchwistek: RT @DianaSebzda: Proud of all of u! RT @GeriPalBlog Standing room only 4Social Media in Palliative Care Communities at #AAHPM - go palliative carebloggers!

3:48 pm mchwistek: RT @ctsinclair: Opioid #REMS scorecard: inevitable? Yes; Justified: Unsure;Sufficient: No #aahpm

3:48 pm mchwistek: RT @doclake: seems like REMS is perfect example of Law of UnintendedConsequences http://bit.ly/alDewf #aahpm

3:53 pm doclake: in COPD lecture-24 million in US c disease, 1 million ED visits, 638K hospitaldischarges as primary dx, $37.2 billion total cost #aahpm

3:54 pm doclake: COPD 1 in 5 will be readmitted within 2 weeks of hospital discharge #aahpm

3:56 pm doclake: only 15% of patients c severe COPD have discussed intubation c MD #aahpm

4:00 pm tymeyer: no clear evidence that ABH absorbed cutaneously #hpmassembly #aahpm

4:03 pm ctsinclair: At non-verbal communication talk from @HPMLead Faculty VJ Periyakoil from@Stanford Good talk so far! #AAHPM

4:05 pm brimcmike: RT @doclake: only 15% of patients w/severe COPD have discussed intubationw/MD #aahpm #HPMAssembly

4:05 pm ewidera: RT @doclake: COPD 1 in 5 will be readmitted within 2 weeks of hospitaldischarge #aahpm

4:06 pm ctsinclair: VJ Periakoil's twitter handle @palliator I wonder if she got that from my@Pallimed post with @drosielle http://bit.ly/cn98p8 #AAHPM

4:07 pm DrVes: Follow American Academy of Hospice and Palliative Medicine (AAHPM) AnnualAssembly with #aahpm (click to see the tweets) via @ctsinclair

4:07 pm ctsinclair: Good communication exercise: Leave a voicemail for yourself like you might talkto a patient. Hard to do per @palliator #AAHPM

4:09 pm ctsinclair: @DrVes Awesome. many thanks for the tweet about #AAHPM

4:09 pm ginamcnaughton: RT @DrVes: Follow American Academy of Hospice and Palliative Medicine(AAHPM) Annual Assembly with #aahpm (click to see the tweets) via @ctsinclair

4:11 pm johnmulder: No evidence to suggest that transdermal gel should work for nausea. Was alwaysskeptical, despite what hospice nurses assert. #AAHPM.

4:11 pm rlbates: RT @ctsinclair Good communication exercise: Leave voicemail for yourself likeyou might talk to a patient. Hard to do per @palliator #AAHPM


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4:11 pm ctsinclair: @shwen Leads on the REMS process not leads on getting opioids! Thx for theclarification! #AAHPM

4:13 pm ginamcnaughton: RT @ctsinclair: Good communication exercise: Leave a voicemail for yourselflike you might talk to a patient. Hard to do per @palliator #AAHPM

4:13 pm Clarksondoc: In dbl blind, randomized study- topical morphine had zero bioavailability. NOT acandidate for transdermal admin. #aahpm

4:13 pm ctsinclair: RT @AmandaChanguris @changurisphoto can I quote U on #PTSD thing aboutthe vacuum "Quote from Deb Grossman Wounded Warriors program" #AAHPM

4:13 pm drosielle: #AAHPM. Fellows case conf: importance of *assent* for burdensomeinterventions for the seriously mentally ill.

4:14 pm SWHPN: SWHPN Precon was a success! Members will be able to download slides &audio at http://bit.ly/ax5HXx #AAHPM #HPMAssembly

4:14 pm ctsinclair: Kinesics: non-verbal behavior related to movement. Tremendous culturalvariability. Think the 'V' sign in US vs. UK - Periakoil #aahpm

4:14 pm johnmulder: Transdermal MS not effective. No reason to pharmacodynamically suspect that itshould be. #AAHPM.

4:16 pm ctsinclair: Cool slide showing non-verbal comm. Series of pics without audio of fam conf.Title on slide: every BODY is talking - Periakoil #aahpm

4:16 pm ctsinclair: RT @johnmulder: Transdermal MS not effective. No reason topharmacodynamically suspect that it should be. "Hallelujah, amen!" #aahpm

4:16 pm ctsinclair: RT @SWHPN: SWHPN Precon was a success! Members d/l slides & audio athttp://bit.ly/ax5HXx "Congrats!" #HPMAssembly #aahpm

4:19 pm ctsinclair: New word to me: Oculesics: the study of eye contact; Maybe a good idea for blogpostingon @Pallimed #aahpm

4:20 pm ctsinclair: Ed Hall Proxemic Reaction Bubble; Intimate space: 2ft; Personal Space: 4ft;Social space: 12 ft; public space: 25 ft. #aahpm

4:22 pm ctsinclair: Thanks @ozmosis for the RT from #aahpm

4:25 pm ctsinclair: When intimate space must be invaded, then 'professionalize': inform, seekpermission, ritual draping, describe findings #medicine #aahpm

4:26 pm ctsinclair: Non-verbal comm also involves artifacts: clothes, jewelry, piercings, objects youare holding. Provides commonality & differences #aahpm

4:27 pm ctsinclair: Consider intentional display vs. non-intentional leak of the artifacts you wear/hold.should you wear a white coat? or maybe when? #aahpm

4:28 pm ctsinclair: Patients and families also have their artifacts: de-personalized patients withmedical gown, ID band #aahpm

4:29 pm HP_News: Exhibit hall closes at 12:30! Last chance to enter our drawing for an AmazonKindle! Visit HP at #AAHPM booth 305 to find out how.

4:32 pm ctsinclair: Another cool presentation technique: show video on doctor-patient comm, thentake out the audio. Then comment on non-verbal styles. #aahpm

4:34 pm ctsinclair: Non-verbal communication more than body posture. Also consider: olfactory,tactile, and time related (chronemic - another new word!) #aahpm

4:34 pm doclake: Don't you hate these people that talk to you they talk into your mouth like you're aclown at a drive-through?-Seinfeld on proxemics #aahpm

4:35 pm Clarksondoc: Baclofen, Amitriptyline, ketamine gel WAS shown to be effective for pain & motorfnx in chemo induced neuropathy over placebo. #aahpm

4:36 pm ctsinclair: Heslin-1974 Classifying Haptics (touch) 1. functional/professional, 2 social/polite,3 friendship/warmth, 4. love/intimacy 5. sexual #aahpm

4:40 pm amednews: RT @ctsinclair Voice your ideas on #FDA #Opioid #REMS FDA-2009-N-0143-1061 on www.regulations.gov (save comment in Word first!) #aahpm


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4:40 pm ctsinclair: RT @johnmulder: No evidence 2 suggest transdermal gel works for nausea. Wasalways skeptical, despite what hospice nurses assert. #aahpm

4:43 pm ozmosis: @ctsinclair @donseamons - happy to help, thanks for sharing all the insights onPalliative Medicine from #aahpm

4:44 pm doclake: Sometimes a guy will give you a strong grip, late release, and pull you in for thetoo close conversation. Seinfeld on haptics #aahpm

4:45 pm HynesBeacon: Find restaurants, hotels, and merchants within walking distance of the Hynes in?Nearby? on myHynes iPhone/iPod Touch app #AAHPM

4:46 pm whydotpharma: RT @philbaumann: Pharma's Social Media Onion - http://bit.ly/b0YKny #pharma#hcsmeu #aahpm

4:58 pm ctsinclair: @tymeyer Why watch out 4 methylnaltrexone in whole brain XRT? Details please.#aahpm

5:00 pm ipodmeetcar: RT @HynesBeacon: Find restaurants, hotels, and merchants within walkingdistance of the Hynes in ?Nearby? on myHynes iPhone/iPod Touch app #AAHPM

5:03 pm amednews: RT @ctsinclair cool presentation technique: show video on doctor-patient comm,take out the audio. Comment on non-verbal styles. #aahpm

5:13 pm ctsinclair: At @AAHPM business meeting - 4000+ members continued year to year growth!#aahpm

5:15 pm suzanakm: #aahpm business meeting: LEAD - training the future of our palliative careleadership, finished it first year of training.

5:15 pm ctsinclair: @philbaumann thanks for the tweet on #AAHPM

5:17 pm suzanakm: #AAHPM business meeting: recognizes the need for increased e-learningopportunities for people interested in #palliative care.

5:27 pm ctsinclair: Continuing Key Collaboration with @AAMCtoday, CMSS, @AmerGeriatrics,@AmerMedicalAssn @AAPnews, ICPC, @NHPCO_News, CAPC #aahpm

5:29 pm suzanakm: RT @ctsinclair: Continuing Key Collaboration w/ @AAMCtoday, CMSS,@AmerGeriatrics, @AmerMedicalAssn @AAPnews, ICPC, @NHPCO_News,CAPC #aahpm

5:30 pm suzanakm: #AAHPM b-meeting. Advocacy priorities: increase support for HPM training,funding for research, access to HPM services and meds.

5:34 pm ctsinclair: B-mtg @AAHPM able to keep revenues>expenses, increase fundbalance/reserves and expand programs over last 10y despite poor market.#aahpm

5:36 pm ctsinclair: And by market I meant poor economy. Also @AAHPM doing well despiteexpiration of many grants from past. #aahpm

5:37 pm mchwistek: @ctsinclair At @AAHPM business meeting - 4000+ members continued year toyear growth! #aahpm

5:39 pm ctsinclair: RT @DianaSebzda Wish I could hear Dr. Gilson's #REMS talk! Will you blogabout it? "Planning on it watch @Pallimed" #FDA #Pharma #aahpm

5:42 pm ctsinclair: Idea from crowd at @AAHPM b-meeting: licensing UNIPAC's and other contentto faculty so it can be affordable to learners/students #aahpm

5:43 pm ctsinclair: Surprise Presidential Citation Award to Steve Smith, CEO of AAHPM@ssmithaahpm and a standing ovation! Well-played! #aahpm

6:20 pm lou1237: Ed Hall Proxemic Reaction Bubble;Intimate space: 2ft; Personal Space: 4ft;Social space: 12 ft; public space: 25 ft.#aahpm (via @ctsinclair)

6:31 pm lou1237: When intimate space must be invaded, then 'professionalize' inform, seekpermission,ritual draping,describe findings #aahpm (via@ctsinclair)

6:46 pm philbaumann: @ctsinclair My pleasure! #AAHPM

6:50 pm HynesBeacon: Flu season is here! Find lots of great flu info and resources at http://ow.ly/VeqH.#AAHPM


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6:57 pm DrShock: RT @laikas: those interested in Hospice and Palliative Medicine follow conf#aahpm: http://wthashtag.com/Aahpm (via @ctsinclair )

6:58 pm DrShock: those interested in Hospice and Palliative Medicine follow conf #aahpm:http://wthashtag.com/Aahpm (via @ctsinclair )

6:59 pm lyfe20: #aahpm morrison in nutshell: most of medicine-treatment centered. Palliativemedicine-centered on goals of pt. Subtle but vital difference.

7:01 pm brimcmike: #Boston finally gets the weather right http://bit.ly/Z8v6D for #HPMAssembly#AAHPM Enjoy and remember your sunscreen!

7:11 pm lyfe20: #aahpm case: epidural opioid infusion may have adv over IT in some cases b/cyou can infuse larger amt of opioid near specific nerve root.

7:26 pm tymeyer: @drosielle abhr data at cutaneous treatment - session 403 #aahpm#hpmassembly

7:27 pm brimcmike: Language Matters: AND "Allow Natural Death" Orders more acceptable &orienting than DNR to caregivers of children @ EOL #aahpm #HPMAssembly

7:30 pm ctsinclair: In paper sessions "Knowledgeable or not: Nurse's comprehension in coreconcepts in palliative care" - C. Yanni from @quinnipiacUniv #aahpm

7:30 pm ctsinclair: Finally got a meeting with @DianeEMeier to give advanced Twitter lessons#aahpm

7:31 pm joannalchin: RT @whydotpharma: RT @philbaumann: Pharma's Social Media Onion -http://bit.ly/b0YKny #pharma #hcsmeu #aahpm

7:33 pm ctsinclair: RT @tymeyer MNTX appeared to cross bbb & cause abrupt reversal of analgesia& prompt opioid wdrwl. Need bbb for Relistor to work #aahpm

7:41 pm suzanakm: #AAHPM #SDHospice A. Vollrath's a great paper presentation on creativecomplexity-based interdisciplinary faculty development in #palliative

7:42 pm ctsinclair: Paper session: Sexual Health Assessment of Hospice Patients: An InternationalStudy by Marianne Matzo @Mmatzo #aahpm

7:44 pm ctsinclair: 81% of intl and 69% of US hospice nurses said their hospice org admission tooldoes not address patient sexual health via @mmatzo #aahpm

7:45 pm suzanakm: Interesting info from @tymeyer - caution w/ MNTX in pts w/ whole-brain Rdxsecondary to leaky BBB leads to abrupt analgesia reversal #AAHPM

7:45 pm ctsinclair: Sexuality in advanced illness not often discussed, but does impact QOL ofpatients and partner. #aahpm

7:46 pm ctsinclair: QOL sexual issues in advanced illness/hospice could be physical changes, bodyimage, inability to get an erection, lack of a partner #aahpm

7:48 pm suzanakm: @SDHospice's A. Vollrath presents innovative longitudinal interdiscipinary peermentorship for faculty development in #palliative #aahpm

7:51 pm suzanakm: A. Vollrath's project epitomizes #Complexity Concepts in organizational change,faculty development, adult learning #aahpm

7:54 pm suzanakm: A. Vollrath used interdisciplinary peer-mentoring, appreciative inquiry,self-emergent (self-designed projects) in palliative ed. #aahpm

7:56 pm ctsinclair: Unmet educational needs regarding sexual health in hospice nurses via@mmatzo #aahpm

7:58 pm ctsinclair: "No one has brought it (sexual health) up, therefore I will continue to assume thereare no problems" One hospice RN survey comment #aahpm

7:59 pm ctsinclair: Large need for better education, assessment/screening tools, and counselingcontent for hospice staff. via @mmatzo #aahpm

8:10 pm HynesBeacon: Airport, MBTA & traffic alerts are just one tap away on the myHynes iPhone/iPodTouch app. Find it in the App Store? it?s free! #AAHPM

8:18 pm ctsinclair: RT @brimcmike: Language Matters: AND "Allow Natural Death" Orders moreacceptable & orienting than DNR to caregivers of children @ EOL #aahpm#HPMAssembly


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8:24 pm tymeyer: existential suffering & palliative sedation seems promising talk in ABC room#hpmassembly #aahpm

8:24 pm lou1237: Paper session: Sexual Health Assessment of Hospice Patients: An InternationalStudy by Marianne Matzo @Mmatzo #aahpm (via @ctsinclair)

8:28 pm lou1237: Sexuality in advanced illness not often discussed, but does impact QOL ofpatients and partner. #aahpm (via @ctsinclair) FINALLY!!

8:32 pm lou1237: QOL sex. issues in adv. illness/hospice cld be physical changes,bodyimage,inability to get an erection,lack of partner #aahpm (@ctsinclair)

8:32 pm equijada: Listening to palliative sedation for existential suffering reminds me of Faust's"dying well" concept in context of family/patient #aahpm

8:37 pm DianeEMeier: This years' palliative med mtg boasts 2500 registrants #aahpm, suggests to methat the field has arrived, check out www.aahpm.org!

8:37 pm Freshwidow: RT @DianeEMeier: This years' palliative med mtg boasts 2500 registrants#aahpm, suggests to me that the field has arrived, check out www.aahpm.org!

8:38 pm doclake: in case you were wondering, warfarin inhibits c1 subunit of vit k epoxide reductase(in management of thromboembolic disease) #aahpm

8:39 pm DianeEMeier: RT @ctsinclair: Sexuality in advanced illness not often discussed, but doesimpact QOL of patients and partner. #aahpm

8:40 pm ewidera: Pain theater role playing to teaching pain communication at #aahpm educationalexchange

8:41 pm GeriPalBlog: RT @DianeEMeier: This years' palliative med mtg boasts 2500 registrants#aahpm, suggests to me that the field has arrived, check out...

8:45 pm doclake: warfarin-only benefit is that it is oral-# 1 drug as co-factor in death (deathcertificate review), #1 cause of ER visits #aahpm

8:45 pm ctsinclair: I need to remember to write my blog post for the new @AAHPM blog http://bit.ly/ctkG18 #AAHPM

8:47 pm ewidera: Human patient simulator for training in palliative medicine - who would have thunk?Educational exchange at #aahpm

8:50 pm HynesBeacon: Green Line fun: Take the T?s Green Line to Boylston to watch a play in Boston?sTheater District. #AAHPM

8:55 pm doclake: Wararin commandment "thou shall expect interaction if: any drug added, removedor modified, food intake changes, change in pt status #aahpm

9:14 pm ctsinclair: Does anyone know the time and location of the @HMSPallCare PCEP dinner? Ineed to RSVP. #aahpm

9:22 pm ctsinclair: RT @doclake: warfarin-only benefit is oral-# 1 drug as co-factor in death (deathcertificate review), #1 cause of ER visits #aahpm

9:34 pm ctsinclair: Great twitter lesson with @dmmcgrew @dspacl and @dianeEmeier They all leftenthusiastic and not intimidated. You can do it too! #aahpm

9:36 pm ctsinclair: RT @doclake: Warfarin commandment "thou shall expect interaction if: any drugadded/ removed/modified, intake chgs, change in status #aahpm

9:36 pm suzanakm: RT @GrowWellNow: used AI, mindfulness, reflective listening, self-careawareness, etc. in hospice counseling. FYI - Fabulous! #aahpm

9:38 pm ctsinclair: Now at @AAHPM Professionals in Training special interest group So manyresidents and fellows! #aahpm

9:41 pm ctsinclair: Med student/resident/fellows Check out the @AAHPM professionals in trainingSIG (PIT-SIG) Facebook page http://bit.ly/b45jtr #aahpm

9:43 pm ctsinclair: Had a good talk with the @HPNAinfo and @NHPCO_News staff about socialmedia strategies with @aahpm #aahpm

9:46 pm suzanakm: RT @ctsinclair: Check out the @AAHPM professionals in training SIG (PIT-SIG)Facebook page http://bit.ly/b45jtr #aahpm


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9:49 pm rlbates: RT @ctsinclair Med student/resident/fellows Check out @AAHPM professionalsin training SIG (PIT-SIG) FB page http://bit.ly/b45jtr #aahpm

9:51 pm suzanakm: #AAHPM Fellowship Program Directors SIG - upcoming grants for innovativeeducation initiatives for #palliative care training.

9:53 pm ctsinclair: Sorry @dmmcgrew I talked to @suzanakm and she does not have an iphone#aahpm

10:00 pm ctsinclair: Theme to the professionals in training SIG: "We are the future" #aahpm

10:01 pm ctsinclair: RT @equijada @ctsinclair @dmmcgrew TweetDeck "Thanks! Glad I repliedpublicly and not in email. Crowdsourcing at work" #AAHPM

10:06 pm ctsinclair: Topic in PIT-SIG: How do I explain my interest in palliative care as a student orresident? #aahpm

10:09 pm gcooneymd: @ctsinclair Can you write a blog post on the anti-coagulation lecture? I had tomiss it :(( #AAHPM

10:13 pm tymeyer: @ctsinclair I was stuck by Dr. Meier's def of PC "matching treatments with ptprefs" #aahpm

10:14 pm ctsinclair: RT @gcooneymd: @ctsinclair Can U write a post on the anti-coagulation lecture?had to miss it :(( "@doclake should; he went not me." #aahpm

10:15 pm achatburn: RT @ctsinclair: Topic in PIT-SIG: How do I explain my interest in palliative careas a student or resident? #aahpm ... Practice!

10:16 pm HPNAinfo: RT @DianeEMeier: This years' palliative med mtg boasts 2500 registrants#aahpm, suggests to me that the field has arrived, check out www.aahpm.org!

10:24 pm ewidera: @tymeyer pall care simulators are fun but Lir pub tonight at 8 will be a lot morefun! #aahpm

10:50 pm HynesBeacon: Get more than eggrolls at one of many Chinatown restaurants. http://bit.ly/XcfaV#AAHPM

10:57 pm brimcmike: Trillium choral group from VT performs for people w/life-limiting illness signing @#AAHPM Service of Remembrance & Celebration #HPMAssembly

11:01 pm erinrbreedlove: Would love to know this! RT @ctsinclair: Topic in PIT-SIG: How do I explain myinterest in palliative care as a student or resident? #aahpm

11:04 pm erinrbreedlove: RT @brimcmike: Trillium choral group from VT performs for people w/life-limitingillness signing @ #AAHPM Service (cont) http://tl.gd/e0ise

11:08 pm brimcmike: Trillium choral group from VT performs for people w/life-limiting illness http://bit.ly/dwKTHM #AAHPM #HPMAssembly #hospice #palliative

11:39 pm BradHStuart: Check Kaiser Health News. http://bit.ly/bhF6tb They're channeling us. #aahpm

11:58 pm BradHStuart: ...and furthermore. Strangely similar to a case presented by Bud Hammes today.No POLST, ow. http://bit.ly/byVUv0 #aahpm

March 6, 2010

12:15 am brimcmike: Rachel Naomi Remen: The Heart is an Organ of Vision, Closing It Makes itImpossible to Find Meaning #AAHPM #HPMAssembly #hospice #palliative

12:32 am SaintsCWI: RT: @DianeEMeier This years' palliative med mtg boasts 2500 registrants#aahpm, suggests to me that the field has arrived, www.aahpm.org!

12:50 am HynesBeacon: Green Line fun: Take the T?s Green Line to Arlington for a laidback bar and grilldinner at Fire + Ice. #AAHPM

1:43 am ctsinclair: Just met @lubbockmedpeds at @pallimed party. This is fun #aahpm

2:16 am tippyfandango: #aahpm has treated me well, even though I am not medical. # FF@lubbockmedpeds (jeremy).

2:17 am LubbockMedPeds: Enjoying a Guinness at @Pallimed party. First one in a LONG time. #aahpm


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2:21 am Daniel_Spurgeon: RT @ctsinclair: Sexuality in advanced illness not often discussed, but doesimpact QOL of patients and partner. #aahpm

2:55 am johnmulder: Great meal, great evening with great #AAHPM colleagues. Wonderful group wehave!

3:13 am lfettig: Happy to be home in #Indy w/ my family & sad to miss @Pallimed / @Geripalouting tonight & the last day of #aahpm . Pour one out for me....

3:23 am lfettig: #AAHPM reference re: possibility that Intrathecal meds don't diffuse in CSF aswell as assumed. (see eariler tweet) http://bit.ly/dnKWGU

3:44 am ssmithaahpm: Another great day at Assembly. Reflecting on Wonded Warrior presentation andService of Remerbrance. Truly inspiring. #HPMAssembly #AAHPM

3:56 am drpippa: Got to meet @ctsinclair and death club for cutie at @pallimed party. Greatconversation and new friends made. See you in Vancouver! #aahpm

4:08 am brimcmike: @Pallimed / @GeriPal outing was great - Thanks for great hospitality w/goodfood, pub w/good pints & great company #AAHPM #HPMAssembly

4:29 am erinrbreedlove: @brimcmike I wish I could have been there! What was your favorite talk? #aahpm

4:53 am doclake: RT @brimcmike: @Pallimed / @GeriPal outing was great - Thanks for greathospitality w/good food, pub w/good pints & great company #AAHPM

5:23 am suzanakm: RT @brimcmike @Pallimed / @GeriPal outing was great - Thanks for greathospitality w/good food, pub w/good pints great company #AAHPM

5:26 am ewidera: Thanks for everyone who came out to the @Pallimed / @GeriPalblog party at#AAHPM. You Rock!

12:45 pm achatburn: Ethics SIG #aahpm: on-line communication as the solution to SIG continuity.

1:06 pm achatburn: Just friended #aahpm ethics SIG on facebook

1:22 pm pvillars: RT @GeriPalBlog: RT @DianeEMeier: This years' palliative med mtg boasts2500 registrants #aahpm, suggests to me that the field has arrived, check out...

1:24 pm hospice_doctor: #aahpm good mtg but still amazes me how many people can't design slides thatare readable in large lecture halls. Banish black backgrounds!

1:42 pm ctsinclair: Congrats to MaryJo Prince-Paul on your @HPNAinfo New Investigator award#AAHPM

1:44 pm ctsinclair: Congrats to Betty Ferrell, PhD, RN, FAAN FPCN from @CityofHope on your@HPNAinfo Distinguished Researcher Award #AAHPM

1:46 pm ctsinclair: Congrats to Sebastiano Mercadante, MD on the #AAHPM Excellence in ScientificResearch in Palliative Care Award "He has published a ton!"

1:47 pm suzanakm: RT @ctsinclair: Sebastiano Mercadante receives #AAHPM Excellence inScientific Research in Palliative Care Award "He has published a ton!"

1:48 pm ctsinclair: Mercadante - published over 300 articles 'My studies are ideas, for others to buildon' 'I want to work for you (who are clinical)' #AAHPM

1:49 pm ctsinclair: RT @achatburn: Just friended #aahpm ethics SIG on facebook #aahpm

1:49 pm ctsinclair: RT @hospice_doctor: #aahpm amazes me how many people cant design slidesto be readable in large halls. Banish black backgrounds! #aahpm

1:50 pm ctsinclair: RT @brimcmike: @Pallimed / @GeriPal outing was great - Thanks for greathospitality w/good food, pub w/good pints & great company #aahpm

1:51 pm ctsinclair: Goldstein Hilarious correction from pic/misunderstanding last year "Not my wife,not my baby, angry husband" Audience loved it. #aahpm

1:51 pm equijada: Funny. #aahpm

1:53 pm suzanakm: RT @doclake: RT @brimcmike: @Pallimed/@GeriPal outing was great-Thanksfor great hospitality! #AAHPM - thanks for all you do bloggers!

1:55 pm ctsinclair: 1st study: Effects of a palliative care intervention (phone based education) onclinical outcomes in patients with advanced cancer #aahpm


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1:56 pm hospice_doctor: #aahpm All presenters should study Edward Tufte on how to use and how not touse PowerPoint.

1:57 pm ctsinclair: So far @Pallimed 1 for 1 on State of the Science lectures; Phone Palliative Caretrial reviewed by @drosielle : http://bit.ly/cZguGU #aahpm

1:58 pm suzanakm: #AAHPM state of science: telephone-based education for pts w/ cancer-resultedin higher QOL/depression, not change survival/hospitalization

1:59 pm ctsinclair: I think Goldstein's conclusion was a bit broad for the JAMA Palliative Care byPhone trial, compared to @drosielle @Pallimed post #aahpm

2:00 pm ctsinclair: Next up: Provision of spiritual care to patients w/ advanced cancer: associationsw/ medical care & quality of life near death. JCO #aahpm

2:02 pm ctsinclair: Pallimed now 2 for 2 on reviewing State of the Science articles here is @drosiellereviewing article #2: http://bit.ly/dbgvVc #aahpm

2:02 pm ctsinclair: RT @hospice_doctor: #aahpm All presenters should study Edward Tufte on howto use and how not to use PowerPoint. "Amen!" #aahpm

2:03 pm suzanakm: #AAHPM JClinOnc - Spiritual care intervention for pts w/advanced cancerincreases sense of support by medical team, hospice use, QOL.

2:04 pm ctsinclair: @hospice_doctor You should 'redesign a slide set' as an example of how tomake better slides. #aahpm

2:04 pm suzanakm: RT @ctsinclair: Pallimed's review of State of the Science article on Spiritualintervention: http://bit.ly/dbgvVc #aahpm

2:05 pm hospice_doctor: #aahpm - What does state of science plenary add that Pallimed does not?

2:05 pm ctsinclair: Article #3: Looking beyond where children die: determinants and effects ofplanning a child's location of death from JPSM #aahpm

2:06 pm ctsinclair: Darn, Pallimed now 2 for 3 on highlighting State of the Science articles...but #3was in JPSM which we purposely don't cover #aahpm

2:07 pm ctsinclair: Factors assoc with planning the loc of a child's death: Less planning ->havingheme cancer and being religious #aahpm

2:09 pm ctsinclair: Factors assoc w/planning loc of child's death: more planning -> prev loss, privateinsurance, home care involved, onc MD explained #aahpm

2:09 pm suzanakm: RT @ctsinclair Factors assoc with planning the loc of a child's death: Lessplanning ->having heme cancer and being religious #aahpm

2:10 pm ctsinclair: Planning the location of a child's death was associated with decreased use oflife-sustaining treatment and better parent experience #aahpm

2:12 pm ctsinclair: Free PDF for Looking beyond where children die: determinants and effects ofplanning a child's location of death http://bit.ly/c6HVpC #aahpm

2:13 pm rlbates: RT @ctsinclair Planning location of a child's death associated with decreased useof life-sustaining tx & better parent experience #aahpm

2:14 pm ctsinclair: Case# 4: "Trying to be a good parent" defined by parents who made phase I,terminal care, & resuscitation decisions for children #aahpm

2:14 pm suzanakm: #aahpm qualitative evaluation of defining 'good parenting' of seriously-ill children:doing right by my child, being there, conveying love

2:17 pm suzanakm: #aahpm what parents of seriously ill children want from clinicians: supporting,liking, respecting child

2:17 pm ctsinclair: Pubmed of Case #4 here: http://bit.ly/akP7sn @Pallimed cited but didn't review:http://bit.ly/biv3S7 #AAHPM

2:18 pm ctsinclair: Summary of Case #4 here: Knowing/supporting parents? concept of ?being agood parent? may support them during tough decisions #aahpm

2:21 pm ctsinclair: Case #5: Functional Status of Elderly Adults before/after Initiation of Dialysis from@NEJM PubMed: http://bit.ly/aVxwa7 #aahpm

2:21 pm ctsinclair: Review from @drosielle on @Pallimed of Case #5: http://bit.ly/akfxbl #aahpm


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2:22 pm ctsinclair: Good point by Goldstein highlighting the scales of a graph actually may make theinterpretation skewed #aahpm

2:22 pm suzanakm: RT @ctsinclair Review from @drosielle on @Pallimed of Case #5: http://bit.ly/akfxbl #aahpm

2:24 pm ctsinclair: Increasing age, being white, cerebrovascular, dementia, & low albumin = lesslikely to maintain fxnl status after starting dialysis #aahpm

2:24 pm suzanakm: #AAHPM NEJM dialysis impact on nursing home pts' fxnl status mortality: 1yrmort>50%, ongoing fxl decline.

2:25 pm ctsinclair: Bottom Line from #5: Start of dialysis in NH pts assoc w/ rapid decline in fxnlstatus and high rates of mortality at one year. #aahpm

2:25 pm ctsinclair: A+ on the cartoon selections #aahpm

2:30 pm ctsinclair: Case #6: Clinical Course of Advanced Dementia NEJM. 2009 http://bit.ly/d4rlrp@Pallimed: http://bit.ly/buawHH #aahpm

2:31 pm ctsinclair: Case #6: Only 22% of residents were referred to hospice even though 96%believed the goal was comfort #aahpm

2:33 pm ctsinclair: Case #6 bottom line: NH pts w/ adv dementia have high rates of morbidity andmortality. And... #aahpm

2:33 pm ctsinclair: ...Proxy understanding of clinical course of dementia is associated with changingpatterns of healthcare utilization. #aahpm

2:34 pm suzanakm: #AAHPM clinical course adv. Dementia:proxy knowledge of prognosiscomplications - fewer aggressive interventions last 3months of pts life.

2:35 pm OncologyTimes: RT @ctsinclair: Congrats to Betty Ferrell, PhD, RN, FAAN FPCN from@CityofHope on your @HPNAinfo Distinguished Researcher Award #AAHPM

2:36 pm ctsinclair: Moving fast through the State of the Science slides, good thing they are usuallyavailable online (open access) on the @aahpm site #aahpm

2:37 pm johnmulder: @ctsinclair Greatly appreciate the links to the articles and @pallimedcommentaries. #aahpm

2:39 pm suzanakm: #AAHPM comparing SQ scopolamine, atropine, hyoscine for death rattle- nostatistical difference. Treat early!

2:40 pm ctsinclair: Since Article #7 from JPSM, no @Pallimed review. #aahpm

2:40 pm ctsinclair: RT @suzanakm: #AAHPM comparing SQ scopolamine, atropine, hyoscine fordeath rattle- no statistical difference. Treat early! #aahpm

2:41 pm ctsinclair: Wish this study had a delayed treatment/placebo arm, or tested different routesbesides sq #aahpm

2:41 pm suzanakm: #AAHPM - weakness of death rattle trial did not look @ glycopyrrolate (myfavorite drug for this), nor look @ typical routes of delivery.

2:42 pm ctsinclair: Next: Association of educational program in mindful communication w/ burnout,empathy, & attitudes among primary care physicians JAMA #aahpm

2:45 pm ctsinclair: Link from @JAMA : http://bit.ly/auSwr6 No link to Pallimed review. missed thisone! #aahpm

2:46 pm ctsinclair: Mindfulness communication training may be effective means to improve bothpatient & provider outcomes in hospice & palliative care. #aahpm

2:46 pm suzanakm: #AAHPM #Mindfulness in #meded- Epstein et al JAMA - decreased burnout,increased empathy, improved mood, improved mindfulness

2:46 pm ctsinclair: Weakness of study: a very pre-selected group, but they all kept with it. #aahpm

2:49 pm ctsinclair: Covered in State of the Science: phone support, pediatrics, religion,hemodialysis, mindfulness, death rattle, dementia "diverse!" #aahpm

2:49 pm ctsinclair: Great job on State of the Science for hospice and palliative care! #aahpm


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2:51 pm teamoncology: #kanja RT @ctsinclair Link from @JAMA : http://bit.ly/auSwr6 No link to Pallimedreview. missed this one! #aahpm

2:52 pm DianaSebzda: RT @ctsinclair Case #6: Only 22% of residents were referred to hospice eventhough 96% believed the goal was comfort #aahpm

3:07 pm hvto: RT @DianaSebzda: RT @ctsinclair Case #6: Only 22% of residents werereferred to hospice even though 96% believed the goal was comfort #aahpm

3:07 pm hvto: RT @ctsinclair: Great job on State of the Science for hospice and palliative care!#aahpm

3:13 pm equijada: Thank you Ira Byock - Dying Badly at Home. Really life situations. #aahpm

3:16 pm achatburn: Over 15 med students including myself at the MS forum #aahpm- so exciting!

3:18 pm ssmithaahpm: Attending #AAHPM first-ever Medical Student Forum. #HPMAssembly

3:22 pm ssmithaahpm: Twaddle: "You have put on your oxygen mask first before assisting others."#HPMAssembly #AAHPM

3:24 pm equijada: Byock - patients often are discharged (to hospice) sicker when they are admitted(to hospital) #aahpm

3:25 pm johnmulder: Byock: Bad deaths at home still occur even with hospice. Need for proactiveapproach. #aahpm

3:25 pm suzanakm: #aahpm - leveraging external resources talk - borrowing from others/getting helpis an indicator of success. #leadership

3:25 pm suzanakm: @ctsinclair I wish I had an iphone... but I do like my blackberry for email #aahpm

3:26 pm equijada: Byock waving - "bye, call if you have any problems" #aahpm

3:26 pm ssmithaahpm: PAs, residents, practicing MDs from across the nation and even India also @#AAHPM Med Student session

3:26 pm johnmulder: Byock: SOS kit with parenteral meds go home with pt from hospital. Nice adjunctto standard comfort pack. #AAHPM

3:28 pm johnmulder: Byock: SOS order set in #AAHPM conf handout.

3:31 pm ctsinclair: RT @Pudliszek: How to overcome the fear of blogging and writing http://bit.ly/b13VUO .. you have to like writing! #aahpm

3:38 pm daitpcg: RT @ctsinclair: RT @brimcmike: @Pallimed / @GeriPal outing was great -Thanks for great hospitality w/good food, pub w/good pints & great company#aahpm

3:45 pm ctsinclair: In session on "what children learn about death from film" by @mmatzo FIlm clipsfrom: Incredibles, Mr. Magorium, Never Ending Story #aahpm

3:47 pm suzanakm: I have just created a new list titled 'Palliative Care' using TweetDeck - from activethose who were active at #AAHPM

3:48 pm ctsinclair: Other films referenced: Cinderella, Lion King, Roger Rabbit, Shrek the Third,Peter Pan, Finding Nemo, Tarzan (Disney version), Up, #aahpm

3:48 pm suzanakm: #AAHPM - @fferris : an expert, hopefully, is not just a "jerk from out of town with aset of slides"

3:48 pm ctsinclair: RT @ssmithaahpm: PAs, residents, practicing MDs from across the nation andeven India also @ #AAHPM Med Student session #aahpm

3:49 pm ctsinclair: RT @suzanakm: @fferris : an expert, hopefully, is not just a "jerk from out of townwith a set of slides" <Awesome quote!!!> #aahpm

3:49 pm suzanakm: #AAHPM two main venues for effective use of experts: "leader-mentor" and"consultant"

3:49 pm equijada: SOS kit: feasable, effect, cost effective (?). #aahpm

3:50 pm ctsinclair: RT @equijada: Byock - patients often are discharged (to hospice) sicker whenthey are admitted (to hospital) #aahpm


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3:50 pm suzanakm: #AAHPM - "leader-mentor" someone who will walk with you, challenging andsupporting you along the way... someone who encourages the heart.

3:50 pm koehlerjo: RT @ctsinclair: RT @equijada: Byock - patients often are discharged (to hospice)sicker when they are admitted (to hospital) #aahpm

3:51 pm ctsinclair: Some of the films used can influence adults as well as children RE: view of death#aahpm

3:53 pm ctsinclair: Peter Pan (live version): "To die would be an awfully big adventure." #aahpm

3:54 pm achatburn: James Baker on palliative medicine #aahpm: "(it) captures the elegance ofscience"

3:54 pm suzanakm: RT @ctsinclair: kid films & death: Cinderella, Lion King, Roger Rabbit, Shrek theThird, Peter Pan, Finding Nemo, Tarzan, Up, #aahpm

3:55 pm suzanakm: RT @ctsinclair: "what children learn about death from film" by @mmatzo FIlmclips from: Incredibles, Mr. Magorium, Never Ending Story #aahpm

3:55 pm ctsinclair: RT @achatburn: James Baker on palliative medicine: "(it) captures the eleganceof science" #aahpm

3:55 pm suzanakm: #AAHPM walking with someone can rapidly influence ramp-up and help programsuccessful...

3:56 pm suzanakm: RT @ctsinclair: Peter Pan (live version): "To die would be an awfully bigadventure." #aahpm

3:56 pm suzanakm: #AAHPM - dont forget to borrow freely from others... AND offer help in thebuilding of palliative care programs.

3:57 pm daitpcg: @doclake readmission rates - we need to do better #aahpm

3:57 pm ctsinclair: "We've grown up with someday my prince will come, but I've gotten over that" via@mmatzo #aahpm

3:58 pm ctsinclair: RT @suzanakm: dont forget to borrow freely from others AND offer help buildingof palliative care programs. "Credit appropriately" #aahpm

4:01 pm ctsinclair: Watching Bambi now. Classic RE: death/loss themes Disney's mother diedduring the making of the film from a faulty home heater #aahpm

4:02 pm ctsinclair: Bambi is a very 'American' view of mourning. Film abruptly cuts from sadness andwinter to spring and happy songs, ie get over it #aahpm

4:04 pm rlbates: RT@ctsinclair Bambi is 'American' view of mourning. Film abruptly cuts fromsadness & winter to spring & happy songs, ie get over it #aahpm

4:04 pm ctsinclair: Using Old Yeller now. Another classic, but wonder how relevant to today'schildren. Do kids really watch this today? #aahpm

4:05 pm ctsinclair: @hvto Thanks for the RT! #aahpm

4:06 pm ctsinclair: Good presentation rule: Start on time and end on time - respect your audience.#aahpm

4:06 pm ctsinclair: But I have been known to break that rule. No one is perfect. #aahpm

4:08 pm erinrbreedlove: @ctsinclair @suzanakm Loving the #AAHPM tweets. Thanks!

4:08 pm equijada: RT @suzanakm: #AAHPM - @fferris : an expert, hopefully, is not just a "jerk fromout of town with a set of slides" I heart @fferris

4:08 pm LubbockMedPeds: Great session on mentoring, growth, and resources. #aahpm

4:08 pm GuerrillaVP: RT @whydotpharma: RT @philbaumann: Pharma's Social Media Onion -http://bit.ly/b0YKny #pharma #hcsmeu #aahpm

4:09 pm LubbockMedPeds: RT @ctsinclair: Good presentation rule: Start on time and end on time - respectyour audience. #aahpm

4:11 pm LubbockMedPeds: Now at New Approaches to calc financial outcomes-hospital based PC programs#aahpm


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4:13 pm ctsinclair: @teamoncology @DianaSebzda @consultdoc @koehlerjo @rlbates Thanks forall the RT today #AAHPM

4:15 pm ctsinclair: RT@hospice_doctor Everyone should read @Pallimed guide to natl mtg whichhad slide design advice. http://bit.ly/aEE5ib "agreed! ;-)" #aahpm

4:15 pm ctsinclair: @LubbockMedPeds That session sounds like it is full of math #aahpm

4:16 pm erinrbreedlove: @ctsinclair It would be neat to see a @Pallimed post re: all the pointers you'velearned! Giving a medical presentation in June #AAHPM

4:17 pm rlbates: RT @ctsinclair: RT@hospice_doctor Everyone should read @Pallimed guide tonatl mtg which had slide design advice. http://bit.ly/aEE5ib "agreed! ;-)" #aahpm

4:19 pm LubbockMedPeds: To date: the measurement of PC financial impact is still largely focused on thevery last days of life. #aahpm

4:20 pm ctsinclair: T/F: Decision making capacity and legal competency are the same #aahpm

4:20 pm ctsinclair: Answer is: False #aahpm

4:22 pm ctsinclair: Steps in determine capacity: First what is their current understanding and howthey want to make decisions #aahpm

4:24 pm ctsinclair: Steps in determining capacity: Cognitive Status; Reasoning behind choice;Maintain decision over time #aahpm

4:25 pm ctsinclair: T/F: There is no need to assess decision making capacity unless the patientgoes against medical advice. FALSE #aahpm

4:27 pm ctsinclair: Speaker on Decision Making Capacity is Scott Irwin, psychiatrist from@SanDiegoHospcie Doing a great job! #aahpm

4:27 pm ctsinclair: T/F Cognitive impairment equals lack of decision making capacity. FALSE#aahpm

4:28 pm ctsinclair: Speaker on Decision Making Capacity is Scott Irwin, psychiatrist from@SanDiegoHospice Doing a great job! (fixed spell err - sorry) #aahpm

4:28 pm ctsinclair: T/F Only mental health experts can assess decision making capacity. FALSE#psych #aahpm

4:34 pm ctsinclair: Good question from audience: Can staff other than docs determine capacity?Answers from crowd varied widely. State to state issue? #aahpm

4:37 pm suzanakm: #AAHPM - Potential research study on prognosticating: observe foretellinginteractions & compare that (video?) w/ what patient & doc recall.

4:37 pm ctsinclair: RT@suzanakm @ctsinclair why don't you cover JPSM? "Pallimed targetsnon-core journals to HPM, assuming all have read, JPM, JPSM" #AAHPM

4:38 pm suzanakm: #AAHPM Kutner reviews challenges of CAM trials - reviewing PoPCRN trial -massage therapy and pain in hospice

4:39 pm suzanakm: RT @ctsinclair: Good question from audience: Can staff other than docsdetermine capacity? #aahpm

4:39 pm LubbockMedPeds: how many of you are documenting costs savings in an inpatient setting? avoidingescalation of care, family declined surgery, etc? #aahpm

4:41 pm suzanakm: #AAHPM challenges to CAM research: bias, validity/reliability, control challenge

4:43 pm lou1237: Case #6: Only 22% of residents were referred to hospice even though 96%believed the goal was comfort #aahpm (via @ctsinclair)

4:45 pm ctsinclair: Dr. David Casarett from @UofPenn : Telling his palliative care origin story->moonlighting as an ethicist (you can do that??) #aahpm

4:48 pm suzanakm: #AAHPM criteria for good controls: equiv contact, similar form, min actualeffect/benefit, equiv expected benefit

4:51 pm ctsinclair: If you can assess heart failure you can assess capacity. - D. Casarett from@UofPenn #aahpm


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4:53 pm achatburn: Fellow cases at med student session #aahpm: Alex Leigh "every family doesdying differently"

4:54 pm ctsinclair: Nice point on slide: When assessing capacity give information in aliquots. (Morenew words!) http://en.wikipedia.org/wiki/Aliquot #aahpm

4:55 pm suzanakm: RT @ctsinclair: If you can assess heart failure you can assess capacity. - D.Casarett from @UofPenn #aahpm

4:55 pm suzanakm: RT @ctsinclair: When assessing capacity give information in aliquots. (More newwords!) http://en.wikipedia.org/wiki/Aliquot #aahpm

5:02 pm suzanakm: #AAHPM asking 2 questions about pain improve pain assessment - i.e. pain nowand over last week, NRS

5:03 pm suzanakm: #AAHPM - good audience?: how do you validate pain assessment in chronicpain? as a patient w/ chronic pain, I find it hard to describe.

5:06 pm suzanakm: #AAHPM - nurses don't use 0-10 sclae 50% of the time - using structured/formaltool may not be easily translated to practice.

5:06 pm suzanakm: #AAHPM - a patient-reported pain approach may be better than a formaltool-based approach to assessment.

5:07 pm ctsinclair: RT @suzanakm: #AAHPM - nurses dont use 0-10 scale 50% of the time - usingstructured/formal tool not easily translated to practice. #aahpm

5:07 pm suzanakm: #AAHPM - clinicians only acted on nurse-reported pain 15% of the time. so... howcan we hold clinicians accountable to respond to pain?

5:08 pm suzanakm: #AAHPM - pain screening is critical but insuficient to improve care. For high-valueclinical settings, it is not enough to screen for pain.

5:08 pm ctsinclair: Now off to book club discussion. "This Republic of Suffering" This is anexperiment this year, I hope it goes well. #aahpm

5:10 pm suzanakm: #AAHPM - at one VA, if a patient reports pain >6 nurse has to wear a timer, click itto 30 minutes in order remind when to reassess...

5:11 pm suzanakm: #AAHPM negative reinforcement of the timer wearing madate to remind nurseswhen to reassess-nurses may lower number to 6 to avoid the timer!

5:12 pm suzanakm: #AAHPM - oops... gotta also go to bookclub. I'll be there soon.

5:29 pm achatburn: At med student session #aahpm, Charles Von Gunten: "medicine is tribal, youhave to find your tribe, your people" ... I've found mine

6:41 pm equijada: RT @boblesko: RT @pkedrosky End-of-Life Warning at $618,616 Makes MeWonder Was It Worth It http://bit.ly/bO1d8M #aahpm

7:12 pm HospiScript: Thanks Boston, AAHPM & HPNA for their hospitality! We wish you all safe travelshome! See you all next year. #AAHPM, #HPMAssembly

7:15 pm brimcmike: RT @cduncan18 I think the social media component just impacted future conf'sthx to all pioneers great party last night #HPMAssembly #AAHPM

7:21 pm erinrbreedlove: @brimcmike #AAHPM sounds like it was a blast. I've learned so much from thetweets alone!

7:45 pm ctsinclair: Final plenary after a fun, exciting, rewarding and occasionally exhausting 4 days ofthe @AAHPM @HPNAinfo Annual Assembly #aahpm

7:46 pm brimcmike: #Hospice is a place where we can heal the wounds of our training ~ RachelNaomi Remen http://bit.ly/dh8aRd #HPMAssembly #AAHPM #palliative

7:46 pm ctsinclair: Humanities Award given to Rachel Naomi Remen from @UpayaChaplainsCongrats! #aahpm

7:47 pm brimcmike: Being recognized as a healer by healers means more than all the rest RachelNaomi Remen http://bit.ly/dh8aRd #HPMAssembly #AAHPM #palliative

7:48 pm ctsinclair: Now up Holly Prigerson @hgp5 from @DanaFarber presenting on Coping with#Cancer studies (She is @drosielle favorite researcher!) #aahpm


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7:49 pm ctsinclair: Presenting care at EOL using supply demand language of economics (though notabout money, more about discussions) #aahpm

7:51 pm ctsinclair: Regional healthcare intensity leads to aggressive EOL care - Baicker HealthAffairs 2004 free pdf: http://bit.ly/apR5ec #aahpm

7:54 pm ctsinclair: Key question: Are clinicians driving ICU care or being responsive to the wishes oftheir patients? #aahpm

7:55 pm brimcmike: Poem shared by Rachel Naomi Remen "What I learned from my mother"http://bit.ly/2J588m #HPMAssembly #AAHPM #palliative #hospice

7:58 pm ctsinclair: Prigerson quoted one of my favorite books - Must read for any #HPM doc "DeathForetold" by N. Christakis @Connected_Book is good too #aahpm

8:00 pm ctsinclair: #HPM docs should also read all the Coping With Cancer studies. Many havebeen reviewed by @drosielle on @Pallimed #aahpm

8:00 pm jppinzon: Thank you to all the organizers & presenters at the Assembly. Great conference.#AAHPM

8:02 pm ctsinclair: RT @jppinzon: Thank you to all the organizers & presenters at the Assembly.Great conference. #aahpm

8:09 pm ctsinclair: Prigerson Excellent talk, one of my favorites, hard to put into 140 characterswithout using the complex context. #aahpm

8:12 pm ctsinclair: Next speaker: Jeannine Brant, PhD, APRN, AOCN from @MountainMedical"Palliative Strategies for Breathlessness at End of Life" #COPD #aahpm

8:13 pm ctsinclair: "Breath" comes from the Hebrew word "neshamah" which means "Breath of God"Gen 2:7 #aahpm

8:14 pm kcb704: RT @ctsinclair: "Breath" comes from the Hebrew word "neshamah" which means"Breath of God" Gen 2:7 #aahpm

8:16 pm pamojamo: RT @ctsinclair: "Breath" comes from the Hebrew word "neshamah" which means"Breath of God" Gen 2:7 #aahpm

8:16 pm ctsinclair: Pathophys of dyspnea; increased intrinsic mech loading on inspiratory muscles,decreased airflow, incr ventilatory demand #aahpm

8:24 pm ctsinclair: Wonderful review by blogger "Hospice Physician" on @AAHPM assemblyThursday: http://bit.ly/8Xy6ga Friday: http://bit.ly/a4I1JE #AAHPM

8:25 pm ctsinclair: 7 systematic reviews and met-analysis of 13 studies support the use in opioidsfor dyspnea relief #COPD #aahpm

8:26 pm daitpcg: RT @ctsinclair: Regional healthcare intensity leads to aggressive EOL care -Baicker Health Affairs 2004 free pdf: http://bit.ly/apR5ec #aahpm

8:29 pm daitpcg: RT @jppinzon: Thank you to all the organizers & presenters at the Assembly.Great conference. #AAHPM

8:33 pm ctsinclair: New one to me for dyspnea: Co-trimoxazole RCT in fibrotic lung disease -Improved O2 sats and FVC and improved dyspnea #aahpm

8:48 pm ctsinclair: The Boston @AAHPM @HPNAinfo Annual Assembly is over! See you inVancouver in 2011! Great job Tweeters and ReTweeters! #aahpm

9:14 pm LubbockMedPeds: The Boston @AAHPM Annual Assembly was GREAT. Learned lots, met someGREAT new people. Good to see @Paledolcinea & @tymeyer . #aahpm

9:59 pm gcooneymd: Thanks, all, for a fabulous assembly! Headed home #AAHPM

11:10 pm ctsinclair: Checking out the #aahpm page at @wthashtag http://wthashtag.com/aahpm Lotsof good stats from the meeting nearly 1000 tweets from 100 people

11:52 pm gcooneymd: On board my plane, waiting to depart #AAHPM

11:53 pm gcooneymd: RT @ctsinclair: Checking out the #aahpm page at @wthashtaghttp://wthashtag.com/aahpm Lots of good stats from the meeting nearly 1000tweets from 100 people


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March 7, 2010

2:10 am HynesBeacon: Use ?Venue? on myHynes iPhone/iPod Touch app to navigate through theHynes. Find it in the App Store? it?s free! #AAHPM

12:33 pm ctsinclair: Coming home from #AAHPM invigorated and exhausted. (@ Boston LoganInternational Airport (BOS) w/ 3 others) http://4sq.com/4Dq8gf

4:07 pm LubbockMedPeds: At Logan waiting for the 11:50 flight to D/FW, then home to Lubbock. Alreadylooking forward to #AAHPM next year

4:11 pm erinrbreedlove: @achatburn Did you enjoy #AAHPM?

6:30 pm Daniel_Spurgeon: RT @doclake: RT @ctsinclair: Palliative care docs NEED to know RTOG 97-14RCT of single fract XRT in painful bone mets. PDF: http://bit.ly/b02D0r #aahpm

7:06 pm SanDiegoHospice: @ctsinclair Excellent job with the tweet updates this week from #aahpm Christian- thank you!

7:32 pm erinrbreedlove: @brimcmike AH! How was #AAHPM?

9:48 pm tymeyer: ready to get home but had great time at #aahpm, reconnected with wonderfulfolks and met many more

March 8, 2010

2:02 am ctsinclair: Christian Sinclair, MD @KCHospice, blogger for @Pallimed, Prolific Twitter userfor #AAHPM, Chief strategist for @KLXMedia, Father #hcsm

2:45 am ctsinclair: Check out WTHashtag for #AAD and #AAHPM this week and #ACC10 in the nexttwo weeks. Good tool for analysis #hcsm

2:47 am ctsinclair: I just came back from #AAHPM (Hospice and Palliative Med) and I had a lot ofpeople asking me for twitter lessons #hcsm

2:54 am emacartney: @ctsinclair: Enjoyed your many tweets from #AAHPM in Boston this week (goBruins!). You did a great job sharing news. #hcsm

3:15 am BradHStuart: Anyone else nervous about putting up a wall between palliative care and the endof life? Uh, let's see - morph right now to AAPM? #aahpm

3:21 am ctsinclair: @LeeAase Forgot to ask you to pass on the message from #AAHPM. Will beposting to @Pallimed a review of live Twittering conference

4:41 am ctsinclair: just posted on @Pallimed quick thoughts about using Twitter at a medicalconference http://bit.ly/bTq4WE #hcsm #AAHPM More to come #hcsm

4:20 pm hospicepharmacy: Enjoyed meeting so many #hospice partners & friends at the #AAHPM in Bostonlast week!

4:25 pm BradHStuart: Anyone up for using inpt & home-based PC as the "glue" to connect hospitals,MD groups into ACOs? Pray for CMI. http://bit.ly/9ZRBCG #aahpm

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Health & Medicine

2010 #AAHPM Twitter