2010 #AAHPM Twitter

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

#aahpm
wthashtag.com/aahpm

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

March 1, 2010

12:08 am ctsinclair: RT @suzanakm: #AAHPM book club: a discussion with the author on The
Republic 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, kinks
should 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 myHynes
iPhone/iPod Touch app from the App Store.

10:11 pm ctsinclair: Just got word the official hashtag for the @AAHPM assembly is #HPMAssembly
not #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 DAI
Palliative 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 the
Hynes 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 CVB
Concierge 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 our
field! #AAHPM

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

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 and
palliative care. #hpm assembly #aahpm

11:17 pm ctsinclair: Just finished a great first day of #AAHPM board meeting. Good generative
discussion. 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 look
stunning - 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, good
drinks, 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 and
I don't have the cable to download it. #AAHPM

2:28 am ctsinclair: RT @equijada: Faust: death from disease stripped the glory of death on
battlefield. 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 week
for 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 official
hashtag, but #AAHPM will work too!

3:00 am MeredithGould: RT @ctsinclair: #hcsm tweeps, follow #AAHPM and #HPMAssembly this week
for 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 for
supporting 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 Will
update all week! #hospice #palliative #AAHPM

3:52 am hospicepharmacy: Welcome to Boston, #AAHPM Attendees! See you @ Outcome Resources
Booth 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 - 1st
Day 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 palliative
care to children http://bit.ly/aCzTs0 #hospice #AAHPM #HPMAssembly

1:35 pm HynesBeacon: The Hynes welcomes the American Academy of Hospice and Pallative
Medicine'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 information
with myHynes iPhone app #AAHPM

2:28 pm brimcmike: RT @ctsinclair: From @Pallimed Blog Social Networking and the #AAHPM Board
Meeting - 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 opening
reception tonight at 5:30.

3:25 pm erinrbreedlove: RT @brimcmike: RT @hospice_news Peds HPM MD writing local Op-Ed My
Turn: 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 at
app store great for visitors to Boston #AAHPM

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

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

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

5:13 pm larryberesford: Via GN: Social Networking and the #AAHPM Board Meeting - 1st Day: You can
expect 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 The
Fireplace.... http://bit.ly/diJXxW #AAHPM

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

5:29 pm ctsinclair: For a change no physicians are doing plenary sessions this year. Trying to
broaden 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..$6
snacks! 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 #aahpm
assembly!

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

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

7:14 pm suzanakm: Halifax on Batson: empathic concern vs. Personal distress in witnessing suffering
of 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 witness
suffering - leads to compassion. #AAHPM

7:36 pm ctsinclair: Will B at the #AAHPM Resource Ctr in Exhibit Hall from 530p-630p as part of new
Board 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 your
badge 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 Board
Meeting - 1st Day http://bit.ly/a2ffBW

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

8:40 pm Freshwidow: RT @Pallimed: New Pallimed Post:: Social Networking and the #AAHPM Board

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 your
hashtag: 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 conversations
buzzing! #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 or
Orange Line to North Station. #AAHPM

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

4:26 am hospicepharmacy: RT @Pallimed: New Pallimed Post:: Social Networking and the #AAHPM Board

4:28 am hospicepharmacy: Great opening reception at #AAHPM tonight! Thnx everyone who stopped by
Outcome 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 on
twitter?? #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 PCC
text 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 or
see visuals! #AAHPM

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

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

12:27 pm suzanakm: 2020 goals: provide #palliative care whever pts are, all clinicians will know basic
palliative, 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 away
from just #hospice & EOL to palliation where/when needed #AAHPM

1:11 pm brimcmike: Award Breakfast needed easily double capacity many Die-Hards standing Many
gave 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 volume
will 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 be
tweeting 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-saving
purposes.

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 for
promoting doctor-patient discussion re: advance care planning #hcreform

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

1:49 pm suzanakm: @repblumenauer - thanks #AAHPM and #HPNA for our work taking care of
patients 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. Barry
Kinzbrunner 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 well
deserved #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 his
peers 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 Distinguished
Award, 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's
Dad #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 first
meetings of #aahpm

2:00 pm ctsinclair: RT @marachne: is it a sign of out sophistication or ubiquity that we have
teleprompters? "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 #AAHPM
Lifetime 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 and
Seesmic to tweet from the #AAHPM conference #hcsm

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

2:07 pm ctsinclair: Next up Lynn Hughes talking about @ComfortZoneCamp US largest
bereavement 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 who
have 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 other
people 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 at
school whose 2 parents died" #AAHPM

2:17 pm mchwistek: ?for a while I thought I was the only one" - comfort zone camp attendee about the
experience 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 the
pieces 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 'rival
hospice' 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 rival
hospice 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 "turbo
bonding" - 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 to
action- 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 People
Magazine!" -Hughes #aahpm

2:30 pm mchwistek: Lynne HUghes story of developing/marketing the comfort zone camp is a a great
example 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 into
the 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 not
serving all the children who have lost someone. #aahpm

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

2:35 pm HynesBeacon: Use ?Venue? on myHynes iPhone/iPod Touch app to navigate through the
Hynes. 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 Life
Care: Relational-Contemplative Approach for Clinicians #aahpm

2:37 pm suzanakm: RT @ctsinclair: @jhalifax talking about Compassionate and Mindful End of Life
Care: 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, horizontal
hostility, structural violence #aahpm

2:43 pm suzanakm: @jhalifax 5 sources of clinicians' suffering-burnout, secondary
trauma(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 is
disrespectful 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 not
good 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 might
not work in large forum #AAHPM

2:54 pm HP_News: Are you attending #AAHPM this week? Visit Hospice Pharmacia at booth 305 and
enter 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 emotional
balance, 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 media
national conference re: social media , mindfulness, Zen: http://bit.ly/9Z0oXj

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

3:17 pm drdaleschultz: RT @Dougtx: Go Global with Liebert Mobile! Learn more @ Booth#214

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 Clinicians
http://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 Clinicians
http://www.upaya.org/bwd/ @UpayaChaplains @jhalifax #AAHPM #HPMAssembly

4:16 pm doclake: Criteria for ICU trial: illness must be reversible, and have a reasonable prospect
of 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 your
dream to commit you to action #aahpm

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

4:29 pm ctsinclair: RT @marachne: Half hour to presentation getting nervous. "I'm here supporting
you!" #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 the
same, how you use it varies. - Kehl #aahpm

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

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

4:34 pm ctsinclair: Hospices handouts that did well took widely available documents and then added
supplements. 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?s
Public Gardens. #AAHPM

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

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

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 by
secondary addiction per S Passik. Request for next #aahpm? #aahpm

4:37 pm doclake: RT @equijada: Pseudoaddiction should be weened from vocab replaced by
secondary 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 support
than other groups #aahpm

4:42 pm ctsinclair: Listening to @marachne speak on End of life care in Assisted Living Facilities in
Paper 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 EOL
care in Assited living #hospice @OHSUNews #aahpm

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

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

4:53 pm brimcmike: Changing Emergency Medicine Training & Practice in #Palliative Care with
EPEC-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". Well
said. Been there....#aahpm

4:54 pm ctsinclair: RT @brimcmike: Changing Emergency Medicine Training & Practice in #Palliative
Care 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 near
end of life, causing tough $ choices for families. #aahpm

5:00 pm brimcmike: Tammie Quest Changing Emergency Medicine Training & Practice in #Palliative
Care 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 opioid
skizills on #aahpm #HPMAssembly

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

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

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

5:43 pm Clarksondoc: Biomedicine focuses on eliminating mystery and is reductionistic. Whereas
narrative 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 #AAHPM
Distinguished 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 & is
reductionistic. Narrative med celebrates mystery & layers of meaning #AAHPM

5:55 pm Equipe_Loignon: RT @Clarksondoc: Biomedicine focuses on eliminating mystery and is
reductionistic. 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 us
because we are for the dying. #aahpm

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

6:02 pm Clarksondoc: Good medical practice requires that we know as much ABOUT THE PERSON
who 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 by
Mary Ann Liebert, Inc. - booth#214

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

6:31 pm humanbeingblog: RT @UCDenver Congrats to UCCC member Dr. Jean Kutner on her #AAHPM
Distinguished 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 Copley
Sq. 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 meet
you! #hospice #palliative

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

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

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

8:03 pm doclake: What is palliative chemo? Chemotherapy with non-curative intent, aimed at
increasing 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 oncologist
and patient #aahpm

8:34 pm brimcmike: Nathan Goldstein Asking Tough Questions gives @Pallimed an unsolicited plug
as 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 Red
Line 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 and
families- 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 Expert
Interview 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-EOL
providers? #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's
Failed http://bit.ly/cMMeGU #aahpm #HPMAssembly

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

9:05 pm ctsinclair: Sorry so quiet for the last few hrs, had to review all the AV for my talk on Music in
palliative 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 for
side effects. - Barker #aahpm

9:11 pm ctsinclair: Radiation non-selectively damages DNA (malignant & normal tissue), the key is
normal 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 to
residents 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 with
pts/family/non-EOL providers? "yes, but not best" #aahpm

9:19 pm ctsinclair: AHHHHHHHHHHHHHHHHHH!!!!!!!!!!!!!!!!!!! Barker said 'narcotic' instead of
opiate/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 our
RNs 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 rad
onc 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 in
painful 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 a
summary 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 single
fract 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

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

9:30 pm ctsinclair: One reason why 1-frac XRT is not used in US: Higher retreatment (18% v
9%)...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 to
change. #aahpm

9:34 pm ctsinclair: Single fraction palliative XRT could get to sub $1k instead of $3k when hospices
and 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 "double
injury" of xrt and phys injury has been disproven #aahpm

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

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

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

9:38 pm ctsinclair: RT @brimcmike: Nathan Goldstein Asking Tough Questions gives @Pallimed an
unsolicited 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) responds
to steroids. #aahpm #palRdx #lglc

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

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

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

10:03 pm ctsinclair: Check out the stats on the 300+ tweets from the #HPMAssembly
http://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 #HPMAssembly
http://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 Palliative
Care session Friday at 7AM Room 206 #aahpm

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

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

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

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

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

10:28 pm EdBennett: RT @ctsinclair: Hospice Med Dir strategies to work w/ RadOnc: review cases
prior 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 Saturday
over lunch.

10:30 pm suzanakm: #aahpm humanities award will go to Rachel Naomi Remen this year - she will be
presenting 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 to
merge 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 a
greater 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 AMC
Loews 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 formal
approval 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 in
residence" for the humanities SIG?

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

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

11:06 pm suzanakm: medical humanities sig new member interests: Chaplain seeking a place to find a
home 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 search
for 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 to
have 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 is
the 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 all
that 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 you
haven'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 Tweets
from 53 contributors. Good job Twitter Army! #aahpm

4:10 am ctsinclair: RT @drosielle: #AAHPM LVAD talk invigorating: pall care concurrent w LVAD
decision. 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 years
award 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 @LVADone
www.FromTheBottomOfMyLvad.blogspot.com #AAHPM

4:26 am ctsinclair: Would love to blog on all things #HPMAssembly, but just too tired and must get
up 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 shootout
overtime #AAHPM

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

6:18 am erinrbreedlove: @ctsinclair Is the music presentation on SlideShare yet? Will it be? Would love to
reference 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 Care
session 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#214

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 about
death panels on facebook"

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

12:11 pm brimcmike: RT @suzanakm #aahpm #hcsm #HPMAssembly - Reason to blog about
palliative 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 of
members 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 works
60 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, how
do I prevent getting overwhelmed by twitter?"

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

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

12:20 pm suzanakm: RT @brimcmike: At Social Media in #Palliative Care session one :) concern about
using 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 about
connectivity, 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 is
important - transparency of members helps build the network.

12:26 pm brimcmike: RT @suzanakm: #aahpm #hcsm: audience concern about sm: "I get
overwhelmed 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 be
less 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 traditional
barriers 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 Alvin
Toffler 3rd Wave #aahpm #HPMAssembly #hcsm #hospice

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

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

12:37 pm suzanakm: #aahpm Social Media meeting: @ctsinclair - Metcalf's law- power of a network is
only 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 a
Function 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 3
degrees from @ctsinclair

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

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

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

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

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

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

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

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

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

12:58 pm suzanakm: @ewidera is demonstrating the degress of separation from @dianeemeier
demonstrating 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 rounds
is posted on a different blog.

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

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

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

1:15 pm ozmosis: Engagement is key RT @brimcmike: Social Media in #Palliative Care session
Community 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 twitter
account.

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 Veterans
Trauma & 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 by
booth 305 in the expo hall today to review a sample copy!

2:10 pm ctsinclair: RT @brimcmike: Wounded Warriors Deborah Grassman
http://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 must
make space for them. #AAHPM

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

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

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 ole
twitter account. "Woo-hoo!" #aahpm

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

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

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

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

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- stop
by booth #214 - Mary Ann Liebert, Inc.

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

2:24 pm equijada: Tweeting about #branding during #PTSD gives me a bit of guilt but recognizing it
prevents #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 much
appreciated. 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 be
rewarding in my experience. #AAHPM

2:28 pm lyfe20: #aahpm asian race of hcp may exacerbate #ptsd sx for some ww2 and vietnam
vets. 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 plenary
in 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 long
acting 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 a
rock star." - Gilson #aahpm

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

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 you
want some leads.

2:42 pm ctsinclair: Ack! hard to read graph slides for ballroom presentation....maybe the slides need
to 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 drug
handouts...until 2009 #aahpm

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

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

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

2:50 pm HynesBeacon: Download the free myHynes iPhone/iPod Touch app from the App Store to
navigate 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 to
follow along, that would be much appreciated.

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

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

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

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

2:56 pm lyfe20: #aahpm assumption that #rems would decrease amt of opioid abuse not
proven-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 abuse
are 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 on
www.regulations.gov (save comment in Word first!) #aahpm

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

2:58 pm ctsinclair: RT @equijada: Lots of people leaving talk. #aahpm NEED to recognize that
opioids 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... opioid
leads? 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 in
Palliative 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 4
Social Media in Palliative Care Communities at #AAHPM - go palliative care
bloggers!

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 Unintended
Consequences http://bit.ly/alDewf #aahpm

3:53 pm doclake: in COPD lecture-24 million in US c disease, 1 million ED visits, 638K hospital
discharges 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 intubation
w/MD #aahpm #HPMAssembly

4:05 pm ewidera: RT @doclake: COPD 1 in 5 will be readmitted within 2 weeks of hospital
discharge #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) Annual
Assembly with #aahpm (click to see the tweets) via @ctsinclair

4:07 pm ctsinclair: Good communication exercise: Leave a voicemail for yourself like you might talk
to 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 always
skeptical, despite what hospice nurses assert. #AAHPM.

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

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

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