#HPM Tweet Chat 2:22:12

#hpm - Healthcare Social Media Transcript
6/27/12 1:00 PM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Feb 22 18:00:00 PST 2012 Wed Feb 22 19:15:00 PST 2012 change time period
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rfberry
RT @jfclearywisc: PPSG blog post; prereading for #hpm Tweetchat 9 pm US EST tonight. "India, Palliative care & opioids" http://t.co/nW6zUlJu
Wed Feb 22 18:00:06 PST 2012
jfclearymac
Jim Cleary, UW palliative care & Pain and Polciy Study Group hosting Hopsice and Palliaitve Medicine Tweetchat for the next hour. #Hpm
Wed Feb 22 18:01:06 PST 2012
jfclearywisc
Jim Cleary, UW palliative care & Pain and Polciy Study Group hosting Hopsice and Palliaitve Medicine Tweetchat for the next hour. #hpm
Wed Feb 22 18:01:30 PST 2012
ctsinclair
@jfclearymac New handle? #HPM

Wed Feb 22 18:01:43 PST 2012
ctsinclair
Attention followers, my next hour will be spent in tweetchat about Hospice and Palliative Care. Feel free to join in. All are welcome. #HPM
Wed Feb 22 18:03:16 PST 2012
jfclearywisc
Discussing Opioid Access in Low and Middle income countries with focus on India as an example. #hpm
Wed Feb 22 18:03:29 PST 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=02-22-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
Page 1 of 22
6/27/12 1:00 PM
rfberry
Hi Everyone, Renee Berry here ..doesn't it sometimes feel funny to introduce when you do the chat every week :) (hello!) work @goBeMoRe #hpm
Wed Feb 22 18:03:30 PST 2012
rfberry
(also my twitter seems to be acting a bit slow) #hpm

Wed Feb 22 18:03:48 PST 2012
MarksPhone
Hi all Mark here #hpm

Wed Feb 22 18:04:23 PST 2012
jfclearywisc
WEclome @rfberry @ctsinclair @marksphone @MarksPhone to #hpm Tweetchat #hpm

Wed Feb 22 18:05:12 PST 2012
schwartzbrown
Hi, Mindy here. #hpm

Wed Feb 22 18:05:57 PST 2012
ctsinclair
Hello all, Christian Sinclair, National #Hospice Med Dir for Gentiva, enthusiastic tweetchatter, soccer fan, Bananas Foster connoisseur #HPM
Wed Feb 22 18:06:19 PST 2012
jfclearywisc
Please introduce yourself if joining #hpm tweetchat, especially colleagues joining from india #hpm
Wed Feb 22 18:06:19 PST 2012
jfclearywisc
@schwartzbrown Welcome Mindy #hpm

Wed Feb 22 18:06:40 PST 2012
rfberry
@jfclearywisc thanks! Hey Jim and Mindy @schwartzbrown. Good to see you @ctsinclair & @Marksphone! #hpm
Wed Feb 22 18:06:48 PST 2012
visitingnurse
Hi everyone, Alex from the visiting nurses in Michigan here. Looking forward to the conversation tonight. #hpm
Wed Feb 22 18:07:06 PST 2012
jfclearywisc
@MarksPhone Welcome Mark #hpm

Wed Feb 22 18:07:14 PST 2012
schwartzbrown
Have to admit I've got one ear on the entertainment provided by CNN #hpm
Wed Feb 22 18:07:33 PST 2012
ctsinclair
@jfclearywisc Hey Jim, was just in MIlwaukee last night. Next time I'll take some time and head out of Madison. #HPM
Wed Feb 22 18:08:13 PST 2012
Page 2 of 22
6/27/12 1:00 PM
jfclearywisc
T!: What are your rections to movie regarding opioid access in Inida. Freedome From Pain http://t.co/oWHK95fu Watch first 6 minutes!!! #hpm
Wed Feb 22 18:09:44 PST 2012
nursefriendly
Hello Everyone, Andrew Lopez, RN from New Jersey, Registered Nurse, I Support #AmandaTrujillo #RN #nurseup http://t.co/PUHOZeXR #HPM
Wed Feb 22 18:09:58 PST 2012
ctsinclair
@schwartzbrown Wondering if deaths/addiction issues (Whitney, MJ) will become a election year focus. #HPM
Wed Feb 22 18:10:37 PST 2012
jfclearywisc
@nursefriendly Welcome Andrew. Looking for comments on Freedom from Pain (ist 6 minutes) #AmandaTrujillo #RN #nurseup #HPM
Wed Feb 22 18:10:43 PST 2012
ctsinclair
RT @jfclearywisc: T1: Rections to movie regarding opioid access in Inida. Freedom From Pain http://t.co/gJsHLOj0 Watch first 6 min #HPM
Wed Feb 22 18:11:04 PST 2012
rfberry
T1 Such a contrast to the issues happening with the abuse of medications. Just because some abuse doesn't mean people don't need it #hpm
Wed Feb 22 18:11:34 PST 2012
ctsinclair
T1: I watched the whole thing earlier today. First thought: Needs way more than 2847 views. #HPM
Wed Feb 22 18:11:36 PST 2012
ctsinclair
T1: Wondering if this 24 min documentary would be a good thing to share with hospice staff. Low hanging fruit for intl advocacy #HPM
Wed Feb 22 18:12:12 PST 2012
jfclearywisc
India: currently grows over 90% of worlds opium but has almost no access to opioids #hpm
Wed Feb 22 18:12:19 PST 2012
ctsinclair
@rfberry I too thought about the abuse vs access debate given the recent US media focus on the former. #HPM
Wed Feb 22 18:12:40 PST 2012
jfclearywisc
RT @rfberry: T1 Such a contrast to the issues happening with abuse of meds. Just because some abuse doesn't mean people don't need it #hpm
Wed Feb 22 18:12:57 PST 2012
MarksPhone
I agree it needs much more. But the politics of pain in the US is a mess regarding HPM let alone international #hpm
Wed Feb 22 18:13:00 PST 2012
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rfberry
RT @ctsinclair T1: I watched the whole thing earlier today. First thought: Needs way more than 2847 views. #hpm
Wed Feb 22 18:13:06 PST 2012
ctsinclair
RT @jfclearywisc: India: currently grows over 90% of worlds opium but has almost no access to opioids " India>Afghanistan - really?" #HPM
Wed Feb 22 18:13:36 PST 2012
rfberry
@ctsinclair exactly! Especially as they're talking about the small profit margin & little demand, such a contrast to US #hpm
Wed Feb 22 18:13:37 PST 2012
aliciabloom
hi #hpm gang! sorry to be missing you all tonight. watching some intense college basketball.
Wed Feb 22 18:13:39 PST 2012
MarksPhone
Here is a PDF on India an palliation http://t.co/vyP7RnHa #hpm

Wed Feb 22 18:13:51 PST 2012
jfclearywisc
@rfberry But is the politics of prescription deaths in US influencing access to opioids in rest of world #hpm
Wed Feb 22 18:14:04 PST 2012
rfberry
@ctsinclair that is so incredible #hpm

Wed Feb 22 18:14:16 PST 2012
rfberry
RT @jfclearywisc: India: currently grows over 90% of worlds opium but has almost no access to opioids #hpm
Wed Feb 22 18:14:23 PST 2012
rfberry
I'll book mark that for reading, thanks RT @MarksPhone: Here is a PDF on India an palliation http://t.co/1TEzinv6 #hpm
Wed Feb 22 18:14:42 PST 2012
jfclearywisc
RT @MarksPhone: Here is a PDF on India an palliation http://t.co/7lHf5Y2g #hpm Great link Mark!
Wed Feb 22 18:14:51 PST 2012
AdvanceCarePlan
hi all . ... sorry late to the party ..my birthday, so out to dinner! #hpm
Wed Feb 22 18:15:04 PST 2012
nursefriendly
@rfberry T1 With the "War on Drugs" mentality encouraged in school and pressure on physicians to "Justify" pain relief, can see #hpm
Wed Feb 22 18:15:07 PST 2012
rfberry
@jfclearywisc #heartbreaking. That should be in the media as much as the abuse story, the affect the abuse is having on the world #hpm
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Wed Feb 22 18:15:20 PST 2012
nursefriendly
@rfberry T1 Can see why it is a challenge to get pain medications to the #patients that legitimately need it. #hpm
Wed Feb 22 18:15:49 PST 2012
jfclearywisc
@AdvanceCarePlan Welcome Discussing opioid access in INdia #hpm

Wed Feb 22 18:16:04 PST 2012
rfberry
Wow, Tweetchat on your birthday?! Hello! RT @AdvanceCarePlan: hi all . ... sorry late to the party ..my birthday, so out to dinner! #hpm
Wed Feb 22 18:16:05 PST 2012
ctsinclair
Interesting to see the documentary was published on Al Jazeera @AJEnglish Hope it doesnt interfere with views from a myopic public #HPM
Wed Feb 22 18:16:15 PST 2012
ctsinclair
RT @jfclearywisc: RT @MarksPhone: Here is a PDF on India an palliation http://t.co/4HT7THLA #hpm Great link Mark! #HPM
Wed Feb 22 18:16:33 PST 2012
ctsinclair
@AdvanceCarePlan Happy Birthday!! #HPM

Wed Feb 22 18:16:44 PST 2012
rfberry
@nursefriendly I've seen the opposite, seen many people with great education deal with drug addiction, so readily available #hpm
Wed Feb 22 18:17:00 PST 2012
MarksPhone
http://t.co/zYNTDn6P Global Access to Pain Relief Initiative web page here #hpm
Wed Feb 22 18:17:02 PST 2012
nursefriendly
T1 In #oncology #patients, who legitimately have pain, it is criminal that our society discourages the use of controlled substances #hpm
Wed Feb 22 18:17:19 PST 2012
ctsinclair
The image of the woman lying on the ground with inflammatory breast #cancer crying was hard to watch. But real. http://t.co/JQ6UGKvd #HPM
Wed Feb 22 18:17:35 PST 2012
jfclearywisc
@ctsinclair @aJENglish put up dollars. Understand Further stroy will be running on US network channel in Next few weeks. #HPM
Wed Feb 22 18:17:45 PST 2012
ReginaGanCarden
RT @DrJESimon: Your input needed on developing Canadian pall med as specialty http://t.co/YInG02iZ Background here http://t.co/tUWyJDGQ #HPM
Wed Feb 22 18:17:53 PST 2012
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6/27/12 1:00 PM
nursefriendly
T1 You can usually tell the difference between a patient that needs morphine for legitimate #painmanagement and who doesn't #hpm
Wed Feb 22 18:18:23 PST 2012
MarksPhone
I saw a lecture by Dr. Foley on the international movement and she includes TB and HIV along with Cancer as a focus #hpm
Wed Feb 22 18:18:33 PST 2012
rfberry
@jfclearywisc if there is such a high need, why is the access so challenging? #hpm
Wed Feb 22 18:18:38 PST 2012
jfclearywisc
Freedom from Pain has been nominated for a Peabody Award for Journalism #hpm Needs to get more bigger exposures. #hpm
Wed Feb 22 18:18:38 PST 2012
jfclearywisc
RT @MarksPhone: I saw a lecture by Dr. Foley on the international movement and she includes TB and HIV along with Cancer as a focus #hpm
Wed Feb 22 18:18:52 PST 2012
nursefriendly
Agree with that. RT @ctsinclair: T1: I watched the whole thing earlier today. First thought: Needs way more than 2847 views. #HPM
Wed Feb 22 18:19:00 PST 2012
ctsinclair
US palliative advocates should look at budgeting their 'advocacy time' to increase the share spent on international issues #HPM
Wed Feb 22 18:19:06 PST 2012
melissaglassey
RT @jfclearywisc: India: currently grows over 90% of worlds opium but has almost no access to opioids #hpm
Wed Feb 22 18:19:09 PST 2012
jfclearywisc
RT @ctsinclair: US palliative advocates should look at budgeting their 'advocacy time' to increase share spent on international issues #HPM
Wed Feb 22 18:19:37 PST 2012
nursefriendly
@ctsinclair It may be India, but it is easily applicable to conditions in the United States. Especially the #Bigpharma profit margin #HPM
Wed Feb 22 18:20:09 PST 2012
ctsinclair
RT @jfclearywisc: Freedom from Pain http://t.co/JQ6UGKvd nominated for a @Peabody_Award for Journalism. Needs more exposures #HPM
Wed Feb 22 18:20:09 PST 2012
nursefriendly
Could it be by #bigpharma design? RT @jfclearywisc: India: currently grows over 90% of worlds opium but has almost no access to opioids #hpm
Wed Feb 22 18:20:37 PST 2012
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MarksPhone
Here is another site for international palliative care resource center http://t.co/hwbc36D1 I think we need to get more awareness #hpm
Wed Feb 22 18:20:49 PST 2012
rfberry
RT @jfclearywisc: Freedom from Pain http://t.co/HtiR6e64 nominated for a @Peabody_Award for Journalism. Needs more exposures #SU2C #hpm
Wed Feb 22 18:20:59 PST 2012
schwartzbrown
@rfberry Access isn't the problem. Control is the issue, and the danger of illegal drug use in poor countries is real. #hpm
Wed Feb 22 18:21:05 PST 2012
jfclearywisc
T2 Is Global #hpm and opioid access an opportunity for Global Heaalth education in Health school in High INcome Countries #hpm
Wed Feb 22 18:21:17 PST 2012
ctsinclair
Think of advocacy time like a diverse retirement portfolio - some focused on domestic stock, some in emerging markets #HPM
Wed Feb 22 18:21:23 PST 2012
ctsinclair
Shout out to @MarksPhone for providing helpful links tonight! #HPM

Wed Feb 22 18:21:45 PST 2012
ctsinclair
RT @MarksPhone: Here is another site for international palliative care resource center http://t.co/0OSsZcU2 We need more awareness #HPM
Wed Feb 22 18:22:06 PST 2012
jfclearywisc
@schwartzbrown Can you expalin the danger more. Danger to "westerners?" #hpm
Wed Feb 22 18:22:07 PST 2012
rfberry
@MarksPhone and more collaboration between organizations in & outside of #hospice & #palliative care #hpm
Wed Feb 22 18:22:38 PST 2012
ctsinclair
@nursefriendly Good point #HPM

Wed Feb 22 18:22:40 PST 2012
MarksPhone
@ctsinclair #HPM Thanks to Dr. Foley who is leader in this #hpm

Wed Feb 22 18:22:59 PST 2012
ctsinclair
@schwartzbrown especially if security and law enforcement is inconsistent in less fortunate countries #HPM
Wed Feb 22 18:23:35 PST 2012
schwartzbrown
It's the same as the danger in our poor communities. ETOH use in Ukraine, Russia and African countries is a major problem. #hpm
Wed Feb 22 18:23:38 PST 2012
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jfclearywisc
@nursefriendly INdia poppy fields owned by Government. However 85% sold to US. Other major source of opioids: poppy straw #bigpharma #hpm
Wed Feb 22 18:23:43 PST 2012
nursefriendly
@rfberry How does that apply to people asking for morphine for cancer pain? #hpm
Wed Feb 22 18:24:00 PST 2012
visitingnurse
No money in it. Need doesn't always equal profit. RT @rfberry: @jfclearywisc if there is such a high need, why is access challenging? #hpm
Wed Feb 22 18:24:01 PST 2012
rfberry
Love Dr Foley! First saw her lecture on #palliative care as a standard for cancer care #agree RT @MarksPhone Thanks to leader Dr Foley #hpm
Wed Feb 22 18:24:16 PST 2012
ctsinclair
@jfclearywisc What is the current term used for countries that are resource poor but also modern like India, Brazil? #HPM
Wed Feb 22 18:24:26 PST 2012
jfclearywisc
@schwartzbrown But do we have any evidence of diversion of Medical prescribed opioids in low and middle income countries? #hpm
Wed Feb 22 18:24:44 PST 2012
rfberry
@jfclearywisc watching the video makes me feel more connected to the urgency of this issue #hpm
Wed Feb 22 18:24:50 PST 2012
AdvanceCarePlan
RT @ctsinclair: Shout out to @MarksPhone for providing helpful links tonight! #hpm
Wed Feb 22 18:24:58 PST 2012
schwartzbrown
I'm not suggesting opiates shouldn't be made available for medicine. but control of distribution has to be implemented. #hpm
Wed Feb 22 18:25:10 PST 2012
nursefriendly
RT @jfclearywisc: Freedom from Pain has been nominated for a Peabody Award for Journalism #hpm Needs to get more bigger exposures. #hpm
Wed Feb 22 18:25:11 PST 2012
MarksPhone
In India the numbers are amazing the cost of morphine is > 7 cents a day yet people can not get it #hpm
Wed Feb 22 18:25:34 PST 2012
ctsinclair
T2: To address global health issues in med/nursing school curricula is challenging. So dense already. Need to raise consciousness #HPM
Wed Feb 22 18:25:41 PST 2012
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6/27/12 1:00 PM
rfberry
@schwartzbrown I agree #hpm

Wed Feb 22 18:25:46 PST 2012
nursefriendly
In India, perhaps pharmaceuticals influenced RT @rfberry @jfclearywisc if there is such a high need, why is the access so challenging? #hpm
Wed Feb 22 18:25:55 PST 2012
jfclearywisc
BRIC (Brazil, Russia, India, China RT @ctsinclair: What is current term used for countries that are resource poor but also modern #HPM
Wed Feb 22 18:26:04 PST 2012
visitingnurse
RT @jfclearywisc: Freedom from Pain has been nominated for a Peabody Award for Journalism #hpm Needs to get more bigger exposures. #hpm
Wed Feb 22 18:26:15 PST 2012
ctsinclair
@schwartzbrown Agree that meeting large unmet need for pain control internationally, needs well thought out delivery chain #HPM
Wed Feb 22 18:26:28 PST 2012
ctsinclair
@jfclearywisc Thanks! I knew there was one! #HPM

Wed Feb 22 18:26:41 PST 2012
ctsinclair
RT @jfclearywisc: BRIC (Brazil, Russia, India, China RT @ctsinclair: What is current term used for countries resource poor/also modern #HPM
Wed Feb 22 18:27:01 PST 2012
jfclearywisc
@schwartzbrown SO interesting Fentanyl patches are distributed throughout India with far less concern of diversion than with morphine #hpm
Wed Feb 22 18:27:13 PST 2012
schwartzbrown
When I was in Uganda, I found docs not very sensitive about sickle cell pain. Didn't think meds necessary #hpm
Wed Feb 22 18:27:28 PST 2012
nursefriendly
@jfclearywisc Yes, and government is clearly influenced by industry Anyone remember the US Natural Gas accident, killed 1000s #hpm
Wed Feb 22 18:27:38 PST 2012
ctsinclair
@nursefriendly Wondering about pharma role in India. @jfclearywisc could you illuminate us on India Pharma #HPM
Wed Feb 22 18:27:41 PST 2012
jfclearywisc
@ctsinclair What is AAHPM doing in terms of international work? #HPM

Wed Feb 22 18:28:01 PST 2012
nursefriendly
Not profitable for local, very for export? RT @rfberry: @jfclearywisc if there is such a high need, why is the access so challenging? #hpm
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Wed Feb 22 18:28:20 PST 2012
jfclearywisc
RT @schwartzbrown: When I was in Uganda, I found docs not very sensitive about sickle cell pain. Didn't think meds necessary #hpm
Wed Feb 22 18:28:44 PST 2012
MarksPhone
Who considers pain and palliative care a human rights issue #hpm
Wed Feb 22 18:28:50 PST 2012
ctsinclair
@jfclearywisc Fentanyl patches are psychologically interesting. Often thought to be safer, easier, more effective by patients/doctors #HPM
Wed Feb 22 18:29:01 PST 2012
ctsinclair
RT @schwartzbrown: When I was in Uganda, I found docs not very sensitive about sickle cell pain. Didnt think meds necessary #HPM
Wed Feb 22 18:29:11 PST 2012
jfclearywisc
@schwartzbrown Freedom from Pain finishes with the progress Uganda is making with morphine access #hpm
Wed Feb 22 18:29:17 PST 2012
jfclearywisc
RT @MarksPhone: Who considers pain and palliative care a human rights issue #hpm
Wed Feb 22 18:29:28 PST 2012
rfberry
I do! @hrw has done a few posts about this RT @MarksPhone: Who considers pain and palliative care a human rights issue #hpm
Wed Feb 22 18:30:02 PST 2012
ctsinclair
@jfclearywisc There was a International workforce in @AAHPM, but lack of interest >couldnt sustain but... #HPM
Wed Feb 22 18:30:09 PST 2012
schwartzbrown
@jfclearwisc I'm watching. Hope it is working, because there were a lot of suffering kids. #hpm
Wed Feb 22 18:30:21 PST 2012
AdvanceCarePlan
yes RT @jfclearywisc: RT @MarksPhone: Who considers pain and palliative care a human rights issue #hpm
Wed Feb 22 18:30:33 PST 2012
nursefriendly
Which doctor in their right mind would prescribe morphine to a patient who doesn't clearly need it? @schwartzbrown: @rfberry #hpm
Wed Feb 22 18:30:43 PST 2012
ctsinclair
@jfclearywisc ...@AAHPM is trying to increase free/low-cost access to annual assembly for international docs on merit based evaluation #HPM
Wed Feb 22 18:30:55 PST 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=02-22-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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nursefriendly
RT @jfclearywisc: T2 Is Global #hpm and opioid access an opportunity for Global Heaalth education in Health school in High INcome Countr ...
Wed Feb 22 18:30:56 PST 2012
rfberry
@ctsinclair maybe an opportunity for @jfclearywisc could be a leader in trying to get people together again? #hpm
Wed Feb 22 18:31:17 PST 2012
schwartzbrown
@nursefriendly Many docs running pain clinics in the Southern US #hpm

Wed Feb 22 18:31:46 PST 2012
ctsinclair
RT @rfberry: @ctsinclair maybe an opportunity for @jfclearywisc could be a leader in trying to get people together again? #HPM
Wed Feb 22 18:31:56 PST 2012
JoanneKenen
my very odd twitterstream juxtaposition at moment -- half tweeting GOP debate, birthcontrol, half in a #palliative care tweetchat..#GOP #HPM
Wed Feb 22 18:32:06 PST 2012
rfberry
@JoanneKenen :) #hpm
Wed Feb 22 18:32:38 PST 2012
ctsinclair
@rfberry @jfclearywisc Would be willing to engage in conversation and restart process as a board member. #HPM
Wed Feb 22 18:32:40 PST 2012
jfclearywisc
@JoanneKenen Perhaps we should attempt to get ? on global #palliative into #GOP debate #HPM
Wed Feb 22 18:33:52 PST 2012
ctsinclair
@jfclearywisc maybe we could get you on the plenary schedule for next year @AAHPM and show this video? #ShowThePain #StartAFire #HPM
Wed Feb 22 18:33:57 PST 2012
nursefriendly
@schwartzbrown Access to ETOH & its abuse cannot be compared to access to Medical Grade, regulated Morphine. #hpm
Wed Feb 22 18:34:01 PST 2012
rfberry
(has T2 been released? could someone RT because I missed it if it was) #hpm

Wed Feb 22 18:34:05 PST 2012
ctsinclair
@JoanneKenen I am trying to resist tweeting about anything political... #HPM

Wed Feb 22 18:34:23 PST 2012
jfclearywisc
T2 Is Global #hpm and opioid access an opportunity for Global Heaalth education in Health school in High INcome Countries #hpm
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Wed Feb 22 18:34:31 PST 2012
ctsinclair
RT @jfclearywisc: @JoanneKenen Perhaps we should attempt to get ? on global #palliative into #GOP debate "Careful what you wish for" #HPM
Wed Feb 22 18:34:39 PST 2012
ctsinclair
RT @jfclearywisc: @JoanneKenen Perhaps we should attempt to get ? on global #palliative into #GOP debate "Careful what you wish for" #HPM
Wed Feb 22 18:34:39 PST 2012
rfberry
@jfclearywisc yes! Ira Byock did a great job at engaging Newt Gingritch when he visited Dartmouth Hitchcock #hpm
Wed Feb 22 18:34:53 PST 2012
ctsinclair
RT @jfclearywisc: T2 Is Global #hpm/opioid access an opportunity for Global Heaalth education in Health school in High INcome Countries #HPM
Wed Feb 22 18:34:59 PST 2012
ctsinclair
@jfclearywisc but hell. I say go for it. Throw them a curve ball. #HPM
Wed Feb 22 18:35:28 PST 2012
schwartzbrown
I think the situation in Uganda, in terms of allowing nurses to give morphine results from the HIV crisis-even tho applied to CA #hpm
Wed Feb 22 18:35:45 PST 2012
rfberry
RT @jfclearywisc T2 Is Global #hpm/opioid access an opportunity for Global Health education in Health school in High Income Countries #hpm
Wed Feb 22 18:35:57 PST 2012
rfberry
@ctsinclair Byock talks about sending the offices a letter with facts, figures and the questions you're going to ask ahead of time #hpm
Wed Feb 22 18:36:42 PST 2012
jfclearywisc
@schwartzbrown Agree but certainly expanding to cancer and other East Africa Countries #hpm
Wed Feb 22 18:36:46 PST 2012
nursefriendly
@jfclearywisc @schwartzbrown You can be sure, that there is a much higher profit margin for #Fentanyl #Duragesic patches #hpm
Wed Feb 22 18:37:44 PST 2012
nursefriendly
Cancer too? RT @schwartzbrown When I was in Uganda, I found docs not very sensitive about sickle cell pain. Didn't think meds necessary #hpm
Wed Feb 22 18:38:16 PST 2012
jfclearywisc
We are using Freedom from Pain with Med 3 students this week as a vehicle to tweek their interest in pain management. #hpm
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Wed Feb 22 18:38:46 PST 2012
schwartzbrown
@nursefriendly I think you're applying US issues that don't apply to the countries we're talking about. It's not a $ issue #hpm
Wed Feb 22 18:38:56 PST 2012
rfberry
T2 I think engaging students in the issues around global pain needs is a major opportunity for addressing the issue #hpm
Wed Feb 22 18:39:48 PST 2012
jfclearywisc
@schwartzbrown Agree in Low income countries Pharma not big issue. In growing economies: pharma moving in big time. #hpm
Wed Feb 22 18:39:56 PST 2012
schwartzbrown
I worked in peds, not onc. in Uganda, and adult HIV, neither of which got a lot of palliation. Things are obviously improving #hpm
Wed Feb 22 18:39:57 PST 2012
ctsinclair
RT @rfberry: Byock talks about sending the offices a letter with facts, figures and the questions youre going to ask ahead of time #HPM
Wed Feb 22 18:40:13 PST 2012
ctsinclair
@rfberry good tips! #HPM

Wed Feb 22 18:40:20 PST 2012
rfberry
@jfclearywisc after traveling & seeing much of this first hand what systems things do you see that could make a difference & change? #hpm
Wed Feb 22 18:40:27 PST 2012
nursefriendly
@ctsinclair Patches Safer, easier for chronic pain management in non-terminal patients.In #hospice #patients with serious pain morphine #HPM
Wed Feb 22 18:40:35 PST 2012
schwartzbrown
I think Freedom from Pain is a wonderful teaching tool. #hpm

Wed Feb 22 18:41:16 PST 2012
rfberry
@ctsinclair ya, I'll have to dig & see if I still have his slide deck, saw him present on it, was one of my favorite presnetations #hpm
Wed Feb 22 18:41:16 PST 2012
nursefriendly
@schwartzbrown Morphine isn't very expensive here, thus it is not a "cost" issue either. Much cheaper than #fentanyl, #oxycontin #hpm
Wed Feb 22 18:41:45 PST 2012
MarksPhone
@jfclearywisc #hpm that is an interesting point using the international issues to create awareness for pain in the US
Wed Feb 22 18:41:58 PST 2012
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jfclearywisc
@rfberry In India, each of 26 states different. call 4 centralized (federal) system which INdia Govt has said will be changed. Waiting #hpm
Wed Feb 22 18:42:08 PST 2012
ctsinclair
@nursefriendly not necessarily true. seen patches mismanaged/misused by patients in rates similar to pills. tailor to the individual #HPM
Wed Feb 22 18:42:17 PST 2012
ctsinclair
RT @schwartzbrown: I think Freedom from Pain is a wonderful teaching tool. http://t.co/JQ6UGKvd #HPM
Wed Feb 22 18:42:43 PST 2012
ctsinclair
@rfberry would like to see that slide deck #HPM

Wed Feb 22 18:43:19 PST 2012
nursefriendly
Which tweet were you responding to please? RT @schwartzbrown: @nursefriendly Many docs running pain clinics in the Southern US #hpm
Wed Feb 22 18:43:27 PST 2012
rfberry
@jfclearywisc could we implement a similar engagement structure to @invisible in getting young people understanding this issue? #hpm
Wed Feb 22 18:43:40 PST 2012
jfclearywisc
@rfberry In INdian Punjab, hospital has to wait til oral morphine stock is zero B4 reordering. Then 4-6 weeks to get approval & drug #hpm
Wed Feb 22 18:44:01 PST 2012
jfclearywisc
@rfberry Tell me more about invisible? #hpm

Wed Feb 22 18:44:33 PST 2012
ctsinclair
RT @jfclearywisc: @rfberry Tell me more about @invisible? "had not heard of it either" #HPM
Wed Feb 22 18:45:20 PST 2012
MarksPhone
http://t.co/vLhNjvxP From Human Rights Watch on pain treatment as a human right #hpm
Wed Feb 22 18:45:32 PST 2012
jfclearywisc
T3: what lession can US and India (or equivalent countries) share in order to ensure access to opioids #hpm
Wed Feb 22 18:45:55 PST 2012
MarksPhone
@jfclearywisc #hpm so tragic

Wed Feb 22 18:46:14 PST 2012
rfberry
@invisible did a tour showing the film to high school students (colleges too I believe) gained incredible momentum as a movement #hpm
Page 14 of 22
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Wed Feb 22 18:47:25 PST 2012
ctsinclair
T3: Need to have broad education initiatives to public as well as HC Professionals to help get shared understanding #HPM
Wed Feb 22 18:48:12 PST 2012
jfclearywisc
T3: May be opportunties for Low and middle income countries to build in prescription monitoring programs using mobile phone technology #hpm
Wed Feb 22 18:48:24 PST 2012
rfberry
Can intro you to filmmakers, met them in DC after my first day on the hill RT @jfclearywisc @rfberry Tell me more about invisible? #hpm
Wed Feb 22 18:48:43 PST 2012
MarksPhone
@ctsinclair #HPM the tools are there with these links and films they need to be pushed out & as journal club tools
Wed Feb 22 18:49:07 PST 2012
GroundSwellAus
I think I'm just seeing the end of HPM chat? probably to late to chime in but I have direct experience with programs in india #hpm
Wed Feb 22 18:49:26 PST 2012
ctsinclair
@jfclearywisc mobile networks with broadest communication penetration in BRIC countries right? #HPM
Wed Feb 22 18:49:34 PST 2012
jfclearywisc
@GroundSwellAus Speak! #hpm

Wed Feb 22 18:49:43 PST 2012
rfberry
@GroundSwellAus aw! Chime in!!! #hpm

Wed Feb 22 18:50:01 PST 2012
GroundSwellAus
it sounds to me like what you are all talking about is the public health approach to pall care? #hpm
Wed Feb 22 18:50:02 PST 2012
jfclearywisc
@ctsinclair Very broad mobile tech incl increasing penetration of cheap smart phones #HPM
Wed Feb 22 18:50:33 PST 2012
rfberry
RT @jfclearywisc: T3: what lession can US and India (or equivalent countries) share in order to ensure access to opioids #hpm
Wed Feb 22 18:50:33 PST 2012
ctsinclair
RT @rfberry: Can intro you to filmmakers, met them in DC after my first day on the hill "@rfberry is a great person to network with" #HPM
Wed Feb 22 18:50:36 PST 2012
Page 15 of 22
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ctsinclair
RT @rfberry: Can intro you to filmmakers, met them in DC after my first day on the hill "@rfberry is a great person to network with" #HPM
Wed Feb 22 18:50:36 PST 2012
GroundSwellAus
@jfclearywisc young peeps take on a large responsibility of Pall care programs... they do alot of social support #hpm
Wed Feb 22 18:50:43 PST 2012
nursefriendly
Yes, many more people should see it, will be tweeting :) RT @schwartzbrown: I think Freedom from Pain is a wonderful teaching tool. #hpm
Wed Feb 22 18:51:10 PST 2012
ctsinclair
@GroundSwellAus nothing saying we HAVE to stop..bring your experience please #HPM

Wed Feb 22 18:51:13 PST 2012
jfclearywisc
RT @GroundSwellAus: young peeps large responsibility of Pall care programs... they do alot of social support #hpm Primarily in Kerala!!
Wed Feb 22 18:51:32 PST 2012
rfberry
@ctsinclair Thanks ct, really just #Nerdy passionate #hpm

Wed Feb 22 18:51:35 PST 2012
GroundSwellAus
Palliative Care day in Kerala is celebrated in schools... schools and college provide mircofinance to help run programs... #hpm
Wed Feb 22 18:51:38 PST 2012
schwartzbrown
In some ways, those countries have it all over us on acceptance of death as part of life and caring for people #hpm
Wed Feb 22 18:51:53 PST 2012
jfclearywisc
@GroundSwellAus Over 2/3s of INdian Palliative Care Programs are in one state, Kerala. "Socialist and Christian" state #hpm
Wed Feb 22 18:52:21 PST 2012
nursefriendly
@ctsinclair Have you found Morphine to be a typical drug of abuse in #patients that legitimately need it? #HPM
Wed Feb 22 18:52:46 PST 2012
GroundSwellAus
college students are now setting up social enterprises so that the termainlly ill can earn $$ that they otherwise could not #hpm
Wed Feb 22 18:52:52 PST 2012
rfberry
@ctsinclair can I give this one an RT RT RT? #Hpm

Wed Feb 22 18:52:59 PST 2012
Page 16 of 22
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rfberry
RT @ctsinclair: T3: Need to have broad education initiatives to public as well as HC Professionals to help get shared understanding #HPM
Wed Feb 22 18:53:08 PST 2012
GroundSwellAus
@jfclearywisc yes that's right... they have led the way with their public health approach grassroots UP #hpm
Wed Feb 22 18:53:22 PST 2012
ctsinclair
RT @rfberry: @ctsinclair Thanks ct, really just #Nerdy passionate "Great qualities to have, especially if you are extraverted" #HPM
Wed Feb 22 18:53:24 PST 2012
GroundSwellAus
@jfclearywisc no longer a socialist govt though #hpm

Wed Feb 22 18:53:39 PST 2012
jfclearywisc
@schwartzbrown Rounding in North India, Once people get to hospital, families/clinicians have great difficulty in stopping treatments #hpm
Wed Feb 22 18:53:44 PST 2012
MarksPhone
@schwartzbrown #hpm that is another interesting point attitudes toward death ex-US
Wed Feb 22 18:53:55 PST 2012
nursefriendly
@ctsinclair I was comparing Morphine which is only given to legitimate painmanagement patients. to patches, pills anyone can get #HPM
Wed Feb 22 18:53:57 PST 2012
ctsinclair
RT @schwartzbrown: In some ways, those countries have it all over us on acceptance of death as part of life and caring for people #HPM
Wed Feb 22 18:54:02 PST 2012
jfclearywisc
@GroundSwellAus Why I put in in inverted commas. Still very much part of fabric of society. #hpm
Wed Feb 22 18:54:29 PST 2012
rfberry
@GroundSwellAus how is the momentum going on that? #hpm

Wed Feb 22 18:54:31 PST 2012
nursefriendly
RT @jfclearywisc: T3: what lession can US and India (or equivalent countries) share in order to ensure access to opioids #hpm
Wed Feb 22 18:54:32 PST 2012
FloridaFamilyMD
RT @GeriPalBlog: Forging the Future of #Geriatrics and Palliative Care http://t.co/gdC51pMQ #hpm
Wed Feb 22 18:54:39 PST 2012
ctsinclair
@schwartzbrown yes, we should be open to what they may teach us #HPM

Wed Feb 22 18:54:45 PST 2012
Page 17 of 22
6/27/12 1:00 PM
schwartzbrown
@jfclearywisc Sorry to hear that. #hpm

Wed Feb 22 18:54:53 PST 2012
rfberry
RT @GroundSwellAus: @jfclearywisc yes that's right... they have led the way with their public health approach - grassroots UP #hpm
Wed Feb 22 18:54:56 PST 2012
GroundSwellAus
@jfclearywisc much leadership from @drureshkumar and @saifsabil #hpm

Wed Feb 22 18:55:43 PST 2012
GroundSwellAus
oppp I mean @drsureshkumar #hpm

Wed Feb 22 18:55:56 PST 2012
rfberry
@GroundSwellAus this is the central part of my passion, bringing more of a public health focus to #palliative care & #hpm
Wed Feb 22 18:56:02 PST 2012
nursefriendly
@jfclearywisc Make laws restricting access to #palliative #medicine commensurate with the demand, to allow those who need it to get #hpm
Wed Feb 22 18:56:09 PST 2012
rfberry
RT @GroundSwellAus: it sounds to me like what you are all talking about is the public health approach to pall care? #hpm
Wed Feb 22 18:56:15 PST 2012
GroundSwellAus
they "sensitise" the community to pall care first! and then the HP's - Community ownership! #hpm
Wed Feb 22 18:56:25 PST 2012
GroundSwellAus
@rfberry mine too!! I'm doing my PhD on it #hpm

Wed Feb 22 18:56:55 PST 2012
jfclearywisc
Final minutes of a very intense #hpm tweetchat. Appreciated opportunity for global chat. Final thoughts?
Wed Feb 22 18:57:12 PST 2012
nursefriendly
@GroundSwellAus We're all still here :) #hpm

Wed Feb 22 18:57:19 PST 2012
schwartzbrown
@rfberry @GroundSwellAus We need that here as much as anywhere else-- #hpm

Wed Feb 22 18:57:40 PST 2012
rfberry
When can we meet "IRL" :) you are pretty much living my dream RT @GroundSwellAus: @rfberry mine too!! Im doing my PhD on it #hpm
Wed Feb 22 18:57:58 PST 2012
Page 18 of 22
6/27/12 1:00 PM
ctsinclair
@rfberry Title of my talk this year at @AAHPM is "Social Media = Public Health" #HPM
Wed Feb 22 18:58:14 PST 2012
nursefriendly
RT @schwartzbrown: In some ways, those countries have it all over us on acceptance of death as part of life and caring for people #hpm
Wed Feb 22 18:58:16 PST 2012
schwartzbrown
I love that film. Think it should go "viral." #hpm

Wed Feb 22 18:58:21 PST 2012
GroundSwellAus
@rfberry lol skype? lets do it!!! #hpm

Wed Feb 22 18:58:47 PST 2012
rfberry
@ctsinclair @AAHPM looking forward to it! #hpm

Wed Feb 22 18:59:07 PST 2012
ctsinclair
@jfclearywisc thanks for a great chat. i am glad you are persistent in your support of intl pain issues, you have opened my eyes #HPM
Wed Feb 22 18:59:21 PST 2012
visitingnurse
T3: Resolution to issue can't be intellectualized, pain is a felt issue. Only feeling it personally or empathetically can action begin. #hpm
Wed Feb 22 18:59:23 PST 2012
nursefriendly
RT @rfberry: @GroundSwellAus this is the central part of my passion, bringing more of a public health focus to #palliative care & #hpm
Wed Feb 22 18:59:26 PST 2012
nursefriendly
RT @GroundSwellAus: they "sensitise" the community to pall care first! and then the HP's - Community ownership! #hpm
Wed Feb 22 18:59:36 PST 2012
nursefriendly
RT @jfclearywisc: Final minutes of a very intense #hpm tweetchat. Appreciated opportunity for global chat. Final thoughts?
Wed Feb 22 18:59:50 PST 2012
MarksPhone
There are 2points I think are important. international issues need attention. Using international to leverage awareness for US & ex #hpm
Wed Feb 22 19:00:04 PST 2012
rfberry
awesome RT @ctsinclair @rfberry Title of my talk this year at @AAHPM is "Social Media = #PublicHealth " #HPM #hcsm #hpm
Wed Feb 22 19:00:06 PST 2012
GroundSwellAus
@rfberry we are also research the community approach - I'm talking at SIPM in Sydney with @jfclearywisc too!!! #hpm
Page 19 of 22
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Wed Feb 22 19:00:09 PST 2012
jfclearywisc
@ctsinclair Thanks. May raise it in my short time with AAHPM board in two weeks #HPM
Wed Feb 22 19:00:29 PST 2012
nursefriendly
@jfclearywisc Final We must focus on getting the medications for #pain management, to the #patients that legitimately need them #hpm
Wed Feb 22 19:00:33 PST 2012
rfberry
@ctsinclair @jfclearywisc agree! #hpm

Wed Feb 22 19:00:34 PST 2012
nursefriendly
@jfclearywisc #Thankyou for hosting :) #hpm

Wed Feb 22 19:00:51 PST 2012
jfclearywisc
RT @nursefriendly: Final We must focus on getting the medications for #pain management, to the #patients that legitimately need them #hpm
Wed Feb 22 19:00:56 PST 2012
rfberry
awesome RT @GroundSwellAus we are also research the community approach - Im talking at SIPM in Sydney w/ @jfclearywisc too! #hpm
Wed Feb 22 19:00:58 PST 2012
rfberry
awesome RT @GroundSwellAus we are also research the community approach - Im talking at SIPM in Sydney w/ @jfclearywisc too! #hpm
Wed Feb 22 19:00:58 PST 2012
ctsinclair
The #hpm Daily is out! http://t.co/hXekg5Al Top stories today via @sandiegohospice @susancadell @jfclearywisc @suzanakm @solarihospice
Wed Feb 22 19:01:22 PST 2012
ctsinclair
RT @jfclearywisc: @ctsinclair Thanks. May raise it in my short time with AAHPM board in two weeks <I'll give you a 'here-here!'> #HPM
Wed Feb 22 19:01:45 PST 2012
jfclearywisc
@rfberry @GroundSwellAus Looking forward to SIPM meeting in 3 weeks. #hpm

Wed Feb 22 19:01:53 PST 2012
rfberry
@visitingnurse that speaks to the importance of sharing those stories & helping people to connect with their importance #hpm
Wed Feb 22 19:02:15 PST 2012
jfclearywisc
@Thanks all. Good night. jim #hpm

Wed Feb 22 19:02:32 PST 2012
rfberry
Yes, sounds like a plan, are you going to AAHPM in Denver? RT @GroundSwellAus:
Page 20 of 22
6/27/12 1:00 PM
@rfberry lol skype? lets do it!!! #hpm

Wed Feb 22 19:02:57 PST 2012
GroundSwellAus
I always get excited when I see talk of India... it caught my eye so thanks for allowing my tweet frenzy!!! *blushing* #hpm
Wed Feb 22 19:02:59 PST 2012
schwartzbrown
Thank you all again. Lot of caring here. #hpm

Wed Feb 22 19:03:01 PST 2012
rfberry
Night Jim, thanks so much for moderating tonight & helping engage us in a global perspective! #hpm
Wed Feb 22 19:03:18 PST 2012
GroundSwellAus
love the IRL meet RT @jfclearywisc: @rfberry @GroundSwellAus Looking forward to SIPM meeting in 3 weeks. #hpm
Wed Feb 22 19:03:19 PST 2012
MarksPhone
Thank you all mostly lurking tonight since this is all new to me, the international aspect great to learn more #hpm
Wed Feb 22 19:03:25 PST 2012
GroundSwellAus
@rfberry no but do you all know about the Public health and pall care conference in Ireland 2013? #hpm
Wed Feb 22 19:04:05 PST 2012
jfclearywisc
@MarksPhone ALways more at http://t.co/GAzItMJl! #hpm

Wed Feb 22 19:04:18 PST 2012
MarksPhone
@jfclearywisc #hpm link is not working

Wed Feb 22 19:04:55 PST 2012
jfclearywisc
@GroundSwellAus Need to know more about very. Very interested!!!! #hpm

Wed Feb 22 19:05:08 PST 2012
rfberry
RT @jfclearywisc: @GroundSwellAus Need to know more about very. Very interested!!!! #hpm
Wed Feb 22 19:06:02 PST 2012
jfclearywisc
@jfclearywisc works for me. try without shortening http://t.co/GAzItMJl #hpm

Wed Feb 22 19:06:25 PST 2012
GroundSwellAus
email me: kerrie@thegroundswellproject.com and I will send what I can and connect you with Libby and others... #hpm
Wed Feb 22 19:07:24 PST 2012
Page 21 of 22
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RannPatterson
RT @schwartzbrown: In some ways, those countries have it all over us on acceptance of death as part of life and caring for people #hpm
Wed Feb 22 19:12:16 PST 2012
Page 22 of 22

#HPM Tweet Chat 2:22:12

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#hpm - Healthcare Social Media Transcript

@jfclearymac New handle? #HPM

#hpm - Healthcare Social Media Transcript

(also my twitter seems to be acting a bit slow) #hpm

Hi all Mark here #hpm

WEclome @rfberry @ctsinclair @marksphone @MarksPhone to #hpm Tweetchat #hpm

Hi, Mindy here. #hpm

@schwartzbrown Welcome Mindy #hpm

@MarksPhone Welcome Mark #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

Here is a PDF on India an palliation http://t.co/vyP7RnHa #hpm

@ctsinclair that is so incredible #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 22 18:15:20 PST 2012

@AdvanceCarePlan Welcome Discussing opioid access in INdia #hpm

@AdvanceCarePlan Happy Birthday!! #HPM

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

Shout out to @MarksPhone for providing helpful links tonight! #HPM

@nursefriendly Good point #HPM

@ctsinclair #HPM Thanks to Dr. Foley who is leader in this #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

@schwartzbrown I agree #hpm

@jfclearywisc Thanks! I knew there was one! #HPM

@ctsinclair What is AAHPM doing in terms of international work? #HPM

#hpm - Healthcare Social Media Transcript

Wed Feb 22 18:28:20 PST 2012

#hpm - Healthcare Social Media Transcript

@nursefriendly Many docs running pain clinics in the Southern US #hpm

(has T2 been released? could someone RT because I missed it if it was) #hpm

@JoanneKenen I am trying to resist tweeting about anything political... #HPM

#hpm - Healthcare Social Media Transcript

Wed Feb 22 18:34:31 PST 2012

#hpm - Healthcare Social Media Transcript

Wed Feb 22 18:38:46 PST 2012

@rfberry good tips! #HPM

I think Freedom from Pain is a wonderful teaching tool. #hpm

#hpm - Healthcare Social Media Transcript

@rfberry would like to see that slide deck #HPM

@rfberry Tell me more about invisible? #hpm

@jfclearywisc #hpm so tragic

#hpm - Healthcare Social Media Transcript

Wed Feb 22 18:47:25 PST 2012

@GroundSwellAus Speak! #hpm

@GroundSwellAus aw! Chime in!!! #hpm

#hpm - Healthcare Social Media Transcript

@GroundSwellAus nothing saying we HAVE to stop..bring your experience please #HPM

@ctsinclair Thanks ct, really just #Nerdy passionate #hpm

@ctsinclair can I give this one an RT RT RT? #Hpm

#hpm - Healthcare Social Media Transcript

@jfclearywisc no longer a socialist govt though #hpm

@GroundSwellAus how is the momentum going on that? #hpm

@schwartzbrown yes, we should be open to what they may teach us #HPM

#hpm - Healthcare Social Media Transcript

@jfclearywisc Sorry to hear that. #hpm

@jfclearywisc much leadership from @drureshkumar and @saifsabil #hpm

oppp I mean @drsureshkumar #hpm

@rfberry mine too!! I'm doing my PhD on it #hpm

@GroundSwellAus We're all still here :) #hpm

@rfberry @GroundSwellAus We need that here as much as anywhere else-- #hpm