#jacr transcript · join us! tweetchat topic & questions are in her blogpost: ht… thu mar 24...

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3/24/2016 #JACR Healthcare Social Media Transcript http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03242016&shour=09&smin=00&tdate=03242016&thour=10&tmin=15 1/24 #JACR transcript Healthcare Social Media Transcript From: Thu Mar 24 9:00:00 PDT 2016 To: Thu Mar 24 10:15:00 PDT 2016 change time period What is #JACR? Who were the influencers during this time period? #JACR analytics Healthcare Conference Healthcare Tweet Chats Healthcare Analytics pfanderson RT @JuliannaCzumMD: Join @nxtstop1 and the @JACRJournal Tweet Chat team today at noon. See questions below. Remember to use #JACR. https://… Thu Mar 24 9:00:34 PDT 2016 pfanderson RT @JuliannaCzumMD: Only 48 hours until @nxtstop1's #JACR tweet chat! Please join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all about Thu Mar 24 9:01:15 PDT 2016 juliannaczummd Hi @nxtstop1 and everyone else! #JACR Thu Mar 24 9:01:58 PDT 2016 jacrjournal Welcome to the #JACR tweet chat! Let's get started with introductions. Thu Mar 24 9:01:59 PDT 2016 nxtstop1 This is Bernadette Keefe MD, prior practice in academic radiology>see my current work at my websitedelighted to moderate. DO JOIN US! #jacr Thu Mar 24 9:02:11 PDT 2016 nxtstop1 @bjh41647 Welcome Bruce! #jacr Thu Mar 24 9:02:31 PDT 2016 grebeccahaines Great 2 b here 2 learn abt thinking differently in medicine #jacr Thu Mar 24 9:02:58 PDT 2016

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Page 1: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 1/24

#JACR transcript

Healthcare Social Media TranscriptFrom: Thu Mar 24 9:00:00 PDT 2016To: Thu Mar 24 10:15:00 PDT 2016

change time period

What is #JACR? Who were the influencers during this time period? #JACR analytics

Healthcare Conference ­ Healthcare Tweet Chats ­ Healthcare Analytics

pfanderson RT @JuliannaCzumMD: Join @nxtstop1 and the @JACRJournal Tweet Chat teamtoday at noon. See questions below. Remember to use #JACR. https://… Thu Mar 24 9:00:34 PDT 2016

pfanderson RT @JuliannaCzumMD: Only 48 hours until @nxtstop1's #JACR tweet chat! Pleasejoin us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016

bjh41647 #jacr Good to be here and find out what today's title is all about Thu Mar 24 9:01:15 PDT 2016

juliannaczummd Hi @nxtstop1 and everyone else! #JACR Thu Mar 24 9:01:58 PDT 2016

jacrjournal Welcome to the #JACR tweet chat! Let's get started with introductions. Thu Mar 24 9:01:59 PDT 2016

nxtstop1 This is Bernadette Keefe MD, prior practice in academic radiology>see my currentwork at my website­delighted to moderate. DO JOIN US! #jacr Thu Mar 24 9:02:11 PDT 2016

nxtstop1 @bjh41647 Welcome Bruce! #jacr Thu Mar 24 9:02:31 PDT 2016

grebeccahaines Great 2 b here 2 learn abt thinking differently in medicine #jacr Thu Mar 24 9:02:58 PDT 2016

Page 2: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 2/24

nxtstop1 @JuliannaCzumMD @nxtstop1 Hi there Julianna ~ lovely to be with you and all~#jacr Thu Mar 24 9:03:02 PDT 2016

tmacrad #jacr This is Tatum McArthur, MD from Colorado. This is my first time. Excited to behere! Thu Mar 24 9:03:06 PDT 2016

radsdoc82 Jonathan Flug MSK radiologist at the University of Colorado. Excited to be here aftera brief hiatus! #JACR Thu Mar 24 9:03:16 PDT 2016

jacrjournal A special thanks to Berndatte Keefe, @nxtstop1 , for moderating today! #JACR Thu Mar 24 9:03:35 PDT 2016

nxtstop1 @grebeccahaines Hello Becky, its so important that we have open minds, are flexibleand nimble...It's a brand NEW WORLD ~ #jacr Thu Mar 24 9:03:51 PDT 2016

pfanderson Patricia from Michigan here for #JACR chat. Interesting topic! Thu Mar 24 9:04:02 PDT 2016

nxtstop1 TY! & Delighted to do it~ Wonderful community! MT @JACRJournal: A special thanksto Bernadette Keefe, @nxtstop1 ,for moderating today! #JACR Thu Mar 24 9:04:47 PDT 2016

nxtstop1 @pfanderson Hello Patricia, what a pleasure to welcome you to the chat! #jacr Thu Mar 24 9:05:10 PDT 2016

pfanderson @JACRJournal @nxtstop1 Pretty awesome to have Bernadette 'running' this today.#jacr Thu Mar 24 9:05:18 PDT 2016

nxtstop1 @tmacrad Hello Tatum , delightful to have you with us today~ #jacr Thu Mar 24 9:05:28 PDT 2016

grebeccahaines Here's our article for discussion today https://t.co/7yNR0XebP2 #jacr Thu Mar 24 9:05:36 PDT 2016

bjh41647 @pfanderson #jacr Those of us who remember the 60s are familiar with this, but theslogan was 'you have to burn before you can build' Thu Mar 24 9:05:51 PDT 2016

nxtstop1 @Radsdoc82 Hello Jonathan ~ such a pleasure to see you here~ #jacr Thu Mar 24 9:06:03 PDT 2016

jacrjournal RT @JuliannaCzumMD: Only 48 hours until @nxtstop1's #JACR tweet chat! Pleasejoin us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:06:05 PDT 2016

Page 3: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 3/24

jacrjournal Let's get started! #JACR Thu Mar 24 9:06:34 PDT 2016

nxtstop1 @bjh41647 @pfanderson Yes­but given that there is much good, the most talentedwill be able to keep all the great bits, throw out rest #jacr Thu Mar 24 9:07:03 PDT 2016

jacrjournal T1 Have you ever tried to implement const destruction and received pushback from yrdepartment chair, colleagues, other clinicians? #JACR Thu Mar 24 9:07:23 PDT 2016

nxtstop1 MT @JACRJournal: T1 Ever tried to implement const­destruction & receivedpushback from department chair, colleagues,other clinicians? #JACR Thu Mar 24 9:08:26 PDT 2016

jacrjournal RT @bjh41647: @pfanderson #jacr Those of us who remember the 60s are familiarwith this, but the slogan was 'you have to burn before you c… Thu Mar 24 9:08:31 PDT 2016

pfanderson @grebeccahaines I love this article. Raises impt issues, opens new perspectives.Also love that it brings up Schumpeter early on! #jacr Thu Mar 24 9:08:32 PDT 2016

jacrjournal RT @grebeccahaines: Here's our article for discussion today https://t.co/7yNR0XebP2#jacr Thu Mar 24 9:08:34 PDT 2016

radiologywrites Creative destruciton: a systematic, unemotional process of identifying wastefulelements of our processe https://t.co/EhtlRenMBi #JACR Thu Mar 24 9:08:39 PDT 2016

juliannaczummd @JACRJournal #JACR: Pushback, yes, but not from clinical staff, but from non­clinicalstaff, administrators, managers, etc. Thu Mar 24 9:08:51 PDT 2016

bjh41647 @JACRJournal #jacr Could the moderator give a brief summary of what is meant bythe topic? I am unsre Ive got it Thu Mar 24 9:09:05 PDT 2016

pfanderson @bjh41647 It's never that simple, is it? More of a swamp, with decay & new growth,IMHO. #jacr Thu Mar 24 9:09:16 PDT 2016

jacrjournal RT @RadiologyWrites: Creative destruciton: a systematic, unemotional process ofidentifying wasteful elements of our processe https://t.co/… Thu Mar 24 9:09:31 PDT 2016

pfanderson @JACRJournal Actually, I know folk who've been threatened with losing their jobs!#jacr

Page 4: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 4/24

Thu Mar 24 9:10:00 PDT 2016

grebeccahaines Not everything new is good; not everything old is bad #jacr Thu Mar 24 9:10:06 PDT 2016

donsmallman RT @nxtstop1: This is Bernadette Keefe MD, prior practice in academicradiology>see my current work at my website­delighted to moderate. DO… Thu Mar 24 9:10:16 PDT 2016

tmacrad @JACRJournal Yes. Pushback from clinical colleagues. #JACR Thu Mar 24 9:10:20 PDT 2016

nxtstop1 Thank you Brett, are my tweets showing up now??? #jacr Thu Mar 24 9:10:32 PDT 2016

bjh41647 @pfanderson # we were going to change the world, but it worked the other wayaround #jacr Thu Mar 24 9:10:44 PDT 2016

radiologyacr RT @grebeccahaines: Not everything new is good; not everything old is bad #jacr Thu Mar 24 9:10:53 PDT 2016

pfanderson @JACRJournal Constructive deconstruction always makes me think of loyalopposition https://t.co/l44o8TN3lQ in the workplace #jacr Thu Mar 24 9:11:04 PDT 2016

radsdoc82 @tmacrad @JACRJournal In radiology or referring docs? Ive had a mix of both. havelearned to choose my battles wisely #jacr Thu Mar 24 9:11:13 PDT 2016

pfanderson RT @grebeccahaines: Not everything new is good; not everything old is bad #jacr Thu Mar 24 9:11:19 PDT 2016

radiologyboy1 looks like @nxtstop1 isn't populating on the feed for some reason? #JACRhttps://t.co/w6khm2YuFa Thu Mar 24 9:11:24 PDT 2016

pfanderson @grebeccahaines As the emerging technologies informationist, folk expect me todefend the new at all costs. Usually, I do the opposite #jacr Thu Mar 24 9:11:54 PDT 2016

nxtstop1 @RadiologyBoy1 @nxtstop1 Wow I just signed out and signed back in­still not infeed??? #jacr Thu Mar 24 9:11:56 PDT 2016

bjh41647 RT @grebeccahaines: Not everything new is good; not everything old is bad #jacr Thu Mar 24 9:12:11 PDT 2016

@bjh41647 @JACRJournal Hi Bruce, I copied a part of @nxtstop1's blogpost. Hope

Page 5: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 5/24

juliannaczummd that helps! #JACR https://t.co/Btpj1wTx13 Thu Mar 24 9:12:36 PDT 2016

pfanderson @RadiologyBoy1 @nxtstop1 I've been having that type of problem in a lot of Twitterchats recently. @Twitter is screwing things up! #jacr Thu Mar 24 9:12:56 PDT 2016

nxtstop1 Hi all ~ Are my tweets showing up now?? #jacr Thu Mar 24 9:13:08 PDT 2016

jacrjournal RT @JuliannaCzumMD: @bjh41647 @JACRJournal Hi Bruce, I copied a part of@nxtstop1's blogpost. Hope that helps! #JACR https://t.co/Btpj1wTx… Thu Mar 24 9:13:35 PDT 2016

drianweissman When faced w push back, try strategy of "Going for No." With time, will make progess.#JACR Thu Mar 24 9:13:43 PDT 2016

grebeccahaines @pfanderson Thoughtful consideration matters. Peopled burned out on change forchange's sake #jacr Thu Mar 24 9:13:50 PDT 2016

pfanderson @bjh41647 Of course it did. :) And we DID change the world. Just less and slowerthan we dreamed #jacr Thu Mar 24 9:13:58 PDT 2016

radsdoc82 @DrIanWeissman I recently learned about the five whys. I think that will helpimmensely #JACR Thu Mar 24 9:14:35 PDT 2016

roguerad Much of what we call innovation is orthodoxy with a fancier name. Old wine in newbottles #JACR Thu Mar 24 9:14:36 PDT 2016

jacrjournal RT @grebeccahaines: @pfanderson Thoughtful consideration matters. Peopledburned out on change for change's sake #jacr Thu Mar 24 9:14:42 PDT 2016

grebeccahaines @Radsdoc82 @tmacrad @JACRJournal How 2 break through w docs? Focus onpatient? @jrawson #jacr Thu Mar 24 9:14:51 PDT 2016

radiologyacr RT @DrIanWeissman: When faced w push back, try strategy of "Going for No." Withtime, will make progess. #JACR Thu Mar 24 9:14:54 PDT 2016

pfanderson @grebeccahaines Or people hooked on the adrenaline junky spike from change forits own sake #jacr Thu Mar 24 9:14:55 PDT 2016

Page 6: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 6/24

bjh41647 @pfanderson #jacr Perhaps even in directions we're not so proud of Thu Mar 24 9:15:11 PDT 2016

roguerad Genuine innovation is rare. Useful innovation even rarer #JACR Thu Mar 24 9:15:15 PDT 2016

nxtstop1 TY for RT'ing Brett: T1 To answer Bruce: it's re­evaluating what we do, the extent ofthe studies (including the purchase of machines) #jacr Thu Mar 24 9:15:16 PDT 2016

radiologyacr RT @RogueRad: Much of what we call innovation is orthodoxy with a fancier name.Old wine in new bottles #JACR Thu Mar 24 9:15:27 PDT 2016

pfanderson RT @RogueRad: Much of what we call innovation is orthodoxy with a fancier name.Old wine in new bottles #JACR Thu Mar 24 9:15:45 PDT 2016

drianweissman RT @Radsdoc82: @DrIanWeissman I recently learned about the five whys. I think thatwill help immensely #JACR Thu Mar 24 9:15:48 PDT 2016

grebeccahaines https://t.co/Qb1BCe5gvs Check it out@School4Radicals Going 4 No #jacr Thu Mar 24 9:16:00 PDT 2016

jacrjournal RT @nxtstop1: TY for RT'ing Brett: T1 To answer Bruce: it's re­evaluating what we do,the extent of the studies (including the purchase of … Thu Mar 24 9:16:04 PDT 2016

juliannaczummd @RogueRad And sometimes imitation of others' successes is more effective thanactual innovation, at least as a short­term solution. #JACR Thu Mar 24 9:16:18 PDT 2016

grebeccahaines RT @RogueRad: Much of what we call innovation is orthodoxy with a fancier name.Old wine in new bottles #JACR Thu Mar 24 9:16:28 PDT 2016

drianweissman RT @grebeccahaines: https://t.co/Qb1BCe5gvs Check it out@School4Radicals Going4 No #jacr Thu Mar 24 9:16:32 PDT 2016

roguerad "Embrace innovation" is one of those feel­good slogans like "hope & change" & "let'smake America great again" #JACR Thu Mar 24 9:16:39 PDT 2016

pfanderson @Radsdoc82 @DrIanWeissman Five Whys: https://t.co/2ylyEWcTvq #jacr Thu Mar 24 9:16:42 PDT 2016

nxtstop1 @RogueRad T1 Yes, the word innovation...is tired, & sometimes insincere (kind­of).

Page 7: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 7/24

Prefer re­evaluation...reflection..before doing #jacr Thu Mar 24 9:16:58 PDT 2016

radiologyacr RT @JuliannaCzumMD: @RogueRad And sometimes imitation of others' successesis more effective than actual innovation, at least as a short­t… Thu Mar 24 9:17:05 PDT 2016

radsdoc82 @RogueRad So should we just ignore it and not even pretend? #JACR Thu Mar 24 9:17:15 PDT 2016

bjh41647 @RogueRad #jacr Is that the same as saying there are no truly new ideas ­ much as19th century physicists predicted nothing new to discover Thu Mar 24 9:17:20 PDT 2016

nxtstop1 Agree RT @RogueRad: "Embrace innovation" is one of those feel­good slogans like"hope & change" & "let's make America great again" #JACR Thu Mar 24 9:17:26 PDT 2016

drianweissman RT @pfanderson: @Radsdoc82 @DrIanWeissman Five Whys:https://t.co/2ylyEWcTvq #jacr Thu Mar 24 9:17:29 PDT 2016

radiologywrites RT @nxtstop1: @bjh41647 @pfanderson Yes­but given that there is much good, themost talented will be able to keep all the great bits, throw… Thu Mar 24 9:17:30 PDT 2016

jacrjournal RT @nxtstop1: Agree RT @RogueRad: "Embrace innovation" is one of those feel­good slogans like "hope & change" & "let's make America great a… Thu Mar 24 9:17:57 PDT 2016

pfanderson RT @RogueRad: "Embrace innovation" is one of those feel­good slogans like "hope& change" & "let's make America great again" #JACR Thu Mar 24 9:18:05 PDT 2016

roguerad Genuine innovation is adopted. Pseudo innovation is ignored.If you have to convincepeople you're idea is good, it's probably rubbish #JACR Thu Mar 24 9:18:12 PDT 2016

nxtstop1 T1 Titled it Constructive­Destruction, b/c I believe so much is worth preserving.However doesn't excuse fine tooth comb over all! #jacr Thu Mar 24 9:18:22 PDT 2016

jacrjournal RT @nxtstop1: @RogueRad T1 Yes, the word innovation...is tired, & sometimesinsincere (kind­of). Prefer re­evaluation...reflection..before … Thu Mar 24 9:18:26 PDT 2016

grebeccahaines Best way to convey "been there, done that" in a more positive tone? #jacr Thu Mar 24 9:19:03 PDT 2016

@RogueRad And it's valid, but so is the opposite. We need both change leaders and

Page 8: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 8/24

pfanderson preservation experts. #jacr Thu Mar 24 9:19:09 PDT 2016

roguerad @bjh41647 No, just reality/hype is approaching zero #jacr Thu Mar 24 9:19:18 PDT 2016

grebeccahaines RT @RogueRad: Genuine innovation is adopted. Pseudo innovation is ignored.If youhave to convince people you're idea is good, it's probably… Thu Mar 24 9:19:23 PDT 2016

roguerad RT @Radsdoc82: @RogueRad So should we just ignore it and not even pretend?#JACR Thu Mar 24 9:19:42 PDT 2016

pfanderson @bjh41647 @RogueRad It's INCREMENTAL change. Baby steps add up overgenerations. #jacr Thu Mar 24 9:19:53 PDT 2016

akhei @Akhei #jacr Thu Mar 24 9:20:06 PDT 2016

roguerad @Radsdoc82 I know you too well to know you're just taunting me #jacr Thu Mar 24 9:20:08 PDT 2016

bjh41647 RT @pfanderson: @RogueRad And it's valid, but so is the opposite. We need bothchange leaders and preservation experts. #jacr Thu Mar 24 9:20:23 PDT 2016

pfanderson @RogueRad I disagree. That would exclude Galileo & all Kuhnian paradigm shifts.#jacr Thu Mar 24 9:20:38 PDT 2016

jacrjournal MT @nxtstop1:Titled it Constructive­Destruction, bc I believe so much worthpreserving.However doesn't excuse fine tooth comb over all #jacr Thu Mar 24 9:20:54 PDT 2016

nxtstop1 @RogueRad T1 Interesting point. Maybe a bit of convincing is necessary.... However,got ­ cha, its got to make sense, resonate. #jacr Thu Mar 24 9:20:56 PDT 2016

juliannaczummd @nxtstop1 As your blogpost says:"we have to look critically at everything we do now& be willing to tear SOME of it down"[emph added] #JACR Thu Mar 24 9:20:58 PDT 2016

pfanderson @bjh41647 That happens. You try to make it better, but instead makes the problemworse. Time to let go. #jacr Thu Mar 24 9:21:20 PDT 2016

bjh41647 @pfanderson @RogueRad #jacr Perhaps but change is not unidirectional; more like

Page 9: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 9/24

Brownian motion; we seem to be in a regressive mode Thu Mar 24 9:21:33 PDT 2016

radiologyacr RT @JuliannaCzumMD: @nxtstop1 As your blogpost says:"we have to look criticallyat everything we do now & be willing to tear SOME of it dow… Thu Mar 24 9:21:50 PDT 2016

pfanderson RT @JuliannaCzumMD: @nxtstop1 As your blogpost says:"we have to look criticallyat everything we do now & be willing to tear SOME of it dow… Thu Mar 24 9:21:59 PDT 2016

nxtstop1 T1 Has no one received any pushback when they have tried to do the right thing, asopposed 2what would make the dept or hosp more $$$? #jacr Thu Mar 24 9:21:59 PDT 2016

pfanderson @nxtstop1 Nope. I opened a new tab to track what you are saying #jacr Thu Mar 24 9:22:35 PDT 2016

akhei Agree. #Radiology needs and eventually will get its #Fengshui . Will be forced on usby financial restraints. #jacr https://t.co/pnPNocY0dY Thu Mar 24 9:22:38 PDT 2016

jacrjournal MT @nxtstop1 @RogueRad T1 Interesting point.Maybe a bit of convincing isnecessary However, gotcha its got to make sense, resonate. #jacr Thu Mar 24 9:22:45 PDT 2016

radsdoc82 @bjh41647 @pfanderson @RogueRad What amazes me is how slowly change isadopted, even if proven to be positive change #JACR Thu Mar 24 9:23:02 PDT 2016

pfanderson MT T1 Has no 1 rcd pushback when tried to do the rt thing, as opposed 2what wdmake dept or hosp more $$? #jacr https://t.co/QnvI6MPnDO Thu Mar 24 9:23:35 PDT 2016

bjh41647 @Akhei #jacr Compared with some scenarios, that's a very optimistic view Thu Mar 24 9:23:59 PDT 2016

nxtstop1 T1 In past exp, if one suggests $$$ ­saving modality, or method>>pushback b/cdoesn't bring in $$$. W/Value based med>different tune! #jacr Thu Mar 24 9:24:03 PDT 2016

pfanderson @Radsdoc82 @bjh41647 @RogueRad You mean the 18­years to clinical adoptionfinding? That's the point of translational medicine #jacr Thu Mar 24 9:24:22 PDT 2016

radiologyboy1 #jacr Thu Mar 24 9:24:38 PDT 2016

jacrjournal MT @nxtstop1 T1 Has no1 received any pushback when they have tried 2 do the rtthing as opposed 2what would make the dept/hosp more $? #jacr

Page 10: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 10/24

Thu Mar 24 9:24:51 PDT 2016

pfanderson @RogueRad Took decades of convincing, tho, which undermines your stmt thatconvincing=rubbish #jacr Thu Mar 24 9:25:32 PDT 2016

roguerad When has a genuinely useful "thing" been repeatedly rejected en masse? #jacr Thu Mar 24 9:25:41 PDT 2016

nxtstop1 NOTE: I will STORIFY this to get all of the chat>>so PLEASE keep tweeting as ifeverything OK #jacr Thu Mar 24 9:25:56 PDT 2016

jacrjournal RT @nxtstop1: T1 In past exp, if one suggests $$$ ­saving modality, ormethod>>pushback b/c doesn't bring in $$$. W/Value based med>differe… Thu Mar 24 9:26:15 PDT 2016

roguerad @pfanderson But that's a theory of how world works not an instrument of making theworld easier #jacr Thu Mar 24 9:26:45 PDT 2016

roguerad @pfanderson People weren't jumping off mountains before theory of gravityexpounded #jacr Thu Mar 24 9:27:23 PDT 2016

nxtstop1 Never,but unnecessary thing been continued>LOTS RT @RogueRad: When has agenuinely useful "thing" been repeatedly rejected en masse? #jacr Thu Mar 24 9:27:30 PDT 2016

roguerad @Radsdoc82 @bjh41647 @pfanderson Because it's incremental #jacr Thu Mar 24 9:27:48 PDT 2016

jacrjournal T2: Given yr present practice situation/perspective what would need 2 change 2create the kind of constructive destruction described? #JACR Thu Mar 24 9:28:05 PDT 2016

jacrjournal RT @nxtstop1: Never,but unnecessary thing been continued>LOTS RT @RogueRad:When has a genuinely useful "thing" been repeatedly rejected en… Thu Mar 24 9:29:05 PDT 2016

bjh41647 @RogueRad @pfanderson #jacr When did making the world easier becm the goal?have my 68 yrs completely missed the point. Where have you been? Thu Mar 24 9:29:06 PDT 2016

pfanderson @Radsdoc82 @bjh41647 @RogueRad Zerhouni: Translational & Clinical Science—Time 4New Vision NEJM 2005;353:1621 https://t.co/5SPRA3HGhp #jacr Thu Mar 24 9:29:13 PDT 2016

roguerad Don't forget pneumoencephalogram was de­adopted. Some have made the samecase for defecograms #JACR Thu Mar 24 9:29:19 PDT 2016

Page 11: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 11/24

roguerad RT @bjh41647: @RogueRad @pfanderson #jacr When did making the world easierbecm the goal? have my 68 yrs completely missed the point. Where… Thu Mar 24 9:29:31 PDT 2016

nxtstop1 T2 A paraphrase of T2> if you wanted to introduce a streamlined CT/MRI protocol ­formally, in your dept> permission? pushback?? #jacr Thu Mar 24 9:29:37 PDT 2016

radsdoc82 @nxtstop1 Need to incentivize creativity. It shouldn’t be a fight #JACR Thu Mar 24 9:30:18 PDT 2016

bjh41647 @JACRJournal #jacr Acceptance of much more risk and a lesser likelihood ofpunishment if you do Thu Mar 24 9:30:41 PDT 2016

pfanderson @RogueRad Ah, I see, you are a fan of Your Logical Fallacy Ishttps://t.co/OmKB99G5Q8 Enjoy playing the game! #jacr Thu Mar 24 9:30:44 PDT 2016

juliannaczummd @JACRJournal T2: Attitudes. Openness to change. Focus on enhancing doctor­patient relationship. #JACR Thu Mar 24 9:30:46 PDT 2016

grebeccahaines Much better sense of big picture 4 all involved. Understanding takes context #jacr Thu Mar 24 9:30:58 PDT 2016

nxtstop1 Agree, & in this new era ­value based med> we need it! RT @Radsdoc82: @nxtstop1Need to incentivize creativity. .shouldn’t be a fight #JACR Thu Mar 24 9:31:08 PDT 2016

radsdoc82 @nxtstop1 Doesn’t google reportedly protect 20% of employee time for innovation#JACR Thu Mar 24 9:31:29 PDT 2016

radiologyacr RT @Radsdoc82: @nxtstop1 Need to incentivize creativity. It shouldn’t be a fight#JACR Thu Mar 24 9:31:32 PDT 2016

pfanderson RT @JACRJournal: T2: Given yr present practice situation/perspective what wouldneed 2 change 2 create the kind of constructive destruction… Thu Mar 24 9:31:36 PDT 2016

radiologyacr RT @JuliannaCzumMD: @JACRJournal T2: Attitudes. Openness to change. Focuson enhancing doctor­patient relationship. #JACR Thu Mar 24 9:31:47 PDT 2016

grebeccahaines @Radsdoc82 @nxtstop1 Yes! & reward "going for no" @School4Radicals #JACR Thu Mar 24 9:31:50 PDT 2016

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roguerad @pfanderson The point is there's a difference between supporting theory &supporting device. I am a fallacy in totality #JACR Thu Mar 24 9:31:58 PDT 2016

kebakeba_yall And what are some specific areas of radiology where constructive destruction couldbe implemented? #JACR Thu Mar 24 9:32:00 PDT 2016

pfanderson @JACRJournal Needs a combination of support for exploration/change, and tools toassess/evaluate during adoption process. #jacr Thu Mar 24 9:32:15 PDT 2016

radiologyacr RT @grebeccahaines: Much better sense of big picture 4 all involved. Understandingtakes context #jacr Thu Mar 24 9:32:16 PDT 2016

juliannaczummd @bjh41647 @JACRJournal Yes, to know that it's OK to make mistakes/fail whentrying new things. #JACR Thu Mar 24 9:32:21 PDT 2016

tirathpatelmd RT @RogueRad: Genuine innovation is adopted. Pseudo innovation is ignored.If youhave to convince people you're idea is good, it's probably… Thu Mar 24 9:32:25 PDT 2016

radiologyacr RT @JACRJournal: T2: Given yr present practice situation/perspective what wouldneed 2 change 2 create the kind of constructive destruction… Thu Mar 24 9:32:33 PDT 2016

tirathpatelmd RT @RadiologyWrites: Creative destruciton: a systematic, unemotional process ofidentifying wasteful elements of our processe https://t.co/… Thu Mar 24 9:32:59 PDT 2016

radiologyacr RT @kebakeba_yall: And what are some specific areas of radiology whereconstructive destruction could be implemented? #JACR Thu Mar 24 9:33:00 PDT 2016

roguerad With each old technology comes skill sets of people. You can't replace old technologywithout teaching old dogs new tricks #JACR Thu Mar 24 9:33:17 PDT 2016

tirathpatelmd RT @Radsdoc82: @nxtstop1 Need to incentivize creativity. It shouldn’t be a fight#JACR Thu Mar 24 9:33:19 PDT 2016

nxtstop1 @kebakeba_yall T2 The article highly suggests computerized tomography (CT) &magnetic resonance imaging (MRI) Start w/ those. #jacr Thu Mar 24 9:33:31 PDT 2016

jacrjournal RT @nxtstop1: T2 A paraphrase of T2> if you wanted to introduce a streamlinedCT/MRI protocol ­formally, in your dept> permission? pushback… Thu Mar 24 9:33:43 PDT 2016

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bjh41647 RT @JuliannaCzumMD: @bjh41647 @JACRJournal Yes, to know that it's OK tomake mistakes/fail when trying new things. #JACR Thu Mar 24 9:34:01 PDT 2016

tirathpatelmd RT @RogueRad: With each old technology comes skill sets of people. You can'treplace old technology without teaching old dogs new tricks #J… Thu Mar 24 9:34:04 PDT 2016

pfanderson @JuliannaCzumMD @bjh41647 @JACRJournal Except when risk of new thing cancause harm #jacr Thu Mar 24 9:34:10 PDT 2016

llalo T2. Kotter’s steps for change apply to constructive/destructive innovation. Both arechange. Enormous inertia to change is ubiquitous. #jacr Thu Mar 24 9:34:28 PDT 2016

radsdoc82 @pfanderson @JuliannaCzumMD @bjh41647 @JACRJournal The risk of everythingwe do includes some potential for harm #JACR Thu Mar 24 9:34:32 PDT 2016

pfanderson @JuliannaCzumMD @bjh41647 @JACRJournal Need to balance potential harm ofnew Tx with harm of alternatives #jacr Thu Mar 24 9:34:44 PDT 2016

radiologyacr RT @LLALO: T2. Kotter’s steps for change apply to constructive/destructiveinnovation. Both are change. Enormous inertia to change is ubiqu… Thu Mar 24 9:35:02 PDT 2016

tirathpatelmd RT @RogueRad: "Embrace innovation" is one of those feel­good slogans like "hope& change" & "let's make America great again" #JACR Thu Mar 24 9:35:05 PDT 2016

bjh41647 @RogueRad #jacr don't forget hubris. Very 'in' these days. MDs just behind politiciansas the kings of hubris Thu Mar 24 9:35:23 PDT 2016

kebakeba_yall RT @nxtstop1: @kebakeba_yall T2 The article highly suggests computerizedtomography (CT) & magnetic resonance imaging (MRI) Start w/ those.… Thu Mar 24 9:35:41 PDT 2016

nxtstop1 @RogueRad T2 Frankly, for constructive­destruction, DE­ADOPTION>> the old dogsmay well have the answers>looking at you>sonologists! #jacr Thu Mar 24 9:35:43 PDT 2016

pfanderson @Radsdoc82 @JuliannaCzumMD @bjh41647 @JACRJournal Exactly. And this fearof risk & harm holds back profession, adds new harm to pts #jacr Thu Mar 24 9:35:44 PDT 2016

juliannaczummd @Radsdoc82 @pfanderson @bjh41647 @JACRJournal #JACR. Yes, includingsofter definitions of "harm" like "anxiety".

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Thu Mar 24 9:36:22 PDT 2016

bjh41647 @pfanderson @JuliannaCzumMD @JACRJournal #jacr too often believable infocomes too late after much harm is done. many have failed to improve Thu Mar 24 9:37:01 PDT 2016

pfanderson RT @JuliannaCzumMD: @Radsdoc82 @pfanderson @bjh41647 @JACRJournal#JACR. Yes, including softer definitions of "harm" like "anxiety". Thu Mar 24 9:37:16 PDT 2016

nxtstop1 T2 The issue is: are 'prettier' pictures, as all the company ads talk about re CT/ MRI>>really yielding value for Radiologist & pts? #jacr Thu Mar 24 9:37:25 PDT 2016

grebeccahaines RT @LLALO: T2. Kotter’s steps for change apply to constructive/destructiveinnovation. Both are change. Enormous inertia to change is ubiqu… Thu Mar 24 9:37:25 PDT 2016

pfanderson RT @bjh41647: @RogueRad #jacr don't forget hubris. Very 'in' these days. MDs justbehind politicians as the kings of hubris Thu Mar 24 9:37:28 PDT 2016

jacrjournal RT @LLALO: T2. Kotter’s steps for change apply to constructive/destructiveinnovation. Both are change. Enormous inertia to change is ubiqu… Thu Mar 24 9:38:05 PDT 2016

radiologyboy1 @pfanderson @Radsdoc82 @JuliannaCzumMD @bjh41647 @JACRJournal #JACRfear of litigation is huge in stifling innovation Thu Mar 24 9:38:27 PDT 2016

pfanderson @bjh41647 @JuliannaCzumMD @JACRJournal I spent 20 years ill & misdiagnosed.Lived it. #jacr Thu Mar 24 9:38:33 PDT 2016

nxtstop1 T2 Each new machine, with increase bells and whistles costs a boat load of $$$,perpetuating a cycle of growth, & growth & growth #jacr Thu Mar 24 9:38:34 PDT 2016

roguerad What should get de­adopted by radiologists (aside from me)? #JACR Thu Mar 24 9:38:51 PDT 2016

jacrjournal RT @nxtstop1: T2 The issue is: are 'prettier' pictures, as all the company ads talkabout re CT/ MRI >>really yielding value for Radiologis… Thu Mar 24 9:38:52 PDT 2016

pfanderson @JuliannaCzumMD @Radsdoc82 @bjh41647 @JACRJournal Torn on this. How dowe weigh w/o data? How to get data w/o implementing? #jacr Thu Mar 24 9:39:20 PDT 2016

nxtstop1 @RogueRad T2 Haha>> IBM Watson is working on that! #jacr Thu Mar 24 9:39:24 PDT 2016

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grebeccahaines RT @RadiologyBoy1: @pfanderson @Radsdoc82 @JuliannaCzumMD @bjh41647@JACRJournal #JACR fear of litigation is huge in stifling innovation Thu Mar 24 9:39:38 PDT 2016

pfanderson RT @RadiologyBoy1: @pfanderson @Radsdoc82 @JuliannaCzumMD @bjh41647@JACRJournal #JACR fear of litigation is huge in stifling innovation Thu Mar 24 9:39:47 PDT 2016

roguerad RT @nxtstop1: @RogueRad T2 Haha>> IBM Watson is working on that! #jacr Thu Mar 24 9:40:04 PDT 2016

juliannaczummd @nxtstop1 It depends. If false+ & false­ results reduced, they may be more than justpretty. #JACR Thu Mar 24 9:40:10 PDT 2016

radiologyacr RT @RogueRad: What should get de­adopted by radiologists (aside from me)?#JACR Thu Mar 24 9:40:12 PDT 2016

radsdoc82 @RogueRad Imaging Orders #JACR Thu Mar 24 9:40:16 PDT 2016

pfanderson @RadiologyBoy1 @Radsdoc82 @JuliannaCzumMD @bjh41647 @JACRJournal SOTRUE! Huge barrier to innovation, positive change #jacr Thu Mar 24 9:40:22 PDT 2016

tirathpatelmd RT @LLALO: T2. Kotter’s steps for change apply to constructive/destructiveinnovation. Both are change. Enormous inertia to change is ubiqu… Thu Mar 24 9:40:27 PDT 2016

nxtstop1 T2 Topic now in convo is fear of litigation>> I really agree! w/ out tort reform and buy ­in > starts to get tricky. #jacr Thu Mar 24 9:40:43 PDT 2016

bjh41647 @pfanderson @JuliannaCzumMD @JACRJournal # my sympathies; unfortunately nosurprise #jacr few see what they don't expect to see Thu Mar 24 9:40:48 PDT 2016

radiologywriter #JACR https://t.co/oWvqgjQsYK Thu Mar 24 9:41:07 PDT 2016

roguerad RT @Radsdoc82: @RogueRad Imaging Orders #JACR Thu Mar 24 9:41:36 PDT 2016

akhei @pfanderson @JuliannaCzumMD @Radsdoc82 @bjh41647 @JACRJournal likehow medicine is practiced, design small studies, then bigger ones.#jacr Thu Mar 24 9:41:37 PDT 2016

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pfanderson MT: are 'prettier' pictures, as all company ads talk abt re CT/ MRI >really yieldingvalue 4Radiologist &pts? #jacr https://t.co/iL0lrlbpli Thu Mar 24 9:41:43 PDT 2016

tmacrad @RogueRad RVUs? #JACR Thu Mar 24 9:41:50 PDT 2016

jacrjournal RT @RogueRad: What should get de­adopted by radiologists (aside from me)?#JACR Thu Mar 24 9:42:01 PDT 2016

nxtstop1 NOTE: I am reading everything, loving your comments, insights~ please excuse if youare unable to read mine~ #jacr Thu Mar 24 9:42:25 PDT 2016

grebeccahaines @RogueRad all unnecessary imaging (20%) #jacr Thu Mar 24 9:42:28 PDT 2016

radiologywriter #JACR https://t.co/eqYCYA3lgG Thu Mar 24 9:42:33 PDT 2016

radiologyboy1 @RogueRad #jacr Old, white, male dogs. Diversity would help bring some new skills.https://t.co/KAjvHMoudO Thu Mar 24 9:42:41 PDT 2016

radiologywriter #JACR https://t.co/TAxqXdRChf Thu Mar 24 9:42:45 PDT 2016

nxtstop1 RT @JuliannaCzumMD: @nxtstop1 It depends. If false+ & false­ results reduced, theymay be more than just pretty. #JACR Thu Mar 24 9:42:46 PDT 2016

sangitmalliah @RogueRad requirement for clinical year #JACR Thu Mar 24 9:43:01 PDT 2016

pfanderson @Akhei @JuliannaCzumMD @Radsdoc82 @bjh41647 @JACRJournal Bingo! Andnow we've gone full circle. Back to basics, now where is change? #jacr Thu Mar 24 9:43:08 PDT 2016

roguerad RT @sangitmalliah: @RogueRad requirement for clinical year #JACR Thu Mar 24 9:43:20 PDT 2016

nxtstop1 @JuliannaCzumMD T2 So true>> in which case they are both! Useful and pretty!! (Alot of our work is useful....& aesthetic!) #jacr Thu Mar 24 9:43:34 PDT 2016

pfanderson @bjh41647 @JuliannaCzumMD @JACRJournal Exactly. Atypical presentation = longtime to Dx. #jacr Thu Mar 24 9:43:48 PDT 2016

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grebeccahaines @Akhei @pfanderson @JuliannaCzumMD @Radsdoc82 @bjh41647@JACRJournal Yes. Classic Jim Collins...bullets not cannonballs #jacr Thu Mar 24 9:44:05 PDT 2016

roguerad Maybe change is happening at the correct pace. It is we who are impatient #JACR Thu Mar 24 9:44:11 PDT 2016

bjh41647 @RadiologyBoy1 @RogueRad #jacr woof! Thu Mar 24 9:44:18 PDT 2016

pfanderson @nxtstop1 @bjh41647 @JuliannaCzumMD @JACRJournal Part of advocating forothers, arguing that sometimes it really is a zebra ;) #jacr Thu Mar 24 9:44:23 PDT 2016

dleerad #jacr I am not being a troll but I agree we are not necessarily trying to make theworld easier, just better. https://t.co/RPIMvmFozI Thu Mar 24 9:44:31 PDT 2016

pfanderson RT @grebeccahaines: @Akhei @pfanderson @JuliannaCzumMD @Radsdoc82@bjh41647 @JACRJournal Yes. Classic Jim Collins...bullets not cannonballs… Thu Mar 24 9:44:32 PDT 2016

nxtstop1 T2 DO not think that old, male or white has anything to do w/ ability to make smartchanges. No demographic owns 'smart'. :) #jacr Thu Mar 24 9:45:02 PDT 2016

bjh41647 @pfanderson @JuliannaCzumMD @JACRJournal #jacr given, but hubris the vehicle Thu Mar 24 9:45:29 PDT 2016

grebeccahaines @dleerad How abt better 4 patients not necessarily docs #jacr Thu Mar 24 9:46:12 PDT 2016

dleerad @RogueRad #JACR Definitely true, just came back from China were 50 years isconsidered fast (& I am not saying this cynically). Thu Mar 24 9:46:31 PDT 2016

bjh41647 @pfanderson @nxtstop1 @JuliannaCzumMD @JACRJournal #jacr the pendulumswung toward zebras for decades; now its hyenas Thu Mar 24 9:46:57 PDT 2016

nxtstop1 @dleerad T2 That should be the goal, but too many (unwanted, not useful) cooks inthe 'preverbial' kitchen. #jacr Thu Mar 24 9:47:01 PDT 2016

jacrjournal T3: What are the negatives of constructive destruction in radiology the processes ofcreative destruction described by the authors? #JACR Thu Mar 24 9:47:07 PDT 2016

RT @dleerad: @RogueRad #JACR Definitely true, just came back from China were

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pfanderson 50 years is considered fast (& I am not saying this cynically). Thu Mar 24 9:47:48 PDT 2016

pfanderson @bjh41647 @JuliannaCzumMD @JACRJournal Sometimes. Sometimes ignorance.Asking the wrong questions. Not asking the right ones. #jacr Thu Mar 24 9:48:32 PDT 2016

akhei RT @grebeccahaines: @Akhei @pfanderson @JuliannaCzumMD @Radsdoc82@bjh41647 @JACRJournal Yes. Classic Jim Collins...bullets not cannonballs… Thu Mar 24 9:48:33 PDT 2016

radiologyacr RT @JACRJournal: T3: What are the negatives of constructive destruction inradiology the processes of creative destruction described by th… Thu Mar 24 9:48:35 PDT 2016

akhei RT @bjh41647: @Akhei #jacr Compared with some scenarios, that's a very optimisticview Thu Mar 24 9:48:38 PDT 2016

nxtstop1 T3 Any downside to re­evaluating daily practice?? I can think of one> it takes time &intellectual energy­both in short supply 4 MDs #jacr Thu Mar 24 9:48:47 PDT 2016

llalo T2. #jacr Huge change will be thrust upon us if move to risk contracts truly switch us topure cost center. Turns all we know upside down. Thu Mar 24 9:48:55 PDT 2016

dleerad @grebeccahaines #JACR True. The ultimate goal is better for society (both pts &docs). Thu Mar 24 9:49:04 PDT 2016

pfanderson @bjh41647 @nxtstop1 @JuliannaCzumMD @JACRJournal Oh, I'd missed that! Ineed to read how that analogy works differently. Suggestions? #jacr Thu Mar 24 9:49:12 PDT 2016

pfanderson RT @JACRJournal: T3: What are the negatives of constructive destruction inradiology the processes of creative destruction described by th… Thu Mar 24 9:49:31 PDT 2016

nxtstop1 RT @LLALO: T2. #jacr Huge change will be thrust upon us if move to risk contractstruly switch us to pure cost center. Turns all we know up… Thu Mar 24 9:49:34 PDT 2016

nxtstop1 RT @dleerad: @grebeccahaines #JACR True. The ultimate goal is better for society(both pts & docs). Thu Mar 24 9:49:43 PDT 2016

grebeccahaines T3: If transparency is key, what abt all those skeletons? #jacr Thu Mar 24 9:50:02 PDT 2016

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jacrjournal RT @grebeccahaines: T3: If transparency is key, what abt all those skeletons? #jacr Thu Mar 24 9:50:38 PDT 2016

juliannaczummd @JACRJournal T3:Negative=making wrong choices. We try 2 choose besttechnology, etc, up­front,but hindsight's 20/20.We're #notperfect. #JACR Thu Mar 24 9:50:38 PDT 2016

kebakeba_yall Maybe swinging the pendulum too far out destructing w/o ability to reconstruct #JACRThu Mar 24 9:50:44 PDT 2016

nxtstop1 T3 Another is that if one is successful at cutting CT / MRI studies and protocols>decreased departmental $$$> decrease salary. #jacr Thu Mar 24 9:51:14 PDT 2016

pfanderson "We forget the real contribution is not a drug or device but a solution to a problem, 1that may be modified... over time." #jacr Thu Mar 24 9:51:19 PDT 2016

radiologyboy1 T3:Change or technology for it's own sake can cause more harm than good. #jacr Thu Mar 24 9:51:21 PDT 2016

akhei @JACRJournal over­pruning the profession? #jacr Thu Mar 24 9:51:51 PDT 2016

grebeccahaines R we ready 2 have honest discourse & expose ourselves (& our icons) to criticism?#jacr Thu Mar 24 9:52:12 PDT 2016

nxtstop1 That would be non­reflective. RT @RadiologyBoy1: T3:Change or technology for it'sown sake can cause more harm than good. #jacr Thu Mar 24 9:52:18 PDT 2016

pfanderson @bjh41647 @JuliannaCzumMD @JACRJournal Seeing new things but notunderstanding they are new is back story to much of innovation #jacr Thu Mar 24 9:52:31 PDT 2016

radiologyboy1 @kebakeba_yall that's like when my wife throws away my toothbrush without buyinga new one first. #jacr Thu Mar 24 9:52:43 PDT 2016

nxtstop1 RT @JuliannaCzumMD: @JACRJournal T3:Negative=making wrong choices. We try2 choose best technology, etc, up­front,but hindsight's 20/20.We'… Thu Mar 24 9:52:58 PDT 2016

jacrjournal RT @grebeccahaines: T3 R we ready 2 have honest discourse & exposeourselves (& our icons) to criticism? #jacr Thu Mar 24 9:52:59 PDT 2016

nxtstop1 RT @pfanderson: "We forget the real contribution is not a drug or device but asolution to a problem, 1 that may be modified... over time."…

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Thu Mar 24 9:53:03 PDT 2016

pfanderson @bjh41647 @JuliannaCzumMD @JACRJournal The person who SEES it as newand bears witness to it gets the credit (usually) #jacr Thu Mar 24 9:53:06 PDT 2016

llalo #jacr Have to run. As Geoffrey Chaucer said, “The work list waits for no man.” Thu Mar 24 9:53:32 PDT 2016

bjh41647 @grebeccahaines #jacr Rhetorical ? Thu Mar 24 9:53:41 PDT 2016

nxtstop1 @LLALO Thanks so much for being with us>> tho you may never get this tweet,omg.... #jacr Thu Mar 24 9:53:59 PDT 2016

bjh41647 @pfanderson @JuliannaCzumMD @JACRJournal #jacr ...only fair Thu Mar 24 9:54:33 PDT 2016

pfanderson @RadiologyBoy1 @kebakeba_yall Awesome example of overdoing deconstruction.My DD throws out heirlooms in trash w/o checking w/ me #jacr Thu Mar 24 9:54:46 PDT 2016

nxtstop1 Hope so :)RT @JACRJournal:MT @grebeccahaines: T3 R we ready 2 have honestdiscourse &expose ourselves (&our icons)2 criticism? #jacr Thu Mar 24 9:54:53 PDT 2016

grebeccahaines @pfanderson @bjh41647 @JuliannaCzumMD @JACRJournal Caring less aboutwho gets credit as long as it gets better helps alot :­) #jacr Thu Mar 24 9:55:36 PDT 2016

akhei T3 @grebeccahaines is that what's happening in screening #mammography? Are weunable to face the facts? #jacr Thu Mar 24 9:55:52 PDT 2016

juliannaczummd @bjh41647 @pfanderson @nxtstop1 @JACRJournal How true! #JACR Thu Mar 24 9:55:54 PDT 2016

radiologyacr RT @grebeccahaines: @pfanderson @bjh41647 @JuliannaCzumMD@JACRJournal Caring less about who gets credit as long as it gets better helps al… Thu Mar 24 9:56:06 PDT 2016

nxtstop1 ???? RT @Akhei: T3 @grebeccahaines is that what's happening in screening#mammography? Are we unable to face the facts? #jacr Thu Mar 24 9:56:12 PDT 2016

pfanderson @JuliannaCzumMD The really innovative companies include work plan for creativity,way to let go of ideas as well. #jacr Thu Mar 24 9:56:19 PDT 2016

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pfanderson RT @grebeccahaines: @pfanderson @bjh41647 @JuliannaCzumMD@JACRJournal Caring less about who gets credit as long as it gets better helps al… Thu Mar 24 9:56:30 PDT 2016

pfanderson #JACR MT @bjh41647 #serendipity and the prepared mind ­ neither works withoutthe other https://t.co/b8lA9eGxMZ Thu Mar 24 9:57:10 PDT 2016

dleerad #jacr Transparency key 4 constructive decon. Must be willing 2 correct ownmistakes.Must be willing to not judge others honest mistakes Thu Mar 24 9:57:26 PDT 2016

nxtstop1 @Akhei @grebeccahaines T3 IMO> U.S. #radiology needs to take a closer look at allscreening, & look at literature in other nations #jacr Thu Mar 24 9:57:27 PDT 2016

grebeccahaines RT @nxtstop1: ???? RT @Akhei: T3 @grebeccahaines is that what's happening inscreening #mammography? Are we unable to face the facts? #jacr Thu Mar 24 9:57:42 PDT 2016

bjh41647 @grebeccahaines @pfanderson @JuliannaCzumMD @JACRJournal #jacr Withoutincentives little happens; recognition matters Thu Mar 24 9:57:43 PDT 2016

grebeccahaines RT @nxtstop1: @LLALO Thanks so much for being with us>> tho you may never getthis tweet, omg.... #jacr Thu Mar 24 9:57:50 PDT 2016

jacrjournal Final thoughts time! #JACR Thu Mar 24 9:58:06 PDT 2016

kebakeba_yall @RadiologyBoy1 Exactly. You have to think things all the way through. #JACR Thu Mar 24 9:58:23 PDT 2016

pfanderson RT @dleerad: #jacr Transparency key 4 constructive decon. Must be willing 2 correctown mistakes.Must be willing to not judge others honest… Thu Mar 24 9:58:29 PDT 2016

nxtstop1 CT: From Bruce > @bjh41647 Serendipity and The Prepared Mind ~ touche Bruce!!#jacr Thu Mar 24 9:58:36 PDT 2016

akhei RT @dleerad: #jacr Transparency key 4 constructive decon. Must be willing 2 correctown mistakes.Must be willing to not judge others honest… Thu Mar 24 9:58:59 PDT 2016

pfanderson @dleerad Also to defend innovations that are still in development, but not ready forprimetime #jacr Thu Mar 24 9:59:06 PDT 2016

Page 22: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 22/24

grebeccahaines @bjh41647 @grebeccahaines @pfanderson @JuliannaCzumMD @JACRJournalAgree 4 followers. Innovators motivated differently. #JACR Thu Mar 24 9:59:06 PDT 2016

nxtstop1 Please add a concluding thought or message ~ #jacr Thu Mar 24 9:59:18 PDT 2016

pfanderson @bjh41647 @grebeccahaines @JuliannaCzumMD @JACRJournal That idea wasthe birth of copyright & patent law #jacr Thu Mar 24 9:59:35 PDT 2016

bjh41647 Many thanks for today's TC; very stimulating; did Chaucer really comment on the worklist? and who's tale was it #jacr Thu Mar 24 9:59:56 PDT 2016

juliannaczummd @nxtstop1 @bjh41647 Sounds like a new title for a #JACR editorial or even a book.Not that I'm suggesting anything, of course. Thu Mar 24 9:59:58 PDT 2016

nxtstop1 TY~:) RT @bjh41647: Many thanks for today's TC; very stimulating; did Chaucer reallycomment on the work list? and who's tale was it #jacr Thu Mar 24 10:00:17 PDT 2016

pfanderson RT @nxtstop1: T2 DO not think that old, male or white has anything to do w/ ability tomake smart changes. No demographic owns 'smart'. :)… Thu Mar 24 10:00:35 PDT 2016

akhei RT @nxtstop1: ???? RT @Akhei: T3 @grebeccahaines is that what's happening inscreening #mammography? Are we unable to face the facts? #jacr Thu Mar 24 10:00:41 PDT 2016

nxtstop1 MT @JuliannaCzumMD @bjh41647 Sounds like a new title for a #JACR editorial oreven a book. Not that I'm suggesting anything, of course. Thu Mar 24 10:00:46 PDT 2016

radiologyboy1 #JACR Final Thoughts: Don't be afraid to innovate, just make sure you buy the nexttoothbrush before you throw the other one away. Thu Mar 24 10:00:48 PDT 2016

nxtstop1 @Akhei @grebeccahaines To be answered in a subsequent discussion >>@RogueRad has plenty of intelligent points to make on this #jacr Thu Mar 24 10:01:31 PDT 2016

pfanderson @grebeccahaines @bjh41647 @JuliannaCzumMD @JACRJournal Not always. Pplcranky when their idea/words stolen, put out under other name #jacr Thu Mar 24 10:02:14 PDT 2016

juliannaczummd Thanks 2 @nxtstop1 4 moderating today's #JACR @JACRJournal tweetchat. Verythought­provoking, great insights. Wonderful tweetchat community! Thu Mar 24 10:02:19 PDT 2016

Page 23: #JACR transcript · join us! Tweetchat topic & questions are in her blogpost: ht… Thu Mar 24 9:00:50 PDT 2016 bjh41647 #jacr Good to be here and find out what today's title is all

3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 23/24

nxtstop1 Loved being with each of you today.... I do hope you could get the jist of my comments>Thanks to the @JACRJournal team for RTs etc #jacr Thu Mar 24 10:02:39 PDT 2016

akhei RT @nxtstop1: @Akhei @grebeccahaines To be answered in a subsequentdiscussion >> @RogueRad has plenty of intelligent points to make on thi… Thu Mar 24 10:03:02 PDT 2016

pfanderson @bjh41647 @grebeccahaines @JuliannaCzumMD @JACRJournal Me, either. I'veseen this too many times. #jacr Thu Mar 24 10:03:04 PDT 2016

nxtstop1 Indeed, this is a marvelous community >> you, we, and wider #radiology family cando so much! Please Join us for our monthly chat>> #jacr Thu Mar 24 10:03:28 PDT 2016

pfanderson @bjh41647 @grebeccahaines @JuliannaCzumMD @JACRJournal (C) law was bornto protect creators, encourage them to STAY creative & share #jacr Thu Mar 24 10:03:37 PDT 2016

nxtstop1 @JuliannaCzumMD @nxtstop1 @JACRJournal Thank you so much for inviting me~My pleasure! TY to each of you for your insights, your time. #jacr Thu Mar 24 10:04:10 PDT 2016

pfanderson @nxtstop1 @JACRJournal Twitter made this a lot harder than it needed to be today#jacr Thu Mar 24 10:04:29 PDT 2016

dleerad @grebeccahaines @bjh41647 #JACR Agree with both,some creatives don't needrecognition&some do. SO recognition maxes creativity in society Thu Mar 24 10:05:02 PDT 2016

kebakeba_yall Bye guys. Great talk.... keep your distance today @RadiologyBoy1 #JACR Thu Mar 24 10:05:07 PDT 2016

nxtstop1 OMG>In years>never has happened w/out my being able to fix MT @pfanderson:@nxtstop1 @JACRJournal Twitter made this a lot harder today #jacr Thu Mar 24 10:05:36 PDT 2016

aranzal2021 RT @nxtstop1: OMG>In years>never has happened w/out my being able to fix MT@pfanderson: @nxtstop1 @JACRJournal Twitter made this a lot har… Thu Mar 24 10:06:01 PDT 2016

nxtstop1 @pfanderson Thank you so much Patricia for joining us > it means so much to thischat community that you are a part! @JACRJournal #jacr Thu Mar 24 10:06:36 PDT 2016

nxtstop1 @kebakeba_yall @RadiologyBoy1 Bye and thanks for joining us~ #jacr Thu Mar 24 10:06:52 PDT 2016

Thx everyone. Thx @JACRJournal 4 hosting tweet chat. Everyone have an awesome,

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3/24/2016 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=03­24­2016&shour=09&smin=00&tdate=03­24­2016&thour=10&tmin=15 24/24

dleerad productive day serving your fellow humans #JACR Thu Mar 24 10:07:13 PDT 2016

nxtstop1 @dleerad @grebeccahaines @bjh41647 Think we probably need to lose a bit of therecognition piece, but promotions, academia etc??? #jacr Thu Mar 24 10:07:30 PDT 2016

nxtstop1 Signing off now>Will storify the entire experience within 24 hours for you all & widercommunity. "Radiologists See Things!" #jacr Thu Mar 24 10:09:24 PDT 2016

nxtstop1 The #JACR chat 3/24/16: "Constructive ­ Destruction" #radiology TY All 4Care/Share> ICUMI > Transcript https://t.co/yuNLvL6a6v via @symplur Thu Mar 24 10:13:19 PDT 2016