mdchat transcript october 26, 2010

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    Transcript of #MDchat for October 26, 2010

    Follow @MD_chat for regular updateshttp://Twitter.com/MD_chat

    MDchat.org

    MD_ChatHello everyone! Welcome to another #MDchat! If you're new, just followalong. Let's start with introductions. Tell us about yourself.

    RichmondDocFamily doc in #RVA, teach med students, work internationally,contributor at smhcop.wordpress.com; using a new avatar. #mdchat

    Srini2000Srini, developer of medical diagnostic instrumentation. Hello everyone.Look forward to understanding the doctor's adoption of tech, #mdchat

    PracticalWisdom

    RT @RichmondDoc: Family doc in #RVA, teach med students, workinternationally, contributor at smhcop.wordpress.com; using a new avatar.#mdchat

    MD_Chat @RichmondDoc @Srini2000 Welcome! #mdchat

    subatomicdoc

    Matt Katz, community radiation oncologist, website tinkerer and

    percolating digital rights advocate. #mdchat

    EllenRichter

    Good evening! I'm a critical care RN, legal nurse consultant, &Tweeter interested in how social media will impact on health care#MDchat

    MD_ChatOK - we'll get started with the first topic in one minute. Please prepend

    your answers to topics with T1, T2, etc. #MDchat

    westr#mdchat Bob West, PhD, at SUNY Upstate, involved in MedEd 2.0, tryingto learn a few things, & set an example for my students

    renee_berry

    --> (nonclinical) passionate about patient centered care & a clear focus on goals of care #MDchat (lurking until my family getshome)

    MD_ChatT1 Patient-Physician Relationship: How does you see it evolving? Howmight so-called social media influence it? #MDchat

    jodyms @MD_chat Hi all, grateful cancer survivor and blogger. Just listening.Thanks to all.#MDCHAT

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    RichmondDocT1 Unfortunately, our system right now does not really value face-to-facecare, which harms the provider/pt relationship. #mdchat

    jodyms

    RT @renee_berry: --> (nonclinical) passionate about patientcentered care & a clear focus on goals of care #MDchat (lurking

    until my family gets home)

    blausengroupBlausen Medical developer of 3D medical educational content listening into #mdchat

    RichmondDocT1 We will need payment and medical system reform that values that sortof patient-centered care in order to change the trend. #mdchat

    westrRT @MD_Chat: T1 Patient-Physician Relationship: How does you see itevolving? How might so-called social media influence it? #MDchat

    RichmondDocT1 I can see that sort of delivery and payment reform also changing the

    ways docs interact w/ pts: via e-mail, SocMed, pt portals. #mdchat

    subatomicdocT1: Social media is an accelerant to rebalance the clinician-patientrelationship. #mdchat

    RichmondDocT1 I believe that SocMed can enhance doc/pt communication--either viacasual communications (announcements, etc)... #mdchat

    renee_berry T1 @MD_Chat what is the difference between 'so-called social media'& social media? #mdchat

    subatomicdocT1: It may also pose new challenges to the therapeutic relationships#mdchat

    StrategicGenT1 The ability for patients to get info from their social network while at doc

    visits ..an interactive visit .. way future #mdchat

    RichmondDoc

    T1 ...but also by using a brief SM message or communication to initiate pt

    contact back to the office of for care reminders. #mdchat

    RichmondDocRT @subatomicdoc: T1: It may also pose new challenges to the therapeuticrelationships #mdchat

    RichmondDoc@subatomicdoc Agree, though this might end up being a disruptiveinnovation that enhances care and empowers pts. #mdchat

    apjonas@MD_chat T1 Better role definition for both, eg humans, consumers,stewards, buyer/seller, patient/physician. SM will help lots! #mdchat

    westr#mdchat T1 P4 medicine includes a big Participatory role for patients.Docs will have to adjust as more patients become empowered

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    Diabetic_Iz_MeCherise-blogger and person living with Type 1.5/LADA diabetes- lurkingtonight #mdchat

    healthgisthttp://j.mp/d5Z8gi @HealthIsSocial New #MDchat Hashtag FillsImportant Twitter Void - http://bit.ly/a4iYbx #hcsm

    renee_berryT1 I think #SocialMedia provides a new challenge & opportunityfor #MD 's to be a resource of health information #mdchat

    EllenRichterT1 Its hard to believe that any form of enhanced communication wouldnegatively affect the theraputic doctor/pt relationship #MDchat

    crgonzalezRT @subatomicdoc: T1: Social media is an accelerant to rebalance theclinician-patient relationship. #mdchat

    renee_berry

    RT @westr T1 P4 medicine includes a big Participatory role for patients.

    Docs will have to adjust as more patients become empowered #mdchat

    Srini2000T1 When I hear about doc=patient relationship it always ends up focusingon business rather than the relationship. Why? #mdchat

    StrategicGenT1 we are moving towards complete interaction in all facets of life .. justhave to think about solutions to problems #mdchat

    subatomicdoc

    @RichmondDoc T1: Agree that it can be disruptive in a positive way, but

    potential to have facets that are negative. #mdchat

    westrRT @subatomicdoc: T1: Social media is an accelerant to rebalance theclinician-patient relationship. #mdchat

    RichmondDoc

    @EllenRichter There may be at least some risk: as providers/pts knoweach other, our individual warts/blemishes might become evident#mdchat

    renee_berry

    interesting RT @EllenRichter hard to believe that any form of enhanced

    communication would negatively affect doctor/pt relationship #mdchat

    westrRT @subatomicdoc: T1: It may also pose new challenges to the therapeuticrelationships #mdchat

    astuppleT1 I think SM allows PCP's to dramatically expand pt base, reimbursement

    will follow. (Dr. West's med std here) #mdchat

    apjonasT1 SM offers wide variety of connection variations for families, too. Dau inCA can be in visit in OH via SM and gt btr agrmnt. #mdchat

    subatomicdoc@EllenRichter T1: Not related to direct communication, perhaps. But have

    you read @cshirky ' s books? #mdchat

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    RichmondDoc@subatomicdoc In full agreement of the potential risk involved. Will needcareful thought/planning if one gets extensively involved #mdchat

    DivaBiotechRT @westr: #mdchat T1 P4 medicine includes a big Participatory role forpatients. Docs will have to adjust as more patients become empowered

    renee_berryagree RT @subatomicdoc: @RichmondDoc Agree that it can be disruptivein a positive way w/potential to have facets that are negative #mdchat

    EllenRichterI totally agree~ RT @crgonzalez RT @subatomicdoc T1 Social media is anaccelerant to rebalance the clinician-patient relationship #MDchat

    mkmackeyT1 I can see new opportunities to learn about physicians and their thoughtpatterns and wishes for clinical care #mdchat

    RichmondDoc

    @astupple Welcome! I would like to think SM allows expansion of pt

    base/reimbursement, but not sure much evidence to that yet. #mdchat

    westr

    RT @renee_berry: T1 I think #SocialMedia provides a new challenge& opportunity for #MD 's to be a resource of health information#mdchat

    quality1@westr What do you see as the key adjustments MDs will need to make?#MDchat

    apjonas T1 end of life family /phys connection w/hospice nurse and pt to effect mrmeaningfl death, etc #mdchat

    PracticalWisdomRT @FMDGirl: I am not defined by my disease http://fibromusculardysplasia.blogspot.com/ #MDChat #RNchat #MCCSM

    doctorgrimes@EllenRichter hard to see how 'warts and all' i.e. seeming more human isa bad thing. #mdchat

    subatomicdoc

    RT @renee_berry: T1 I think #SocialMedia provides a new challenge

    & opportunity for #MD 's to be a resource of health information#mdchat

    RichmondDoc

    RT @renee_berry: T1 I think #SocialMedia provides a new challenge& opportunity for #MD 's to be a resource of health information#mdchat

    EllenRichter@subatomicdoc No I havent! Thanks for the suggestion! Always interestedin a good read! :) #MDchat

    astupple@renee_berry Isn't disruptive innov always positive for consumers? i.e.Christensen? #mdchat

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    joshdbrett

    RT @renee_berry: T1 I think #SocialMedia provides a new challenge& opportunity for #MD 's to be a resource of health information#mdchat

    PracticalWisdom

    RT @chukwumaonyeije: Interesting... How the human brain works.

    Facebook vs. Twitter. http://bit.ly/cxMEcm #WiredScience #MDChat

    renee_berrycool RT @PracticalWisdom RT @FMDGirl: I am not defined by mydisease http://ow.ly/2ZXtV #MDChat #RNchat #MCCSM #mdchat

    RichmondDoc@quality1 Docs will need to figure the best way to work SM into practice

    workflows, determine who's role that is, when/how to use. #mdchat

    subatomicdoc

    @EllenRichter @cshirky wrote "Here Comes Everybody" http://bit.ly/47kAcC gave example of anorectics teaching other 'best

    practices' #mdchat

    PracticalWisdom

    RT @Hall_MediaMaven: The benefits of collaborating with patients andphysicians http://bit.ly/8Y2ebn #socpharm #hcsm #MDchat #pharma#healthinnovations

    [email protected], using this aspect of SM to help connect hospice patientson east side of Canada to family on west works well #MDchat

    StrategicGen RT @LebLGBTmonitor: T1 social media in healthcare is the inevitable. Ifone does not start using it, they might be left behind... #mdchat

    westrNB! RT @astupple: T1 I think SM allows PCP's to dramatically expand pt

    base, reimbursement will follow. (Dr. West's med std here) #mdchat

    EllenRichter

    T1 As both patients & doctors become more social media-savvy,the options for enhanced health care via this medium are endless imho#MDchat

    PracticalWisdom

    RT @thibaudguymard: Study shows only 12% of doctors use pharma repsvisits to keep up to date http://bit.ly/aU8d4c by @paulgrant #hcsmeu#hcsm #MDchat

    westrRT @mkmackey: T1 I can see new opportunities to learn about physiciansand their thought patterns and wishes for clinical care #mdchat

    StrategicGenAgree !! RT @MarksPhone: @StrategicGen seeking solutions to problemsare at the core of the human condition and learning #mdchat

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    subatomicdoc

    RT @EllenRichter: T1 As both patients & doctors become moresocial media-savvy, the options for enhanced health care via this mediumare endless imho #MDchat

    subatomicdoc

    RT @mkmackey: T1 I can see new opportunities to learn about physicians

    and their thought patterns and wishes for clinical care #mdchat

    renee_berry@astupple I'm always a fan of disruptive innovation, forces analysis& positive forward direction #mdchat

    EllenRichter

    @subatomicdoc I have a date with my dad tomorrow at Barnes & Noble so I will check it out! If not there, I'll find it! TYVM! :)#MDchat

    apjonas

    @quality1 @westr dr. Tk off white coat and grovel w/ pt reality. B a

    neighbor. adjstmnt= dance with humanity better. Laugh/ forgive #mdchat

    PracticalWisdom

    RT @EllenRichter: T1 As both patients & doctors become moresocial media-savvy, the options for enhanced health care via this mediumare endless imho #MDchat

    renee_berrytakes strategy RT @RichmondDoc @quality1 Docs will need to figure best

    way to work SM into workflow- determine role-when/how to use #mdchat

    subatomicdoc T1: I'm still experimenting to find the right balance where social mediaenhances rather than replaces therapeutic relationship #mdchat

    PracticalWisdom

    RT @StrategicGen: Agree !! RT @MarksPhone: @StrategicGen seekingsolutions to problems are at the core of the human condition and learning#mdchat

    spulim

    T1 Profiles in Oncology Social Media: Anas Younes, MD - How@DrAnasYounes use SM to connect with patients http://bit.ly/8WYtmL

    #mdchat

    astupple

    Do folks agree disruptive innov is always good for consumer? RT@renee_berry: @astupple Im always a fan of disruptive innovation#mdchat

    westrRT @chukwumaonyeije: Interesting... How the human brain works.Facebook vs. Twitter. http://bit.ly/cxMEcm #WiredScience #MDChat

    RichmondDoc

    @renee_berry Takes strategy, and an interested user/proponent b/c there

    is no insurance co. reimbursement for doing this right now. #mdchat

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    quality1RT @subatomicdoc T1 Im still experimenting 2 find right balance wheresocial media enhances rather than replaces therapeutic rela #MDchat

    EllenRichter@subatomicdoc T1 Think about it. How can it replace a relationship byenhancing it? It just adds a new facet. We will perfect it! #MDchat

    ericglazer

    Are docs using Twitter also using Sermo, Medscape, etc. for "collaborative discussions" on clinical cases or treatmentoptions? #mdchat

    westr

    RT @RichmondDoc: @quality1 Docs will need to figure the best way towork SM into practice workflows, determine who's role that is, when/howto use. #mdchat

    subatomicdoc @EllenRichter My pleasure! :-) #mdchat

    EllenRichter

    Good point! RT @mkmackey T1 I see new opportunities 2 learn aboutphysicians and their thought patterns and wishes for clinical care#MDchat

    mkmackeyT1 Nice example of MD success MT @spulim: T1 How @DrAnasYounesuse SM to connect with patients http://bit.ly/8WYtmL #mdchat

    apjonas@thibaudguymard @paulgrant Not the best way for docs to learn, by far.Hope we get it down to 1%. #mdchat

    renee_berry@astupple I tend 2prefer discussing patients vs. consumers even thoughpts are consumers bc hc is more than business cc @Srini2000 #mdchat

    quality1

    @subatomicdoc '..right balance ..social media enhances rather thanreplaces therapeutic relationship'