#GynCSM Transcript

Healthcare social media transcript of the #GynCSM hashtag.
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See #GynCSM Influencers/Analytics.

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GYN Cancer | #GYNCSM @gyncsm
Welcome to #gyncsm - a passionate community of gynecologic cancer survivors, caregivers, advocates and health care providers.
GYN Cancer | #GYNCSM @gyncsm
Our co-moderators are @womenofteal @btrfly12 #gyncsm
Dee Sparacio @womenofteal
#gyncsm https://t.co/vvmHbnOrve
GYN Cancer | #GYNCSM @gyncsm
Our health care moderators are @ShannonWestin @DrMarkham @journeycancer and our mental health moderator @DrBeckerSchutte #gyncsm
Rick Boulay,MD @journeycancer
RT @gyncsm: Welcome to #gyncsm - a passionate community of gynecologic cancer survivors, caregivers, advocates and health care providers.
Dee Sparacio @womenofteal
RT @gyncsm: Our health care moderators are @ShannonWestin @DrMarkham @journeycancer and our mental health moderator @DrBeckerSchutte #gyncsm
HPM Chat @hpmchat
RT @gyncsm: Welcome to #gyncsm - a passionate community of gynecologic cancer survivors, caregivers, advocates and health care providers.
GYN Cancer | #GYNCSM @gyncsm
We start out with 10 min of intro's - Please take a moment to introduce yourself. #gyncsm
Christina Lizaso @btrfly12
RT @gyncsm: Welcome to #gyncsm - a passionate community of gynecologic cancer survivors, caregivers, advocates and health care providers.
Dee Sparacio @womenofteal
#gyncsm https://t.co/N2etZ5i1lc
Christian Sinclair, MD, FAAHPM @ctsinclair
For the next hour I will be tweeting with the great people of #gyncsm chat about #palliative care. Feel free to jump in, all are welcome!
Dee Sparacio @womenofteal
@ctsinclair We are so glad to have you join us. #gyncsm
Christina Lizaso @btrfly12
Christina Lizaso – passionate re: community engagement and cancer. I’ll be moderating as @gyncsm today. #gyncsm
Dee Sparacio @womenofteal
Dee here! Dx #ovca Stage3B 2005, OC research advocate, blogger & co-moderator #gyncsm
Debra Hallisey @advocatemomdad
Deb here from Advocate for Mom and Dad. #gyncsm
Christina Lizaso @btrfly12
RT @ctsinclair: For the next hour I will be tweeting with the great people of #gyncsm chat about #palliative care. Feel free to jump in, all are welcome!
Rick Boulay,MD @journeycancer
Rick Boulay Gyn Oncologist Allentown PA. Happy Wednesday everyone. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
#gyncsm intro: Christian Sinclair - #palliative care doctor at @KUCancerCenter in Kansas City, KS. Editor of @pallimed, co-founder of @hpmchat. Glad to be here as a guest for your wonderful chat. Been following and participating occ through the years.
Erica Bednar @EMBOSU
Hi everyone! I'm Erica, genetic counselor focusing on hereditary gyn cancers at @MDAndersonNews. Excited to learn from you all tonight #gyncsm https://t.co/jp97ZCSokO
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
Hi all - MJ Markham here, gynecologic medical oncologist at University of Florida. #gyncsm
Dee Sparacio @womenofteal
RT @ctsinclair: #gyncsm intro: #gyncsm intro: Christian Sinclair - #palliative care doctor at @KUCancerCenter in Kansas City, KS. Editor of @pallimed, co-founder of @hpmchat. Glad to be here as a guest for your wonderful chat. Been following and participating occ through the years.
Rick Boulay,MD @journeycancer
Hey Christina and Dew! #gyncsm
GYN Cancer | #GYNCSM @gyncsm
Welcome all. If you prefer to listen only during the chat, we'd love for you to tweet "#gyncsm" when you join just to let us know you are here. :)
Christian Sinclair, MD, FAAHPM @ctsinclair
@womenofteal Thanks for the invite! #gyncsm is one of the well-established chats and I follow a lot of your leadership . I appreciate seeing the insights from your chats!
Dee Sparacio @womenofteal
@journeycancer @DrMarkham @EMBOSU Hi All , Glad to see you tonight #gyncsm
GYN Cancer | #GYNCSM @gyncsm
Pls continue intro's & welcomes - we'll start in w/ the "ground rules" :) #gyncsm
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
Grace Campbell joining in. I’m a rehabilitation nurse and researcher interested in helping women with gynecologic cancers stay functional through their lives. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
Hello #GYNCSM-ers! Ann, from Kansas City checking in--mental health mod for the chat, psychologist & happy to be here.
Dee Sparacio @womenofteal
@ctsinclair Thanks ! #gyncsm
Rick Boulay,MD @journeycancer
Hey Christina and Dee! #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: Welcome all. If you prefer to listen only during the chat, we'd love for you to tweet "#gyncsm" when you join just to let us know you are here. :)
GYN Cancer | #GYNCSM @gyncsm
The #gyncsm chat promotes community in a public forum. Learn more about risks/benefits: https://t.co/TipZUv1jQy
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
@womenofteal @journeycancer @EMBOSU Hello! #gyncsm
Dee Sparacio @womenofteal
@DrBeckerSchutte @GraceCampbellRN Good to have you here tonight #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
intro pt 2: I do mostly outpatient pallaitive care in our cancer center, and one of my colleagues is a #hpm AND gyn/onc doc. I have learned so much from her. Alas Dr. Spoozak is NOT on Twitter. My powers are not great at convincing everyone. #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: The #gyncsm chat promotes community in a public forum. Learn more about risks/benefits: The #gyncsm chat promotes community in a public forum. Learn more about risks/benefits: https://t.co/TipZUv1jQy
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Hello all. I'm Shereese, fierce patient advocate, HC strategist, writer, and speaker. #gyncsm https://t.co/AXyicPXR4s
Dee Sparacio @womenofteal
Today's chat is solely informational & not a substitute for speaking w/ a doctor who's familiar w/your medical needs & history. #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@gyncsm Hi from Houston TX. Supportive & #palliative Care oncologist (& colleague of the awesome gyn onc & all-around superwoman Dr. @ShannonWestin) #gyncsm #hpm
Ann Becker-Schutte @DrBeckerSchutte
RT @gyncsm: The #gyncsm chat promotes community in a public forum. Learn more about risks/benefits: The #gyncsm chat promotes community in a public forum. Learn more about risks/benefits: https://t.co/TipZUv1jQy
Dee Sparacio @womenofteal
Remember- Twitter is an open social network & posts are public.Use a DM to exchange email addresses/personal info #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: Today's chat is solely informational & not a substitute for speaking w/ a doctor who's familiar w/your medical needs & history. #gyncsm
Georgia @_GeorgiaHurst
RT @gyncsm: Welcome to #gyncsm - a passionate community of gynecologic cancer survivors, caregivers, advocates and health care providers.
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
@IshwariaMD Hi there! #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @womenofteal: Remember- Twitter is an open social network & posts are public.Use a DM to exchange email addresses/personal info #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@ShereesePubHlth Love the bitmoji. I need to do that more often! #gyncsm
GYN Cancer | #GYNCSM @gyncsm
#gyncsm is not a forum for medical advice. Resources and referrals are provided solely for information and convenience.
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: Remember- Twitter is an open social network & posts are public.Use a DM to exchange email addresses/personal info #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @gyncsm: #gyncsm is not a forum for medical advice. Resources and referrals are provided solely for information and convenience.
Dee Sparacio @womenofteal
@IshwariaMD @gyncsm @ShannonWestin So glad you are joining us. Welcome! #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@IshwariaMD @gyncsm @ShannonWestin Thanks so much for being here! I am glad to not represent #hpm (hospice and palliative med/care) alone! #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@womenofteal @gyncsm How are you? #gyncsm https://t.co/kUp2y2iXbY
GYN Cancer | #GYNCSM @gyncsm
We also welcome all those “listening in”. You can always tweet us or email us with questions/comments after the chat is over. #gyncsm
Dee Sparacio @womenofteal
#gyncsm community is here 2 support and inform survivors, med workers & loved ones w/ gyn cancer interest
Dee Sparacio @womenofteal
RT @gyncsm: We also welcome all those “listening in”. You can always tweet us or email us with questions/comments after the chat is over. #gyncsm
Erin Newton @ErinValeNewton
#gyncsm
Dee Sparacio @womenofteal
Thank you to all who have tweeted during the past month with the #gyncsm hashtag and RT'd about this chat
Georgia @_GeorgiaHurst
#GYNCSM: Good evening everyone! #Lynchsyndrome previvor, checking in. Happy to be here with all of you tonight!
Christina Lizaso @btrfly12
@ctsinclair @ShereesePubHlth She's one of the greats with those :) #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@GraceCampbellRN Hi Grace! Hi @DrBeckerSchutte - Go SKC! #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: Thank you to all who have tweeted during the past month with the #gyncsm hashtag and RT'd about this chat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@journeycancer What's up Doc? Bet you never heard that before, lol #gyncsm https://t.co/s1W4d95FBs
HPM Chat @hpmchat
RT @gyncsm: We also welcome all those “listening in”. You can always tweet us or email us with questions/comments after the chat is over. #gyncsm
Dee Sparacio @womenofteal
In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat [4/26/18] w/ @TLHagan , @btrfly12, @subatomicdoc @DrAttai @drdonsdizon @mtmdphd and others https://t.co/BbBuBeuBL1
Elizabeth Gundersen @Top_Gundersen
Hi Everyone! I'm Liz, an inpatient palliative care doc and medical educator in south Florida. I can't stay long but wanted to check in and support the #gyncsm community. I look forward to following the conversation and learning from all of you. #hpm
Ann Becker-Schutte @DrBeckerSchutte
Hi Christian—Kansas City proud!! #gyncsm https://t.co/JSf04eJ1OD
GYN Cancer | #GYNCSM @gyncsm
Tonight we will discuss #PalliativeCare and we are so pleased to welcome Christian Sinclair @ctsinclair as our guest #gyncsm #hpm
Christian Sinclair, MD, FAAHPM @ctsinclair
@journeycancer @IshwariaMD @gyncsm @ShannonWestin Hi Rick! Glad to be here with such a passionate group. #gyncsm
Rick Boulay,MD @journeycancer
RT @gyncsm: Tonight we will discuss #PalliativeCare and we are so pleased to welcome Christian Sinclair @ctsinclair as our guest #gyncsm #hpm
Dee Sparacio @womenofteal
@Top_Gundersen Thank you. We will be posting on our blog https://t.co/5H9knoU2YH for a link to the transcript. #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: Tonight we will discuss #PalliativeCare and we are so pleased to welcome Christian Sinclair @ctsinclair as our guest #gyncsm #hpm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@gyncsm @ctsinclair #gyncsm https://t.co/4Jd8SV8Xia
GYN Cancer | #GYNCSM @gyncsm
RT @womenofteal: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat [4/26/18] w/ @TLHagan , @btrfly12, @subatomicdoc @DrAttai @drdonsdizon @mtmdphd and others https://t.co/BbBuBeuBL1
Georgia @_GeorgiaHurst
RT @womenofteal: @Top_Gundersen Thank you. We will be posting on our blog https://t.co/5H9knoU2YH for a link to the transcript. #gyncsm
Georgia @_GeorgiaHurst
RT @gyncsm: Tonight we will discuss #PalliativeCare and we are so pleased to welcome Christian Sinclair @ctsinclair as our guest #gyncsm #hpm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: @Top_Gundersen Thank you. We will be posting on our blog https://t.co/5H9knoU2YH for a link to the transcript. #gyncsm
Georgia @_GeorgiaHurst
RT @womenofteal: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat [4/26/18] w/ @TLHagan , @btrfly12, @subatomicdoc @DrAttai @drdonsdizon @mtmdphd and others https://t.co/BbBuBeuBL1
GYN Cancer | #GYNCSM @gyncsm
As moderator, I'll introduce new Topics with T1, T2... Pls include corresponding T# at front of answer - hard to remember but helpful #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @gyncsm: Tonight we will discuss #PalliativeCare and we are so pleased to welcome Christian Sinclair @ctsinclair as our guest #gyncsm #hpm
Dee Sparacio @womenofteal
RT @gyncsm: As moderator, I'll introduce new Topics with T1, T2... Pls include corresponding T# at front of answer - hard to remember but helpful #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @gyncsm: As moderator, I'll introduce new Topics with T1, T2... Pls include corresponding T# at front of answer - hard to remember but helpful #gyncsm
GYN Cancer | #GYNCSM @gyncsm
You can find a listing of all the #gyncsm topic questions that will be coming up here: https://t.co/2ut6pkfuxF
Christian Sinclair, MD, FAAHPM @ctsinclair
@womenofteal @TLHagan @btrfly12 @subatomicdoc @DrAttai @drdonsdizon @mtmdphd That looks like a really cool study...from a Tweetchat, no less! Bookmarked! Might need to replicate for #hpm. Thanks for trailblazing! #gyncsm
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
#gyncsm https://t.co/XWOHMPOIEk
Ann Becker-Schutte @DrBeckerSchutte
RT @gyncsm: You can find a listing of all the #gyncsm topic questions that will be coming up here: You can find a listing of all the #gyncsm topic questions that will be coming up here: https://t.co/2ut6pkfuxF
GYN Cancer | #GYNCSM @gyncsm
T1: What do you think of when you hear the term "palliative care"? What does it mean to you? Has your perception changed over time? #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: T1: T1: What do you think of when you hear the term "palliative care"? What does it mean to you? Has your perception changed over time? #gyncsm
Pallimed @Pallimed
RT @womenofteal: @Top_Gundersen Thank you. We will be posting on our blog https://t.co/5H9knoU2YH for a link to the transcript. #gyncsm
Christina Lizaso @btrfly12
RT @gyncsm: T1: T1: What do you think of when you hear the term "palliative care"? What does it mean to you? Has your perception changed over time? #gyncsm
Amanda Crowell Itliong @MIShouldTalk
Hey #gyncsm friends! Amanda here from MI - ovarian cancer patient x4
Ann Becker-Schutte @DrBeckerSchutte
RT @gyncsm: T1: T1: What do you think of when you hear the term "palliative care"? What does it mean to you? Has your perception changed over time? #gyncsm
University of Kansas Health System Palliative Care @KUpalliative
One of our doctors @ctsinclair is a guest on the #gyncsm chat tonight at 8pm CT. Check it out! @KUcancercenter @KUHospital @KUMedCenter
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @gyncsm: T1: T1: What do you think of when you hear the term "palliative care"? What does it mean to you? Has your perception changed over time? #gyncsm
HPM Chat @hpmchat
RT @gyncsm: T1: T1: What do you think of when you hear the term "palliative care"? What does it mean to you? Has your perception changed over time? #gyncsm
Dee Sparacio @womenofteal
T1 I think it means treating the side effects and pain associated with treatment But in prepping for this chat I have learned it includes much more. #gyncsm
Christina Lizaso @btrfly12
T1: When my dad had cancer long ago, I dreaded the words "quality of life" and felt like anything not fighting the cancer meant we were giving up. I think very differently now. #gyncsm
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
T1: I think of palliative care as care devoted to relieving pain and suffering. #gyncsm
Ben Skoch, DO, MBA @skochb
RT @PalliCareKU: One of our doctors @ctsinclair is a guest on the #gyncsm chat tonight at 8pm CT. Check it out! @KUcancercenter @KUHospital @KUMedCenter
Dee Sparacio @womenofteal
@MIShouldTalk Hi Amanda - Great to have you here #gyncsm
Debra Hallisey @advocatemomdad
A1. Living life on your terms with the help of team of healthcare professionals who support the patient and family #gyncsm
Amanda Crowell Itliong @MIShouldTalk
T1 I think of palliative care as helping me be more comfortable and something I need more of as I get closer to death. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
A1: Palliative care-I think of a critical piece of overall care during serious illness, pain, and end of life. ##gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @advocatemomdad: A1. Living life on your terms with the help of team of healthcare professionals who support the patient and family #gyncsm
Christina Lizaso @btrfly12
T1: I think there is still a persistent idea that you have to be uncomfortable while fighting the disease. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @btrfly12: T1: T1: I think there is still a persistent idea that you have to be uncomfortable while fighting the disease. #gyncsm
Rick Boulay,MD @journeycancer
RT @btrfly12: T1: T1: When my dad had cancer long ago, I dreaded the words "quality of life" and felt like anything not fighting the cancer meant we were giving up. I think very differently now. #gyncsm
Debra Hallisey @advocatemomdad
RT @DrBeckerSchutte: A1: A1: Palliative care-I think of a critical piece of overall care during serious illness, pain, and end of life. ##gyncsm
Dee Sparacio @womenofteal
Prior to this chat I didn't realize it included emotional support and caregiver support - thanks for adding that Virginia #gyncsm https://t.co/LwFnr0yXWK
Erica Bednar @EMBOSU
T1: I think of palliative care as an opportunity for someone to receive whatever support (pain management, counseling, home care, accessing info/resources, etc.) they may need when progressing through a health problem that may be life limiting #gyncsm https://t.co/59xKrVweX1
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: Prior to this chat I didn't realize it included emotional support and caregiver support - thanks for adding that Virginia #gyncsm https://t.co/LwFnr0yXWK
Ann Becker-Schutte @DrBeckerSchutte
RT @EMBOSU: T1: T1: I think of palliative care as an opportunity for someone to receive whatever support (pain management, counseling, home care, accessing info/resources, etc.) they may need when progressing through a health problem that may be life limiting #gyncsm https://t.co/59xKrVweX1
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
T1 Unlike in the past, I now think of it as a wholeness approach to relieving the symptoms and providing ongoing care for a serious illness #gyncsm
Debra Hallisey @advocatemomdad
RT @EMBOSU: T1: T1: I think of palliative care as an opportunity for someone to receive whatever support (pain management, counseling, home care, accessing info/resources, etc.) they may need when progressing through a health problem that may be life limiting #gyncsm https://t.co/59xKrVweX1
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
RT @womenofteal: Prior to this chat I didn't realize it included emotional support and caregiver support - thanks for adding that Virginia #gyncsm https://t.co/LwFnr0yXWK
Christian Sinclair, MD, FAAHPM @ctsinclair
Well done #OpenAccess study by Camilla Zimmerman asking about perceptions of #palliative care by people with adv cancer. Echoes some themes shared here https://t.co/5NIMsyTY4Z #gyncsm
Christina Lizaso @btrfly12
T1: I like the use of the term "supportive" care, but understand the term "palliative" is probably here to stay. Whatever it is called, it can be hard to wrap your head around. :) #gyncsm
Dee Sparacio @womenofteal
"wholeness" I like that #gyncsm https://t.co/vHk5z3XaQO
Dee Sparacio @womenofteal
RT @ctsinclair: Well done #OpenAccess study by Camilla Zimmerman asking about perceptions of #palliative care by people with adv cancer. Echoes some themes shared here https://t.co/5NIMsyTY4Z #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
A1: On a personal level, I will always be grateful to the palliative care team who cared for my father-in-law & supported my MIL during his final illness. Wish they had been onboard sooner. #gyncsm
Charlie Blotner @CBlotner_
@womenofteal There is a ton of continuing palliative care education info out there via the #hpm hashtag and chat with @rfberry if #gyncsm folks are interested!
Christian Sinclair, MD, FAAHPM @ctsinclair
@btrfly12 T1: That is interesting that even quality of life can feel VERY coded for something else more scary or dark. I worry that it sounds that way even when I say it sometimes. #gyncsm
Dee Sparacio @womenofteal
RT @CBlotner_: @womenofteal There is a ton of continuing palliative care education info out there via the #hpm hashtag and chat with @rfberry if #gyncsm folks are interested!
Rick Boulay,MD @journeycancer
RT @ctsinclair: Well done #OpenAccess study by Camilla Zimmerman asking about perceptions of #palliative care by people with adv cancer. Echoes some themes shared here https://t.co/5NIMsyTY4Z #gyncsm
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
RT @ctsinclair: Well done #OpenAccess study by Camilla Zimmerman asking about perceptions of #palliative care by people with adv cancer. Echoes some themes shared here https://t.co/5NIMsyTY4Z #gyncsm
Elizabeth Gundersen @Top_Gundersen
RT @ctsinclair: Well done #OpenAccess study by Camilla Zimmerman asking about perceptions of #palliative care by people with adv cancer. Echoes some themes shared here https://t.co/5NIMsyTY4Z #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @btrfly12 T1: @btrfly12 T1: That is interesting that even quality of life can feel VERY coded for something else more scary or dark. I worry that it sounds that way even when I say it sometimes. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@womenofteal T1: That is a good point - the spectrum of #palliative care can be very wide. And at the heart, PC is meant to be responsive to patient and family needs. The patient can be in the driver seat with PC (if that fits their decision making style.) #gyncsm
Dee Sparacio @womenofteal
consider access to care as part of palliative care - yes that is imp #gyncsm https://t.co/Sqzx8S5ccC
Dee Sparacio @womenofteal
RT @ctsinclair: @womenofteal T1: @womenofteal T1: That is a good point - the spectrum of #palliative care can be very wide. And at the heart, PC is meant to be responsive to patient and family needs. The patient can be in the driver seat with PC (if that fits their decision making style.) #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@vleeLCSW T1: Excellent! Palliative care should be available at any age and any stage. The goal is support. #gyncsm
Christina Lizaso @btrfly12
@DrBeckerSchutte That seems to still be a theme - of waiting longer to start palliative care than could have. #gyncsm
Rick Boulay,MD @journeycancer
Interestingly, studies show that the term “palliative care” is a turn off for folks who otherwise desire the services. Many groups are choosing different language. #gyncsm
Debra Hallisey @advocatemomdad
RT @CBlotner_: @womenofteal There is a ton of continuing palliative care education info out there via the #hpm hashtag and chat with @rfberry if #gyncsm folks are interested!
Christina Lizaso @btrfly12
RT @journeycancer: Interestingly, studies show that the term “palliative care” is a turn off for folks who otherwise desire the services. Many groups are choosing different language. #gyncsm
Dee Sparacio @womenofteal
The words we use are important #gyncsm https://t.co/XrVleOMFCx
NCI Cancer Stats @NCICancerStats
Endometrial #cancer is the most common cancer of the female reproductive system. Watch our video for more info about this cancer: https://t.co/dHtyEqUKRP #GynCSM
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
.@journeycancer Yes! Our outpatient palliative care program is called the Supportive Oncology Program for this reason. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@btrfly12 T1: There are lots of debate inside and outside the palliative care community about finding the best name. Ultimately it comes down to organizational/community culture, and making sure the clinicians feel comfortable introducing the concept as concurrent, not either/or. #gyncsm
Ben Skoch, DO, MBA @skochb
@btrfly12 Appreciate that this is still true for many people. This pic shows an idea I advocate for more now, getting Palliative involved early so that we can help along the way and assist with late disease transitions. Learn the good so we can know and help w the bad. #gyncsm https://t.co/SI1yhqvA5z
Ann Becker-Schutte @DrBeckerSchutte
Yes. His illness was long and hard. I truly believe that palliative care would have made his time so much easier. #gyncsm https://t.co/EhYWLdRsG2
Christina Lizaso @btrfly12
RT @CBlotner_: @womenofteal There is a ton of continuing palliative care education info out there via the #hpm hashtag and chat with @rfberry if #gyncsm folks are interested!
Ann Becker-Schutte @DrBeckerSchutte
RT @skochb: @btrfly12 Appreciate that this is still true for many people. This pic shows an idea I advocate for more now, getting Palliative involved early so that we can help along the way and assist with late disease transitions. Learn the good so we can know and help w the bad. #gyncsm https://t.co/SI1yhqvA5z
Dee Sparacio @womenofteal
RT @skochb: @btrfly12 Appreciate that this is still true for many people. This pic shows an idea I advocate for more now, getting Palliative involved early so that we can help along the way and assist with late disease transitions. Learn the good so we can know and help w the bad. #gyncsm https://t.co/SI1yhqvA5z
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @btrfly12 T1: @btrfly12 T1: There are lots of debate inside and outside the palliative care community about finding the best name. Ultimately it comes down to organizational/community culture, and making sure the clinicians feel comfortable introducing the concept as concurrent, not either/or. #gyncsm
Dee Sparacio @womenofteal
RT @ctsinclair: @btrfly12 T1: @btrfly12 T1: There are lots of debate inside and outside the palliative care community about finding the best name. Ultimately it comes down to organizational/community culture, and making sure the clinicians feel comfortable introducing the concept as concurrent, not either/or. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @DrMarkham: .@journeycancer Yes! Our outpatient palliative care program is called the Supportive Oncology Program for this reason. #gyncsm
Debra Hallisey @advocatemomdad
RT @ctsinclair: @womenofteal T1: @womenofteal T1: That is a good point - the spectrum of #palliative care can be very wide. And at the heart, PC is meant to be responsive to patient and family needs. The patient can be in the driver seat with PC (if that fits their decision making style.) #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: The words we use are important #gyncsm https://t.co/XrVleOMFCx
Erica Bednar @EMBOSU
RT @skochb: @btrfly12 Appreciate that this is still true for many people. This pic shows an idea I advocate for more now, getting Palliative involved early so that we can help along the way and assist with late disease transitions. Learn the good so we can know and help w the bad. #gyncsm https://t.co/SI1yhqvA5z
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @vleeLCSW T1: @vleeLCSW T1: Excellent! Palliative care should be available at any age and any stage. The goal is support. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: consider access to care as part of palliative care - yes that is imp #gyncsm https://t.co/Sqzx8S5ccC
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @womenofteal T1: @womenofteal T1: That is a good point - the spectrum of #palliative care can be very wide. And at the heart, PC is meant to be responsive to patient and family needs. The patient can be in the driver seat with PC (if that fits their decision making style.) #gyncsm
Amanda Crowell Itliong @MIShouldTalk
@journeycancer It’s a topic that comes up a lot in AYA cancer circles because of the awkwardness. Docs seem to not refer us because our age makes up seem healthier, and then when we do connect, services can be not relevant to our needs. #gyncsm
Debra Hallisey @advocatemomdad
RT @ctsinclair: @btrfly12 T1: @btrfly12 T1: There are lots of debate inside and outside the palliative care community about finding the best name. Ultimately it comes down to organizational/community culture, and making sure the clinicians feel comfortable introducing the concept as concurrent, not either/or. #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @NCICancerStats: Endometrial #cancer is the most common cancer of the female reproductive system. Watch our video for more info about this cancer: https://t.co/dHtyEqUKRP #GynCSM
Christian Sinclair, MD, FAAHPM @ctsinclair
@journeycancer But there is also research showing that if you educate people as to what #palliative care is, they will be open to it, no matter what the name. In my experience it really falls down to education, not a name. New names usually come with more education. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @MIShouldTalk: @journeycancer It’s a topic that comes up a lot in AYA cancer circles because of the awkwardness. Docs seem to not refer us because our age makes up seem healthier, and then when we do connect, services can be not relevant to our needs. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @journeycancer But there is also research showing that if you educate people as to what #palliative care is, they will be open to it, no matter what the name. In my experience it really falls down to education, not a name. New names usually come with more education. #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@gyncsm T1: We #hpm docs spend quite a bit of time clarifying perceptions of the field (ie. its not just end of life care). Our #PalliativeCare thermometer highlights the domains of a person's care that may be of importance to them! #Palliative Care is whole person care! #gyncsm #pallonc https://t.co/bOWsBmlUEF
Christina Lizaso @btrfly12
RT @ctsinclair: @btrfly12 T1: @btrfly12 T1: There are lots of debate inside and outside the palliative care community about finding the best name. Ultimately it comes down to organizational/community culture, and making sure the clinicians feel comfortable introducing the concept as concurrent, not either/or. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@skochb @gyncsm Only a few more weeks. But I will make it count! #gyncsm
Rick Boulay,MD @journeycancer
I love this. Thanks Ben. #gyncsm https://t.co/OjrKSfDGno
Ann Becker-Schutte @DrBeckerSchutte
RT @IshwariaMD: @gyncsm T1: @gyncsm T1: We #hpm docs spend quite a bit of time clarifying perceptions of the field (ie. its not just end of life care). Our #PalliativeCare thermometer highlights the domains of a person's care that may be of importance to them! #Palliative Care is whole person care! #gyncsm #pallonc https://t.co/bOWsBmlUEF
Dee Sparacio @womenofteal
RT @IshwariaMD: @gyncsm T1: @gyncsm T1: We #hpm docs spend quite a bit of time clarifying perceptions of the field (ie. its not just end of life care). Our #PalliativeCare thermometer highlights the domains of a person's care that may be of importance to them! #Palliative Care is whole person care! #gyncsm #pallonc https://t.co/bOWsBmlUEF
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @IshwariaMD: @gyncsm T1: @gyncsm T1: We #hpm docs spend quite a bit of time clarifying perceptions of the field (ie. its not just end of life care). Our #PalliativeCare thermometer highlights the domains of a person's care that may be of importance to them! #Palliative Care is whole person care! #gyncsm #pallonc https://t.co/bOWsBmlUEF
Debra Hallisey @advocatemomdad
RT @IshwariaMD: @gyncsm T1: @gyncsm T1: We #hpm docs spend quite a bit of time clarifying perceptions of the field (ie. its not just end of life care). Our #PalliativeCare thermometer highlights the domains of a person's care that may be of importance to them! #Palliative Care is whole person care! #gyncsm #pallonc https://t.co/bOWsBmlUEF
Christina Lizaso @btrfly12
RT @MIShouldTalk: @journeycancer It’s a topic that comes up a lot in AYA cancer circles because of the awkwardness. Docs seem to not refer us because our age makes up seem healthier, and then when we do connect, services can be not relevant to our needs. #gyncsm
Elizabeth Gundersen @Top_Gundersen
RT @IshwariaMD: @gyncsm T1: @gyncsm T1: We #hpm docs spend quite a bit of time clarifying perceptions of the field (ie. its not just end of life care). Our #PalliativeCare thermometer highlights the domains of a person's care that may be of importance to them! #Palliative Care is whole person care! #gyncsm #pallonc https://t.co/bOWsBmlUEF
Charlie Blotner @CBlotner_
@womenofteal @rfberry Whoops! Just saw Dee’s lone tweet in my feed - wasn’t following the chat to see that @ctsinclair is in the chat and already discussing @hpmchat. Enjoy, the rest of the chat, folks! #gyncsm
GYN Cancer | #GYNCSM @gyncsm
T3: When do cancer patients tend to get referred to a palliative care specialist? Do you find this to be a tricky conversation? Patients - Did anyone on your care team discuss palliative care with you? #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @gyncsm: T3: T3: When do cancer patients tend to get referred to a palliative care specialist? Do you find this to be a tricky conversation? Patients - Did anyone on your care team discuss palliative care with you? #gyncsm
Alzheimer's Los Angeles @AlzheimersLA
RT @ctsinclair: @journeycancer But there is also research showing that if you educate people as to what #palliative care is, they will be open to it, no matter what the name. In my experience it really falls down to education, not a name. New names usually come with more education. #gyncsm
Dee Sparacio @womenofteal
@CBlotner_ @rfberry @ctsinclair @hpmchat Stay with us Charlie - would love your input too! #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
A1: I try to educate my clients whenever I can—I wish everyone had ready access to palliative care. It can make such a huge difference. #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: T3: T3: When do cancer patients tend to get referred to a palliative care specialist? Do you find this to be a tricky conversation? Patients - Did anyone on your care team discuss palliative care with you? #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@journeycancer @CAPCpalliative @IshwariaMD Here is the study I referenced: https://t.co/FPIE1lF6sm #GYNCSM
Rick Boulay,MD @journeycancer
The AYA community is really underserved and seems to fall between the silos all the time. #GYNCSM https://t.co/jdSy5dKxLM
Dr. Miriam Knoll @MKnoll_MD
RT @IshwariaMD: @gyncsm T1: @gyncsm T1: We #hpm docs spend quite a bit of time clarifying perceptions of the field (ie. its not just end of life care). Our #PalliativeCare thermometer highlights the domains of a person's care that may be of importance to them! #Palliative Care is whole person care! #gyncsm #pallonc https://t.co/bOWsBmlUEF
Dee Sparacio @womenofteal
RT @ctsinclair: @journeycancer @CAPCpalliative @IshwariaMD Here is the study I referenced: @journeycancer @CAPCpalliative @IshwariaMD Here is the study I referenced: https://t.co/FPIE1lF6sm #GYNCSM
Ann Becker-Schutte @DrBeckerSchutte
RT @journeycancer: The AYA community is really underserved and seems to fall between the silos all the time. #GYNCSM https://t.co/jdSy5dKxLM
Ben Skoch, DO, MBA @skochb
@ctsinclair @btrfly12 This is more hospice given my position this year, but I find success describing the type of care to folks and getting buy in, then giving the name. Families seem to respond better if they hear the benefits first. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @journeycancer @CAPCpalliative @IshwariaMD Here is the study I referenced: @journeycancer @CAPCpalliative @IshwariaMD Here is the study I referenced: https://t.co/FPIE1lF6sm #GYNCSM
Christina Lizaso @btrfly12
RT @gyncsm: T3: T3: When do cancer patients tend to get referred to a palliative care specialist? Do you find this to be a tricky conversation? Patients - Did anyone on your care team discuss palliative care with you? #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@skochb @btrfly12 T1: Point taken! in our institution, we've found the internal referring oncologists to have a greater comfort w #SupportiveCare vs #Palliative care for symptom management during active therapy. so the practice paradigm here follows something like this pic. #gyncsm #hpm #pallonc https://t.co/gS8fkEfttQ
Rick Boulay,MD @journeycancer
Absolutely! The services are desired. The name is misunderstood. #GYNCSM https://t.co/LopyXuhVpf
ROWE @rowedocs
RT @EMBOSU: Coming up soon! Join if you can! #gcchat #gyncsm #bcsm #crcsm #gencsm #endcancer #medtwitter #palliativecare #cancer https://t.co/4CLhn2hSb9
Dee Sparacio @womenofteal
A @Smart_Patient who is not on Twitter asks “How do you determine when a chronic issue becomes a palliative one outside of needing pain management?” #gyncsm
Christina Lizaso @btrfly12
@CBlotner_ @womenofteal @rfberry @ctsinclair @hpmchat Love hearing from others of great resources - anytime :) #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: A @Smart_Patient who is not on Twitter asks “How do you determine when a chronic issue becomes a palliative one outside of needing pain management?” #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@CBlotner_ @womenofteal @rfberry @hpmchat Oh you are welcome to hang with us! Don't leave! #gyncsm
Alzheimer's Los Angeles @AlzheimersLA
Similar thing in social work. People want the help, but there's a stigma around "having a social worker". So we call it something else (and sometimes, multiple somethings to make sure we're culturally responsive, too). #gyncsm https://t.co/e2XV6tE7Ki
Christina Lizaso @btrfly12
RT @skochb: @ctsinclair @btrfly12 This is more hospice given my position this year, but I find success describing the type of care to folks and getting buy in, then giving the name. Families seem to respond better if they hear the benefits first. #gyncsm
Nirav Desai @AndytweetM
RT @womenofteal: Prior to this chat I didn't realize it included emotional support and caregiver support - thanks for adding that Virginia #gyncsm https://t.co/LwFnr0yXWK
HPM Chat @hpmchat
RT @gyncsm: T3: T3: When do cancer patients tend to get referred to a palliative care specialist? Do you find this to be a tricky conversation? Patients - Did anyone on your care team discuss palliative care with you? #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ALZGLA: Similar thing in social work. People want the help, but there's a stigma around "having a social worker". So we call it something else (and sometimes, multiple somethings to make sure we're culturally responsive, too). #gyncsm https://t.co/e2XV6tE7Ki
GYN Cancer | #GYNCSM @gyncsm
RT @journeycancer: Absolutely! The services are desired. The name is misunderstood. #GYNCSM https://t.co/LopyXuhVpf
Matthew Katz, MD 🟦 @subatomicdoc
RT @womenofteal: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat [4/26/18] w/ @TLHagan , @btrfly12, @subatomicdoc @DrAttai @drdonsdizon @mtmdphd and others https://t.co/BbBuBeuBL1
Matthew Katz, MD 🟦 @subatomicdoc
RT @ctsinclair: @womenofteal @TLHagan @btrfly12 @subatomicdoc @DrAttai @drdonsdizon @mtmdphd That looks like a really cool study...from a Tweetchat, no less! Bookmarked! Might need to replicate for #hpm. Thanks for trailblazing! #gyncsm
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
Sadly, education and good communication are at times casualties in busy clinical settings. Can we make #palliativecare or #supportive care a topic of public health education so the public knows and asks for it, if clinicians let it fall through the cracks? #gyncsm https://t.co/Ofa5q0jUA7
Christina Lizaso @btrfly12
RT @ALZGLA: Similar thing in social work. People want the help, but there's a stigma around "having a social worker". So we call it something else (and sometimes, multiple somethings to make sure we're culturally responsive, too). #gyncsm https://t.co/e2XV6tE7Ki
Ann Becker-Schutte @DrBeckerSchutte
RT @GraceCampbellRN: Sadly, education and good communication are at times casualties in busy clinical settings. Can we make #palliativecare or #supportive care a topic of public health education so the public knows and asks for it, if clinicians let it fall through the cracks? #gyncsm https://t.co/Ofa5q0jUA7
Christian Sinclair, MD, FAAHPM @ctsinclair
@gyncsm T3: We are seeing more family and patient-initiated #pallaitive care referrals. As they realize they can have more support, they are starting to ask for it and our oncologists are open to collaborating with us. Caveat: I am in an academic med center in a metro area. #gyncsm
Christina Lizaso @btrfly12
RT @IshwariaMD: @skochb @btrfly12 T1: @skochb @btrfly12 T1: Point taken! in our institution, we've found the internal referring oncologists to have a greater comfort w #SupportiveCare vs #Palliative care for symptom management during active therapy. so the practice paradigm here follows something like this pic. #gyncsm #hpm #pallonc https://t.co/gS8fkEfttQ
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
T3 Patients with advanced cancer should be referred to #pallativeCare early and it should be an integral part of treatment, not just something added on near the end of life #gyncsm
Dee Sparacio @womenofteal
#gyncsm Great idea here>> https://t.co/33TSzWzS82
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
RT @skochb: @ctsinclair @btrfly12 This is more hospice given my position this year, but I find success describing the type of care to folks and getting buy in, then giving the name. Families seem to respond better if they hear the benefits first. #gyncsm
Debra Hallisey @advocatemomdad
RT @GraceCampbellRN: Sadly, education and good communication are at times casualties in busy clinical settings. Can we make #palliativecare or #supportive care a topic of public health education so the public knows and asks for it, if clinicians let it fall through the cracks? #gyncsm https://t.co/Ofa5q0jUA7
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
RT @GraceCampbellRN: Sadly, education and good communication are at times casualties in busy clinical settings. Can we make #palliativecare or #supportive care a topic of public health education so the public knows and asks for it, if clinicians let it fall through the cracks? #gyncsm https://t.co/Ofa5q0jUA7
Dee Sparacio @womenofteal
RT @ctsinclair: @gyncsm T3: @gyncsm T3: We are seeing more family and patient-initiated #pallaitive care referrals. As they realize they can have more support, they are starting to ask for it and our oncologists are open to collaborating with us. Caveat: I am in an academic med center in a metro area. #gyncsm
GYN Cancer | #GYNCSM @gyncsm
#gyncsm https://t.co/ISnUAjCdWw
Ann Becker-Schutte @DrBeckerSchutte
RT @ShereesePubHlth: T3 Patients with advanced cancer should be referred to #pallativeCare early and it should be an integral part of treatment, not just something added on near the end of life #gyncsm
Debra Hallisey @advocatemomdad
@GraceCampbellRN Love the idea of public health championing! #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @gyncsm T3: @gyncsm T3: We are seeing more family and patient-initiated #pallaitive care referrals. As they realize they can have more support, they are starting to ask for it and our oncologists are open to collaborating with us. Caveat: I am in an academic med center in a metro area. #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@ctsinclair @journeycancer @CAPCpalliative Yes! Single institution experience BUT it showed that after the name change to #SupportiveCare, we saw... *41% more #PalliativeCare (PC) consults (both inpt & opt) *earlier PC referrals from advanced #cancer dx *longer overall survival from PC consult #gyncsm #hpm #pallonc
Alzheimer's Los Angeles @AlzheimersLA
Seeing this with support groups, too. Patients and caregivers trust peers, so when they make referrals, they listen. #gyncsm https://t.co/gAGCg7WdQR
Ben Skoch, DO, MBA @skochb
@GraceCampbellRN What better way to go public than collaborative twitter chats? 🙂 #gyncsm
Rick Boulay,MD @journeycancer
We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Ann Becker-Schutte @DrBeckerSchutte
RT @journeycancer: We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Ann Becker-Schutte @DrBeckerSchutte
RT @ALZGLA: Seeing this with support groups, too. Patients and caregivers trust peers, so when they make referrals, they listen. #gyncsm https://t.co/gAGCg7WdQR
Christina Lizaso @btrfly12
RT @ShereesePubHlth: T3 Patients with advanced cancer should be referred to #pallativeCare early and it should be an integral part of treatment, not just something added on near the end of life #gyncsm
Dee Sparacio @womenofteal
That is great . #gyncsm https://t.co/YjRCgkC2ng
Christina Lizaso @btrfly12
RT @IshwariaMD: @ctsinclair @journeycancer @CAPCpalliative Yes! Single institution experience BUT it showed that after the name change to #SupportiveCare, we saw... *41% more #PalliativeCare (PC) consults (both inpt & opt) *earlier PC referrals from advanced #cancer dx *longer overall survival from PC consult #gyncsm #hpm #pallonc
Christian Sinclair, MD, FAAHPM @ctsinclair
@womenofteal @Smart_Patient That is a challenge. Chronic pain, anxiety or depression or anything else that existed before cancer, is not necessarily going away. #Palliative care does best when it understands what may be more chronic and what is a newer acute issue. #gyncsm
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
RT @journeycancer: We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Christina Lizaso @btrfly12
RT @journeycancer: We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Kate Lally @Kate_LallyMD
RT @ctsinclair: @journeycancer But there is also research showing that if you educate people as to what #palliative care is, they will be open to it, no matter what the name. In my experience it really falls down to education, not a name. New names usually come with more education. #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@ctsinclair @journeycancer @CAPCpalliative BUT my diploma, white coat, board certification, all say "Hospice & #Palliative Medicine" - which of course is an awesome field - so each of us #hpm docs here do educate each pt and family to clear up misconceptions about #PalliativeCare and hope they pass on the message! #gyncsm
Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD
RT @ctsinclair: @journeycancer But there is also research showing that if you educate people as to what #palliative care is, they will be open to it, no matter what the name. In my experience it really falls down to education, not a name. New names usually come with more education. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @IshwariaMD: @ctsinclair @journeycancer @CAPCpalliative BUT my diploma, white coat, board certification, all say "Hospice & #Palliative Medicine" - which of course is an awesome field - so each of us #hpm docs here do educate each pt and family to clear up misconceptions about #PalliativeCare and hope they pass on the message! #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Foolish notions of the past aside, we now understand the importance of integrated healthcare. #Pallativecare should be a discussion early in treatment to give families understanding of resources and support. #gyncsm
Ben Skoch, DO, MBA @skochb
@journeycancer Admitting there is a problem is the first step 😂 #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @womenofteal @Smart_Patient That is a challenge. Chronic pain, anxiety or depression or anything else that existed before cancer, is not necessarily going away. #Palliative care does best when it understands what may be more chronic and what is a newer acute issue. #gyncsm
Debra Hallisey @advocatemomdad
RT @ALZGLA: Seeing this with support groups, too. Patients and caregivers trust peers, so when they make referrals, they listen. #gyncsm https://t.co/gAGCg7WdQR
Rick Boulay,MD @journeycancer
RT @IshwariaMD: @skochb @btrfly12 T1: @skochb @btrfly12 T1: Point taken! in our institution, we've found the internal referring oncologists to have a greater comfort w #SupportiveCare vs #Palliative care for symptom management during active therapy. so the practice paradigm here follows something like this pic. #gyncsm #hpm #pallonc https://t.co/gS8fkEfttQ
Debra Hallisey @advocatemomdad
RT @journeycancer: We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Christian Sinclair, MD, FAAHPM @ctsinclair
@journeycancer The more upstream I have seen patients in #palliative care outpatient clinic, the more I recognize how hard it is to be an oncologist and figure out where those limits are. It s good for all of us to be more collaborative. #gyncsm
Debra Hallisey @advocatemomdad
RT @ctsinclair: @womenofteal @Smart_Patient That is a challenge. Chronic pain, anxiety or depression or anything else that existed before cancer, is not necessarily going away. #Palliative care does best when it understands what may be more chronic and what is a newer acute issue. #gyncsm
Kate Lally @Kate_LallyMD
RT @womenofteal: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: In case you missed it check out “The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat [4/26/18] w/ @TLHagan , @btrfly12, @subatomicdoc @DrAttai @drdonsdizon @mtmdphd and others https://t.co/BbBuBeuBL1
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@journeycancer But as we move to more integrated systems, do you see a move toward these convos happening early in a patient's treatment plan? #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@ShereesePubHlth T3: Thankfully @ASCO encouraged this by putting out a clinical practice guideline saying patients with advanced cancer should have specialist #palliative care access within 8 weeks of diagnosis. #gyncsm
Dee Sparacio @womenofteal
RT @ctsinclair: @ShereesePubHlth T3: @ShereesePubHlth T3: Thankfully @ASCO encouraged this by putting out a clinical practice guideline saying patients with advanced cancer should have specialist #palliative care access within 8 weeks of diagnosis. #gyncsm
GYN Cancer | #GYNCSM @gyncsm
T4: Why is knowledge of and access to palliative care throughout cancer treatment important? Does Medicare/Insurance cover palliative care? Are there specialists in rural areas? #gyncsm
Charlie Blotner @CBlotner_
@btrfly12 @womenofteal @rfberry @ctsinclair @hpmchat You are all so sweet! Unfortunately, I need to prep for class and practicum tomorrow. I will take a peek at the transcript tomorrow! #gyncsm
GYN Cancer | #GYNCSM @gyncsm
#gyncsm https://t.co/ymf257oQaC
Ann Becker-Schutte @DrBeckerSchutte
Palliative care is also a good fit for mental health care—since palliative docs tend to understand the importance of treating depression & anxiety. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@skochb @journeycancer I have really appreciated the offline conversations with my peer oncologists. They have provided a good insight into their hopes and wishes for their patients. #gyncsm
HPM Chat @hpmchat
RT @gyncsm: T4: T4: Why is knowledge of and access to palliative care throughout cancer treatment important? Does Medicare/Insurance cover palliative care? Are there specialists in rural areas? #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@ctsinclair @ASCO That's an excellent policy #gyncsm https://t.co/7GQNLwyObu
Mike Thompson, MD, PhD, FASCO @mtmdphd
RT @ctsinclair: @womenofteal @TLHagan @btrfly12 @subatomicdoc @DrAttai @drdonsdizon @mtmdphd That looks like a really cool study...from a Tweetchat, no less! Bookmarked! Might need to replicate for #hpm. Thanks for trailblazing! #gyncsm
Christina Lizaso @btrfly12
RT @gyncsm: T4: T4: Why is knowledge of and access to palliative care throughout cancer treatment important? Does Medicare/Insurance cover palliative care? Are there specialists in rural areas? #gyncsm
Christina Lizaso @btrfly12
RT @ctsinclair: @ShereesePubHlth T3: @ShereesePubHlth T3: Thankfully @ASCO encouraged this by putting out a clinical practice guideline saying patients with advanced cancer should have specialist #palliative care access within 8 weeks of diagnosis. #gyncsm
Dee Sparacio @womenofteal
#gyncsm https://t.co/MNsGqiXxFH
Dee Sparacio @womenofteal
RT @gyncsm: T4: T4: Why is knowledge of and access to palliative care throughout cancer treatment important? Does Medicare/Insurance cover palliative care? Are there specialists in rural areas? #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ShereesePubHlth: Foolish notions of the past aside, we now understand the importance of integrated healthcare. #Pallativecare should be a discussion early in treatment to give families understanding of resources and support. #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: #gyncsm https://t.co/ymf257oQaC
Christian Sinclair, MD, FAAHPM @ctsinclair
@gyncsm Good article (Not Open Access - boo!) on who should be referred to outpatient #palliative care in #gyncsm https://t.co/82YJmPwa6q
Erica Bednar @EMBOSU
RT @ctsinclair: @ShereesePubHlth T3: @ShereesePubHlth T3: Thankfully @ASCO encouraged this by putting out a clinical practice guideline saying patients with advanced cancer should have specialist #palliative care access within 8 weeks of diagnosis. #gyncsm
Dee Sparacio @womenofteal
For this chat I found this @ASCO Connection article : Telemedicine has been used for those in rural areas.https://t.co/q76hwCEGhe #gyncsm
Dee Sparacio @womenofteal
RT @ctsinclair: @gyncsm Good article (Not Open Access - boo!) on who should be referred to outpatient #palliative care in #gyncsm https://t.co/82YJmPwa6q
Christina Lizaso @btrfly12
T4: I'm still not sure quite the path my mom should be using to find palliative care for her aging spouse in a very rural area. Hopeful for potential of telemedicine. Are there telemed palliative specialists? #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: For this chat I found this @ASCO Connection article : For this chat I found this @ASCO Connection article : Telemedicine has been used for those in rural areas.https://t.co/q76hwCEGhe #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @btrfly12: T4: T4: I'm still not sure quite the path my mom should be using to find palliative care for her aging spouse in a very rural area. Hopeful for potential of telemedicine. Are there telemed palliative specialists? #gyncsm
Merry-Jennifer Markham, MD, FACP, FASCO @DrMarkham
.@gyncsm @womenofteal @btrfly12 Thanks for hosting another wonderful chat. I must exit early tonight. Will catch up on transcript later! #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@gyncsm T3: We in the #PalliativeCare dept do quite a bit of outreach to the various MDA depts on our services (ie beyond opioids!) to identify pts w 'high symptom burden' who would benefit from multidisciplinary care! Overall most oncs have been v receptive to referring! #gyncsm #hpm
Christian Sinclair, MD, FAAHPM @ctsinclair
@gyncsm Conclusion: Gynecologic oncology outpatients have a high symptom burden regardless of stage and site of cancer. Patients who are young, on treatment or have a history of chronic pain, depression or anxiety have a higher symptom burden. #gyncsm
Dee Sparacio @womenofteal
RT @ctsinclair: @gyncsm Conclusion: @gyncsm Conclusion: Gynecologic oncology outpatients have a high symptom burden regardless of stage and site of cancer. Patients who are young, on treatment or have a history of chronic pain, depression or anxiety have a higher symptom burden. #gyncsm
Amanda Crowell Itliong @MIShouldTalk
I’ve actually never (10 yrs, 4x, post treatment once and now brain mets, maybe lung) ever had anyone talk to me about palliative care or supportive care but I’ve been offered a few things that could fit the definition (but not till way late and too few resources.) #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@btrfly12 Not a lot, but @MichaelDFratkin is really the go to pioneer in this area of #pallaitive telemedicine (Northern California). There is currently a @PCORI study enrolling patients this June who have lung cancer #lcsm to participate in palliative telehealth. #gyncsm
Rick Boulay,MD @journeycancer
Looking at symptom management by a specialist in the field offers a complementary approach to managing the disease itself by treating the patient as a whole being. Services are covered but often require copay. Rural areas often lack service #gyncsm https://t.co/E4SQHGAZos
Amanda Crowell Itliong @MIShouldTalk
T3 I’ve actually never (10 yrs, 4x, post treatment once and now brain mets, maybe lung) ever had anyone talk to me about palliative care or supportive care but I’ve been offered a few things that could fit the definition (but not till way late and too few resources.) #gyncsm
Dee Sparacio @womenofteal
RT @journeycancer: Looking at symptom management by a specialist in the field offers a complementary approach to managing the disease itself by treating the patient as a whole being. Services are covered but often require copay. Rural areas often lack service #gyncsm https://t.co/E4SQHGAZos
Michael Fratkin @MichaelDFratkin
RT @btrfly12: T4: T4: I'm still not sure quite the path my mom should be using to find palliative care for her aging spouse in a very rural area. Hopeful for potential of telemedicine. Are there telemed palliative specialists? #gyncsm
Michael Fratkin @MichaelDFratkin
RT @ctsinclair: @btrfly12 Not a lot, but @MichaelDFratkin is really the go to pioneer in this area of #pallaitive telemedicine (Northern California). There is currently a @PCORI study enrolling patients this June who have lung cancer #lcsm to participate in palliative telehealth. #gyncsm
BruceGreyInfo @BruceGreyInfo
RT @ALZGLA: Similar thing in social work. People want the help, but there's a stigma around "having a social worker". So we call it something else (and sometimes, multiple somethings to make sure we're culturally responsive, too). #gyncsm https://t.co/e2XV6tE7Ki
Ann Becker-Schutte @DrBeckerSchutte
RT @MIShouldTalk: T3 I’ve actually never (10 yrs, 4x, post treatment once and now brain mets, maybe lung) ever had anyone talk to me about palliative care or supportive care but I’ve been offered a few things that could fit the definition (but not till way late and too few resources.) #gyncsm
Christina Lizaso @btrfly12
RT @journeycancer: Looking at symptom management by a specialist in the field offers a complementary approach to managing the disease itself by treating the patient as a whole being. Services are covered but often require copay. Rural areas often lack service #gyncsm https://t.co/E4SQHGAZos
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
RT @ctsinclair: @gyncsm Conclusion: @gyncsm Conclusion: Gynecologic oncology outpatients have a high symptom burden regardless of stage and site of cancer. Patients who are young, on treatment or have a history of chronic pain, depression or anxiety have a higher symptom burden. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @journeycancer: Looking at symptom management by a specialist in the field offers a complementary approach to managing the disease itself by treating the patient as a whole being. Services are covered but often require copay. Rural areas often lack service #gyncsm https://t.co/E4SQHGAZos
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @btrfly12 Not a lot, but @MichaelDFratkin is really the go to pioneer in this area of #pallaitive telemedicine (Northern California). There is currently a @PCORI study enrolling patients this June who have lung cancer #lcsm to participate in palliative telehealth. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @gyncsm Conclusion: @gyncsm Conclusion: Gynecologic oncology outpatients have a high symptom burden regardless of stage and site of cancer. Patients who are young, on treatment or have a history of chronic pain, depression or anxiety have a higher symptom burden. #gyncsm
Dee Sparacio @womenofteal
#gyncsm I also really never had "palliative care" but experienced components of it- Maybe cause my one gyn onc was also a palliative care specialist. https://t.co/B8UvVsIf9k
Ann Becker-Schutte @DrBeckerSchutte
RT @IshwariaMD: @gyncsm T3: @gyncsm T3: We in the #PalliativeCare dept do quite a bit of outreach to the various MDA depts on our services (ie beyond opioids!) to identify pts w 'high symptom burden' who would benefit from multidisciplinary care! Overall most oncs have been v receptive to referring! #gyncsm #hpm
Ginger Riley ~Eternal Optimist~ @gingerly21
RT @NCICancerStats: Endometrial #cancer is the most common cancer of the female reproductive system. Watch our video for more info about this cancer: https://t.co/dHtyEqUKRP #GynCSM
Christina Lizaso @btrfly12
Still such a long way to go. Thanks for sharing your experience. #gyncsm #hpm https://t.co/JTK03J20cf
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@btrfly12 #Telehealth show great promise is rural settings, along w/ patients' willingness to engage. Telehealth reduce travel needs, removing physical and financial burdens associated with travel. Telehealth utilization for #pallativeCare is emerging rapidly #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@eroomtiac @gyncsm 👆👆This! 🤯🤯 #PalliativeCare is a mandatory rotation in our Medical Oncology fellowship! It has made a tremendous difference in level of comfort and knowledge among the newer oncologists on what is #Palliative Care #gyncsm #hpm @ctsinclair
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: #gyncsm I also really never had "palliative care" but experienced components of it- Maybe cause my one gyn onc was also a palliative care specialist. https://t.co/B8UvVsIf9k
GYN Cancer | #GYNCSM @gyncsm
T5: What are medical and advocacy organizations doing to promote palliative care for cancer patients? How can patients advocate for themselves? #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @womenofteal: For this chat I found this @ASCO Connection article : For this chat I found this @ASCO Connection article : Telemedicine has been used for those in rural areas.https://t.co/q76hwCEGhe #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @gyncsm: T5: T5: What are medical and advocacy organizations doing to promote palliative care for cancer patients? How can patients advocate for themselves? #gyncsm
OncLive.com @OncLive
The European Commission has approved olaparib tablets as a maintenance therapy for patients with platinum-sensitive relapsed high-grade, epithelial ovarian, fallopian tube or primary peritoneal cancer #gyncsm https://t.co/cGLXTpSgZq
Ben Skoch, DO, MBA @skochb
@ctsinclair @gyncsm It seems wrong to click the “love” button here, but you get the idea. #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: T5: T5: What are medical and advocacy organizations doing to promote palliative care for cancer patients? How can patients advocate for themselves? #gyncsm
Amanda Crowell Itliong @MIShouldTalk
T3 One of the best supportive experiences I’ve ever had was a free cancer specialist counselor at Duke cancer center. He helped me plan for having to leave working and death and was awesome! There was only one of him and so many needs! #GYNCSM
HPM Chat @hpmchat
RT @gyncsm: T5: T5: What are medical and advocacy organizations doing to promote palliative care for cancer patients? How can patients advocate for themselves? #gyncsm
Erica Bednar @EMBOSU
I wonder if palliative care in the oncology setting is a current @ProjectECHO topic? Telementoring would help start to close the gap in access to this important service like in rural areas #gyncsm https://t.co/ndmQPtKSIb
Sonia Malhotra,MD,MS @SoniaMKhunkhun
@gyncsm @ctsinclair Aww can't believe I missed this! #gyncsm
Debra Hallisey @advocatemomdad
RT @ctsinclair: @btrfly12 Not a lot, but @MichaelDFratkin is really the go to pioneer in this area of #pallaitive telemedicine (Northern California). There is currently a @PCORI study enrolling patients this June who have lung cancer #lcsm to participate in palliative telehealth. #gyncsm
BruceGreyInfo @BruceGreyInfo
RT @journeycancer: We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Kathleen Maxian @KathleenMaxian
Best thing for #ovariancancer patients would be for them to meet their #palliative care team the same day they meet their gyn-onc @gyncsm #GYNCSM
Ann Becker-Schutte @DrBeckerSchutte
RT @ShereesePubHlth: @btrfly12 #Telehealth show great promise is rural settings, along w/ patients' willingness to engage. Telehealth reduce travel needs, removing physical and financial burdens associated with travel. Telehealth utilization for #pallativeCare is emerging rapidly #gyncsm
Rick Boulay,MD @journeycancer
RT @womenofteal: For this chat I found this @ASCO Connection article : For this chat I found this @ASCO Connection article : Telemedicine has been used for those in rural areas.https://t.co/q76hwCEGhe #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @IshwariaMD: @eroomtiac @gyncsm 👆👆This! 🤯🤯 #PalliativeCare is a mandatory rotation in our Medical Oncology fellowship! It has made a tremendous difference in level of comfort and knowledge among the newer oncologists on what is #Palliative Care #gyncsm #hpm @ctsinclair
Ann Becker-Schutte @DrBeckerSchutte
RT @gyncsm: T5: T5: What are medical and advocacy organizations doing to promote palliative care for cancer patients? How can patients advocate for themselves? #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @MIShouldTalk: T3 One of the best supportive experiences I’ve ever had was a free cancer specialist counselor at Duke cancer center. He helped me plan for having to leave working and death and was awesome! There was only one of him and so many needs! #GYNCSM
Dee Sparacio @womenofteal
I agree 100% #gyncsm https://t.co/0RTtLVk6Y3
Christian Sinclair, MD, FAAHPM @ctsinclair
@gyncsm T5: I do appreciate the statement from @SGO_org on the importance of #palliative care in #gyncsm #openaccess https://t.co/B61t6bLCPV
Dee Sparacio @womenofteal
RT @ctsinclair: @gyncsm T5: @gyncsm T5: I do appreciate the statement from @SGO_org on the importance of #palliative care in #gyncsm #openaccess https://t.co/B61t6bLCPV
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @gyncsm T5: @gyncsm T5: I do appreciate the statement from @SGO_org on the importance of #palliative care in #gyncsm #openaccess https://t.co/B61t6bLCPV
Christina Lizaso @btrfly12
RT @ctsinclair: @gyncsm T5: @gyncsm T5: I do appreciate the statement from @SGO_org on the importance of #palliative care in #gyncsm #openaccess https://t.co/B61t6bLCPV
Rick Boulay,MD @journeycancer
RT @IshwariaMD: @gyncsm T3: @gyncsm T3: We in the #PalliativeCare dept do quite a bit of outreach to the various MDA depts on our services (ie beyond opioids!) to identify pts w 'high symptom burden' who would benefit from multidisciplinary care! Overall most oncs have been v receptive to referring! #gyncsm #hpm
Sonia Malhotra,MD,MS @SoniaMKhunkhun
@gyncsm I just presented at the annual Gyne onc conference and it's amazing how many still think #HPM is end of life care #GYNCSM
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@gyncsm T3 @awong_pallcare published in @JOP_ASCO on Attitudes, Beliefs, Awareness of Trainees Re #Palliative Care. Fellows perceived PC as beneficial, capable of reducing costs, increasing survival; supported early referrals & mandatory PC rotation https://t.co/1H0jBDuWpt #gyncsm #hpm
Christian Sinclair, MD, FAAHPM @ctsinclair
@womenofteal Or on the second touch visit that many oncology clinics do, once people have had some time to start to process all the information. #Palliative care teams are mindful of coming in when people may be handling a LOT of new information (both cognitive and emotional). #gyncsm
Rick Boulay,MD @journeycancer
RT @ctsinclair: @gyncsm Conclusion: @gyncsm Conclusion: Gynecologic oncology outpatients have a high symptom burden regardless of stage and site of cancer. Patients who are young, on treatment or have a history of chronic pain, depression or anxiety have a higher symptom burden. #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @ctsinclair: @womenofteal Or on the second touch visit that many oncology clinics do, once people have had some time to start to process all the information. #Palliative care teams are mindful of coming in when people may be handling a LOT of new information (both cognitive and emotional). #gyncsm
Dee Sparacio @womenofteal
RT @IshwariaMD: @gyncsm T3 @awong_pallcare published in @JOP_ASCO on Attitudes, Beliefs, Awareness of Trainees Re #Palliative Care. Fellows perceived PC as beneficial, capable of reducing costs, increasing survival; supported early referrals & mandatory PC rotation https://t.co/1H0jBDuWpt #gyncsm #hpm
Rie Lopez, MPH (she/her) @RieOfLetters
I'm sorry that I mostly missed #gyncsm tonight! It looks like it was a good discussion. I'll definitely have to look over the transcript. https://t.co/d3j46g6pbX
Sonia Malhotra,MD,MS @SoniaMKhunkhun
@gyncsm Education is key about #HPM. Clinicians need to know the correct definition do we can teach our patients! #gyncsm
GYN Cancer | #GYNCSM @gyncsm
T6: What do you wish you knew about palliative care at the beginning of your experience with a cancer-related diagnosis? For those who have worked with a palliative care specialist, what was most helpful? most challenging? #gyncsm
Ben Skoch, DO, MBA @skochb
RT @ctsinclair: @gyncsm T5: @gyncsm T5: I do appreciate the statement from @SGO_org on the importance of #palliative care in #gyncsm #openaccess https://t.co/B61t6bLCPV
Dee Sparacio @womenofteal
RT @gyncsm: T6: T6: What do you wish you knew about palliative care at the beginning of your experience with a cancer-related diagnosis? For those who have worked with a palliative care specialist, what was most helpful? most challenging? #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @gyncsm: T6: T6: What do you wish you knew about palliative care at the beginning of your experience with a cancer-related diagnosis? For those who have worked with a palliative care specialist, what was most helpful? most challenging? #gyncsm
GYN Cancer | #GYNCSM @gyncsm
@RieOfLetters Have a nice evening. We missed you. Thanks for all your support. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @SoniaMKhunkhun: @gyncsm Education is key about #HPM. Clinicians need to know the correct definition do we can teach our patients! #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @gyncsm: T6: T6: What do you wish you knew about palliative care at the beginning of your experience with a cancer-related diagnosis? For those who have worked with a palliative care specialist, what was most helpful? most challenging? #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@vleeLCSW I think more and more patients appear to be more empowered to not just get the latest greatest cutting edge research treatment, but to make sure they get all their needs met. Aiming for whole person care. To be fair though, advocating for yourself is really hard work. #gyncsm
HPM Chat @hpmchat
RT @gyncsm: T6: T6: What do you wish you knew about palliative care at the beginning of your experience with a cancer-related diagnosis? For those who have worked with a palliative care specialist, what was most helpful? most challenging? #gyncsm
Amanda Crowell Itliong @MIShouldTalk
@gyncsm T5 Random, but I tell patients to grab one of every brochure at their Onc office and look through to find the things you might need and then ask with the brochure. It’s crazy how many supports exist that I’ve only found out about that way. They always make a brochure! #gyncsm
Dee Sparacio @womenofteal
That's a great goal . Thanks for all you do. #gyncsm https://t.co/YhlPuAcQbv
Christina Lizaso @btrfly12
RT @ctsinclair: @vleeLCSW I think more and more patients appear to be more empowered to not just get the latest greatest cutting edge research treatment, but to make sure they get all their needs met. Aiming for whole person care. To be fair though, advocating for yourself is really hard work. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@eroomtiac @IshwariaMD @gyncsm Good study here: majority of gynecologic oncologists perceived #palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient & family members was identified as a significant barrier to PC consult. #gyncsm https://t.co/dsEYZUz1Ez
Dee Sparacio @womenofteal
@MIShouldTalk @gyncsm Great Advice . #gyncsm
Sonia Malhotra,MD,MS @SoniaMKhunkhun
@gyncsm #qualityoflife matters! #hpm helps when curative therapies are offered and even when they don't. Yes! Insurance covers us! #gyncsm
Rick Boulay,MD @journeycancer
This is the language I use to have patients accept a consult if they are reticent to go. And there’s good data to prove it! #GYNCSM https://t.co/NrYnTpDL0K
Dee Sparacio @womenofteal
RT @ctsinclair: @eroomtiac @IshwariaMD @gyncsm Good study here: @eroomtiac @IshwariaMD @gyncsm Good study here: majority of gynecologic oncologists perceived #palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient & family members was identified as a significant barrier to PC consult. #gyncsm https://t.co/dsEYZUz1Ez
Christina Lizaso @btrfly12
RT @MIShouldTalk: @gyncsm T5 Random, but I tell patients to grab one of every brochure at their Onc office and look through to find the things you might need and then ask with the brochure. It’s crazy how many supports exist that I’ve only found out about that way. They always make a brochure! #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @SoniaMKhunkhun: @gyncsm #qualityoflife matters! #hpm helps when curative therapies are offered and even when they don't. Yes! Insurance covers us! #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @vleeLCSW I think more and more patients appear to be more empowered to not just get the latest greatest cutting edge research treatment, but to make sure they get all their needs met. Aiming for whole person care. To be fair though, advocating for yourself is really hard work. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @MIShouldTalk: @gyncsm T5 Random, but I tell patients to grab one of every brochure at their Onc office and look through to find the things you might need and then ask with the brochure. It’s crazy how many supports exist that I’ve only found out about that way. They always make a brochure! #gyncsm
Christina Lizaso @btrfly12
@MIShouldTalk @gyncsm Love this. It is often still up to the patient to ask and bring up their needs. #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@eroomtiac @gyncsm @ctsinclair Yes! Thank you for being an #hpm advocate! The Gyn Oncs here are just awesome! Astute at recognizing a moderate to high symptom burden and very proactive about early referrals. Pockets of change...slowly but surely! #gyncsm #pallonc
Dee Sparacio @womenofteal
@ctsinclair @eroomtiac @IshwariaMD @gyncsm Maybe they need to be introduced as part of the care team- like the pharmacist #gyncsm
TAD @14Hockey88
RT @gyncsm: T6: T6: What do you wish you knew about palliative care at the beginning of your experience with a cancer-related diagnosis? For those who have worked with a palliative care specialist, what was most helpful? most challenging? #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @eroomtiac @IshwariaMD @gyncsm Good study here: @eroomtiac @IshwariaMD @gyncsm Good study here: majority of gynecologic oncologists perceived #palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient & family members was identified as a significant barrier to PC consult. #gyncsm https://t.co/dsEYZUz1Ez
Christian Sinclair, MD, FAAHPM @ctsinclair
@eroomtiac @IshwariaMD @gyncsm And another here on the lack of training in #palliative care for gyn/onc fellows, but the desire to have more of it. https://t.co/H5p8uDx6yk #openaccess #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @womenofteal: @ctsinclair @eroomtiac @IshwariaMD @gyncsm Maybe they need to be introduced as part of the care team- like the pharmacist #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@MIShouldTalk @gyncsm I like that strategy! #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @MIShouldTalk: @gyncsm T5 Random, but I tell patients to grab one of every brochure at their Onc office and look through to find the things you might need and then ask with the brochure. It’s crazy how many supports exist that I’ve only found out about that way. They always make a brochure! #gyncsm
Dee Sparacio @womenofteal
RT @ctsinclair: @eroomtiac @IshwariaMD @gyncsm And another here on the lack of training in #palliative care for gyn/onc fellows, but the desire to have more of it. https://t.co/H5p8uDx6yk #openaccess #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
RT @ctsinclair: @eroomtiac @IshwariaMD @gyncsm Good study here: @eroomtiac @IshwariaMD @gyncsm Good study here: majority of gynecologic oncologists perceived #palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient & family members was identified as a significant barrier to PC consult. #gyncsm https://t.co/dsEYZUz1Ez
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@njergonomics @Atul_Gawande @Freakonomics Really? I love his insights. His documentary #BeingMortal was life-changing for me. I'll look that up. @Atul_Gawande also provides great insights on how to manage #pallativecare #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@womenofteal @eroomtiac @IshwariaMD @gyncsm We have found that approach works really well with BMT. Looking to introduce in Med Onc and Gyn Onc as well. Helps that one of our @pallicareKU #palliative docs is also Gyn Onc! #KindaCheating #ButNotReallyIfItHelps #gyncsm
GYN Cancer | #GYNCSM @gyncsm
Great sharing and learning! Time to share closing thoughts from tonight's chat. You can start your tweet with “TIL:” standing for Today I Learned #gyncsm
Sonia Malhotra,MD,MS @SoniaMKhunkhun
@gyncsm #ruralpalliative is still evolving.we need more #HPM fellowship trained individuals. #telemedicine is evolving #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: Great sharing and learning! Time to share closing thoughts from tonight's chat. You can start your tweet with “TIL:” standing for Today I Learned #gyncsm
Ben Skoch, DO, MBA @skochb
@MIShouldTalk @gyncsm I worry a little about being overwhelmed with information and not knowing what to ask after obtaining all of it. Does that happen that you can tell? #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @SoniaMKhunkhun: @gyncsm #ruralpalliative is still evolving.we need more #HPM fellowship trained individuals. #telemedicine is evolving #gyncsm
Amanda Crowell Itliong @MIShouldTalk
T6 Considering how much time we have to spend talking through acute issues with my GynOnc since I’ve been terminal, it’s not surprising we don’t talk about palliative care. I’m focused on getting more Oncs to have this talk when cases aren’t as complicated. #GYNCSM
Ann Becker-Schutte @DrBeckerSchutte
RT @MIShouldTalk: T6 Considering how much time we have to spend talking through acute issues with my GynOnc since I’ve been terminal, it’s not surprising we don’t talk about palliative care. I’m focused on getting more Oncs to have this talk when cases aren’t as complicated. #GYNCSM
Debra Hallisey @advocatemomdad
RT @MIShouldTalk: @gyncsm T5 Random, but I tell patients to grab one of every brochure at their Onc office and look through to find the things you might need and then ask with the brochure. It’s crazy how many supports exist that I’ve only found out about that way. They always make a brochure! #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@ctsinclair @eroomtiac @gyncsm I wonder how many (if any) of those gyn oncs had any formal training (however brief) in #palliativecare during their residency or fellowship, i.e. exposure to an 'integrated' model of #palliative care concurrently w oncologic care. #gyncsm #hpm #supportivecare
GYN Cancer | #GYNCSM @gyncsm
A huge thanks to @ctsinclair and all the #hpm professionals who joined #gyncsm tonight with great input, graphics and links to studies!
Ann Becker-Schutte @DrBeckerSchutte
Thanks again for another fantastic #gyncsm chat, @womenofteal @btrfly12 and guest @ctsinclair !!
Dee Sparacio @womenofteal
RT @gyncsm: A huge thanks to @ctsinclair and all the #hpm professionals who joined #gyncsm tonight with great input, graphics and links to studies!
Debra Hallisey @advocatemomdad
RT @womenofteal: @ctsinclair @eroomtiac @IshwariaMD @gyncsm Maybe they need to be introduced as part of the care team- like the pharmacist #gyncsm
Dee Sparacio @womenofteal
Grateful for our #gyncsm co-moderators! @btrfly12 @ShannonWestin @DrMarkham @journeycancer @DrBeckerSchutte
Ben Skoch, DO, MBA @skochb
RT @ctsinclair: @womenofteal @eroomtiac @IshwariaMD @gyncsm We have found that approach works really well with BMT. Looking to introduce in Med Onc and Gyn Onc as well. Helps that one of our @pallicareKU #palliative docs is also Gyn Onc! #KindaCheating #ButNotReallyIfItHelps #gyncsm
Sonia Malhotra,MD,MS @SoniaMKhunkhun
RT @ctsinclair: @eroomtiac @IshwariaMD @gyncsm Good study here: @eroomtiac @IshwariaMD @gyncsm Good study here: majority of gynecologic oncologists perceived #palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient & family members was identified as a significant barrier to PC consult. #gyncsm https://t.co/dsEYZUz1Ez
Dr. Grace Campbell, PhD, MSW, RN, CRRN, FARN @GraceCampbellRN
T6: I wish I had known when my dad was diagnosed that pts in #palliativecare can still go to PT and OT to help them gain the strength to return home for EOL. It would have saved so much pain for him while he tried to get strong enough to return home. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@advocatemomdad @womenofteal In the 1st #palliative care visit when we show genuine concern and spend time with patient & check in with the caregiver on how they are doing, it doesn't take much more education. They seem to get the concept of PC pretty quickly. Some cry b/c they are so overwhelmed. #gyncsm
Ann Becker-Schutte @DrBeckerSchutte
RT @ctsinclair: @advocatemomdad @womenofteal In the 1st #palliative care visit when we show genuine concern and spend time with patient & check in with the caregiver on how they are doing, it doesn't take much more education. They seem to get the concept of PC pretty quickly. Some cry b/c they are so overwhelmed. #gyncsm
GYN Cancer | #GYNCSM @gyncsm
Thanks to everyone for the wonderful conversation. Next #gyncsm chat: Wed June 13 at 9pmET. Topic: Let’s Define Value of Care.
Amy Berman @NotesOnNursing
RT @gyncsm: A huge thanks to @ctsinclair and all the #hpm professionals who joined #gyncsm tonight with great input, graphics and links to studies!
Dee Sparacio @womenofteal
RT @gyncsm: Thanks to everyone for the wonderful conversation. Next #gyncsm chat: Wed June 13 at 9pmET. Topic: Thanks to everyone for the wonderful conversation. Next #gyncsm chat: Wed June 13 at 9pmET. Topic: Let’s Define Value of Care.
Christian Sinclair, MD, FAAHPM @ctsinclair
@IshwariaMD @eroomtiac @gyncsm I wonder the same thing too. Another good study on multidisciplinary #palliative care teams here: https://t.co/VAgPJSygB8 #gyncsm
GYN Cancer | #GYNCSM @gyncsm
Remember to tweet things of interest with hashtag #gyncsm to keep the conversation going between chats.
EGFR Resisters @EGFRResisters
RT @ros1cancer: .@JFreermanDaily on the importance of online patient groups #lcsm #bcsm #amsm #mmsm #gyncsm #btsm https://t.co/SEe0M15v90
Dee Sparacio @womenofteal
Remember to check https://t.co/Df2f7Okp35 for a transcript of the chat and resources #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
TIL: We still have miles to go to have a standardized definition of what pallative care is and what it isn't.We still also need to further understand how to best support families/patients using their input and patient-generated data. #gyncsm https://t.co/kHro3h5h9b
Christina Lizaso @btrfly12
RT @GraceCampbellRN: T6: T6: I wish I had known when my dad was diagnosed that pts in #palliativecare can still go to PT and OT to help them gain the strength to return home for EOL. It would have saved so much pain for him while he tried to get strong enough to return home. #gyncsm
Carole R. Myers, PhD, RN, FAAN @TNpolicynurse
RT @skochb: @btrfly12 Appreciate that this is still true for many people. This pic shows an idea I advocate for more now, getting Palliative involved early so that we can help along the way and assist with late disease transitions. Learn the good so we can know and help w the bad. #gyncsm https://t.co/SI1yhqvA5z
GYN Cancer | #GYNCSM @gyncsm
Patients and caregivers are invited to continue our discussion on the Smart Patients platform at https://t.co/dFCf1Mcahw #gyncsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @gyncsm: Patients and caregivers are invited to continue our discussion on the Smart Patients platform at https://t.co/dFCf1Mcahw #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
Thanks for inviting me and the #hpm crowd. We are very glad to collaborate and I am happy to help anyone advocate for themselves or others for #palliative care access locally if you have questions not answered tonight. #gyncsm https://t.co/JHiZTZ4uny
Dee Sparacio @womenofteal
@ctsinclair Thank you so much for joining us and sharing your insights and resources. #gyncsm
HPM Chat @hpmchat
RT @gyncsm: A huge thanks to @ctsinclair and all the #hpm professionals who joined #gyncsm tonight with great input, graphics and links to studies!
GYN Cancer | #GYNCSM @gyncsm
Yes, the post-chat blog post will have the links shared during the chat and we probably have some topic resource links to add that we didn't have time to include. #gyncsm
Dee Sparacio @womenofteal
@ctsinclair @IshwariaMD @eroomtiac @gyncsm My one gyn onc has Pal training . #gyncsm
Rick Boulay,MD @journeycancer
RT @MIShouldTalk: T6 Considering how much time we have to spend talking through acute issues with my GynOnc since I’ve been terminal, it’s not surprising we don’t talk about palliative care. I’m focused on getting more Oncs to have this talk when cases aren’t as complicated. #GYNCSM
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Have a good night everyone. I'm about to put Wednesday in the rear view. #GYncsm https://t.co/5koOVpzO0M
Debra Hallisey @advocatemomdad
RT @GraceCampbellRN: T6: T6: I wish I had known when my dad was diagnosed that pts in #palliativecare can still go to PT and OT to help them gain the strength to return home for EOL. It would have saved so much pain for him while he tried to get strong enough to return home. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
Great chat #gyncsm - I appreciate all the insights. The hour flew by! Let me know if you have lingering questions. I will look through my mentions and see if there is anything I missed. #gyncsm
Dee Sparacio @womenofteal
RT @gyncsm: Patients and caregivers are invited to continue our discussion on the Smart Patients platform at https://t.co/dFCf1Mcahw #gyncsm
Rick Boulay,MD @journeycancer
RT @gyncsm: A huge thanks to @ctsinclair and all the #hpm professionals who joined #gyncsm tonight with great input, graphics and links to studies!
Erica Bednar @EMBOSU
Thank you all for the great chat! I always learn something new ☺ #gyncsm
Rick Boulay,MD @journeycancer
RT @womenofteal: Grateful for our #gyncsm co-moderators! @btrfly12 @ShannonWestin @DrMarkham @journeycancer @DrBeckerSchutte
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@ctsinclair @eroomtiac @gyncsm I now have 8 windows open w articles to read tonight! Thanks for the homework, @ctsinclair! #MaybeIllReadJustTheAbstract #gyncsm #hpm https://t.co/6PpFKxsBUB
Christina Lizaso @btrfly12
@ShereesePubHlth Goodnight. Thanks for chatting along with us :) #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@womenofteal @IshwariaMD @eroomtiac @gyncsm That is great. If she is online have her reach out to me. Would love to get her connected with my partner who is dual boarded in G/O and PC #gyncsm
Dee Sparacio @womenofteal
@ctsinclair Thank you! #gyncsm
Christina Lizaso @btrfly12
RT @ShereesePubHlth: TIL: TIL: We still have miles to go to have a standardized definition of what pallative care is and what it isn't.We still also need to further understand how to best support families/patients using their input and patient-generated data. #gyncsm https://t.co/kHro3h5h9b
Rick Boulay,MD @journeycancer
Thanks Dee and Christina for a wonderful chat #gyncsm https://t.co/8ActoqLbcA
Rick Boulay,MD @journeycancer
RT @gyncsm: Thanks to everyone for the wonderful conversation. Next #gyncsm chat: Wed June 13 at 9pmET. Topic: Thanks to everyone for the wonderful conversation. Next #gyncsm chat: Wed June 13 at 9pmET. Topic: Let’s Define Value of Care.
Ben Skoch, DO, MBA @skochb
I think I missed this one, didn’t see #gyncsm but would love to hear the community’s thoughts on these questions. https://t.co/k31Nn9qXNO
Christian Sinclair, MD, FAAHPM @ctsinclair
@gyncsm TIL there is a fantastic group of online* advocates for patients and families living with gynonc cancers. I kind of already knew it, but you really reinforced it today! *And I am sure offline as well! #gyncsm
Rick Boulay,MD @journeycancer
Thanks Christian! #gyncsm https://t.co/6ggupUsOgc
Amanda Crowell Itliong @MIShouldTalk
TIL I have a new goal (encouraging earlier talk of palliative care and why) with MI oncologists! Thanks so much y’all! #GYNCSM
Sonia Malhotra,MD,MS @SoniaMKhunkhun
RT @journeycancer: We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Christina Lizaso @btrfly12
@skochb I knew I missed the tag on a couple tweets tonight - ack. #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
@GraceCampbellRN In Europe they have a lot more involvement of PT and OT with palliative care compared to the states. There are whole FB groups full of palliative PT and OT. Blew my mind! We try to make sure our PT and OT students get some PC exposure at @PalliCareKU #gyncsm
Christina Lizaso @btrfly12
RT @ctsinclair: @gyncsm TIL there is a fantastic group of online* advocates for patients and families living with gynonc cancers. I kind of already knew it, but you really reinforced it today! *And I am sure offline as well! #gyncsm
Ben Skoch, DO, MBA @skochb
@ShereesePubHlth #newlifegoal is to seep on a camel. Thanks @ShereesePubHlth #gyncsm
Rick Boulay,MD @journeycancer
Good night everyone. Hope to see you at @ASCO in Chicago! #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
@gyncsm @ctsinclair Thank you both (and all who participated) for a great hour! I missed many tweets - I'll read through the transcript. In the meantime, go forth and spread the word about #PalliativeCare! Good night all! #gyncsm #hpm
Ben Skoch, DO, MBA @skochb
@ShereesePubHlth #newlifegoal is to sleep on a camel. Thanks @ShereesePubHlth #gyncsm
Dee Sparacio @womenofteal
Special Thanks to my #gyncsm partner @btrfly12 for holding down the fort the past few days while I celebrated a graduation with family. You're the best!
Olga OlivaresHerrera @drolivares
RT @journeycancer: We Oncologists tend to refer patients to palliative medicine later than we should because we believe that we are adequately managing the patients’ needs. We are not. #GYNCSM https://t.co/J5FrCKS3NW
Christian Sinclair, MD, FAAHPM @ctsinclair
If anyone is interested in learning more about #palliative care, feel free to follow @pallimed on Twitter, Facebook, and Instagram. Also we have #hpm chat the last Wednesday of the month and would love to have you! #gyncsm
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @womenofteal: Remember to check https://t.co/Df2f7Okp35 for a transcript of the chat and resources #gyncsm
Christina Lizaso @btrfly12
@MIShouldTalk @skochb @gyncsm Thanks Amanda for all you do to help others navigate. What an amazing gift of yourself. #gyncsm
Ishwaria Subbiah, MD MS FASCO @IshwariaMD
RT @ctsinclair: If anyone is interested in learning more about #palliative care, feel free to follow @pallimed on Twitter, Facebook, and Instagram. Also we have #hpm chat the last Wednesday of the month and would love to have you! #gyncsm
Dee Sparacio @womenofteal
RT @MIShouldTalk: TIL I have a new goal (encouraging earlier talk of palliative care and why) with MI oncologists! Thanks so much y’all! #GYNCSM
Rick Boulay,MD @journeycancer
TIL. Don’t forget the palliative care consult for high symptom burden. #gyncsm
Rick Boulay,MD @journeycancer
RT @ctsinclair: If anyone is interested in learning more about #palliative care, feel free to follow @pallimed on Twitter, Facebook, and Instagram. Also we have #hpm chat the last Wednesday of the month and would love to have you! #gyncsm
Dee Sparacio @womenofteal
RT @ctsinclair: If anyone is interested in learning more about #palliative care, feel free to follow @pallimed on Twitter, Facebook, and Instagram. Also we have #hpm chat the last Wednesday of the month and would love to have you! #gyncsm
Ben Skoch, DO, MBA @skochb
@btrfly12 This is such a good one though! I hear so many different attempts to define #Palliativecare and it would be interesting to learn what others say from this community #gyncsm
Andrea Apolo, M.D. @apolo_andrea
RT @OncLive: The European Commission has approved olaparib tablets as a maintenance therapy for patients with platinum-sensitive relapsed high-grade, epithelial ovarian, fallopian tube or primary peritoneal cancer #gyncsm https://t.co/cGLXTpSgZq
Dee Sparacio @womenofteal
@skochb @btrfly12 We did ask what all thought palliative care was early on in the chat but here is what the official def is https://t.co/aKi1s9dFxY #gyncsm
Kimberly Miller, PhD @KimMillerPhD
RT @MIShouldTalk: T3 I’ve actually never (10 yrs, 4x, post treatment once and now brain mets, maybe lung) ever had anyone talk to me about palliative care or supportive care but I’ve been offered a few things that could fit the definition (but not till way late and too few resources.) #gyncsm
#GynCSM content from Twitter.