#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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See #JHMChat Influencers/Analytics.
| Profile | Tweet |
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 | Society of Hospital Medicine @SocietyHospMed Before we get the #JHMChat started: SHM's Accreditation and Designation Statement: Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians: https://t.co/mvoahhkuMt |
 | Raman Palabindala @RamanMDMBA New #DNRDNI #DoNotRush #DoNotInterrupt #BedSideRoundsAreBest #PatientCenteredCare only possible when patient listens to what his/her team discussing. This is going to be interesting #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Tonight's the night! 🙌 Want to join the conversation tonight w/ @JHospMedicine? We'd love to hear from you! If you're new to the #JHMChat, or want review the upcoming topic and article: "Just Getting a Cup of Coffee" (@AlfandreMD), check it out: https://t.co/XrpiOIDW9j |
 | Mohamad Arif Ali @mhealth1 RT @SocietyHospMed: Tonight's the night! 🙌 Want to join the conversation tonight w/ @JHospMedicine? We'd love to hear from you! If you're new to the #JHMChat, or want review the upcoming topic and article: "Just Getting a Cup of Coffee" (@AlfandreMD), check it out: https://t.co/XrpiOIDW9j |
 | Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Tonight's the night! 🙌 Want to join the conversation tonight w/ @JHospMedicine? We'd love to hear from you! If you're new to the #JHMChat, or want review the upcoming topic and article: "Just Getting a Cup of Coffee" (@AlfandreMD), check it out: https://t.co/XrpiOIDW9j |
 | Anika Kumar, MD (she/her) @freckledpedidoc RT @SocietyHospMed: Tonight's the night! 🙌 Want to join the conversation tonight w/ @JHospMedicine? We'd love to hear from you! If you're new to the #JHMChat, or want review the upcoming topic and article: "Just Getting a Cup of Coffee" (@AlfandreMD), check it out: https://t.co/XrpiOIDW9j |
| Journal of Hospital Medicine @JHospMedicine Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Med Peds Hospitalist @medpedshosp RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Salty AF 🫁♻️ @saltylungs RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Tambre Leighn, MA, CPC she/her @tambreleighn RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Jennifer Caputo-Seidler, MD @jennifermcaputo Should be an interesting discussion with #JHMChat tonight. My hospital has recently transitioned to default restricting everyone to unit unless there is an order from physician - and to sign order requires certain institutional criteria be met |
 | Lakshman Swamy (laxswamy@bsky.social) @laxswamy RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Subha Airan-Javia MD FAMIA (she/her) @subhaairan RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Vineet Chopra @vineet_chopra Look forward to seeing many #hospitalists and #patientengagement #patientexperience fans on this chat tonight! |
 | Innovation Ctr @3401 @ic3401 RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Michelle Brooks, MD, SFHM @michellebr00ks Hey!! We just updated our inpatient order set. Look what’s NOT in this picture!! @tony_breu @WrayCharles @FutureDocs @JHospMedicine #nomoredocusate #jhmchat https://t.co/3MXx91uHUD |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Tonight's the night! 🙌 Want to join the conversation tonight w/ @JHospMedicine? We'd love to hear from you! If you're new to the #JHMChat, or want review the upcoming topic and article: "Just Getting a Cup of Coffee" (@AlfandreMD), check it out: https://t.co/XrpiOIDW9j |
 | Erin Moriarty Wade @EMoriartyWade RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
 | Nancy H. Stewart, DO, MS (she/her) @nvhstewart RT @JHospMedicine: Return of #JHMChat this coming Monday, Dec 9th at 9PM EST! We'll be discussing hospitalized patient autonomy w/ (docs) @alfandremd & (patients) @brookevitti - exploring both sides of the bed rail. Hope you can join! @WrayCharles https://t.co/EvajuJ82C0 |
 | Kim Tartaglia, MD @KimTartaglia RT @JHospMedicine: Return of #JHMChat this coming Monday, Dec 9th at 9PM EST! We'll be discussing hospitalized patient autonomy w/ (docs) @alfandremd & (patients) @brookevitti - exploring both sides of the bed rail. Hope you can join! @WrayCharles https://t.co/EvajuJ82C0 |
 | Elizabeth Gundersen @Top_Gundersen RT @JHospMedicine: Return of #JHMChat this coming Monday, Dec 9th at 9PM EST! We'll be discussing hospitalized patient autonomy w/ (docs) @alfandremd & (patients) @brookevitti - exploring both sides of the bed rail. Hope you can join! @WrayCharles https://t.co/EvajuJ82C0 |
 | Rebecca Jaffe, MD @RJmdphilly May be missing #jhmchat due to case of pediatric gastro in the house. On the plus side I know where to find you all if things get real and I need some #hospitalist #tweetiatrician help! |
 | Leilani Graham @LeilaniRGraham RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
| Society of Hospital Medicine @SocietyHospMed T-1 hour until our last #JHMChat of 2019 🥳 Join us right here at 9 PM for a dive into @JHospMedicine's article "Just Getting a Cup of Coffee" (@AldandreMD) and a discussion around hospitalized patient autonomy. 👍 See you soon, #MedTwitter #SoMeDocs! @brookevitti |
| Journal of Hospital Medicine @JHospMedicine 1 more hour until showtime! |
| Society of Hospital Medicine @SocietyHospMed 🚨 Don't forget to use: #JHMChat! 🚨 If you're joining tn's #JHMChat on perspectives in #hospitalmedicine: Best Practices for Patients’ Movement off the Hospital Floor, be sure to use #JHMChat to get in on the conversation! @JHospMedicine @AldandreMD @brookevitti |
 | Charlie M. Wray, DO, MS @WrayCharles We make our patients jump through so many (needless?) hoops. Systems often fail patients like @brookevitti, but our human connection and logic should be able to overcome such arbitrary barriers |
 | David Alfandre @alfandremd Excited to talk shared decision making #SDM and hospitalization at tonite's #JHMChat. Full disclosure, its almost 9pm and I do not support #SDM when discussing kids' bedtime in our home. |
| Journal of Hospital Medicine @JHospMedicine Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat where we'll be discussing the hospital patient experience from both sides of the bed rail: patients & clinician. Go ahead and introduce yourself while we wait for others to join... https://t.co/fQu4nWJSi1 |
 | Tony Breu @tony_breu Joining from chilly MA. Not for long as I need to read bedtime stories. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed Tonight’s #JHMChat is officially underway! 🙌🏻 Let’s dive into another great discussion. |
| Journal of Hospital Medicine @JHospMedicine Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight. Be sure to register for CME here --> https://t.co/0wO2swZq87 |
 | Gopi Astik @gopiastik @JHospMedicine @WrayCharles I’m Gopi and I’m an academic Hospitalist in Chicago! I’m so excited to chat tonight. #jhmchat |
 | Jonathan Berry @jlberrymd I'm Jonathan, a PGY-3 in Internal Medicine joining from rainy, cold Boston #JHMChat |
| Anika Kumar, MD (she/her) @freckledpedidoc @JHospMedicine @WrayCharles Hi. Anika, Pediatric Hospitalist from Cleveland #JHMChat |
 | Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine @WrayCharles I'm Jen, an academic hospitalist in Rochester, NY who just made it out of bedtime! Also did hospital graham crackers for after school snack because I forgot typical snack. #workingmom #JHMchat |
 | Shreya P. Trivedi MD, MHPE @ShreyaTrivediMD @JHospMedicine @WrayCharles Hi all! I am Shreya, a #Twitternist in NYC currently! Looking forward to supporting my colleagues @alfandremd and @WrayCharles #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight. Be sure to register for CME here --> https://t.co/0wO2swZq87 |
| Journal of Hospital Medicine @JHospMedicine RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight. Be sure to register for CME here --> https://t.co/0wO2swZq87 |
| Journal of Hospital Medicine @JHospMedicine If you haven't already, check out the impetus for tonight's discussion, a recent article by @alfandremd & Sara Stream here: https://t.co/EvajuJpDty #JHMChat https://t.co/nUWwbN5jGq |
 | Seth Trueger @MDaware RT @JHospMedicine: Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat where we'll be discussing the hospital patient experience from both sides of the bed rail: patients & clinician. Go ahead and introduce yourself while we wait for others to join... https://t.co/fQu4nWJSi1 |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat where we'll be discussing the hospital patient experience from both sides of the bed rail: patients & clinician. Go ahead and introduce yourself while we wait for others to join... https://t.co/fQu4nWJSi1 |
 | Beth Steckler (she/her) @purplemamabear Hello I am Beth. Excited for this chat #caregiver for three members w PRSS1, patient advocate, one of founders of Childhood Pancreatitis Foundation #JHMchat |
| David Alfandre @alfandremd I'm David Alfandre and I'm delighted to join tonight and hear my colleagues' thoughts on this important issue. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: If you haven't already, check out the impetus for tonight's discussion, a recent article by @alfandremd & Sara Stream here: https://t.co/EvajuJpDty #JHMChat https://t.co/nUWwbN5jGq |
 | Jennifer Zagursky @JennZag4 Hello all. I am Jenn Zagursky, Hospitalist in Rochester, NY #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Don't forget to use the #JHMChat with all your tweets tonight! Helps us catalogue and index the discussion. Topic 1 coming up... |
 | Jon Lim, MD 🏳️🌈 @JonLimMD Hey everyone, I'm Jon, an academic hospitalist down here in Houston. Looking forward to tweeting, chatting and learning! #JHMChat |
| Beth Steckler (she/her) @purplemamabear RT @SocietyHospMed: Tonight’s #JHMChat is officially underway! 🙌🏻 Let’s dive into another great discussion. |
| Journal of Hospital Medicine @JHospMedicine Let's get things started...Topic #1 for tonight's #JHMChat: https://t.co/WFeeBwACDa |
| Vinny Arora MD MAPP @FutureDocs Hi gang —I am joining #JHMChat as the self appointed commentator/amplifier tonight on an interesting topic. We have 😷 kid tho so it may be touch and go. I love peds Hospitalists but no offense never want to need one! |
| Rebecca Jaffe, MD @RJmdphilly @freckledpedidoc @JHospMedicine @WrayCharles Ooh @freckledpedidoc I might be singling you out to complain about my peds gastro woes...#jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Let's get things started...Topic #1 for tonight's #JHMChat: Let's get things started...Topic #1 for tonight's #JHMChat: https://t.co/WFeeBwACDa |
 | Shobha @slakrao13 #JHMChat hi I’m Shobha. Hospitalize from@Chicago. It’s also chilly here. Excited to learn how to chat on twitter for the first time |
 | 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec Hello I am Jillianne. I am a 15 year #HeartFailure survivor, 2x heart #Transplant recipient, and president and co-founder of @HeartLifeCanada I am also a @UBCEduc education, technology and #SoMe health researcher #CardioTwitter #JHMChat |
| Society of Hospital Medicine @SocietyHospMed A very special guest for tonight’s #JHMChat! This is a convo you won’t want to miss. 👀 |
| Vinny Arora MD MAPP @FutureDocs Special welcome to all the patients joining tonight! Will be Great to see diversity of views for #JHMChat |
 | Dr. Tsega @drtsega Surafel from NYC joining tonight’s #JHMChat |
| Journal of Hospital Medicine @JHospMedicine We appreciate having @brookevitti join us for tonight's #JHMChat. Learn more about her story here: https://t.co/Ci4iqxBv6J |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @jilliannec @HeartLifeCanada @UBCEduc Welcome! Can't wait to hear your perspective! #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly Rebecca Jaffe from Philly! Currently shielding phone on kids floor wondering if I’ll be allowed up for a cup of tea (in this case) or if I’m on room restrictions for the night. #JHMchat |
| Vinny Arora MD MAPP @FutureDocs @freckledpedidoc That is why I love your community! ❤️ #jhmchat #tweetiatrician |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Let's get things started...Topic #1 for tonight's #JHMChat: Let's get things started...Topic #1 for tonight's #JHMChat: https://t.co/WFeeBwACDa |
| Jon Lim, MD 🏳️🌈 @JonLimMD Wow, so glad to see representation from patient advocates, current and former patients in #JHMChat Perspectives essential to the discussion without which it would be incomplete. |
| Journal of Hospital Medicine @JHospMedicine @jilliannec @HeartLifeCanada @UBCEduc So happy to have you here to hear your voice and experience, Jillianne #JHMChat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec Thanks for the invitation to participate! #JHMchat Looking forward to the dialog on #Hospitalist and extended #Hospitalization |
| Erin Moriarty Wade @EMoriartyWade @JHospMedicine @WrayCharles Hello #JHMChat. I’m a healthcare writer/editor and the mom of a child with a rare disease. We are fortunate to not have spent much time inpatient, but have spent time at 6 hospitals in 3 states. |
| Beth Steckler (she/her) @purplemamabear Topic #1 Both my kids have diabetes due to pancreatitis. We struggle with hospitalizations due to protocol has to adhere to what hospital does to address diabetes instead of what patient usually does. Also kids can’t check own bs need to wait even though episodes drop #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @esteckler2: Topic #1 Both my kids have diabetes due to pancreatitis. We struggle with hospitalizations due to protocol has to adhere to what hospital does to address diabetes instead of what patient usually does. Also kids can’t check own bs need to wait even though episodes drop #JHMchat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine A1: I've heard it now at a few conferences I've been to: giving patients choices. Lights on or off. Ice or no ice. Curtain open or closed. Giving some semblance of control even over the little things to let patients know you want their input when the big things come up. #JHMchat |
| Gopi Astik @gopiastik Seeing patients and patient advocates on the #JHMChat tonight reminds me how awesome our profession is. Nice job @SocietyHospMed and @JHospMedicine |
| Journal of Hospital Medicine @JHospMedicine Great points, Jen. Is this always enough, or is there more we can do...? #JHMChat |
| Jon Lim, MD 🏳️🌈 @JonLimMD A1: bringing clothes, food, belongings from home. Having flexible and open hours for family and visitors. I think the more the room can look and feel like home the better. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs T1 I would say many patients we talk to about sleep here don’t even realize they can advocate for better sleep by asking work to be batches or moving 4a labs or vitals to 6a for uninterrupted sleep #JHMChat |
| Salty AF 🫁♻️ @saltylungs @EMoriartyWade @JHospMedicine @WrayCharles Hello #JHMChat. I’m a CF patient (2x double lung transplant) and have spent a lot of time inpatient at many different hospitals. Excited for this chat! |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn RT @JonLimMD: Wow, so glad to see representation from patient advocates, current and former patients in #JHMChat Perspectives essential to the discussion without which it would be incomplete. |
| Erin Moriarty Wade @EMoriartyWade RT @gopiastik: Seeing patients and patient advocates on the #JHMChat tonight reminds me how awesome our profession is. Nice job @SocietyHospMed and @JHospMedicine |
| Journal of Hospital Medicine @JHospMedicine RT @gopiastik: Seeing patients and patient advocates on the #JHMChat tonight reminds me how awesome our profession is. Nice job @SocietyHospMed and @JHospMedicine |
| Med Peds Hospitalist @medpedshosp @JHospMedicine @WrayCharles Hi - Moises from Cleveland, Med-Peds hospitalist. Sorry for joining late. #jhmchat |
| Jennifer Zagursky @JennZag4 @esteckler2 #JHMchat. Great point! We should have people be able for eat what they are going to as an outpatient so that, not only can we adjust medication as needed, but so that they can learn how to manage in the “real world” |
| David Alfandre @alfandremd RT @jenreadlynn: @JHospMedicine A1: I've heard it now at a few conferences I've been to: @JHospMedicine A1: I've heard it now at a few conferences I've been to: giving patients choices. Lights on or off. Ice or no ice. Curtain open or closed. Giving some semblance of control even over the little things to let patients know you want their input when the big things come up. #JHMchat |
| Beth Steckler (she/her) @purplemamabear Topic 1 @brookevitti shared story earlier my kids always struggled w access to food. Often had to be ‘starved’ due to flare or procedure. Often when they were off NPO kitchen closed but we were not allowed to go pick up food so limited choices for kids 1/ #JHMchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Great points, Jen. Is this always enough, or is there more we can do...? #JHMChat |
 | Dr. David Tom Cooke @DavidCookeMD T1 Also not ordering unnecessary labs in the first place. Many patients do not need daily labs. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @medpedshosp @WrayCharles Glad to have you in on the conversation, Moises! #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @DavidCookeMD: T1 Also not ordering unnecessary labs in the first place. Many patients do not need daily labs. #JHMChat |
 | Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs #JHMchat I'm so glad you mentioned sleep schedule. different side of the same coin to the question I threw out there |
 | Kaishauna Guidry, MD, HMDC @DrMamaKai @JHospMedicine @WrayCharles Hello #JHMChat Dr. G, hospice physician in SoCal👩🏽⚕️🏁 |
| Kaishauna Guidry, MD, HMDC @DrMamaKai RT @JHospMedicine: Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat where we'll be discussing the hospital patient experience from both sides of the bed rail: patients & clinician. Go ahead and introduce yourself while we wait for others to join... https://t.co/fQu4nWJSi1 |
| Erin Moriarty Wade @EMoriartyWade RT @esteckler2: Topic 1 @brookevitti shared story earlier my kids always struggled w access to food. Often had to be ‘starved’ due to flare or procedure. Often when they were off NPO kitchen closed but we were not allowed to go pick up food so limited choices for kids 1/ #JHMchat |
| Gopi Astik @gopiastik @JHospMedicine A1 - Anything we can do to safely give patients an ounce of independence is a good thing. #jhmchat |
 | Preeti R. John MD, MPH, FACS, FCCM, CPE, HEC-C @preeti_john RT @JHospMedicine: Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat where we'll be discussing the hospital patient experience from both sides of the bed rail: patients & clinician. Go ahead and introduce yourself while we wait for others to join... https://t.co/fQu4nWJSi1 |
| Society of Hospital Medicine @SocietyHospMed RT @gopiastik: Seeing patients and patient advocates on the #JHMChat tonight reminds me how awesome our profession is. Nice job @SocietyHospMed and @JHospMedicine |
 | Brian @BMont81 RT @jilliannec: Hello I am Jillianne. I am a 15 year #HeartFailure survivor, 2x heart #Transplant recipient, and president and co-founder of @HeartLifeCanada I am also a @UBCEduc education, technology and #SoMe health researcher #CardioTwitter #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine I wouldn't say it's enough. It's a starting point to building the relationship and trust and see them as more than just "the guy in room 7" or "the transplant patient". Seeing all sides of the patient helps to build that mutual trust. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @DavidCookeMD Yes we do lots of work in that area - Get SMARTT - Get Sleep: Making Active Reductions in Testing & Timimg of Labs cc @NatalieTapaskar #jhmchat #choosingwisely |
| Leilani Graham @LeilaniRGraham @JHospMedicine @WrayCharles Hi #JHMChat ! Sorry to jump in late. I’m Leilani, patient advocate and director of patient advocacy at @Clara_Health |
| Rebecca Jaffe, MD @RJmdphilly T1 - really agree with glucose checks in T1D. I hear this a lot from patients and it’s true many of them know how to manage their disease better than we do. Teamwork and communication are key - we both have the same goals. @mike_natter #JHMChat |
| Anika Kumar, MD (she/her) @freckledpedidoc @JHospMedicine A1. In Pediatrics we are fortunate that there is generally a parent/guardian that travels with the child. Our primary restrictions are isolation status, continuous monitoring (EEG, Telemetry). We do practice SDM with families when it comes to traveling off the unit. #jhmchat |
| Dr. David Tom Cooke @DavidCookeMD RT @FutureDocs: @DavidCookeMD Yes we do lots of work in that area - Get SMARTT - Get Sleep: @DavidCookeMD Yes we do lots of work in that area - Get SMARTT - Get Sleep: Making Active Reductions in Testing & Timimg of Labs cc @NatalieTapaskar #jhmchat #choosingwisely |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @JHospMedicine Encouraging patients to wear non-hospital loungewear/PJ's and clothing; having a blanket or pillow that is your own as whelps you feel a little more comfortable. Keeping some of your own identity present in such dehumanizing conditions is so critical for #MentalHealth #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @Docbasia @brookevitti @JHospMedicine @WrayCharles @RanaAwdish Would be awesome for @RanaAwdish to join #JHMchat if she’s free! Esp given her perspective as doctor and patient! |
| Salty AF 🫁♻️ @saltylungs @aoglasser @FutureDocs Sleep is so tough in the hospital. I’ve had someone wake me up to take PRN sleep medicine, wake up to be weighed at 4am and of course the lovely 4am labs 🤦🏻♀️ sometimes I can get them moved so I can sleep but a lot of times I’m told it’ll throw everything off so no. #JHMchat |
| Jon Lim, MD 🏳️🌈 @JonLimMD T1: I think another sore spot is being able to leave the hospital at the beginning of the month and end of month for paying bills and rent especially for patients with barriers to financial services or who rely on cash payments. #JHMChat |
| Charlie M. Wray, DO, MS @WrayCharles Great insight here. Our nursing colleagues are often the ones driving patient experiences. Instead of thinking of this as a two-way conversation (patient-doctor), it should probably be a 3-way conversation (patient-RN-doctor) #JHMChat |
| Med Peds Hospitalist @medpedshosp @JHospMedicine A1 - in Mexico we used to give them a "weekend pass" so that they could spend it at home. This at @incmnszmx (Mexico NIH) #JHMchat |
 | Athalia Pyzer, MD PhD @HowellJollyBody @JHospMedicine @WrayCharles Hi everyone! I’m an IM resident and immunology post doc from London and working in Chicago. I also spend way too much time in the hospital for Myasthenia Gravis and Immune Deficiency. This resident comes already furnished with trache, port and a lot of hospital PTSD 😝 #JHMchat |
| Journal of Hospital Medicine @JHospMedicine @preeti_john @WrayCharles Always happy to have one of our previous #JHMChat special guests join in the conversation |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @RJmdphilly @mike_natter I fully admit this with my type 1 DM especially. Definitely more shared decision-making and "you tell me what works for you and we'll write the orders". #JHMChat |
| Jon Lim, MD 🏳️🌈 @JonLimMD T1: oh and taking care of pets left at home :( #JHMChat |
| Med Peds Hospitalist @medpedshosp RT @freckledpedidoc: @JHospMedicine A1. In Pediatrics we are fortunate that there is generally a parent/guardian that travels with the child. Our primary restrictions are isolation status, continuous monitoring (EEG, Telemetry). We do practice SDM with families when it comes to traveling off the unit. #jhmchat |
| Kaishauna Guidry, MD, HMDC @DrMamaKai @JHospMedicine A1: Allowing patients to have freedom can improve patient satisfaction. I’ve seen patients lose trust as their medicine team as the days progressed for the work-up & they felt incarcerated. #JHMChat |
 | Logan @logangmills RT @JHospMedicine: Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat where we'll be discussing the hospital patient experience from both sides of the bed rail: patients & clinician. Go ahead and introduce yourself while we wait for others to join... https://t.co/fQu4nWJSi1 |
| Med Peds Hospitalist @medpedshosp RT @FutureDocs: @Docbasia @brookevitti @JHospMedicine @WrayCharles @RanaAwdish Would be awesome for @RanaAwdish to join #JHMchat if she’s free! Esp given her perspective as doctor and patient! |
| Journal of Hospital Medicine @JHospMedicine Great discussion so far...Topic 2 for #JHMChat coming up momentarily |
| Vinny Arora MD MAPP @FutureDocs @RebeccaEBerger Very few meds 4a - so if you actually need vitals and labs 4a those are key to batch. Time the vitals with when phlebotomy goes in. Often the funny thing is 4a labs are started at 4a but the sweep is 4a to 6a bc so many patients. So key is do you need vitals at 4a ? #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @Potato_Chip: @aoglasser @FutureDocs Sleep is so tough in the hospital. I’ve had someone wake me up to take PRN sleep medicine, wake up to be weighed at 4am and of course the lovely 4am labs 🤦🏻♀️ sometimes I can get them moved so I can sleep but a lot of times I’m told it’ll throw everything off so no. #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @jenreadlynn: @RJmdphilly @mike_natter I fully admit this with my type 1 DM especially. Definitely more shared decision-making and "you tell me what works for you and we'll write the orders". #JHMChat |
| Preeti R. John MD, MPH, FACS, FCCM, CPE, HEC-C @preeti_john @WrayCharles Maybe 4 way including Social Worker too. Our veterans almost always have good rapport with #socialwork who often have insight into their personal lives & preferences #JHMChat |
| Beth Steckler (she/her) @purplemamabear Topic 1. Discharge is HUGE. When kids younger we always had blow outs as they were told in morning that they could leave but by time orders in late afternoon. Incredibly diff 4 kids who just want out of there #JHMchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @JHospMedicine Basing this on my own experience, trust is huge. I am an adult. My health is completely out of my control. If I don't really need to be on telemetry then take me off of it so I can go to the cafeteria and get a cup of tea or a 'decent' hospital meal (lose terms here LOL) #JHMChat |
| Med Peds Hospitalist @medpedshosp Hospitalization is NOT incarceration! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Topic 2 for tonight's #JHMChat: https://t.co/E6t0cdPfKh |
| Jennifer Zagursky @JennZag4 I think this has been made even more difficult to batch with electronic medical records - labs are auto-timed for a certain times, vitals for another, meds for another #JHMchat |
| Vinny Arora MD MAPP @FutureDocs Great comment #jhmchat |
| Leilani Graham @LeilaniRGraham @JHospMedicine A1- Allow us to go off the unit! It isn’t always easy - not every hospital has convenient mobile telemetry. But walking to the cafeteria is MUCH more motivating than circling the unit (again). #JHMChat |
| Leilani Graham @LeilaniRGraham RT @jenreadlynn: @JHospMedicine A1: I've heard it now at a few conferences I've been to: @JHospMedicine A1: I've heard it now at a few conferences I've been to: giving patients choices. Lights on or off. Ice or no ice. Curtain open or closed. Giving some semblance of control even over the little things to let patients know you want their input when the big things come up. #JHMchat |
| Kaishauna Guidry, MD, HMDC @DrMamaKai @JHospMedicine I’m listening 👂🏽#JHMChat |
| Journal of Hospital Medicine @JHospMedicine @DrMamaKai This is why we're here tonight #JHMChat |
| Salty AF 🫁♻️ @saltylungs @jilliannec @JHospMedicine I love this. Wearing my own pjs and lounge clothes makes a huge difference. I also usually bring blankets/pillows and even some pictures to hang on the wall. I’m usually admitted for a few weeks at a time so I try to make it as much like home as possible! #JHMChat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @JHospMedicine Whatever you can do to encourage a bit of #agency would go a long way. Give me choice, give me as much freedom as you can (as long as I let you know where I am at all times) then I am less likely to #CodeYellow and go AWOL #JHMChat |
 | Kelly Bergin @kellybergin @brookevitti @alfandremd @JHospMedicine @WrayCharles Legit got chest pain reading your tweet because I relate so much. 😂😂 #JHMchat |
| Leilani Graham @LeilaniRGraham Brooke says this very eloquently. Not every direction is critical. Not every request is optional. Level with us and we’re more likely to (for lack of a better word) comply. @brookevitti #JHMChat |
| Kaishauna Guidry, MD, HMDC @DrMamaKai RT @JHospMedicine: @DrMamaKai This is why we're here tonight #JHMChat |
 | Erin D. Michos, M.D. @ErinMichos I had the honor of meeting @jilliannec at #CVCT19 & listening to her speak. She is truly inspiring. She spoke with the knowledge of both having lived experience with CVD (specifically heart failure) and the background of a social science researcher. I hung onto her every word. |
| Society of Hospital Medicine @SocietyHospMed Still plenty of time to jump in on this special #JHMChat with @JHospMedicine! |
| Vinny Arora MD MAPP @FutureDocs @JennZag4 See our other #JHMchat @JHospMedicine paper - make the EHR sleep friendly! https://t.co/IosBRrQtXW. |
| Beth Steckler (she/her) @purplemamabear Topic 2 my kids would say listen to me. If I have to go NPO don’t tell me my procedure is at noon and I don’t go down until 6pm. Let me check my blood and use my at home diabetes protocol. #JHMchat |
| Gopi Astik @gopiastik Come on over to the #JHMChat to voice your thoughts on questions like this 👇🏽👇🏽 |
 | Balki Bartokomous @wargote4 @Potato_Chip @FutureDocs @aoglasser @Potato_Chip @FutureDocs @aoglasser Our pharmacy keeps scheduling at midnight for some reason. I reschedule them for during the day so as to not wake up pts as much and they get changed back #JHMchat |
| Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: @JennZag4 See our other #JHMchat @JHospMedicine paper - make the EHR sleep friendly! https://t.co/IosBRrQtXW. |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Still plenty of time to jump in on this special #JHMChat with @JHospMedicine! |
| Journal of Hospital Medicine @JHospMedicine RT @LeilaniRGraham: Brooke says this very eloquently. Not every direction is critical. Not every request is optional. Level with us and we’re more likely to (for lack of a better word) comply. @brookevitti #JHMChat |
| Preeti R. John MD, MPH, FACS, FCCM, CPE, HEC-C @preeti_john @FutureDocs @RebeccaEBerger Agree. I remember waking patients up between 3a and 4a while pre-rounding on cardiac surgery floor patients during internship. So unnecessary and not in alignment with basic human sleep physiology. How many of us are alert & oriented at 3am? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @jilliannec: @JHospMedicine Whatever you can do to encourage a bit of #agency would go a long way. Give me choice, give me as much freedom as you can (as long as I let you know where I am at all times) then I am less likely to #CodeYellow and go AWOL #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @RebeccaEBerger It’s bc so many labs at that time. Overwhelms lab. By selecting those that really need Lan turnaround would be faster! #jhmchat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @aoglasser @brookevitti @JHospMedicine Oops. #JHMchat https://t.co/M0rHijtg7i |
| Vinny Arora MD MAPP @FutureDocs RT @preeti_john: @FutureDocs @RebeccaEBerger Agree. I remember waking patients up between 3a and 4a while pre-rounding on cardiac surgery floor patients during internship. So unnecessary and not in alignment with basic human sleep physiology. How many of us are alert & oriented at 3am? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine @SadiaFMD @WrayCharles @gopiastik Glad you could make it, Sadia! Welcome aboard to #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly A2 - have been so lucky not to be hospitalized myself, but for my son’s asthma we had at least one great experience when a RT came and just gave nebs blow by at night after long ED stay. I wondered why we can’t do the same for adults. I wonder if it comes down to consent?#JHMchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec And I you, Erin! <3 Am honoured to have shared the stage with such an eminent #WIC as you! #CardioTwitter #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @aoglasser @preeti_john @RebeccaEBerger Are we alert and oriented then is also valid ? #jhmchat |
| Beth Steckler (she/her) @purplemamabear Topic 2 the ability to go off unit if at all possible. Walking around in circles for exercising gets old. I as parent did not know what ‘code pink’ was until my child escaped #JHMchat |
| Erin Moriarty Wade @EMoriartyWade I think it’s important to understand how tough the logistics can be for families. We were told we’d need 3 nights in the hospital each month for the foreseeable future for an IV treatment. It was an absolutely daunting prospect for us with two careers and two other kids. #JHMChat |
 | Guilherme Barcellos @brhospitalist RT @FutureDocs: @JennZag4 See our other #JHMchat @JHospMedicine paper - make the EHR sleep friendly! https://t.co/IosBRrQtXW. |
| Journal of Hospital Medicine @JHospMedicine RT @ErinMichos: I had the honor of meeting @jilliannec at #CVCT19 & listening to her speak. She is truly inspiring. She spoke with the knowledge of both having lived experience with CVD (specifically heart failure) and the background of a social science researcher. I hung onto her every word. |
| Society of Hospital Medicine @SocietyHospMed Pro tip: If you want to join #JHMChat tonight, make sure you’re using the hashtag in all your tweets to make sure they’re seen! |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Pro tip: Pro tip: If you want to join #JHMChat tonight, make sure you’re using the hashtag in all your tweets to make sure they’re seen! |
| Kaishauna Guidry, MD, HMDC @DrMamaKai RT @SocietyHospMed: Pro tip: Pro tip: If you want to join #JHMChat tonight, make sure you’re using the hashtag in all your tweets to make sure they’re seen! |
| Anika Kumar, MD (she/her) @freckledpedidoc @aoglasser @brookevitti @JHospMedicine I’ve been told multiple times on rounds “I didn’t wake the pt up to examine them fully.” GenerallyI’m ok with that, unless the pt has been ill overnight requiring several changes to their care and may need a higher level of care. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @EMoriartyWade: I think it’s important to understand how tough the logistics can be for families. We were told we’d need 3 nights in the hospital each month for the foreseeable future for an IV treatment. It was an absolutely daunting prospect for us with two careers and two other kids. #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @FutureDocs @JennZag4 @JHospMedicine .@JennZag4 Our self-made #QI group needs to get on this. #JHMchat |
| Beth Steckler (she/her) @purplemamabear RT @EMoriartyWade: I think it’s important to understand how tough the logistics can be for families. We were told we’d need 3 nights in the hospital each month for the foreseeable future for an IV treatment. It was an absolutely daunting prospect for us with two careers and two other kids. #JHMChat |
 | Brooke Vittimberga @brookevitti @michellebr00ks @kellybergin @alfandremd @JHospMedicine @WrayCharles Yes! also sometimes I did go in the night but it was her job to go check the bathroom. Waking me up was totally unnecessary and would ruin my whole day because I'd struggle to get back to sleep #JHMchat |
 | Howard Liu, MD MBA @DrHowardLiu Should be in every patient’s bill of rights! |
| Vinny Arora MD MAPP @FutureDocs @jenreadlynn @JennZag4 @JHospMedicine Happy to advise #jhmchat ! |
| Journal of Hospital Medicine @JHospMedicine @EMoriartyWade Great point, Erin. We often focus on patients, but there are players beyond them that we often don't think enough about #JHMChat |
| Leilani Graham @LeilaniRGraham The goldfish bowl effect. Every 15 minutes feels the same - a new specialist, new med, new meal, a new PT session. But the entire life happens in the bubble of one room. It becomes easy to lose track of time and the outside world. Connection, trust, and hope are crucial. #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @esteckler2 The procedure thing kills me too. I hate not being able to tell patients a time or if we do, it always changes. It's terrible all around. #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @LeilaniRGraham: The goldfish bowl effect. Every 15 minutes feels the same - a new specialist, new med, new meal, a new PT session. But the entire life happens in the bubble of one room. It becomes easy to lose track of time and the outside world. Connection, trust, and hope are crucial. #JHMChat |
| David Alfandre @alfandremd I like to tell trainees that the more transparent you make your clinical reasoning to patients, the more helpful you'll be to your patients and the more effective the informed consent process will be. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine @StevenMurphyQD @SocietyHospMed Welcome aboard, Steven! Glad you could make #JHMChat |
| Jennifer Zagursky @JennZag4 Exactly what I was thinking! Of course there is that whole culture to overcome. But we will prevail! #JHMchat |
| Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs @preeti_john @RebeccaEBerger #JHMchat nope |
| Rebecca Jaffe, MD @RJmdphilly @wargote4 @Potato_Chip @FutureDocs @aoglasser These kinds of things should be designed out of the system! Defaults should be used to help us not hurt us (collectively) #jhmchat @subhaairan |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Pro tip: Pro tip: If you want to join #JHMChat tonight, make sure you’re using the hashtag in all your tweets to make sure they’re seen! |
| Jonathan Berry @jlberrymd @jenreadlynn @esteckler2 It seems like there has to be a better system. I'm always so deflated when I have to go tell a patient that the procedure I've starved them for all day has been postponed #JHMChat |
| Salty AF 🫁♻️ @saltylungs @JHospMedicine #JHMChat that it’s really hard. That I have 3 kids and a wife and wish they could visit more but logistically it’s so difficult. That I’m way more than just the CFer in room XYZ. That just because I’m sick doesn’t mean I need to be treated like a child. |
| Journal of Hospital Medicine @JHospMedicine RT @alfandremd: I like to tell trainees that the more transparent you make your clinical reasoning to patients, the more helpful you'll be to your patients and the more effective the informed consent process will be. #jhmchat |
| Leilani Graham @LeilaniRGraham A- 2: The best way to mitigate is to create meaning by celebrate improvement day over day. The days when rounds said “we’re removing a tube today! What a good day!” - even if I did NOTHING else that day, it was better than stagnation. #JHMChat |
 | Inspire @InspireIsHealth RT @EMoriartyWade: I think it’s important to understand how tough the logistics can be for families. We were told we’d need 3 nights in the hospital each month for the foreseeable future for an IV treatment. It was an absolutely daunting prospect for us with two careers and two other kids. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @RJmdphilly @wargote4 @Potato_Chip @aoglasser @subhaairan Agree @subhaairan —paging an IT expert in patient and physician experience #jhmchat |
| Jon Lim, MD 🏳️🌈 @JonLimMD @LeilaniRGraham I think the bubble effect can happen for physicians too. A new page, a new call, a new note to write. Your words ring true here too-- connection, trust and hope with the patient are also crucial to meaning and life for the physician. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @LeilaniRGraham: A- 2: A- 2: The best way to mitigate is to create meaning by celebrate improvement day over day. The days when rounds said “we’re removing a tube today! What a good day!” - even if I did NOTHING else that day, it was better than stagnation. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @Potato_Chip: @JHospMedicine #JHMChat that it’s really hard. That I have 3 kids and a wife and wish they could visit more but logistically it’s so difficult. That I’m way more than just the CFer in room XYZ. That just because I’m sick doesn’t mean I need to be treated like a child. |
| Salty AF 🫁♻️ @saltylungs @aoglasser @jilliannec @JHospMedicine I’ve been decorating my room since I was a little kid! We used to have themed decorations but now I just try to add a little color and fun. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @jlberrymd: @jenreadlynn @esteckler2 It seems like there has to be a better system. I'm always so deflated when I have to go tell a patient that the procedure I've starved them for all day has been postponed #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @alfandremd: I like to tell trainees that the more transparent you make your clinical reasoning to patients, the more helpful you'll be to your patients and the more effective the informed consent process will be. #jhmchat |
 | Andrea 🇺🇸 🇬🇧 🏴 🇩🇪 🇸🇪🇺🇦 @WholePlateWay RT @esteckler2: Topic 1. Discharge is HUGE. When kids younger we always had blow outs as they were told in morning that they could leave but by time orders in late afternoon. Incredibly diff 4 kids who just want out of there #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @jenreadlynn: @esteckler2 The procedure thing kills me too. I hate not being able to tell patients a time or if we do, it always changes. It's terrible all around. #JHMchat |
| Erin Moriarty Wade @EMoriartyWade @sickgirlspeaks Thanks @sickgirlspeaks. I will never forget getting off the phone and just being dumbfounded by the situation. We had just moved to New Jersey and had no family, friends or babysitters yet. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @jenreadlynn @esteckler2 Why do we accept this? #jhmchat there has to be a better way |
| Journal of Hospital Medicine @JHospMedicine @aoglasser @brookevitti That's what we're trying to do tonight! #JHMChat |
| Gopi Astik @gopiastik I love this! I drew out a schema on a patient whiteboard last week to talk through why I wanted to order things. The pt understood the WHY and also the timeline. #lifechanging #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @FutureDocs @jenreadlynn @JennZag4 @JHospMedicine Why I ❤️ #jhmchat (one reason of many) |
| Vinny Arora MD MAPP @FutureDocs RT @gopiastik: Seeing patients and patient advocates on the #JHMChat tonight reminds me how awesome our profession is. Nice job @SocietyHospMed and @JHospMedicine |
| Jon Lim, MD 🏳️🌈 @JonLimMD @jenreadlynn @esteckler2 It's horrible. Can't promise a time because you can set up for disappointment. In the crosshairs between proceduralists and the patient. #JHMChat |
| Balki Bartokomous @wargote4 @FutureDocs @RJmdphilly @Potato_Chip @aoglasser @subhaairan Also, is it just my hospital or is there some Joint Commission regulation that all TVs have to be on at all times 24/7? #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @jenreadlynn: @JHospMedicine A1: I've heard it now at a few conferences I've been to: @JHospMedicine A1: I've heard it now at a few conferences I've been to: giving patients choices. Lights on or off. Ice or no ice. Curtain open or closed. Giving some semblance of control even over the little things to let patients know you want their input when the big things come up. #JHMchat |
| Jennifer Zagursky @JennZag4 From the family side of things, having had both of my parents in the hospital recently, we as docs need to sit more. We need to slow down for just a moment and just listen. Speak like one human to another #jhmchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @JHospMedicine I wish my team knew that EVERY DAY from early in the morning your room has a revolving door. #Phlebotomist #Nurse #Vitals #StudentNurse #Nurse #Meds #Resident #Fellow #Nurse #Cardiologist #Consult #MedStudents #Breakfast (unless NPO bc #tests) Did you sleep? No -_- #JHMChat |
| Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs @jenreadlynn @esteckler2 #JHMchat omg the procedure timing thing! esp for patients on comanagement services the surgery resident doesn't know when they'll get off the add on list, the hospitalist certainly doesn't know, sometimes the charge nurse is the first to find out, and everyone is frustrated... |
| Erin Moriarty Wade @EMoriartyWade RT @JHospMedicine: @EMoriartyWade Great point, Erin. We often focus on patients, but there are players beyond them that we often don't think enough about #JHMChat |
| Erin Moriarty Wade @EMoriartyWade RT @alfandremd: I like to tell trainees that the more transparent you make your clinical reasoning to patients, the more helpful you'll be to your patients and the more effective the informed consent process will be. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Topic 3 of tonight's #JHMChat... https://t.co/QjrvsR9biO |
| Anika Kumar, MD (she/her) @freckledpedidoc @HowellJollyBody @JHospMedicine Thanks for sharing the “Sweetie” comment. According to a new Peds study, patient’s moms do not like to be called “mom”. #jhmchat |
| David Alfandre @alfandremd Best thing I've ever read on promoting patient-centered care. #jhmchat https://t.co/J5bzwhYsiU |
| Journal of Hospital Medicine @JHospMedicine RT @jilliannec: @JHospMedicine I wish my team knew that EVERY DAY from early in the morning your room has a revolving door. #Phlebotomist #Nurse #Vitals #StudentNurse #Nurse #Meds #Resident #Fellow #Nurse #Cardiologist #Consult #MedStudents #Breakfast (unless NPO bc #tests) Did you sleep? No -_- #JHMChat |
| Guilherme Barcellos @brhospitalist RT @alfandremd: Best thing I've ever read on promoting patient-centered care. #jhmchat https://t.co/J5bzwhYsiU |
| Journal of Hospital Medicine @JHospMedicine RT @JennZag4: From the family side of things, having had both of my parents in the hospital recently, we as docs need to sit more. We need to slow down for just a moment and just listen. Speak like one human to another #jhmchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @Potato_Chip @aoglasser @JHospMedicine I hear you! On my last couple of stays I drew, coloured and put up my own artwork. #ArtTherapy from the beginning to the end #JHMChat |
| David Alfandre @alfandremd Let me hear from you! If we can tackle this, we can make great progress |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @SadiaFMD @JHospMedicine @WrayCharles @gopiastik Hi everyone! sorry i'm joining late (sometimes those kiddo cuddles do me in!) - Hospitalist in philadelphia + new entrepreneur in the HealthIT space #JHMchat |
| Kaishauna Guidry, MD, HMDC @DrMamaKai @alfandremd @JHospMedicine How do we temper the transparency? I’ve seen it back fire when a patient feels like they were promised something & didn’t get it, or they’re alarmed at all we’re considering in the differential diagnosis. #JHMChat |
| Salty AF 🫁♻️ @saltylungs @freckledpedidoc @HowellJollyBody @JHospMedicine I get “sweetie”, “hun”, “love”, and all types of weird names. I really hate it. #JHMChat |
| Preeti R. John MD, MPH, FACS, FCCM, CPE, HEC-C @preeti_john @jlberrymd @jenreadlynn @esteckler2 These delays happen so often. Unfortunately many things out of the individual provider's control in the OR arena. Always makes a difference when surgeon comes to patient's bedside & explains reason for delay and APOLOGIZES to patient and family. Apologies are necessary #JHMChat |
 | Kirstin Manges Piazza PhD RN @kirstin_manges @JHospMedicine #2 Not knowing what is going on (& why) really sucks. Even if you have medical knowledge. It’s also very frustrating to tell your story over an over again & to hear different things from multiple providers. Please do interprofessional rounding! #TheTeamTheTeamTheTeam #jhmchat |
| Erin Moriarty Wade @EMoriartyWade @JHospMedicine Lawyers and administrators? #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @FutureDocs @esteckler2 I completely agree. I've fallen into the trap of "it's the specialist/proceduralists' choice & out of my hands" but I we can do better. Maybe working on a way to prioritize or have a better shared model/schedule that we can all access & know what they're up against. #JHMchat |
| Vinny Arora MD MAPP @FutureDocs There is a study that shows giving patients (in nursing homes) more control is associated with longer life #JHMchat https://t.co/yUFZBv72jh |
| Society of Hospital Medicine @SocietyHospMed RT @FutureDocs: There is a study that shows giving patients (in nursing homes) more control is associated with longer life #JHMchat https://t.co/yUFZBv72jh |
 | Eileen McMahon (she/her) @eileenmcmahonNP RT @jenreadlynn: @JHospMedicine A1: I've heard it now at a few conferences I've been to: @JHospMedicine A1: I've heard it now at a few conferences I've been to: giving patients choices. Lights on or off. Ice or no ice. Curtain open or closed. Giving some semblance of control even over the little things to let patients know you want their input when the big things come up. #JHMchat |
 | Sarina Sahetya @SarinaKS Hospital rules are often just arbitrary. More thought needs to be given to what the patient experiences and needs, rather than random mandates from on high. |
| Guilherme Barcellos @brhospitalist RT @FutureDocs: There is a study that shows giving patients (in nursing homes) more control is associated with longer life #JHMchat https://t.co/yUFZBv72jh |
| Society of Hospital Medicine @SocietyHospMed RT @alfandremd: Best thing I've ever read on promoting patient-centered care. #jhmchat https://t.co/J5bzwhYsiU |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @FutureDocs @RJmdphilly @wargote4 @Potato_Chip @aoglasser Thank you @RJmdphilly & @FutureDocs I was thinking the exact same thing! Patients shouldn't have to know to ask, it should be designed that way to being with. Our process *and* our IT systems should have these defaults programmed to optimize sleep when possible #JHMchat |
| Dr. Tsega @drtsega T3: I think one of the hardest things is trying to get everyone on the same page in a timely fashion. It’s hard trying to reach a consultant or nurse or resident before they see the patient again so as not to be confused about what the pt and I just agreed on. #JHMChat |
 | Shelley Zieroth @ShelleyZieroth RT @jilliannec: And I you, Erin! <3 Am honoured to have shared the stage with such an eminent #WIC as you! #CardioTwitter #JHMChat |
| Beth Steckler (she/her) @purplemamabear Topic 3 one of things struggle was consistency from hospitalist to hospitalist to team. When diff opinions arose we were often caught in crossfires and resentment from some physicians if option a chosen instead of b. Know what patient desire/outcomes are #JHMchat |
| Anika Kumar, MD (she/her) @freckledpedidoc @Potato_Chip @JHospMedicine 1 of my Pet Peeves is hearing colleagues say “CFer” or “Sickler” or “Asthmatic.” Our patients are so much more than their diseases. I’ve actually told physicians “my name is Anika, I’m a pediatric Hospitalist. I happen to have XP & that is why we are meeting” #jhmchat |
| Society of Hospital Medicine @SocietyHospMed Such passionate, engaging conversation on tonight’s #JHMChat... and it keeps on coming! |
| Gopi Astik @gopiastik @JHospMedicine A3 - Safety is usually the biggest barrier. We have patients on medications which increase fall risks and need monitoring. If we had the staffing to send a care team member with them, I’d let people leave more often. #jhmchat |
| Lakshman Swamy (laxswamy@bsky.social) @laxswamy RT @JHospMedicine: Topic 2 for tonight's #JHMChat: Topic 2 for tonight's #JHMChat: https://t.co/E6t0cdPfKh |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn Love this! Celebrating the little things can make such a big difference. #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @JHospMedicine: Topic 3 of tonight's #JHMChat... https://t.co/QjrvsR9biO |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @FutureDocs @RJmdphilly @wargote4 @Potato_Chip @aoglasser I too did not experience this till my parents (at diff times) were in the hospital. it is like a slow form of torture. Many defaults could be built into orders to ensure a "protected" sleep time #JHMchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @alfandremd YES! And the less fearful the whole experience is. Demystify it all. Nobody likes to be in the dark about anything. #JHMChat |
 | Alan J. Card @AlanJCard RT @FutureDocs: @JennZag4 See our other #JHMchat @JHospMedicine paper - make the EHR sleep friendly! https://t.co/IosBRrQtXW. |
| Jennifer Zagursky @JennZag4 T3 I think like @FutureDocs said, doing things like changing the timing of vitals, labs checks. It is a major culture shift. But so is working as teams and not as silos like what used to be the norm Need to involve patients as part of the team #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @jenreadlynn: Love this! Celebrating the little things can make such a big difference. #JHMchat |
 | Melanie Fritz @melanie_fritz_ RT @JHospMedicine: Topic 2 for tonight's #JHMChat: Topic 2 for tonight's #JHMChat: https://t.co/E6t0cdPfKh |
| David Alfandre @alfandremd I love rules and I love writing policy. It helps promote fair, systematic, and consistent practice. But there will never be enough rules to cover every scenario and every problem. And rules are the floor, not what we aspire to #jhmchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @wargote4 @FutureDocs @RJmdphilly @Potato_Chip @aoglasser we need "night mode" in the hospital #JHMchat |
| Beth Steckler (she/her) @purplemamabear Topic 3 see us #caregiver and #patients as part of team. We do not have your degrees BUT we know our loved ones we know ourselves. #JHMchat |
 | Zac, MD @ZTabb RT @JHospMedicine: Topic 2 for tonight's #JHMChat: Topic 2 for tonight's #JHMChat: https://t.co/E6t0cdPfKh |
| Salty AF 🫁♻️ @saltylungs @freckledpedidoc @JHospMedicine Agreed. I refer to myself as a CFer often but I prefer my physician to just use my name. #jhmchat |
 | Gregory Menvielle @greg_menvielle RT @FutureDocs: T1 I would say many patients we talk to about sleep here don’t even realize they can advocate for better sleep by asking work to be batches or moving 4a labs or vitals to 6a for uninterrupted sleep #JHMChat |
| Med Peds Hospitalist @medpedshosp @JHospMedicine A2 - Respect of my privacy. Don't share with everybody that I'm a patient. Respect of my sleep. Respect of my veins - don't poke me a million times. So far my experience as a patient at @incmnszmx, @metrohealthCLE and @ClevelandClinic has been world class!!! #gratitude #JHMchat |
| Guilherme Barcellos @brhospitalist RT @alfandremd: I love rules and I love writing policy. It helps promote fair, systematic, and consistent practice. But there will never be enough rules to cover every scenario and every problem. And rules are the floor, not what we aspire to #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @subhaairan: @FutureDocs @RJmdphilly @wargote4 @Potato_Chip @aoglasser I too did not experience this till my parents (at diff times) were in the hospital. it is like a slow form of torture. Many defaults could be built into orders to ensure a "protected" sleep time #JHMchat |
| Preeti R. John MD, MPH, FACS, FCCM, CPE, HEC-C @preeti_john @Potato_Chip @freckledpedidoc @HowellJollyBody @JHospMedicine If these terms of endearment come from patients, I don't hate it...depends on the context and the manner in which it is said. May be genuine display of affection. (I work in VA hospital) #JHMChat |
| Jennifer Zagursky @JennZag4 Yes!!!! #JHMchat |
 | SeleneSeltzer @SeleneSeltzer RT @FutureDocs: T1 I would say many patients we talk to about sleep here don’t even realize they can advocate for better sleep by asking work to be batches or moving 4a labs or vitals to 6a for uninterrupted sleep #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @medpedshosp: @JHospMedicine A2 - Respect of my privacy. Don't share with everybody that I'm a patient. Respect of my sleep. Respect of my veins - don't poke me a million times. So far my experience as a patient at @incmnszmx, @metrohealthCLE and @ClevelandClinic has been world class!!! #gratitude #JHMchat |
| Jon Lim, MD 🏳️🌈 @JonLimMD T3: I think "It's a against the policy" can be used too zealously. It comes from a place of concern for patient safety and personal liability. Addressing those concerns can be challenging. #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly RT @subhaairan: @FutureDocs @RJmdphilly @wargote4 @Potato_Chip @aoglasser I too did not experience this till my parents (at diff times) were in the hospital. it is like a slow form of torture. Many defaults could be built into orders to ensure a "protected" sleep time #JHMchat |
| Erin Moriarty Wade @EMoriartyWade Consider the possibility that maybe your patient might not need to be hospitalized. We learned that we could avoid some hospital stays through a combination of outpatient care and home health nurses who taught me to administer an IV. #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @FutureDocs @RebeccaEBerger 1) we dont need 4am vitals 2) almost never need 4am meds 3) we often do 5am labs so they result by rounds ---> but really it is so they result in time to *print* by rounds - if we could look them up in real time, while rounding, in an easy way, that would help! #JHMchat |
| Balki Bartokomous @wargote4 @preeti_john @jlberrymd @jenreadlynn @esteckler2 This is one thing I wish would happen way more frequently. It almost always falls on me to go in an explain that the procedure we starved you for all day is cancelled or postponed until tomorrow. Why can’t the surgeons of GI/Cards guys come do that? #JHMchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @brookevitti @JHospMedicine Yes! AND the repeated question by 8 people in one day ... "So, why are you here?" or "Can you tell me about ... x." Argh. How many times to I have to say it? #SoTired #NoSleep #NurseWokeMeUpAt4AMToSeeIfIAmStillAlive #ReadMyChart #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Topic 3 of tonight's #JHMChat... https://t.co/QjrvsR9biO |
| Guilherme Barcellos @brhospitalist RT @EMoriartyWade: Consider the possibility that maybe your patient might not need to be hospitalized. We learned that we could avoid some hospital stays through a combination of outpatient care and home health nurses who taught me to administer an IV. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @subhaairan: @FutureDocs @RebeccaEBerger 1) we dont need 4am vitals 2) almost never need 4am meds 3) we often do 5am labs so they result by rounds ---> but really it is so they result in time to *print* by rounds - if we could look them up in real time, while rounding, in an easy way, that would help! #JHMchat |
| Salty AF 🫁♻️ @saltylungs @preeti_john @freckledpedidoc @HowellJollyBody @JHospMedicine If they come from patients, I may not hate it. I was referring to being addressed that was as a patient by my physicians and nurses which I’m not a fan of at all because it feels so condescending #jhmchat |
| Jonathan Berry @jlberrymd T3 Most of the unnecessary barriers in my opinion seem structural ("because that's how we do it") or medicolegal ("because we can't risk it"). Limits based on true medical need can usually be explained and are usually considered reasonable by all. #JHMChat |
| Balki Bartokomous @wargote4 @preeti_john @jlberrymd @jenreadlynn @esteckler2 Also we often know that a procedure won’t be until late afternoon. So why then does a Pt have to be NPO p MN? Let them eat breakfast!!! #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @freckledpedidoc @HowellJollyBody @JHospMedicine Shocker #jhmchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @FutureDocs @RebeccaEBerger though i have been a part of redesigning phleb - VERY hard, and high volume. by no means an easy solution. BUT lets say if we have to do phleb early - we could at least couple it with vitals and other things. Interdisciplinary AM rounds? (phleb, CNA, ...)#JHMchat |
| Vinny Arora MD MAPP @FutureDocs @subhaairan @RebeccaEBerger Ok I’m dying bc you are talking about PRINTING?! #jhmchat |
| Guilherme Barcellos @brhospitalist RT @jlberrymd: T3 Most of the unnecessary barriers in my opinion seem structural ("because that's how we do it") or medicolegal ("because we can't risk it"). Limits based on true medical need can usually be explained and are usually considered reasonable by all. #JHMChat |
| Jon Lim, MD 🏳️🌈 @JonLimMD T3: I think the most vulnerable are the patients with the least family and community support. There's no one else to help pay the bills, take care of pets, pick up stuff from home. SDoH also can make them the sickest and unsafest to leave unaccompanied. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Final topic of tonight's #JHMChat coming up... |
| Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs @subhaairan @RebeccaEBerger #JHMchat three words smartphone on rounds |
 | Caregiver ✝️💞🙏🇵🇸 @stevecripe57 RT @JennZag4: From the family side of things, having had both of my parents in the hospital recently, we as docs need to sit more. We need to slow down for just a moment and just listen. Speak like one human to another #jhmchat |
| Anika Kumar, MD (she/her) @freckledpedidoc @JHospMedicine A3. I agree with Drs. @gopiastik & @aoglasser that Safety is the primary concern. However, our relationships with patients and families is very important and explaining the safety concerns can help lead to fruitful conversations and productive SDM #jhmchat. |
| Erin Moriarty Wade @EMoriartyWade RT @esteckler2: Topic 3 see us #caregiver and #patients as part of team. We do not have your degrees BUT we know our loved ones we know ourselves. #JHMchat |
| Balki Bartokomous @wargote4 @subhaairan @FutureDocs @RJmdphilly @Potato_Chip @aoglasser A “night mode” option would be a godsend for some patients. Such a simple fix too. There are so many pts who do only need minimal monitoring over night. Let them rest! #JHMchat |
| Erin Moriarty Wade @EMoriartyWade @esteckler2 Great point @esteckler2! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Topic #4 for tonight's #JHMChat https://t.co/Z5u6uF8orT |
| Vinny Arora MD MAPP @FutureDocs RT @wargote4: @subhaairan @FutureDocs @RJmdphilly @Potato_Chip @aoglasser A “night mode” option would be a godsend for some patients. Such a simple fix too. There are so many pts who do only need minimal monitoring over night. Let them rest! #JHMchat |
| Leilani Graham @LeilaniRGraham 100%. This is where conscious design: architecture, rounding, wellness (like, reall wellness, not the buzzword) are so imperative. Today’s hospitals are not inherently a healing environment. #JHMChat |
| Erin Moriarty Wade @EMoriartyWade RT @JonLimMD: T3: T3: I think the most vulnerable are the patients with the least family and community support. There's no one else to help pay the bills, take care of pets, pick up stuff from home. SDoH also can make them the sickest and unsafest to leave unaccompanied. #JHMChat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec RT @freckledpedidoc: @Potato_Chip @JHospMedicine 1 of my Pet Peeves is hearing colleagues say “CFer” or “Sickler” or “Asthmatic.” Our patients are so much more than their diseases. I’ve actually told physicians “my name is Anika, I’m a pediatric Hospitalist. I happen to have XP & that is why we are meeting” #jhmchat |
 | Basia Jenkins,MD @Docbasia RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight. Be sure to register for CME here --> https://t.co/0wO2swZq87 |
| Anika Kumar, MD (she/her) @freckledpedidoc @Potato_Chip @preeti_john @HowellJollyBody @JHospMedicine That’s what I was referring to as well. After reading the article about parent preference, I ask the parents what how they would like me to refer to them. #jhmchat |
| Erin Moriarty Wade @EMoriartyWade RT @wargote4: @FutureDocs @RJmdphilly @Potato_Chip @aoglasser @subhaairan Also, is it just my hospital or is there some Joint Commission regulation that all TVs have to be on at all times 24/7? #JHMchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @FutureDocs @aoglasser @RebeccaEBerger Do you know a place that uses Haiku to replace paper on rounds? in my experience it is not good enough. takes 5-6 clicks to get to vitals & you can only see the last 3. you have to click into each lab. cant search for any labs. we need better mobile tools #JHMchat @TrekITHealth |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine A3: Safety & care needs are the biggest ones. Sometimes it's other staff too. I had a patient recently who was ready for d/c but just waiting on a big logistical thing to fall into place. Told him he could leave & visit mom in the hospital then heard him paged overhead...#JHMchat https://t.co/f36JLwco5c |
 | Rebecca Berger 🇮🇱 @RebeccaEBerger @aoglasser @FutureDocs @subhaairan Technology can help here, but interface for EMR app for @nyphospital EMR is not very user friendly - the times I've tried to use it to look up labs on rounds I've invariably missed something critical and discovered it way too late #jhmchat |
| Leilani Graham @LeilaniRGraham ❤️❤️❤️ for me it was “ga-ba-pen-tin” on the whiteboard, over and over and over...#JHMChat |
| Society of Hospital Medicine @SocietyHospMed Night mode in the hospital? One of many ideas being discussed in tonight’s #JHMChat still in progress! |
| Jon Lim, MD 🏳️🌈 @JonLimMD RT @LeilaniRGraham: 100%. This is where conscious design: 100%. This is where conscious design: architecture, rounding, wellness (like, reall wellness, not the buzzword) are so imperative. Today’s hospitals are not inherently a healing environment. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Topic #4 for tonight's #JHMChat https://t.co/Z5u6uF8orT |
| Vinny Arora MD MAPP @FutureDocs @wargote4 @subhaairan @RJmdphilly @Potato_Chip @aoglasser Love the “night mode” hospital for #ptexp #jhmchat reminds me of my new phone https://t.co/fSC6gV4Vf5 |
| Preeti R. John MD, MPH, FACS, FCCM, CPE, HEC-C @preeti_john @wargote4 @jlberrymd @jenreadlynn @esteckler2 Explaining reason for delay is the responsibility of the person scheduled to do procedure. Hiding behind the "proceduralist-too-busy" excuse is unacceptable. Taking a few minutes to do this for the patient makes a world of difference to them. #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @subhaairan @FutureDocs @RebeccaEBerger Display is key!!! Reviewing epic trends is immediate cognitive overload. Lab skeletons and spark lines, people! There are actual proven ways to help us absorb/interpret more info faster, rather than fry our brains by 11am. #jhmchat https://t.co/A8jFRzQFLa |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @aoglasser @FutureDocs @RebeccaEBerger yes very important. I call it "Show and Tell" I do a whole talk for med students on how to use tech during patient interactions that actually *improves* the experience. Look up data in real time, tell your pt what you are doing, then SHOW them the data! #JHMchat |
| Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs @subhaairan @RebeccaEBerger #JHMchat ha! I almost answered...um, pretty sure a Haiku has three lines and multiple structured syllables... (face palm) |
| Salty AF 🫁♻️ @saltylungs @wargote4 @subhaairan @FutureDocs @RJmdphilly @aoglasser Sign me up for night mode! #JHMChat |
| Jennifer Zagursky @JennZag4 Just don't forget to let the nurses know you told them this was ok. Otherwise the paging overhead ensues...@jenreadlynn #JHMchat |
| Leilani Graham @LeilaniRGraham “not a hospitalist, but,” observed as a patient: 1. Liability 2. Lack of staff avail for 1:1 3. Temporary lapse in practicing empathy, usually induced by burnout #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @wargote4 @subhaairan @FutureDocs @Potato_Chip @aoglasser Ironically I spent about 4 years telling our pt safety office that moving to a default of q4 VS was not going to go over well.#jhmchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @Potato_Chip @wargote4 @FutureDocs @RJmdphilly @aoglasser i'm going to design it. Lets do this #JHMchat #hospitalnightmode (need a better hashtag 🤔) |
| Vinny Arora MD MAPP @FutureDocs @aoglasser @subhaairan @RebeccaEBerger Unless you’re looking up a @tony_breu tweetorial to teach from ;) #jhmchat |
| Med Peds Hospitalist @medpedshosp @JHospMedicine A3- to me is patient's behavior. (Especially smoking). Is very sad to see my patients w sickle cell crisis going outside and smoke. It worsens the sickling. Ask @Saunthararajah But also happens in patients w COPD, CAD/PAD, etc. Is very disheartening to see. #JHMchat |
| David Alfandre @alfandremd Taking a moment to express my gratitude for the willingness of the patients among us to speak up about their private experiences in health care that help us practice better medicine. Thanks. #jhmchat |
 | Margaret Fleming @mlsfleming2 RT @FutureDocs: There is a study that shows giving patients (in nursing homes) more control is associated with longer life #JHMchat https://t.co/yUFZBv72jh |
| Journal of Hospital Medicine @JHospMedicine RT @alfandremd: Taking a moment to express my gratitude for the willingness of the patients among us to speak up about their private experiences in health care that help us practice better medicine. Thanks. #jhmchat |
| Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs @subhaairan @RebeccaEBerger @tony_breu #JHMchat ok that definitely happens!!! should clarify to "not checking twitter notifications"... |
| Vinny Arora MD MAPP @FutureDocs RT @alfandremd: Taking a moment to express my gratitude for the willingness of the patients among us to speak up about their private experiences in health care that help us practice better medicine. Thanks. #jhmchat |
 | HeartLife Foundation @HeartLifeCanada RT @JHospMedicine: Tonight at 9PM EST! Join #JHMChat to discuss the hospitalized patient experience. Bring your voices, experiences, and insights and share ways we can improve Discussing w/@brookevitti & @alfandremd https://t.co/9WbCG2gsou |
| Erin Moriarty Wade @EMoriartyWade RT @alfandremd: Taking a moment to express my gratitude for the willingness of the patients among us to speak up about their private experiences in health care that help us practice better medicine. Thanks. #jhmchat |
| HeartLife Foundation @HeartLifeCanada RT @jilliannec: Hello I am Jillianne. I am a 15 year #HeartFailure survivor, 2x heart #Transplant recipient, and president and co-founder of @HeartLifeCanada I am also a @UBCEduc education, technology and #SoMe health researcher #CardioTwitter #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JonLimMD And often that "policy" is nowhere to be found. #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @RebeccaEBerger @aoglasser @FutureDocs @nyphospital I designed an app for this at Penn - it can completely replace paper for rounds - vitals, labs, meds, MAR, studies. totally doable. But need buy in from hospital IT depts to connect to work with #EHRconnected apps #JHMchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @jenreadlynn @JHospMedicine OMG, yes. From the PT perspective discharge can often feel so disorganized. It feels like you wait forever then all of a sudden RUSH or you leave and aren't sure what to do next. #JHMChat |
| Anika Kumar, MD (she/her) @freckledpedidoc @aoglasser @JHospMedicine @gopiastik I am a big fan of “go off the unit in a wheel chair” if patients can’t walk for safety reasons #jhmchat |
| Med Peds Hospitalist @medpedshosp RT @subhaairan: @RebeccaEBerger @aoglasser @FutureDocs @nyphospital I designed an app for this at Penn - it can completely replace paper for rounds - vitals, labs, meds, MAR, studies. totally doable. But need buy in from hospital IT depts to connect to work with #EHRconnected apps #JHMchat |
| Society of Hospital Medicine @SocietyHospMed Having patients and patient advocates join us tonight is absolutely spectacular. Thank you! #JHMChat |
| Leilani Graham @LeilaniRGraham A4: Have an honest conversation. A large % of what patients want can be arranged. Often, they don’t know how to ask for it/ that they have the ability to ask for it. #JHMChat |
| Med Peds Hospitalist @medpedshosp @subhaairan @RebeccaEBerger @aoglasser @FutureDocs @nyphospital But is a wise investment!!!! Saves time and money at the long run #JHMchat |
| Alan J. Card @AlanJCard RT @Potato_Chip: @aoglasser @FutureDocs Sleep is so tough in the hospital. I’ve had someone wake me up to take PRN sleep medicine, wake up to be weighed at 4am and of course the lovely 4am labs 🤦🏻♀️ sometimes I can get them moved so I can sleep but a lot of times I’m told it’ll throw everything off so no. #JHMchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @RJmdphilly @FutureDocs @RebeccaEBerger i'm sorry, but i cant help myself: https://t.co/EI3IIDNclj #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Topic #4 for tonight's #JHMChat https://t.co/Z5u6uF8orT |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @subhaairan @FutureDocs @RebeccaEBerger I think having residents interpret labs in real time gives so much insight into their thought process and how they deal with unknowns. I like it. Also allows me to talk through something with the patient and let them know I need to do more work before making decisions. #JHMchat |
| Journal of Hospital Medicine @JHospMedicine As we come to a close for tonights #JHMChat, please feel free to get #CME for participation --> https://t.co/0wO2swZq87 |
| Med Peds Hospitalist @medpedshosp @JHospMedicine A4 - we need to adjust. I prefer to give normal diet to patients and simply adjust the insulin and diuretics. #JHMchat |
| David Alfandre @alfandremd "Now that we've discussed your treatment plan, tell me what's important to you so we can be sure to address that during this hospitalization. Knowing that helps me take better care of you." #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @aoglasser @subhaairan @RebeccaEBerger We could write a haiku about haiku #meta #jhmchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @aoglasser @FutureDocs @RebeccaEBerger @tony_breu lol. i promise. this is for you, not me. #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @subhaairan: @RJmdphilly @FutureDocs @RebeccaEBerger i'm sorry, but i cant help myself: https://t.co/EI3IIDNclj #JHMchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: As we come to a close for tonights #JHMChat, please feel free to get #CME for participation --> https://t.co/0wO2swZq87 |
| Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs @subhaairan @RebeccaEBerger #jhmchat something meta?? gotta drag @ETSshow into this convo |
| Anika Kumar, MD (she/her) @freckledpedidoc @JHospMedicine A4. Discuss openly challenges (patients) and safety concerns (physicians). We can all find common ground thru some SDM, we just have to be willing to discuss with each other. #jhmchat |
 | Andrea Boggild, MD @BoggildLab RT @jilliannec: Hello I am Jillianne. I am a 15 year #HeartFailure survivor, 2x heart #Transplant recipient, and president and co-founder of @HeartLifeCanada I am also a @UBCEduc education, technology and #SoMe health researcher #CardioTwitter #JHMChat |
| Beth Steckler (she/her) @purplemamabear Topic 4 I think this can be so hard due to current healthcare system today. There are so many demands on physicians that take them away from ‘bedside’ I believe the ability to spend more time w caregiver patient would be beneficial but in some ways going away from that #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @freckledpedidoc: @JHospMedicine A4. Discuss openly challenges (patients) and safety concerns (physicians). We can all find common ground thru some SDM, we just have to be willing to discuss with each other. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Final 10 minutes with any closing thoughts or inputs... And a big 'Thank You!' for all the patients who have joined our conversation tonight. Thank you for sharing your stories and experiences. Undoubtedly, this #JHMChat will lead to improved patient experiences... |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @Potato_Chip @wargote4 @FutureDocs @RJmdphilly @aoglasser getting input from people who have lived it is key ♥️🙏 #JHMchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @JHospMedicine Have a frank and open conversation. Talk about what is realistic. Recognize that is sucks being in the hospital but work together to have both a #CarePlan and a living arrangement. Right down to quiet periods for rest, space for exercise, include psychology support #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Final 10 minutes with any closing thoughts or inputs... And a big 'Thank You!' for all the patients who have joined our conversation tonight. Thank you for sharing your stories and experiences. Undoubtedly, this #JHMChat will lead to improved patient experiences... |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: As we come to a close for tonights #JHMChat, please feel free to get #CME for participation --> https://t.co/0wO2swZq87 |
| HeartLife Foundation @HeartLifeCanada RT @jilliannec: @JHospMedicine Whatever you can do to encourage a bit of #agency would go a long way. Give me choice, give me as much freedom as you can (as long as I let you know where I am at all times) then I am less likely to #CodeYellow and go AWOL #JHMChat |
| Salty AF 🫁♻️ @saltylungs @aoglasser YES! Peds also had really good fridges stocked with tons of snacks for CFers to encourage us to eat more but adult has nothing like that. Better all around in peds. #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @FutureDocs @Potato_Chip @wargote4 @RJmdphilly @aoglasser you are always "in" #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @JennZag4: Just don't forget to let the nurses know you told them this was ok. Otherwise the paging overhead ensues...@jenreadlynn #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @subhaairan: @Potato_Chip @wargote4 @FutureDocs @RJmdphilly @aoglasser getting input from people who have lived it is key ♥️🙏 #JHMchat |
| Leilani Graham @LeilaniRGraham Similarly, patients don’t always know resources already available. I found out about art therapy two weeks into my ICU stay, after I’d already lost the ability to sign my name (and had been asked to for my 4th open heart consent that month). Promote non-med therapies! #JHMChat |
| Beth Steckler (she/her) @purplemamabear Topic 4 Also always starting w #patients goal or outcome particularly when or if chronic sit. That way all on same page. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @JHospMedicine: As we come to a close for tonights #JHMChat, please feel free to get #CME for participation --> https://t.co/0wO2swZq87 |
| Preeti R. John MD, MPH, FACS, FCCM, CPE, HEC-C @preeti_john @JHospMedicine Flexible #pettherapy policy - patients who love animals should be able to have them visit in the hospital if possible (Pro: happiness-inducing intervention. Con: allergies may be an issue for others). #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Night mode in the hospital? One of many ideas being discussed in tonight’s #JHMChat still in progress! |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @medpedshosp @RebeccaEBerger @aoglasser @FutureDocs @nyphospital yes! and a whole lot less burnout (or should i say, a whole lot more wellness). the #1 thing i hear is "this makes my life easier" #JHMchat |
| Kelly Bergin @kellybergin That commitment to valuing a patient’s humanity: respecting their sleep, their privacy, their emotional needs has such a great impact on physical health. You have to want to survive to survive. It’s easy to lose that desire when you’re being treated like a chart to get through. |
| Med Peds Hospitalist @medpedshosp @JHospMedicine Thank you!!! Our patients are our reason to exist!!! #JHMchat |
| Anika Kumar, MD (she/her) @freckledpedidoc @Potato_Chip @aoglasser Thanks Chippy! We like to keep our freezers stocked with ice cream & popsicles too. #jhmchat |
| Salty AF 🫁♻️ @saltylungs @aoglasser Yes! I love to go on long walks when I’m allowed. Go grab food and socialize and look at random things on the wall along the way. Walking in the hospital or yoga are my favorite activities when inpatient. #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine A4: Communicate. We need transparency both ways and to remember that each of us has our own agenda but we can work together. #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @Potato_Chip @aoglasser So so so much of this is better at children’s hospitals as far as I can tell. It’s disheartening for us adult docs #jhmchat |
| Jon Lim, MD 🏳️🌈 @JonLimMD #JHMChat I think a real honesty, a lot of creativity and problem solving, and planning for safety concerns can solve many independence pickles. New tech and other community support solutions still needed. |
| Vinny Arora MD MAPP @FutureDocs @subhaairan @aoglasser @RebeccaEBerger @TrekITHealth For the attending it def helps - not a total replace but supplement #jhmchat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @JHospMedicine Also, how are the family carer(s) involved? Or children? People hospitalized have worries about their loved ones as well. Guilt about being a burden, or having to put them through all of the worry #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @medpedshosp @JHospMedicine Amen! It's how they eat at home anyway. #jhmchat |
| Jennifer Zagursky @JennZag4 Yes! Transparency. Without it there can be no trust. #JHMchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @RJmdphilly @Potato_Chip @aoglasser So true. when i cross that hallway from one to the other, it looks different, smells different, feels different. and you know the smiles on peoples' faces are bigger! #JHMchat |
| Salty AF 🫁♻️ @saltylungs @freckledpedidoc @aoglasser I live off ubereats in the hospital which is great and convenient but adds up so quickly. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @LeilaniRGraham: Similarly, patients don’t always know resources already available. I found out about art therapy two weeks into my ICU stay, after I’d already lost the ability to sign my name (and had been asked to for my 4th open heart consent that month). Promote non-med therapies! #JHMChat |
| Dr. Tsega @drtsega Closing thoughts: I think honesty and transparency is really important— the patient may not get exactly what they are requesting, but taking the time to talk and work through the request goes a long way #JHMChat |
 | Ronald Hirsch, MD @signaturedoc @subhaairan @wargote4 @FutureDocs @RJmdphilly @Potato_Chip @aoglasser Jus remember if they are in the hospital for monitoring a condition or symptom (think TIA) and you order “night mode,” you’re admitting they don’t need to be in the hospital for monitoring. Insurers will deny payment left and right. #JHMChat |
 | Children deserve better @chirembawa RT @kirstin_manges: @JHospMedicine #2 Not knowing what is going on (& why) really sucks. Even if you have medical knowledge. It’s also very frustrating to tell your story over an over again & to hear different things from multiple providers. Please do interprofessional rounding! #TheTeamTheTeamTheTeam #jhmchat |
| Leilani Graham @LeilaniRGraham THIS. Literally the bane of my existence. I can sing (on pitch) both the beep of a disconnected telemetry lead and the alarm of an occluded line at a moment’s recall. Some things stay with you, always. #JHMChat cc @yokoksen |
| Vinny Arora MD MAPP @FutureDocs RT @JonLimMD: #JHMChat I think a real honesty, a lot of creativity and problem solving, and planning for safety concerns can solve many independence pickles. New tech and other community support solutions still needed. |
| David Alfandre @alfandremd Colleagues - we should be working to create a "least restrictive" environment for our patients. Make the default patient movement UNELSS there are compelling safety considerations or such movement will interfere with timely efficient care. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @jenreadlynn: @JHospMedicine A4: @JHospMedicine A4: Communicate. We need transparency both ways and to remember that each of us has our own agenda but we can work together. #JHMchat |
| Kelly Bergin @kellybergin Being at the @NIH for years, I have to say the clinicians there do a really good job of honoring the person & not just the research. The residents can lose that focus because they’re only on rotation, but attendings build relationships. I travel hours to get there, I need that. |
| Med Peds Hospitalist @medpedshosp @freckledpedidoc @Potato_Chip @aoglasser Nothing like a popsicle to rehydrate kids!!! #JHMchat |
| Journal of Hospital Medicine @JHospMedicine What a robust discussion tonight. So many things to take home and think about. Thanks again for all who've participated #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @medpedshosp: @JHospMedicine Thank you!!! Our patients are our reason to exist!!! #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly RT @JonLimMD: #JHMChat I think a real honesty, a lot of creativity and problem solving, and planning for safety concerns can solve many independence pickles. New tech and other community support solutions still needed. |
| Erin Moriarty Wade @EMoriartyWade @JHospMedicine Thanks for a great chat! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @drtsega Well put, Dr. Tsega #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @jenreadlynn @JHospMedicine humanizing the experience is so important. i ask to look at pictures of my patients/families, talk about a recent trip, often can lead to something, often little, that can make their experience better. #JHMchat |
| Brian @BMont81 Communication is key on both sides. As a patient your voice needs to be heard, but there’s a balance for sure. The more open dialogue the more improved the relationship, and trust forms #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @BMont81: Communication is key on both sides. As a patient your voice needs to be heard, but there’s a balance for sure. The more open dialogue the more improved the relationship, and trust forms #JHMChat |
| 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡 @jilliannec @JHospMedicine Thank you for the great questions and for hosting such an important conversation! #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @JHospMedicine @drtsega so true. many things that cause frustrations, when we explain why they are happening that way, make them easier to manage. but also, those discussions sometimes lead me to change my point of view too, which is good! #JHMchat |
 | Nina Martínez @marganina RT @kellybergin: Being at the @NIH for years, I have to say the clinicians there do a really good job of honoring the person & not just the research. The residents can lose that focus because they’re only on rotation, but attendings build relationships. I travel hours to get there, I need that. |
| Vinny Arora MD MAPP @FutureDocs I really want to say this has been one of my favorites - so great to connect with patients and clinicians on ideas to improve care from patient perspective ❤️ #jhmchat |
| Salty AF 🫁♻️ @saltylungs @jenreadlynn @JHospMedicine Definitely. Acknowledge that we each have our own agendas and honestly communicate! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine That's a wrap, folks! Thanks again for participating in tonight's #JHMChat. Keep the conversations going and I know the Hospital Medicine community will continue to listen... |
| Rebecca Jaffe, MD @RJmdphilly RT @alfandremd: Colleagues - we should be working to create a "least restrictive" environment for our patients. Make the default patient movement UNELSS there are compelling safety considerations or such movement will interfere with timely efficient care. #jhmchat |
| Jonathan Berry @jlberrymd Thanks for a great chat and for all the amazing patient perspectives tonight! #JHMChat |
| David Alfandre @alfandremd Thanks everyone. A great discussion. #jhmchat |
| Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) @aoglasser @FutureDocs #JHMchat agree! this has been so impactful and enlightening to hear the voices participating tonight!! More of the same on future topics?? |
| Anika Kumar, MD (she/her) @freckledpedidoc Thanks #JHMchat for a great discussion. Special thanks to all the patients who joined us. Thank you for sharing your stories. |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: That's a wrap, folks! Thanks again for participating in tonight's #JHMChat. Keep the conversations going and I know the Hospital Medicine community will continue to listen... |
| Vinny Arora MD MAPP @FutureDocs RT @BMont81: Communication is key on both sides. As a patient your voice needs to be heard, but there’s a balance for sure. The more open dialogue the more improved the relationship, and trust forms #JHMChat |
| Gopi Astik @gopiastik A4: Openly communicate. Physicians should remember we are seeing patients during a time of physical and emotional stress. They may need to hear things more than once and may need help making decisions. Proactive communication is always better than reactive. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed A reminder: You still have time to claim CME from this #JHMChat 📚 Credit available until 11:59 PM ET (12.09) // @JHospMedicine 👉 This way to claim: https://t.co/hp9wKiBicj |
| Journal of Hospital Medicine @JHospMedicine Big shout out to @brookevitti and @alfandremd for being the centerpieces of tonight's #JHMChat discussion. We really appreciate you all taking the time out of your busy lives. |
| Kaishauna Guidry, MD, HMDC @DrMamaKai RT @JHospMedicine: As we come to a close for tonights #JHMChat, please feel free to get #CME for participation --> https://t.co/0wO2swZq87 |
| David Alfandre @alfandremd Thanks to @JHospMedicine for bringing patients and clinicians ?and others together. Collaboration will make us better! #jhmchat |
| Leilani Graham @LeilaniRGraham “DCs FOR EVERYONE.” But actually, if it’s no longer therapeutic, please and thanks. #JHMChat https://t.co/JORARaOTZw |
| Journal of Hospital Medicine @JHospMedicine RT @alfandremd: Thanks to @JHospMedicine for bringing patients and clinicians ?and others together. Collaboration will make us better! #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: A reminder: A reminder: You still have time to claim CME from this #JHMChat 📚 Credit available until 11:59 PM ET (12.09) // @JHospMedicine 👉 This way to claim: https://t.co/hp9wKiBicj |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @alfandremd I think education for us would help here. what are things we should look for or think about the might affect my patient's (or others') safety? when is it ok to go off the floor? #JHMchat |
| Salty AF 🫁♻️ @saltylungs @aoglasser @subhaairan @RJmdphilly Yeah.. transitioning from peds was like going from the most happy and fun place to a sad place I couldn’t leave. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed RT @alfandremd: Thanks to @JHospMedicine for bringing patients and clinicians ?and others together. Collaboration will make us better! #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Big shout out to @brookevitti and @alfandremd for being the centerpieces of tonight's #JHMChat discussion. We really appreciate you all taking the time out of your busy lives. |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: A reminder: A reminder: You still have time to claim CME from this #JHMChat 📚 Credit available until 11:59 PM ET (12.09) // @JHospMedicine 👉 This way to claim: https://t.co/hp9wKiBicj |
| Jon Lim, MD 🏳️🌈 @JonLimMD A really special #JHMChat Twitter experience with patients and one of the authors of the paper @alfandremd in the chat. |
| Journal of Hospital Medicine @JHospMedicine RT @JonLimMD: A really special #JHMChat Twitter experience with patients and one of the authors of the paper @alfandremd in the chat. |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @alfandremd this weekend had a pt who wanted to go to caf, i really wanted to let her go, but was worried. got her in the chair, checked BP one more time (she felt fine!) & her DBP was down to 30 w/ low MAP. had to come back to bed. may not have checked except that I was worried. #JHMchat |
| Kaishauna Guidry, MD, HMDC @DrMamaKai @JHospMedicine It’s our most precious commodity...time #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Hear, hear! And thanks to @WrayCharles for leading the discussion and partners @ABIMFoundation & @CostsofCare. Another fantastic #JHMChat! |
 | MB @EspirituMb RT @alfandremd: Best thing I've ever read on promoting patient-centered care. #jhmchat https://t.co/J5bzwhYsiU |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn RT @gopiastik: A4: A4: Openly communicate. Physicians should remember we are seeing patients during a time of physical and emotional stress. They may need to hear things more than once and may need help making decisions. Proactive communication is always better than reactive. #jhmchat |
| Kaishauna Guidry, MD, HMDC @DrMamaKai @JHospMedicine Communication is key & so are open discussions like #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @FutureDocs ditto <3 #JHMchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @aoglasser @RJmdphilly @Potato_Chip great point. #JHMchat |
| Leilani Graham @LeilaniRGraham RT @alfandremd: Taking a moment to express my gratitude for the willingness of the patients among us to speak up about their private experiences in health care that help us practice better medicine. Thanks. #jhmchat |
| Med Peds Hospitalist @medpedshosp RT @SocietyHospMed: A reminder: A reminder: You still have time to claim CME from this #JHMChat 📚 Credit available until 11:59 PM ET (12.09) // @JHospMedicine 👉 This way to claim: https://t.co/hp9wKiBicj |
| Med Peds Hospitalist @medpedshosp RT @freckledpedidoc: Thanks #JHMchat for a great discussion. Special thanks to all the patients who joined us. Thank you for sharing your stories. |
| Med Peds Hospitalist @medpedshosp RT @SocietyHospMed: Hear, hear! And thanks to @WrayCharles for leading the discussion and partners @ABIMFoundation & @CostsofCare. Another fantastic #JHMChat! |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn So great to have patients as part of the discussion! Another great #JHMchat! Thank you all! |
| Leilani Graham @LeilaniRGraham So many wonderful #EndWell talks coming to mind on the importantance of sitting with fellow humans. @endwellSF #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @subhaairan @alfandremd Maybe it’s about progressive autonomy...just like medical education. #jhmchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @signaturedoc @wargote4 @FutureDocs @RJmdphilly @Potato_Chip @aoglasser fair point. but the key to design is making it appropriate & applicable. #hospitalnightmode only works for non-critical care situations where people truly can go ~6hrs without active monitoring. even in ICUs tho, we can do a better job of batching interactions #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @subhaairan @signaturedoc @wargote4 @FutureDocs @Potato_Chip @aoglasser Yes! Batching is key. You might need VS, and Neuro check, and labs over night, but let’s at least do them all at the same time! And if you need them once in 8 hours, there must be some sleep Med science on when in cycle sleep interruptions are best tolerated. #jhmchat |
 | Brian Locke @doc_BLocke @FutureDocs Ahh it's 2 simultaneous twitter-chats converging in my feed... #ATSchat (sleep medicine opportunities) #JHMChat (patient experiences of hospitalization) (in seriousness, this is such as needed area of attention! 👏) https://t.co/NJetIm19yf |
| Leilani Graham @LeilaniRGraham @SocietyHospMed @JHospMedicine So, so many things, but predominantly that just because I’m so lucky to be educated, articulate, & privileged to receive top care: that doesn’t mean I’m not scared as shit. Speak to me as an equal, but comfort me w/wisdom I don’t have. Then do it for every patient. #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @jenreadlynn @aoglasser @Potato_Chip @RJmdphilly @JHospMedicine @SocietyHospMed @AJenkins_MD and i'm sure often these hospitals are not necessarily in the same "health system" so communicating as care providers can be challenging #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly @subhaairan @signaturedoc @wargote4 @FutureDocs @Potato_Chip @aoglasser Also we all know there are plenty of people who are in the hospital who can’t leave but don’t need VS or other intervention overnight. Let’s not let our decisions/design be guided by our demons (ie capitulating to perverse incentives) #jhmchat |
| Leilani Graham @LeilaniRGraham RT @LeilaniRGraham: @SocietyHospMed @JHospMedicine So, so many things, but predominantly that just because I’m so lucky to be educated, articulate, & privileged to receive top care: that doesn’t mean I’m not scared as shit. Speak to me as an equal, but comfort me w/wisdom I don’t have. Then do it for every patient. #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @RJmdphilly @Potato_Chip @aoglasser we ARE on the same team! but the system sometimes doesnt make it easy =( #JHMchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @jenreadlynn @FutureDocs @RebeccaEBerger i LOVE being able to sit with patients and show them their labs, their trends. "see this line coming down? that is your temp/infection count. this is why we dont need to start you on abx..." <3 or walking through meds for dc off my phone #usability #JHMchat |
| Balki Bartokomous @wargote4 @RJmdphilly @subhaairan @signaturedoc @FutureDocs @Potato_Chip @aoglasser Waiting for insurance approval for SNF placement. #JHMchat As an aside I soooo wish insurance companies had to give us a decision quickly instead of dragging their feet and wasting everyone’s time |
 | Jasmine R Marcelin, MD, FACP, FIDSA 🦠 @DrJRMarcelin RT @SocietyHospMed: Still plenty of time to jump in on this special #JHMChat with @JHospMedicine! |
 | Gwen DuBois-Wing @GDuBoisWing My siblings & I had our parents in the hospital at the same time. Our Dad was transported to Ottawa for CABG surgery while our Mom was having hip surgery & was in excruciating pain. As they said goodbye, they didn’t know if they would see each other again. Actions & words matter. |
| Brian @BMont81 We just honestly want to be heard. I was on a vent for 4 weeks, 3 of them wide awake. An understanding on what that does to the patient mentally, how draining those situations are, can lead to compassion during communication on next steps for care, even if uneasy news #JHMChat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan @BMont81 🙏🏽thank you for sharing your experience. #JHMchat |
| Med Peds Hospitalist @medpedshosp RT @gopiastik: Come on over to the #JHMChat to voice your thoughts on questions like this 👇🏽👇🏽 |
 | Bingle @TheBingle RT @EMoriartyWade: I think it’s important to understand how tough the logistics can be for families. We were told we’d need 3 nights in the hospital each month for the foreseeable future for an IV treatment. It was an absolutely daunting prospect for us with two careers and two other kids. #JHMChat |
 | Mark Shapiro, MD @ETSshow @aoglasser @FutureDocs @subhaairan @RebeccaEBerger I’m so bummed to have missed #JHMChat tonight. Will catch up on the discussion |
 | Jon McBride 🌴 @jamcbride RT @EMoriartyWade: Consider the possibility that maybe your patient might not need to be hospitalized. We learned that we could avoid some hospital stays through a combination of outpatient care and home health nurses who taught me to administer an IV. #JHMChat |
| Mark Shapiro, MD @ETSshow This #MedThread from @brookevitti is heartfelt & impactful. Highly Recommended #JHMChat |
 | Jennifer Northcutt @SpellmakerJacey RT @esteckler2: Topic #1 Both my kids have diabetes due to pancreatitis. We struggle with hospitalizations due to protocol has to adhere to what hospital does to address diabetes instead of what patient usually does. Also kids can’t check own bs need to wait even though episodes drop #JHMchat |
| Subha Airan-Javia MD FAMIA (she/her) @subhaairan RT @WrayCharles: Great insight here. Our nursing colleagues are often the ones driving patient experiences. Instead of thinking of this as a two-way conversation (patient-doctor), it should probably be a 3-way conversation (patient-RN-doctor) #JHMChat |
 | Dr. Savita Dhanvantari @sdhanvan RT @jilliannec: Hello I am Jillianne. I am a 15 year #HeartFailure survivor, 2x heart #Transplant recipient, and president and co-founder of @HeartLifeCanada I am also a @UBCEduc education, technology and #SoMe health researcher #CardioTwitter #JHMChat |
 | Doc Jim @DocJim123 RT @JHospMedicine: Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat where we'll be discussing the hospital patient experience from both sides of the bed rail: patients & clinician. Go ahead and introduce yourself while we wait for others to join... https://t.co/fQu4nWJSi1 |
 | Rolly @rolly8012 RT @gopiastik: A4: A4: Openly communicate. Physicians should remember we are seeing patients during a time of physical and emotional stress. They may need to hear things more than once and may need help making decisions. Proactive communication is always better than reactive. #jhmchat |
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