#JHMChat Transcript

Healthcare social media transcript of the #JHMChat hashtag.
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J Hospital Medicine @JHospMedicine
Greetings, I am @FutureDocs your moderator for tonight's #JHMChat. Please introduce yourself. T1 up in a moment...
Shoshana Herzig @ShaniHerzig
Let’s talk #opiates! #JHMChat #turnthetide https://t.co/j9B4ZVIwBW
J Hospital Medicine @JHospMedicine
Tonight's #JHMChat article- Hospitalists Perspective on #opioidepidemic. See https://t.co/LxeEsEMtqt AND https://t.co/pUuoI2eEhN
Tony Breu @tony_breu
Excited to join tonight’s #JHMChat. Here from VA Boston.
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: Let’s talk #opiates! #JHMChat #turnthetide https://t.co/j9B4ZVIwBW
J Hospital Medicine @JHospMedicine
welcome to special guest @ShaniHerzig! author of Opening Black Box of #opioid prescribing #JHMChat https://t.co/pUuoI2eEhN
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Greetings, I am @FutureDocs your moderator for tonight's #JHMChat. Please introduce yourself. T1 up in a moment...
Society of Hospital Medicine @SocietyHospMed
RT @ShaniHerzig: Let’s talk #opiates! #JHMChat #turnthetide https://t.co/j9B4ZVIwBW
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Tonight's #JHMChat article- Hospitalists Perspective on #opioidepidemic. See https://t.co/LxeEsEMtqt AND https://t.co/pUuoI2eEhN
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: welcome to special guest @ShaniHerzig! author of Opening Black Box of #opioid prescribing #JHMChat https://t.co/pUuoI2eEhN
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Greetings, I am @FutureDocs your moderator for tonight's #JHMChat. Please introduce yourself. T1 up in a moment...
Rebecca Jaffe @RJmdphilly
Loved the last #jhmchat and psyched for this one. From philly where we're seeing all kinds of opiate badness.
Shannon K. Martin @shannonmartinmd
Shannon Martin from UChicago. Looking forward to the #jhmchat!
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: Let’s talk #opiates! #JHMChat #turnthetide https://t.co/j9B4ZVIwBW
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: welcome to special guest @ShaniHerzig! author of Opening Black Box of #opioid prescribing #JHMChat https://t.co/pUuoI2eEhN
Charlie M. Wray @WrayCharles
Joining #JHMChat from the (always foggy) VA San Francisco
Joshua Allen-Dicker @DrJoshuaAD
Excited to discuss the paper, as well as editorial by @ShaniHerzig #JHMchat
Maram Museitif @marammph
Maram from Austin joining #jhmchat
J Hospital Medicine @JHospMedicine
T1: Do hospitalists overuse opioids? if so, why or if not, why not? #JHMChat look forward to your stories and views
Shoshana Herzig @ShaniHerzig
>50% hospitalized non-surgical pts exposed to #opioids, majority are new initiations. #JHMChat https://t.co/J34r7zNsq4
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: T1: Do hospitalists overuse opioids? if so, why or if not, why not? #JHMChat look forward to your stories and views
Shoshana Herzig @ShaniHerzig
Unless >50% of our pts are in severe pain, this is too much. #JHMChat
Rebecca Jaffe @RJmdphilly
RT @JHospMedicine: T1: Do hospitalists overuse opioids? if so, why or if not, why not? #JHMChat look forward to your stories and views
Society of Hospital Medicine @SocietyHospMed
And we're off and running w/ #JHMChat! Join the convo - don't forget to include the hashtag in your tweets! https://t.co/3MisERvtcS
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: >50% hospitalized non-surgical pts exposed to #opioids, majority are new initiations. #JHMChat https://t.co/J34r7zNsq4
J Hospital Medicine @JHospMedicine
RT @SHMLive: And we're off and running w/ #JHMChat! Join the convo - don't forget to include the hashtag in your tweets! https://t.co/3MisERvtcS
Poyan Mehr @poyanmehr
RT @ShaniHerzig: >50% hospitalized non-surgical pts exposed to #opioids, majority are new initiations. #JHMChat https://t.co/J34r7zNsq4
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: >50% hospitalized non-surgical pts exposed to #opioids, majority are new initiations. #JHMChat https://t.co/J34r7zNsq4
Zackary Berger, MD, PhD @ZackBergerMDPhD
RT @ShaniHerzig: >50% hospitalized non-surgical pts exposed to #opioids, majority are new initiations. #JHMChat https://t.co/J34r7zNsq4
Chris Moriates, MD @ChrisMoriates
Joining #JHMChat from Austin TX, Dell Med School.. Happy to see so many friends already here!
J Hospital Medicine @JHospMedicine
@DrJoshuaAD @ShaniHerzig thanks for joining #jhmchat! Look forward to your thoughts
Laura Fanucchi @laurafanucchi
Hello from Lexington, KY - looking forward to the #JHMChat on #opioids
J Hospital Medicine @JHospMedicine
@WrayCharles clarity from the fog #jhmchat good to see you
Tony Breu @tony_breu
I probably do. Partly due to training in an era in which pain was the 5th vital sign. #JHMChat https://t.co/PuJQTU5zHa
J Hospital Medicine @JHospMedicine
@ShannonMartinMD long time no see thx for joining #jhmchat stories from gens?
Charlie M. Wray @WrayCharles
T1: I think the answer is nuanced - but we probably do, and probably more so in wrong populations #JHMChat
J Hospital Medicine @JHospMedicine
@tony_breu thx for joining #jhmchat !
J Hospital Medicine @JHospMedicine
@RJmdphilly thx great to have you on #jhmchat look forward to your thoughts on this important topic
J Hospital Medicine @JHospMedicine
RT @tony_breu: I probably do. Partly due to training in an era in which pain was the 5th vital sign. #JHMChat https://t.co/PuJQTU5zHa
J Hospital Medicine @JHospMedicine
RT @WrayCharles: T1: I think the answer is nuanced - but we probably do, and probably more so in wrong populations #JHMChat
J Hospital Medicine @JHospMedicine
RT @ChrisMoriates: Joining #JHMChat from Austin TX, Dell Med School.. Happy to see so many friends already here!
J Hospital Medicine @JHospMedicine
For those just joining here is T1 - what do you think ? #jhmchat https://t.co/GtxGA6TbSd
Charlie M. Wray @WrayCharles
Couldn't agree more. Trained under adage "We're not treating pts pain well enough!" #JHMChat (ie.2011 IOM report) https://t.co/MAE5mQMKlJ
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: For those just joining here is T1 - what do you think ? #jhmchat https://t.co/GtxGA6TbSd
Shoshana Herzig @ShaniHerzig
What do you all see as the greatest pressures to prescribe? #jhmchat
Maram Museitif @marammph
T1: To a certain degree yes but due to certain restrictions some hospitals such as the VA modestly prescribed opioids. #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @WrayCharles: Couldn't agree more. Trained under adage "We're not treating pts pain well enough!" #JHMChat (ie.2011 IOM report) https://t.co/MAE5mQMKlJ
Society of Hospital Medicine @SocietyHospMed
RT @ShaniHerzig: What do you all see as the greatest pressures to prescribe? #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: What do you all see as the greatest pressures to prescribe? #jhmchat
Tony Breu @tony_breu
T1: I was also trained to think that NSAIDs are dangerous and acetaminophen doesn’t work. Opiates? They work! They’re safe? #jhmchat
J Hospital Medicine @JHospMedicine
T1.5 Great question from our guest author @ShaniHerzig #jhmchat https://t.co/berXDirnKL
Rebecca Jaffe @RJmdphilly
@ShaniHerzig pt pressure, desire to help, lack of access to multimodal approach (read drug Rx and psych), linkage to otpt provider. #jhmchat
Tony Breu @tony_breu
RT @ShaniHerzig: What do you all see as the greatest pressures to prescribe? #jhmchat
Charlie M. Wray @WrayCharles
For me: Efficiency & logistics. Gr8 quote in article about this. #JHMChat https://t.co/vzVT9eOu8T
Shoshana Herzig @ShaniHerzig
@tony_breu Agreed, and I think most MDs are motivated by their desire to relieve pain in the absence of many great alternatives #jhmchat
Shannon K. Martin @shannonmartinmd
T1: Nature of hospitalist job may highlight conditions that incr overuse risk: workload, d/c pressure, many "freq flier" encounters #jhmchat
Rebecca Jaffe @RJmdphilly
#jhmchat. Indexing https://t.co/83MbY92g1a
Vinny Arora MD MAPP @FutureDocs
T1.5 I definitely feel like one pressure is the concern about pain as part of #ptexp #ptsatisfaction #jhmchat
Society of Hospital Medicine @SocietyHospMed
Don't miss out on the convo on the #opioidepidemic & how #hospitalists can affect it on #JHMChat now - also #CME available!
Chris Moriates, MD @ChrisMoriates
RT @ShaniHerzig: >50% hospitalized non-surgical pts exposed to #opioids, majority are new initiations. #JHMChat https://t.co/J34r7zNsq4
Vinny Arora MD MAPP @FutureDocs
RT @WrayCharles: For me: Efficiency & logistics. Gr8 quote in article about this. #JHMChat https://t.co/vzVT9eOu8T
J Hospital Medicine @JHospMedicine
@haroldpollack @ShaniHerzig thx Harold for joining. Use #jhmchat to tag your tweets to participate :)
Harold Pollack @haroldpollack
@WrayCharles How can one correct current over-prescribing without overshooting once again and under-treating pain? #JHMChat
Rebecca Jaffe @RJmdphilly
@atanksley @ShaniHerzig I am very interested to know if this is a real tension. Is it for sat scores? #jhmchat
J Hospital Medicine @JHospMedicine
RT @ShannonMartinMD: T1: Nature of hospitalist job may highlight conditions that incr overuse risk: workload, d/c pressure, many "freq flier" encounters #jhmchat
Audrey L Tanksley @atanksley
@ShaniHerzig I find the greatest pressure is balancing patient satisfaction with safety #jhmchat
Society of Hospital Medicine @SocietyHospMed
#JHMChat is officially underway! Join the convo on #opioids, and include the #JHMChat hashtag in each tweet so you're not left out!
Shoshana Herzig @ShaniHerzig
T1: Pressure from patients to ELIMINATE pain is huge, in my view... #jhmchat
J Hospital Medicine @JHospMedicine
@RJmdphilly nice self correction #jhmchat
J Hospital Medicine @JHospMedicine
RT @RJmdphilly: #jhmchat. Indexing https://t.co/83MbY92g1a
Honora Englander @honoraenglander
T1: hospitalists need training to tx opioid withdrawal; methadone much safer than IV dilaudid for w/d; need protocols & systems #jhmchat
J Hospital Medicine @JHospMedicine
RT @atanksley: @ShaniHerzig I find the greatest pressure is balancing patient satisfaction with safety #jhmchat
Shoshana Herzig @ShaniHerzig
T1: Interestingly, more opioid use doesn't translate to better Press Ganey scores (in the ED, that is)​. #JHMChat https://t.co/8gLlX8mTW7
Harold Pollack @haroldpollack
RT @ShannonMartinMD: T1: Nature of hospitalist job may highlight conditions that incr overuse risk: workload, d/c pressure, many "freq flier" encounters #jhmchat
J Hospital Medicine @JHospMedicine
RT @haroldpollack: @WrayCharles How can one correct current over-prescribing without overshooting once again and under-treating pain? #JHMChat
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: T1: Pressure from patients to ELIMINATE pain is huge, in my view... #jhmchat
J Hospital Medicine @JHospMedicine
RT @SHMLive: #JHMChat is officially underway! Join the convo on #opioids, and include the #JHMChat hashtag in each tweet so you're not left out!
J Hospital Medicine @JHospMedicine
RT @honoraenglander: T1: hospitalists need training to tx opioid withdrawal; methadone much safer than IV dilaudid for w/d; need protocols & systems #jhmchat
Audrey L Tanksley @atanksley
RT @ShannonMartinMD: T1: Nature of hospitalist job may highlight conditions that incr overuse risk: workload, d/c pressure, many "freq flier" encounters #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: T1: Interestingly, more opioid use doesn't translate to better Press Ganey scores (in the ED, that is)​. #JHMChat https://t.co/8gLlX8mTW7
Chris Moriates, MD @ChrisMoriates
Yes. Appropriate expectation setting is so important... and so difficult. #jhmchat https://t.co/knzTOUDgYv
Zackary Berger, MD, PhD @ZackBergerMDPhD
RT @haroldpollack: @WrayCharles How can one correct current over-prescribing without overshooting once again and under-treating pain? #JHMChat
Vinny Arora MD MAPP @FutureDocs
@ShaniHerzig you use opioids to help patients but those are the ones least satisfied ?#jhmchat
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: T1: Interestingly, more opioid use doesn't translate to better Press Ganey scores (in the ED, that is)​. #JHMChat https://t.co/8gLlX8mTW7
J Hospital Medicine @JHospMedicine
RT @ChrisMoriates: Yes. Appropriate expectation setting is so important... and so difficult. #jhmchat https://t.co/knzTOUDgYv
Shoshana Herzig @ShaniHerzig
@ChrisMoriates @tony_breu Yes, need to emphasize tolerability, not complete absence of pain. #JHMChat
J Hospital Medicine @JHospMedicine
Keep the conversation going on T2, T3 up in a moment #JHMChat
Shoshana Herzig @ShaniHerzig
@FutureDocs Exactly! #nowinsituation #acceptdefeat #cutlosses #jhmchat
J Hospital Medicine @JHospMedicine
T2 up in a moment #JHMChat -welcome #CMEchat #hscm #meded #addiction #hcldr #periop communities remember to tag tweets #JHMChat tonight
Rasu Shrestha MD MBA @rasushrestha
@RJmdphilly Key in all this is context. Context is king. ♔ #jhmchat
Rebecca Jaffe @RJmdphilly
#JHMchat suspect this is true inpt too. Does it need to be studied to alleviate provider anxiety. https://t.co/kJjCDY7xCp
J Hospital Medicine @JHospMedicine
RT @RasuShrestha: @RJmdphilly Key in all this is context. Context is king. ♔ #jhmchat
Shoshana Herzig @ShaniHerzig
Focusing on function, rather than pain scales, would also help - i.e. were you able to work with PT today? #JHMChat
Laura Fanucchi @laurafanucchi
Where do you see role of evidence-based addiction medicine? Initiating and coordinating transition to MAT? #jhmchat
Honora Englander @honoraenglander
RT @ShaniHerzig: T1: Interestingly, more opioid use doesn't translate to better Press Ganey scores (in the ED, that is)​. #JHMChat https://t.co/8gLlX8mTW7
Become A Hospitalist @ahospitalist
RT @atanksley: @ShaniHerzig I find the greatest pressure is balancing patient satisfaction with safety #jhmchat
Elliot Tapper @ebtapper
RT @ShaniHerzig: Focusing on function, rather than pain scales, would also help - i.e. were you able to work with PT today? #JHMChat
Rasu Shrestha MD MBA @rasushrestha
@ShannonMartinMD Ah, the risks of overwork and burnout. So critical to address. #jhmchat
Joshua Allen-Dicker @DrJoshuaAD
T1.5 Hard to differentiate pain vs suffering at times--both important to identify, but may require different therapeutic approach #jhmchat
Harold Pollack @haroldpollack
RT @ShaniHerzig: Focusing on function, rather than pain scales, would also help - i.e. were you able to work with PT today? #JHMChat
Charlie M. Wray @WrayCharles
Barrier to setting expectations: Having multiple providers with diff Rxing patterns - "but he gave me the dilauded!" #JHMChat
J Hospital Medicine @JHospMedicine
T2: How should hospital docs balance tension btwn discharging w opiates vs concern of readmission due to pain? #JHMChat
Audrey L Tanksley @atanksley
@haroldpollack @WrayCharles one solution is using analytics to assess pt risk of acute on chronic pain and create stewardship progs #jhmchat
Shoshana Herzig @ShaniHerzig
@LauraFanucchi Absolutely necessary, however first we need to be able to have frank discussions with pts about our concerns... #jhmchat
Become A Hospitalist @ahospitalist
RT @tony_breu: T1: I was also trained to think that NSAIDs are dangerous and acetaminophen doesn’t work. Opiates? They work! They’re safe? #jhmchat
J Hospital Medicine @JHospMedicine
RT @RasuShrestha: @ShannonMartinMD Ah, the risks of overwork and burnout. So critical to address. #jhmchat
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: Focusing on function, rather than pain scales, would also help - i.e. were you able to work with PT today? #JHMChat
Harold Pollack @haroldpollack
Thanks! #jhmchat https://t.co/98av5cZABo
Shoshana Herzig @ShaniHerzig
@WrayCharles Standardization so important! #jhmchat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: T2: How should hospital docs balance tension btwn discharging w opiates vs concern of readmission due to pain? #JHMChat
Luis Saldana @lsaldanamd
RT @haroldpollack: @WrayCharles How can one correct current over-prescribing without overshooting once again and under-treating pain? #JHMChat
Charlie M. Wray @WrayCharles
RT @atanksley: @haroldpollack @WrayCharles one solution is using analytics to assess pt risk of acute on chronic pain and create stewardship progs #jhmchat
Rebecca Jaffe @RJmdphilly
#intermittentrewards or "my my kid still won't sleep in his bed" #jhmchat https://t.co/VFenM88yW5
Vinny Arora MD MAPP @FutureDocs
. @ShaniHerzig #ifeelyourpain #jhmchat #nopunintended https://t.co/R9CUQ8Az3o
Rebecca Jaffe @RJmdphilly
@atanksley @haroldpollack @WrayCharles #predictivemedicine #jhmchat
Become A Hospitalist @ahospitalist
#JHMChat Starting patients on high doses of narcotics in ER for every kind of pain can lead to patients asking for more in floors.
Vinny Arora MD MAPP @FutureDocs
Too true esp gens ER pain consults etc - lots of #cooksinkitchen #jhmchat https://t.co/4odbEU7ui1
Shannon K. Martin @shannonmartinmd
@ShaniHerzig Very much agree! Functional milestones great anchors for trainees learning to see pts daily and manage daily pain plan #jhmchat
DinasarapuMD,MPH,FHM @dcsreddy
#jhmchat Nice points.
Vinny Arora MD MAPP @FutureDocs
Great question on#jhmchat now! https://t.co/dtkWObbCFh
Rasu Shrestha MD MBA @rasushrestha
Pts often feel shortchanged if they come in unwell and walk out without a prescription! Cc: @ShaniHerzig #jhmchat https://t.co/CeilAgBi3V
Andrew Shin @shinovation
exactly! #patients want to feel their doc understands their pain- a number on a scale means nothing #JHMchat https://t.co/cflMlhrGVB
Joshua Allen-Dicker @DrJoshuaAD
T2 key component re: opiates & discharge/readmission concerns is having PCP buy-in, otherwise feels like kicking can down the road #jhmchat
conciergedoc @DrFerdowsi
RT @RasuShrestha: Pts often feel shortchanged if they come in unwell and walk out without a prescription! Cc: @ShaniHerzig #jhmchat https://t.co/CeilAgBi3V
Honora Englander @honoraenglander
@LauraFanucci I agree 100%- finding @ #OHSU that MAT, hospital-based addxn tx is a sea change, saves lives #JHMchat https://t.co/2exjE4DrtG
Shoshana Herzig @ShaniHerzig
T2: They may come back if dc'ed wout #opioids, but maybe if we can get EDs & hospitalists to stop the IV dilaudid knee jerk #jhmchat
Grace Farris MD @gracefarris
Has Mass rx monitoring program come up yet? This has been huge for my rx'ing habits @ShaniHerzig @DrJoshuaAD @tony_breu #jhmchat
Shoshana Herzig @ShaniHerzig
@RasuShrestha Very much analogous to our abx prescribing for URI! #jhmchat
Rebecca Jaffe @RJmdphilly
T2 seems tensions are driving many Hosp Med decisions - LOS/readm, opiates/readm and pt sat. Do no harm should trump all #jhmchat
J Hospital Medicine @JHospMedicine
RT @DrJoshuaAD: T2 key component re: opiates & discharge/readmission concerns is having PCP buy-in, otherwise feels like kicking can down the road #jhmchat
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: T2: They may come back if dc'ed wout #opioids, but maybe if we can get EDs & hospitalists to stop the IV dilaudid knee jerk #jhmchat
J Hospital Medicine @JHospMedicine
RT @gracefarris: Has Mass rx monitoring program come up yet? This has been huge for my rx'ing habits @ShaniHerzig @DrJoshuaAD @tony_breu #jhmchat
J Hospital Medicine @JHospMedicine
RT @RJmdphilly: T2 seems tensions are driving many Hosp Med decisions - LOS/readm, opiates/readm and pt sat. Do no harm should trump all #jhmchat
Shoshana Herzig @ShaniHerzig
@gracefarris @DrJoshuaAD @tony_breu Thanks for mentioning! Use PDMP to identify red flags for misuse #JHMChat https://t.co/44qYzvKQ8e
Grace Farris MD @gracefarris
RT @DrJoshuaAD: T2 key component re: opiates & discharge/readmission concerns is having PCP buy-in, otherwise feels like kicking can down the road #jhmchat
Charlie M. Wray @WrayCharles
intrinsic motivation to decrease Rx is obvious/easy! Do we need better extrinsic motivators (or fewer bad ones)? #JHMChat
Shannon K. Martin @shannonmartinmd
100% agree. D/C opiate script is handoff just as much as any other plan -someone has to receive & carry fwd #jhmchat https://t.co/8BQUrSDNYn
Shoshana Herzig @ShaniHerzig
T2: Those initial prescriptions matter - can influence long-term use/addiction! #JHMChat https://t.co/vtdcssBbIF
J Hospital Medicine @JHospMedicine
@gracefarris @ShaniHerzig @DrJoshuaAD @tony_breu can you share more? #jhmchat
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: @gracefarris @DrJoshuaAD @tony_breu Thanks for mentioning! Use PDMP to identify red flags for misuse #JHMChat https://t.co/44qYzvKQ8e
J Hospital Medicine @JHospMedicine
RT @ShannonMartinMD: 100% agree. D/C opiate script is handoff just as much as any other plan -someone has to receive & carry fwd #jhmchat https://t.co/8BQUrSDNYn
Tony Breu @tony_breu
RT @DrJoshuaAD: T2 key component re: opiates & discharge/readmission concerns is having PCP buy-in, otherwise feels like kicking can down the road #jhmchat
Rebecca Jaffe @RJmdphilly
@ShaniHerzig @gracefarris @DrJoshuaAD @tony_breu side note we r having trouble figuring out resident role in use of monitoring #jhmchat
Vinny Arora MD MAPP @FutureDocs
Love equating #opioidprescribing to #handoffs only on #JHMChat ! https://t.co/0aibcoDxMj
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: T2: Those initial prescriptions matter - can influence long-term use/addiction! #JHMChat https://t.co/vtdcssBbIF
Tony Breu @tony_breu
It would be inappropriate to discharge on warfarin without discussion with PCP. Same with opiates. #jhmchat https://t.co/nwdkFDeBXB
Shoshana Herzig @ShaniHerzig
@RJmdphilly @gracefarris @DrJoshuaAD @tony_breu Residents should/can get access to PDMP! #jhmchat
Shoshana Herzig @ShaniHerzig
@tony_breu Couldn't agree more! #jhmchat
J Hospital Medicine @JHospMedicine
Thx for participating @skt_86 don't forget to index #jhmchat so your tweets are visible https://t.co/5MFpjtRfqW
Joshua Allen-Dicker @DrJoshuaAD
Data suggestive that PDMP's reduce opiate-related death rates too https://t.co/qRwZAkUus9 @ShaniHerzig @gracefarris @tony_breu #jhmchat
J Hospital Medicine @JHospMedicine
RT @tony_breu: It would be inappropriate to discharge on warfarin without discussion with PCP. Same with opiates. #jhmchat https://t.co/nwdkFDeBXB
J Hospital Medicine @JHospMedicine
RT @FutureDocs: Love equating #opioidprescribing to #handoffs only on #JHMChat ! https://t.co/0aibcoDxMj
Society of Hospital Medicine @SocietyHospMed
RT @FutureDocs: Love equating #opioidprescribing to #handoffs only on #JHMChat ! https://t.co/0aibcoDxMj
Shannon K. Martin @shannonmartinmd
RT @tony_breu: It would be inappropriate to discharge on warfarin without discussion with PCP. Same with opiates. #jhmchat https://t.co/nwdkFDeBXB
Scott Taylor @skt_86
@JHospMedicine Educate. Set realistic goals. Multimodal analgesia, non-pharm adjuncts. Short opioid scripts. PCP follow up early #JHMChat
Vinny Arora MD MAPP @FutureDocs
Can you tell us more? #JHMChat interested for #meded https://t.co/xMe49tRAL8
Shoshana Herzig @ShaniHerzig
Love the BIDMC representation on here! @bidhospitalists #jhmchat
Society of Hospital Medicine @SocietyHospMed
The #JHMChat discussion continues to heat up - join #hospitalists from around the globe discussing #opioids! https://t.co/V8W1i5GqUU
J Hospital Medicine @JHospMedicine
RT @skt_86: @JHospMedicine Educate. Set realistic goals. Multimodal analgesia, non-pharm adjuncts. Short opioid scripts. PCP follow up early #JHMChat
Rebecca Jaffe @RJmdphilly
@estewart2099 @gretchendiemer #jhmchat #meded https://t.co/IRNTgPm3eE
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Thx for participating @skt_86 don't forget to index #jhmchat so your tweets are visible https://t.co/5MFpjtRfqW
Harold Pollack @haroldpollack
RT @DrJoshuaAD: T2 key component re: opiates & discharge/readmission concerns is having PCP buy-in, otherwise feels like kicking can down the road #jhmchat
Shoshana Herzig @ShaniHerzig
Love the BIDMC representation on here! @bidhospitalists @tony_breu @DrJoshuaAD @gracefarris #jhmchat
J Hospital Medicine @JHospMedicine
Thx @gracefarris don't forget to index #jhmchat so tweets visible https://t.co/nXpr20hTkU
J Hospital Medicine @JHospMedicine
RT @SHMLive: The #JHMChat discussion continues to heat up - join #hospitalists from around the globe discussing #opioids! https://t.co/V8W1i5GqUU
Society of Hospital Medicine @SocietyHospMed
We're still in the middle of the #JHMChat w/ @JHospMedicine, @FutureDocs & @ShaniHerzig. Join the convo on #opioids now!
Rebecca Jaffe @RJmdphilly
#jhmchat https://t.co/rhFMQD3yzI
DinasarapuMD,MPH,FHM @dcsreddy
#jhmchat All the Hospitalists in the team should discuss and practice similar prescribing habits.
Society of Hospital Medicine @SocietyHospMed
RT @ShaniHerzig: Love the BIDMC representation on here! @bidhospitalists @tony_breu @DrJoshuaAD @gracefarris #jhmchat
J Hospital Medicine @JHospMedicine
RT @SHMLive: We're still in the middle of the #JHMChat w/ @JHospMedicine, @FutureDocs & @ShaniHerzig. Join the convo on #opioids now!
J Hospital Medicine @JHospMedicine
Now up on #JHMChat T3: How can we train hospitalists to prescribe opiates for both acute and chronic pain effectively? #turnthetide
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: We're still in the middle of the #JHMChat w/ @JHospMedicine, @FutureDocs & @ShaniHerzig. Join the convo on #opioids now!
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Now up on #JHMChat T3: How can we train hospitalists to prescribe opiates for both acute and chronic pain effectively? #turnthetide
Jane Zhu @janemzhu
.@ShaniHerzig @RJmdphilly @DrJoshuaAD @tony_breu PDMP use & opiate prescribing/reversal should be mandatory residency training. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Now up on #JHMChat T3: How can we train hospitalists to prescribe opiates for both acute and chronic pain effectively? #turnthetide
Hospital Medicine @hospitalmedicin
#jhmchat Age does not matter when suspecting opioid abusing behavior. Even elderly patients can have drug seeking behavior.
Vinny Arora MD MAPP @FutureDocs
RT @Dcsreddy: #jhmchat All the Hospitalists in the team should discuss and practice similar prescribing habits.
Shoshana Herzig @ShaniHerzig
@JHospMedicine T3: Common language desperately needed for discussing pain control and addiction concerns with pts in hospital. #jhmchat
Grace Farris MD @gracefarris
Q3 Is there a gold standard? #jhmchat @ShaniHerzig
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: @JHospMedicine T3: Common language desperately needed for discussing pain control and addiction concerns with pts in hospital. #jhmchat
Shoshana Herzig @ShaniHerzig
T3: Some excellent free training at the following links... #jhmchat #TurnTheTide
Honora Englander @honoraenglander
T3: #JHMchat Hospitalization is a reachable moment to identify & initiate substance use tx. Hospitalists can play a key role
Shoshana Herzig @ShaniHerzig
1) https://t.co/tQ8c1z9Q1J #JHMChat #turnthetide
Grace Farris MD @gracefarris
RT @janemzhu: .@ShaniHerzig @RJmdphilly @DrJoshuaAD @tony_breu PDMP use & opiate prescribing/reversal should be mandatory residency training. #JHMChat
Vinny Arora MD MAPP @FutureDocs
. @atanksley has been looking into this #meded #jhmchat - length of programs an issue from my understanding https://t.co/UWV1a53Agr
Rasu Shrestha MD MBA @rasushrestha
@gracefarris @ShaniHerzig @DrJoshuaAD @tony_breu Tremendous room for leveraging better algorithms for Rx monitoring. #jhmchat
Shoshana Herzig @ShaniHerzig
2) https://t.co/X31qAMMYvV 3) https://t.co/wZsx14Ctsu 4) https://t.co/1Ggdg2gGtl #JHMChat #TurnTheTide
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: 1) https://t.co/tQ8c1z9Q1J #JHMChat #turnthetide
Vinny Arora MD MAPP @FutureDocs
RT @honoraenglander: T3: #JHMchat Hospitalization is a reachable moment to identify & initiate substance use tx. Hospitalists can play a key role
Shoshana Herzig @ShaniHerzig
@gracefarris Unfortunately not that I'm aware of... #jhmchat
Grace Farris MD @gracefarris
@ShaniHerzig @JHospMedicine Maybe begin with retiring the term "drug-seeking" #jhmchat
Rebecca Jaffe @RJmdphilly
#jhmchat https://t.co/dK6f6yb6UZ
J Hospital Medicine @JHospMedicine
RT @gracefarris: @ShaniHerzig @JHospMedicine Maybe begin with retiring the term "drug-seeking" #jhmchat
Shoshana Herzig @ShaniHerzig
@gracefarris @JHospMedicine Very much agree. It's adversarial; not productive. #jhmchat
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: @gracefarris @JHospMedicine Very much agree. It's adversarial; not productive. #jhmchat
Shannon K. Martin @shannonmartinmd
T3 Educate on treating "acute" v "chronic" pain-rarely happens in training. When hit wards w hammer of dilaudid, all pain is a nail #jhmchat
Become A Hospitalist @ahospitalist
#JHMChat "New Hospitalists should be taught about what words to use when trying to confront a patient with suspected opioid abuse".
Rebecca Jaffe @RJmdphilly
Like efforts in goals of care discussions. Common vocabulary goes a long way #jhmchat https://t.co/McWPOYbBZV
Vinny Arora MD MAPP @FutureDocs
RT @RJmdphilly: #jhmchat https://t.co/dK6f6yb6UZ
Shoshana Herzig @ShaniHerzig
T3: Some talking points: Long-term #opioid rx: No studies examining benefit, plenty of evidence for harm. #JHMChat https://t.co/WTp10SnPHp
Tony Breu @tony_breu
@gracefarris @ShaniHerzig @JHospMedicine I’d retire narcotic too. Has illicit connotation. #jhmchat
Shoshana Herzig @ShaniHerzig
@tony_breu @gracefarris @JHospMedicine Yes. #jhmchat
Society of Hospital Medicine @SocietyHospMed
RT @RJmdphilly: Like efforts in goals of care discussions. Common vocabulary goes a long way #jhmchat https://t.co/McWPOYbBZV
Vinny Arora MD MAPP @FutureDocs
A related question to T3 is What language do you use when addressing #addiction concerns? h/t @ShaniHerzig #JHMChat #meded
Chris Moriates, MD @ChrisMoriates
I'll never forget as an intern hand-bag ventilating a young man while calling Code Blue and the RN drew up Narcan. Tough lesson. #jhmchat
Grace Farris MD @gracefarris
@honoraenglander Agree. Hard though. Not many of us go through suboxone training... #jhmchat
J Hospital Medicine @JHospMedicine
RT @tony_breu: @gracefarris @ShaniHerzig @JHospMedicine I’d retire narcotic too. Has illicit connotation. #jhmchat
J Hospital Medicine @JHospMedicine
RT @FutureDocs: A related question to T3 is What language do you use when addressing #addiction concerns? h/t @ShaniHerzig #JHMChat #meded
Shoshana Herzig @ShaniHerzig
@FutureDocs T3: A phrase I use: "I believe we are doing more harm than good here." Generic but gets to crux, fosters partnership #jhmchat
J Hospital Medicine @JHospMedicine
Study highlighted Hospitalists learned more from past experience than from formal training #jhmchat https://t.co/xBGMWcMScR
🥕🥦Devesh Rai🥗🍌🥕 @deveshraiMD
#JHMChat real definition of drug addition need to be set us
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: @FutureDocs T3: A phrase I use: "I believe we are doing more harm than good here." Generic but gets to crux, fosters partnership #jhmchat
Honora Englander @honoraenglander
Nonjudgmental convo w pts that #addiction is a chronic brain disease, not moral failing #JHMChat https://t.co/9LDll6xRLW
Grace Farris MD @gracefarris
@tony_breu @ShaniHerzig @JHospMedicine agree. #jhmchat
Vinny Arora MD MAPP @FutureDocs
Great point for #jhmchat discussion on #opioidepidemic https://t.co/nQ6ch2kapv
Tony Breu @tony_breu
@ShaniHerzig *long-term harm. “I am trying to do what’s best for you, not just now, but also for when I am no longer your doctor.” #jhmchat
Andrew Shin @shinovation
@FutureDocs @ShaniHerzig remember HIV/AIDS went from stigmatized/self-inflicted 2 chronic dis that can be prevented-treated-managed #JHMchat
Rebecca Jaffe @RJmdphilly
Keep feeling like prescribe/don't prescribe is false dichotomy. Need effective alternatives. Not more drugs but Rx #JHMChat
Shoshana Herzig @ShaniHerzig
@honoraenglander Even using the word addiction is hard when pts are in denial #jhmchat
Eric Schultz @ericschul
Catching up on the #JHMChat on opioids, great perspectives.
Society of Hospital Medicine @SocietyHospMed
RT @FutureDocs: Great point for #jhmchat discussion on #opioidepidemic https://t.co/nQ6ch2kapv
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: @FutureDocs T3: A phrase I use: "I believe we are doing more harm than good here." Generic but gets to crux, fosters partnership #jhmchat
Honora Englander @honoraenglander
@gracefarris yes, and hospitals need models, addiction medicine systems of care. it can be done! #JHMChat https://t.co/MkS4sFZpNp
Vinny Arora MD MAPP @FutureDocs
RT @shinovation: @FutureDocs @ShaniHerzig remember HIV/AIDS went from stigmatized/self-inflicted 2 chronic dis that can be prevented-treated-managed #JHMchat
Shoshana Herzig @ShaniHerzig
@RJmdphilly Agreed - the ultimate solution to #turnthetide on the #opioidepidemic: cleaner pain meds… #JHMChat https://t.co/Y920HsrA2E
J Hospital Medicine @JHospMedicine
RT @ericschul: Catching up on the #JHMChat on opioids, great perspectives.
J Hospital Medicine @JHospMedicine
RT @shinovation: @FutureDocs @ShaniHerzig remember HIV/AIDS went from stigmatized/self-inflicted 2 chronic dis that can be prevented-treated-managed #JHMchat
Society of Hospital Medicine @SocietyHospMed
Don't forget to register for your #CME credits following tonight's #JHMChat - save the link now: https://t.co/YvyRSfaacq
Rebecca Jaffe @RJmdphilly
@ShaniHerzig and focus on function, therapeutic relationships, access to high quality care #jhmchat
Vinny Arora MD MAPP @FutureDocs
thx for participating- index your tweets as #JHMChat so they are seen. https://t.co/hv0Y83J41j
Shoshana Herzig @ShaniHerzig
@shinovation @FutureDocs Yes, but hard thing is there is no "test" for opioid addiction dx, and many pts are in denial. #nonstarter #jhmchat
Rebecca Jaffe @RJmdphilly
@ShaniHerzig I keep thinking of this: https://t.co/oVpRhddJYs #jhmchat
Honora Englander @honoraenglander
@ShaniHerzig true, that's where good motivational interviewing & interdisc team so powerful. #JHMchat https://t.co/Ve2nUA4lSD
Vinny Arora MD MAPP @FutureDocs
IMHO hardest thing about #opiate prescribing - there is no test so how do you determine? #JHMChat https://t.co/ucnfgJvRWn
Zackary Berger, MD, PhD @ZackBergerMDPhD
RT @FutureDocs: Love equating #opioidprescribing to #handoffs only on #JHMChat ! https://t.co/0aibcoDxMj
🥕🥦Devesh Rai🥗🍌🥕 @deveshraiMD
#jhmchat how to create a balance between good and bad aspect of opioid
Become A Hospitalist @ahospitalist
#jhmchat :Opioids:"My main concern at this time is to make sure you don’t have a serious problem. It’s not to say that you are not in pain."
J Hospital Medicine @JHospMedicine
RT @SHMLive: Don't forget to register for your #CME credits following tonight's #JHMChat - save the link now: https://t.co/YvyRSfaacq
Mina S. Sedrak @minasedrakmd
"Assess and reassess" - important peril to teach trainees and patients when it comes to pain management #jhmchat
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: @shinovation @FutureDocs Yes, but hard thing is there is no "test" for opioid addiction dx, and many pts are in denial. #nonstarter #jhmchat
Laura Fanucchi @laurafanucchi
@FutureDocs and going through DSM5 opioid use disorder checklist for diagnosis helps convo w patient #JHMChat
J Hospital Medicine @JHospMedicine
RT @honoraenglander: @ShaniHerzig true, that's where good motivational interviewing & interdisc team so powerful. #JHMchat https://t.co/Ve2nUA4lSD
J Hospital Medicine @JHospMedicine
RT @MinaSedrakMD: "Assess and reassess" - important peril to teach trainees and patients when it comes to pain management #jhmchat
Shannon K. Martin @shannonmartinmd
Acknowledge PDMPs,be transparent about source if have to confront, acknowledge scripts monitored for safety #jhmchat https://t.co/eExN2r1i8P
Become A Hospitalist @ahospitalist
#jhmchat Opioids: "I am not able to prescribe any narcotic medication based on your test results which do not suggest any acute illness."
Mina S. Sedrak @minasedrakmd
being transparent with patients is also important #jhmchat
Grace Farris MD @gracefarris
@ShaniHerzig @honoraenglander I do sometimes say "we are in the midst of an opiate epidemic" to pts & expl opiate #JHMChat #TurnTheTide
Harold Pollack @haroldpollack
Whoops--forgot #jhmchat https://t.co/KsmK8cAakJ
Grace Farris MD @gracefarris
RT @ShannonMartinMD: Acknowledge PDMPs,be transparent about source if have to confront, acknowledge scripts monitored for safety #jhmchat https://t.co/eExN2r1i8P
Maram Museitif @marammph
RT @AHospitalist: #jhmchat :Opioids:"My main concern at this time is to make sure you don’t have a serious problem. It’s not to say that you are not in pain."
Shoshana Herzig @ShaniHerzig
@FutureDocs I think that's a crucial, neglected point in all o this: No test for pain, no test for addiction. All subjective! #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @ShaniHerzig: @FutureDocs I think that's a crucial, neglected point in all o this: No test for pain, no test for addiction. All subjective! #jhmchat
Rasu Shrestha MD MBA @rasushrestha
Critical to not jump in, over treat & generalize all care. All patients are uniquely different. #jhmchat #hcldr https://t.co/VvBNJyjtED
Become A Hospitalist @ahospitalist
#jhmchat TO OPIOID SEKER: "Your safety is of utmost importance to me. I suggest you to see a pain specialist"
Vinny Arora MD MAPP @FutureDocs
Good question for #jhmchat IMHO they are underused https://t.co/YrlUs2bJqx
Rasu Shrestha MD MBA @rasushrestha
RT @MinaSedrakMD: "Assess and reassess" - important peril to teach trainees and patients when it comes to pain management #jhmchat
🥕🥦Devesh Rai🥗🍌🥕 @deveshraiMD
#JHMChat how will be the idea of creating a pain or use of opioid database, as there is one for drugs causing prolonged QT
Maram Museitif @marammph
RT @RasuShrestha: Critical to not jump in, over treat & generalize all care. All patients are uniquely different. #jhmchat #hcldr https://t.co/VvBNJyjtED
Shoshana Herzig @ShaniHerzig
@FutureDocs @haroldpollack I advocate PDMP use on admission before prescribing, and on dc if different discharging provider. #jhmchat
Grace Farris MD @gracefarris
@FutureDocs @haroldpollack @ShannonMartinMD On admit and discharge if concerning meds involved #jhmchat
J Hospital Medicine @JHospMedicine
5 min left in great #JHMChat! please share closing thoughts on ways hospitalists/hospitals can #turnthetide on #opioidepidemic
Shannon K. Martin @shannonmartinmd
Probaby varies a lot, will often come up if there's a concern for misuse, but not everyone even has account #jhmchat https://t.co/tK1OKsV08J
William Dale, MD/PhD @WilliamDale_MD
RT @FutureDocs: IMHO hardest thing about #opiate prescribing - there is no test so how do you determine? #JHMChat https://t.co/ucnfgJvRWn
Rebecca Jaffe @RJmdphilly
Love it #jhmchat https://t.co/uT0IscQYGY
Honora Englander @honoraenglander
@shaniherzig @futuredocs clinical dx is true for many chronic diseases. We must identify, support, tx. #JHMChat https://t.co/H1n7YkeeV9
Shoshana Herzig @ShaniHerzig
Important stat to keep in mind: >40% pts newly prescribed #opioids on discharge still on them >90d later. #JHMChat https://t.co/0mBN3R5jD6
Vinny Arora MD MAPP @FutureDocs
yes i totally agree. this would automatically solve the "drug seeking" debate that occurs #JHMChat https://t.co/FjuuB5Ufis
🥕🥦Devesh Rai🥗🍌🥕 @deveshraiMD
RT @FutureDocs: yes i totally agree. this would automatically solve the "drug seeking" debate that occurs #JHMChat https://t.co/FjuuB5Ufis
Vinny Arora MD MAPP @FutureDocs
Great point for #jhmchat https://t.co/1iZtkLflW1
Grace Farris MD @gracefarris
RT @ShaniHerzig: Important stat to keep in mind: >40% pts newly prescribed #opioids on discharge still on them >90d later. #JHMChat https://t.co/0mBN3R5jD6
Vinny Arora MD MAPP @FutureDocs
RT @RasuShrestha: Critical to not jump in, over treat & generalize all care. All patients are uniquely different. #jhmchat #hcldr https://t.co/VvBNJyjtED
J Hospital Medicine @JHospMedicine
RT @FutureDocs: Great point for #jhmchat https://t.co/1iZtkLflW1
Grace Farris MD @gracefarris
RT @FutureDocs: yes i totally agree. this would automatically solve the "drug seeking" debate that occurs #JHMChat https://t.co/FjuuB5Ufis
J Hospital Medicine @JHospMedicine
RT @ShaniHerzig: Important stat to keep in mind: >40% pts newly prescribed #opioids on discharge still on them >90d later. #JHMChat https://t.co/0mBN3R5jD6
J Hospital Medicine @JHospMedicine
RT @RasuShrestha: Critical to not jump in, over treat & generalize all care. All patients are uniquely different. #jhmchat #hcldr https://t.co/VvBNJyjtED
Rasu Shrestha MD MBA @rasushrestha
Personalized approach works wonders. https://t.co/OSvz87S8bH @JHospMedicine @FutureDocs #OpioidEpidemic #TurnTheTide #JHMChat
J Hospital Medicine @JHospMedicine
Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation for bringing you #JHMChat tonight - #CME edition!
Rebecca Jaffe @RJmdphilly
@FutureDocs @ShaniHerzig is there a dif btwn drug seeking and addicted? Thought exercise #jhmchat #euphemism
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: 5 min left in great #JHMChat! please share closing thoughts on ways hospitalists/hospitals can #turnthetide on #opioidepidemic
J Hospital Medicine @JHospMedicine
REMINDER: tonight's #JHMChat tweeters eligible #CME AMA PRA Category 1 Credit. thx @SHMLive Register! https://t.co/QSnghlTjIe
Harold Pollack @haroldpollack
RT @ShannonMartinMD: Probaby varies a lot, will often come up if there's a concern for misuse, but not everyone even has account #jhmchat https://t.co/tK1OKsV08J
Harold Pollack @haroldpollack
RT @gracefarris: @FutureDocs @haroldpollack @ShannonMartinMD On admit and discharge if concerning meds involved #jhmchat
Harold Pollack @haroldpollack
RT @ShaniHerzig: @FutureDocs @haroldpollack I advocate PDMP use on admission before prescribing, and on dc if different discharging provider. #jhmchat
Rasu Shrestha MD MBA @rasushrestha
@FutureDocs @WilliamDale_MD Great point. Language matters, depending on context. #jhmchat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: REMINDER: tonight's #JHMChat tweeters eligible #CME AMA PRA Category 1 Credit. thx @SHMLive Register! https://t.co/QSnghlTjIe
J Hospital Medicine @JHospMedicine
Announcing NEXT #JHMChat Monday November 7th 9p ET on why residents order unnecessary tests w author @MinaSedrakMD #choosingwisely
Tony Breu @tony_breu
Thank you @ShaniHerzig @FutureDocs for a great discussion! #jhmchat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation for bringing you #JHMChat tonight - #CME edition!
🥕🥦Devesh Rai🥗🍌🥕 @deveshraiMD
RT @RJmdphilly: @FutureDocs @ShaniHerzig is there a dif btwn drug seeking and addicted? Thought exercise #jhmchat #euphemism
Shoshana Herzig @ShaniHerzig
Thanks for such interesting, enlightening, insightful discussion, everyone! Don't forget, hospitalists are CRUCIAL in #TurnTheTide #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @tony_breu: Thank you @ShaniHerzig @FutureDocs for a great discussion! #jhmchat
Mina S. Sedrak @minasedrakmd
Great discussion tonight; I learned a lot #jhmchat
Rebecca Jaffe @RJmdphilly
#JHMChat take homes: use PDMP early/often, opiate Rx as crucial conversation, connection with outpatient for anyone w script at dc
Larry O @larryo99
RT @RasuShrestha: Critical to not jump in, over treat & generalize all care. All patients are uniquely different. #jhmchat #hcldr https://t.co/VvBNJyjtED
Healthcare discovery @HealthTypes
RT @FutureDocs: Love equating #opioidprescribing to #handoffs only on #JHMChat ! https://t.co/0aibcoDxMj
Larry O @larryo99
RT @FutureDocs: Great point for #jhmchat https://t.co/1iZtkLflW1
J Hospital Medicine @JHospMedicine
RT @RJmdphilly: #JHMChat take homes: use PDMP early/often, opiate Rx as crucial conversation, connection with outpatient for anyone w script at dc
Rasu Shrestha MD MBA @rasushrestha
@tony_breu @ShaniHerzig @FutureDocs Really interesting chat. #jhmchat
J Hospital Medicine @JHospMedicine
RT @MinaSedrakMD: Great discussion tonight; I learned a lot #jhmchat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Announcing NEXT #JHMChat Monday November 7th 9p ET on why residents order unnecessary tests w author @MinaSedrakMD #choosingwisely
J Hospital Medicine @JHospMedicine
RT @RasuShrestha: @tony_breu @ShaniHerzig @FutureDocs Really interesting chat. #jhmchat
Joshua Allen-Dicker @DrJoshuaAD
RT @ShaniHerzig: Thanks for such interesting, enlightening, insightful discussion, everyone! Don't forget, hospitalists are CRUCIAL in #TurnTheTide #JHMChat
Rebecca Jaffe @RJmdphilly
@JeffIMchiefs check out #jhmchat for details! https://t.co/tOn2sfmORH
Audrey L Tanksley @atanksley
@FutureDocs @gracefarris @ShaniHerzig I agree no standard currently but #cdc guidelines a good place to start #jhmchat
Mina S. Sedrak @minasedrakmd
@RasuShrestha @tony_breu @ShaniHerzig @FutureDocs this was my first time joining #jhmchat... and it wont be my my last
Society of Hospital Medicine @SocietyHospMed
RT @MinaSedrakMD: @RasuShrestha @tony_breu @ShaniHerzig @FutureDocs this was my first time joining #jhmchat... and it wont be my my last
Audrey L Tanksley @atanksley
RT @ShaniHerzig: Important stat to keep in mind: >40% pts newly prescribed #opioids on discharge still on them >90d later. #JHMChat https://t.co/0mBN3R5jD6
R. Adams Dudley @radamsdudleymd
Here's data @ShaniHerzig cited https://t.co/d3qqtAaRIQ #jhmchat https://t.co/5rBNm3WhuD
Rasu Shrestha MD MBA @rasushrestha
@MinaSedrakMD @tony_breu @ShaniHerzig @FutureDocs Same here! Hope you see you all in the twittersphere! #jhmchat 🌐
Zackary Berger, MD, PhD @ZackBergerMDPhD
....subjective, like much interpretation of fact in medicine #JHMChat https://t.co/2b7wg7JhZh
Vinny Arora MD MAPP @FutureDocs
RT @MinaSedrakMD: @RasuShrestha @tony_breu @ShaniHerzig @FutureDocs this was my first time joining #jhmchat... and it wont be my my last
Mina S. Sedrak @minasedrakmd
RT @JHospMedicine: Announcing NEXT #JHMChat Monday November 7th 9p ET on why residents order unnecessary tests w author @MinaSedrakMD #choosingwisely
John Mafi @jnmafi
RT @ShaniHerzig: Important stat to keep in mind: >40% pts newly prescribed #opioids on discharge still on them >90d later. #JHMChat https://t.co/0mBN3R5jD6
Society of Hospital Medicine @SocietyHospMed
BIG thanks to @JHospMedicine, @FutureDocs, @ShaniHerzig, @ABIMFoundation @CostsofCare & all who participated in another great #JHMChat!
Mina S. Sedrak @minasedrakmd
RT @RAdamsDudleyMD: Here's data @ShaniHerzig cited https://t.co/d3qqtAaRIQ #jhmchat https://t.co/5rBNm3WhuD
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: BIG thanks to @JHospMedicine, @FutureDocs, @ShaniHerzig, @ABIMFoundation @CostsofCare & all who participated in another great #JHMChat!
J Hospital Medicine @JHospMedicine
RT @SHMLive: BIG thanks to @JHospMedicine, @FutureDocs, @ShaniHerzig, @ABIMFoundation @CostsofCare & all who participated in another great #JHMChat!
Society of Hospital Medicine @SocietyHospMed
SAVE THE DATE! Next #JHMChat will be 11/7 at 9 pm ET w/ Dr. Mina Sedrak on #residents ordering unnecessary tests. #meded
conciergedoc @DrFerdowsi
RT @RAdamsDudleyMD: Here's data @ShaniHerzig cited https://t.co/d3qqtAaRIQ #jhmchat https://t.co/5rBNm3WhuD
Society of Hospital Medicine @SocietyHospMed
Don't forget to claim your #CME for participating in #JHMChat! Instructions in the pic: https://t.co/l85cjbfHkq https://t.co/Rcj5V0BW9w
J Hospital Medicine @JHospMedicine
LIVE- complete eval to claim your #JHMChat #CME AMA PRA Category 1 Credit. thx @SHMLive https://t.co/QSnghlTjIe
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: LIVE- complete eval to claim your #JHMChat #CME AMA PRA Category 1 Credit. thx @SHMLive https://t.co/QSnghlTjIe
Shannon K. Martin @shannonmartinmd
RT @ShaniHerzig: Thanks for such interesting, enlightening, insightful discussion, everyone! Don't forget, hospitalists are CRUCIAL in #TurnTheTide #JHMChat
#JHMChat content from Twitter.