#LCSM Transcript
Healthcare social media transcript of the #LCSM hashtag.
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| Profile | Tweet |
|---|---|
 | Enlightening Results @GraceCordovano Hi #lcsm! Grace, private cancer patient advocate, joining from NJ. Excited for an excellent topic this evening! https://t.co/HOrRQneBfZ |
 | Thinklab Cancer @ThinklabCancer RT @lcsmchat: TODAY! #LCSM Chat 8pm ET, 5pm PT. More here: https://t.co/Bwk7ZeMFHv… #bcsm #btsm #gyncsm #crcsm #hcsm #hcldr… |
 | Geri Massa @GeriGerim13 @JackWestMD @JohnLPender I'm here, missed the last #LCSM |
 | H. Jack West, MD @JackWestMD Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh Hashanah. |
 | Janet Freeman-Daily @JFreemanDaily Hi #LCSM Chat! Janet F-D using hotel internet in central Ohio tonight. Glad to be able to participate. |
 | Danielle Pardue @Actorielle RT @CUCancerCenter: Study finds breast cancer driver in 3 percent of lung cancers #LCSM #BCSM https://t.co/eBTK8y8Npf https://t.co/7oQ8iY2b… |
| H. Jack West, MD @JackWestMD So glad you could make it! MT @JFreemanDaily: Hi #LCSM Chat! Janet F-D using hotel internet in central OH tonight. Glad to be here. |
| Geri Massa @GeriGerim13 @JohnLPender Hi John, #lcsm |
| Danielle Pardue @Actorielle RT @JackWestMD: Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh… |
 | Liz Cramer 🧬 @elisabethcramer Liz checking in from DC. Looking forward to the discussion. Missed the last one. #lcsm |
 | John from Alabama @JohnLPender @GERI1365 @JackWestMD I had to sit the last chat out. Kids are a sore subject. #lcsm |
| H. Jack West, MD @JackWestMD For those who are shy, please just type "#LCSM" so that we know you're here. We're very welcoming, but we won't call on you. #lcsm |
| Danielle Pardue @Actorielle Hey my friends! Sending so much love! Danielle here from NC. Full time caregiver for stage 4 NSCLC mama. 💚 #lcsm |
 | Bob Steele @steele_bob L'Shanah Tovah! #lcsm |
| Liz Cramer 🧬 @elisabethcramer @GilliganTimothy Look forward to reading this. #lcsm |
| Janet Freeman-Daily @JFreemanDaily No @LungCancerFaces on the chat this week--she's observing the Holy Days. #lcsm |
 | Lung Cancer Halflung (K Latzka) @LungCancerHalfL Aloha #LCSM. Can't stay but needed to say Hi ❤️ |
| H. Jack West, MD @JackWestMD Great to have ppl RT other tweets, but if you edit them (e.g., for brevity), please just change RT to "MT" for "modified tweet". #lcsm |
| Liz Cramer 🧬 @elisabethcramer RT @JackWestMD: Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh… |
 | Andrea Borondy Kitts @findlungcancer Hi Folks, Andrea, retired engineer lost husband to #lungcancer, recovering from bi-lateral hip surgery #lcsm |
| Janet Freeman-Daily @JFreemanDaily @LungCancerHawai Missing you! Hope you're settling into your new home and will be back with us soon. #lcsm |
| Liz Cramer 🧬 @elisabethcramer RT @JackWestMD: For those who are shy, please just type "#LCSM" so that we know you're here. We're very welcoming, but we won't call on you… |
| H. Jack West, MD @JackWestMD Yes, tho many who would otherwise be here are in temple now (if following on phone may get in trouble) RT @steele_bob: L'Shanah Tovah! #lcsm |
| Andrea Borondy Kitts @findlungcancer Hi K - hope all is well with move RT @LungCancerHawai: Aloha #LCSM. Can't stay but needed to say Hi ❤️ #lcsm |
| Liz Cramer 🧬 @elisabethcramer RT @JackWestMD: Great to have ppl RT other tweets, but if you edit them (e.g., for brevity), please just change RT to "MT" for "modified tw… |
| Enlightening Results @GraceCordovano @GilliganTimothy Thanks for sharing! So important to discuss difficult conversations & EoL in light of cancer. #lcsm |
 | #LCSM Chat @lcsmchat RT @JackWestMD: Welcome to #LCSM chat! We're going to focus on patient-clinician communications. Can we start w/brief intros? & happy Rosh… |
| #LCSM Chat @lcsmchat RT @JackWestMD: Great to have ppl RT other tweets, but if you edit them (e.g., for brevity), please just change RT to "MT" for "modified tw… |
| H. Jack West, MD @JackWestMD We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communication. #lcsm |
 | Nathan A. Pennell MD, PhD @n8pennell Hi! Nate Pennell, thoracic oncologist from Cleveland here #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: For those who are shy, please just type "#LCSM" so that we know you're here. We're very welcoming, but we won't call on you… |
 | ShereeseM, MS/MBA @ShereesePubHlth I'm Shereese, healthcare strategist, here in Maryland #lcsm https://t.co/DV4QZ0Rj0J |
| H. Jack West, MD @JackWestMD Thanks for hosting great @CancerGRACE pt forum last weekend! RT @n8pennell: Hi! Nate Pennell, thoracic oncologist from Cleveland here #lcsm |
| Bob Steele @steele_bob RT @JackWestMD: We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communic… |
| Danielle Pardue @Actorielle RT @GilliganTimothy: Looking forward 2 the chat. This link is to my reflections on the experience of my family members with cancer https://… |
| #LCSM Chat @lcsmchat RT @steele_bob: L'Shanah Tovah! #lcsm |
| Enlightening Results @GraceCordovano @JFreemanDaily Hi Janet! Great to connect with you tonight! #lcsm |
 | Ian Pereira @IanJPereira Hi #lcsm. Glad to be here to learn about effective communication. Growing topic in oncology & all of healthcare here in Canada. |
| H. Jack West, MD @JackWestMD We'll start w/first of several questions in just a few minutes, all on how to broadly achieve better pt/clinician communication. #lcsm |
 | Timothy Gilligan @GilliganTimothy Happy to join the chat. I'm a GU oncologist at Cleveland Clinic and spend half my time teaching communication skills etc. #lcsm |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: Happy to join the chat. I'm a GU oncologist at Cleveland Clinic and spend half my time teaching communication skills e… |
| Andrea Borondy Kitts @findlungcancer Gr 8 write-up did you have patients on your expert panel MT @JackWestMD: @GilliganTimothy, guidelines on pt/clinician communication. #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communic… |
| #LCSM Chat @lcsmchat RT @JackWestMD: Thanks for hosting great @CancerGRACE pt forum last weekend! RT @n8pennell: Hi! Nate Pennell, thoracic oncologist from Clev… |
| H. Jack West, MD @JackWestMD RT @findlungcancer: Gr 8 write-up did you have patients on your expert panel MT @JackWestMD: @GilliganTimothy, guidelines on pt/clinician… |
| #LCSM Chat @lcsmchat RT @JackWestMD: We'll start w/first of several questions in just a few minutes, all on how to broadly achieve better pt/clinician communica… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: Happy to join the chat. I'm a GU oncologist at Cleveland Clinic and spend half my time teaching communication skills e… |
 | Tessa Sheldon @tessa_perrin Tessa here. Caregiver to my mom. Stage 4 SCLC #LCSM |
| Janet Freeman-Daily @JFreemanDaily Welcome @GilliganTimothy! Glad you could join us. #lcsm |
| Enlightening Results @GraceCordovano @ShereesePubHlth Hi Shereese! Hope all is well. #lcsm |
 | Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach Deb in NH here. #LCSM |
| H. Jack West, MD @JackWestMD When you answer, pls type T1, T2, etc at start to clarify what topic you're answering (easier for all to follow). T1 coming up now. #lcsm |
| Timothy Gilligan @GilliganTimothy We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm |
| H. Jack West, MD @JackWestMD T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall short? #lcsm |
| Andrea Borondy Kitts @findlungcancer TY it was not mentioned in methods MT @GilliganTimothy: We had one patient on our panel. #lcsm |
| Danielle Pardue @Actorielle RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm |
| Danielle Pardue @Actorielle RT @JackWestMD: T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall shor… |
 | Frank Ingram, MD @Chucktowndoc Ingram here. Pathologist from NC. Tardy as usual...🤣 #lcsm |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm |
| ShereeseM, MS/MBA @ShereesePubHlth @GraceCordovano Hey. How was your day? #LCSM https://t.co/fQf9gs0Dgw |
| Enlightening Results @GraceCordovano @JackWestMD @GilliganTimothy The Patient-Clinician Communication #ASCO guidelines are the most exceptional I've seen yet. Framing & hanging in my office #lcsm #PtExp |
| John from Alabama @JohnLPender t1 Not at all. #lcsm |
| Enlightening Results @GraceCordovano @IJohnPereira Been looking forward to it since I heard about it! #lcsm |
| Andrea Borondy Kitts @findlungcancer T1 depends on the individual doc/healthcare professional; some spend the time, others don't #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc training #LCSM |
| Enlightening Results @GraceCordovano @ShereesePubHlth Missing D.C.! Wish I had one more day there. #lcsm |
| H. Jack West, MD @JackWestMD T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor of love. #lcsm |
| Danielle Pardue @Actorielle T1. No. Feels like the "professionalism" barrier prevents xtra questions/feedback. We deliberately break thru and make friendships. #lcsm |
| Danielle Pardue @Actorielle RT @GraceCordovano: @JackWestMD @GilliganTimothy The Patient-Clinician Communication #ASCO guidelines are the most exceptional I've see… |
| H. Jack West, MD @JackWestMD RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc… |
| Tessa Sheldon @tessa_perrin T1 Have had excellent communication w/ docs. Nurse Practitioner not so much. #LCSM |
| Andrea Borondy Kitts @findlungcancer T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm |
| Danielle Pardue @Actorielle RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc… |
| Danielle Pardue @Actorielle RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor… |
| Bob Steele @steele_bob RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc… |
| #LCSM Chat @lcsmchat RT @JackWestMD: When you answer, pls type T1, T2, etc at start to clarify what topic you're answering (easier for all to follow). T1 coming… |
| #LCSM Chat @lcsmchat RT @findlungcancer: Gr 8 write-up did you have patients on your expert panel MT @JackWestMD: @GilliganTimothy, guidelines on pt/clinician… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm |
| H. Jack West, MD @JackWestMD Often see the opposite. RT @tessa_perrin: T1 Have had excellent communication w/ docs. Nurse Practitioner not so much. #LCSM |
| #LCSM Chat @lcsmchat RT @JackWestMD: T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall shor… |
| H. Jack West, MD @JackWestMD RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell T1: But we're very fortunate that great care and not RVUs are what we're judged on. I know not all docs have that kind of support #LCSM |
| Enlightening Results @GraceCordovano @GilliganTimothy Was meaning to email you about this as I couldn't find it specified in the guidelines. #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @JackWestMD @GilliganTimothy The Patient-Clinician Communication #ASCO guidelines are the most exceptional I've see… |
| Timothy Gilligan @GilliganTimothy T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a relationship helps. #lcsm |
| ShereeseM, MS/MBA @ShereesePubHlth @GraceCordovano DC is great for meeting great ppl but I never miss the traffic. #LCSM |
| Enlightening Results @GraceCordovano @findlungcancer @GilliganTimothy Curious why only 1 patient? #lcsm |
 | Dr Riyaz Shah @DrRiyazShah @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not great #LCSM |
| Nathan A. Pennell MD, PhD @n8pennell Agree NPs more likely to spend time explaining, often clean up my mess on next visit for me #LCSM https://t.co/O6kyViCCeQ |
| Andrea Borondy Kitts @findlungcancer T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well as treatments #lcsm |
| H. Jack West, MD @JackWestMD to @gilligantimothy - any metrics/standards that can provide sense of who & which program are doing better & which falling short? #lcsm |
| Danielle Pardue @Actorielle RT @GilliganTimothy: T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a rel… |
| H. Jack West, MD @JackWestMD RT @n8pennell: Agree NPs more likely to spend time explaining, often clean up my mess on next visit for me #LCSM https://t.co/O6kyViCCeQ |
| H. Jack West, MD @JackWestMD RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not… |
| Andrea Borondy Kitts @findlungcancer I doubt you leave a mess RT @n8pennell: often clean up my mess on next visit for me #LCSM https://t.co/GXWAWGqVMV |
| Nathan A. Pennell MD, PhD @n8pennell RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not… |
 | Hossen Mahmud, MD @DrHMahmudMD #LCSM https://t.co/dbVYRmz43g |
| Danielle Pardue @Actorielle RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not… |
| Danielle Pardue @Actorielle RT @findlungcancer: T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well a… |
| Janet Freeman-Daily @JFreemanDaily T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex communications. #lcsm |
| Timothy Gilligan @GilliganTimothy @GraceCordovano @findlungcancer @GilliganTimothy Small panel. But I don't disagree with your reaction. #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: T1 depends on the individual doc/healthcare professional; some spend the time, others don't #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: T1: we are very fortunate to have a major focus on pt communication at @ClevelandClinic and @GilliganTimothy big part of doc… |
| #LCSM Chat @lcsmchat RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor… |
| Enlightening Results @GraceCordovano T1: From patient-side, hearing about many efforts to improve but seeing many backs of drs/oncologists when accompanying patients. #lcsm |
| Bob Steele @steele_bob RT @JFreemanDaily: T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex c… |
| H. Jack West, MD @JackWestMD @DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed encounter. #lcsm |
| ShereeseM, MS/MBA @ShereesePubHlth T1 Still seeing disparities, even w/ engagement.Some pt groups don't have trust; some drs don't discuss survivorship w/ certain groups #LCSM |
| Liz Cramer 🧬 @elisabethcramer RT @DrHMahmud: #LCSM https://t.co/dbVYRmz43g |
| Danielle Pardue @Actorielle RT @JFreemanDaily: T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex c… |
| #LCSM Chat @lcsmchat RT @Actorielle: T1. No. Feels like the "professionalism" barrier prevents xtra questions/feedback. We deliberately break thru and make frie… |
| Ian Pereira @IanJPereira @JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON. https://t.co/CO4EZ5Yn6Z #lcsm T1 https://t.co/AL5TQik3Ac |
| #LCSM Chat @lcsmchat RT @tessa_perrin: T1 Have had excellent communication w/ docs. Nurse Practitioner not so much. #LCSM |
| #LCSM Chat @lcsmchat RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: T1: But we're very fortunate that great care and not RVUs are what we're judged on. I know not all docs have that kind of su… |
| Bob Steele @steele_bob RT @JackWestMD: @DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed en… |
| ShereeseM, MS/MBA @ShereesePubHlth RT @IJohnPereira: @JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON.… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a rel… |
| Enlightening Results @GraceCordovano @ShereesePubHlth Seemed like so many people were running, biking, walking. I was so impressed! I missed the traffic bc mesmerized by sights #lcsm |
| Danielle Pardue @Actorielle RT @GraceCordovano: T1: From patient-side, hearing about many efforts to improve but seeing many backs of drs/oncologists when accompanying… |
| #LCSM Chat @lcsmchat RT @DrRiyazShah: @JackWestMD T1 : not enough time to do a consult properly in unrushed way. Seeing pts in 15 min intervals for 4 hrs is not… |
| Danielle Pardue @Actorielle RT @JackWestMD: @DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed en… |
| Nathan A. Pennell MD, PhD @n8pennell T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM |
| Danielle Pardue @Actorielle RT @ShereesePubHlth: T1 Still seeing disparities, even w/ engagement.Some pt groups don't have trust; some drs don't discuss survivorship w… |
| #LCSM Chat @lcsmchat RT @n8pennell: Agree NPs more likely to spend time explaining, often clean up my mess on next visit for me #LCSM https://t.co/O6kyViCCeQ |
| #LCSM Chat @lcsmchat RT @findlungcancer: T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well a… |
| Danielle Pardue @Actorielle RT @IJohnPereira: @JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON.… |
| #LCSM Chat @lcsmchat RT @JackWestMD: to @gilligantimothy - any metrics/standards that can provide sense of who & which program are doing better & which falling… |
| H. Jack West, MD @JackWestMD T1 Interesting: I think many docs feel more constrained & dissatisfied w/challenges than pts. Would have thought more pts frustrated. #lcsm |
| Bob Steele @steele_bob RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM |
| Danielle Pardue @Actorielle RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM |
| H. Jack West, MD @JackWestMD RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T1: Prioritizing communication seems to vary among providers. Pressure to keep clinic visits brief can derail complex c… |
| Timothy Gilligan @GilliganTimothy Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Leads to avoidance. #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: T1: From patient-side, hearing about many efforts to improve but seeing many backs of drs/oncologists when accompanying… |
| ShereeseM, MS/MBA @ShereesePubHlth @GraceCordovano Lots of walkers and bikers in DC. There are some great neighborhoods; great for meeting ppl #LCSM |
| #LCSM Chat @lcsmchat RT @JackWestMD: @DrRiyazShah Yes, concern about fast turnaround -- that's a set up for failure. can't be artful in communicat'n w/rushed en… |
| Frank Ingram, MD @Chucktowndoc Related question... Is empathy something that can be taught to an adult? Or is it something you either have or lack? #lcsm |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: T1 Still seeing disparities, even w/ engagement.Some pt groups don't have trust; some drs don't discuss survivorship w… |
| Danielle Pardue @Actorielle RT @JackWestMD: T1 Interesting: I think many docs feel more constrained & dissatisfied w/challenges than pts. Would have thought more pts f… |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @JackWestMD Since 2015, Ontario oncologists & patients have been encouraged to partner for care v @CancerCare_ON.… |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach T1 My onc @DanaFarber spends as much time in appt as I need, as do RNs. Also can call, email as needed. #LCSM |
| #LCSM Chat @lcsmchat RT @n8pennell: T1: in recent State of Cancer Care report, oncologists averaged 8 minutes per visit, not nearly enough time #LCSM |
| Danielle Pardue @Actorielle RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead… |
| H. Jack West, MD @JackWestMD We'll turn to T2 in a minute... #lcsm |
| Andrea Borondy Kitts @findlungcancer typically had 30-45min MT @n8pennell: T1: oncologists averaged 8 minutes per visit, not nearly enough time #LCSM |
| Danielle Pardue @Actorielle Question for the ages! https://t.co/tyUa21dBcQ |
| Timothy Gilligan @GilliganTimothy @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Need to fix that. #lcsm |
| Bob Steele @steele_bob RT @debsmithbeach: T1 My onc @DanaFarber spends as much time in appt as I need, as do RNs. Also can call, email as needed. #LCSM |
| Danielle Pardue @Actorielle RT @debsmithbeach: T1 My onc @DanaFarber spends as much time in appt as I need, as do RNs. Also can call, email as needed. #LCSM |
| Enlightening Results @GraceCordovano @n8pennell Could you further clarify, estimating how much time is spent actually talking to patient? #lcsm |
| Janet Freeman-Daily @JFreemanDaily @JackWestMD OH, we are frustrated! We just don't know how to change the system in light of coding and payment structure. #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell T1: Wrote about spending enough time with patients last year https://t.co/LilHi9I4R4 #LCSM |
| H. Jack West, MD @JackWestMD I think experts say skills CAN be taught, not innate MT @Chucktowndoc: Related Q: Is empathy something that can be taught to an adult? #lcsm |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead… |
| Nathan A. Pennell MD, PhD @n8pennell RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne… |
| Andrea Borondy Kitts @findlungcancer T1 also was able to communicate via e-mail with husband's onc -- this was critical to his care and our relationship #lcsm |
| H. Jack West, MD @JackWestMD RT @JFreemanDaily: @JackWestMD OH, we are frustrated! We just don't know how to change the system in light of coding and payment structure… |
| Dr Riyaz Shah @DrRiyazShah @JackWestMD Very common in UK where the system is v different. Although many in denial about this. Need CNS in clinic. #LCSM |
| Nathan A. Pennell MD, PhD @n8pennell RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead… |
| Enlightening Results @GraceCordovano @Chucktowndoc IMHO, it can be fostered through example. #lcsm |
| Danielle Pardue @Actorielle T1. I once asked desk staff for PA's email. They weren't allowed to give it. I went to the car, got my phone, got it on MyChart. Odd. #lcsm |
| Geri Massa @GeriGerim13 T1 I see my Dr's NP more than the Dr #lcsm |
| Andrea Borondy Kitts @findlungcancer T1 Onc also shared all CT scan and test results with me via e-mail so able to prepare for our visit #lcsm |
| Danielle Pardue @Actorielle RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne… |
| Janet Freeman-Daily @JFreemanDaily Reminder: Great that ppl connect during chat, but for sake of transcript, pls try to keep comments on topic and use T1, T2, etc. #lcsm |
| Danielle Pardue @Actorielle RT @GraceCordovano: @n8pennell Could you further clarify, estimating how much time is spent actually talking to patient? #lcsm |
| Danielle Pardue @Actorielle RT @n8pennell: T1: Wrote about spending enough time with patients last year https://t.co/LilHi9I4R4 #LCSM |
| #LCSM Chat @lcsmchat RT @Chucktowndoc: Related question... Is empathy something that can be taught to an adult? Or is it something you either have or lack? #l… |
| #LCSM Chat @lcsmchat RT @JackWestMD: We'll turn to T2 in a minute... #lcsm |
| Bob Steele @steele_bob RT @findlungcancer: T1 Onc also shared all CT scan and test results with me via e-mail so able to prepare for our visit #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: typically had 30-45min MT @n8pennell: T1: oncologists averaged 8 minutes per visit, not nearly enough time #LCSM |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne… |
| Enlightening Results @GraceCordovano Is this due to the prestige of the facility & zip code? Why are there such stark contrasts in experiences? #lcsm https://t.co/3M8bW0NASn |
| H. Jack West, MD @JackWestMD T2 Should we make pt communication a high enough priority to dedicate more time/visit or extra visits for this? Realistic? #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @n8pennell Could you further clarify, estimating how much time is spent actually talking to patient? #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @JackWestMD OH, we are frustrated! We just don't know how to change the system in light of coding and payment structure… |
| Hossen Mahmud, MD @DrHMahmudMD #LCSM @GilliganTimothy https://t.co/NUbwsOt8Uo |
| #LCSM Chat @lcsmchat RT @n8pennell: T1: Wrote about spending enough time with patients last year https://t.co/LilHi9I4R4 #LCSM |
| Dr Riyaz Shah @DrRiyazShah @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with in the middle of a consult. #LCSM |
| #LCSM Chat @lcsmchat RT @JackWestMD: I think experts say skills CAN be taught, not innate MT @Chucktowndoc: Related Q: Is empathy something that can be taught t… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T1 also was able to communicate via e-mail with husband's onc -- this was critical to his care and our relationship #l… |
| Timothy Gilligan @GilliganTimothy It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be heard. #lcsm |
| Enlightening Results @GraceCordovano This. #lcsm https://t.co/gyJmtFOWZU |
| #LCSM Chat @lcsmchat RT @DrRiyazShah: @JackWestMD Very common in UK where the system is v different. Although many in denial about this. Need CNS in clinic. #LC… |
| #LCSM Chat @lcsmchat RT @Actorielle: T1. I once asked desk staff for PA's email. They weren't allowed to give it. I went to the car, got my phone, got it on MyC… |
| ShereeseM, MS/MBA @ShereesePubHlth @GERI1365 The utilization of NPs and PAs in practices can help bridge communication gaps and its economical for practices #LCSM |
| #LCSM Chat @lcsmchat RT @GERI1365: T1 I see my Dr's NP more than the Dr #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: T1 Onc also shared all CT scan and test results with me via e-mail so able to prepare for our visit #lcsm |
| Bob Steele @steele_bob RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| Andrea Borondy Kitts @findlungcancer T2 misnomer to say extra time; at a system level adequate time for good communication will save time & $'s and improve outcomes & sat #lcsm |
| Danielle Pardue @Actorielle RT @JackWestMD: T2 Should we make pt communication a high enough priority to dedicate more time/visit or extra visits for this? Realistic?… |
| Danielle Pardue @Actorielle RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with… |
| Andrea Borondy Kitts @findlungcancer RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
 | Laronica Conway @louisianagirl91 Late but here!! Great topic! #LCSM https://t.co/YPMAghl3xl |
| H. Jack West, MD @JackWestMD <10 min far more typical MT @GraceCordovano: Due to prestige of facility? Why such variability in experiences? #lcsm https://t.co/pdagaxUr5K |
 | 😼LeyWimber @leywimber T1 On Nivo x 2 yrs w/few AEs. My doc lets me lead the convo cuz no real issues atm. He says we are learning together w new drug. #lcsm |
| Laronica Conway @louisianagirl91 RT @JackWestMD: We are very happy to be joined today by @GilliganTimothy, who is lead author for ASCO's guidelines on pt/clinician communic… |
 | Mark Winter @mdwinterwv My doc also ends each visit discussing anything me or my spouse need to discuss. He always asks if we want to talk. #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell @GraceCordovano In 8 minutes I'd guess the doc does most of the talking. I have 30 min but give what's needed, it avgs out #LCSM |
| Danielle Pardue @Actorielle RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead… |
| Laronica Conway @louisianagirl91 RT @JackWestMD: T1) Do you see your health care system prioritizing pt/clinican communication in cancer care? If not, how does it fall shor… |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| Ian Pereira @IanJPereira @JackWestMD @lcsmchat @GilliganTimothy Welcome, @GilliganTimothy. Enjoyed reading your @ASCO guidelines on patient-clinician communication. https://t.co/pu1AOFWwyz #lcsm #RadOnc |
 | Dr. David Tom Cooke @DavidCookeMD Now that @louisianagirl91 is here, I can start chatting! Your friendly neighborhood thoracic surgeon. #LCSM |
| Janet Freeman-Daily @JFreemanDaily T2: Improved communication requires more time, but can also lower costs (fewer repeat visits, ER visits, etc.) #lcsm |
| Laronica Conway @louisianagirl91 RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: Is this due to the prestige of the facility & zip code? Why are there such stark contrasts in experiences? #lcsm https:… |
| H. Jack West, MD @JackWestMD RT @DavidCookeMD: Now that @louisianagirl91 is here, I can start chatting! Your friendly neighborhood thoracic surgeon. #LCSM |
| #LCSM Chat @lcsmchat RT @JackWestMD: T2 Should we make pt communication a high enough priority to dedicate more time/visit or extra visits for this? Realistic?… |
| Laronica Conway @louisianagirl91 RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm |
| Enlightening Results @GraceCordovano @GilliganTimothy What are changes that could be made, even small ones, to change the culture? #lcsm |
| #LCSM Chat @lcsmchat RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with… |
| H. Jack West, MD @JackWestMD RT @n8pennell: @GraceCordovano In 8 minutes I'd guess the doc does most of the talking. I have 30 min but give what's needed, it avgs out #… |
| Ian Pereira @IanJPereira @GilliganTimothy @lcsmchat Interested to hear your approaches to teaching communication! #MedEd #lcsm |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| Geri Massa @GeriGerim13 @louisianagirl91 Hi Laronica #lcsm |
| Laronica Conway @louisianagirl91 RT @JackWestMD: to @gilligantimothy - any metrics/standards that can provide sense of who & which program are doing better & which falling… |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: @GERI1365 The utilization of NPs and PAs in practices can help bridge communication gaps and its economical for practi… |
| Mark Winter @mdwinterwv Also I get test results via email so I have them prior to doctor visits so I can discuss. #lcsm |
| Andrea Borondy Kitts @findlungcancer T2 - I came prepared to visit with background reading completed, summary of Dan's status and list of questions; facilitated discussion #lcsm |
| Timothy Gilligan @GilliganTimothy One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at each visit. #lcsm |
 | SOTS @sparkyontheseas @n8pennell @ClevelandClinic @GilliganTimothy It shows as that is where my Dr spent his residency. #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go down #LCSM |
| Bob Steele @steele_bob RT @GilliganTimothy: One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at… |
| Liz Cramer 🧬 @elisabethcramer RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with… |
| ShereeseM, MS/MBA @ShereesePubHlth T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs orders (Stanford) #LCSM |
| Ian Pereira @IanJPereira @findlungcancer @JackWestMD @GilliganTimothy Great question @findlungcancer. Important. Curious what appropriate compensation for patients on these studies would also look like. #lcsm |
| Liz Cramer 🧬 @elisabethcramer RT @DrRiyazShah: @JackWestMD T1 : I hate hate hate and resent resent resent the multitude of IT systems that need to be played with… |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach @JackWestMD @GraceCordovano T1 Typical visit is 30-40 min. I only know my experience. I've had frank conversations re: my status, prognosis, started by onc & me. #LCSM |
| Liz Cramer 🧬 @elisabethcramer RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| Ian Pereira @IanJPereira RT @GilliganTimothy: We had one patient on our panel. This is standard for all ASCO guidelines. Critical input. #lcsm |
| Timothy Gilligan @GilliganTimothy T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| Danielle Pardue @Actorielle RT @GraceCordovano: @GilliganTimothy What are changes that could be made, even small ones, to change the culture? #lcsm |
| H. Jack West, MD @JackWestMD RT @n8pennell: T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go… |
| Enlightening Results @GraceCordovano @JFreemanDaily We need communication to become recognized as critical, valuable, & reimbursable. #lcsm |
| Laronica Conway @louisianagirl91 I know it's just as hard for docs as it is for pts. #LCSM https://t.co/4NQjrH2FDP |
| Dr. David Tom Cooke @DavidCookeMD A2 Pt communication should be top priority. Time crunch is difficult. I strive to be efficient: teach back, asking if understand..." #LCSM |
| Andrea Borondy Kitts @findlungcancer agree; patients/caregiver equal partner must prepare too MT @GilliganTimothy: come with a list of what's most important each visit. #lcsm |
| Liz Cramer 🧬 @elisabethcramer RT @LeyWimber: T1 On Nivo x 2 yrs w/few AEs. My doc lets me lead the convo cuz no real issues atm. He says we are learning together w new d… |
| Geri Massa @GeriGerim13 @GilliganTimothy I bring a list of questions #LCSM |
| SOTS @sparkyontheseas #LCSM |
| Janet Freeman-Daily @JFreemanDaily @GraceCordovano We'll cover this soon in following topics (check list of questions at https://t.co/fKZaVdWBhy #lcsm |
| Laronica Conway @louisianagirl91 🙁 #LCSM https://t.co/5LMc6mDkV5 |
| Nathan A. Pennell MD, PhD @n8pennell RT @GilliganTimothy: One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at… |
| Enlightening Results @GraceCordovano @GilliganTimothy And bring a care partner to advocate #lcsm |
| H. Jack West, MD @JackWestMD T2 I think incentives must be diff to focus more on communicat'n than high throughput - often most rewarded (esp outside academia) #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: T2 misnomer to say extra time; at a system level adequate time for good communication will save time & $'s and improve… |
| Dr. David Tom Cooke @DavidCookeMD Bringing a list of questions is great, very helpful to me IMHO. #LCSM https://t.co/yNvhRh8gPT |
| Danielle Pardue @Actorielle RT @ShereesePubHlth: T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs order… |
| #LCSM Chat @lcsmchat RT @JackWestMD: <10 min far more typical MT @GraceCordovano: Due to prestige of facility? Why such variability in experiences? #lcsm https:… |
| Ian Pereira @IanJPereira @GilliganTimothy @lcsmchat Interesting that there was patient-perspective on the panel. Any particular areas where the patient drove the most insights? #lcsm T1 |
| Andrea Borondy Kitts @findlungcancer yes bc ultimately it will save $'s & improve outcomes MT @GraceCordovano: @JFreemanDaily critical, valuable, & reimbursable. #lcsm |
| H. Jack West, MD @JackWestMD RT @DavidCookeMD: A2 Pt communication should be top priority. Time crunch is difficult. I strive to be efficient: teach back, asking if u… |
| #LCSM Chat @lcsmchat RT @mdwinterwv: My doc also ends each visit discussing anything me or my spouse need to discuss. He always asks if we want to talk. #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: @GraceCordovano In 8 minutes I'd guess the doc does most of the talking. I have 30 min but give what's needed, it avgs out #… |
| Liz Cramer 🧬 @elisabethcramer RT @ShereesePubHlth: T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs order… |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T2: Improved communication requires more time, but can also lower costs (fewer repeat visits, ER visits, etc.) #lcsm |
| Danielle Pardue @Actorielle @ShereesePubHlth Not to mention times that orders that were given were inappropriate bc of HCPs who misunderstood pt's goals, stories, or PMH! #lcsm |
| H. Jack West, MD @JackWestMD T2 Def like having pts convey their understanding -- great idea, but still need to remember (& make time) to do that. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Hard to identify an outcome for communication to incentive. Patient satisfaction scores are unreliable. #LCSM https://t.co/d09RPQ7iY9 |
| Andrea Borondy Kitts @findlungcancer good to hear; not all docs I agree; I fire those RT @DavidCookeMD: Bringing a list of questions helpful to me https://t.co/Wgd5otI2sZ #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell Enough time is necessary but not sufficient! https://t.co/p4N2i2YKuu |
| Nathan A. Pennell MD, PhD @n8pennell RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm |
| #LCSM Chat @lcsmchat RT @mdwinterwv: Also I get test results via email so I have them prior to doctor visits so I can discuss. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD RT @findlungcancer: good to hear; not all docs I agree; I fire those RT @DavidCookeMD: Bringing a list of questions helpful to me https://… |
| Bob Steele @steele_bob RT @JFreemanDaily: T2: Improved communication requires more time, but can also lower costs (fewer repeat visits, ER visits, etc.) #lcsm |
| H. Jack West, MD @JackWestMD Another min or 2, then turning to T3... #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: T2 - I came prepared to visit with background reading completed, summary of Dan's status and list of questions; facilit… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: One thing we can do to help ourselves as patients is to come with a list of what's most important to us to address at… |
| Timothy Gilligan @GilliganTimothy @GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (respectfully) #lcsm |
| #LCSM Chat @lcsmchat RT @n8pennell: T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go… |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: T2 Comm should be a priority as it definitely affects outcomes. 60% of readmitted Pts admit misunderstanding Drs order… |
| Ian Pereira @IanJPereira @n8pennell @lcsmchat @ClevelandClinic @GilliganTimothy Do you use any particular communication guidelines/frameworks for #MedEd (e.g. #AAMC/#CanMeds)? #lcsm |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @findlungcancer @JackWestMD @GilliganTimothy Great question @findlungcancer. Important. Curious what appropriate c… |
| #LCSM Chat @lcsmchat RT @debsmithbeach: @JackWestMD @GraceCordovano T1 Typical visit is 30-40 min. I only know my experience. I've had frank conversations… |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: @GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (r… |
| Nathan A. Pennell MD, PhD @n8pennell RT @JackWestMD: T2 I think incentives must be diff to focus more on communicat'n than high throughput - often most rewarded (esp outside ac… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm |
| Liz Cramer 🧬 @elisabethcramer @n8pennell Yikes. That's not enough. Did it differentiate btwn newly dx vs on-going pt or early stage vs metastatic dx? #lcsm |
| Danielle Pardue @Actorielle RT @GilliganTimothy: @GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (r… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @JFreemanDaily We need communication to become recognized as critical, valuable, & reimbursable. #lcsm |
| Andrea Borondy Kitts @findlungcancer agree, intangible MT @DavidCookeMD: Hard to identify an outcome for communication to incentive. #LCSM https://t.co/eTB4rvtall |
| Timothy Gilligan @GilliganTimothy I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on. #lcsm |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach T1. Consequence of enough time is onc runs late. I just expect, appreciate it. #LCSM |
| Enlightening Results @GraceCordovano @IJohnPereira @GilliganTimothy @lcsmchat Did the patient have a "good" communication experience? Bad? Or experience with both? #lcsm |
| Laronica Conway @louisianagirl91 Right. There is so much value in pt feedback, good or bad. #LCSM https://t.co/xwxeqcZJjT |
| #LCSM Chat @lcsmchat RT @louisianagirl91: I know it's just as hard for docs as it is for pts. #LCSM https://t.co/4NQjrH2FDP |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: A2 Pt communication should be top priority. Time crunch is difficult. I strive to be efficient: teach back, asking if u… |
| #LCSM Chat @lcsmchat RT @findlungcancer: agree; patients/caregiver equal partner must prepare too MT @GilliganTimothy: come with a list of what's most importan… |
| #LCSM Chat @lcsmchat RT @GERI1365: @GilliganTimothy I bring a list of questions #LCSM |
| Ian Pereira @IanJPereira @JackWestMD What would an idea incentive look like that includes effective communication? #lcsm T1 |
| Bob Steele @steele_bob RT @GilliganTimothy: I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on.… |
| Ian Pereira @IanJPereira RT @JackWestMD: T1 I see far more incentives for fast, efficient care than prioritization of good communication. Can't rely on it as labor… |
| ShereeseM, MS/MBA @ShereesePubHlth @DavidCookeMD And incentives historically have been and epic fail & IMHO, are poor measures. You can't pay ppl to "care" #LCSM |
 | Christen Gjeldum @GjeldumChristen RT @louisianagirl91: Right. There is so much value in pt feedback, good or bad. #LCSM https://t.co/xwxeqcZJjT |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @GilliganTimothy And bring a care partner to advocate #lcsm |
| Andrea Borondy Kitts @findlungcancer will you be my doc? MT @GilliganTimothy: I find it very helpful when patients tell me how I could do better, what I need to work on. #lcsm |
| Danielle Pardue @Actorielle RT @GilliganTimothy: I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on.… |
| Laronica Conway @louisianagirl91 RT @n8pennell: T2: academic programs often have more time set aside for visits, all about incentives. If $ for more pts seen, time MUST go… |
 | Jodi Bond @jodibon80232776 RT @lil_lytnin: CT open communication builds trust and lessens fears. #lcsm |
 | Nima Sharifi @nimasharifimd RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach RT @findlungcancer: T2 misnomer to say extra time; at a system level adequate time for good communication will save time & $'s and improve… |
| Andrea Borondy Kitts @findlungcancer RT @ShereesePubHlth: @DavidCookeMD And incentives historically have been and epic fail & IMHO, are poor measures. You can't pay ppl to "car… |
| Andrea Borondy Kitts @findlungcancer RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm |
| H. Jack West, MD @JackWestMD T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell RT @debsmithbeach: T1. Consequence of enough time is onc runs late. I just expect, appreciate it. #LCSM |
| Christen Gjeldum @GjeldumChristen #lcsm T2) Pt putting themselves in ONC's shoes and vise versa could help with patience in general |
| Enlightening Results @GraceCordovano @GilliganTimothy Do you ever receive positive feedback when you relay difficult information? #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: T2 I think incentives must be diff to focus more on communicat'n than high throughput - often most rewarded (esp outside ac… |
| Danielle Pardue @Actorielle RT @JackWestMD: T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Bringing a list of questions is great, very helpful to me IMHO. #LCSM https://t.co/yNvhRh8gPT |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @GilliganTimothy @lcsmchat Interesting that there was patient-perspective on the panel. Any particular areas where… |
| Timothy Gilligan @GilliganTimothy @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders caring. #lcsm |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM |
| #LCSM Chat @lcsmchat RT @findlungcancer: yes bc ultimately it will save $'s & improve outcomes MT @GraceCordovano: @JFreemanDaily critical, valuable, & reimburs… |
| Andrea Borondy Kitts @findlungcancer T3 hard to say if not already motivated by caring and empathy for the patient #lcsm |
| #LCSM Chat @lcsmchat RT @Actorielle: @ShereesePubHlth Not to mention times that orders that were given were inappropriate bc of HCPs who misunderstood p… |
| #LCSM Chat @lcsmchat RT @JackWestMD: T2 Def like having pts convey their understanding -- great idea, but still need to remember (& make time) to do that. #lcsm |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car… |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Hard to identify an outcome for communication to incentive. Patient satisfaction scores are unreliable. #LCSM https://t.… |
| Danielle Pardue @Actorielle RT @GraceCordovano: @GilliganTimothy Do you ever receive positive feedback when you relay difficult information? #lcsm |
| Dr. David Tom Cooke @DavidCookeMD T3 Find "experts" in efficient patient communication, acknowledging time constraints; create you tube videos, teach docs. #LCSM https://t.co/ZSyD1f9Z7m |
| Andrea Borondy Kitts @findlungcancer RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car… |
| #LCSM Chat @lcsmchat RT @findlungcancer: good to hear; not all docs I agree; I fire those RT @DavidCookeMD: Bringing a list of questions helpful to me https://… |
| Danielle Pardue @Actorielle RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car… |
| Bob Steele @steele_bob RT @debsmithbeach: T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: @GraceCordovano @GilliganTimothy We can help ourselves as patients if we ask clearly for what we need, what we want (r… |
| H. Jack West, MD @JackWestMD Sounds like a good onc. RT @debsmithbeach: T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @n8pennell @lcsmchat @ClevelandClinic @GilliganTimothy Do you use any particular communication guidelines/framework… |
| #LCSM Chat @lcsmchat RT @elisabethcramer: @n8pennell Yikes. That's not enough. Did it differentiate btwn newly dx vs on-going pt or early stage vs metastatic dx… |
| Andrea Borondy Kitts @findlungcancer T3 patients expressing thanks and gratitude I've been told by docs is a great motivator #lcsm |
| Enlightening Results @GraceCordovano T3: Must go beyond doctors. Payers need to recognize the importance of conversation, patient education, & reimburse. Invaluable #lcsm |
| ShereeseM, MS/MBA @ShereesePubHlth @GraceCordovano @GilliganTimothy I have. When parents of chronically ill peds pts needed help w/ what was being told via Drs., I helped put things in simple language #LCSM |
| Timothy Gilligan @GilliganTimothy @GraceCordovano @GilliganTimothy My colleagues and I all have experiences of being thanked for our candor. But must be empathic candor #lcsm |
| Laronica Conway @louisianagirl91 And not be afraid to speak up. Having a loved one/friend at the appt for support is vital. #LCSM https://t.co/zNoBzOf91x |
| Janet Freeman-Daily @JFreemanDaily @JackWestMD T3: Make use of codes for Goals of Care discussions for all advanced cancer patients! #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell Patient getting bad news just today empathized with me for having to have these types of conversations, happens often #LCSM https://t.co/asaAFOJkoB |
| Laronica Conway @louisianagirl91 @DavidCookeMD Miss you too!! 😘 #LCSM |
| Nathan A. Pennell MD, PhD @n8pennell RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car… |
| Andrea Borondy Kitts @findlungcancer T3 I've found docs who are good communicators focus exclusively on the patient in front of them at the time regardless of time #lcsm |
| Bob Steele @steele_bob RT @JFreemanDaily: @JackWestMD T3: Make use of codes for Goals of Care discussions for all advanced cancer patients! #lcsm |
| Danielle Pardue @Actorielle RT @n8pennell: Patient getting bad news just today empathized with me for having to have these types of conversations, happens oft… |
| Nathan A. Pennell MD, PhD @n8pennell Whoops practice over gotta run! #LCSM |
| ShereeseM, MS/MBA @ShereesePubHlth @GraceCordovano @GilliganTimothy One such parent wrote a yr after the death of her daughter to thank me for being honest/caring with them #LCSM |
| Laronica Conway @louisianagirl91 @GERI1365 Geri!!!!! Heyyyyyy!!! #lcsm |
| Janet Freeman-Daily @JFreemanDaily T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least one thing. #lcsm |
| H. Jack West, MD @JackWestMD RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on… |
| Dr. David Tom Cooke @DavidCookeMD RT @louisianagirl91: @DavidCookeMD Miss you too!! 😘 #LCSM |
| #LCSM Chat @lcsmchat RT @findlungcancer: agree, intangible MT @DavidCookeMD: Hard to identify an outcome for communication to incentive. #LCSM https://t.co/eTB… |
| Timothy Gilligan @GilliganTimothy T3) I agree that adequate time must be provided; I also find that much time is wasted on trivial tasks. We can use our time better. #lcsm |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: I find it very helpful when patients tell me when I have let them down, how I could do better, what I need to work on.… |
| Mark Winter @mdwinterwv T1 I found that after I established trust with my doc the number of questions went way down. Now I just listen and do what he says #LCSM |
| #LCSM Chat @lcsmchat RT @debsmithbeach: T1. Consequence of enough time is onc runs late. I just expect, appreciate it. #LCSM |
| Andrea Borondy Kitts @findlungcancer T3 provide tools for docs to help with communication; vignettes and role play can be helpful #lcsm |
| Bob Steele @steele_bob RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @IJohnPereira @GilliganTimothy @lcsmchat Did the patient have a "good" communication experience? Bad? Or experience wit… |
| Enlightening Results @GraceCordovano @GilliganTimothy @ShereesePubHlth @DavidCookeMD Dr must be paid for spending time w/pt. Communication must be reimbursable. We aren't talking about a cold here. #lcsm |
| Danielle Pardue @Actorielle T3 TBH, form friendships.We treat ea HCP like a friend known forever. Laughs,first names,easy attitude. I think it has opened doors. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD T3 This is a good idea. Someone video taped me once on their iPhone. That was odd. #LCSM https://t.co/3sMhBZF9lg |
| Ian Pereira @IanJPereira @Actorielle Interesting. We're taught that meeting norms is part of professionalism. If it becomes an expectation...#lcsm #MedEd https://t.co/BZCo5zFwA2 https://t.co/jmJ9mMLYyg |
| Ian Pereira @IanJPereira RT @Actorielle: T1. No. Feels like the "professionalism" barrier prevents xtra questions/feedback. We deliberately break thru and make frie… |
| Timothy Gilligan @GilliganTimothy @mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm |
| Danielle Pardue @Actorielle RT @findlungcancer: T3 I've found docs who are good communicators focus exclusively on the patient in front of them at the time regardless… |
| Ian Pereira @IanJPereira RT @findlungcancer: T1 difficult bc sometimes patient or caregiver don't want to discuss (hear) difficult news/topics #lcsm |
| ShereeseM, MS/MBA @ShereesePubHlth @GilliganTimothy @DavidCookeMD True but incentives can't prevent burnout. Efficacy-based #workflow solutions do that #LCSM |
| Frank Ingram, MD @Chucktowndoc T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm |
| H. Jack West, MD @JackWestMD Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivial tasks. #lcsm |
| Danielle Pardue @Actorielle RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on… |
| Janet Freeman-Daily @JFreemanDaily T3 Metrics need to capture calls/appointments/ER visits precipitated because of patient-provider miscommunication. #lcsm |
| Bob Steele @steele_bob RT @Actorielle: T3 TBH, form friendships.We treat ea HCP like a friend known forever. Laughs,first names,easy attitude. I think it has open… |
| Andrea Borondy Kitts @findlungcancer I think first name basis with doc a good idea. Not many agree @Actorielle #lcsm |
| Danielle Pardue @Actorielle RT @GilliganTimothy: T3) I agree that adequate time must be provided; I also find that much time is wasted on trivial tasks. We can use our… |
| #LCSM Chat @lcsmchat RT @louisianagirl91: Right. There is so much value in pt feedback, good or bad. #LCSM https://t.co/xwxeqcZJjT |
| Andrea Borondy Kitts @findlungcancer RT @JFreemanDaily: T3 Metrics need to capture calls/appointments/ER visits precipitated because of patient-provider miscommunication. #lcsm |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @JackWestMD What would an idea incentive look like that includes effective communication? #lcsm T1 |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: @DavidCookeMD And incentives historically have been and epic fail & IMHO, are poor measures. You can't pay ppl to "car… |
| Nathan A. Pennell MD, PhD @n8pennell RT @JackWestMD: Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivi… |
| Laronica Conway @louisianagirl91 @drCarterHarris @findlungcancer Hi there! So glad you could make it! #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm |
| H. Jack West, MD @JackWestMD T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical outcomes? #lcsm |
| Nathan A. Pennell MD, PhD @n8pennell RT @GilliganTimothy: @mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm |
| Andrea Borondy Kitts @findlungcancer @JFreemanDaily YES metrics are key to showing benefits #lcsm |
| #LCSM Chat @lcsmchat RT @GjeldumChristen: #lcsm T2) Pt putting themselves in ONC's shoes and vise versa could help with patience in general |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @GilliganTimothy Do you ever receive positive feedback when you relay difficult information? #lcsm |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: @ShereesePubHlth @DavidCookeMD You can't pay people to care but you can remove barriers to caring. Burnout hinders car… |
 | Heather L Gornik @heatherlgornik RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne… |
| #LCSM Chat @lcsmchat RT @debsmithbeach: T1 I have a notebook and list of ?s. Onc asks, "What's next?" Answers every ?. #LCSM |
| #LCSM Chat @lcsmchat RT @findlungcancer: T3 hard to say if not already motivated by caring and empathy for the patient #lcsm |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: T3 Find "experts" in efficient patient communication, acknowledging time constraints; create you tube videos, teach… |
| Ian Pereira @IanJPereira RT @n8pennell: T1: But we're very fortunate that great care and not RVUs are what we're judged on. I know not all docs have that kind of su… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T3 patients expressing thanks and gratitude I've been told by docs is a great motivator #lcsm |
| Timothy Gilligan @GilliganTimothy @findlungcancer Like some many conversations that we all know we need to have but are scared to have. Skills help. #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: T3: Must go beyond doctors. Payers need to recognize the importance of conversation, patient education, & reimburse. In… |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: @GraceCordovano @GilliganTimothy I have. When parents of chronically ill peds pts needed help w/ what was being tol… |
| Ian Pereira @IanJPereira RT @GilliganTimothy: T1) Training programs focusing more on communication. In clinic, growing focus on billing & efficiency. Building a rel… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: @GraceCordovano @GilliganTimothy My colleagues and I all have experiences of being thanked for our candor. But must be… |
| #LCSM Chat @lcsmchat RT @louisianagirl91: And not be afraid to speak up. Having a loved one/friend at the appt for support is vital. #LCSM https://t.co/zNoBzOf9… |
| Enlightening Results @GraceCordovano @n8pennell So important to recognize. Can't imagine how difficult it must be to deliver the diagnosis. Dr are humans too. Humans helping humans. #lcsm |
| Danielle Pardue @Actorielle RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @JackWestMD T3: Make use of codes for Goals of Care discussions for all advanced cancer patients! #lcsm |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: @mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm |
| Andrea Borondy Kitts @findlungcancer maybe a little role play both ways MT @GjeldumChristen: #lcsm T2) Pt putting themselves in ONC's shoes could help with patience in general |
| #LCSM Chat @lcsmchat RT @n8pennell: Patient getting bad news just today empathized with me for having to have these types of conversations, happens oft… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T3 I've found docs who are good communicators focus exclusively on the patient in front of them at the time regardless… |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: @GraceCordovano @GilliganTimothy One such parent wrote a yr after the death of her daughter to thank me for being h… |
| Danielle Pardue @Actorielle RT @JackWestMD: T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical… |
 | Bryant Furlow @BryantFurlow RT @GilliganTimothy: Important to remember that many docs have minimal training on how to have conversations about difficult subjects. Lead… |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T3: I bring digital voice recorder to all clinic appts (with provider's permission)--review shows I misheard at least on… |
| Bob Steele @steele_bob RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: T3) I agree that adequate time must be provided; I also find that much time is wasted on trivial tasks. We can use our… |
| #LCSM Chat @lcsmchat RT @mdwinterwv: T1 I found that after I established trust with my doc the number of questions went way down. Now I just listen and do what… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T3 provide tools for docs to help with communication; vignettes and role play can be helpful #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @GilliganTimothy @ShereesePubHlth @DavidCookeMD Dr must be paid for spending time w/pt. Communication must be reimb… |
| Mark Winter @mdwinterwv Have to say the entire staff at #wvumedicine do a fantastic job. The doc and nurses go out of the way to discuss any topic of care #LCSM |
| Danielle Pardue @Actorielle T4 whether the pt feels valued, important, understood, heard. Ask the pt that before the appt is over. #lcsm |
| #LCSM Chat @lcsmchat RT @Actorielle: T3 TBH, form friendships.We treat ea HCP like a friend known forever. Laughs,first names,easy attitude. I think it has open… |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: T3 This is a good idea. Someone video taped me once on their iPhone. That was odd. #LCSM https://t.co/3sMhBZF9lg |
| Dr. David Tom Cooke @DavidCookeMD This important. Often the fact that doctors are human is taken for granted. #LCSM https://t.co/wzmFTRRQZH |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @Actorielle Interesting. We're taught that meeting norms is part of professionalism. If it becomes an expectation..… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: @mdwinterwv @mdwinterwv @mdwinterwv This is key: communication much better when there is trust. #lcsm |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: @GilliganTimothy @DavidCookeMD True but incentives can't prevent burnout. Efficacy-based #workflow solutions do that #… |
| Christen Gjeldum @GjeldumChristen RT @Actorielle: T4 whether the pt feels valued, important, understood, heard. Ask the pt that before the appt is over. #lcsm |
| #LCSM Chat @lcsmchat RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement system is partly at fault. But how to fix/replace? #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivi… |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T3 Metrics need to capture calls/appointments/ER visits precipitated because of patient-provider miscommunication. #lcsm |
| Enlightening Results @GraceCordovano RT @JackWestMD: T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical… |
| #LCSM Chat @lcsmchat RT @findlungcancer: I think first name basis with doc a good idea. Not many agree @Actorielle #lcsm |
| Andrea Borondy Kitts @findlungcancer use technology -- e-mail, texts, telehealth, SoMe RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: T4 Let's talk metrics. What are best measures of best pt communication? Pt. satisfaction? Extent of pt knowledge? Clinical… |
| Geri Massa @GeriGerim13 @GraceCordovano @n8pennell I agree, I can't imagine being in the Dr shoes #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: @JFreemanDaily YES metrics are key to showing benefits #lcsm |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: @findlungcancer Like some many conversations that we all know we need to have but are scared to have. Skills help. #lc… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @n8pennell So important to recognize. Can't imagine how difficult it must be to deliver the diagnosis. Dr are human… |
| #LCSM Chat @lcsmchat RT @findlungcancer: maybe a little role play both ways MT @GjeldumChristen: #lcsm T2) Pt putting themselves in ONC's shoes could help with… |
| #LCSM Chat @lcsmchat RT @mdwinterwv: Have to say the entire staff at #wvumedicine do a fantastic job. The doc and nurses go out of the way to discuss any topic… |
| Enlightening Results @GraceCordovano @GERI1365 @n8pennell I can empathize both ways. #lcsm |
| Andrea Borondy Kitts @findlungcancer T3 at the end of the day both docs & patients have to care and prepare for the discussion #lcsm |
| Laronica Conway @louisianagirl91 But I bet they remembered next steps. Whatever it takes! Mama made her docs CLEARLY write reminders in her notebooks! 😂 #LCSM https://t.co/A3yn4crLWc |
| Timothy Gilligan @GilliganTimothy T4) This question needs input from patients. What qualifies as excellent communication? What should we value & prioritize? Not obvious #lcsm |
| Janet Freeman-Daily @JFreemanDaily T4 Need way to measure patient understanding of key issues, and whether HCP communicated effectively. #lcsm |
| #LCSM Chat @lcsmchat RT @Actorielle: T4 whether the pt feels valued, important, understood, heard. Ask the pt that before the appt is over. #lcsm |
| Enlightening Results @GraceCordovano These are the best retweets #lcsm https://t.co/d2BXwDnrKr |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: This important. Often the fact that doctors are human is taken for granted. #LCSM https://t.co/wzmFTRRQZH |
| Danielle Pardue @Actorielle T4 It is incredibly painful (and dangerous) to be dismissed without having been heard. "I hear you" can change lives, move mountains #lcsm |
| H. Jack West, MD @JackWestMD Honestly, don't know. Not for lack of thought on it. RT @IJohnPereira: What wld ideal incentive be that includes good communicat'n? #lcsm T1 |
| Bob Steele @steele_bob RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit… |
 | Navneet Majhail, MD @BldCancerDoc RT @GilliganTimothy: T2) It's not just a question of how much time. Also critical to spend the time we have well. #lcsm |
| Laronica Conway @louisianagirl91 RT @JackWestMD: T3 How can we motivate clinicians to prioritize communication skills over volume & efficiency-based incentives? #lcsm |
| Danielle Pardue @Actorielle RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit… |
| Navneet Majhail, MD @BldCancerDoc RT @JackWestMD: Can teach/improve MT @GilliganTimothy: T3) Agree that adequate time must be provided; I also find much time wasted on trivi… |
| Danielle Pardue @Actorielle RT @JFreemanDaily: T4 Need way to measure patient understanding of key issues, and whether HCP communicated effectively. #lcsm |
| Christen Gjeldum @GjeldumChristen T4) Not assuming pt understands what you are talking about and then having to move on or pt having to read between the lines. #lcsm |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit… |
| Dr Riyaz Shah @DrRiyazShah @GERI1365 @JackWestMD Not to mention >100 emails! #LCSM |
| Andrea Borondy Kitts @findlungcancer T4 open notes would be a start - patient could review & ask clarification questions #lcsm |
| Laronica Conway @louisianagirl91 RT @DavidCookeMD: This important. Often the fact that doctors are human is taken for granted. #LCSM https://t.co/wzmFTRRQZH |
| Danielle Pardue @Actorielle RT @GjeldumChristen: T4) Not assuming pt understands what you are talking about and then having to move on or pt having to read between the… |
| Bob Steele @steele_bob RT @findlungcancer: T4 open notes would be a start - patient could review & ask clarification questions #lcsm |
| Danielle Pardue @Actorielle RT @findlungcancer: T4 open notes would be a start - patient could review & ask clarification questions #lcsm |
| Janet Freeman-Daily @JFreemanDaily @GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients and healthcare IT peeps. #LCSM |
| #LCSM Chat @lcsmchat RT @findlungcancer: use technology -- e-mail, texts, telehealth, SoMe RT @Chucktowndoc: T3 Ultimately...our volume-based reimbursement #l… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T3 at the end of the day both docs & patients have to care and prepare for the discussion #lcsm |
| Laronica Conway @louisianagirl91 And you mean well. Otherwise you wouldn't be doing it, right? #LCSM https://t.co/5rTOG7mDup |
| #LCSM Chat @lcsmchat RT @louisianagirl91: But I bet they remembered next steps. Whatever it takes! Mama made her docs CLEARLY write reminders in her notebook… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: T4) This question needs input from patients. What qualifies as excellent communication? What should we value & priorit… |
| Andrea Borondy Kitts @findlungcancer T4 need pause time to allow patient to assimilate & ask follow-up questions. Too many docs run out as they answer the last question #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T4 Need way to measure patient understanding of key issues, and whether HCP communicated effectively. #lcsm |
| Enlightening Results @GraceCordovano @GilliganTimothy Dr need to begin the conversation on what a pt values. Many are scared to speak up, to afraid to ask, afraid to interrupt. #lcsm |
| Ian Pereira @IanJPereira RT @findlungcancer: T1 It's easier if develop a personal connection and if both doc & patient/caregiver want to discuss prognosis as well a… |
| #LCSM Chat @lcsmchat RT @Actorielle: T4 It is incredibly painful (and dangerous) to be dismissed without having been heard. "I hear you" can change lives, move… |
| Danielle Pardue @Actorielle @findlungcancer T4 We will never progress until a pt is the full owner of his own chart, w unchallenged access. Ppl turn white when I ask to read. #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: Honestly, don't know. Not for lack of thought on it. RT @IJohnPereira: What wld ideal incentive be that includes good commu… |
| #LCSM Chat @lcsmchat RT @GjeldumChristen: T4) Not assuming pt understands what you are talking about and then having to move on or pt having to read between the… |
| Danielle Pardue @Actorielle RT @JFreemanDaily: @GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients… |
| Danielle Pardue @Actorielle RT @GraceCordovano: @GilliganTimothy Dr need to begin the conversation on what a pt values. Many are scared to speak up, to afraid to a… |
| ShereeseM, MS/MBA @ShereesePubHlth T4 This is where @myopennotes could be a great resource. Sharing the narrative encourages communication & stimulates clarification #LCSM |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach @louisianagirl91 Over time, I've found I prefer going alone. Sometime need a ride bc of long day, late appts, but like to see Dr alone. #LCSM |
| Mark Winter @mdwinterwv T4) when provider listens and asks you questions as well as answering any questions. Taking time answer caregivers ? Also. #LCSM |
| Christen Gjeldum @GjeldumChristen T4 I can't imagine how hard it is on ONC's on other hand.Having to remain hopeful for the patient, while often having 2 give bad news. #lcsm |
| Andrea Borondy Kitts @findlungcancer T4 my orthopedic surgeon always waits 3-5 minutes after my last question before he leaves the room - very helpful #lcsm |
| Janet Freeman-Daily @JFreemanDaily T4: "Check for understanding" is a basic step in communicating difficult topics. Need to teach this to ALL docs. #lcsm |
| Enlightening Results @GraceCordovano @GjeldumChristen Don't assume anything. Ask the patient clear questions. #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: T4 open notes would be a start - patient could review & ask clarification questions #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients… |
| #LCSM Chat @lcsmchat RT @louisianagirl91: And you mean well. Otherwise you wouldn't be doing it, right? #LCSM https://t.co/5rTOG7mDup |
| #LCSM Chat @lcsmchat RT @findlungcancer: T4 need pause time to allow patient to assimilate & ask follow-up questions. Too many docs run out as they answer the l… |
| Andrea Borondy Kitts @findlungcancer RT @JFreemanDaily: T4: "Check for understanding" is a basic step in communicating difficult topics. Need to teach this to ALL docs. #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @GilliganTimothy Dr need to begin the conversation on what a pt values. Many are scared to speak up, to afraid to a… |
| H. Jack West, MD @JackWestMD RT @findlungcancer: T4 my orthopedic surgeon always waits 3-5 minutes after my last question before he leaves the room - very helpful #lcsm |
| Christen Gjeldum @GjeldumChristen RT @mdwinterwv: T4) when provider listens and asks you questions as well as answering any questions. Taking time answer caregivers ? Also.… |
| Geri Massa @GeriGerim13 @ShereesePubHlth @myopennotes Never heard of opennotes, will chi out TY #LCSM |
| H. Jack West, MD @JackWestMD turning to last topic in another minute. #lcsm |
| Laronica Conway @louisianagirl91 @debsmithbeach I could see that also. Sometimes it's easier to process alone and share info later. #LCSM |
| Andrea Borondy Kitts @findlungcancer T4 yes patients sometimes embarrassed to admit they don't understand; finding a way to check is key @JFreemanDaily #lcsm |
| Timothy Gilligan @GilliganTimothy I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partner in care. #lcsm |
| Janet Freeman-Daily @JFreemanDaily T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What matters most?" #lcsm |
| Bob Steele @steele_bob RT @GilliganTimothy: I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partn… |
| #LCSM Chat @lcsmchat RT @Actorielle: @findlungcancer T4 We will never progress until a pt is the full owner of his own chart, w unchallenged access. Ppl… |
| Mark Winter @mdwinterwv T4) my better half has more questions than me. I have accepted I have cancer and pretty much let doc tell me what needs done. She asks #LCSM |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach @Actorielle T3 Me too! We check in on kids, vacations, books, etc. After 6 yrs, I feel like I'm visiting friends when I go to @DanaFarber. #LCSM |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: T4 This is where @myopennotes could be a great resource. Sharing the narrative encourages communication & stimulates c… |
| Dr Riyaz Shah @DrRiyazShah @JFreemanDaily T3: I love it when patients do this. It's excellent. Whole family can review and witness. No letter can ever give that #LCSM |
| Ian Pereira @IanJPereira @findlungcancer @lcsmchat +1. Minimizing pain points, humility, respect, & alignment may help build trust. #Kaizen #lcsm https://t.co/id8x6FXX71 |
| #LCSM Chat @lcsmchat RT @debsmithbeach: @louisianagirl91 Over time, I've found I prefer going alone. Sometime need a ride bc of long day, late appts, but l… |
| ShereeseM, MS/MBA @ShereesePubHlth @GERI1365 @myopennotes @myopennotes promotes sharing of clinical documentation. No promo, just a good idea IMHO #LCSM |
| H. Jack West, MD @JackWestMD T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance really bliss? #lcsm |
| #LCSM Chat @lcsmchat RT @mdwinterwv: T4) when provider listens and asks you questions as well as answering any questions. Taking time answer caregivers ? Also.… |
| Timothy Gilligan @GilliganTimothy RT @JFreemanDaily: T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What mat… |
| #LCSM Chat @lcsmchat RT @GjeldumChristen: T4 I can't imagine how hard it is on ONC's on other hand.Having to remain hopeful for the patient, while often having… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T4 my orthopedic surgeon always waits 3-5 minutes after my last question before he leaves the room - very helpful #lcsm |
| Andrea Borondy Kitts @findlungcancer @GERI1365 @ShereesePubHlth @myopennotes https://t.co/KMRXTo2yJ7 #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T4: "Check for understanding" is a basic step in communicating difficult topics. Need to teach this to ALL docs. #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @GjeldumChristen Don't assume anything. Ask the patient clear questions. #lcsm |
| Danielle Pardue @Actorielle THIS! #lcsm https://t.co/dcvXYFOUjj |
| #LCSM Chat @lcsmchat RT @louisianagirl91: @debsmithbeach I could see that also. Sometimes it's easier to process alone and share info later. #LCSM |
| #LCSM Chat @lcsmchat RT @findlungcancer: T4 yes patients sometimes embarrassed to admit they don't understand; finding a way to check is key @JFreemanDaily #lc… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partn… |
| Enlightening Results @GraceCordovano RT @JFreemanDaily: T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What mat… |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T4: Need to shift focus of appointment--first question from doc should be "What is your greatest concern today? What mat… |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach @louisianagirl91 Yes, that's what's ended up working for me. Diff in early days, but I'm 6 yrs in now. #LCSM |
| #LCSM Chat @lcsmchat RT @mdwinterwv: T4) my better half has more questions than me. I have accepted I have cancer and pretty much let doc tell me what needs don… |
| H. Jack West, MD @JackWestMD T5 It has long concerned me that some data show cancer docs who are most honest may not be best appreciated by pts. Believable? #lcsm |
| #LCSM Chat @lcsmchat RT @debsmithbeach: @Actorielle T3 Me too! We check in on kids, vacations, books, etc. After 6 yrs, I feel like I'm visiting friends wh… |
| Danielle Pardue @Actorielle RT @JackWestMD: T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance reall… |
| #LCSM Chat @lcsmchat RT @DrRiyazShah: @JFreemanDaily T3: I love it when patients do this. It's excellent. Whole family can review and witness. No letter can eve… |
| Enlightening Results @GraceCordovano @GilliganTimothy Shared-decision making all the way! #lcsm |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @findlungcancer @lcsmchat +1. Minimizing pain points, humility, respect, & alignment may help build trust. #Kaizen… |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: @GERI1365 @myopennotes @myopennotes promotes sharing of clinical documentation. No promo, just a good idea IMHO #LCSM |
| #LCSM Chat @lcsmchat RT @JackWestMD: T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance reall… |
| Andrea Borondy Kitts @findlungcancer T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want to know #lcsm |
| Enlightening Results @GraceCordovano There is hope! #lcsm https://t.co/ZpBnRKuGSq |
| Ian Pereira @IanJPereira @GilliganTimothy @lcsmchat Not the best coping strategy. I've also seen this manifest as redirection/blame. #lcsm |
| Bob Steele @steele_bob RT @findlungcancer: T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want… |
| Dr Riyaz Shah @DrRiyazShah @findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both v important #LCSM |
| Ian Pereira @IanJPereira RT @GilliganTimothy: @Chucktowndoc Re empathy, very strong data that we are born with empathy. Empathy declines during medical training. Ne… |
| Janet Freeman-Daily @JFreemanDaily T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm |
| Danielle Pardue @Actorielle T5 I sincerely believe that feeling important,fought for,valued,loved is more important than knowing details of a particular prognosis #lcsm |
| Timothy Gilligan @GilliganTimothy T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and understanding. #lcsm |
| Danielle Pardue @Actorielle RT @JackWestMD: T5 It has long concerned me that some data show cancer docs who are most honest may not be best appreciated by pts. Believa… |
| Danielle Pardue @Actorielle RT @findlungcancer: T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want… |
| Andrea Borondy Kitts @findlungcancer T5 sometimes patients want to ignore reality, my mom had throat cancer - she never went for Tx; insisted she had mumps (mass on neck) #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: T5 It has long concerned me that some data show cancer docs who are most honest may not be best appreciated by pts. Believa… |
| Bob Steele @steele_bob RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und… |
| Danielle Pardue @Actorielle RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und… |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und… |
| Andrea Borondy Kitts @findlungcancer most but not all MT @GilliganTimothy: T5) I believe strongly that patients want the truth #lcsm |
| Janet Freeman-Daily @JFreemanDaily @JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to deliver bad news. #lcsm |
| Enlightening Results @GraceCordovano @findlungcancer Many patients do want information, many do want to know, many want to participate in decision making. Different for everyone. #lcsm |
| Christen Gjeldum @GjeldumChristen #lcsm T5 as long as the doc is willing 2 exhaust every avenue, & not assume someone won't pay out of pocket for some care... |
| ShereeseM, MS/MBA @ShereesePubHlth @GilliganTimothy And in plain language they understand. Communication has to be common if its to be effective. #LCSM |
| H. Jack West, MD @JackWestMD RT @JFreemanDaily: @JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to delive… |
| Christen Gjeldum @GjeldumChristen #lcsm T5 , ...then the straight answer is appreciated. |
| Bob Steele @steele_bob RT @JFreemanDaily: @JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to delive… |
| Andrea Borondy Kitts @findlungcancer T5 patient & caregiver have to be ready to receive the news; may take several visits, continuity hard to plan for busy oncs #lcsm |
| Danielle Pardue @Actorielle RT @GjeldumChristen: #lcsm T5 as long as the doc is willing 2 exhaust every avenue, & not assume someone won't pay out of pocket for some c… |
| Danielle Pardue @Actorielle RT @GjeldumChristen: #lcsm T5 , ...then the straight answer is appreciated. |
| Laronica Conway @louisianagirl91 RT @debsmithbeach: @louisianagirl91 Yes, that's what's ended up working for me. Diff in early days, but I'm 6 yrs in now. #LCSM |
| Enlightening Results @GraceCordovano @GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single time. #lcsm |
| Andrea Borondy Kitts @findlungcancer RT @ShereesePubHlth: @GilliganTimothy And in plain language they understand. Communication has to be common if its to be effective. #LCSM |
| Timothy Gilligan @GilliganTimothy Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who we are with. #lcsm |
 | Baricorcho @Baricorcho RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und… |
| H. Jack West, MD @JackWestMD @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredient. #lcsm |
| Bob Steele @steele_bob RT @GraceCordovano: @GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single ti… |
| Laronica Conway @louisianagirl91 RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| Danielle Pardue @Actorielle RT @GraceCordovano: @GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single ti… |
| Andrea Borondy Kitts @findlungcancer RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien… |
| Danielle Pardue @Actorielle RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who… |
| Danielle Pardue @Actorielle RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien… |
| H. Jack West, MD @JackWestMD RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who… |
| Enlightening Results @GraceCordovano @findlungcancer Absolutely. Takes time to process. The emotional complexity & connection w/clear thought process requires time to digest. #lcsm |
| Janet Freeman-Daily @JFreemanDaily T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer options #LCSM https://t.co/LNGzyhWEus |
| ShereeseM, MS/MBA @ShereesePubHlth RT @JFreemanDaily: T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer… |
| Frank Ingram, MD @Chucktowndoc T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @DrRiyazShah: @findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both… |
| Danielle Pardue @Actorielle RT @JFreemanDaily: T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer… |
| H. Jack West, MD @JackWestMD RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
| Bob Steele @steele_bob RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
| Janet Freeman-Daily @JFreemanDaily RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien… |
| Enlightening Results @GraceCordovano @ShereesePubHlth @GilliganTimothy Can you explain it to a child? If not, you are doing it wrong. #lcsm |
 | Elecktra B Ing @elecktra_b_ing RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
| Christen Gjeldum @GjeldumChristen #lcsm T5 there r tests out there that aren't talked about i.e. foundation 1 blood test may not b offered @ ur hospital, but u could get it |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @GilliganTimothy Shared-decision making all the way! #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: T5 1) patients trust doc & don't care about understanding 2) patients don't know they don't know 3) patients don't want… |
| Navneet Majhail, MD @BldCancerDoc RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: There is hope! #lcsm https://t.co/ZpBnRKuGSq |
| Laronica Conway @louisianagirl91 Gotta be frustrating! Less eye contact & pt feels ignored; like what's on screen is more important. *sigh* #LCSM https://t.co/vt1F5WWDBK |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @GilliganTimothy @lcsmchat Not the best coping strategy. I've also seen this manifest as redirection/blame. #lcsm |
| Danielle Pardue @Actorielle RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
| #LCSM Chat @lcsmchat RT @DrRiyazShah: @findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both… |
| Andrea Borondy Kitts @findlungcancer YES!!! T5 RT @GraceCordovano: @GilliganTimothy Shared-decision making all the way! #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm |
| #LCSM Chat @lcsmchat RT @Actorielle: T5 I sincerely believe that feeling important,fought for,valued,loved is more important than knowing details of a particula… |
| Navneet Majhail, MD @BldCancerDoc RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T5 sometimes patients want to ignore reality, my mom had throat cancer - she never went for Tx; insisted she had mumps… |
| #LCSM Chat @lcsmchat RT @findlungcancer: most but not all MT @GilliganTimothy: T5) I believe strongly that patients want the truth #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: @JackWestMD T5: Being honest does not necessarily correlate with being compassionate. Many ways (good and bad) to delive… |
| Danielle Pardue @Actorielle RT @GjeldumChristen: #lcsm T5 there r tests out there that aren't talked about i.e. foundation 1 blood test may not b offered @ ur hospital… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @findlungcancer Many patients do want information, many do want to know, many want to participate in decision makin… |
| Andrea Borondy Kitts @findlungcancer RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm |
| Ian Pereira @IanJPereira @JackWestMD Maybe we should smile more? (in addition to respect and inter-personal communication :) https://t.co/vIWp73YIVe v @ClevelandClinic T5 #lcsm |
 | OpenNotes @myopennotes @GERI1365 @ShereesePubHlth Did someone say #OpenNotes? 🤓 #lcsm https://t.co/XgnzGMxwFm |
| #LCSM Chat @lcsmchat RT @GjeldumChristen: #lcsm T5 as long as the doc is willing 2 exhaust every avenue, & not assume someone won't pay out of pocket for some c… |
| #LCSM Chat @lcsmchat RT @ShereesePubHlth: @GilliganTimothy And in plain language they understand. Communication has to be common if its to be effective. #LCSM |
| #LCSM Chat @lcsmchat RT @GjeldumChristen: #lcsm T5 , ...then the straight answer is appreciated. |
| #LCSM Chat @lcsmchat RT @findlungcancer: T5 patient & caregiver have to be ready to receive the news; may take several visits, continuity hard to plan for busy… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @GilliganTimothy The key are #empathy and compassionate care. The human touch makes all the difference, every single ti… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who… |
| Mark Winter @mdwinterwv T5) my doc always shows so much of his caring nature at every visit. I thank god I found the doctors I have. #wvumedicine #LCSM |
| #LCSM Chat @lcsmchat RT @JackWestMD: @JFreemanDaily Agree that potential dissociation between honesty & compassionate communication may be key missing ingredien… |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @findlungcancer Absolutely. Takes time to process. The emotional complexity & connection w/clear thought process re… |
| H. Jack West, MD @JackWestMD RT @findlungcancer: most but not all MT @GilliganTimothy: T5) I believe strongly that patients want the truth #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: T5: Institute of Medicine research shows cancer patients want their clinician to tell them the full truth and offer… |
| #LCSM Chat @lcsmchat RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
| Ian Pereira @IanJPereira RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: @ShereesePubHlth @GilliganTimothy Can you explain it to a child? If not, you are doing it wrong. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD I don't know if this is a bot, but if not, this is the best trolling effort in the history of @Twitter #LCSM https://t.co/c6e0d20BNb |
| #LCSM Chat @lcsmchat RT @louisianagirl91: Gotta be frustrating! Less eye contact & pt feels ignored; like what's on screen is more important. *sigh* #LCSM https… |
| Frank Ingram, MD @Chucktowndoc T5: Increasingly difficult to find physicians who can a) understand all the new complex molecular data and b) communicate effectively #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: YES!!! T5 RT @GraceCordovano: @GilliganTimothy Shared-decision making all the way! #lcsm |
| #LCSM Chat @lcsmchat RT @findlungcancer: RT @JFreemanDaily: T5: Wonder if "being well-informed" correlates well with "answered patient's burning questions"? #lc… |
| Ian Pereira @IanJPereira RT @Actorielle: T5 I sincerely believe that feeling important,fought for,valued,loved is more important than knowing details of a particula… |
| #LCSM Chat @lcsmchat RT @myopennotes: @GERI1365 @ShereesePubHlth Did someone say #OpenNotes? 🤓 #lcsm https://t.co/XgnzGMxwFm |
| Ian Pereira @IanJPereira RT @GilliganTimothy: T5) I believe strongly that patients want the truth and they want it delivered in a caring manner with empathy and und… |
| #LCSM Chat @lcsmchat RT @IJohnPereira: @JackWestMD Maybe we should smile more? (in addition to respect and inter-personal communication :)… |
| Laronica Conway @louisianagirl91 One of my friends who's a doc said the same when I complained about my mom's doc. 😔#LCSM @drclbm2001 https://t.co/8Ci5cgUKy6 |
| OpenNotes @myopennotes @GERI1365 @ShereesePubHlth Health systems who are "out" about sharing notes can be found here: https://t.co/9nJQaJ0NkT #lcsm |
| #LCSM Chat @lcsmchat RT @mdwinterwv: T5) my doc always shows so much of his caring nature at every visit. I thank god I found the doctors I have. #wvumedicine… |
 | ALKLungCancerBarbie @VirginiaMByrne RT @GilliganTimothy: I hope we can meet as human beings collaborating on a difficult shared challenge. Need to flatten the hierarchy. Partn… |
| Christen Gjeldum @GjeldumChristen #lcsm T 1-5) patients most importantly don't want to feel like a number. |
| Danielle Pardue @Actorielle RT @Chucktowndoc: T5: Increasingly difficult to find physicians who can a) understand all the new complex molecular data and b) communicate… |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach RT @findlungcancer: T3 at the end of the day both docs & patients have to care and prepare for the discussion #lcsm |
| H. Jack West, MD @JackWestMD Last few min of a great chat. Time for closing thoughts. What's at top of your wish list for better pt/clinician communication? #lcsm |
| Navneet Majhail, MD @BldCancerDoc RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
| Laronica Conway @louisianagirl91 RT @GilliganTimothy: Must amend prior tweet: each patient is unique. Different people want different things. If we listen, we can learn who… |
| #LCSM Chat @lcsmchat RT @Chucktowndoc: T5: Increasingly difficult to find physicians who can a) understand all the new complex molecular data and b) communicate… |
| Danielle Pardue @Actorielle RT @GjeldumChristen: #lcsm T 1-5) patients most importantly don't want to feel like a number. |
| #LCSM Chat @lcsmchat RT @louisianagirl91: One of my friends who's a doc said the same when I complained about my mom's doc. 😔#LCSM @drclbm2001 https://t.co/8Ci5… |
| OpenNotes @myopennotes @GERI1365 @ShereesePubHlth And if you WANT your notes, email your doc to get the convo started. We drafted an email for you: https://t.co/ls1j3kQxZG #LCSM |
| ALKLungCancerBarbie @VirginiaMByrne Memorial Sloan-Kettering makes it very difficult to get your chart. https://t.co/3TSLQvZiqn |
| #LCSM Chat @lcsmchat RT @myopennotes: @GERI1365 @ShereesePubHlth Health systems who are "out" about sharing notes can be found here: https://t.co/9nJQaJ0NkT #lc… |
| ShereeseM, MS/MBA @ShereesePubHlth @DavidCookeMD @Twitter No bot; no trolling I mentioned @myopennotes as a good resource to encourage communication between Pt/provider (no COI/compensation) #LCSM |
| Laronica Conway @louisianagirl91 RT @mdwinterwv: T5) my doc always shows so much of his caring nature at every visit. I thank god I found the doctors I have. #wvumedicine… |
| Laronica Conway @louisianagirl91 RT @IJohnPereira: @JackWestMD Maybe we should smile more? (in addition to respect and inter-personal communication :)… |
| Geri Massa @GeriGerim13 @GjeldumChristen #lcsm T 1-5 I agree |
| OpenNotes @myopennotes RT @DavidCookeMD: I don't know if this is a bot, but if not, this is the best trolling effort in the history of @Twitter #LCSM https://t.co… |
| Christen Gjeldum @GjeldumChristen #lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront and have backup plans |
| Andrea Borondy Kitts @findlungcancer T5 one helpful question is asking doc if they do shared decision making; if they say "what is that?" may not be the doc for you #lcsm |
| ShereeseM, MS/MBA @ShereesePubHlth RT @myopennotes: @GERI1365 @ShereesePubHlth Health systems who are "out" about sharing notes can be found here: https://t.co/9nJQaJ0NkT #lc… |
| Janet Freeman-Daily @JFreemanDaily CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patients. #lcsm |
| Dr. David Tom Cooke @DavidCookeMD Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with recent legislation. |
| Laronica Conway @louisianagirl91 RT @JackWestMD: T5 There is evidence pt satisfaction scores don’t correlate w/being well-informed (re: prognosis). Why? Is ignorance reall… |
| #LCSM Chat @lcsmchat RT @GjeldumChristen: #lcsm T 1-5) patients most importantly don't want to feel like a number. |
| #LCSM Chat @lcsmchat RT @JackWestMD: Last few min of a great chat. Time for closing thoughts. What's at top of your wish list for better pt/clinician communicat… |
| Danielle Pardue @Actorielle RT @GjeldumChristen: #lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront an… |
| Laronica Conway @louisianagirl91 RT @GjeldumChristen: #lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront an… |
| Andrea Borondy Kitts @findlungcancer T5 patients need training in how to communicate too - maybe a joint doc patient training session with role play #lcsm |
| Danielle Pardue @Actorielle RT @JFreemanDaily: CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patie… |
| #LCSM Chat @lcsmchat RT @GjeldumChristen: #lcsm the top for me is not to underestimate pt intelligence, they are living it, they will get it, just be upfront an… |
| Danielle Pardue @Actorielle RT @DavidCookeMD: Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with r… |
| Bob Steele @steele_bob RT @DavidCookeMD: Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with r… |
| Danielle Pardue @Actorielle CT: communicate w the pt the way you'd want your loved one addressed in the same situation. #lcsm |
 | JAMA Oncology @JAMAOnc Better PFS & OS observed among pts w immune-mediated side effects on nivolumab #immunotherapy for adv NSCLC. https://t.co/ZW8gyVAyOM #LCSM https://t.co/Iph4vKXhEk |
| Enlightening Results @GraceCordovano CT: Must change the culture from patriarchal to shared-decision making. Bring #patients & #carepartners to the table. Ask about values #lcsm |
| Janet Freeman-Daily @JFreemanDaily CT Also top of healthcare communication list: teach docs to discern quantity & type of communication patient wants about their case. #lcsm |
| Mark Winter @mdwinterwv Good nite all #LCSM |
| #LCSM Chat @lcsmchat RT @findlungcancer: T5 one helpful question is asking doc if they do shared decision making; if they say "what is that?" may not be the doc… |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patie… |
| Timothy Gilligan @GilliganTimothy Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm |
| Christen Gjeldum @GjeldumChristen #lcsm thank you!! goodnight and God bless |
| #LCSM Chat @lcsmchat RT @DavidCookeMD: Great chat as always @JackWestMD Don't forget #LCSM that Healthcare fight is still on. #LungCancer pts will suffer with r… |
| #LCSM Chat @lcsmchat RT @findlungcancer: T5 patients need training in how to communicate too - maybe a joint doc patient training session with role play #lcsm |
| Danielle Pardue @Actorielle RT @JAMAOnc: Better PFS & OS observed among pts w immune-mediated side effects on nivolumab #immunotherapy for adv NSCLC.… |
| Danielle Pardue @Actorielle RT @GraceCordovano: CT: Must change the culture from patriarchal to shared-decision making. Bring #patients & #carepartners to the table. A… |
| Danielle Pardue @Actorielle RT @JFreemanDaily: CT Also top of healthcare communication list: teach docs to discern quantity & type of communication patient wants about… |
| H. Jack West, MD @JackWestMD Thanks to everyone for great conversation, w/special thanks to @gilligantimothy for your insight and expertise. Good night! #lcsm |
| Geri Massa @GeriGerim13 @DavidCookeMD @JackWestMD #lcsm , what'she most recent legislation? |
| Danielle Pardue @Actorielle RT @GilliganTimothy: Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm |
| Laronica Conway @louisianagirl91 Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ecSxJXvyU |
| Andrea Borondy Kitts @findlungcancer CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx preferences 1/2 #lcsm |
| ShereeseM, MS/MBA @ShereesePubHlth Thanks for the invite. Great chat. take care all #LCSM https://t.co/b93q2z6hQ9 |
| Janet Freeman-Daily @JFreemanDaily Thanks @JackWestMD for great moderating and topic choice, and to @GilliganTimothy for being our guest on #LCSM Chat! See y'all in 2 weeks. |
| Bob Steele @steele_bob Great chat session. Good food for thought as always! Good night all. See you in two weeks. #lcsm |
| Danielle Pardue @Actorielle RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec… |
| #LCSM Chat @lcsmchat RT @Actorielle: CT: communicate w the pt the way you'd want your loved one addressed in the same situation. #lcsm |
| #LCSM Chat @lcsmchat RT @GraceCordovano: CT: Must change the culture from patriarchal to shared-decision making. Bring #patients & #carepartners to the table. A… |
| Andrea Borondy Kitts @findlungcancer CT docs need to take advantage of power of patients to do research on their disease & help provide info& options 2/2 #lcsm |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: CT Also top of healthcare communication list: teach docs to discern quantity & type of communication patient wants about… |
| #LCSM Chat @lcsmchat RT @GilliganTimothy: Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm |
| #LCSM Chat @lcsmchat RT @JackWestMD: Thanks to everyone for great conversation, w/special thanks to @gilligantimothy for your insight and expertise. Good night!… |
| Enlightening Results @GraceCordovano @JackWestMD @GilliganTimothy Amazing discussion! Thanks for organizing and leading a great hour! Til next time #lcsm |
| Navneet Majhail, MD @BldCancerDoc RT @GilliganTimothy: Listen to each other. Have empathy for each other. Be transparent about what we need. #lcsm |
| #LCSM Chat @lcsmchat RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec… |
| #LCSM Chat @lcsmchat RT @findlungcancer: CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx prefere… |
| #LCSM Chat @lcsmchat RT @JFreemanDaily: Thanks @JackWestMD for great moderating and topic choice, and to @GilliganTimothy for being our guest on #LCSM Chat! See… |
| Andrea Borondy Kitts @findlungcancer Great topic & great moderation @jackwestMD Thank you! #lcsm |
| Laronica Conway @louisianagirl91 RT @JFreemanDaily: CT: Top of my list for better communication--train docs to have Goals of Care discussions with all advanced cancer patie… |
| Nathan A. Pennell MD, PhD @n8pennell RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec… |
| Laronica Conway @louisianagirl91 RT @findlungcancer: CT docs need to take advantage of power of patients to do research on their disease & help provide info& options 2/2 #l… |
| Enlightening Results @GraceCordovano @JFreemanDaily @JackWestMD @GilliganTimothy This was excellent Janet!! Thanks for a great hour #lcsm |
| Laronica Conway @louisianagirl91 RT @JFreemanDaily: Thanks @JackWestMD for great moderating and topic choice, and to @GilliganTimothy for being our guest on #LCSM Chat! See… |
| Laronica Conway @louisianagirl91 RT @findlungcancer: CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx prefere… |
| ShereeseM, MS/MBA @ShereesePubHlth Example #lcsm https://t.co/oQ224mtsVo |
| Geri Massa @GeriGerim13 Thank Y'all for a great chat, always learning 👍 Thoughts & prayers please, I have a Dr appt, scan results. #LCSM |
| Andrea Borondy Kitts @findlungcancer And thank you @GillianTimothy for the guidelines and your insight on this topic #lcsm |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach @JackWestMD @Actorielle T5 Some friends don't want to know much. I want to know everything! #LCSM |
| Navneet Majhail, MD @BldCancerDoc RT @louisianagirl91: Docs, learn about your pts & their home & family life. Helps guide & frame conversation w/them. #LCSM https://t.co/6ec… |
| Frank Ingram, MD @Chucktowndoc CT: communication is a two way street. When it goes well or badly, probably both sides should share the acclaim/blame #lcsm |
| Andrea Borondy Kitts @findlungcancer RT @Chucktowndoc: CT: communication is a two way street. When it goes well or badly, probably both sides should share the acclaim/blame #… |
| Janet Freeman-Daily @JFreemanDaily @GraceCordovano @JackWestMD @GilliganTimothy Glad you could join us! #LCSM |
| Ian Pereira @IanJPereira @findlungcancer @lcsmchat Denial thoughts are common (may be up to 50%). Different approaches to management seem outcome-focused https://t.co/4NL318O6BE #lcsm T5 |
| Mark Winter @mdwinterwv @GERI1365 Good luck. You will be in my prayers #lcsm |
| Laronica Conway @louisianagirl91 Hugs and positive thoughts coming your way!! 💕💕💕💕 😘 #LCSM https://t.co/mtu6o9ZmXp |
| Andrea Borondy Kitts @findlungcancer 1000x AGREE need patient to own medical record; one patient; one record -full disclosure I am working this as COO of a startup company #lcsm https://t.co/Y6KclQnjnC |
 | Victoria.Saccenti @victoriasauthor RT @ShereesePubHlth: Thanks for the invite. Great chat. take care all #LCSM https://t.co/b93q2z6hQ9 |
| Victoria.Saccenti @victoriasauthor RT @ShereesePubHlth: Example #lcsm https://t.co/oQ224mtsVo |
| Dr. David Tom Cooke @DavidCookeMD #GrahamCassidyNO https://t.co/oonXOZhSSs |
| Andrea Borondy Kitts @findlungcancer RT @GraceCordovano: @findlungcancer Absolutely. Takes time to process. The emotional complexity & connection w/clear thought process re… |
| Andrea Borondy Kitts @findlungcancer RT @DrRiyazShah: @findlungcancer @JFreemanDaily T4 institutional communication and individual clinician skills are separate issues but both… |
| Ian Pereira @IanJPereira @findlungcancer @GilliganTimothy and how much? Part of the "Invitation" piece of the SPIKES framework for bad news is assessing this https://t.co/q9znOzHQLa #lcsm T5 |
| Andrea Borondy Kitts @findlungcancer RT @IJohnPereira: @findlungcancer @lcsmchat +1. Minimizing pain points, humility, respect, & alignment may help build trust. #Kaizen… |
| Enlightening Results @GraceCordovano @louisianagirl91 #PtExp from the eyes of a child. Dr has back to the child (patient). What message are we sending to next generation! #lcsm https://t.co/I7qiVK2bdV |
| Ian Pereira @IanJPereira RT @GilliganTimothy: It's not just how much time; it's how time is spent. I find docs talk too much; listen too little. Patients need to be… |
| Andrea Borondy Kitts @findlungcancer RT @JFreemanDaily: @GraceCordovano @findlungcancer Best way to capture and define #PtExp is ongoing discussion among engaged patients… |
 | Daniel Flora MD, PharmD @dbfloramd RT @JAMAOnc: Better PFS & OS observed among pts w immune-mediated side effects on nivolumab #immunotherapy for adv NSCLC.… |
| Ian Pereira @IanJPereira RT @findlungcancer: CT patients need to realize docs are people too; docs need to realize patients experts in symptoms, values & Tx prefere… |
| Ian Pereira @IanJPereira RT @findlungcancer: CT docs need to take advantage of power of patients to do research on their disease & help provide info& options 2/2 #l… |
| Dr Riyaz Shah @DrRiyazShah @JackWestMD T5 Have certainly met pts who have not connected with their onc & closer inspection all the onc did was tell the truth when asked #LCSM |
| Dr Riyaz Shah @DrRiyazShah RT @Chucktowndoc: T5: Delivering difficult news with honesty, openness and compassion is an art, not a science. #lcsm |
 | Rare Cancer Aware @rarecanceraware Possible silver lining to those #immunotherapy side effects: it may be a sign that it's working https://t.co/SDUUAJSXu9 |
| Ian Pereira @IanJPereira @JackWestMD CT: alignment of patients, providers, & payers including communication - part of what makes us human? #lcsm |
| Deb Smith 🦋🌻🦉🐢🌿 @debsmithbeach RT @findlungcancer: Great topic & great moderation @jackwestMD Thank you! #lcsm |
| Andrea Borondy Kitts @findlungcancer RT @GraceCordovano: @louisianagirl91 #PtExp from the eyes of a child. Dr has back to the child (patient). What message are we sending t… |
| Dr Riyaz Shah @DrRiyazShah @GraceCordovano @lcsmchat @findlungcancer T5 agree; and it is a skill to be able to decipher and deliver each patients needs in an individualised manner. #lcsm |
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