8/7/2019 MDchat Transcript October 19, 2011

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#MDchat

Healthcare Hashtag Twitter Transcript

From: Tue Oct 19 18:00:00 PDT 2010

To: Tue Oct 19 19:00:00 PDT 2010

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Learn more about #MDchat at The Healthcare Hashtag Project

Total #MDchat Tweets in Database: 13911

healthewoman Hi everyone! So excited to discover #MDChat.Tue Oct 19 18:01:59 PDT 2010

drseisenberg Steven, heme/onc in rainy (I know, boo-hoo) San Diego #MDchatTue Oct 19 18:05:51 PDT 2010

subatomicdoc Matt Katz, radiation oncologist in New England. #mdchatTue Oct 19 18:06:24 PDT 2010

CrescendoCG Beth here - looking for insight that can be shared w/healthcare consumers #mdchatTue Oct 19 18:06:32 PDT 2010

MD_chat T1 Medscape v. Wikipedia: What do you consider a reliable online resource forresearch? Are there specific one you use? #MDchatTue Oct 19 18:07:00 PDT 2010

mkmackey Listening in to #mdchatTue Oct 19 18:07:09 PDT 2010

jodyms Ditto RT @mkmackey Listening in to #mdchatTue Oct 19 18:07:56 PDT 2010

subatomicdoc T1: Neither Medscape nor Wikipedia. I go for PubMed. #mdchatTue Oct 19 18:08:06 PDT 2010

DebErupts Listening to #MDChatTue Oct 19 18:10:45 PDT 2010

mkmackey T1 .@drseisenberg do you access uptodate by mobile or web? #mdchatTue Oct 19 18:12:46 PDT 2010

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anniekey T1: UpToDate is my main go-to for overviews of topics. The MicroMedex iPhone appand Epocrates also useful for looking up meds. #mdchatTue Oct 19 18:14:32 PDT 2010

drseisenberg @mkmackey T1. Web. Will bring patients in on occasion and review wi th them. Theylike it. #MDchatTue Oct 19 18:14:50 PDT 2010

amcunningham @MD_Chat#mdchat my other top Google scholar tip is to set scholar preferences tolink out to any uni library that you are attached to.Tue Oct 19 18:18:07 PDT 2010

RichmondDoc And, Journal Watch does an e-mail Physicians First Watch that sends a daily update;not sure if you have to be a subscriber... #mdchatTue Oct 19 18:19:05 PDT 2010

drseisenberg I feel that NCCN guidelines are helpful for oncology. #MDchatTue Oct 19 18:21:25 PDT 2010

RichmondDoc @peds_id_doc You can also Google a symptom and "ICD9"; may take you to Wiki orto other sources, but pretty fast. #mdchatTue Oct 19 18:23:34 PDT 2010

SPulim I am biased, but at MDLinx.com we try to cover journals and research that is relevantto daily practice. UpToDate is the Gold Std #MDchatTue Oct 19 18:23:38 PDT 2010

chukwumaonyeije Greetings, all. A little late and multitasking. Go Yankees! #mdchatTue Oct 19 18:24:57 PDT 2010

RichmondDoc @amcunningham Thanks; will look that up! #mdchatTue Oct 19 18:24:59 PDT 2010

healthewoman T1: Use UpToDate, PubMed, Ob&Gyn journal website, AJOG website, NEJMwebsites #MDchatTue Oct 19 18:26:06 PDT 2010

peds_id_doc @RichmondDoc#mdchat T1: faster for me than paging through the damn codingtome we have in the office...Tue Oct 19 18:26:33 PDT 2010

apjonas apjonas, family doc, OH lurking, too #mdchatTue Oct 19 18:26:46 PDT 2010

mkmackey Wondering i f you recommend the same sites to your patients that you as MDs use forresearch for patient care? #mdchatTue Oct 19 18:28:00 PDT 2010

healthgist http://j.mp/d5Z8gi@mkmackey Listening in to #mdchatTue Oct 19 18:28:01 PDT 2010

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peds_id_doc @mkmackey#mdchat - almost never. The jargon is a huge obstacle, and thepotential for scaring them is too great...Tue Oct 19 18:29:07 PDT 2010

SPulim T1 Customized google scholar works well too #MDChatTue Oct 19 18:29:23 PDT 2010

chukwumaonyeije @mkmackey I will generally *tell* patient where I get my info. But I think its morehelpful to lead them to patient focused info. #mdchatTue Oct 19 18:30:23 PDT 2010

apjonas @mkmackey no, I use different sites than I send pts to, my depth is deep and I wantthem to start shallow, esp when ill.#mdchatTue Oct 19 18:30:34 PDT 2010

chukwumaonyeije @mkmackey The other thing I will do is send patient to presentations I havepersonally curated and screened on slideshare.com #mdchatTue Oct 19 18:31:30 PDT 2010

CrescendoCG Sounds like many of you direct pts online (although to diff. sites) - any of you that do

NOT recommend pts to research online? #mdchatTue Oct 19 18:32:40 PDT 2010

SPulim MEDLine Plus Interactive Health is a good source for Pts. http://bit.ly/8Xz8Nl#MDChatTue Oct 19 18:32:41 PDT 2010

mkmackey @chukwumaonyeije great ideas. I think patients really want physicians to help themfind accurate patient information #mdchatTue Oct 19 18:33:00 PDT 2010

MD_chatShoulder Tap!! Next topic coming up in a moment! #MDchatTue Oct 19 18:35:00 PDT 2010

RichmondDoc @CrescendoCG Not all info is relevant to *your* case and not all info is reliable.#mdchatTue Oct 19 18:35:15 PDT 2010

MD_chat T2 Medical Research: How are you explaining research to patients? Espw/conflicting results? For after chat: http://bit.ly/cDKqBQ#MDchatTue Oct 19 18:37:00 PDT 2010

SPulimT1 interested to know i f there is a di fference in use of web resources btw PCPs andSpecialists. #MDChatTue Oct 19 18:37:26 PDT 2010

subatomicdoc @chukwumaonyeije I agree. I also use Google Reader to RSS ScienceDaily,PhysOrg and other news sources. #mdchatTue Oct 19 18:38:14 PDT 2010

peds_id_doc @CrescendoCG#mdchat - not specifically to avoid, but we often say "Look it uponline, but be aware they talk about the worst-case scenario"Tue Oct 19 18:38:45 PDT 2010

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RichmondDoc ar o exp a n researc some mes, esp w en we ourse ves ave rou emaking sense of the sometimes conflicting results. #mdchatTue Oct 19 18:39:33 PDT 2010

peds_id_doc #mdchat T2 - we find ourselves explaining a lack of data more than conflicting data itseems...one "perk" of pediatrics :-)Tue Oct 19 18:39:47 PDT 2010

healthewoman @mkmackey a lot of the sites I use are subscriber only #MDChatTue Oct 19 18:39:53 PDT 2010

RichmondDoc T2 I try to explain when I feel info is pretty solid and we can rely upon it; I point outuncertainty and developing information. #mdchatTue Oct 19 18:40:07 PDT 2010

peds_id_doc @subatomicdoc#mdchat - probably the best approach, even for educated andintelligent patients/families. It shows you understand it I thinkTue Oct 19 18:40:59 PDT 2010

RichmondDoc T2 I think it is also important to be willing to tell pts when the evidence suggestschanges in therapy or therapeutic goals. #mdchatTue Oct 19 18:42:14 PDT 2010

subatomicdoc @peds_id_doc T2: Start simple, you can always ratchet up the sophistication.#mdchatTue Oct 19 18:42:17 PDT 2010

apjonas @MD_chat T2 stress uniqueness of pt & foggy nature of studies that ch from contextto context. Let pt ponder which gp is them. #mdchatTue Oct 19 18:43:07 PDT 2010

subatomicdocAs for "Damned Lies"...truth mixed with hyperbole. @chukwumaonyeije made a greatcomment earlier. #mdchatTue Oct 19 18:43:48 PDT 2010

SPulim T2 Sometimes difficult to disentangle facts and myths when media report on studiesfrom conferences before publication #MDChatTue Oct 19 18:44:12 PDT 2010

healthewoman @peds_id_doc@mkmackey#mdchat - I also send patients to my bloghttp://healthewoman.orgTue Oct 19 18:44:21 PDT 2010

peds_id_doc @healthewoman@mkmackey#mdchat even some for us Docs too! :-P Good point.Tue Oct 19 18:44:35 PDT 2010

mkmackey Definitely appreciate the guidance from physicians in navigating health studies etc#mdchatTue Oct 19 18:45:56 PDT 2010

CrescendoCG Agreed! RT @mkmackey: Definitely appreciate the guidance from physicians innavigating health studies etc #mdchatTue Oct 19 18:46:38 PDT 2010

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su a om c oc : oun p: goo.g u r --> c u wumanone e m c aTue Oct 19 18:47:33 PDT 2010

peds_id_doc @amcunningham#mdchat we have to use smartphone or office PCs. A real pain.Some computers are getting access on a site-by-site basisTue Oct 19 18:47:42 PDT 2010

healthewoman Agree RT @chukwumaonyeije @CrescendoCG telling patients NOT to search onl ineis an option. Maybe in the past; but no longer. #mdchat

Tue Oct 19 18:47:44 PDT 2010

chukwumaonyeije @subatomicdoc Thank you. Definitely truth mixed wi th hyperbole. #mdchatTue Oct 19 18:47:59 PDT 2010

apjonas T2 Pts appreciate how we can share our perspectives on what various studies maymean. They can smell the bias if there. Trust rules! #mdchatTue Oct 19 18:48:07 PDT 2010

RichmondDoc @amcunningham I shall do my best... #mdchatTue Oct 19 18:48:20 PDT 2010

chukwumaonyeije @subatomicdoc It was like listening to a lecture on flaws in research presented byentertainment tonight. #mdchatTue Oct 19 18:48:27 PDT 2010

subatomicdoc @chukwumaonyeije Haha! Yes, E.T. presents....your health! #mdchatTue Oct 19 18:49:47 PDT 2010

chukwumaonyeije @gfry... and to answer your query from earlier, in my experience e-patients are farless litigious. Considerably. #mdchatTue Oct 19 18:52:05 PDT 2010

drseisenberg T2: Fun to print abstract and sift through it together. Explaining as we go. Gotta love pvalues. #MDchatTue Oct 19 18:53:44 PDT 2010

ocamsrazor I barely have time to e-write the scripts...wow, discuss studies? really? #mdchatTue Oct 19 18:53:45 PDT 2010

RichmondDoc @ocamsrazor I think it can help patients understand the plan of care if you talk outsome of the reasons; maybe better adherence? #mdchatTue Oct 19 18:54:44 PDT 2010

peds_id_doc @RichmondDoc@ocamsrazor#mdchat - better adherence, fewer followups...lesscomplications...more time to spare in the long runTue Oct 19 18:55:56 PDT 2010

peds_id_doc @chukwumaonyeije @ocamsrazor#mdchat I have the advantage of being anacademic subspecialist though...30-60min appt slots :-PTue Oct 19 18:57:29 PDT 2010

mkmackey Interesting perspectives from the different specialties.. appreciate the discussion on

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Tue Oct 19 18:57:33 PDT 2010

RichmondDoc @chukwumaonyeije ...but one can discuss recent information w/o quoting P-values,reading RCTs verbatim, etc; summary is OK. #mdchatTue Oct 19 18:58:48 PDT 2010

chukwumaonyeije @peds_id_doc the good old days.When I went from academics to private prac. I toldfolks it was like going from retail to wholesale. #mdchatTue Oct 19 18:59:27 PDT 2010

subatomicdoc Parting thought: .....I got nothing :) #mdchat#tappedouttonightTue Oct 19 18:59:28 PDT 2010

ocamsrazor ivory tower medicine...not the same as real world med. generics rule! in the clinics#mdchatTue Oct 19 18:59:54 PDT 2010