Patient communication and shared decision making - Twitter summary from #ACAAI18 meeting

Dr. Bukstein - Encourage your patient to use cell phones to make videos of their sleeping to look for OSA, take pictures of their rashes. We call this “rash-selfie” at CCF.

“Use cell phones: rashes, VCD, sleep problems.” Couldn’t agree more. Smart phones have changed our practice. From Laryngotracheomalacia in a NICU graduate to eczema vs urticaria, photos/video/audio on cell phones have changed allergy practice.

Dr Bukstein practices A/I in inner city Milwaukee: “Asthma is a disease of poor communication rather than increased inflammation.

"Rules of Two": Generally, a patient should be on a daily controller medication if he or she: have asthma symptoms/attacks more than twice a week, wakes up due to asthma symptoms more than twice a month.

So much to cover, so little time. How can docs discuss shared decision making, anticipatory guidance, AND patient concerns during a time limited office visit? Need to buy in, use checklists, existing tools to assist documentation. Communication & organization are key.

Go to patient advocacy websites so you are aware of what your patients are reading about their disease online.

@AllergyKidsDoc Plenary speaker Don Bukstein: “Spend time visiting patient centered websites & advocacy organizations. It’s important to understand the information our patients are receiving outside the office.” This approach has changed my entire career!

@mrathkopf Dr Bukstein's blueprint for shared decision making in a 30 min patient visit and team based care:

Shared decision making is not a 'one and done' process - evaluate the management decisions along the way.

The @ACAAI has a shared decision making tool for patients to decide about allergen immunotherapy:

Dr. Bukstein: most non-adherence is intentional.

This is a Twitter summary from #ACAAI18 meeting based on tweets by the following allergists: @kparksmd @DrAnneEllis @AllergyKidsDoc

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