{"id":6469,"date":"2026-09-22T21:00:26","date_gmt":"2026-09-22T21:00:26","guid":{"rendered":"https:\/\/homecares.net\/?p=6469"},"modified":"2026-09-22T21:00:26","modified_gmt":"2026-09-22T21:00:26","slug":"from-the-early-days-of-twitter-to-bluesky-the-hospice-and-palliative-care-community-finds-a-new-digital-home","status":"publish","type":"post","link":"https:\/\/homecares.net\/?p=6469","title":{"rendered":"From the Early Days of Twitter to Bluesky: The Hospice and Palliative Care Community Finds a New Digital Home"},"content":{"rendered":"<p>The migration of specialized medical communities from legacy social media platforms to emerging decentralized networks has reached a significant turning point, marked this week by a mass exodus from X (formerly Twitter) by prominent members of the hospice and palliative care (HAPC) sector. Dr. Christian Sinclair, editor-in-chief of the influential palliative medicine publication Pallimed and a palliative care physician at the University of Kansas Health System, formally announced his departure from X, citing persistent platform degradation, safety concerns, and an increasingly hostile digital environment. <\/p>\n<p>In its place, Dr. Sinclair and a rapidly expanding cohort of clinicians, researchers, medical societies, and healthcare journalists have relocated their professional networking and collaborative discussions to Bluesky, an alternative text-based microblogging platform. This transition highlights a broader trend across the medical and scientific communities, which are increasingly seeking out digital environments that prioritize collegiality, robust content moderation tools, and freedom from algorithmic manipulation.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/homecares.net\/?p=6469\/#The_Rise_Fall_and_Abandonment_of_X_for_Medical_Professionals\" >The Rise, Fall, and Abandonment of X for Medical Professionals<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/homecares.net\/?p=6469\/#The_Appeal_of_Bluesky_and_the_Mechanics_of_Migration\" >The Appeal of Bluesky and the Mechanics of Migration<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/homecares.net\/?p=6469\/#Revival_of_Synchronous_Academic_Discourse_and_Future_Events\" >Revival of Synchronous Academic Discourse and Future Events<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/homecares.net\/?p=6469\/#Broader_Implications_for_Medical_Communication\" >Broader Implications for Medical Communication<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"The_Rise_Fall_and_Abandonment_of_X_for_Medical_Professionals\"><\/span>The Rise, Fall, and Abandonment of X for Medical Professionals<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The relationship between the hospice and palliative care community and text-based microblogging dates back over a decade and a half. In February 2009, Pallimed first championed the adoption of Twitter\u2014then an emerging communication tool\u2014as a revolutionary medium for medical education, peer support, and multidisciplinary collaboration. For years, platforms like Twitter served as vital digital lifelines for specialists dealing with high-stress, emotionally demanding fields, allowing them to share clinical insights, mourn losses, coordinate research, and organize synchronous educational events such as the widely recognized #HPMchat (Hospice and Palliative Medicine chat).<\/p>\n<p>However, over the preceding 24 months, the structural and cultural landscape of X underwent profound shifts. Following changes in corporate ownership, leadership, and moderation policies, numerous healthcare professionals reported a sharp escalation in targeted harassment, the proliferation of unverified accounts, and an influx of polarizing political discourse. Furthermore, algorithmic adjustments frequently suppressed educational and scientific content in favor of engagement-bait and commercial advertising. <\/p>\n<p>Dr. Sinclair\u2019s decision to permanently delete his personal account\u2014a symbolic milestone given his early advocacy for the platform\u2014underscores a growing consensus among medical professionals that the risks of remaining on legacy networks now outweigh the professional networking benefits. His announcement serves as a validation for other clinicians hesitant to sever ties with longstanding digital networks, demonstrating that professional survival and academic engagement are entirely feasible outside the ecosystem of X.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"The_Appeal_of_Bluesky_and_the_Mechanics_of_Migration\"><\/span>The Appeal of Bluesky and the Mechanics of Migration<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Bluesky, originally conceived as a decentralized social network protocol before launching as a public application, has capitalized on the disillusionment of users fleeing legacy platforms. Featuring a chronological timeline, customizable feeds, and advanced moderation tools designed to shield users from coordinated harassment campaigns, the platform has cultivated an atmosphere reminiscent of early social media culture. Notably free of commercial advertisements in its current iteration, Bluesky offers a clean, text-centric user experience that appeals directly to academics, clinicians, and journalists who find video-heavy platforms like TikTok and Instagram\u2014or brand-saturated environments like Meta\u2019s Threads\u2014ill-suited for nuanced clinical discourse.<\/p>\n<figure class=\"article-inline-figure\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEijRieS2ebp6ym5cHUEkJnlY2zwgoyDiM0AnexW4x4bRdaJ1C2lSwSeEyTX9D0oC6tpNVuithLUgypqHZ_663YbJDHd8BJ7P9BWKEvNqXEWgaO4MiKPNgODQUy4D-7M_NWvtMnzGiEmg6Rw30BDzyK8GZCuXJGTXxsRBQfnyETMXjj27a8Gmbjo0g\/w1200-h630-p-k-no-nu\/bafkreiffwbceyz723v6nukqtasixpdokahcm35su3fgs6vtlh6niog2pby.jpg\" alt=\"Twitter is Dead. Long live Bluesky!\" class=\"article-inline-img\" loading=\"lazy\" \/><\/figure>\n<p>While early adoption within the HAPC community began modestly approximately 18 months prior\u2014bolstered by early invites from leaders such as Dr. Holly Yang\u2014the platform experienced an unprecedented surge in membership. Over a single weekend, the influx transformed Bluesky from a quiet niche network into a vibrant, high-volume hub for medical communication. Beyond palliative care, participants now include mainstream news organizations, public health entities, scientific journals, and prominent medical societies.<\/p>\n<p>To facilitate onboarding for clinicians accustomed to legacy workflows, early adopters have developed comprehensive resource guides. Dr. Sinclair published a widely shared &quot;How to Bluesky&quot; document pinned to his user profile, designed to help newcomers navigate decentralized networking. Additionally, the community has embraced &quot;starter packs&quot;\u2014curated lists of accounts grouped by medical specialty\u2014allowing new arrivals to instantly rebuild their professional networks. Dr. Sinclair launched a dedicated Hospice and Palliative Care People starter pack featuring 120 verified professionals, while Dr. Catherine Walshe, editor of the academic journal <em>Palliative Medicine<\/em>, introduced a complementary starter pack to ensure comprehensive representation across the discipline.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Revival_of_Synchronous_Academic_Discourse_and_Future_Events\"><\/span>Revival of Synchronous Academic Discourse and Future Events<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The consolidation of the HAPC community on Bluesky has cleared the path for the revival of vital professional traditions. Effective Wednesday, and continuing weekly over the coming months, Dr. Sinclair will host the revived #hapc chat (historically known as #hpm chat or Tweetchat) at 6:00 PM Pacific Time \/ 9:00 PM Eastern Time. These scheduled, synchronous discussions are expected to serve as a primary vehicle for interdisciplinary collaboration, case sharing, and mentorship among clinicians spread across diverse geographic regions.<\/p>\n<p>Furthermore, the platform is rapidly establishing itself as the digital epicenter for upcoming major medical conferences, most notably the American Academy of Hospice and Palliative Medicine (AAHPM) Annual Assembly (#HAPC25), scheduled to take place in Denver next year. Conference organizers and attendees are increasingly utilizing Bluesky to coordinate symposia, share pre-print research, and organize networking events ahead of the physical gathering.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Broader_Implications_for_Medical_Communication\"><\/span>Broader Implications for Medical Communication<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The mass migration of the palliative care sector to a decentralized platform reflects a broader structural evolution in how medical knowledge is disseminated and discussed online. As centralized social media networks face increasing regulatory scrutiny, algorithmic unpredictability, and cultural polarization, professional societies and academic institutions are re-evaluating their digital dependencies.<\/p>\n<p>The success of the HAPC community&#8217;s transition to Bluesky demonstrates that specialized fields can successfully transplant their digital culture provided the alternative infrastructure supports academic rigor, rigorous content curation, and protection against harassment. For Pallimed and its readership, this shift not only preserves a fifteen-year legacy of digital medical advocacy but also signals a resilient path forward for peer-to-peer healthcare communication in an increasingly fractured digital age.<\/p>\n<!-- RatingBintangAjaib -->","protected":false},"excerpt":{"rendered":"<p>The migration of specialized medical communities from legacy social media platforms to emerging decentralized networks has reached a significant turning point, marked this week by a mass exodus from X (formerly Twitter) by prominent members of the hospice and palliative care (HAPC) sector. Dr. Christian Sinclair, editor-in-chief of the influential palliative medicine publication Pallimed and &hellip;<\/p>\n","protected":false},"author":1,"featured_media":6468,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[90],"tags":[98,20,94,67,2126,160,365,93,38,66,325,92,105,91,95],"newstopic":[],"class_list":["post-6469","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-palliative-hospice-care","tag-bluesky","tag-care","tag-comfort-care","tag-community","tag-days","tag-digital","tag-early","tag-end-of-life","tag-finds","tag-home","tag-hospice","tag-hospice-care","tag-palliative","tag-palliative-care","tag-twitter"],"_links":{"self":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts\/6469","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6469"}],"version-history":[{"count":0,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts\/6469\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/media\/6468"}],"wp:attachment":[{"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6469"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6469"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6469"},{"taxonomy":"newstopic","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fnewstopic&post=6469"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}